CATALOGUE OF 'SHARP & SMITH, IMPORTERS, MANUFACTURERS, WHOLESALE AND RETAIL DEALERS IN SURGICAL INSTRUMENTS, DEFORMITY APPARATUS, • Artificial Limbs, Artificial Eyes, Elastic Stockings, Trusses, Crutches, Supporters, Galvanic and Faradic Batteries, Etc. SURGEONS' APPLIANCES of every description. NO. 73 RANDOLPH STREET, CHICAGO. 1889. The Blakely Printing Company, Chicago. NOTICE. As this issue of our Catalogue contains numerous cuts of Instruments which do not appear in our last edition, we have deemed it necessary (to save mistakes) to begin the figures of this book in advance of where we left off in last edition, so that any instrument ordered by number of either book, cannot be misunderstood by us. When ordering through druggists ask for Sharp & Smith's make, as inferior goods are frequently substituted. Please do not cut or mutilate this book. In ordering, always state Number of Figure and Page of Catalogue. IW Prices in this Catalogue are STRICTLY NET to Physicians, except where otherwise stated. SUGGESTIONS TO OUR PATRONS. THE name of your Town, County and State, and your own name, should be plainly written. Articles sent by mail are sent at the risk of the purchaser. When Instruments are sent for repair, the address of the person sending them should be plainly marked on outside of package. Instruments ordered by parties unknown to us will be sent by express C. O. D., including the charges for returning the money; and a remittance sufficient to cover express charges should accompany the order. Sharp or pointed Instruments, and articles wholly or partly of glass, cannot be sent by mail, excepting in tin boxes. All parcels sent by mail, on which letter postage has not been paid, are opened and examined at the Chicago office, and if writing is found inclosed, letter rate is charged on the parcel, which sometimes amounts to far more than express rates. This penalty postage we charge to the person sending the parcel. We pay great attention to having goods carefully packed, so that they can be transported to any part of the world safely; goods so packed cease to be our property when placed in the hands of the carrier. Therefore, for all delays or damages, the customer must look to the express company, who alone is legally responsible to the owner for their safe and prompt delivery. All articles of our manufacture and those bearing our name, we warrant; and any article sold by us not answering our description, or not according to order, will be taken back cheerfully; and any errors on our part will be promptly rectified. Reference to former correspondence should be avoided as much as possible. Do not depend on out remembering former orders, but designate the article wanted, either by name or description; and when measures are required send new measures. Attention to this suggestion will frequently save time and avoid delay. Very respectfully, Sharp & Smith. E.-Please do not cut or mutilate this book. In ordering, always state Number of Figure and Page of Catalogue. 274 SHARP & SMITH, CHICAGO. ELASTIC GOODS A SPECIALTY. WHOLESALE AND RETAIL. DIRECTIONS FOR MEASUREMENT. Which should be taken in the Morning before rising. The Measurement of Length is essential. Give the exact Measurement. All Measurements for Length should be taken on inside of Limb. We allow for Expansion. WHEN ORDERING PLEASE STATE QUALITY DESIRED, WHETHER OF STOUT OR FINE SILK, OR COTTON ELASTIC. Silk Goods sent unless Cotton is Indicated in Order. goods made to order on short notice when sizes are irregular or extra large. For a Thigh Stocking.-Circumference STOUT FINE at A, B, C, D, E, F, G, II, I. Length SILK. SILK. $ (J oo # 7 50 $ S 7S For a Thigh Legging.-Circumference at C, I), E, F, G, II, I. Length from C to F and from F to I 7 6 00 For a Thigh Knee-Cap.-Circumference at E, F, G, II, I. Length from F to I. 5 oo 4 00 3 50 For a Thigh Piece.-Circumference at G, H, I. Length from G to I....... 2 50 2 00 i 75 Fora Knee Stocking-Circumference at A, B, C, D, E, F, G. Length from 6 50 5 00 3 75 For a Knee Legging.-Circumference at C, D, E, F, G Length from C to F, 5 00 4 00 3 5° For a Knee-Cap.-Circumference at E, F, G- Length from E to F, and F toG. 2 50 2 00 1 75 For a Garter Stocking.-Circumference atA,B,C,D,E. Length from floor to E. 4 00 3 00 2 00 For a Garter Legging.-Circumference at C, D, E. Length from C to E.... 2 50 2 OO 1 75 For an Anklet.-Circumference at A, B, C. Length from floor to C 2 50 2 OO 1 75 For a Wristlet-Circumference at N, I 00 2 50 For an Abdominal Belt.-Circumfer- ence at K, L, M. Depth in front and back IO 00 8 00 For an Umbilical Belt with Pad.- Circumference at the Navel 11 OO 9 00 For a Shoulder Cap.-Circumference of Chest at Axilla T. Arm from Axilla to S, and Axilla to R. Arm three inches below Axilla 8 00 6 The above are prices to Patients. Special prices to Physicians and the Trade. For extra large sizes an additional charge will be made. SHARP & SMITH, CHICAGO. 275 AMPUTATING AND GENERAL OPERATING CASES. We furnish the following cases at prices quoted, only when sold complete. We make several of each style at one time, and are thereby enabled to sell the cases complete, at a much less figure than the instruments would amount to if sold separately. In omitting any instrument we cannot allow the net price for each instrument, and if cases are wanted modified we will make the prices rea- sonable, or will be pleased to send quotations on same or entirely new and special cases which we make it a point to turn out very quickly. Old instruments can be repaired and made to look like new, and put in cases with new instruments. FIG. * 900. Sharp & Smith's Amputating and Trephining Case $26 00 901. " " " " " " No. 2 24 75 * 902. Parker's General Operating Set 67 00 * 903. Sharp & Smith's Set of Amputating Instruments No. 3 18 75 * 904. " " Amputating and Minor Operating Set 39 00 904-A. Sharp & Smith's Amputating and Minor Operating Set ivory handles 51 00 * 905. Sharp & Smith's General Operating Case No. 5, with Minor Operating Case inclosed 75 00 906. Sharp A Smith's General Operating Case No. 6 with Minor Operating Case inclosed 52 50 906- Sharp & Smith's General Operating Case No. 7 with Minor Operating Case inclosed 125 00 907. Sharp & Smith's General Operating Set No. 1 52 00 907- " " " " " " in ivory handles..... 63 00 " " " " " No. 2 ........ 75 00 909. Mott's General Operating Set 5400 910. Markoe's " " " 5° 00 911. California " " " 50 00 912. Buck's General Operating Set 133 Oo 913. Detmold's " " " 48 50 914. Seymour's " • " " 132 00 915. Parker's Compact Operating Set 46 50 916. Blackman's General " 98 00 917. Trephining Set j,2 oo 918. Post's General Operating Set 109 00 919. Sharp & Smith's Operating Set 33 73 920. Bone Exsecting Set 48 73 921. Wood's General Operating Set 32 00 922. Hamilton's " ' " 75 00 923. Conant's Amputating and Minor Operating Case 40 00 All instruments designated by a * are illustrated. See " Supplement" for other Operating Cases, 276 SHARP & SMITH CHICAGO. AMPUTATING AND GENERAL OPERATING CASES. *Fig. 900. Sharp & Smith's Amputating and Trephining Case, No. 1. i Liston's long Knife, hip and thigh. i Liston's medium Knife, leg and arm. i Catling, foot and hand. i Tenacu'um. i Scalpel. i Elevator and Raspatory. i Brush. i Hey's Saw. Sharp & Smith's Amputating and Trephining Set, No. I. i Capital Saw. i Metacarpal Saw. i Gait's conical Trephine and Handle. i Pair spring-catch Fenestrated Artery Forceps. i Tourniquet. i Pair Liston's Bone Forceps. Needles, Silk, Plastic Pins, Wax, etc. Mahogany Case, lined with oil dyed velvet$26 00 Fig. 901. Sharp & Smith's Amputating and Trephining Set, No. 2. i Liston's Knife. i Catling. i Tenaculum. i Scalpel. i Elevator and Raspatory. i Brush. i Hey's Saw. i Capital Saw. i Metacarpal Saw. i Gait's Trephine. i Pair spring-catch Fenestrated Artery Forceps. i Tourniquet. i Pair Liston's Bone Forceps. Needles, Silk, Plastic Pins, Wax, etc. Mahogany Case, lined with oil-dyed velvet$24 75 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO 277 Fig. 902. Parker's General Operating Set. 1 Liston's Amputating Knife, screw handle. 1 Liston's Amputating Knife medium Size. 1 Small Catlin. 1 Capital Saw. 1 Metacarpal Saw. 1 German Silver Wire Eye Speculum. 1 Iley's Saw. 1 Trephining Elevator and Raspatory 1 Gait's Trephine and Handle. 1 Finger Knife. 1 Curved Probe Pointed Bistoury. 1 Curved Sharp Pointed Bistoury. I Cooper's Hernia Knife. 3 Scalpels, assorted. 1 Cataract Knife. 1 Parker's Lachrymal Needle. 1 Exploring Trocar. 1 Director, steel. 1 Pair Probes, Silver. i Tiemann & Co.'s Bullet Forceps, i Tenotome. I Pair Parker's Retractors. i Small Trocar, straight. I Rectum Trocar, curved. i Pair Artery Forceps, plain. I Pair Polypus Forceps. 1 Steel Sound. 2 Lithotomy Staffs. I Lithotomy Bistoury. I Pair Lithotomy Forceps. I Pair Liston's Bone Forceps. 1 Pair Eye Scissors, curved on the flat. 2 Silver Catheters. I Spiral Tourniquet. i Eye Needle, curved. I Set Parker's Aneurism Needles. i Pair Strabismus Forceps. i Pair Artery Forceps, spring-catch, plain. Needles, Silk, plastic Pins, Wax, Etc. Rosewood Case, brass-bound, lined with silk velvet, one patent leather cover, waterproof...$67 00 278 SHARP & SMITH, CHICAGO. AMPUTATING AND GENERAL OPERATING CASES. *Fig. 903. Sharp & Smith's Set of Amputating Instruments. No. 3. i Liston's Knife, hip and thigh. i Liston's Knife, leg and arm. i Catling, small, hand and foot. i Scalpel. i Tenaculum. i Pair spring-catch Artery Forceps. 1 Metacarpal Saw. 1 Capital Saw, solid handle. 1 Tourniquet. 1 Pair Bone Forceps. Needles, Silk, Plastic Pins, Wax, etc. Mahogany Case, lined with fine oil-dyed velvet$18 75 *Fig. 904, Sharp and Smith's Amputating and Minor Operating Set. For contents see next page$39 00 SHARP & SMITH, CHICAGO. 279 AMPUTATING AND GENERAL OPERATING CASES. *Fig. 904. Sharp & Smith's Amputating and Minor Operating Set. Illustrated on preceding page. 1 Bow Saw, two blades. 1 Large Amputating Knife- 1 Medium Amputating Knife. 1 Small Amputating Knife. 1 Pair Artery Forceps, Bull Dog 3 Scalpels. 1 Finger Bistoury. 1 Curved Probe Bistoury. 1 Tenotome. 1 Curved Sharp Bistoury. 1 Hernia Bistoury 1 Tenaculum. 1 Aneurism Needle. 1 Spiral Tourniquet. i Director. i Iley's Saw. i Movable Back Saw- i Conical Trephine. i Bone Forceps,' with spring. i Trocar and Canula i Vulsellum Forceps. i Tortion Forceps. i Elevator and Brush. i Pair Straight Scissors. i Pair Curved Scissors i Exploring Needle Needles, Silk, Plastic Pins, Wax, etc. Brass bound Rosewood Case, velvet-lined$39 00 Fig. 904-A. Same, with Ivory Handles 51 00 * Fig. 905. Sharp & Smith's General Operating Case, No. 5, with Minor Operating Case inclosed. For contents see next page$75 00 280 SHARP & SMITH, CHICAGO. AMPUTATING AND GENERAL OPERATING CASES. *Fig. 905. Sharp & Smith's General Operating Case No. 5, with Minor Operating Case inclosed. See preceding page. i Liston's Knife, hip and thigh. i Liston's Knife, leg and arm. i Catlin, small. i Bow Saw. i Liston's Bone Forceps, curved. i Spiral Tourniquet. i Gait's Trephine and Handle. i Elevator and Raspatory. i Hey's Saw. i Brush. i Trocar and Canula. 1 Heavy Cartilage Knife. 2 Retractors, Parker's. i Tiemann & Co.'s Bullet Forceps. i Tiemann & Co.'s Bullet Probe. i Lead Mallet. i Bone Chisel. i Bone Gouge. i Scissors, curved on the flat. i Dressing and Polypus Forcep. i Piffard's Bone Scoop. i Sayre's Periosteotome. 1 Satterlee's Bone Foicep. 2 Steel Serresfins. i Van Buren's Sequestrum Forcep i Curved Hand Gouge. t Ferguson's Lion Jaw Bone Forcep. i Chain Saw. The following instruments included in this set are fitted into a compact minor operating case, which can be removed from the larger one and carried in the pocket if desired. This minor case is leather covered and velvet lined, and contains : 1 Metacarpal Saw. 2 Scalpels. 1 Sharp-point Bistoury. 1 Probe-point Bistoury. 1 Tenotome. 1 French Finger Knife. 1 Plain Artery Forcep. i Tenaculum. i Bulldog Artery Forcep. i Pair Scissors. i Director and Tongue Tie. 1 Aneurism Needle. 2 Long Silver Probes. Twelve needles, silk, coil of silver wire, wax and pins, all in a finely carved, brass bound case, lined with oil-dyed velvet, and supplied with patent leather, slip-over cover, waterproof$75 00 i Liston's Knife, hip and thigh, i Liston's Knife, leg and arm. i Catlin, small. i Bow Saw. i Bone forcep, Liston's best. i Spiral Tourniquet. j Gait's Trephine and Handle. j Elevator and Raspatory. i Hey's Saw. i Brush. i Trocar and Canula. Fig. 906. Sharp & Smith's Operating Case No. 6.-Same style as above. 1 Heavy Cartilage Knife. 2 Retractors, Parker's. i Tiemann & Co.'s Bullet Forcep. i Tiemann & Co.'s Bullet Probe. i Lead Mallet. i Bone Chisel. i Bone Gouge. i Scissors, curved on the flat. i Dressing and Polypus Forcep. i Serresfins. i Vulsellum Forcep. The following instruments included in this set are fitted into a compact minor operating case, which can be removed from the larger one and carried in the pocket if desired, The minor case is leather covered and velvet lined, and contains : 1 Metacarpal Saw. 2 Scalpels. 1 Sharp-point Bistoury. 1 Probe-point Bistoury. 1 Tenotome. 1 French Finger Knife. 1 Plain Artery Forcep. i Tenaculum. i Bulldog Artery Forcep. i Pair Scissors. i Director and Tongue Tie. i Aneurism Needle. i Long Silver Probe. 12 Needles. Silk, coil of silver wire, pins and wax, all in a neat, brass-bound case, lined with oil-dyed velvet$52 50 SHARP & SMITH, CHICAGO. 281 AMPUTATING AND GENERAL OPERATING CASES. Fig. 906-A. Sharp & Smith's Complete Operating Case No. 7. Same Style as Fig. 905. i Liston's Knife, hip and thigh. i Liston's Knife, leg and arm. i Catlin, small. i Bow Saw, two blades. i Liston's Bone Forceps, curved. i Spiral Tourniquet. i Gait's Trephine and Handle. i Elevator and Raspatory. i Hey's Saw. i Brush. i Trocar and Canula. 1 Heavy Cartilage Knife. 2 Retractors, Parker's. i Tiemann & Co.'s Bullet Forceps. i Tiemann & Co.'s Bullet Probe. i Lead Mallet. i Bone Chisel. i Bone Gouge. i Scissors, curved on the flat. i Polypus Forcep. i Piffard's Bone Scoop. i Sayre's Periosteotome. 1 Satterlee's Bone Forceps. 2 Steel Serresfins. i Van Buren's Sequestrum Forceps. i Curved Hand Gouge. i Ferguson's Lion Jaw Bone Forceps. i Chain Saw, rotating handles. 1 Bone Gnawing Forcep. 2 Sponge Holders. i Horn Screw for Lockjaw. i Lithotomy Staff. i Lithotomy Forcep. i Lithotomy Bistoury. i Gaylard's Bone Drill. i Set Brainard's Bone Drills. i Fenestrated Slide-catch Forcep. i Fritche's Needle Holder. i Cooper s Hernia Knife. 1 Large Trepanning Scalpel. 2 Steel Sounds. 2 Male Catheters, plated. i Pair Vulsellum Forceps. i Plain Artery Forcep, heavy. i Eye Speculum, Noyes', best. i Dix's Spud. i Beer's Knife. i Linear Knife. i Iris Forcep. i Iris Scissors. i Curved Trocar. i Eye Needle. i Brunn's Bone Scoop. i Chain Saw Carrier. i Double Operating Hook. i Adams' Subcutaneous Saw. The following instruments included in this set are fitted into a compact minor operating case, which can be removed from the larger one and carried in the pocket if desired. This minor case is leather covered and velvet lined, and contains : 1 Metacarpal Saw. 2 Scalpels. 1 Sharp-point Bistoury. 1 Probe-point Bistoury. 1 Tenotome. 1 French Finger Knife. 1 Plain Artery Forcep. 1 Tenaculum. i Bulldog Artery Forceps. i Pair Scissors. i Director and Tongue Tie. 1 Aneurism Needle. 2 Long Silver Probes. 12 Needles, silk, coil of silver wire, one coil iron wire, wax and pins. All in a finely finished case, lined with fine oil-dyed velvet, with patent leather waterproof cover for case$125 00 ASK FOR SHARP & SMITH'S INSTRUMENTS When Ordering through Dealers. 282 SHARP & SMITH, CHICAGO. AMPUTATING AND GENERAL OPERATING CASES. Fig. 907. Sharp & Smith's General Operating Set No. I. 1 Amputating Saw, best. 1 Metacarpal Saw, movable back. 1 Gait's Trephine and Handle. 1 Hey's Skull Saw. 1 Trephine Elevator and Raspatory. 1 Pair Bone Forceps. 1 Pair Lithotomy Forceps. 1 Pair Bullet Forceps. 1 Trocar and Cann la. 2 Urethral Sounds. 1 Lithotomy Staff. 1 Male Catheter, silver plated. 1 Spiral Tourniquet. 1 Amputating Knife, long. 1 Amputating Knife, medium. 1 Catlin, long. Needles, Silk, Plastic Pins, Wax, etc. 1 Lithotomy Bistoury. 1 Grooved Director and Tongue Tie. 1 Set Mott's Aneurism Needles. 1 Tenaculum. 1 Hernia Knife. 1 Bistoury, probe-pointed. 1 Bistoury, sharp-pointed. 4 Scalpels, assorted. 1 Tenotome. 1 Pair Scissors, straight. 1 Pair Scissors, curved on flat. 1 Pair Artery Torsion or Needle For- ceps. 1 Pair Vulsellum Forceps. 1 Exploring Needle. 1 Pair Artery Forceps, fenestrated. Neat Brass-bound Rosewood Case, lined with velvet... .$52 00 907 A. Same, with ivory handles 63 00 Fig. 908. Sharp & Smith's General Operating Set, No. 2. 2 Retractors. 4 Scalpels, assorted sizes. 1 Straight Bistoury. 1 Sharp-curved Bistoury. 1 Probe-curved Bistoury. 1 Hernia Knife. 1 Aneurism Needle. 1 Tenaculum. 1 Director and Tongue Tie. 1 Tourniquet. 1 Liston's Knife. 1 Catlin. 1 Screw Handle to fit above. 1 Bow Saw with two Blades. 1 Screw Handle to fit above. 1 Phelps' Artery Forceps. 1 Plain Artery Forceps. 1 Pair Straight Scissors. 1 Pair Curved Scissors. 1 Trephine Elevator. 2 Silver Probes, five inches. 1 Silver Probe, seven inches. 1 Nelaton Probe. 1 Mathieu's Throat Forceps. 1 Pair Liston's Bone Forceps. 1 Trocar. 1 Gait's Trephine. 1 Van Buren's Sequestrum Forceps. 1 Pair Bone Gouging Forceps. 3 Steel Sounds. 1 Screw Handle for same. 3 Silver-plated Catheters. 1 Bone Chisel. 1 Bone Gouge. 1 Sayre's Periosteotome. 1 Tiemann & Co.'s Bullet Forceps. 1 Polypus Forceps, straight. 1 Lithotomy Director. 1 Coil Silver Wire. Needles, Silk, Plastic Pins, Wax, etc. Rosewood Case, brass-bound, leather cover $75 00 283 SHARP & SMITH, CHICAGO. AMPUTATING AND GENERAL OPERATING CASES. Fig. 909. Mott's General Operating Set. i Mott's Knife, large. i Mott's Knife, medium. i Small Catlin. i Capital Saw. i Metacarpal Saw. i Tourniquet. i Tenaculum. i Pair Artery Forceps, plain. i Pair Artery Forceps, spring-catch, plain. i Tiemann & Co.'s Bullet Forceps. i Liston's Bone Forceps, best. i Gait's Trephine and Handle. i Trephining Elevator and Raspatory. i Tenotome. i Curved Bistoury, sharp-pointed. i Curved Bistoury, probe-pointed. 1 Steel Director. 2 Silver Probes. i Pair Polypus Forceps. i Pair Scissors, straight. 1 Pair Scissors, angular curved. 2 Mott's Retractors. i Finger Knife. 3 Scalpels. i Double Hook. i Hey's Saw. i Trocar and Canula. Needles, Silk, Plastic Pins, Wax, etc. Rosewood Case, lined with oil-dyed velvet $54 00 i Liston's Knife, Long. i Liston's Knife, medium. i Liston's Knife, small. i Straight Bistoury. i Curved Bistoury. i Curved Bistoury Probe. 1 Hernia Knife. 2 Scalpels. i Tenotome. i Tenaculum. i Aneurism Needle. i Tourniquet. i Chisel. i Metacarpal Saw. i Hey's Saw. Fig. 910. Markoe's General Operating Set. i Elevator and Raspatory. i Pair Artery Forceps, plain. i Pair Artery Forceps, spring-catch, fenestrated. i Pair Vulsellum Forceps. i Pair Toe-Nail Forceps. i Capital Saw. i Gait's Trephine. i Pair Parker's Retractors. i Pair Liston's Bone Forceps. i Bone Gouge. i Silver Male Catheter. i Steel Sound. Needles, Silk, Plastic Pins, Wax, etc. Rosewood Case, lined with velvet $50 00 Fig. 911. California General Operating Set. i Capital Saw. i Amputating Knife, long. i Amputating Knife, medium. i Small Catling. i Scalpel. i Elevator and Raspatory. i Pair Artery Forceps, spring catch, plain. i Pair Artery Forceps, slide-catch, bulbous points. i Tourniquet. i Trocar, straight. i Tongue Depressor, japanned. i Pair Liston's Bone Forceps. i Gait's Trephine and Handle. i Steel Director. i Straight Bistoury. i Curved Bistoury, probe-pointed. i Curved Bistoury, sharp-pointed. 3 Scalpels, assorted sizes. i Tenotomy Knife. i Aneurism Needle. i Pair Polypus Forceps. i Hey's Saw. i Metacarpal Saw. i Pair Dissecting Scissors. i Double Hook. i Green's Tonsil Bistoury. i Probang. i Catheter, German silver, plated. i Metal Bougie. i Pair Tiemann & Co.'s Bullet Forceps. Needles, Silk, Plastic Pins, Wax, etc. Mahogany Case, lined with oil-dyed velvetoo 284 SHARP & SMITH, CHICAGO. AMPUTATING AND GENERAL OPERATING CASES. i Liston's long Knife, hip and thigh. i Liston's medium Knife, leg and arm. i Metacarpal Knife, large. i Straight Bistoury, ferruled handled. i Curved Bistoury, sharp point. i Curved Bistoury, probe point. i Hernia Bistoury. i Tenotome. 4 Scalpels, assorted sizes. i Tenaculum. i Pair Crampton's Artery Needles. i Double-pronged Hook. i Beer's Cataract Knife. i Desmarre's Scarifying Knife. i Straight-Eye Needle. i Curved Eye Needle. i Gouge and Spud for removing for- eign bodies from the Eye. i Folding Probang, with silver Bucket. i Long Bullet Probe, German silver. i Nelaton's Bullet Probe. i Pair German Silver Retractors. i Double Silver Trachea Tube. i Curved Rongeur, with spring. i Ferguson's Bone-Holding Forceps, Lion Jaw. i Pair Liston's Bone Forceps. i Pair Sequestra or Toe-Nail Forceps. i Small, straight Trocar and Canula. i Ferguson's Bone-Holding Forceps, crowbill. 1 Rectum Trocar and Canula, curved. 2 Gouges. 2 Chisels. i Straight Trocar and Canula, large size. Fig. 912.-Buck's General Operating Set. i Pair Lithotomy Forceps. i Glass Ear Speculum. i Tourniquet. 4 Silver Catheters, Nos. 3, 6, 9 and 12. 1 Tiemann & Co.'s Bullet Forceps. 1 Steel Director. 1 Pair Coxeter's Forceps. 2 Vulsellum Forceps. 1 Pair Eye Scissors, curved on the flat. 1 Pair Heavy Scissors, angular curved. 1 Lithomy Bistoury. 1 Wire Ecraseur. 1 Pair spring-catch Artery Forceps, fenestrated. 1 Pair Buck's Throat Forceps. 1 Pair Polypus Forceps. 1 Pair Strabismus Forceps. 1 Buck's Hernia Director. 1 Capital Saw. 1 Chain Saw, best. 1 Trephine and Handle. 1 Metacarpal Saw, movable back. 1 Finger Saw, narrow blade. 3 Lithotomy Staffs. 3 Steel Bougies. 1 Syme's Staff. 1 Buck's Sponge-holder. 1 German Silver Eye Speculum. 1 (Edema Glottis Instrument. 2 Coils silver suture Wire. 4 Coils Iron Wire. 3 Silver Probes. 6 Serrefins. Needles, Silk, Plastic Pins, Wax, etc. Mahogany or Rosewood Case, brass bound, good French Lock, lined withsilk velvet, neatly arranged, one patentleather cover, water proof$r35 00 Fig. 913.-Detmold's General Operating Set. Detmold's General Operating Set 48 50 Fig. 914,-Seymour's General Operating Set. Seymour's General Operating Set 132 00 Fig. 915.-Parker's Compact Operating Set. Parker's Compact Operating Set 46 50 Fig. 916.-Blackman's General Operating Set. Blackman's General Operating Set 98 00 Fig. 917.-Trephining Set. Trephining Set 12 00 Contents of above cases furnished on application. SHARP & SMITH, CHICAGO. 285 AMPUTATING AND GENERAL OPERATING CASES. Fig. 918.-Post's General Operating Set. 1 Granger's Sponge Holder, gilt. 1 1 Pair Dressing Forceps. 1 1 Pair Polypus Forceps. 1 1 Pair Strabismus Forceps. 1 1 Pair Strabismus Scissors. 1 1 Set Mott's Aneurism Needles. 1 1 Pair Angular Scissors, heavy. 1 1 Kramer's Ear Speculum, best steel 1 and German silver. 1 1 Pair Liston's Bone Forceps, larger 1 than usual. 1 1 Female Catheter, silver. 1 1 Metacarpal Saw. 1 6 English Gum Elastic Catheters. 1 1 Medium-sized Trocar and Canula. 1 1 Probang, with Silver Bucket 1 1 Nelaton's Probe. 1 1 Pair Cilia Forceps. 1 1 Sharp-pointed Curved Bistoury, with 1 Ferrule. 1 1 Finger Bistoury. 1 3 Scalpels, assorted sizes. 1 1 Tenaculum. 1 1 Trephining Scalpel and Raspatory. 1 1 Long Amputating Knife. 1 1 Blunt Hook. 2 2 Coils Silver Wire and Silk. 1 1 Metal Bullet Probe. 1 1 Pair Uvula Scissors, with Claws. 12 Rosewood Case, brass-bound, lined with waterproof Gait's Trephine. Bone Trephine. Trephine Handle. Ebony Gorget. Pair Coxeter's Forceps. Pair Dressing Scissors. Trephining Elevator. Pair Sp'ring catch Artery Forceps,plain Rongeur. Double Trachea Tube, silver. Pair Eutropium Forceps. Silver Catheter, No. 9. Hey's Saw. Pair Mott's Retractors. Japanned Tongue Depressor. Rectum Trocar. Pair Sequestrum Forceps, toe nail. Wire Eye Speculum. Tiemann & Co.'s Bullet Forceps Lachrymal Needle. Tenotome. Probe-pointed Bistoury. Straight and 1 Curved Eye Needle. Beer's Cataract Knife. Medium-sized Amputating Knife. Silver Probes. Director. Pair Vulsellum Forceps. Suture Needles,Silk, Wax,Plastic Pins, silk velvet, one patent-leather cover, $109 00 1 Capital Saw. 1 Catling, long. 1 Liston's Medium Knife. 1 Elevator and Raspatory. 2 Scalpels. 1 Straight Bistoury. 1 Tenotome. 1 Probe Bistoury. 1 Sharp-curved Bistoury. 1 Tenaculum. 1 Aneurism Needle. Brass bound Rosewood Case. Fig. 919.-Sharp & Smith's Operating Set. i Tourniquet. i Ivory Exploring Needle. i Vulsellum Forceps. i Pair Curved Scissors. i Pair Straight Scissors. i Gait's Trephine. i Movable Back Saw. i Hey's Saw. i Liston's Bone Forceps. i Pair Spring-catch Artery Forceps. Needles, Silk, Plastic Pins, Wax, etc. $33 75 1 Chain Saw, best. 2 Chisels, different sizes. 2 Gouges, different sizes. i Curved Rongeur or Gouge Forceps, with spring. i Pair Liston's Bone Forceps, large. i Set Brainard's Bone Drills. i Bone Trephine and Handle. Fig. 920.-Bone Exsecting Set. i Pair Mott's Retractors. 3 Coils Silver Wire. i Pair Bone Forceps, angular. i Pair Ferguson's Lion Jaw Bone-hold- ing Forceps. i Lead Mallet. i Metacarpal and Interosseous Saw, narrow. 286 SHARP & SMITH, CHICAGO. AMPUTATING AND GENERAL OPERATING CASES. 1 Elevator and Raspatory. 1 Pope's Antrum Drill. 1 Pair Sequestrum Forceps. Needles, Silk, Plastic Pins, Wire, etc. Mahogany Case, lined with oil-dyed velvet $48 75 Fig. 921 Wood's General Operating Set $52 00 " 922 Hamilton's " " " 75 00 " 923 Conant's Amputating and Minor Operating Case 40 oc Fig. 920.-Bone Exsecting Set-Continued. MINOR OPERATING CASES. Fig- 950 Hospital Minor Operating Set $56 00 " 951 Conant's " " " 26 25 " 952 Sharp & Smith's Minor Operating Set No. 1 24 00 " 953 " " " " " No. 2 15 00 " *954 " " " ' " No. 3 11 25 " 955 Otis' " " " 48 75 " 956 Erskine Mason's " " " 33 75 " 957 Frank Rockwell's " " " 45 00 Fig. 950.-Hospital Minor Operating Set. 2 Finger knives; 2 Straight probe pointed bistouries; 1 Straight hernia knife; 2 Curved sharp pointed bistouries; 2 Curved probe pointed bistouries; 1 Curved hernia knife; 1 Abscess knife; 1 Short, straight bistoury; 4 Tenotomes, various shapes; 1 Tenaculum; 1 Pair Sharp & Smith's needle forceps* 1 Pair Parker's retractors; 3 Serresfins, steel; 1 Straight tonsil knife; t Curved tonsil knife; 7 Scalpels, assorted sizes and shapes; 1 Green's double hook, plain; 1 Pair fenestrated artery forceps; 1 Pair Coxeter's artery forceps, small; 1 Pair strabismus forceps; 1 Pair Tiemann & Co.'s bullet forceps; 1 Bullet probe, Tiemann's; 1 Pair polypus forceps; 1 Pair Vulsellum forceps; 1 Pair straight, heavy scissors; 1 Pair scissors, curved on the flat; 1 Pair scissors, angular curved; 1 Trocar and canula; 1 German silver ear speculum; 1 Be- locq's canula, for epistaxis, silver; 1 Steel director; 12 yards annealed iron wire. Assorted needles, silk, silver wire, and plastic pins, all in neat rosewood case, brass bound and lined with oil-dyed velvet $56 00 1 Pair Small, fine Bone Forceps; 1 Pair Van Buren's Scissors; 1 Chisel; 1 Combination Catheter; 1 Set Mott's Aneurism Needles; 1 G. S. Director; 1 Pair Silver Probes; 1 Pair Needle Forceps, slide catch; 1 Pair Parker's Retractors; 1 Scalpel; 1 Finger Knife; 2 Bistouries; 1 Hernia Knife; 1 Double Hook; 1 Amputating Knife and Saw, to screw into one handle; Needles and Silk. Put up in a mahogany, brass bound case, 8 inches long, inches wide, i?4 inches deep, outside measurements. Price $26 00 Fig. 951.-Conant's Minor Operating Case. 1 Double Hook. 1 Curved Sharp-pointed Bistoury. 1 Curved Probe-Pointed Bistoury. 1 Cooper's Hernia Knife. 4 Scalpels, assorted. 1 Pair small Polypus Forceps. 1 Tenotome. 1 Tenaculum. 1 Aneurism Needle. Fig. 952.-Sharp & Smith's Minor Operating Case No. 1. i Narrow Metacarpal Saw. i Pair Plain Artery Forceps. i Small Trocar. i Pair angular Scissors. i Pair Slide-catch Artery Forceps. 6 Needles, Silk, Iron and Silver Wire. 1 Steel Director. 2 Silver Probes. In morocco case, lined with oil-dyed velvet $24 00 SHARP & SMITH, CHICAGO. 287 Fig- 953- Sharp & Smith's Minor Operating Case No. 2. 1 Metacarpal Saw. 2 Scalpels. 1 Sharp Point Bistoury. 1 Probe Point Bistoury. 1 Tenotome. 1 French Finger Knife. 1 Plain Artery Forcep. 1 .Tenaculum. 1 Bulldog Artery Forcep. 1 Pair Scissors. 1 Director and Tongue Tie. 1 Aneurism Needle. 2 Long Silver Probes. Twelve needles, all in a neat morocco covered case, very compact $15 00 This is the same case that is contained in our general operating cases, and parties purchasing it from us may at any future time buy the balance of the operating set, thus completing the case without loss. *Fig. 954. Sharp & Smith's Minor Operating Case No. 3. 2 Scalpels. 1 Straight Sharp Bistoury. 1 Curved Sharp Bistoury. 1 Hernia Knife. 1 Tenaculum. 1 Metacarpal Saw. 1 G. S. Director. 1 Pair Silver Probes. 1 Pair Straight Scissors. 1 Pair 'fhumb Forceps. Needles and Silk. 954 Put up in a fine morocco case$11 25 FIG. 955. Otis' Minor Operating Case $48 75 956. Dr. Erskine Mason's Minor Operating Case 33 75 957. Dr. Frank Rockwell's " " " 45 00 Contents of cases furnished on application. *958. Diameter of Cushion 20 inches 4 00 *959. " " 24 " 5 00 *960. " " 14 " 4 00 These Cushions are made with an inflatable rim at the top, to prevent the escape of the fluid upon the bed- ding or clothing, and by opening and apron this fluid ir conducted down into a bucket, placed to receive the same. The rubber, unlike other Cushions on the market, has a velvety softness that makes them very comfortable to the patient; the color is a clear tan, and they are made with the greatest care to give them durability. They are being largely used in obstetrical, perineal, cervical and general surgical operations, especially where cleanli- ness and convenience are desired. gbo 958-959 288 SHARP & SMITH, CHICAGO. AMPUTATING, GENERAL, AND MINOR OPERATING • INSTRUMENTS. ANTISEPTIC GOODS.-See Index. FIG. * 1 1000 Atomizers-Wier's Antiseptic, small $i2 oo ( toot " . " " large iS 75 * 1002 " Hank's " 12 00 * 1003 Aprons-Rubber, for operators' use 2 00 1003-A Small Iodoform Duster .$0 50 *ioo3-B Medium " " 75 1003-C Large " " 1 00 Bandages, all kinds, see index. 1000-1001 1003-B 1003 TOO2 Instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 289 AMPUTATING, GENERAL AND MINOR OPERATING INSTRUMENTS. 1009 1013 1015 1016 IOIO 290 SHARP & SMITH, CHICAGO. AMPUTATING, GENERAL AND MINOR OPERATING INSTRUMENTS. FIG. 1004. Bandage Rollers, plain .' .. $1 00 1005. " " Crocker's .' 4 50 1006. " " Plaster Paris, Greene's 4 00 *1007. " " " " Judkin's 6 00 *ioo7-A. " Clamp, Esmarch's 1 25 ioo7~B. " " Langenbeck's .. 1 25 1008. " Shears, Braun's 7 50 *1009. " " Sayres' 5 00 1010. " " Szymanowsky's.... x 6 75 ion. " " Esmarch's 4 50 *1012. " 1 " Wackerhagen's 4 50 *1013. " Wright's 5 50 1014. '' ' Henry's 3 50 All Instruments designated by a * are illustrated. A New Apparatus for Preparing Plaster-of-Paris Bandages. By Wm. Judkins, M. D. Directions for Use. Kun the end of Bandage on rod E under the bar near bottom of box through gate of regulator F, and fasten on rod D. Place the plaster in the box at G, and turning the handle, the bandage in passing through the gate has all superfluous plaster scraped off and its meshes are thoroughly impregnated with a coat of plaster. By means of a thumb screw on regulator F, the Bandage may be charged of any desired thickness. After Bandage is all wound on Crank I) give same two or three reverse turns and with- draw. 1 he Bandage, now ready for use, is wrapped in paper and put away in a tin box until wanted. i007-A 1012 SHARP & SMITH, CHICAGO. 291 AMPUTATING, GENERAL AND MINOR OPERATING fig. INSTRUMENTS. *1015 Bone Staffs, Prince's $2 50 *1016 " " Blandin's 2 25 *ioi6-A Metal Fenestrated Knives, very light and thoroughly aseptic... 85 Plain Ebony Handle, Riveted.. . 50 " " " " Ch'd. 75 " " Ferruled... 85 Plain Ivory " Riveted.. . 85 " " " " Ch'd. 1 00 1017 Bistouries, Straight, Sharp 1017 " " Blunt 1017 " Curved " 1017 " " Sharp 1017 " Hernia Hollow Metal " " " Minor Opt. i Thor. ] i Asep. i 85 *1018 Scalpels *1019 Tenotomes *1020 Tenaculums 1021 Exploring Needles 1022 Gum Lancets *1023 Aneurism Needle Plain Ebony Handle, Riveted 50 " " " " andCh'd... 75 " " Ferruled 85 Plain Ivory " Riveted 85 " " " " and Ch'd... 1 00 Hollow Metal " " " " Minor Opt. Thor. Asep. 85 *1024 Knives, Catlin, Short 2 00 1025 " " Medium 2 25 1026 " " Large 2 75 1027 " Liston's Amputating, Short, Hand and Foot 2 00 *1028 " " " Medium, Leg and Arm 2 25 *1029 " " " Large, Hip and Thigh 2 75 1030 " Brain 1 25 1031 " Liston's with Parker Handles , 4 00 1032. " Amputating, Wood's Circular 3 00 1033 " " Mott's $1 85 to 3 50 1034 " Conant's One Knife and Saw 5 50 *1035 " (see 1053), Conant's Two Knives and Saw 7 00 1036 " Finger, Long, French 1 50 1037 " Lenticular 1 25 1038 " Valentine's Section 6 00 1039 " Heavy Cartilage 1 50 1040 " Adams'Subcutaneous 1 15 1041 " Wright's Folding 4 25 1018 ' 1017 ' ' 1019- IC2O 10'3 292 SHARP & SMITH, CHICAGO. SAWS. 1042 Saws-Capital-Sharp & Smith's Aseptic $16 oo This saw is thoroughly Aseptic, has two blades which can be put at any angle for operating. The saw is made exclusively of metal and nickel plated, and is one of the most useful instruments yet offered to the profession. *1043 Saws-Capital-Satterlee's $ 3 50 *1044 " " Parker's 3 50 *1045 " " Butcher's 12 00 *1046 " " Bow 5 00 1047 " " Movable Back 3 5° 1048 " " Detmold's 3 75 1049 " " Pfarre's 3 75 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 293 FIG. *1050 Saws-Chain, best $ 7 50 *1051 " T. & Co.'s beaded 4 50 1052 " Conant's and Knife, 1 blade saw 5 50 *1053 " " " " 2 " " 7 00 *1054 " • Hey's Skull 1 30 1055 " Goodwillie's Oral. $2 50 to 3 75 1056 " Graefe's Circular 15 00 *1057 " Wyeth's Exsecting 15 00 1058 " Szymanowsky's Exsecting 15 00 1059 " Adam's Interosseous, large 3 20 *1060 " " " small 2 40 *1061 " Lente's " 1 00 SAWS. All instruments designated by a * are illustrated. 294 SHARP & SMITH CHICAGO. SAWS. Dr. Jno. Wyeth s New Instrument for Exsections The above instrument has been used successfully in exsections of the humerus and shoulder joint, the elbow joint, the hip joint, cutting through both trochanters with perfect facility, the radius,- the metatarsus, and the acromion process and spine of the scapula. It can also be used in exsections of small bones closely related to each other, as the metacarpal bones. The handles work with a double-jointed motion, and have a fixation clamp,/, like the Russian needle holder. By opening or closing the handles, the jaws, £•, are separated or closed. The action of the rotating shield, //, and the saw, /, are the same. FIG. *1062 Saws-Schrady's-Subcutaneous Saw and Knife $ 5 25 1063 " Hunter's Plastic Saw 2 00 *1064 " Lewis folding 1 85 1065 " Tiemann.& Co.'s Circular 9 00 *1066 " Metacarpal, plain handle 1 00 1067 " " Ivory " 1 50 *1068 " " Movable Back $1 75 to 3 50 1069 " Maxilla R. & L each. 1 30 *1070 " Post's Chain Saw Carrier 4 00 *1071 " Buck's " " " 2 00 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 295 SAWS.- Fy 1. F32. Fi3'd 296 SHARP & SMITH, CHICAGO. DRILLS. SHARP & SMITH, CHICAGO. 297 DRILLS. FIG. *1072 Drills-Brainard's, set 5 and handle set $ 2 65 *1073 " Hamilton's 5 25 *1074 " Howard's 5 25 1075 " Gunn's 2 50 *1076 " Pope's Antrum 2 60 *1077 " Gaillard's, for ununited fractures .. 2 50 *1078 " Wyeth's set 4 00 *1079 " Tiemann's Drill Stock 5 25 *1080 " Buck's Drills for the mastoid process 3 75 Wyeth's Set Bone Drills, $4.00 Net. All instruments designated by a * are illustrated. 298 SHARP & SMITH. CHICAGO. RETRACTORS AND HOOKS. 1081 Retractors-Volkman's each. $ 2 25 *1082 " Parker's pair. 1 10 *1083 " Mott's " 1 io *1084 " Blackman's " 2 25 1085 " Prince's " 2 60 *1086 " Bilroth's R. and L., 3 prong blunt " 4 50 *1087 " " " " 6 " sharp " 4 5° *1088 " " " " 3 " blunt, angle on flat " 4 50 *1089 " Gerster's " 3 70 1090 " " Modified by Dr. M. Spicker, with longer handle and longer blade .perpair. 3 70 *1091 " Collins'Fenestrated " 1 85 *1092 " " without Fenestra " 1 85 *1093 Greene's Double Hook 1 85 *1094 Langenbeck's Double Hook 3 00 " Levator and Hook 1 30 1095 Vulsellum Hooks, 2 prong 1 10 1096 " " 3 " 1 30 *1097 Tenaculum Forceps, Disarticulating 2 25 1098 Prince's Tenaculum Forceps 4 50 *1099 Mastin's " " Double 2 25 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 299 RETRACTORS AND HOOKS. 300 SHARP & SMITH, CHICAGO. BONE INSTRUMENTS. FIG. *1100 Forceps-Bone Cutting-Liston's, plain $ i 85 1101 " ■" " " spring 2 25 1102 " " " " large 2 50 1103 " " " " " with spring 3 00 *1104 " " " " angular 2 25 *1105 " " " " curved or flat 2 25 *1106 " " " Satterlee's 2 00 1107 " " " • " curved 3 25 1108 > " " " Isaacs'Bayonet shape... .$3 00 to 5 00 *1109 " " " Hamilton's Serrated 9 00 *1110 " Rongeur, straight 2 50 mi " " half curved 2 50 1112 " " full " .. 2 50 1113 " " Little's, for pocket 3 00 1114 " " Hoffman's Gouge 3 00 1115 " " and Bone Holder, Darby's 3 00 Wyeth's Exsecting Forceps and Saw, see page 294. *1116 " Needle Cutting, Stimson's 2 75 1117 " " " and Needle Holder, Little's 4 00 All instruments designated by a * are illustrated- SHARP & SMITH, CHICAGO. 301 BONE INSTRUMENTS. FIG. *1118 Forceps, Toe Nail, Post's $ 2 00 1119 " Trephining and Sequestrum, Van Buren's............ 2 00 *1120 " Sequestrum, Markoe's curved 2 25 *1121 " " Hamilton's 1 85 1122 " " Ferguson's, with spring 2 00 *1123 " " Van Buren's 2 25 1224 " " Poor's angular 2 25 *1125 " " Duck Bill' 1 85 1126 " " Gross' plain 2 00 1127 " " with hinged spring 3 25 *1128 " Bone Holding-Ferguson's Lion Jaw 2 25 1129 " " " --Darby's 3 00 1130 il " Gnawing, curved and straight, each 2 50 *1131 " " Farabeuf's (Osteopher) 5 25 *1132 " " Holding Hamilton's, (Osteopher) 3 00 1133 " " Gnawing, curved and straight, each 2 50 All instruments designated by a * are illustrated. 302 SHARP & SMITH, CHICAGO. BONE INSTRUMENTS. SHARP & SMITH, CHICAGO. 303 FIG. *1134 Sands' Periosteotome $ 1 75 *1135 Sayre's " 1 50 1136 Poore's " . 1 50 *1137 Goodwillie's Periosteotome, Lyvator, half curved 1 50 *1138 " " " full " 1 50 *1139 Linhardt's Knife Chisel 1 50 1140 Darby's set of Chisels and Gouges 5 00 *1141 Szymanowsky's Chisel 2 00 1142 Hand Chisel, curved (like Fig. 1142) 1 25 1143 Ebony Handle, curved 1 50 *1144 Plain " " 85 1145 " " " large 1 00 *1146 Macewen's curved, 3 sizes, each 2 25 *1147 Szymanowsky's Gouge 2 00 *1142 Hand Gouge, curved 1 25 *1143 Plain " 85 1144 " " large 1 oc *1145 Hebra's Bone Scraper 1 85 1146 Charriere's Bone Scraper 1 75 *1147 Fine Ebony Handle Bone Scraper 1 5c 1148 " Steel pointed " " 1 85 *1149 Marshall's Osteotrite, Olive Head 1 85 *1150 " " Round Head 1 85 1151 Gowan's Osteotome 15 75 *1152 Elevator and Raspatory 1 00 *n53 " Trephining 75 1154 Goodwillie's Elevator for roof of mouth, straight or curved, each 1 50 *1155 Lead Mallet 1 85 BONE INSTRUMENTS. 304 SHARP & SMITH, CHICAGO. MACEWEN'S CHISELS AND OSTEOTOMES. Dr. Wm. Macewen ('-Osteotomy") says: The instruments used by me are of two different kinds, the chisel and the osteotome. The former being of the same form as the carpenters'-though different in temper, the latter being sharpened like an attenuated double inclined plane. The chisel is used for paring, shaving and cutting out of bone, such as a cuneiform portion of the tibia in anterior curvature. The osteotome is used only for making simple incisions or wedge-shaped openings without removal of bone. Fig. 1146. Macewen's Chisels. The blade of the chisel has two parallel sides extending as far as the cut- ting edge. The cutting surface has one side straight, the other beveled. It ought not to be too thick, otherwise the bone will splinter. For most purposes an eighth of an inch at the base of the bevel is suitable. The breadth of the fnstrument varies according to the size of the bone. Half an inch broad is iound very suitable in the majority of cases; but for narrow fibulae a quarter of an inch is better. The breadth ought always to be less than that of the bone to be divided, otherwise the soft tissues on either side would be cut. Though the form of the instrument is similar to many employed by the carpenter, yet the temper and quality are quite different. A chisel tempered so as to cut wood, such as a carpenter's, would not be suitable to cut bone. On the other hand, the instrument employed by the iron cutter (dresser) would be equally faulty in thickness and temper. The bone would be apt to turn the edge of the former, while the latter would be apt to splinter it. The nearest approach of the requisite temper will be found in the tools of the hard wood or ivory turner; but it is best to get the chisel tempered to suit bone, and its quality may be easily tested on the thighbone of an ox. The osseous surface left by a sharp chisel ought to be quite smooth. This instrument is used for cutting a wedge and removing it out of the bone. For the purpose of making a simple osteotomy, or in order to have a wedge-shaped opening in the bone, without removal of any osseous substance, an osteotome is employed. SHARP & SMITH, CHICAGO. 305 The Surgical Needle of Dr. Hagedorn, of Magdeburg. The curved surgical needles at present in general use have a stem, the section of which forms either a section or an oval. The needle, at the inner side of its curve, is flattened to a broad double edge, terminating in a point. The edge is transverse to the curve of the needle. A puncture made with such a needle is parallel with the direction of the wound, as shown in cut, a, a. On tying the suture the stitch-wound forms a gap, as shown, b, b, which frequently causes small fistulas, and will not always heal by first intention. In the Hagedorn needle the section of the stem forms an oblong parallelo- gram. It is of equal length and thickness throughout its entire length from eye to point, and is curved in its axis, with its short cutting edge on its convex side near the point. The length of the cutting edge is about twice or thrice the width of the needle. The needle for intestinal sutures, however, makes an exception, its point being round. The Advantages Claimed by this New Kind of Needle are : 1. Being curved on the edge, they are more resistant, the point following the in- tended direction of puncture without deviation. 2. The eye can be made larger and tapering at the terminal end, so that even a stout double thread will pass through the puncture without difficulty. 3. Owing to its equal thick - ness the needle can be firmly and safely grasped at any point, whereby its direction will be greatly facilitated. 4. The cutting edge being on the convex side, cannot be blunted by the needle holder. 5. The incision made by the needle is in a right angle to the edge of the wound (see c. The two edges of the stitch wound, on tying the suture, are drawn into close apposition, whereby their union is favored (see d, d). 6. The flat needles cause less injury, especially in sut- ures of nerves and tendons. The Hagedorn Needles are put up in packages of one dozen of any one size, either straight, semi-curved or full-curved. Price per package, $1.25. Sample Card Containing 20 Different Curved Needles. 306 SHARP & SMITH, CHICAGO. NEEDLES, Etc. SHARP & SMITH, CHICAGO. 307 NEEDLES, PINS, Etc FIG. 1156 Buck's Pin Carrier $ 1 50 1157 Hare-lip Pins per doz. 15 1158 " " Silver Canula each 35 1159 Plastic " lance point " 20 1160 Acupressure Pins, lance point per doz. 50 *1161 Buck's " 1 to 2 inch " 05 *1162 " " 2% " " 10 *1163 " " 3 " " 15 *1164 Hair-lip Needles " 1 25 *1165 Needles-Ordinary Surgeons, Straight " 60 *1166 " Curved " 60 *1167 " Half curved " 60 *1168 " Hagedorn's " 1 25 *1169 " Self Threading " 1 25 *1170 " For Mouth " 1 20 1171 " For Silver Wire ....each. 10 *1172 " In which Silver Wire can be screwed " 35 1173 " Acupressure, Simpson's " 20 *1174 " with Glass Heads " 10 1175 " Acupuncture '■ " " " 10 Ligatures all kinds, see index. *1176 Langenbeck's Serresfins, steel 50 1177 " " " curved 75 *1178 " " can be taken apart to be cleaned 1 15 *1179 Serresfin's Silver Wire, straight 20 *1180 " " " curved 20 *1181 Hoff's, set with handle, used to approximate the edges of wounds while passing sutures 4 25 1182 Tucker's Wire Cutter 4 00 *1183 Milne's Compressor 1 10 1179-1180 1183 308 SHARP & SMITH, CHICAGO. TOURNIQUETS, TREPHINES, Etc. FIG. *1184 Gait's Trephine, Conical . $ 3 00 1185 " " Cylindrical 3 00 1186 Crown Trephine 3 25 1187 Guarded " 4 50 *1188 Trephine Handle, Horn .... 60 1189 " Brush 15 *1190 " Braces 11 00 1191 " Necrosis 2 75 1192 Tirefond or bone screw 1 85 1193 Trepan for the hand I 85 *1194 Esmarch's Tourniquet, complete, with 3 yards web 2 60 1195 " " " " 4 " " 3 15 1196 " " Chain, only 50 1197 " " Chain and strap I 25 1198 Tiemann's " 1 50 *1199 Pettit's Spiral " 1 50 1200 Cushing's Field " . 50 1201 American " " 75 1202 Mott's Spiral " 1 50 1203 May's " II 00 1204 Gross' " , 900 1205 Prussian " 60 *1206 Charriere's " 185 1207 Skey's " - 18 00 SHARP h. SMITH, CHI. Il88 SHARP & SMITH, CHI. II84 All instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 309 ETHER INHALERS. FIG. 1214 Matter's Ether Inhalers $10 00 1215 Huel's " " 7 50 1216 Adams' " " 5 00 1217 Squibbs' " " 1 75 1218 Spier's George, Ether Inhaler ' 2 75 1219 Morton's " " 3 75 1220 Junker's " " 9 5° 1221 Chisholm's " " for pocket. 1 90 1222 Cheatham's " " 2 75 *1223 Noyes' " " 6 00 *1224 Young's Combined Anaesthetic Can and Inhaler (Chloroform or Ether) 7 00 This instrument is small enough to carry in the pocket, and may be kept constantly filled ready for use. It fits perfectly any form of face. *1225 Esmarch's Chloroform Inhaler with Mask 2 50 *1226 Esmarch's Chloroform Dropper 1 50 1227 Lente's " Inhaler 4 50 For other kinds of Inhalers, see index. Young's Combined Anaesthetic Can and Inhaler. (Chloroform or Ether.) SAFE, EFFICIENT, ECONOMICAL, CONVENIENT AND CLEANLY. IS SMALL ENOUGH TO CARRY IN THE POCKET, AND MAY BE KEPT CONSTANTLY FILLED READY FOR USE. FITS PER- FECTLY ANY FORM OF FACE. LIQUID CANNOT RUN OUT WHILE USING IN ANY POSITION. The instrument may be taken apart by unscrewing the head from the can, the packing here being a soft string, wound around a number of times under- neath the head. This inhaler is especially adapted for obstetric practice, the patient being recommended to hold it herself ; she drops it when she reaches the stage of muscular relaxation. 310 SHARP & SMITH, CHICAGO. A FOLDING ALLIS' ETHER INHALER. By George R. Fowler, M D , Brooklyn, N. Y. Extract from. "The Medical Record," July 2d, 1887. Although many surgeons still prefer the ordinary folded napkin or impro- vised cone method of administering ether, yet there can be no doubt as to the advantages to be derived from the use of a specially devised apparatus like the Allis' inhaler. It is open to the objection, though to a less extent than other in- struments of its class, of being somewhat cumbersome when carried about, and of occupying, therefore,considerable space in the operating satchel. I have there- fore endeavored to overcome this objectionable feature by slightly altering the shape of the inhaler in such a manner as to allow of its being folded flatwise. The accompanying cuts will show how this is accomplished. Fig. 1 represents the inhaler folded ready for placing in the pocket or satchel, in which shape it occu- pies about as much room in the pocket or satchel as an ordinary visiting list. By a very simple movement, provided for by bringing together the corners of the metal sides, the two long sides are made to separate from each other, until Fig. 1210. No. 1. Fig. 1210. No 2. the shape shown by Fig. 2 is formed, in which position it is securely held by a little bar which swings over from one corner to the one diagonally opposite, and fastened, by its bent extremity, into a socket provided for the purpose. SHARP & SMITH, CHICAGO. 311 ETHER INHALERS. FIG. *1208 Allis Ether Inhaler, Rubber Cover$3 00 1209 " " " Leather " 3 00 *1210 Fowler's Modificatian of Allis' Ether Inhaler 4 00 1211 Waterford's Ether Inhaler 2 50 *1212 Lente's Ether Inhaler 2 60 1213 Hutchinson's Ether Inhaler 3 50 312 SHARP & SMITH, CHICAGO. SCISSORS, FORCEPS, SPONGE HOLDERS. FIG. 1228 Dugas' Operating Scissors, one probe point 25 1229 Gays " " 1 25 *1230 Scissors and Forceps combined 300 1231 Scissors-Operating, large, straight 1 50 *1232 " " medium, " I 00 1233 " " small, " 75 1234 " " large, curved 1 50 *1235 " " medium, " 1 25 1236 " " small, " j 00 *1237 " " angular, small 85 1238 " " " medium 1 00 1239 " " " large j 5O *1240 Dr. Chas. N. D. Jones' Antiseptic (see description page 313) 2 00 *1241 Sims'Sponge Holder 75 *1242 Husson's Sponge Holder, Aseptic (see description page 313) 73 SHARP & SMITH, CHICAGO. 313 A NEW ANTISEPTIC SCISSORS AND FORCEPS LOCK. By Charles Noah Dixon Jones, M. D., Surgeon to the Woman's Hospital, Brooklyn. The objections to the ordinary separable or antiseptic lock are four: 1. It is easily broken off by careless manipulation. 2. It is not always easily cleaned. 3. In a few weeks the blades work loose, so that they do not close accurately. 4. Each time the blades of the scissors are ground the pivot must be shortened. The new forceps lock which I introduced a few weeks ago (see "New York Medical Journal," Feb. n, p. 151) is not entirely free from some of these objections. 1. The blades of the forceps or scissors are liable to become sep- arated, during the progress of an operation, and cause annoyance and loss of time. 2. The pivot in time works loose. 3. It is very difficult to grind the blades of the scissors accurately, owing to the projecting arm. In order to overcome these difficulties, I have constructed a lock after the following pattern- The pivot is attached to a spring lever, so that the scissors or forceps consist of three separate pieces, which can be easily adjusted. The blades are plain, with only an opening in each to receive the pivot, so that they can easily be ground or cleaned. The scissors are put together as follows: The blades are placed together, and the pivot is passed through the opening in each blade, and then sprung around into place. The spring lever always serves to keep the cutting edges in apposition, and to compensate for wear of the surfaces. When properly closed the blades cannot by any amount ot careless handling or rough manipulation become sep- arated or twisted apart. The cut explains itself. We call the attention of the profession to an easily cleaned and perfectly aseptic sponge holder. 1 he instrument is nine inches long and made out of a single piece of steel wire, nickel plated. The blades are brought together by an incomplete ring of steel, which can be readily slipped off, thus permitting the instrument to be thoroughly cleaned. The cut represents the instrument so clearly that further explanation is unnecessary. * The advantages that are claimed for this instrument are: 1. That it is easily cleaned, hence thoroughly aseptic. 2. That it is light, strong and durable. 3. That it is cheap. 314 SHARP & SMITH, CHICAGO. FIG. *1243 Forceps, Artery and Tissue, Cleborne's Spring Catch $ 2 50 1244 " " Ligature I 85 *1245 " " Hunter's Slide Catch 1 85 *1246 " " Langenbeck's Slide Catch 1 10 1247 " " Milne's 1 10 1248 " " Shield's Self Grasping 1 50 *1249 " " Andrews' Slide Catch 2 00 *1250 " " Bigelow's, with slide 2 75 1251 " " French's Slide Catch 1 5° 1252 " " Lankford's " " 2 00 1253 " " Fricke's " " I 80 1254 " " Dugas' " " 1 15 *1255 " " Maclean's Spring Catch 1 25 1256 " " Phelps' Torsion Spring Catch 3 00 1257 " " Wight's Spring Catch 1 90 *1258 " Ifcemostatic Artery, Little's, French Lock and Snap Catch 2 50 *1259 " " " Lawson Tait's " " '• " " 2 00 *1260 " " " Spencer Wells'" " " " " 2 00 1261 " " " Wood's " " " " " 1 50 *1262 " " " Pean's " " " " " 1 25 *1263 " " " Heart Shape, French Lock and Snap Catch 2 00 1264 " " " " Long Blade " " " " " 175 1265 " " " " "'T" shape, French Lock and Snap Catch.. .... 2 50 1266 " " " " Olive shape, " " •• " " 3 00 1267 " " " " Oval shape, " " " " ' 3 00 1268 " " " Sabine's Snap Catch 2 00 1269 " " " Thomas' " " 1 8s 1270 " " " Wylie's " ' I 50 1271 " " " Knoll's " " „ 1 75 1272 " " " Gerster's ! 85 |:i273 " " " Dr. Charles N. D. Jones', with Collins' New Lock (see , description) 2 50 *1274 Forceps, Artery, Hewson's Torsion 6 00 *1275 " " Wells' Bow Torsion T 8<; 1276 " " Tilleaux'Torsion j " Cliquet's for Retracted Arteries in Stumps 2 75 *1278 " Duval's Tri blade, for dressing small wounds J . 2 00 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 315 HEMOSTATIC FORCEPS. 316 SHARP & SMITH, CHICAGO. ARTERY FORCEPS. FIG. *1279 Forceps Artery, plain (thumb ) $ 40 *1280 " " Fenestrated Spring catch I 5° 1281 " " " Slide " 1 75 *1282 " " Slide Catch Torsion 1 80 *1283 " " Fenestrated Cross Action 1 00 *1284 " " and Needle combined Fenestrated Spring Catch 2 00 1285 " ,, " " " Slide " 3 00 1286 " " Hamilton's Fenestrated 1 75 *1287 Liston's Mouse Tooth Forceps Spring 1 25 1288 " " " " Plain 85 1289 Coxeter's Artery Forceps 1 00 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 317 ARTERY FORCEPS. FIG. *1280 Forceps, Allis' Acupressure, straight$ 1 25 *1281 " " " curved 1 25 *1282 " " " " 1 25 *i282A " " " " 1 75 *1283 " " Suture 1 25 *1284 " " Acupressure Scissor Handle 2 25 *1285 " " " " " 2 25 *1286 " " Suture " " 2 25 {Extract from " Medical News," September /st, /88j.) ACUPRESSURE FORCEPS. An Instrument for the Instantaneous Arrest of Hemorrhage during Surgical Operations. By Oscar H. Allis, M. D., Surgeon to the Presbyterian Hospital; Lecturer on Orthopaedic Surgery and Joint Diseases in the Post Graduate Course at Jefferson Medical College ; Surgeon to the Jefferson Medical College Hospital. Under this heading I wish to introduce an instrument to the medical pro fession that 1 have devised for the arrest of hemorrhage. It consists of two blades, Fig. 1282, under the command of a spring, the lower of which is a needle, and designed to transfix bleeding tissues, which done, the grasp of the hand is released, and compression is instantly effected between the blunt blade which lies upon the surface of the bleeding vessels and the needle which lies beneath them. Its special application is where hemorrhage takes place simultaneously from many bleeding vessels. Few surgeons have not felt the need of a certain and instantaneous haemostatic in operations in which the tourniquet cannot be used, or after the tourniquet has been removed. In the latter case, though the main vessels have been ligated, the hemorrhage is often so great from numerous small bleeding points, and the usual means of arrest and ligation so tardy, that fatal collapse has not infrequently resulted. It is for this class of cases that the acupressure forceps have been devised. Beneath a bleeding area the needle is thrust, and the spring, instantly denoting that the hemorrhage has been arrested, leaves the operator to turn his atten- tion to another point of danger. Thus half a dozen instruments will be found as efficient and much more transparent than a corps of assistants-not getting in the operator's way, and maintaining a silent but effective grip until the liga- ture may be applied, and the instruments one by one removed. In the surgical clinics of medical colleges, in hospitals, in active military service, and in the private practice of those surgeons who cannot command adequate assistance, this instrument will, I believe, be found of great service. As acupressure forceps, they often render the ligature unnecessary, for no oozing will follow their removal if the vessels are small, and their application has continued for several minutes. In operat- ing on the female perineum, in which the ligature is to be avoided, this instrument, especially No. 1280, will do excellent work. 318 SHARP & SMITH, CHICAGO. ARTERY FORCEPS. Four varieties and nine sizes are made. One, in which both blades are needles-a suggestion of Dr. Reen, as represented by Fig. 1281. Nos. 1282 and 1280 will be found most generally useful. No. 1280 or a larger size, will be found effectual in deep wounds, as in lithotomy. For plastic operations upon the face a small size is made (Fig. 1282). There are three sizes of No. 1280, three of No. 1282-the largest of which is fully eight inches long. Although each instrument may be used not only as a haemostatic, but also as a tenaculum, yet the two designed especially as tenacula are represented in 1282A and 1282B. For this purpose I have found the large size (Fig. 1282B) to work admirably. In using the instruments, a quick, firm thrust is necessary, but this manoeuvre can easily be acquired on the coat sleeve. My preference (if 1 could have but one variety) is for No. 1280. Were I ordering a dozen I should take three of No. 1280, three of No. 1282, two of each a size larger, one of No. 1282B, and one of mammoth No. 1282. No. 1282-B is not necessary if an ordinary ten- aculum is at hand, but I believe that those having No. 1282-B will set the old tenaculum aside. Figure 1282-B is not shown in cut; it is the same as 1282-A, only larger. SUTURE FORCEPS. I have given these instruments a satisfactory trial in the Jefferson Medical College clinic and hospital, and in the Presbyterian Hospital, and feel that they have a useful future before them. ,F?rfeps 'vith ScisMr Handles are supposed to be an provement on the old style, and at present seem to be in fair demand. SHARP & SMITH, CHICAGO. 319 FIG. *1287 Forceps, Pratt's Artery, angular $1 75 1288 " " " long 2 50 *1289 " " new Artery and tissue 2 50 *1290 " Faenger's Compression French Lock, large 8 inches. .. 2 50 1291 " " " " " small, 6 " ... 1 75 *1292 " " " curved, 9% inch 2 50 1293 Langenbeck's Artery Compressor 50 1294 Milne's " " 1 10 *1295 Levis' " " 25 *1296 Gross' " " 2 60 1297 Buck's " " 27 00 1298 Skey's " " 18 00 1299 Erichson's " " 18 75 1300 Briddon's " " $22 50 to 45 00 *1301 Hahn's Artery Compressing Forceps 2 25 *1302 Dr. J. Frank's (Chicago) Dressing Forceps 1 50 *1303 Adam's Splinter Forceps 75 *i3O3ALittle's " " • 75 *1304 Polypus Dressing " plain 1 00 1305 " " " catch 1 25 *1306 Spier's Artery Constrictor 3 00 *1307 Mattock's Key Ring Artery Clamp 35 ARTERY FORCEPS. Instruments designated by a * are illustrated 320 SHARP & SMITH, CHICAGO. FORCEPS. SHARP & SMITH, CHICAGO. 321 NEEDLE HOLDERS. FIG. *1308. Needle Holding Forceps, Prout's$2 60 1309. " " " Physic's 1 50 *1310. " " " Sand's 3 00 " " (see index.) " and Artery Combined Fenestrated .... 2 00 1311. " " " Philadelphia 4 00 *1312. " " " Parker's 1 50 1313. " " " Fritche's 3 50 *1314. " " " Russian 3 00 I3I5- " " " " Imp 3 25 1316. " " " Stimson's ( See Fig. 3512, page 609.).. 2 75 *1317. " " " Sim's plain 1 85 1318. " " " " with catch 2 00 1319. " " " Thomas' 3 50 1320. " " " Wyeth's 3 40 *1321. " " " Whitney's 3 25 Instruments designated by a * are illustrated. 322 SHARP & SMITH, CHICAGO. NEEDLE HOLDERS. This needle-holder is constructed in such a manner as to hold at different angles a very large or very small, decidedly curved or absolutely straight Hage- dorn or round needle. The principle of holding the different curved and shaped needles of this design consists in having the ends of the forceps for seizing the needle ground to fit each other like the ball and socket joint. The socket or lower end of this forceps is ground in grooves at three or four differ- ent angles to a point below the base of the socket. And thus the needle fits in either one of these several grooves and the ball end of the forceps presses di- rectly upon the needle in the center of the socket, and holds it firmly. The parts are disjointing, one portion is long for the hand to grasp firmly or lightly, as may be needed, the other is shorter, and made with a ring for the end of the thumb. This is placed at right angles to the axis of the instrument. SHARP & SMITH, CHICAGO. 323 NEEDLE HOLDERS. 324 SHARP & SMITH, CHICAGO. NEEDLE HOLDERS. FIG. 1322 Needle Holding Forceps, Mathis', for curved needles $4 00 *1323 " " " Hanks' 3 00 *1324 " . " " Heuel's 3 00 *1325 " " " Emmet's 2 25 1326 " with Catch ..... 2 65 *1327 " " " Reiners' 3 00 ' *1328 " " " French 3 50 1329 " " " Hagedorn's, small 5 00 *133° " " " " large 6 00 *133! " " " Fowler's 3 00 *x332 " " " " with Russian handle 5 00 *1333 " " " Gibbons' 4 50 All instruments designated by a * are illustrated. ASEPTIC UNIVERSAL NEEDLE FORCEPS. George R. Fowler, M. D., Brooklyn. Ever since the introduction of the excellent form of flat needle known as the Hagedorn surgeons have regretted the apparent necessity for a needle holder of considerable complexity of mechanism, in order to grasp this form of needle firmly. 1 he device of Hagedorn for accomplishing this purpose is open to the very serious objection of having a number of "stow-away" places for dirt, and consequently infectious material. It requires the services of a mechanician, when it is cleaned in order tr> tni.-« a „ i quently are more durable- and lastlv it i agedorn forceps, and conse- needle of any shape, whether flat, tO.5ri]S|' firmly » ei>e^rerHtsdfa,^*'aS^n^*.|Ha8edorn needle, which jaws enables itto hoMwith equal ±. to frTV"'0" l,he face °f »>><= ' >f I'he advantages of possessing a needle holder caiiaWeVf^66'™™6"511 needle' needle will be apparent to every surgeon. g'asping any sort of SHARP & SMITH, CHICAGO. 325 NEEDLE HOLDERS. ASEPTIC NEEDLE FORCEPS. A. Ady, M. D., Muscatine, Iowa. The instrument represented by the engraving will hold any kind of needle -round, flat, straight or curved-and hold it firmly. It has both a diagonal and a rectangular slot. In these days of antiseptics, all surgical appliances should be as free as possible from any danger of carrying septic material from one case to another; and any instrument that can not be readily taken apart for the purpose of cleansing is consequently dangerous. This holder was invented with special reference to the avoidance of any such danger. Being practically composed of only four pieces, it can be taken apart instantly by removing the nut, and cleansed, and as readily put together again. 326 SHARP & SMITH, CHICAGO. NEEDLE HOLDERS. FIG. *1334 Needle Holding Forceps, Ady's$ 7 50 *1333 " Ethridge's 3 75 *1336 " " " Dr. A. J. Skenes 5 50 *1337 " " " Tiemann & Co.'s Patent 4 75 *1338 u " " Sharp & Smith's 2 50 *1339 " " " Thiersch's & Spindles 7 50 *1340 " " " Abbe's modification of Hagedorn's.. 3 00 *1340-A " " " Pocket Case, size of Hagedorn's Needle Holder 6 50 All instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 327 ARTERY AND PERINEUM NEEDLES. FIG. 1340-B Bozeman's Needle Carrier $6 00 *1341 Parker's Needles, set of six in handle, handle serves as a case for the Needles 3 75 *1342 Agnew's Needle and Needle Holder set. 3 40 *1343 Rivedon's Perineum Needles in three different curves. ... .each. 3 50 *1344 Keyes'modification of Rivedon's Perineum Needle, straight... 7 00 *1345 " " " " " " curved.... 7 00 The Keyes Modification Needles can be taken apart and easily cleaned, and consequently are aseptic. All instruments designated by a * are illustrated. 328 SHARP & SMITH, CHICAGO. PERINEUM NEEDLES. FIG. *1346 Wilson's Needle Perineum $ 1 00 *1347 " " Right and left each. 1 50 *i347-A Papine's Perineum Needle 65 *1347-3 Knox " " 75 *1348 Sharp & Smith's Hollow Silver Wire Needles, with two Needles. 3 00 1349 " " " " " " " three " 4 00 *1350 Mott's Aneurism Needle 2 25 1351 " " and Director 50 1352 Spiral " " 1 40 1353 Student's " " 2 25 *354 Gunn's Artery " 2 60 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 329 PERINEUM NEEDLES. 330 SHARP & SMITH, CHICAGO. PERINEUM NEEDLES FIG. 1355 Ciampton's Artery Needle R. & L each. $4 00 1356 Parker's " " 1 25 J357 Stone's Canulated " 1 00 *1358 Emmet's " " 1 85 *1359 Pease's " " 9 00 1360 Van Brun's " " set of 2 3 00 r36i " " " " " 3 425 1362 Currie's Double Canulated Needle 5 25 *I T. & Co.'s " " for wire sutures 3 00 1364 " " Automatic " 4 85 1365 Hoff's " " 4 25 *1366 Naevus " each 75 1367 Helical « " j 25 1368 Thomas' Perineum " doz. 1 oc 1369 Emmet's Cervical " " ! 1370 Sims' " " « j *1372 Plain Aneurism « 75 *1373 Whitehead's Aneurism " j *1374 Von Brun's " . 7.\7. 150 *J374-A Cautery Irons-Thomas'-Set of 3, with handle $3 35 I374'C " " « Single . 4 5° 1374 I> " " Handle 7.777.7.7 1 °° i374'E <l Iron Lamp, Self Blowing ' 75 Ml instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 331 TROCARS, CURETTES, ETC. 332 SHARP & SMITH, CHICAGO. *1375 Carroll's Knot Tyer $ 1 85 1376 Volkman's Bone Scoop 1 85 1376-A Hebra's " " 1 85 1377 Brunn's " " * 1 5° *1378 Piffard's " " 3 sizes each. 1 85 *1379 Hoag's Fenestrated Bone Scoop 2 50 *1380 Scoop and Elevator x 25 *1381 Dessault's Serre Noed 75 1383 Spatula and Elevator 55 1384 " " Tongue Tie 55 *1385 Nested Trocars, 4 in set, Metal Pencil Case 4 85 1387 " " 3 " " " " 4 00 " " 3 " Ebony Handle 3 co *1387-6 " " 4 " " " 4 00 1388 " " 3 " Metal " 3 50 *1388-A Exploring Trocars 1 00 *1389 Southey's Trocars and Canulas for Anasarca in Ivory Case.... 2 50 1390 Trocar, with German Silver Canula 1 00 1391 Self Acting Blow.Pipe 3 00 *1392 Commodone Extractor 30 1393 Porte Meche 40 *1394 Director-German Silver and Tongue Tie 45 *1395 " " " " Aneurism Needle 50 1396 " " " " Ear Spoon 30 1397 " Steel and Tongue Tie 73 E398 " " Little's.. 60 1399 " " Spear Point and Tongue Tie <jo *1400 " " Angular and Tongue Tie qo 1401 " " and Probe Point 75 1402 " Silver and Olive " z !4°3 " " " Tongue Tie T 30 X4°4 " " " Aneurism Needle T 30 1405 " " " Ear Spoon t ro *1405 AHunter's Steel Director and Counter Pressure Spatula.... 73 1406 Probes, Silver, 4 to 5 inch . . per pair 30 1407 " Plated,4 to 5 " « 3 1408 " Silver, 6 " ' ' ''' " 1409 " " 8 " ' /''' « j IQ Mio " " 10 " <• 1 33 1411 " Hamilton's, with Director Set ' ' z All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 333 POCKET CASE INSTRUMENTS. FIG. *1412 Silver Caustic Holder ; $i 50 For more complete line of Caustic Holders, see index. i4i2ACatheters, Plated, Male, 1 to 12 75 1413 " Silver, " itoi2..... 1 50 *1414 " Parker's Combined, with Caustic Holder, Silver 3 25 1415 " " " " " Plated 1 75 1416 " Combined Male and Female, Plated 1 00 *1417 " " " " Silver 1 85 All instruments designated by a * are illustrated. 334 SHARP & SMITH, CHICAGO. BULLET INSTRUMENTS FIG. *1418 Bullet Forceps, U. S. A $1 50 *1419 " " Gross' 1 75 *1420 " " American 1 50 1421 " " T. & Co.'s Spiral 3 40 1423 " " • " latest 2 60 1423 " " Moses' 2 60 1424 " " Gunn's 2 25 1425 " " Hamilton's 1 73 1426 Dr. Jno. T. Darby's Forceps and Bullet Probe Combined 3 00 1427 Bullet Forceps, Canulated 2 60 1428 Dr. Jno. F. Ball's Bullet and Tenaculum Forceps Combined.. . 1 85 *1429 Bullet Forceps, Prussian 2 25 1430 " Extractors, Jones'. 3 oo *I431 " " Moses' 260 '■J432 " " Leonard's 7 30 SHARP & SMITH, CHICAGO. 335 FIG. *1433 Bullet Scoop, T. & Co.'s $ 1 3° 1434 " Seeker, " Burr Head 75 1435 " " " 6 00 1436 " Screw " 1 50 *1437 Bullet Probes, Sayre's Vertebrated Silver 6 00 1438 " " Long Silver 50c to 1 50 1439 " " Lead : 35 *1440 " " Nelaton's, Porcelain Head 45 *1441 " " Spiral (10 inches long) Porcelain Head 1 00 1442 " " T. & Co.'s and Lint Introducer 60 1443 " " Steele's Elastic 1 25 *1444 " " Hamilton's Jointed, with Director and Porcelain Head 1 50 1445 Bullet Probes T. & Co.'s 75 1446 " Thomasin's 1 85 1447 " " Dr. Jno. T. Darby's Probe and Bullet Forceps Combined 3 00 *1448 Bullet Probes, Girdner's Telephonic 12-00 BULLET INSTRUMENTS. HERNIA INSTRUMENTS. *1449 Hernia Knives, Cooper's Slide Catch $ i io *145° " " Stewart's $ 3 75 1451 " " Wood's 1 15 *1452 " Director, Stanley's 1 85 *1453 " " Peters' 2 00 *1454 " " Levis' 1 10 1455 " " Hinged . 1 15 1456 " " Curved 1 85 1457 " " Buck's 1 50 1458 " Needle, Dowell's each. 75 *1459 " " Warren's " 1 50 1460 " " Woods' " 1 10 U6i " " biggs' " 3 75 *1462 " Syringe, Warren's 14 00 1463 " " Heaton's 3 00 *1464 " " DeGarmo's 6 00 *1465 " " Greene's 5 00 *1466 Herniatome, Allis' 5 50 *1467 Hernia Instrument, Agnew's 4 75 1467A " " Wutzer's 9 00 1467B " Redfern-Davis' 11 25 336 SHARP & SMITH, CHICAGO. BULLET AND HERNIA INSTRUMENTS. 1464 1440 See "Supplement" for additional Hernia Instruments SHARP & SMITH, CHICAGO. 337 HERNIA INSTRUMENTS. See " Supplement " for additional Hernia Instruments. 1454 338 SHARP & SMITH, CHICAGO. DISSECTING INSTRUMENTS AND CASES. FIG. *1468 Sherman's Dissecting Scalpel $ 60 *1469 Ebony Handle Scalpels 45 1470 Ivory " " 75 1471 Ebony " Tenacula 45 1472 Ivory " " 75 *1473 Metal " " 45 *1474 Chain and Hooksper set. 25 *1475 Cartilage Knife, all Steel 60 " " heavy Ebony Handle 1 50 *1476 Brain Knife 1 50 *1477 Dissecting Forceps, plain 50 1478 " " Coxeter's 1 00 *1479 " Scissors, straight 75 *1480 " " curved 90 *1481 Blowpipes 20 *1482 Movable Back Saws. 1 50 *1483 Plain Chisels - 35 *1484 Costetome Chisels 1 15 *1485 Rachitome " 1 30 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 339 DISSECTING AND POST MORTEM INSTRUMENTS. 1484 1485 U88 1483 M82 Instruments designated by a * are illustrated. 340 SHARP & SMITH, CHICAGO. DISSECTING AND POST MORTEM INSTRUMENTS. FIG. i486 Finnel's Knife and Saw in one handle $3 75 *1487 Steel Mallet 1 75 *1488 Lead " 1 75 *1489 Omega Embalming Syringe 3 00 *1490 Embalming Syringes $3 00 to 30 00 1491 " Pump 17 00 *1492 Anatomical Pump, No. 1 30 00 *1493 " " No. 2 22 50 1494 Post Mortem Needles each. 15 1494 Skull Clamp for holding the head 5 00 *1495 Double Saw (Rachitome) u 25 *1496 Rib Shears 3 73 *1497 Enterotome t 73 *1498 Tripod Head Rest 2 25 1492 1493 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 341 OMEGA EMBALMING SYRINGE. Continuous Flow. This Syringe produces a contin- uous flow,and is especially adapted for embalmers. It is the easiest syringe in the world to operate, never tiring the hand. It saves one-half the time usually required in embalming. The Patent Collapsible Tube PREVENTS ANY BACK ACTION, re- turn of fluid, or injection of air. It obviates all danger of BURSTING AN ARTERY. It has no screw threads or washers there- fore it cannot leak The injection tubes are quickly attached by our Patent Soft Rubber Slip Joint Socket. Attachments.- Hard rubber large and small curved arterial tubes; nickel plated long trocar; long curved hard rubber tube for lungs, etc.; improved long flexible tube for stomach, etc.; plated clearing wire, patent flexible thimble. All parts and attachments of this Syringe can be obtained from us. Price packed in handsome book-cloth caseeach $3 00 "Omega Embalming Syringe," $3.00. 342 SHARP & SMITH, CHICAGO. DISSECTING AND POST-MORTEM CASES. FIG. *1499 No. 1 Dissecting Case $2 25 *1500 No. 2 " " 3 20 1501 No. 3 " " 3 65 1502 No. 4 " " 4 10 *1503 Finnel's Post Mortem Set 9 50 1504 Sharp & Smith's Post Mortem Set, No. 1 21 00 1505 " " " No. 2 18 00 1506 " " " No. 3 16 50 Fig- H99- No. i. Dissecting Case, contains: 2 Scalpels; 1 Tenaculum; 1 Cartilage Knife, all Steel; 1 pair Scissors; 1 pair Forceps; 1 Blow Pipe; 1 set Chain and Hooks. In polished Wood Case. Fig. 1500. No. 2. Dissecting Case contains: 3 Scalpels; 1 Tenaculum; 1 Cartilage Knife, all Steel; 1 pair Scissors; 1 pair Forceps: 1 Blow Pipe; 1 set Chain and Hooks. In polished Wood Case. 1501 No. 3. Dissecting Case, same as above, but with an extra Scalpel. 1502 No. 4. " " " " " two " " 1503 Contains: Amputating Saw and Knife, with one handle to fit both; 3 assorted Ebony Handle Scalpels; 1 Steel Car- tilage Knife; 1 Ebony Handle Tenaculum; 1 pair Straight Scissors; 1 set Chain and Hooks; 1 German Silver Blow Pipe; 1 pair Dissecting Forceps; 1 plain Chisel; Needles and Thread. In polished Wood Case, Velvet „ „ lined, Lock and Key. No. 1. Post Mortem set contains: 1 Hammer; 1 Costotome (rib Shears); 1 Steel handle Cartilage Knife- 2 Ebony handle Scalpels, assorted; 1 Steel handle Dissecting Hook; 1 pair Coxeter's Dissecting Forceps; 1 Enterotome; 1 set of heavy Chain Hooks; 1 pair of straight Scissors; 1 Saw; 1 Amputating Knife, r handle to fit the Saw and Knife; 1 Chisel; 1 Reamer; 2 Needles Thread and Wax; 1 Mahogany Case, with a Slide or Lock, lined with Velvet' No. 2. Post Mortem set contains; 1 Amputating Knife; 1 Saw; 1 handle to fit Saw; 1 Chisel; 1 pair of straight Dissecting Scissors; 1 set'of Chain Hooks; 1 pair of Dissecting Forceps; 1 Aneurism Needle; 1 Metacarpal Saw- 3 Ebony handle Scalpels, assorted; 1 Steel Director; 1 probe-pointed Bistoury- 1 Hammer; 1 Steel handle Dissecting Hook; 1 large Ebony handle Cartilage Knife; 1 German Silver Blow Pipe; 2 Needles, Silk and Wax; 1 Mahogany Case, with Lock and Key, lined with Velvet. 3 SHARP & SMITH, CHICAGO. 343 SURGICAL POCKET CASES. FIG. *1507 Sharp & Smith's Patent Knife Case, No. 1 $20 00 1508 " " " " No. 2 15 00 *1509 " " " " No. 3 12 00 i5c>9A-Patent Knife Case, No. 4 15 00 *1510 Sharp & Smith's Two-fold (fine) Russia Pocket Case, No. 1.... 25 00 *1511 " " " " " " No. 2.... 18 75 *1512 Two-fold Pocket Set 9 00 1512-A " " 7 5° 1513 Peck's Fine Pocket Set 13 50 1514 Van Buren's " $10 50 to 15 00 1515 Four-fold " 13 50 1516 Multum in Parvo " 13 5° 1517 Gunn's " 13 00 1518 Parker's Plain " T3 50 15T9 " Fine " 18 75 *1520 Three-fold " 11 00 1521 " Pocket Set, Rubber handles $7 50 to 10 00 *1522 Hamilton's " 20 00 1523 Two-fold " 9 00 1524 " " Rubber handles $5 50 to 7 00 1525 Powell's " ,16 50 1526 Andrews' " , 22 50 1527 Danforth's " 24 75 1528 Jay's " 15 00 1529 FineFour-fold " •. 25 00 153° Owen's " 11 25 *1532 Tiemann's Patent Pocket Case 24 75 Empty Pocket Cases, Four-fold Morocco, best 3 00 " " Three-fold " (Fig. 1515) 2 50 " " " " $ 1 75 to 2 00 " " Two-fold " best (Fig. 1512) 2 00 " " " " $1 25 to 1 75 " " One-fold " best 1 75 " " Russia, One-fold 2 00 " " " Two-fold (Fig. 1510) 2 50 " " " Three-fold 2 50 " " Gross' (Fig. 1511) 2 00 " " Genuine Sealskin, One-fold 2 50 " " " " Two-fold 3 00 " " " " Three-fold 3 75 " " Alligator, best 3 75 " " Sharp & Smith's Patent, No. 1 (Fig. 1507) 3 00 " " " " No. 2 (Fig. 1508) 2 75 " " No. 3 (Fig. 1509) 2 50 " " " fine No. 1 2 50 " " " No. 2 2 00 " " No. 3 2 00 " " Hamilton's...., 3 00 " " Van Buren's $1 25 to 2 00 " " Gunn's 2 00 Chamois Covers for Pocket Case, One-fold 60 " " " " Two-fold 75 " " " " Three-fold 1 00 344 SHARP & SMITH, CHICAGO. Fig. 1507. Sharp & Smith's Patent Aseptic Case No. 1. contents: I Straight Sharp Bistoury. I Curved " " I " Blunt i Exploring Needle. I Tenotomy Knife. I Metacarpal Saw. i Large Scalpel. I Medium " I Tenaculum. i Gum Lancet. Two Aseptic handles to fit any of the above blades. i Pair Plain Artery Forceps. I Fenestrated Artery and Needle, Forceps com bined. I Pair Pean's French Snap Forceps. i Open Ring Scissors. I Parker's Plated Catheter. I Director and Aneurism Needle. r Pair Plated Probes. % Dozen assorted Needles and Silk. In fine Calf Skin Case, Velvet and Satin Lined, 5x3% x 1 inches when closed. See page 355 for description of the knives in the above case, SHARP & SMITH, CHICAGO. 345 Fig. 1509. Sharp & Smith's Patent Aseptic Case No. 3. Contains: 1 Adjustable Hard Rubber Antiseptic Handle. 1 Antiseptic Scalpel. 1 " Gum Lancet. 1 " Probe Pointed Bistoury. 1 " Sharp Pointed Bistoury. 1 pair Scissors. 1 " Artery and Needle Forceps. 1 " Probes. 1 Ear Scoop. 1 Grooved Director. Needles and Silk. 1 Exploring Needle. 1 Curved Blunt Bistoury. 1 Straight Sharp Bistoury. 1 Small Scalpel. 1 Gum Lancet. Fig. 1509-A. Aseptic Patent Knife Case No. 4, contains: 1 Curved Sharp Bistoury. 1 Large Scalpel. 1 Tenotomy Knife. 1 Tenaculum. 1 Metacarpal Saw. The above knives all fit in two patent slide catch Ivory handles. The case also contains: 1 Plated Combination Male and Fe- male Catheter. 1 pair Pean's French Snap Artery Forceps. 1 pair Probes. 1 Gross' Ear Spoon and Hook. 1 pair Straight Scissors. 1 " plain Artery Forceps. 1 Silver Tip Caustic Holder. 1 G. S. Director and Tongue Tie. y doz. assorted Needles and Silk. In a fine calfskin velvet and satin lined case, 5X3%xi inches, when closed. 1'he above case is one of the neatest and cheapest cases in the market, and is equally as aseptic as cases 1507, 1508 and 1509. We can put any of the above instruments in cases according to your own selection, charging accordingly. Cases of all kinds put up to order. 346 SURGICAL POCKET CASES. Fig. 1510-Contains a Combined Catheter, Male and Female, with Caustic Holder, Vaccinating Lance and Exploring Needle. 1 Self Registering Indestructible Index Fever Thermometer, in Metal Case. 1 Silver Barrel Hypodermic Syringe. 1 pair Dressing and Polypus Forceps. 1 " Plain Artery Forceps. 3 double slide catch pocket case knives (6 blades). Any style knives in combination wanted. 1 Lewis' Saw, Folding. 1 set Probes to screw together, com- prising Bullet Probe (flexible) Por- celain Head. 1 Set (of 3) Nested Trocars and Canulas. 1 Ear Spoon and Spud. 1 pair Open Ring Scissors, Gray's. 1 " Splinter Forceps. 1 " Combined Needle and Artery Forceps. 1 Eye Probe. 1 Grooved Director. 12 Needles and Braided Silk (4 sizes on tablet). All put up in a two-fold Russia case with chamois or buckskin cover. Fig. 1511. Sharp & Smith's 2-fold Russia (fine) Pocket Case No. 2, contains 1 Scalpel and probe-pointed Bistoury. 1 Sharp-pointed Bistoury and Teno- tome. 1 Gum Lancet and Tenaculum. 1 Pair Straight Scissors. 1 Pair Bull Dog Artery Forceps, with spring catch. 1 Steel Director. 2 Silver Probes. 1 Metacarpal Saw. 1 Thumb Lancet. 1 Exploring Needle. 1 Compound Catheter and Caustic Case, of sterling silver. i Pair Dressing Polypus Forceps. Needles, Silk, etc. i Spatula and Elevator. Turkey Morocco case, silk velvet lining, silver lock. Instruments double- bladed, tortoise-shell handles, slide-catch. For illustration of 1511 case, see next page. SHARP & SMITH, CHICAGO. 347 SURGICAL POCKET CASES. Fig. 1511. For contents see preceding page. Fig. 1512. For contents see following page. 348 SHARP & SMITH, CHICAGO. SURGICAL POCKET CASES. Fig. 1512. Two-Fold Morocco Case, single bladed Instruments, with tor- toise shell handles. Contents: (For illustration see preceding page.) 1 Scalpel. 1 Probe-pointed Bistoury. 1 Tenaculum. 1 Pair Straight Scissors. 1 " Artery Forceps. 1 0 Silver Probes. 1 Pair Dressing Forceps. 1 Hard Rubber and Silver Caustic Case. 1 Compound (Male and Female) Catheter. 1 Director. 6 Needles, and 1 Skein Silk. Fig. 1512-A. Same Case as above, except Knives in Rubber Handles. Fig. I5I3- Peck's Fine Pocket Set. 1 wo-Fold fine Russia Case, velvet-lined. Instruments are tortoise shell handled, with slide catch and double bladed. Contents: 1 Scalpel and Straight Bistoury. 1 Sharp and Probe-curved Bistoury 1 Tenaculum and Tenotome. 1 Pair Straight Scissors: 1 " Fenestrated Artery Forceps. 1 " Thumb Forceps. Needles, Silk, etc. 1 Ivory Exploring Needle. 1 Pair Probes. 1 Compound (Male and Female) Catheter. 1 Director and Aneurism Needle. 1 Coil Silver and 1 Coil Iron Wire. 1 urkey Morocco Case, silk velvet lining, silver lock. Instruments double bladed, tortoise shell handles, with slide or spring catch. Contents: Fig. 1514. Van Buren's Pocket Set. i Sharp pointed Bistoury and Teno- tome. i Scalpel and i Probe pointed Bis- toury. i Gum Lancet and Tenaculum. i Pair Straight Scissors. i " Bull Dog Artery Forceps. 1 Steel Director. 2 Silver Probes. i Compound (Male and Female) Catheter, Sterling Silver. i Caustic Case, Sterling Silver, seamless. Needles, Silk, etc. F*g- I5I5- Four-Fold Pocket Set. Four Fold Morocco Case. Instruments have tortoise shell handles and are single bladed. Contents: i Compound (Male and Female) Catheter. i Tenaculum. 1 Hard Rubber Caustic Case. 2 Silver Probes. i Exploring Needle. i Director and Aneurism Needle. i Probe Pointed Bistoury. i Pair Dressing Polypus Forceps. i Scalpel. i Sharp Pointed Bistoury. i Pair Straight Scissors. i " Curved Sissors. i Thumb Lancet. i Spatula. i Pair Dissecting Forceps. i Straight Finger Bistoury. i Seton Needle. Needles, Ligature Silk, etc. Fig. 1516. Multum in Parvo Pocket Set. J'urkey Morocco Case, silk velvet lining, silver lock. Instruments are tor- toise shell handled, with spring or slide catch, and double bladed Contents- i Scalpel and Probe pointed Bistoury. i Sharp pointed Bistoury and Teno- tome. i Cum Lancet and Tenaculum. i Pair Straight Scissors. i Steel Director. i Pair Fenestrated spring catch Artery Forceps. 1 Female Catheter and Caustic Case made of Sterling Si'ver. . ' 2 Silver Probes. Needles, Silk, etc. SHARP & SMITH, CHICAGO. 349 SURGICAL POCKET CASES. Fig- I5I7- Gunn's Pocket Set. Turkey Morocco Case, silk velvet lining, silver lock. Instruments double bladed, with tortoise shell handles and slide or spring catch. Contents: 1 Scalpel and Exploring Needle. 1 Sharp Pointed Bistoury and Teno- tome. 1 Probe Pointed Bistoury and Scalpel. 1 Seton Needle. 1 Tenaculum. ' 1 Pair Scissors. 1 Screw Probe Director. 1 Pair Torsion Forceps, with slide catch and a long groove (answers also for holding Suture Needle.) Needles, Silk, etc. Fig. 1518. Parker's Plain Pocket Set. Two Fold Morocco Case, plain double bladed Instruments, with tortoise shell handles. Contents: 1 Scalpel and Probe Pointed Bistoury. 1 Tenotome and Sharp Pointed " 1 Tenaculum and Gum Lancet. 1 Pair Dressing Forceps. 1 z' Artery Forceps. 1 " Scissors. Needles, Silk, etc. 1 Lancet. 2 Silver Probes. 1 Steel Spatula. 1 Steel Director. 1 Plated Compound Catheter and Cans tic Holder. Fig. 1519. Parker's Fine Pocket Set. Contents the same as Parker's Pocket Set. Tortoise shell handled Instru- ments, either slide or spring catch, extra fine finished; the Compound Catheter (Male and Female) is made of sterling silver; the Caustic Holder is seamless, and will last much longer than a soldered one. The case is made of genuine Turkey Morocco, with a silver lock, very neat and compact. Three Fold Morocco Case, single bladed Instruments, with tortoise shell Fig. 1520. Three Fold Pocket Set. handles. Contents: 1 Scalpel. 1 Probe Pointed Bistoury. 1 Tenaculum. 1 Pair Straight Scissors. 1 " Artery Forceps. 1 " Dressing Forceps. 1 Hard Rubber and Silver Caustic Case. i Spatula. i Sharp Pointed Bistoury. i Cum Lancet. i Compound (Male and Female) Catheter. i Director. i Pair Silver Probes. 6 Needles, and i Skein Silk. For description, see following page. Fig. 1522. Hamilton's Pocket Set. Turkey Morocco Case, lined with silk velvet, silver lock. Instruments double bladed, with tortoise shell handles and spring catch. Contents: i Large Scalpel and Exploring Needle. i Medium and i Small Scalpel. i Tenaculum and Aneurism Needle. i Sharp and i Blunt pointed Teno- tome. i Metacarpal Saw. i Pair Bull Dog Artery Forceps, with spring catch. Needles, Ligature Silk, etc. i Pair Slide Catch Torsion Forceps. i " Straight Scissors. i Thumb Lancet. i Set Silver Probes and Nelaton's Bullet Probe. i Compound (Male and Female) Catheter and Caustic Holder, of Sterling Silver For description see following page. 350 SURGICAL POCKET CASES. Fig. 1520. For contents see preceding page. Fig. 1522. For contents see preceding page. 351 Fig. 1532. T. & Co.'s Patent Pocket Set.-PATENT CATCH INSTRUMENTS. 2 Patent Catch Handles. x Post's Exploring Needle, x Tenaculum. x Gum Lancet. i Sharp Pointed Bistoury, x Probe Pointed Bistoury, A very neat and compact Case, of Turkey Morocco, with silver lock. Contents: i Tenotomy Knife. x Large Scalpel. x Small Scalpel. x Finger Knife. x Metacarpal Saw. x Lancet. i Pair Straight Scissors. x Pair Dressing Forceps. x Pair spring-catch Fenes- trated Artery Forceps. x Spatula. 2 Silver Probes. i Grooved Director and Aneurism Needle. x Compound Catheter, of Sterling Silver x Caustic Case, of Sterling Silver, seamless. Needles, Suture Silk, Suture Wire, etc. 352 SHARP & SMITH, CHICAGO. POCKET CASE INSTRUMENTS. FIG. *1533 Double Blade Slide Catch, Tortoise Shell handle Knives, Scalpel and curved sharp Bistoury, J K $ i 75 **533 Double Blade Slide Catch, straight, sharp and curved blunt Bistoury, L M . 1 75 *1533 Double Blade Slide Catch Tenaculum and Gum Lancet, NO... 1 75 *1533 " " Sharp and Blunt Tenotome, P Q 1 75 *1533 " " Scalpel and Tenotome, R S 1 75 *1534 " " " " curved blunt Bistoury... 1 75 *1535 " " Tenotome and curved sharp Bistoury. 1 75 1535 (See following page for additional Double Slide Pocket Case Knives) All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 353 POCKET CASE KNIVES. In addition to the few illustrations of Double Slide Pocket Case Knives shown on preceding page-we keep the following " Combinations " in stock : Should you not find the exact combinations, we can put the blades wanted together at short notice. Double Slide Catch Shell Handle Scalpeland Gum Lancet $ i 75 " " " " Sharp Curved Bistoury 1 75 " •* " " •" Straight Sharp " 1 75 " " " " " Hernia Knife 1 75 " " Exploring Needle 1 75 " " Tenaculum 1 75 " " " " " Scalpel 1 75 " " " Aneurism Needle 1 75 " " " Gum Lancet1* Straight Bistoury 1 75 " " " " " Tenaculum 1 75 " " Probe Curved Bistoury 1 75 " " Sharp " " 1 75 " " Tenotome 1 75 " " Exploring Needle 1 75 " " " Aneurism " 1 75 Tenotome " Straight Sharp Bistoury 1 75 " " Sharp and Blunt " 1 75 " " Exploring Needle 1 75 " " " Probe Curved Bistoury 1 75 " " Aneurism Needle 1 75 " Tenaculum " Tenotome 1 75 " " Exploring Needle 1 75 " " " Sharp Curved Bistoury 1 75 " " " Straight " 1 75 " " Aneurism Needle 1 75 " *' Probe Curved Bistoury 1 75 " " Hernia Knife 1 75 Sharp " Probe Straight Bistoury 1 75 " " Straight and Curved Bistoury 1 75 " " " " " Blunt Bistoury 1 75 " " Curved Bistoury and Hernia Knife 1 75 " " 11 " " Aneurism Needle. . 1 75 " " " " " Exploring " ... 1 75 " " Straight " " " " ... I 7.5 Probe Curved " " Aneurism " ... 1 75 " " " " " " Exploring " ... 1 75 . " " " Hernia Knife " Aneurism " ... 1 75 " " and Probe Curved Bistoury.... 1 75 " " " Straight Bistoury 1 75 Exploring and Aneurism Needle 1 75 354 SHARP & SMITH, CHICAGO. POCKET CASE INSTRUMENTS. FIG. *1536. Four-blade Knife, containing Scalpel, straight sharp Bistoury, curved sharp Bistoury, curved blunt Bistoury$ 3 75 *1537. Sharp & Smith's Patent Pocket Case Knives, ten blades and two Handles, set complete 9 00 1537A. Sharp & Smith's Patent Pocket Case Knives, single 75 1538. " " " " " " showing the working and advantage of them over all others. See follow- ing page. 1537- Sharp & Smith's Patent Pocket Case Knives, in set. The accompanying cut fails to show one other blade,viz.: A Hernia Knife and an additional Handle. The set com- plete contains two Han- dles and ten Blades. Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 355 THE LATEST NOVELTY IN SURGICAL INSTRUMENTS. THE ONLY PERFECT DETACHABLE KNIFE. It is Self-setting, and Absolutely free from Objections. (Patent applied for.) In this day of antiseptic operations it is but natural that attention be turned to the proverbially rusty and dirty slide catch in- struments, which cannot thoroughly be cleansed. We have been assured by the most eminent physicians and surgeons of this country and Europe that our invention fdls the bill, and that our detachable knives will take the place of the old style slide and spring catch instrument. The accompanying cuts show the object of the invention, viz.: To provide an im- proved means of detachably fitting to a handle different blades or similar instru- ments, whereby one handle may answer for a number of different instruments. The plan of using a single handle for different blades, due provision being made for securing them together and readily de- taching them, has long been practised in many different ways, but this invention we conceive to be a substantially better and more convenient means for accomplishing the same object. Physicians and Surgeons, when using such improvements as these, require a readily detachable blade which is firmly held in its place in its handle. The shape of the handle is of prime importance, and the presence of any device in the handle for securing and releasing the blade is a serious objection if it is in any way likely to form an obstruction to the free use of the handle, or of such character that it is likely to be accidentally turned or otherwise operated when it is not desired. The requirements of a device which en- tirely avoids objections of the heretofore existing handles we have secured to our improvement, in which a bifurcated handle containing a spring catch operated by a push button projecting slightly out from the han- dle, a blade with a bifurcated shank, which when pushed into the slot in the end of the handle receives the catch therein between its ends and is locked in place thereby. This is the general plan of construction; the de- tails are shown in the accompanying draw- ings. 356 SHARP & SMITH, CHICAGO'. POCKET CASE INSTRUMENTS. FIG. 1539 Single Blade Slide Catch Tortoise Shell Handly Finger Knife$ I io 1539-A " " '• " Gum Lancet 1 10 r539-B " " " " Sharp Tenotome 1 10 I539-C " " " " Blunt " 1 10 1539-D " " " " Tenaculum 1 10 1539 E " " " " Exploring Needle. 1 10 i539-F " " . " " Hernia Bistoury 1 10 t539-G " " " " Symes Abscess Knife 1 10 z539-H " " " " Aneurism Needle 1 10 I539'I " " " " Scalpel 1 10 I539-Jx " " " " Sharp Curved Bistoury 1 10 i539_K ' ' < i Blunt " " 1 10 i539'L " " " " Sharp Straight " I 10 I54° ( Plain " (any of the above) 75 „IS4I H. R. Handle (any of the above) 55 *1542 Abscess Lancets, Shell Handle -- 1543 " " H. R. - 7777777777777 (o *1544 Thumb " Shell " 1545 " " H. R. 777777777777'7 « 1546 " " Evans' Genuine *£547 Vaccinating Lancet with Steel Comb 7_ 1548 " " Spear Point *549 " Combs7.20 to 1550 Lancet Cases, Leather, one hole ' ' *1552 Seton Needle, Shell Handle7.77. .7'7. 7? *1553 Exploring Needles, Ebony Case7.7.7 ao 1554 " " Shell Handle ' '' 1555 " " Ivory Case7.77 w Surgeon's ' ' (see index)7777. 7777". Post's and Buck's Needles, Shell Handle j SHARP & SMITH, CHICAGO. 357 POCKET CASE INSTRUMENTS. FIG. 1556 Finger Saws, shell handle, slide catch $ 1 50 1557 " " " " without catch 1 io *1558 " " Lewis folding 1 85 1559 Spatulas and Tongue Tie 45 1560 " Folding 75 1561 " and Elevator, Dugas' 75 1561A " Pocket Case 40 1562 Greene's Double Tenaculum and Operating Hook 1 25 *1563 Gross' Ear Spoon and Hook 55 *1564 " " " " Spud 75 *1565 Director and Tongue Tie, German silver 45 1566 " " Ear Spoon 55 *1567 " " Aneurism Needle. 45 1568 Caustic Holders, short, silver 1 10 *1569 " " medium, silver 1 50 1570 " " hard rubber, small 45 1571 " " " " medium 60 *I572 " ' " silver burner 75 *1573 Exploring Trocar, Silver Canula 1 00 *1574 Nested Trocars, 3 in set 3 50 *1575 Southey's Set of Trocars and Canulas for Anasarca, in case 2 50 For other Trocars, see index. 1563 1564 1565 1567 i569 1572 1573 1574 1575 All Instruments designated by a * are illustrated. 358 SHARP & SMITH, CHICAGO. POCKET CASE INSTRUMENTS. FIG. 1576 Probes, silver, per pair $ 50 1577 " plated, " " 35 (For other Probes, see index.) *1578 Needle Holding Forceps, Whitney's 3 25 *1579 " " " Sand's 3 00 *1580 " " " Prout's 2 60 *1581 " " " Parker's 1 50 *1582 " " " Hagedorn's, pocket case style 6 50 *1583 " " " French snap 1 25 *1584 " " " and Artery combined, fenestrated.... 2 00 *1585 " " u and Torsion combined 1 75 *1586 " " " Heuel's 3 00 *1587 " " - " Sharp & Smith's 2 50 I58° 1579 1583 '584 1578 1581 1582 All instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 359 FIG. *1588 Artery Forceps, plain $ 40 1589 " " Liston's plain 85 1590 " " " spring catch 1 25 *1591 " " Fenestrated spring catch 1 50 1592 " " " slide " 1 75 *(1584) " " " " " and Needle Holder... 2 00 *(1585) " " Slide Catch and Needle 1 75 1593 " " Danforth's 2 25 *1594 " " McLean's 1 25 *1595 " " Owen's 1 25 1596 " " Hamilton's Fenestrated Spring Catch 1 75 1597 " " " " Slide " 2 00 " " Pratt's (see page 319.) 1 75 " " " new (see page 319.) 2 50 *1598 " Cross Action 1 50 1599 " " Shield's 1 50 *1600 " " Andrews' 2 00 1601 " " Lankford's 1 10 *1602 " " Frickes' 1 80 POCKET CASE INSTRUMENTS. All instruments designated by a * are illustrated. 360 SHARP & SMITH, CHICAGO. FORCEPS. FIG. 1603 Artery Forceps, Bigelow's $ 2 75 1603A " " Langenbeck's 1 10 1604 " " Dugas' 1 15 *1605 " " Cleborne's & Tissue 2 50 " " Frank's Artery and Dressing 1 50 " Lawson Tait's, snap catch 2 00 " Thomas' " " 1 85 " Pean's " " 1 25 " Little's " " 2 50 o " " Wylie's " " 1 50 " Wood's " " 1 50 1606 Phelps' Torsion Forceps, spring catch 3 00 *1607 Adams' Splinter Forceps 75 *1608 Little's " " 73 *1609 Polypus Dressing " plain 1 00 *(i583) " " Pean's (page 315.) 1 25 1610 Bone Cutting Forceps, small 2 50 1611 Ann Arbor Dressing Forceps 1 10 All instruments designated by a * are illustrated SHARI- & SMITH, CHICAGO. 361 SCISSORS. FIG. *1612 Angular P. C. Scissors $ 85 *1613 Chas. N. Dixon Jones' Scissors 2 00 *1614 Straight P. C. Scissors, long 85 1615 " " " medium 75 1616 " " " 1 point probed 1 00 1617 Gray's Straight P. C. Scissors, open ring 1 00 *1618 Curved on flat P. C. Straight Scissors 1 00 1619 Folding Straight Scissors 1 15 *1620 Scissors and Forceps combined i 50 i6i3-For description of these scissors see Fig. 1240, page 313. All instruments designated by a * are illustrated. 362 SHARP & SMITH, CHICAGO. POCKET CASE INSTRUMENTS. FIG. 1621 Catheters-Combined Male and Female $1 00 *1622 " " " " plated 1 00 1623 " " " " silver 1 85 1624 " " " " Parker's, with Caustic Holder, plated 1 75 *1625 Catheters-Combined Male and Female, Parker's, silver 3 25 *1626 Catheters, silver, female 75 *i626A " " " fine holes in end 75 1627 " plated " 35 1628 " with Caustic Holder, Vaccinating Needle and Ex- ploring Trocar, plated 2 50 All of our Metal Catheters have plugged ends, which prevents the secretive matter from being held, and disease transmitted from one patient to another. *1629 Rivedon's Pocket Case Perineum Needle $3 75 This needle was introduced in this city by Dr. R. Ludlam of Chicago, who brought it from France, and he uses it constantly. We recommend it to every practicing physician. SHARP & SMITH, CHICAGO. 363 EYE INSTRUMENTS. FIG. *1630 Ophthalmoscopes, Loring's Double Disk$30 00 *1631 " " Single Disk; 20 00 1632 " " 7-Lens 6 50 1633 " " 12 " 12 00 *1634 " " 15 " Student 15 00 1635 " " 16 " Tilting Mirror 20 00 1636 " " 24 " " " . 24 00 1637 " " 20 " " " 22 50 1638 " "15 " 4 - Inch Quadrant Tilting Mirror 28 00 1639 " Knapp's 12-Lens, Single Disk 15 00 *1640 " " 24 " " " 20 00 1641 " " Double Disk 28 00 1641A " " " " 28 00 1641B " " " " 28 00 *16410 " " Metric System 30 00 1642 " Liebreich's best 3 00 1643 " Allen's 2 75 1644 " Graefe's 4 85 1645 " Nachet's 5 25 1647 " Binocular 22 50 1648 " Polyclinic, 23 Lenses 21 00 Application of the Ophthalmoscope. 364 SHARP & SMITH, CHICAGO. OPHTHALMOSCOPES. l6 . KnapP %D°U,£ Dlsk l641' Ophthalmoscope (Front View.) Knapp's Double Disk Ophthalmoscope, Lense, Disks and Covers (removed), $35.00 ,641-|:- k Vi.w.f Knapp's Ophthalmoscope and Magnifying Lenses (Handles Detached ) SHARP & SMITH, CHICAGO. 365 OPHTHALMOSCOPES. Case for Loring's Ophthalmoscopes. This Case is included in price of Ophthalmoscopes. Handles and two Lenses are also included. Back View. 366 SHARP & SMITH, CHICAGO. OPHTHALMOSCOPES. 1641-c. 1641-c. All Ophthalmoscopes are put in Velvet Line Morocco Covered Cases, including two Lenses not shown in any of the illustrations. 1240 SHARP & SMITH, CHICAGO. 367 FIG. *1649 Nachet's Complete Series of Trial Glasses$95 00 1650 Loring's Set of Trial Glasses, containing 24 pairs of cylindrical and spherical glasses, a holder, and necessary test types 14 00 1651 Snellen's Series Test Types, bound 2 50 1652 German Trial Frame 3 00 1653 Nachet's " " 1 50 Nachet's, with complete series of trial glasses, comprising 30 pairs each of spherical, convex and concave lenses, from to 148 inches focus; 18 pairs each of cylindrical, convex and concave lenses, from 6 to 148 inches focus; 10 prisms of angles from 2 to 20 degrees; 4 plain glasses, of assorted colors; 1 plain white glass; 1 half ground glass; 2 metal discs, with slits of assorted widths, 1 each metal discs, solid and with central perforation, all mounted in gold and silver plated metal rims, with handles; 1 adjustable spectacle frame, with graduated revolving fittings, for holding the various lenses; 1 adjustable lens holder, of horn. In elegant velvet lined case. We have a very complete stock of Trial Cases ranging in price from $14 to $100, and can furnish same at lower prices than any one in the city. Write for contents and prices. WE IMPORT THESE GOODS DIRECT. All instruments designated by a * are illustrated. 368 SHARP & SMITH, CHICAGO. EYE INSTRUMENTS. FIG. *1654 Blanchett's Instrument for exhausting soft cataract$1 75 *1655 Hollow Scoop for soft cataract 3 00 *1656 Bowman's Instrument for exhausting soft cataract 3 25 1657 Anel's Silver Lachrymal Syringe, with silver and gold points. .. 9 00 *1658 " " " " H. R. with gold points 3 5° *1659 " " " metal barrel, silver points in case 3 00 1660 Anel's White Metal Lachrymal Syringe 1 75 1661 " Glass Barrel " " 3 50 *1662 Agnew's Lachrymal Syringe 3 75 *1663 McFarlan's Hard Rubber Lachrymal Syringe 2 50 1664 Hard Rubber Lachrymal Syringe, one needle 1 25 1665 " " "■ " " " silver 2 50 *1666 Dr. J. Austin Dunn's Lachrymal Syringe, No. 1, blunt steel needle i 15 i6S4 1655 1656 SHARP & SMITH, CHICAGO 369 FIG. EYE INSTRUMENTS. 1667 Dr. J. Austin Dunn's Lachrymal Syringe, platinum needle $ 1 50 1668 " " " " " gold needle 2 75 1668A Steel Needle for above 75 1668B Platinum Needle for above 1 25 1669C Gold " ■" " 2 75 *1670 Lachrymal Styles, A, hard rubber 40 *1670 " " B, lead 20 *1670 " " C, E, Williams', each 35 *1670 " " D, silver 35 *1670 " " F, canulated silver 40 *1670 " " G, " " 40 *1670 " " H, " " 40 *1670 " " I, " " 40 1671 " " in gold 50 to 3 50 1672 Silver Lachrymal Canula 40 1673 Wecker's " " 1 15 1674 Gold " " $2 00 to 3 50 1675 Gensole's " " for cauterizing the nasal duct 2 25 1676 Liebold's Subpapberal Syringe 1 10 *1677 Desmarre's Eyelid Retractor, large 1 25 *1678 " " " small 1 25 *1679 " " " jointed for pocket 1 50 1680 Noyes' " " 1 50 *1681 Ivory Strabometer 1 65 *1682 Stokes' Eyelid Compressor 2 00 j67q 1679 1678 1677 370 SHARP & SMITH, CHICAGO. EYE INSTRUMENTS. FIG. *1683 D i x ' s Spud, half round .$ I 00 *1684 " " flat 1 00 1685 " " and Curette 1 85 *1686 " " and Exploring Needle 2 00 1687 .Walton's Foreign Body Gouge 1 10 1688 Desmarre's Trocar, long point 1 25 *1689 " Paracentesis Trocar, short point 1 25 1690 Wecker's Iridectomy Instruments 900 *1691 Graefe's Tractor.. . 1 20 1692 Knapp's Cystotome 1 15 *1693 Desmarre's " 1 10 1694 ' " and Curette 1 85 *1695 " " and Silver Lens Scoop 1 85 *1696 Pocket Gouge and Spatula in Sliding Case 2 00 *1697 " Needle and Spud " " " 2 00 *1698 Noyes' Canaliculous Knives, flexible shank ... 1 15 *1699 " Jointed Canaliculous Knife 3 00 *1700 " Stilling's " - " 1 30 *1701 Stilling's Canaliculous Knife 1 10 *1702 Agnew's " " 1 25 1683 1684 1689 1691 1693 1695 1696 1697 1699 1700 1701 SHARP & SMITH, CHICAGO. 371 EYE INSTRUMENTS. FIG. 1703 Weber's Straight Canaliculous Knife $ 1 10 1704 " Half Curved Canaliculous Knife . 1 30 1705 " Full " " " 1 30 1706 Bowman's Canaliculous Knife, sharp 1 25 *1707 " " " blunt 1 25 1708 Angular " " t 25 1709 Leibrich's " " 1 25 1710 Beaumont's Concealed " 6 00 *1711 Greenslade's " " 3 00 *1712 Jaeger's Keratome, straight 1 15 *1713 " " angular 1 25 *1714 Scalpel, large.... 1 10 1715 " medium 1 10 1716 " small 1 jo *1717 Beers'Cataract Knife, large 1 10 *1718 " " " medium 1 10 *1719 " " " small 1 10 *1720 Graefe's " " 1 10 *1721 " " " mod. by Noyes 1 15 1722 " " " convex edge 1 15 *1723 Baeder's " " angular, right or left 1 50 *1724 Agnew's Iridectomy Knife 1 30 1707 i7n I7i2 1713 1714 1719 1718 1717 1720 1721 372 SHARP & SMITH, CHICAGO. EYE INSTRUMENTS. 1724A Strabismus Hooks, large 90 *1725 " " small 90 *1726 " " Wecker's double 3 00 *1727 " " with eye 1 00 *1728 " " McDonald's barbed 1 20 *1729 " " Taylor's " 1 20 *1730 " " " 1 00 1731 " " Bistoury 1 75 1732 Ball's Double Hooks, with slide 2 25 1733 Knapp's Foreign Body Hooks, silver 1 50 *1734 Tyrrell's Sharp Hooks 90 *1735 " Blunt " 90 *1736 Noyes'Barbed Hook 1 15 1737 Ophthalmostats, three pointed 1 10 *1738 " Jaeger's 6 00 1739 " Noyes' 1 65 1740 Pamard's Pique for fixing the eye 1 15 *1741 Test Drum for testing edges of cutting instruments 60 SHARP & SMITH, CHICAGO. 373 EYE INSTRUMENTS. FIG. *1742 Bowman's Stop Needle $1 10 1743 Iris Needle, plain 1 10 1744 " " De La Roosa's 1 00 1745 Couching Needle 1 00 *1746 Baeder's Tattooing Needle 1 50 *1747 Agnew's " " 1 25 *1748 Grooved " " 1 25 *1749 Walton's " " grooved 1 25 *1750 " Round Pointed Needle 1 50 *1751 Paracentesis Needle, broad 1 00 *1752 " " very broad 1 00 *1753 Hayes' Knife " 1 10 *1754 Sharp & Smith's Knife Needle 1 10 *1755 Luzardi's Hooked " 1 15 *1756 Levis'Needle, with eye 1 20 *•757 Critchet's Hooked Needle I 10 1758 Caron de Villard's Needle 1 00 1759 Angular Needle 1 00 1760 Needle and Spud, metal case 2 00 1761 " " " hard rubber case x 75 1762 " " " ivory case 2 25 1742 1748 1749 175° *751 1752 1753 1754 *755 I75& 1757 *747 All instruments designated by a * are illustrated. 374 SHARP & SMITH, CHICAGO FIG. *1763 Cataract Needles, Beers', straight $ 1 00 1764 " " hollow curved 1 30 *1765 " " Noyes', narrow 1 00 *1766 Decision " narrow . 1 00 1767 " " broad 1 00 1768 " " long 1 00 1769 ' stop 1 10 1770 Depression Needles, large curved 1 15 Eye Needles, per dozen 1 00 " Silk, see index *1771 Plain Iris Knife 1 10 1772 Broad " " 1 10 *1773 Stop " " .... 1 10 *1774 Double Edge Iris Knife 1 50 *1775 Sickle Shape " . " 1 25 1776 Concave Edge, Secondary Knife 1 20 1777 Convex " " " 1 20 1778 Desmarre's Angular Secondary Knife 1 25 *1779 " Scarificator 1 10 1780 Critchet's Concave Lens Scoop 1 30 1781 " Flat " " 1 25 1782 Shell Lens Scoop 1 35 *1783 Hard Rubber Lens Scoop.... 75 EYE INSTRUMENTS. 1763 1765 1766 i77i 1773 1774 . 1779 i7«3 1784 1785 SHARP & SMITH, CHICAGO. 375 EYE INSTRUMENTS. FIG. *1784 Graefe's Lens Scoop 1 25 *1785 Fenestrated Lens Scoop 1 25 1786 Lens Scoop and Spud 1 85 1787 Hard Rubber Spoon 50 *1788 Desmarre's Knife for enlarging the cornea section 1 15 *1789 " Short Knife for enlarging the cornea section 1 15 *1790 Angular Knife for enlarging the cornea section, R. or L.. .each 1 25 1791 Strabismus Bistoury, curved 1 75 1792 " " straight 1 10 1793 Jaeger's Bistoury Cache 6 00 1794 Parker's Fistula Lachrymalis knife 1 25 *1795 Wilde's Canulated Forceps 9 00 *1796 " " " Scissors, and Forceps Needle, in 1 handle. 11 25 *1797 Wilde's Canulated Needle 9 00 *1798 Noyes' Iris Scissors..# 3 00 1798-A " " " delicate points. 4 50 *1799 Straight Iris Scissors, light.... 1 10 1800 " " " heavy.... 1 15 *1801 Curved on flat Iris Scissors, light. 1 10 1802 " " " " " heavy 1 15 Instruments designated bv a * are illustrated. 376 SHARP & SMITH, CHICAGO. EYE INSTRUMENTS. FIG *1803 Scissors Strabismus, angular$ 1 10 1804 " " curved on flat 1 10 1805 " " Noyes' 3 00 *1806 " " Hobby's curved 2 25 1807 " Conjunctiva 1 10 *1808 " Maunoir's Canaliculous, one blade, probe-pointed.... 1 50 *1809 " Dudley's Cataract 7 50 *1810 " Wecker's Iridectomy 6 5c 1811 " McDowell's " 3 25 1812 " Haldeck's " 4 00 1813 " Strawbridge's Keratome 7 50 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 377 EYE SCISSORS FIG. *1814. Eye Scissors, Chadwick's Pterigum $ 4 50 *1815. " " " " 4 5° *1816. " " Stevens'Subconjunctival Tenotome Scissors.... 3 25 {Extract from "Archives of OphthalmologyJune, 1888.) THE ANOMALIES OF THE OCULAR MUSCLES. Dr. George T. Stevens, New York. * * * The method of operating in heterophoria has been described in a former paper. Since writing that paper the method has been still further modified, and I shall here only refer to the modified steps in the operation. In making the incision through the conjunctiva the smallest possible open- ing is made, precisely over the center of the insertion of the tendon. The opening should be less than % millimeter in extent. Then the blades of the scissors are introduced with greatest care, one on the scleral and the other on the conjunctival side of the tendon, when they are insinuated toward the border, then pressed strongly against the insertion of the tendon. In order to permit the blades to be introduced in this small wound and to be carried properly into position for cutting the tendon, they have been modified in an important manner. As now made the blades are quite thick and strong until within about one-third of an inch from the extremity, when they become suddenly very slender, the two united being less than the size of No. i Bow- i8i6 man's probe. The points, although so extremely delicate, are perfectly strong, and " walk and talk " together in the most perfect manner. There is no catch- ing or failure to cut under any circumstances. In operating for esophoria, a certain allowance is to be made for the con- traction which occurs in the process of healing. I have found it advisable not to allow more than i° or 20 exophoria immediately after the operation, with abduction of 11°. or at most of 120. If we allow a greater degree of exophoria or of abduction, we are open to risk of permanent exophoria. Exophoria of i° or 20 on the day following the opera- tion is liable to progressive increase, and should the abduction remain in excess with exophoria i° or more on the next day after the operation, the excess should be corrected. An exophoria i° or 20, with abduction of n° or 120 at the time of operation, very rarely, if ever, shows an over-correction after the first few 378 SHARP & SMITH, CHICAGO. hours. On the following day after such an operation, we should hope for abduction of 8° with no esophoria. Should it be required to reduce the extent of the operation, it can be accomplished in the following manner: A delicate Tyrell's hook is introduced beneath the conjunctiva and the divided extremity of the tendon. The hook is then turned with its point forward and pressed against the central part of the tendon, when traction is made. The extreme cut border of the tendon is drawn into the small opening of the conjunctiva, when a needle carrying a No. oooooo silk thread is passed as near to the edge as possible. It is then passed into the subconjunctival tissue at the corneal side of the wound and outward, including the conjunctiva, to the extent of less than one millimeter. The thread is tied so as to graduate the tension, bringing the tendon forward sufficiently to guard against exophoria while preserving the required relaxation. This procedure, when required, should be made with the finest of thread and with the most extreme.delicacy of manipulation. 1814 1815 SHARP & SMITH, CHICAGO. 379 EYE INSTRUMENTS FIG. *1817 Strabismus Forceps, straight.... 10 1818 " " curved 1 10 *1819 Iris Forceps, Leibrich's Rotating 3 00 1820 " " latest 4 25 *1821 " " straight 1 10 *1822 " " curved 1 10 *1823 " " Graefe's Angular 1 25 *1824 " " Fischer's 90 *1825 " " Walton's Self Holding 1 85 1826 Fixation Forceps, Noyes'Curved 1 10 1827 " " " with spring 1 50 1828 " " " slide 2 25 *1829 " " Dudley's 2 25 *1830 " " De la Roosa's 1 50 *1831 " " Graefe's 1 50 *1832 " " Carron de Villard's 2 25 *1833 " and Tumor Forceps 1 15 *1834 Conjunctiva Forceps, Noyes' 2 50 1835 Adhesion " curved 1 50 All instruments designated by a * are illustrated 380 SHARP & SMITH, CHICAGO. EYE INSTRUMENTS. FIG. *1836 Blitz' Extirpation Forceps $2 25 *1837 Henry's Depilating " 1 75 *1838 Cilia Forceps 75 *1839 Foreign Body Forceps . 2 40 *1840 Lanne's Forceps Needle, for false membranes 3 25 1841 Noyes' Eyelid Clamp Forceps 1 85 1842 Rattis Trichiasis " 2 25 *1843 Eye Spray, hard rubber 50 *1844 Eye Spray 60 For other Sprays, see Index. *1845 Entropium Forceps, Snellen's 2 00 *1846 " " T. & Co.'s, with knife 5 25 *1847 " " Knapp's 3 00 *1848 " " Laurence's 2 50 *.1849 " " Prout's reversible 2 60 1850 " " -Plain... 1 50 *1851 " " Cross Bar 1 75 !S52 " " King 2 25 1853 " " Desmarre's Shell 2 25 *1854 " " " metal 2 25 *T855 " " Noyes', with slide catch 1 85 1856 " " " " " " I 85 *1856.4 Sharp & Smith's Ring Lid Elevator 50 SHARP & SMITH, CHICAGO. 381 EYE INSTRUMENTS. 1845 1846 1848 1849 382 SHARP & SMITH. CHICAGO. FIG. *1857 Needle Holding Forceps, Sand's $ 3 00 *1858 " " " Knapp's, very delicate 4 00 *1859 " " " Prout's 2 60 1860 " " " Whitney's 3 25 1861 " " " Collins' 3 25 *1862 " " " Renier's . 3 00 *1863 " " " Russian 3 00 *1864 " " " Paris 3 50 *1865 " " " Galezowsky's .. 2 25 1866 " " " Hagedorn's 6 00 EYE INSTRUMENTS. For other Needle Holders, see index. SHARP & SMITH, CHICAGO. 383 EYE INSTRUMENTS. FIG. *1867 Specula, plain wire $ 50 *1868 " " " 50 *1869 " Graefe's, short 1 75 *1870 " " long 2 00 *1871 " Noyes' Improved, steel gilt 3 00 1872 " " " nickel plated 2 50 *1873 " " plain 1 25 1874 " " right and left, each 2 75 *1875 " Liebold's 1 85 *1876 " Hart's 1 io *1877 " Galante's 3 00 *1878 " Liebrich's 1 50 1879 " Laurence's 2 25 *1880 " Critchet's 1 50 1881 " Agnew's 3 75 1882 " Mittendorf's 1 50 *1883 " Pana's 4 00 *1884 " Schweigger's ... 3 00 *1885 " Luer's 1 50 1886 " Comb's 1 75 *1887 " Schwatka's 1 50 384 SHARP & SMITH, CHICAGO. EYE SPECULUMS. This Speculum (Fig. 1887), the invention of Lieut. Schwatka of the United States army, is well-explained by the above illustration. I he blanches that pass under and clasp the eyelids can be of any of the various forms that may suit the ideas of different operators. It is in the lever branches that open and close the former that the essential novelty of the instru- ment is found. These levers are reflected back on to the same side as the branches they respectively operate, so that their closure opens the branches, and vice versa. They are serrated on their outer edges, which indentations are made to firmly receive a rubber band that is the power in opening the speculum, and which power may be made variable by simply slipping the band along the ser- rations according to the well known principles of the lever. It is evident that more than one band can be used and increased power be obtained but as now made, the single band at the end of the levers is sufficient to almost break the finest made instruments when attempting to close the branches, and is therefore sufficient. The crowns of the teeth are somewhat rounded, making it easy to slip the round rubber band along them to any point, and even during an oper- ation. I hat fineness of touch so common among oculists, acquired by the manipulation of such delicate instruments as are necessary in their profession will here materially assist them in properly adjusting this instrument for any operation. 3 SHARP & SMITH, CHICAGO. 385 EYE INSTRUMENTS. FIG. 1888 Eye Probes, Noyes' Set $ 2 25 1889 " " Levis' 1 50 *1890 " " Theobold's Set of 16 (8 pieces) per set in neat case. 5 00 1891 " " silver, delicate 35 1892 " " Anel's, silver 35 *1893 " " Bowman's, set of eight, silver 2 15 1894 " " " single, silver, two sizes 55 1895 " " " set of eight, hard rubber, same as Fig. 1873 1 50 1896 " " " single, hard rubber, two sizes. ... 40 1897 " " Livingston's elastic 1 75 *1898 " " Williams', set of eight, silver, A and B 2 15 *1898 " " Dilator, Williams', silver, C 75 *1898 " " " " " D and E 35 1899 Weber's Graduated Dilator ... 75 *1900 Galezowsky's Canaliculous Dilator 1 90 *1901 Bowman's Silver Director 50 *1902 Wecker's Lachrymal Canula 1 25 *1903 Spier's " Catheter, silver 75 386 SHARP & SMITH, CHICAGO. EYE INSTRUMENTS. FIG. *1904 Jaeger's Plate Lid Holder, hard rubber $ 75 1905 " " " " shell 1 15 *1906 Alum Pencils 25 *1906 Blue Vitriol Pencils 25 1907 Nitrate of Silver Pencils 1 00 *1908 Hotz' Eye Glass Drop 10 Medicine Droppers, per dozen 50 1909 Ophthalmo Phantomes, hard rubber, jointed stand, and face on pivot, two eyes.. 12 00 *1910 " " " " " " " " " " one eye.... 8 50 1911 " " plain japanned, movable stand, one eye 6 00 1912 Glass Eye Baths 25 1913 Thompson's Optometer 1 60 1914 Pupilometer 3 75 *1915 Perins' Eye 25 00 1916 Camel's Hair Brushes, per dozen 25 1917 Desmarre's Cautery Irons 2 25 1918 Silver Case Caustic Holder, short 1 10 1919 " " " " medium 1 50 1920 Knapp's " " 80 1921 Eye Cups . . . 25 1922 Eye Bath Bottles. 75 1923 " Douche, common 75 1924 " " H. R. stopcock (see fig. 1843) 50 1925 " " Agnew's 25 1926 Eye Shades, single, small 20 1927 " " double " 25 1926 " " single, large 25 1927 " " double, " 35 Artificial Eyes, all styles (see page 387.) 5 00 Price to Patients, $10.00 each. All instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 387 HEADQUARTERS FOR FRENCH AND GERMAN ARTIFICIAL EYES. SHRRP&SWVH cwci\ct> SHkRF &SNUTH CMICISCQ We have on hand a large assortment of colors, forms and sizes, for the right and left eye, from which personal selections may be made, or we can send them by express; but as the success of being well matched depends on the ex- actness of the description and the minuteness of adaptation and accommodation of the Artificial Eye to the remains of the natural one, we advise patients to apply to their physician and have him send us the following particulars: 1. Right or left eye. 2. Diameter of the iris of the well eye. 3. Normal diameter of the pupil. 4. Degree of atrophy of globe in comparison to well eye. 5. Form of anterior of stump, flat, round or conical. 6. Partial or entire presence or absence of cornea remaining transparent. 7. Depth of furrow behind lower lid. 8. Sex and age of patient. 9. A drawing ( natural size ) representing accurately the eye region of both eyes, the color of the iris and sclerotica (or a minute description). SHkRF ASNUTH CMICIWiO Price to Patients, - $ 1 O OO. IN ORDERING GOODS PLEASE STATE NUMBER OF FIGURE AND PAGE OF CATALOGUE. PLEASE DO NOT DEFACE THE CATALOGUE BY CUTTING OUT THE ILLUSTRATIONS. Sharp & Smith. 388 SHARP & SMITH, CHICAGO- EYE CASES. 1928 Fig. 1928.-Dr. W. F. Montgomery's Eye Case contains: 1 Gallante's Eye Speculum. 1 Graefe's Narrow Cataract Knife. 1 Large Angular Keratome. 1 Cataract Needle. 1 Moye's Canaliculous Knife. 1 Lens Spoon. 1 Pair Curved Iris Forceps. 1 " Iris Scissors. 1 " Tenotomy Scissors,(Strabismus) 1 Desmarre's Entropium Froceps. 2 Strabismus Hooks. i Graefe's Cataract Knife. i Small Angular Keratome. i Plastic Scalpel. i Stop Cataract Needle. i David's Rubber Spoon. i Pair Spring Catch Fixation Forceps. i " Tenotomy (Strabismus)Forceps. i " Optic Scissors. i Set Bowman's Probes, i to 8. i Whitney's Needle Holder. i Pair Heavy Curved Scissors. Needles and Silk, in fine Morocco covered Velvet lined case, $32 00 1 his case can be had modified in any way desirable. The case as it now is, is sufficiently small to be carried in the hip pocket. Any desired case put up to order, adding any instruments that you may have on hand. SHARP & SMITH, CHICAGO. 389 EYE CASES. Fig. 1929. EYE CASE, No. 5, CONTAINS: Beer's Knife; Curved Needle; Iris Needle; Forceps; Scissors, fine-pointed, curved on the flat; Wire Speculum; Strabismus Hook; Dix's Hook; Dix's Spud; Silver Probe; 3 Suture Needles; Fine Silk; Tyrrel's Sharp Iris Hook; Daviel's Curette. Morocco case, lined with silk velvet. Price $ 12 75 1 Beer's Knife; 1 Keratome or Artificial Knife; 1 Dix's Spud; 1 Curved Needle; 1 Straight Needle; 1 Pair Iris Scissors, straight; 1 Pair Strabismus Scissors; 1 Strabismus Hook; 1 Wire Speculum; 1 Parker's Fistula Lachry- malis Knife; Tyrrell's Blunt Hook; Silver Probe; 1 Critchett's Lens Scoop; 1 Pair Forceps; 6 Suture Needles; Fine Silk. In a Rosewood case, lined with silk velvet. Price $ 18 00 Fig. 1930. SHARP & SMITH'S EYE CASE, No. 4, CONTAINS: Graefe's Linear Knife; Parker's Fistula Lachrymalis Knife; Beer's Cataract Knife; Desmarre's Scarificator; Straight Keratome; Angular Keratome; Stra- bismus Hook; Small Scalpel; Large Curved Needle, couching; Small Curved Needle; Straight Iris Needle; Cystotome; Tyrrell's Blunt Hook; Tyrrell's Scoop; Wire Speculum; Cilia Forceps; Strabismus Forceps; Iridectomy For- ceps; Straight Iris Scissors; Iris Scissors, curved on the flat; Anel's Silver Probe; 6 Suture Needles and Fine Silk. Rosewood case, lined with silk velvet. Price $ 25 75 Fig. 1931. SHARP & SMITH'S EYE CASE, No. 3, CONTAINS: Fig. 1932. SHARP & SMITH'S SET OF STRABISMUS INSTRUMENTS, No. 2, CONTAINS: 1 Pair Strabismus Scissors; 1 Pair Strabismus Forceps; 1 Double Hook; 1 Strabismus Hook; 1 Wire Speculum. In a neat morocco case. Price $ 6 25 Fig. 1933. SHARP & SMITHS EYE CASE, No. 1, CONTAINS: 1 Curved Couching Needle; 1 Strabismus Hook; 1 Beer's Cataract Knife; 1 Double Hook; 1 Pair Curved Forceps; 1 Pair Strabismus Scissors; 1 Wire Speculum. In a neat morocco case, lined with silk velvet. Price $ 9 00 Fig. 1934. NOYES' EYE CASE, CONTAINS : 2 Desmarre's Eyelid Retractors, large and small; 1 Wire Speculum; 1 Noyes' Canalicula Knife; 1 Set Bowman's Probes, silver, Nos. 1 to 8; 1 Small Scalpel; 1 H. R. Dental Syringe; 2 Strabismus Hooks; 1 Pair Straight Iris Scissors; 1 Pair Curved Iris Scissors; 1 Pair Fixation Forceps; 1 Dissecting Forceps; 1 Dix's Spud; 1 Spatula; 1 Straight Iridectomy Knife (Keratome); 1 Angular Iridectomy Knife; 1 Short Iris Forcep; 1 Large Curved Iris For- ceps; 1 Tyrell's Blunt Hook; 2 Straight Decision Needles; 1 Graefe's Linear Knife, wide pattern; 1 Small Sharp Iris Hook; 1 Pair Prout's Entropium For- ceps; 1 Cystotome and Curette; 1 Sands' Needle Forceps; 2 Graefe's Linear Knives; 1 H. R. Spoon; 1 Critchett's Lens Scoop; 6 Small Curved and 3 Straight Suture Needles, and Fine Silk. In a fine Rosewood, brass bound case, lined with silk velvet. Price 49 5° Any style of case made to order. 390 SHARP & SMITH, CHICAGO. EYE INSTRUMENTS A Perfection Cautery Handle for Eye Operations. By F. C. Hotz, M. D., Attending Surgeon at Illinois Charitable Eye and Ear Infirmary, Chicago, Ill. 1 he use of the Electro-Cautery on the eye requires an instrument which allows easy, quick and delicate manipulations. All these conditions are found in the Cautery Handle represented above. It was made for me by an instru- ment maker in Berlin, Germany, and has proven its merits in many cases during the three years I have tried it. Made of hard rubber, it is as light as a pen holder ; the little button for closing the circuit responds to the slightest touch of the finger so readily that the position of the instrument is not disturbed at the moment the current is closed and the loop heated, and therefore we can easily keep the point of the loop in contact with the very point of the cornea we wish to cauterize; and the cable cord is so light and flexible that it does not impede the free and easy handling of the instrument. These Cautery Handles and Cords are now made in this Country by Sharp & Smith, 73 Randolph Street, Chicago, Ill. Frick. - - - $10.00. For Dr. Jdotz Bar Instruments, see "Supplement" at end of Book. A. SHARP & SMITH, CHICAGO. 391 EAR INSTRUMENTS. *1940 Wilde's Ear Specula, set of 3 in case, H. R $1 00 *1941 " " " " 3 " silver 3 00 1942 " " " " 3 " " plated 1 50 1943 Toynbee's" " " 3 " H. R 1 5° *1944 " " " " 3 " silver 3 00 1945 " " " " 3 " " plated 2 00 j945-AHotz's " " " 3 " H. R 1 00 1945-B " " " " 3 " silver 3 00 *i945-C " " " " 3 " " plated 2 00 1946 Gruber's " " " 3 " H. R 1 50 *1947 " " " " 3 " silvei 3 00 1948 '' " " " 3 " " pla d 2 00 *1950 Sexton's " " " 3 " " " 2 25 *1951 Kramer's Bivalve Ear Specula, nickel plated, 3 sizes each 1 50 1952 " " " " " " with set screw 1 85 1953 Bivalve " " " " 1 00 1954 Knapp's Tubular " " 3 in set, H. R 1 20 *1955 Spiers' Self-Retaining Ear Specula 3 00 1956 Glass Mirror " " 35 1957 Porcelain " " 40 *1958 Fergen's " " 3 50 1959 Siegele's " " 3 00 1960 Hudson's " " 2 25 All instruments designated by a * are illustrated. 392 SHARP & SMITH, CHICAGO. EAR INSTRUMENTS. FIG. *1961 Brunton's Otoscope $4 5° *1962 Clark's k' 7 5° *1963 Simrock's " with Lens 3 5° *1964 Hassenstein's " three Tips 3 5° *1965 Siegele's Aural Otoscope 3 00 *1966 Ely's modification of Siegele's Otoscope 5 25 Application of the Otoscope. See next page for balance of Otoscopes. SHARP & SMITH, CHICAGO. 393 EAR INSTRUMENTS. 394 SHARP & SMITH, CHICAGO EAR INSTRUMENTS. FIG. 1967 Blake's Inner Ear Mirrors, Set$ 5 25 1968 Troeltsch's Mirrors with handle, 3 inches 3 00 1969 " " " 2% " 2 50 *1970 " " " 2 " 2 25 1971 " " " and head band, extra 1 00 1972 Mirrors, Ball and Socket, 2 inch with Head Band and Handle. 3 25 1973 Miller's Lamp 11 00 *1974 Collins' Lamp' 5 25 *I975 Pomeroy's Ear Syringe 2 75 *1976 Blake's Inner Ear Syringe. . 1977 Kramer's Brass Ear Syringe with Rings, Small 1 75 *1978 " Large 2 25 1979 " " " " Ivory Nozzle 2 50 *1980 Hard Rubber " 1 oz 65 1981 " . " 2 oz 1 50 1982 " " 3 oz 1 75 1983 " " 4 oz, two tips 2 00 *1984 Wheelock's Reversible Flow II. R. Syringe 1 50 *1985 Sexton's Inner Ear Syringe 7 50 *i985~A. Roosa's " " Continuous Flow 6 50 1986 Sexton's Ear Douche 4 50 *1987 Lncae's Reflux Ear Syringe, Hard Rubber 1 00 1987-A. Rumboldt's Modification of Lucae's Douche 3 75 1987-B. " " " " tube only 1 00 For other Syringes see next page. All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO 395 EAR INSTRUMENTS. By means of this Syringe a continuous syringing of the ear is effected, doing away with the old process of refilling the syringe. By virtue of the spiral wire around the piston rod the piston is forced back automatically, the syringe filling and emptying by an arrangement of valves in the piston, and through the hollow piston-rod which communicates with the reservoir, by means of the rubber tubing, thus creating a continuous flow. 396 SHARP & SMITH, CHICAGO. EAR INSTRUMENTS. FIG. *1988 Politzer's Air Bag, 6 oz., Plain White $ 1 00 1989 " " " " Red or Black, English Pure Gum I 50 1989-A " " " " " " '• with Valve... 1 75 1990 " " 8 oz., " " " " " I 75 tggO-A " " " " " with Valve... 2 00 *iggi " *' with Roosa's Attachment 2 75 igg2 Roosa's Attachment for above, extra. 75 *igg3 Politzer's Tip and Attachment for above, extra 35 *igg4 Rumbold's Ear Spout 2 25 igg4-A Metal " " 40 *1994-6 Hosmer's " " 40 1994-C " " " Folding Hard Rubber 75 *igg5 Sexton's Soft Rubber Nozzle .... 75 *I995~A Buck's Hard Rubber ' . 60 igg5~C Alien's Double ' 1 15 1994. Ear Spout. The il- lustration does not show, as it should do, the entire length of the rubber tube that conducts the water spout to the recepta- cle at the patient's side. All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 397 EAR INSTRUMENTS. FIG. 1996 Virgin Silver Eustachian Catheter - $ 1 00 1997 Noyes' " 1 85 1998 Coin " " " 1 co 1999 Plated " " " . 60 *2oco Hard Rubber " " ... 50 *2000-A Ferguson's Soft Rubber Eustachian Catheter ... 1 50 *2001 Rumbold's "■ " " " 1 00 2002 Spier's Eustachian Catheter 90 2003 Seiss' " " with Rubber Syringe 2 25 *2004 Levis " " " Hard Rubber Syringe 2 50 2005 Bonafont's " " Holder 1 50 2006 Stark's " " ' 3 co 2007 Pomeroy-Kramer's Eustachian Catheter Holder ■ 2 50 2008 Fullgraf's " Spray 4 50 2009 Hackley's " " 4 85 *2010 Toynbee's Diagnostic Tube 60 *2011 " Explorer, to fit same 60 2012 Clark's Ear Tube • • 40 *2013 Tuning Fork-A 55 *2014 Tuning Fork-C •• . • 1 15 2010 2014 2013 2001 2000 2011 All instrument? designated by a * are illustrated. 398 SHARP & SMITH CHICAGO. EAR INSTRUMENTS. An Improved Form of Eustachian Catheter. H. Lindo Ferguson, F. R. C. S. J., Dunedin, N. Z In order to overcome the difficulty of passing an Eustachian catheter in cases where the inferior turbinated bone or a displaced septum encroaches on the nasal passage, and to avoid giving pain to the patient when the nasal mucous membrane is much swollen and sensitive, a soft rubber catheter might be used, fitted with a straight style, on withdrawal of which the catheter would resume its curve. The catheter is of the ordinary shape, and is of soft red rubber, having inside the stem and extending nearly to the point, a spiral of fine wire, which prevents the lumen of the instrument being lessened by pressure when in position. There is a straight style of the same length as the catheter, which, when it is introduced, obliterates the curve at the beak. The catheter on the style is introduced like a straight probe along the floor of the nostril, with the side to which the beak tends to curve, outward. When the back of the pharynx is felt, the style is withdrawn and the beak curls around to the mouth of the Eusta- chian tube. In several cases I have not had to draw it forward at all, for the curve of the beak withdraws the point about the right distance. The instru- ment passes through very much obstructed nostrils and gives no pain in cases in which the hard rubber catheter cannot be tolerated. NEW PUS BASIN. From Design of H. L. Smith, M.D. For hospital, dispensary and private practice, this basin will be much appreciated over the common ones in use, as some portion of it will perfectly fit any portion of the body. Made of sheet iron, pressed into shape and coated with a pure vitreous enamel, which, for tenacity and power of resisting the action of acids, has no equal. The surface is smooth and as easily cleaned as china, while the article is light, and practically indestructible. Pig. 2014-a - Pus Basins- Each $1.50. The radius of the various curves is approx- imately as follows: I a] is 2J4 inches, b] is 3*4 inches, c] is 4)4 inches, dl is 4% inches, [ej is 9 inches. [1] is % inch. 2] is 1*4 inches. 3] is 1'4 inches. 4 is P4 inches. 5] is 1% inches. 2014-A For other Pus Basins, see page 405. SHARP & SMITH, CHICAGO. 399 EAR INSTRUMENTS. FIG. *2015 Buttles'Iodine Inhaler $100 2016 Pomeroy's Glass Inhaler ; 40 *2017 Rumbold's Injector 1 00 *2oi7~A " Curved Injector 1 00 *2017-B " Acou-Otoscope . 1 85 *2018 Knapp's Powder Blower 1 00 *2019 Wilde's Ear Garget • 1 00 *2020 Gooch's Double Polypus Canula for removing polypi, silver 1 7s 2020-A " " " " " " plated 1 00 2021 Hawley's " " " " " " 1 25 Fig. 2017-B.-Acou-otoscope. An instrument to enable the examiner to see the membrana tympani, and/zo?r the effect of the inflation of the Eustachian tube at the same time. Fig. 2017.-Rumbold's Small Ear Injector. This illustration is a little larger in diameter than the instrument itself. All of its streams are recurrent and very fine. 400 SHARP & SMITH, CHICAGO. EAR INSTRUMENTS. FIG. *2022 Blake's Polypus Snare $2 75 2023 " " " with three assorted Canulas and one Tympanum Perforator, incase 6 25 *2024 Wilde's Polypus Snare 2 50 SHARP & SMITH, CHICAGO. 401 EAR INSTRUMENTS. FIG. *2025 Jarvis'Polypus Snare, straight $2 25 2025- " " " curved 2 75 *2026 Politzer's Tympanum Perforator, angular 75 2026- " " " " Ivory handle 1 10 2027 Prout's " " 1 10 2028 Noyes' " " 1 10 2029 Blake's " " 1 10 2030 Gruber's Tensor Tympani Instrument 2 25 2031 Weber's " " " 6 00 *2032 Drill, with Guard for perforating the Mastoid Process 3 75 *2033 Buck's Drill " " " " ■••• 3 75 2034 Politzer's Meatus Knife 1 15 2035 Gruber's " " Sickle shape 1 20 *2O36-ABuck's Curette 55 *2036-6 " Cotton Holder 35 *2O36-C " Silver Probe 60 *2O36-D " Knife for Mastoid Process 1 10 *2c>36-E " Port-Acid Glass 10 *2036-6 " Silver Probe..! . 60 *2O36-G " Blunt pointed curved Bistoury 1 15 *2O36-H " Maryngotome 75 *2036-! " Furnucle 1 00 *2O36-K " Sharp pointed curved Bistoury 1 10 *2037 Burnett's Knife for Mastoid Process 1 15 2038 Post's Rongeur Forceps for Mastoid Process 2 25 2039 Hand Gouge " " " 1 15 402 SHARP & SMITH, CHICAGO. EAR INSTRUMENTS. FIG. *2040 Angular Ear Hook $1 10 2041 Devil's Screw " 1 10 2042 Politzer's Manometer.. 60 *2043 Angular Steel Ear Probe 50 2044 Hard Rubber " " 20 2045 Whalebone " " 15 2046 Plain Silver " " 50 2047 Fenestrated Ear Scoop 1 15 2048 Civiales " " 3 75 2049 Politzer's Hard Rubber Scoop 75 *2050 Gross' Ear Spoon and Hook 50 *2051 " " " " Spud 55 *2052 Spiers'Ear Curette Spiral 75 *2032-A " " " and Spud 1 10 *2053 Quiers' " " 2 00 *2054 Elastic Caustic Holder 1 50 *2055 Politzer's Eyelet Forceps for introducing Eyelets in the perforated Tympanum 20 2056 Toynbee's Acoumeter 3 00 2 2O^2 204 3 2O53 205 2-A 2050 2054 SHARP & SMITH, CHICAGO. 403 EAR INSTRUMENTS. FIG. 2057 Politzer's Ear Forceps $1 10 *2058 " Polypus Ear Forceps for removing foreign bodies. 1 75 *2059 Alien's " " " " " " " 3 25 2060 Wilde's Angular Ear Forceps, Mouse Tooth 1 10 *2061 " " " " serrated 1 10 2062 " " " " self-grasping 1 5° 2063 Hinton's Polypus " " 3 00 *2064 " " " " double-joint 3 25 2065 Sexton's " " for cotton 75 *2066 " " " for removing foreign bodies 3 00 *2067 Noyes' Alligator " " 3 25 All instruments designated by a * are illustrated 404 SHARP & SMITH CHICAGO. FIG. 2068 Bumstead's Canulated Ear Forceps $3 00 *2069 Pomeroy's " " 1 85 2070 Toynbee's Angular " " 1 25 2071 Roosa's " " 1 25 2072 Mathieu's '' '• 3 25 *2073 Rumbold's Eyelet " " 2 60 2074 Tiemann's " " 3 75 2075 Wiers' " " 3 25 *2076 Duplay's " " 8 00 EAR INSTRUMENTS. All instruments designated by a * are illustrated. SHARP & SMITH. CHICAGO. 405 EAR INSTRUMENTS FIG. *2077 Gruber's Ear Scissors $3 00 *2078 Jarvis' " " 4 50 *2079 Simrock's " " 3 30 2080 Pus Basins, Nickel Plated, small 90 *2o8o-A " " " " medium 1 10 2080-B " " " " large 1 25 2080-C " " " " triangular, small 1 75 2080-D " " " " " medium 2 00 2080- E " " " " " large 2 25 2081 " " Hard Rubber, small 75 2081- " " " " medium 1 00 2081-B " " " " large 1 25 2081-C " " " " triangular, small 1 00 2081-D " " medium 1 25 2081- " " " " " large 1 50 2082 " " Papier Mache, small 40 2082- " " medium 55 2082-B " " " " large 75 For other Pus Basins, see page 398. 2083 Holcomb's Cotton Carrier, steel 35 2084 Spiral " " 50 2085 Hard Rubber Cotton Carrier 50 All instruments designated by a * are illustrated. 406 SHARP & SMITH, CHICAGO. DIAGNOSTIC AND OPERATING EAR CASES 2086 Dr. A. H. Buck's Pocket Ear Set $ 5 50 2087 Dr. Samuel Sexton's " " 14 00 2088 Roosa's Ear Case 37 50 2089 Dr. A. H. Buck's Operating Case 27 00 Fig. 2086. DR. A. H. BUCK'S POCKET EAR SET, CONTAINS: 3 Plain Fenestrated Scoops, i Tympanum Perforator. 1 Silver Probe. i Tenotome. 2 Holcomb's Cotton Carriers. Put up in a fine morocco case, 6J4 inches long, 1 inches wide, % inch deep 1 Blake's Ear Snare, with tympanum perforator. 2 Abscess Knives. i Universal Handle for Knives, etc. Fig. 2087. DR- SAMUEL SEXTON'S POCKET EAR SET, CONTAINS i Pure Silver Probe. i Tensor Tympani knife. i Granulation Knife or Hoe. In morocco covered velvet lined case. i Roosa's Mirror, with head band and % Fig. 2088. EAR CASE, BY D. B. ST. JOHN ROOSA, M. D., CONTAINS: Dozen Artificial Ear Drums. Tape Measure. Scalpel, fine ivory handle. Bistoury, " " " Conversation Tube. Hard Rubber Ear Syringe. Tuning Fork, C. Diagnostic Tube. Hard Rubber Eustachian Catheter, for a child. Cotton Holder. Put up in a neat morocco case. handle. i i Set Gruber's Ear Specula. i i Rhinoscopic Mirror. i i Green's Tongue Depressor. i i Blake's Ear Snare, with tympanum i perforator. T i Pair Wilde's Angular Ear Forceps, i 1 Glass Acid Rod. i 2 German Silver Eustachian Catheters. i Politzer's Apparatus, with Roosa's i attachments. i 3 inch Mirror, with head band. i Pair Delicate Angular Forceps. i Set of Drills, with sharp edges. i Set (4) Wilde's Silver Ear Specula. 1 Blake's Ear Snare, with pure silver canula. 1 Extra Fine Ivory Handled Sharp Curved Bistoury. 1 Extra Fine Ivory Handled Blunt End Curved Bistoury. Fig. 2089. DR. A. H. BUCK'S OPERATING EAR SET, CONTAINS: i Extra Fine Ivory Handled Scalpel. r Myringotome. 1 Furuncular Knife. 2 Curettes, steel handles. 4 Cotton Carriers, steel handles, as- sorted sizes. i Porte-acid Glass, with platina appli- cator. i Middle Ear Probe. Other Ear cases put up to order. SHARP & SMITH, CHICAGO. 407 APPARATUS FOR ASSISTING THE HEARING PATIENTS' PRICES. FIG. Jap. 2090 Conversation Tubes, 5 feet, Silk $8 00 *2091 " " Conical, 3 feet, Silk 6 00 2091-A " " " 5 " Mohair 7 00 2091- B " " " 3 " " 5 00 *2092 " " Straight, 3 " Silk 4 00 2092- " " " 3 Mohair 3 00 *2093 Dipper Ear Trumpets, large 6 00 2093- " " " medium 5 00 2093- " " " small 4 50 N. p. 2094 Jointed " " " ; 3 50 $5 00 *2O94-A " " " medium 4 00 6 00 2094- " " " large 5 00 8 00 2095 Bugle Shape Ear Trumpets, large 4 00 6 00 *2O95-A " " " " medium 3 00 4 50 2095- " " " " small 2 50 3 5° 2096 London Hearing Horns, large 5 00 *2O96-A " " " medium 5 00 2096- " " small 4 00 The London Horns furnished in Nickel Plate or Black at same price. *2097 Leather Covered Auricles 4 00 2097 -ASilk " " 5 00 *2098 Silver Cornets perpair. 3 00 2099 " " connected with wire set. 4 00 *2100 Artificial Tympanum each. 25 *2101 Apparitor Auris per pair. 6 00 DEAFNESS AND ITS CAUSES. APPLIANCES FOR ASSISTING THE HEARING. Sound is the result of any impulse conveyed by the undulations of the air to the organs of hearing, which are so constructed as to receive these undu- lations, and so organized as to become sensible of them, and to convey the impressions to the brain. These organs consist, first and essentially, of a special nerve expanded on membranes and endowed with the property of sensi- bility to the impression of sound; secondly, of a physical apparatus fitted for receiving and conducting these impulses in their course to the sentient nerve. We may divide the ear into an external, middle and internal portion. The exter- nal comprises the auricles commonly called the ear, and the external opening or tube. The middle ear consists of the tympanum or drum, with the ossicular auditus. The internal, or true ear, is termed the labyrinth, and comprises sev- eral parts, among which are the auditory nerves, or cochlea. The mechanism of the ear is exceedingly complicated. Although many minute parts compose this organ, yet the seats of disease are few. The drum (membrana tympani), the most delicate portion, is situated near the middle of the tube (Eustachian) which extends from the external opening in the ear to the nose and throat, and forms a partition in this tube, the air on one side reaching the drum from the ear, on the other side from the throat and nose. They lubricate the meatus 408 SHARP & SMITH, CHICAGO. EAR TRUMPETS AND TUBES. and preserve the suppleness of the lining membrane. The wax prevents the introduction of bodies that may be floating in the air, and by its bitterness and unctuousness prevents insects from penetrating the more delicate parts of the internal ear. It must thus appear that deafness must exist in the state of inac- tion of either the drum, the nerves, the cochlea, the follicles secreting the wax, or the membranes of the passages of the ear. The diseases which affect hear- ing are most generally of scrofulous or nervous origin, excepting those which occur from violence, or the excessive use of powerful drugs. Noises in the head are caused by colds. The follicles do not per- form their functions, and in consequence of the absence of the lubricating substance the formation of scales or scurf (which it is the function of the follicles to prevent) upon the drum of the ear, ensues. This formation pre- vents this organ from vibrating in response to slight movements of air which in health move it effectually. 'This formation in the ear decreases the size of the conducting canal, while it covers up the wax glands, which prevents the healthy wax from coming out. Hence arises deafness. The drum is thickened by a formation of scales. These are imperfectly attached by their edges, and slight movements of air rustle them, while violent movements force them upon the drum, and the scales and drum moving together, produce sound. Hence in a mill or railroad car where there is a great noise, you hear even a whisper better than when in a quiet room. In this case it would be well to consult with a physician. But in most cases our Auricle (Fig. 2097) will be, to say the least, extremely useful. This Auricle is made from different metals, so combined as to secure electric power. It is covered with fine morocco, and, that it may not be conspicuous, is connected with a fine steel spring, with suffi- cient power to press the soft rubber tubes into the ear. A person with long hair wearing an instrument of this construction can wear it without its being in any way conspicuous or inconvenient. It enables the air to have free access to the drum, and by it a circle of electric nerve power is made to connect from one ear to the other externally, and complete the circle through the nerve internally. Electricity moves in circles, and the nerve power of the human body is electricity. 1 his fact is illustrated by applying the ordinary magnetic battery to the nerve of a cadavera, and it will cause the subject to rise, the face to grimace, and give power to the nerves which have lost their power, and recall them to life. The Silver Ear Vibrator (Fig. 2099, not illustrated), answers the same purpose as the Auricle in cases of Primary Deafness. Catarrhal Deafness is the result of a cold. Catarrh, as it is usually, is when the lining membrane of the nose is the seat. It com- mences with a discharge, slight in quantity and of a watery character. As the disease progresses suppura- tion of the parts takes place, and thev iolcnce of the disease may be determined by the nature of the dis- charge. When the inflammation reaches the covering of the bones of the nose the discharge is distinguished by its offensiveness, and a further progress results in the destruction of the bones of the nose and closing of the Eustachian tubes. Some are affected in damp or rainy weather with deafness, and cannot account for the cause. It arises from the thickening of the membrane lining the Eustachian tube. It is evident, too, for the radical cure, you must attack the root of the cause of thickening. This may be done by the use of the Nasal Douche, after the method of Professor Thudicum of London, or by the use of most any style of " Nasal Douche." SHARP & SMITH, CHICAGO. 409 By a thorough course of this popular and scientific treatment of Catarrh, the abnormal secretions are caused to pass out through their natural outlets. The discharge from the nose will soon cease, as well as the pain in the temple and the noises in the head, when produced by this cause, if the lining mem- branes of the throat or nose have lost their sensation of taste or smell, they will speedily yield to this treatment, and be restored to their normal condition. For Catarrh in its incipient stages, Dr. Warner's Catarrhal Syringe has been found very useful. This valuable instrument is the result of long study. The hard rubber tube, which is to pass into the posterior nares, is connected with the soft rubber bag by a piece of flexible tube, so as to enable patients to use it them- selves simply by compressing the bulb, thus avoiding the unpleasant sensation caused by using the ordinary syringe for that purpose, as you cannot always feel sure of throwing the injection forward. In cases of Deafness, ryhere the patient has no organic constitutional trouble, is over forty years of age, and enjoys fair average health, he can only expect to obtain relief by the use of the Ear Trumpet. As age increases the deafness becomes worse. To these persons we recommend our Ear 'Trumpet (Fig. 2094), japanned or German silver. They can be taken apart, and are sufficiently compact to admit of being carried without inconvenience. This 'Trumpet magnifies the sound so as to require no raising of the voice, and con- versation can be carried on in an ordinary tone. EAR TRUMPETS AND TUBES. For the benefit of those who desire to hear lectures, attend church or hear public speakers at a distance, we manufacture the Dipper Trumpet (Fig. 2093), with a piece of metal across the bell, perforated with small holes to admit sound. The metal plate acts as an electric conductor in condensing and concentrating sound, greatly vibrating the increased volume of air before it reaches the nerves, thus giving the Trumpet all the more power of increasing sound. Many persons now supposed to be incurably deaf, might be restored to a respectable degree of hearing-greatly to be desired by themselves, as well as by their friends-by using our Ear Trumpet represented in Fig. 2095A. Cor- rugated and composed of different metals, it is one of the most powerful Ear Trumpets we manufacture. This Trumpet is of great use where the deafness results from scarlet fever. In many cases the small bones of the ear come away and total deafness ensues. 410 SHARP & SMITH, CHICAGO. EAR TRUMPETS AND TUBES. Conversation Tubes (Figs. 2091 and 2092). These we have manufactured expressly for us. They are perfectly flexible, and do not produce an external sound, which is the fault with too many Conversation Tubes. This tube suits the most obstinate cases of deafness, and is particularly convenient at the din- ner table and in company, as the wearer can converse in almost a whisper, and private conversation can be carried on without attracting the attention of others. The most popular of all the Trumpets are the London Hearing Horns (Fig. 2096 A), which are constructed on new and scientific principles, and although they are ecpially as strong as many of the larger instruments, they answer for those who are moderately deaf, and as they can easily be carried in the pocket and concealed in the hand when in use, they are highly prized by those having them. We have them in black and nickel plated, and in sizes varying from 2% inches to 4 inches high. The plated ones are finely polished, and pi esent a neat and handsome appearance, while the black ones are preferred by those who wish to conceal them and desire to make as little show as possible. Cornets aie the smallest of hearing instruments, and will be found efficient in cases of obstruction of the meatus by reason of contraction or the presence of poly pi. As they usually come in contact with tissues that are more or less inflamed, they should always be made from gold or silver. These are shown in Figs. 2098 A and B. Artificial 1 ympanums are used to diminish the evil results occurring from perforation of the drum. The Artificial I ympanum is pressed against the remains of the natural one, and the opening thus closed. They are shown in Fig. 2100 C. 2098 2100 SHARP & SMITH, CHICAGO. 411 FIG. 2102 Jointed Plain Ear Trumpet, Japanned, small$ 2 00 *2io2A " " " " medium 2 50 2102B " " " " large 3 00 2103 Double Curve " " small 2 00 *2io3A " " " " medium 2 50 2103B " " " " large 3 00 2104 Bell Shape " " 6 00 EAR TRUMPETS AND TUBES. 2102-A 2103-A The Apparitor Auris is shown in Fig. 2101 A, and is so shaped that it may be worn entirely within the concha, being almost unobservable on account of its close fit and flesh color. The advantage of this instrument over the cornet consists in having the canal elongated so that the waves of sound that enter the aperture are not diffused, but conducted through the meatus to the tympanum. Those commencing the use of hearing instruments, especially of 'Trumpet and Auricles, will frequently be disappointed with first trials, and will complain that sounds are confused, but after a short experience they will usually appear natural, and the assistance derived will be so highly valued that the use of arti ficial aids will not willingly be dispensed with. All instruments designated by a * are illustrated. DISCOUNT TO PHYSICIANS ... 25 p. c, 412 SHARP & SMITH, CHICAGO. NASAL INSTRUMENTS. FIG *2105 Brown's Post Nasal Curette Forceps $3 25 2106 Lowenberg's " " 3 00 2107 Politzer's " " 3 5° *2108 Cohen's " " 2 50 *2109 " " Cutting " 3 00 2110 Stoerck's " " 3 75 *2111 Wagner's " " 2 50 2112 " " Cutting " 4 00 *2113 Luer's " Polypus " 9 00 2114 Plain " " " short 1 00 *2115 " " « " long 1 50 *2116 Gross' " " " 1 60 2105. Brown's Post Nasal Curette Forceps. 2115 2116 Instruments designated by a * are illustrated. SHARP & SMITH. CHICAGO. 413 NASAL INSTRUMENTS. FIG. 2117 Robinson's Pharyngeal Forceps$ 3 75 *2118 Knight's Nasal " 2 25 *2119 Sajou's Pharyngeal " 2 25 2119-A " Nasal Bone " 3 00 *2120 Simrock's Polypus " 1 75 *2121 Noyes' Alligator Nasal Polypus Forceps 4 5° *2122 Cohen's Evulsion Forceps for Naso-Pharyngeal Tumors 3 75 414 SHARP & SMITH, CHICAGO. NASAL INSTRUMENTS. FIG. *2123 Jarvis Rongeur Forceps$ 4 50 *2124 Rumbold's Polypus " *2125 '' Pharyngo Nasal Forceps *2126 McKenzie's Polypus " Snare 6 00 *2126A Penn's Cat Gut Ecraseur 4 00 For removing small tumors from the nose, fauces, rectum and uterus. Two verv small holes through the pm receive the ends of an "E" violin string, which is doubled and passed through from the opposite end of the tube. H uuvugu SHARP & SMITH, CHICAGO. 415 NASAL INSTRUMENTS. FIG. *2127 Jarvis' Septum Punch $ 6 25 2128 Sajou's (set)" " 11 oc *2129 Steele's " " 7 50 *2130 Gradle's " Forceps 6 00 2131 Bosworth's Rhinoplastos 3 00 *2132 Adams' " 2 25 *2133 Goodwillie's Nasal Snare Forceps n 25 Instruments designated by a * are illustrated. 416 SHARP & SMITH, CHICAGO NASAL INSTRUMENTS. FIG. *2134 Bosworth's Nasal Snare$5 00 2135 " " " incase 6 00 2136 " Set of Nasal Snares 9 00 *2137 Jarvis' Nasal Snare, straight 2 25 2138 " " " curved 2 75 2139 " " " two tips 3 00 *2140 Wyeth's " " .... 9 00 2141 Sajou's Modification of Jarvis' Snare 2 25 *2141A Rumbold's " " " Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 417 NASAL INSTRUMENTS FIG. *2142 Sajou's Polypus Snare $ 6 00 *2143 Alien's " " 15 00 2144 Wilde's " " 2 50 *2145 Hobby's " " 6 75 2146 Green's " " 3 5° 2147 Ellsberg's " " 6 00 2148 Douglass' " " .. 75 Ingal's " " (page 437) 4 38 Piano Wire for Polypus Snare 15 " " lb. Bunches 75 See next page for prices on Rhinoscopes. Instruments designated by a * are illustrated. 418 SHARP & SMITH, CHICAGO. NASAL INSTRUMENTS. FIG. *2149 Duplay's Rhinoscope $ 6 00 2150 Plain " 60 *2151 Simrock's " 6 00 2152 Jarvis' " 4 50 *2153 Frankel's Nasal Speculum, different sizes 2 00 *2154 " Improved Nasal Speculum 1 75 *2055 Swift's " " 1 75 2156 " Improved " " 2 00 *2157 Roth's " " " 1 50 2158 Robert & Collins' " " N. P 2 00 2159 " " " H. R 2 00 Plain Bivalve " " (see Ear Instruments)..... 1 00 Shoulder " " " (see Ear Instruments) 1 50 " " with screw, (see Ear Inst'ts) 1 85 *2160 Bonafont's Bivalve Nasal Speculum *2161 Ellsberg's " " " steel 3 75 *2162 Folsom's " " " 1 10 Instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 419 NASAL INSTRUMENTS. FIG. *2163 Goodwillie's Nasal Speculum $ 75 *2164 Rumbold's " " 3 00 *2165 Leonard's " " 2 50 *2166 Thudicum's " " I 10 2167 ' " with screw ... 1 25 2168 Sexton's " " 1 50 2169 Roosa's " " 1 85 *2170 Bosworth's ' " 1 10 2170A " Wire '' " 75 *2171 " Speculum with shield, reversible to either side for cauterizing 200 *2171A Hotz's Nasal Speculum 85 Fig. 2164.-Nasal Speculum, eight inches long, with reversible blades. This length is given to it to enable the patient to hold it in his nasal passage. 420 SHARP & SMITH, CHICAGO. NASAL INSTRUMENTS. FIG. *2172 Simrock's Nasal Speculum $1 00 2173 Seiler's " " 2 50 *2174 Sajou's " " 1 50 *2174A Brandis' " " 3 25 *2175 Jarvis'small " " 75 *2176 " (operating) latest Nasal Speculum 3 00 2177 Set of three Hard Rubber " " 1 00 2178 " " Alien's " " 1 00 2179 Bellocq's Canula for Epistaxis, plated 1 85 *2180 " " " " silver 2 25 *2181 Gooch's Double Polypus Canula, plated 1 00 2182 Tampon for Epistaxis, Hard Rubber • 75 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 421 NASAL INSTRUMENTS. FJG. *2183 Leffert's Palate Hook $ 1 50 *2184 Hard Rubber Palate Retractor. 50 *2185 Sajou's " " 1 5° *2186 Ruinbold's Soft " " 5 25 *2187 " " " " Curved 11 25 *2188 " Inflator for Eustachian Tube, Hard Rubber 75 *2188 " " " " " Glass 25 2189 Sexton's " 2 60 Fig. 2186. Soft Palate Retractor.-A, lever to separate the arms. B, the soft rub- ber band that closes the arms, and holds the uvula out of the operator's way. C, the lever that raises the wedge. After the instrument is introduced behind the velum, and the arms spread by the lever A, then the wedge retains them in this position. Fig. 2187. Curved Soft Palate Retractor.-The curved extremity is passed along the floor of one nostril until it reaches the pharyngo-nasal cavity; pressing the two ring levers a and b together causes the curved extremity to draw the velum forward, the probe point c preventing the slipping of the velum. All Instruments designated by a * are illustrated. 422 SHARP & SMITH, CHICAGO. FIG. *2190 Sajou's Acetic Acid Applicator $5 00 2191 " Chromic " " 4 50 2192 McCoy's Applicator' 5 00 *2193 Bosworth's Aluminium Applicator 1 10 2194 Posterior Pharyngeal " 1 50 Ingals' Aluminium " (page 439) 2195 Bosworth's Aluminium Probe 1 10 2196 Hard Rubber Probe 35 2197 Silver Probe 1 00 2198 Steel " 90 2199 Cohen's Pharyngeal Cotton Holder 2 25 2200 Turnbull's " " " 1 00 *2201 Alien's Cotton Holder 40 2202 Volkman's-Curette 2 25 *2203 Sass' (3 curves) Curetteeach. 1 85 *2204 Spiers' Curved " 75 *2205 Hyde's " 1 15 *2206 Cradle's Spoon " 1 75 *2207 Alien's Septum Knife 1 25 2208 Sajou's Periosteal Knife 1 15 Ingals' Knife (page 439) *2209 Sajou's Abscess retro-Pharyngeal Trocar 1 50 NASAL INSTRUMENTS. SHARP & SMITH. CHICAGO. 423 FIG. *2210 Thudicum's Nasal Douche, i Quart $i 50 2210A " " " 1 Pint 1 00 2211 Sawyer's " " 50 *2212 Warner's " " 1 00 2213 Syphon " 1 10 *2214 Traveler's " " 1 00 *2215 Sharp & Smith's " 150 2216 Hales' " " 1 00 2217 Nichols' " " 1 25 2218 Potter's " " .. 1 50 2219 Allen's " " 60 2220 Mead's " " . 50 2221 Lincoln's Syphon " 100 2222 Pierce's Nasal " 50 2223 Fullgraff's Nasal " 1 50 2224 Bridge's " " 60 2225 " Irrigating " " 1 50 2226 Pomeroy's Double Nasal Douche, tips 75 2227 Oliver's Nasal Douche, 2 tips. 2 40 2228 Rumbold's Catheter Douche .. 3 75 2229 Hazen's Nasal Douche 2 25 Warner's Catarrhal Syringe (see Index; 2230 Howard's " " five tips 4 50 *2231 Hard Rubber Post Nasal Syringe 85 NASAL INSTRUMENTS. 2231 Instruments designated by a * are illustrated. 424 SHARP & SMITH, CHICAGO. NASAL INSTRUMENTS. FIG. *2232 Leffert's Nasal Spray, one tip $2 25 2233 " " " three tips 3 00 2234 Hall's " " two tips 2 50 2235 Roosa's Post Nasal Spray 2 50 *2236 Sharp & Smith's Nasal Spray, two tips 2 00 *2237 No. 3 Nasal Spray 1 50 *2238 No. 7 Posterior Nasal Spray 1 50 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 425 NASAL INSTRUMENTS. FIG. *2239 Bishop's Powder Blower for Pocket $ 50 2241 Leffert's H- R. Powder Blower, one tip 2 00 2242 Richardson's " " three tips 2 75 *2243 Robinson's " " 2 25 *2244 " " " with mouth piece, three tips 3 75 2245 " . " " reversible, two tips 3 25 *2246 Morgan's ' " 5 00 2247 Smith's " " two tips 2 25 2248 " " " three tips 2 50 *2249 C. & T.'s " " No. 213 2 25 *2250 Sajou's " " .... 50 *2251 No J2 Posterior Nasal Powder Blowers 1 50 *2252 No, 8 " '* " " and Douche 1 75 *2253 No. 1 Mattson's ' " 1 25 *2254 No. 2 " " " " 1 50 Description of other Powder Blowers see following page. 426 SHARP & SMITH, CHICAGO. NASAL INSTRUMENTS. Patented. The Powder Projector, to be used in the treatment and cure of Nasal and Bronchial Catarrhs, is ac- knowledged, by all who have seen it, to be the best instrument of the kind that has yet been introduced. 1 he chamber will hold powder enough for num- erous applications. In this respect, it is a great im- provement upon the ordinary powder bloweis which have to be filled at each puff of the powder. The instrument being in an axial line, it may be carried in a side pocket, provided the outlet tube, E, is closed at its end by the rubber cap, J. The naso- pharyngeal H, F. shown in No. ),will be used by physicians to introduce any special powder into the posterior nasal cavities from behind the soft palate, without invading other portions of the respiratory tract. SHARP & SMITH, CHICAGO. 427 FIG. *2256 Sharp & Smith's Chisel for Rhinoplastic Operations $1 15 *2257 Spicker's Nasal Chisel with Shoulder to prevent too deep penetration 75 *2258 Jarvis' Transfixing Needles, each 73 *2259 Swazey's " " set 3 co *2260 Rumbold's Pharyngeal Mirror 7 30 2261 Nasal Bougies, Metal set of, each 60 2262 " " Gum, all sizes, seven each 30 2263 Woake's Nasal Plough 2 00 2264 Brace for Dislocated Septum 13 oo NASAL INSTRUMENTS. Rumbold's Hinged Pharyngeal Mirror.-By pressure on the lever on the handle, the mirror may be made to take any desired angle, thus refleeting the posterior, superior and anterior surfaees of the pharyngo-nasal eavity, and, by turning the reflecting surface toward the larynx, this passage can also be seen. Rotation on its axis reflects the lateral surfaces. Instruments designated by a * are illustrated. 428 SHARP & SMITH, CHICAGO. NASAL INSTRUMENTS. FIG. *2265 Anti-Dust Nose and Mouth Respirator$ 1 80 *2266 Nose and Mouth (ordinary) " 1 50 2267 Nitz's Nose and Mouth " 1 50 *2268 Tyndale's Nose and Mouth " 2 60 THE ANTISEPTIC ORO NASAL RESPIRATOR (tyndale's respirator.) The Respirator is manufactured in hard rubber, or of brass nickel plated, made to fit accurately the mouth and lower part of the nose. A membrane in the shape of a sieve separates the main body of the inhaler from a detachable cup (also perforated) for the reception of absorbent cotton, sponge, lint or oakum, upon which is dropped the antiseptic to be used. Openings on either side of the mouth-piece allow of the escape of exhaled air. The respi- rator is fastened behind the ears by thin round elastic ribbons, or by spectacle wires, as desired. It is small and portable, the hard rubber instrument weigh- ing only one ounce. I he antiseptic remedies chiefly used for more or less continuous inhalation, are iodoform, eucalyptol (Sanders'), creosote, phenic acid, and oil of turpentine. CODMAN & SHURTLEFF, BOSTON. 2265 2266 SHARP & SMITH, CHICAGO. 429 NASAL INSTRUMENTS. FIG. *2269 Sajou's Saw, Cutting Edge down $1 50 *2270 " " " " up 1 50 *2271 " Exostosis Saw 1 50 *2272 Bosworth's Saw 2 25 *2273 Noyes' " 2 25 *2274 Rumbold's Heavy Nasal Scissors for Clipping Turbinated Bones and Growths on the Turbinated Process *2275 Jarvis' Nasal Scissors 6 75 *2276 F. Hamilton Potter's Nasal Scissors, see description next page.. *2277 Knight's Nasal Scissors 2 25 Instruments designated by a * are illustrated. 430 SHARP & SMITH, CHICAGO. A NASAL SCISSORS. By Frank Hamilton Potter, M. D., Lecturer on Laryngology, Medical Dept. Niagara University These scissors can be used with great advantage in many operative pro- cedures upon the nasal passages. The cut above illustrates a new form of the instrument, which it is thought, possesses sufficient merit for publication. Attention is called to the following points: 1. The hand of the operator is always below the line of vision, whether the instrument is open or shut. 2. The blades are one and five-eighths inches long, and will thus grasp large growths; or, with but a slight movement of the handles, they can be opened sufficiently to trim the edges of wounds. The latter point is well illustrated in the cut. 3. The cutting edges are serrated, so as to make an uneven wound, and thus favor the coagulation of blood. 4. It is strongly made, and thus allows, when necessary, the use of con- siderable force. Other scissors have been devised embodying some of the points mentioned above, but it is believed that this instrument has so combined them as to in- crease the practical value of the scissors in nasal surgery. SHARP & SMITH, CHICAGO. 431 SOME NEW NASAL, PHARYNGEAL, AND LARYNGEAL INSTRUMENTS. By S. Sherwell, M. D.» Brooklyn, N Y, *2278 Dr. S. Sherwell's Nasal Scissors, No. 1 $ 4 00 *2279 " Pharyngeal, Scissors, No. 2 5 50 *2280 " Nasal " No. 3 5 50 *2281 " Laryngeal " No. 4 ir oc *2282 Dr. Prince's Spool Eyed Needle 3 50 In connection with my dermatological work I have to do with a not incon- siderable number of diseases of the upper air passages, often certainly as syph- ilitic annexes, but far more frequently of the character of non-specific affec- tions. At one clinic, that for skin and throat diseases at the Brooklyn Eye and Ear Hospital, I see about five hundred new throat and nose cases each year, which, together with private practice of the same kind, and duties in other hos- pitals, would bring the total amount to very considerably over one thousand cases annually. I have consequently had to meet, and get over as best I might, most of the difficulties that occur in these regions in the way of operative interferences. And although I have a fair array of instrumental armamenta for that special work, still I suppose no man has at his command all the special instruments made for help in such cases; and in fact, sometimes, if not frequently, he is called upon to either modify some existing instrument, or to devise new ones (as I claim to have done in the instruments I now lay before you) to meet the exigencies of the existing situation, or to supply deficiencies. The instru- ments in question, I hope, in many cases will serve to fill the traditional "long felt want," and I shall publish them as Sherwell's Nasal, Pharyngeal and Laryngeal Scissors. Tut I Fig. 2278.-Nasal Scissors. The nasal scissors are intended for removal of neoplastic growths, or hypertrophic tissue, from the anterior or middle, or even the deeper portions of the nares, and consist of a pair of serrated blades similar to the alligator-tooth scissors, slightly concave-convex, and with handles bent downward in the long axis so as not to obstruct the vision while operating. The pair shown were made five months ago for operation on the nose, for the removal of hypertrophied turbinated tissue in the person of a well-known professor of surgery, and succeeded in their purpose fairly well. It will be noticed that they are best adapted for the left nares-on that side the trouble was present in this case; but they can be, and have been, used for right nares by inverted handling. The notched teeth prevent slipping and pushing of the tissues away, as can be best demonstrated by cutting a piece of India rubber with them, and then doing so with the ordinary smooth scissor-blades. It will be noticed, also, that the shanks of the handles are narrowest when the blades are open nearly, if not fully, to the greatest necessary extent. 432 SHARP & SMITH, CHICAGO. Figs. 2 and 3, pharyngeal and nasal, I give in order of priority of make. Fig. 2279.-Pharyngeal Scissors. In Fig. 2 I have tried to construct an instrument capable of being used by any one, however inexpert; that should run no risk of piercing the pharynx, or the important vessels back of the tonsils, etc., no matter what unguarded movements a nervous or intractable patient might make during the operation. This is intended to trim a pharynx, to cut out small teat-like projections of a fretted or ragged tonsil, which are so often seen-and which are, from their size and shape, impossible to remove by the tonsilotome-and also as a most useful uvulatome. 'The advantage, so readily seen by the expert, of its need- ing no help with forceps-thus leaving one hand free for tongue depression or for steadying the head of the patient-seems to me obvious enough; and it has certainly so proven in the relatively few cases in which, owing to its recent make, 1 have had an opportunity to use it. , The instrument, as will be noticed, is an absolutely pointless scissors, hinged about one-third of the distance from the extreme end, and thus com- posed, as will be seen, of four blades, but forming but two, as it were, by cut- ting at the hinged-joints as well, when the handles are closed. The instrument when open, and it should be ordinarily introduced that way if the pharyngeal space is shallow, has an inside cutting surface something like the old Roman spear head, the apex directed toward the operator; it needs but one word to explain why that is made so: This serves to thrust the inclosed tissues forward to the operator instead of away from him, as is the case with the ordinary curved or straight scissors. Fia\3 c, Blades open ; d, Blades elose I think this idea has the merit of novelty at least, for I cannot recall any other instrument in which the cutting is going on all around at the same moment, save in ecraseurs. Fig. 2280.-Nasal Scissors. * By draughtsman's error the proximal blades are not made long enough ; angle of distal blades correct; the lumen should be considerably longer. SHARP & SMITH. CHICAGO. 433 I have purposely given Fig. 3 out of its natural sequence, although it is intended for the same use as Instrument No. 1, i. e., for the removal of hypertro- phic or other tissues from any part of the anterior or deeper nares. I think it has many advantages over the first shown, but it is more complex. It is, as will be seen, but a modification of the pharyngeal scissors just described, but is more delicate, and has serrated edges. It will be noticed that the inside cutting edge is not that of the Roman spear, but rather that of the Indian arrow head or javelin; this is accomplished, as is evident, by making the site of the hinged joint nearer the extremity of the blade. 1 operated with it on January 29, 1887, the day it came from the maker's hands, having reserved a patient with the growths above named; it worked very well. It needs no special instruction in its use, is absolutely free from danger, and causes, it may be said, no haemorrhage. I think the instrument made a little stronger might be better. The last instrument (Fig. 4), though it has, and must have, more limited use and a far narrower circle of users, I am somewhat enthusiastic over. Probably all laryngologists have been bothered (we may take the confessions of the most noted, at least, that they have been) to get hold of and crush or cut, or both combined, those little or big neoplasms that occur, fortunately, relatively so rarely in the recesses of the larynx. I average three or four laryngeal tumors, I think, annually, and have a fair supply of Stoerk's, Mackenzie's, Schrotter's, Fauvel's, etc., instruments; but every now and then I have been exceedingly annoyed at the elusiveness of these little tumors situated on the vocal cords and elsewhere in that vicinity I have sometimes tried all my own tools, and borrowed others, and worked till my patience or that of the patient was exhausted; this is apt more particularly to be the case in and of those sessile outgrowths, papillomata, or what not, from one or the other vocal cord. Fiq4 a, Tube ; <5, Sheath, cutting edge below slot; Instrument retracted into sheath ; d. Sliding retractor grip on wire. Fig. 2281.-Laryngeal Scissors. The instrument now shown is then adapted to one of Schrotter's tubes and handles, and consists virtually of the same idea as that of the hinged and jointed four-bladed scissors just as given m the preceding two, naturally much lessened in size, and with yet a different lumen. The instrument is introduced closed into the larynx, allowed to expand by the automatic spring arrangement on pressing the wire attached to the finger-piece, and when, as the expert will know, it is at or about the site of the growth, is redrawn up into the tube, and into the slot in the tube, by retracting finger pressure. The instrument may not. cut the growth off cleanly, but a very slight pushing and retracting will divide the tissues met with there. The cleanness of separation is of little consequence anyhow, for we know, as a matter of fact, that the nutrition of these small neoplasms once essentially interfered with by crushing or cutting, they tend to disappear, as do warts and such by astringent and alterative applications being applied with the brush, etc. 434 SHARP & SMITH, CHICAGO. I believe this instrument to be a good addition to the existing armamenta for laryngeal operation, and hope it and the others will commend themselves to the gentlemen more especially interested in such work. Owing to its recent make I have had but one opportunity of using this instrument on a laryngeal growth; it succeeded then admirably. One point omitted in description of instrument is, that there is a screw-joint at junction of shaft and tube, permitting any degree of rotation of cutting surfaces. I also believe that the principle of this hinged and pointless scissors would adapt itself for use in some of the mucous openings and cavities of the body. The four blades closing at once give it an essentially ecraseur-like action, so that haemorrhage is usually extremely slight. {Extract from the American Journal of Ophthalmology, February, 1887.) PRINCE'S SPOOL EYE NEEDLE. E. A. Prince, M. D., Jacksonville, Ill. The accompanying cut of my spool advancement needle was received with the request that an account of it be given to some medical journal for publication. Its necessity first became evident about six years ago. In attempting to correct an internal strabismus of moderate degree, the capsule of Tenon was sufficiently lacerated to allow the tendon to retreat so much as to occasion an extreme external squint, decidedly worse than the original deformity. Stimulated by the prospect of disgrace, I extemporized a hook, after drawing the temper of a surgical needle, and fortunately succeeded in advanc- ing the retracted muscle, which was then secured to its proper place with a perfect cosmetic result. A study of this case developed the operation of "advancement of the rectus," together with the capsule and conjunctiva, published in the 67. Medical and Surgical Journal, June, 1881, and in Noyes' "Diseases of the l>ye, page 116. 1 he operation was improved by a pulley modification, which appeared in the New York Medical Record, August 8, 1885, with a cut of the needle then in use, after the manner of the corkscre.w-staphyloraphy needle. The antiseptic importance of keeping the thread from touching the face, hair or clothing, together with the realization of its extensive usefulness in cauthoplasty and other operations on the conjunctiva, led to the conception that it merited a spool in the handle, to carry antiseptic silk, shielded from contact with pyogenic organisms. is requirement was met in August, 1885, by the introduction of a bob- bin to carry about thirty feet of silk, which issues from a very small opening in the shield and passes through the eye of the needle, /?, to be caught by toothed forceps-after the tissues have been transfixed. 1 he loop suture for advancement is made by transfixing the rectus a second time from within outward, catching the thread and withdrawing the needle before cutting it off. The thread for the anterior fixation point (pulley) should be entered one or two millimeters from the cornea, slightly into the SHARP & SMITH, CHICAGO. 435 dense tissue, which purpose is better served by the sharpness and delicacy of a No. 25 eye needle. This thread is then tied to encircle one branch of the loop suture in a form of pulley over which it is drawn to any degree of tightness, and tied with a surgical bow-knot, to be modified or made secure after an interval, when a perfect position shall have been established. The silk which has been employed is iron-dyed No. 2. It is first soaked in a one-tenth per cent, sublimate solution, dried, waxed (to prevent untwisting), and treated with iodoform in vaseline (three per cent.), when, wound on the spool, it is always ready for use. FIG. 2283 Bosworth's Permanent Clamp $ 2 75 Quier's Foreign Body Extractor (see index) 2 00 2284 Breathing Inhibitor 2 00 NASAL INTUBATION. By D. H. Goodwillie, M. D. On this occasion it is only my purpose to introduce to you a method of nasal intubation as a valuable aid in the treatment of intranasal disease, and at some future time to give more in detail the result of an experience of some years of its use. My first efforts began by the use of pure rubber gum tubing of different sizes and strength, and made applicable to each case by such impromptu means as I had at command. These experiments, after being carried on for some time, were so encouraging that 1 had the tubes made in soft rubber and plati- num or aluminium from models that have proved by experience to be of practi- cal application. These improved tubes have given me such good results that I merely call your attention to them for your consideration. These tubes are oval (<z) in shape and of the same size, with the exception of the anterior end (£), that is shaped so as to fit the vestibule of the nostril, and by that they are retained in place. They are made in different sizes, X to % inch in diameter, and in length from 2% to 3X inches, but may readily be cut to any desired length. The metal tubes can be changed in their caliber by passing through them a core of the desired shape. The anterior end may be soft rubber, as it is more comfortable by its flexibility in the vestibule of the nose. The small rubber tubes are made use of at the beginning of the treatment and changed to larger ones until there is normal space or the deformity has been corrected. Then the metal tubes may be used if so desired, as they allow freer respiration through them. The tube is put into the nostril by raising the end of the nose and gently passing it into the inferior meatus, then releasing the end of the nose and passing the anterior end into the vestibule. They can- not be seen externally, and so can be worn and treatment carried on without any unsightly appearance, or even knowledge of their presence. 436 SHARP & SMITH, CHICAGO. They can be readily removed by the patient for cleansing and returned to the nostril. Some of my patients have worn them constantly for months with- out discomfort, and always with benefit. f will simply refer to some of the nasal diseases in which they have been made use of, viz.: 1. Intranasal haemorrhage. 2. Fractures of the nose, internal and external. 3. Deviations of the cartilaginous and bony septum after the necessary surgical operation of section or removal of exostosis. 4. After the removal of hypertrophic turbinated tissues or polypi, whether by the cautery or snare. 5. Hypertrophies of the soft tissues without an operation, when worn for a sufficient time to produce absorption. Beginning on the following Page is a LIST OF INSTRUMENTS DEVISED BY E. FLETCHER INGRLS, M. D„ CHICAGO. Ills. compiled by JNO. EDWIN RHODES. 7VV. D., CHICAGO, Ills. Pages 437 to 446 inclusive. SHARP & SMITH, CHICAGO. 437 DR. INGALS' NASAL INSTRUMENTS FIG. *2285 Ingals' Cold Wire Nasal Snare, Steel Post, with 6 tubes $6 00 2286 " " " " " " 6 " incase.. 8 00 *2287 " Glass Powder Blower (3 tubes) Rubber Bulb 1 00 2287-A " Nasal Syringe 1 00 *2288 " Cautery Electrodes per set. 12 00 2289 " " " each. 1 75 *2290 " Septum Knife 1 25 *2291 " Cotton Applicator 40 *2292 " Silver Canula 1 00 *2293 " Brush Holder 75 *2294 " Flat Nasal Probe 1 00 *2295 " Nasal Speculum 1 50 *2296 " Bone Cutting Forceps 3 25 *2297 " Dressing Forceps 2 50 *2298 " Foreign Growth Forceps 3 25 *2299 " Wire Loop Adjuster 9 00 *2300 " Nasal Dressing Scissors 3 25 *2301 " Turbinated Bone " 3 50 *2302 " Nasal Spatulas set of 3. 75 *2303 " Nasal Spout, including Rubber Tube 2 00 *2304 " 4-inch Mirror, with Lens 5 00 2285 Fig. 2285.-INGALS' COLD WIRE NASAL SNARE. (For description, see following page.) 438 SHARP & SMITH. CHICAGO. DR. INGALS' INSTRUMENTS. FIG. *2305 Ingals' Head Band i $ 1 50 *2306 " Set of Spray Tubes with rack 3 50 *2307 " Nasal Saw 1 75 *2308 " " Rubber Tampon 75 *2309 " Tonsil Forceps 3 00 *2310 " Laryngeal Forceps, any style each. 3 50 2311 " " Case of Instruments 22 00 *2312 " Cautery Battery 50 00 Fig. 2285.-INGALS' COLD WIRE SNARE. (For illustration, see preceding page.) This is a well-constructed snare, with steel post and six tubes. Suitable for removal of tumors, hypertrophied tissues, foreign bodies, etc., in nasal cav- ities, pharynx and larynx.' It is armed by means of a piece of No. 5 piano wire doubled into a loop, the ends being passed through the tube and wound about the posts securely. When additional traction power is needed the small wheel may be run down upon the horizontal bar, and turned as may be desired in cases where it is necessary to cut through the growth slowly, in order to avoid hemorrhage. In this way twenty, thirty minutes or more may be employed in the removal of a growth. Fig. 2287.-INGALS' POWDER BLOWER. Consists of a rubber bulb with rubber tubing attached, 12 inches in length, provided with straight and bent glass tubes. The distal ends of the glass tubes are slightly spread. AV hen the powder has been placed in the rounded end of the glass tube, the rubber tubing is forced over that end, the glass tube seized by thumb and fore finger of the right hand and the bulb lying in the palm of the hand is compressd by the remaining fingers of the hand. In this way the other hand is free for use of the nasal speculum, throat mirror, etc. Fig. 2287-a-INGALS' NASAL SYRINGE.-(Not Illustrated.) I he fluid to be used is drawn into the bulb by first exhausting the air by compression, and with the end of the tube immersed in the fluid, the bulb is filled by suction. It can then be forced out with as little pressure and as slowly as desired. SHARP & SMITH, CHICAGO. 439 DR. INGALS' INSTRUMENTS. Fig. 2290.-INGALS' SEPTUM KNIFE. Blade one and one-quarter inches long, with sharp point. Used in opera- tions upon the cartilaginous septum. Fig. 2291.-INGALS' APPLICATOR. These are made of copper, nickel plated, eight inches in length. They are quadrilateral in shape from the point five inches, They are flexible, and can be bent at any angle, for use in naso-pharynx, larynx, etc. When used in making applications in the larynx, it is best to tie the cotton swab securely with a piece of thread, winding it about the applicator, thus avoiding the risk of having the cotton drawn from the applicator, when grasped by the spasmodic action of the glottis. Fig. 2292.-INGALS' SILVER CANULA. This canula is made for attachment to a common hypodermic syringe, and is used for making applications of solutions of cocaine in the nasal passages. Fig. 2293.-INGALS' THROAT BRUSH-HOLDER. The quill is cut off an ordinary camel's hair brush at the base, and the holder is then screwed on. It can be bent at any desired angle, and is used to make applications of pigments to the throat or larynx. 440 SHARP & SMITH, CHICAGO. DR. INGALS' INSTRUMENTS. INGALS' FLAT NASAL PROBE. Five and one half inches in length, made of aluminium, bent at an angle of forty-five degrees in order that the hand may not be in the line of vision when using it in the nasal passages. Nickei plated. Adapted to the shape of the nasal opening. The jaws can be separated one inch. The Speculum is five inches in length. INGALS' NASAL SPECULUM. INGALS' NASAL BONE FORCEPS. I hese are made to remove projections from the Septum in operations for exostoses, and wherever bone forceps are necessary in operations within the nasal passages. 22g7 INGALS' NASAL DRESSING FORCEPS Bent, as per cut, at a proper angle, and a useful and necessary instru- ment in the laryngologist's armamentarium. SHARP & SMITH, CHICAGO. 441 DR. INGALS' INSTRUMENTS. These were devised to remove granulations in the trachea after tracheotomy, but will also be found of service for certain cutting operations on the nose or Fig. 2298-INGALS' FOREIGN GROWTH CUTTING FORCEPS. Fig. 2299.-INGALS' WIRE LOOP ADJUSTER FOR TUMORS IN NASO- PHARNYX. This loop adjuster was devised for carrying the wire behind and around tumors in the naso-pharynx, when operating for removal with the cold wire snare It is so arranged that the wire can be disengaged in situ, and the instrument removed. 2300 Fig. 2300.-INGALS' NASAL SCISSORS. These scissors are useful in intra-nasal operations, made of suitable strength, and so constructed that the blades can be separated widely when operating in the nares. 442 SHARP & SMITH, CHICAGO. DR. INGALS' INSTRUMENTS. These are made of steel, and nickel plated. They are five and one-quarter inches long, are from one-half inch to one-quarter inch in width, and are bent at an angle of about 45°. They are very useful in pressing back swollen tissues in the nares to afford a better view of the nasal chamber; also in tamponing the nares, breaking down adhesions, etc., in some cases answering the purpose of a nasal speculum Fig. 2302. INGALS' NASAL SPATULA.-Set of Three. Fig. 2301. INGALS' TURBINATED BONE SCISSORS. In some cases where it is necessary to remove tissues, or a part of the mid- dle turbinated body, these scissors will be found to serve the purpose well. Fig. 2303. INGALS' NASAL SPOUT. I his is furnished with a rubber tube to convey fluids to a suitable jar. It is used in operations in the nares. SHARP & SMITH, CHICAGO. 443 DR. INGALS' INSTRUMENTS Fig. 2306.-INGALS' NASAL SPRAYS. These sprays are put up in sets of three, and are made especially for office use. The bottles are of extra length, and the tubes are fitted to screw into a hard rubber cap attached to the bottle. They give a powerful spray with an air pressure of from ten to fifteen pounds, and throw fluid cosmoline, petrolina or aqueous solutions equally well. These atomizers are set in a neat rack, and each tube is furnished with a straight, curved, and Dr. Ingals' long tip for larynx and posterior nares. Sharp & Smith have also an excellent cut- off to fit these tubes for use with compressed air apparatus Fig. 2307.-INGALS' NASAL SAW. This saw is used in operations upon the nasal septum for the removal of exostoses and corrections of deviations. Fig. 2308.-INGALS' NASAL TAMPON. Made of soft rubber, in a number of sizes. It is carried into the nares, collapsed, and is then in- flated, causing pressure to prevent hemorrhage, and for other purposes. Fig. 2309.-INGALS' TONSIL FORCEPS Used to grasp the tonsil in tonsillotomy with the Ingals' snare 444 SHARP & SMITH, CHICAGO. Fig. 2310.-INGALS' LARYNGEAL FORCEPS. 2305 INGALS' HEAD BAND AND MIRROR. 23°4 SHARP & SMITH, CHICAGO. 445 DR INGALS' INSTRUMENTS. Fig. 2288 -INGALS' CAUTERY ELECTRODES Ingals' Cautery Electrodes, made of No. 14 copper tubing, neatly wound and shellacked. No. 1. Five inches in length, with platinum wire, No. 22 tip, shield of non- combustible vulcanized fibre, used in making superficial cauterizations of the nasal mucous membrane. No. 2. Five inches in length, blade inches long, of No. 20 platinum wire. Used principally in making linear cauterizations of the turbinated bodies and submucous thickenings at sides of vomer. The side opposite the cautery wire is carefully wound and shellacked. No. 3. Five inches in length, with tip of No. 21 platinum wire. Useful in the cauterization of bases of polypi, after removal of the tumor, etc. No. 4. Five inches in length, very flexible, with adjustable tip of No. 25 platinum wire. No. 5. Five inches in length, tip of No. 22 platinum wire. Used in opera- tions on pharynx, tonsils, etc. No. 6. Six inches in length, adjustable tip of No. 22 platinum wire. Used in cauterizations of naso-pharynx, base of tongue, epiglottis, etc. The tip is sometimes guarded with vulcanized fibre, the same as No. 1. No. 7. Seven and one-quarter inches in length, with tip of No. 27 platinum wire, for use in laryngeal operations. No. 8. Galvano-cautery Ecreseur, same as Fleming's. 446 SHARP & SMITH, CHICAGO. DR. INGALS' INSTRUMENTS. Fig. 2311. Dr. Ingals'Case of Laryngeal Instruments contains: 1 Plain Wire Nasal Speculum; 1 Ingals' 4-Inch Mirror and Head Band; 8 Metal Screw Top 2 dr. Vials; 1 Pair Ingals' Dressing Forceps; 4 Laryngeal Mirrors, in fixed handles; 1 Ingals' Powder Blower, with glass tubes; 1 Folding Tongue De- pressor; 1 Flat Platina Applicator; 2 Cotton Carriers; Absorbent Cotton. In neat morocco covered, velvet lined case, opening in center, with handles for carrying. This is a correct list as furnished by Dr. Ingals, through Dr. Rhodes. Fig. 2312.-DR. INGALS' CAUTERY BATTERY I his battery has been before the profession now for several years, and the recent improvements have made it the best and strongest cautery battery in the market. 1 here are two large cells, and the elements consist of large zinc and carbon plates, which are depressed by a screw to any desired depth, regulating the strength of the current perfectly. The cells hold a large amount of fluid which requires less frequent changing. The battery needs very little care. Some of them have been in constant use a number of years. The battery is inclosed in a neat black walnut case, 12x15x22 inches high. SHARP & SMITH, CHICAGO. 447 MOUTH AND THROAT INSTRUMENTS. FIG. *2315 Hamilton's Tonsillotome $10 50 2316 Billings' " 9 00 *2317 Gunn's " 10 00 2318 Tiemann & Co.'s one Blade Tonsillotome 11 00 *2319 " " two " " 17 00 2320 Fahnstock's plain all Metal " 3 5° *2321 " Best Ebony Handle " 4 50 Instruments designated by a * are illustrated. 448 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. *2322 Mathieu's, three sizes, each $ 7 5° 2322-A. " " <n case, each 9 00 *2323 Mackenzie's 6 75 *2324 Bishop's 7 50 *2325 Rupprecht's 10 00 2326 Sajon's $11 00 to 15 00 2327 Lentz's 5 00 2328 Elsberg's 7 50 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 449 MOUTH AND THROAT INSTRUMENTS. FIG. *2329 Sajou's Uvalotome $ 7 50 *2330 Tiemann & Co.'s Uvalotome 6 25 *2331 Wood's Uvula Scissors, with claws 4 00 *2332 Seiler's Angular Uvula Scissors with claws 3 75 *2333 Tonsil Scissors, Curved or Flat 2 00 2334 Hamilton's " 1 50 2335 Mathieu's " 1 50 2336 Tiemann & Co.'s Scissors 6 25 2337 Ericksen's " 3 75 2338 Richter's Angular " 3 00 2339 Whitehead's " for dividing Muscles 3 35 *2340 McKenzie's set of Scissors, Forceps and Ecraseur 18 75 All instruments designated by a * are illustrated. 450 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. *2341 Heywood Smith's Scissors $ 9 00 2342 Concealed Scarifier 4 75 2343 Tonsil Scarifiers, 12 Patterns, each $1 10 to 2 00 2344 Green's Tonsil Bistoury 1 50 *2345 Yearsley's " Knife 1 65 *2346 Updegraff's Tonsil Bistoury 1 50 *2347 Double Edge Staphylarophy Bistoury 1 85 *2348 Curved R. & L. " " each 1 85 *2349 Whitehead's Paring Knife 1 15 *2350 " Gum " 1 20 *2351 " Hoe " 1 20 2351 2350 2345 2348 2347 2346 All instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 451 FIG. 2352 Tobold's Polypus Forceps Concaved Cutting Edge $ 1 15 2353 *• " " Convex " " 1 15 2354 " Lanciform Forceps 1 15 *2355 Laryngeal Knives, any pattern, each 1 15 2356 Buck's " " 2 00 2357 Concave " " 1 5° 2358 Convex " " 1 5° *2360-0 Langenbeck's Narrow, Double Edge Staphyloraphy Knife 1 85 *2360-D " Wide " " " I 85 *236o-E " " " " " Button 1 85 *236o-F " Single Edge Staphyloraphy Knife 1 4° *2360-6 " " " " •* 1 40 *236o-H " " " " " 1 50 *2360-1 " Staphyloraphy Tenaculum 1 15 *236o-K " " Retractor 1 85 *236o-L " " Suture Holder 2 25 *2361 Tobold's Laryngeal Lancet (concealed) 3 00 *2362 McKenzie's 3 blade Laryngeal Lancet 11 00 Buck's Tonsil Lancet 1 85 MOUTH AND THROAT INSTRUMENTS. 452 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. *2363 Updegraff's Staphylarophy Hook,$i 50 *2364 " " Needle 1 50 *2365 " ■* Needle Bent 1 50 2366 Updegraff s Staphylarophy Case. 6 75 *2367 Whitehead's Spiral Needle 1 30 2368 Silver Wire Needle each 10 2369 Green's Tonsil I look I 50 *2370 Green's Double Tonsil Hook. 2 00 2371 Leffert's Palate Hook I 50 FIG. 2372 Plain Hard Rubber Palate Hook $ 40 *2373 Langenbeck's Double Trachea Hook 2 25 2374 Langenbeck's Tracheatome 3 20 *2375 Luer's Cheek Retr'ctor, either side 1 60 *2376 " " " right side I 20 *2377 " " " left side . I 20 2378 Dieffenbach's Cheek Retractor, *2379 S. & S. Cheek Retractor 2 25 All Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 453 MOUTH AND THROAT INSTRUMENTS FIG. FIG. *2380 Otis' Trachea Dilator $2 65 2384 2381 Elastic Trachea Dilator 60 *2385 *2382 Minor's Trachea Dilator. 3 50 *2386 *2383 Ellsberg's Trachea Dilator 1 85 *2387 Wells' Trachea Dilator .. $1 60 Delaborde's Trachea Dilator 3 75 Trosseau's Trachea Dilator I 85 Rumboldt's Uvula Retractor.... 1 10 Fig. 2387. Uvula Retractor. The body of the instrument is a slender tube, about six inches long. Its larger extremity is trumpet shaped, and is covered with thin sheet rubber; its smaller extremity is so made, that the uvula may be drawn into it. Instruments designated by a * are illustrated. Other Trachea Instruments, see Supplement at end of book. 454 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. 2388 Hanks' Tracheotome $ 6 75 *2389 Russell & King's Tracheotome 25 00 2389-A " " " Hospital Style 27 50 *2390 Pitha's " 2 75 *2391 Tiemann & Co.'s " and Dilator 6 25 *2392 Trachea Scalpel 1 10 *2393 Pilcher's Trachea Retractor 1 50 Instruments designated by a * are illustrated Other Trachea Instruments, see Supplement end of book. SHARP & SMITH, CHICAGO. 455 FIG- (Trachea). 2394 Single Silver Trachea Tube $ 2 50 *2395 Double " " " 4 50 *2396 ' " with flexible Mirror 3 75 2397 " Aluminium Trachea Tube ..... 3 75 *2397~A " Soft Rubber " " 1 50 *2398 " Hard " '' " 1 50 *2399 " " " " " 1 50 2400 " Silver Plated " " 2 50 2401 Trivalve Silver " " 7 50 2402 Durham's Set of " " $11 coto 15 00 *2403 Johnson's Double " " and Obdurator , 7 50 *2404 Gendron's " Split Silver Trachea Tube 6 00 2405 T. & Co.'s Vertebrated '' " 4 5° *2406 " Tracheal Aspirator 1 85 *2407 Ellsberg's Cotton Applicator 4 50 2408 McCoy's " " 5 co 2409 Goodwillie's " " 1 00 *2410 Dunn's Laryngeal Cotton Applicator, Silver 2 00 *24IO-A Stucky's Modification of Smith's Acid Applicator 2 25 *2411 Flexible Stem Brush Holder, 12 Brushes 1 50 2412 Plain " " 50 2413 California " '' I 50 2414 Child's Brush and Caustic Holder 1 85 2415 Teeger's '• Holder 1 65 *2416 Wagner's Brush Holder with two stems and 12 brushes 2 25 2417 McKenzie's Brush Holder with one brush .. 1 00 MOUTH AND THROAT INSTRUMENTS 456 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. I'or description see next page. SHARP & SMITH, CHICAGO. 457 MOUTH AND THROAT INSTRUMENTS. A NEW LARYNGEAL COTTON APPLICATOR. W. A. Dunn, M. D., Clinical Instructor in the Diseases of the Throat, and Microscopist to the Hahnemann Hospital. (For illustration see preceding nage). Instead of the Laryngeal brush which is very unpleasant on account of irritation of the mucus surface and the difficulty in keeping clean, I had made for my own use, by Sharp & Smith, a pencil, the shank of which is of German silver next the handle, and the remaining portion of pure silver, that it may be very pliable. The screw, eye and cap are of hard silver. You thread the eye with absorbent cotton, screw down the cap and trim of! the surplus cotton which is changed for each operation. It has the advantage of being absolutely clean and very much less irritating to the larynx than the brush. It is impossible to leave the cotton in the larynx. FIG. 2418 Ellsberg's Sponge Holder and Cotton Applicator $ 4 5° 2419 Buck's " " 65 *2420 Hart's " " 1 00 *2421 Emmet's " " 75 *2422 Sims' " " 75 *2423 Husson's " " 75 *2424 Fergen's " " 1 00 2425 Granger's " " 1 75 2426 Post Nasal " " 85 We direct the profession to an easily cleaned and perfectly aseptic sponge holder. I he instrument is nine inches long and made out of a single piece of Steel Wire, Nickel Plated. The blades are brought together by an incomplete ring of steel, which can be readily slipped off, thus permitting the instrument to be thoroughly cleaned. The Cut represents the instrument so clearly that further explanation is unnecessary. The advantages that are claimed for this instrument are: I. That it is easily cleaned, hence thoroughly aseptic. 2. That it is light, strong and durable. 3. That it is cheap. 458 SHARP & SMITH, CHICAGO MOUTH AND THROAT INSTRUMENTS. Fig. 1426-A. Tracheotomy Case. We can put up Tracheotomy Cases at all Prices, from $15 to $50. PLEASE DO NOT CUT OR MUTILATE THIS BOOK. Instruments Ordered by Number of Figure and of Page, will Receive Prompt Attention. SHARP & SMITH, CHICAGO. 459 MOUTH AND THROAT INSTRUMENTS. FIG. 2427 Buck's Trachea Guide $ 1 50 *2428 Heister's Speculum Oris 4 50 *2429 Goodwillie's " " 6 00 2430 Westmoreland's Speculum Oris 4 50 2431 Ehrhart's " " 3 75 *2432 Gross' " " 4 00 *2433 Roser's " " 3 75 *2434 Sharp & Smith's Mouth Specula, each 1 00 2434-A " l' " set of three 3 00 2434- " " " " four' 3 75 *2435 Hard Rubber Oral Screw 75 2435- Whitehead's Mouth Gag 9 go For other mouth gags see page 516. All instruments designated by a * are illustrated 460 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. 2436 Plain Cylindrical CEsophageal Bougies$1 00 2437 Olive tip " " 1 25 *2438 Sets of Six (6) " " 3 00 *2439 Dr. I. L. Crawcour's " " 1 85 A Dilator for Stricture of the (Esophagus. By I. L. Crawcour, M. D., M. R. C. S., England. FORMERLY PROFESSOR OF MEDICINE, NEW ORLEANS SCHOOL OF MEDICINE Some time ago I was called to a case of stricture of the oesophagus. A child eight years of age, had accidentally swallowed some condensed lye. Four months had elapsed since the accident, and nothing had been done. When 1 saw the child, it had not been able to swallow anything for three days. The smallest oesophageal sound would not pass, a small gum catheter or bougie bent against the obstruction, and one with the stylet would not take the proper curve. In this dilemma I bethought me of Otis' flexible urethral probe; this, the smallest (a No. 8 French scale) passed, but with great difficulty; after some few days 1 passed Emmet s uterine probe, which is somewhat larger, and in this way was enabled gradually to ddate the stricture. The child meanwhile was fed by enemata. 1 he stricture was gradually dilated by means of ivory bulbs attached to a flat metallic wire. It struck me that a series of flexible bougies, made on the spiral wire system, would be useful, not only in such cases, but also as urethral dilators. 1 hey are fifteen inches long, and as will be seen by the cut, have a broad, flat handle. They terminate in an acorn-shaped bulb, and arc as follows: No. j. Bulb No. 15, French gauge, attached to a short and narrow neck, rapidly increasing to No. 17. No. 2. Bulb 17, shank 19. • No. 3. Bulb 19, shank 21. No. 4. Bulb 2T, shank 24. 1 hese are the sizes which I think will be found in practice the most useful and they are perfectly flexible. SHARP & SMITH, CHICAGO. 461 MOUTH AND THROAT INSTRUMENTS. TONGUE DEPRESSORS. FIG. 2440 Hard Rubber Tongue Depressors $ 1 00 *2441 " " " " Long 1 00 2442 ~ " Folding Tongue Depressors 1 00 *2443 " " " •* '• Metal Hinge 1 50 *2444 Goodwillie's " " " 1 00 *2445 " Fenestrated Folding Tongue Depressors 1 50 *2446 Green's Folding Tongue Depressors 1 00 2447 Wire " •• " 50 *2448 Half Wire " " " 50 2449 Roosa's " " " 1 50 2450 Steel " " " 1 10 All Instruments designated by a * are illustrated. 462 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. *2451 Sharp & Smith's Folding Tongue Depressor $ 75 2452 " Coin Silver Folding Tongue Depressor 3 00 2453 Cohen's Folding Tongue Depressor 1 50 *2454 " Steel Tongue Depressor 1 25 2455 Parker's " " 95 *2456 Sass' " " " Ebony Handle 2 25 *2457 Tobold's " " 1 00 *2458 Church's Self Holding Tongue Depressor 5 00 TONGUE DEPRESSORS. All Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 463 MOUTH AND THROAT INSTRUMENTS. FIG. *2459 Stehmen's Self-holding Tongue Depressor$ 1 5° *2460 Rumbold's Tongue Depressor Set 4 50 2461 Ellsberg's " 2 00 *2462 Bosworth's Steel Tongue Depressor 75 *2463 Tuerk's set of 3, " " 3 35 2464 " H. R. Cov'd " " set of 3 5 00 *2465 " Single " " 1 75 *2466 Devilbiss' set of 3 " " 3 5° TONGUE DEPRESSORS. All instruments designated by a * are illustrated. 464 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. Fig. *2467 Dr. J. J. Higgins' Self-retaining Tongue Depressor$ 4 50 A SELF-RETAINING TONGUE DEPRESSOR. By J. J. Higgins, A. M., M. D. Dr. Higgins says, among other things: In examinations of the fauces, and especially in operations thereon, the need of a self-retaining tongue depressor and speculum oris is sadly felt. For all the minor operations-such as pen- ciling, application of remedial agents in divers ways, excision of the uvula, etc.- the convenience (in some cases the necessity) of having the use of both hands is without question. So strongly have I felt the want of a suitable instrument for such purposes in my own practice that I have been compelled (the arma- mentarium of our instrument makers not having one at all adapted to the regu- lar and daily u'se of the practitioner) to invent and have one made for my own use and feel constrained to make it more generally known through the columns of 2467 your valuable paper. Mechanical description would be tedious, and is unnec- essary, as the cut illustrating the instrument is a perfect representation, and tells the story at a glance. It is adjustable for any size of mouth, or opening thereof with not even discomfort, much less pain-can be handled and place in situ as readily as the usual tongue depressor, and is self-retaining. It is manufactured of the best quality of steel-handsomely nickel-plated-handle and other attachments of vulcanite, baked on and highly polished, and thoroughly asep- tic in construction. Moreover, its construction is such that, by the simple turn of a milled screw, an ordinary tongue depressor of a special and improved pattern and shape is at one's service. For the photographing of the posterior fauces or buccal cavity it is exceed- ingly7 serviceable, the sides or walls not being occluded by the instrument as is the case with vaginal or other specula, but they are seen in their entirety. SHARP & SMITH, CHICAGO. 465 MOUTH AND THROAT INSTRUMENTS FIG. White's Tongue Depressor$ 2 00 *2468 White's Palate Retractor and Post Nasal Speculum 1 50 *2468 " " " " " '• 1 50 *2469 Porcher's " " 2 75 2468-At full length. 2468 -Folded. 2467-A 2469. A new Self-Retaining Uvula and Palate Retractor, by W. Peyre Porcher, M. D., Charleston, S. C., and of it he says: This instrument as will appear from the cut, is an ordinary palate-hook, upon the stem of which a slide- attachment has been added. From the front of this slide project two arms, which end in two medium sized rings, and at its rear is an automatic spring- catch which penetrates the perforated stem at short intervals. When in position the two rings on the arms rest on either side of the nose, just above the alve- olar processes, and are easily retained there by the counter-pressure of the retracted palate. It is light in construction, weighing but four hundred and forty-five grains, easily adjusted, and releases both hands for operation and the management of the mirror. It has been highly commended by distinguished laryngologists, as well as by general practitioners. The following letter was received from Dr. J. Solis Cohen, to whom I sub- mitted a model of the instrument, and he has kindly consented to its publication : 1421 Wall Street, Philadelphia, September 28, 1887. My Dear Doctor:-To-day is the first opportunity I have had to give the instrument you forwarded to me a trial. I was very successful in using it and without cocaine. I like it very much indeed, and I think it the simplest mechanism I have seen. Yours very truly, J. Solis Cohen. 466 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. *2470 Goodwillie's Oral Saws $ 2 60 *2471 Dobell's Tongue Holding Forceps 4 50 *2472 Cuscoe's " " " .. / . 3 30 *2473 Simrock's Rhinoscope 6 00 *2474 Duplay's " 6 50 All instruments designated by a* are illustrated. SHARP & SMITH, CHICAGO. 467 MOUTH AND THROAT INSTRUMENTS. FIG. *2475 Fauvell's Laryngeal Forceps $3 00 *2476 2476A ' MacKenzie's Antero-posterior Laryngeal Forceps 2 75 " Lateral " " 2 60 " Set of Scissors, Ecraseur and Laryngeal Forceps 18 75 2477 Luer's „ and Laryngeal Forceps 6 75 *2478 Mathieu's " " 4 50 *2479 Sajou's " " 2 50 *2480 Simrock's " " 3 30 Instruments designated by a * are illustrated. 468 SHARP & SMITH, CHICAGO. FIG. 2481 Schroeter's Throat Forceps and Lancet $11 25 2482 Cohen's Cotton Holding Forceps 2 50 *2483 " Throat Forceps, Large . 2 50 *2484 Cuscoe's " " . 4 50 *2485 Cohen's Post Nasal Forceps 2 50 *2486 Buck's Throat Forceps 2 25 2487 Knight's " " 3 00 2,88 Bond's " " 2 25 2489 Ellsberg's " " 3 25 2490 United States Throat Forceps 2 25 *2491 Burgess' " '* 3 20 2492 Brun's " " 3 35 *2493 Alligator ' ' " 4 50 2494 (Esophagus " " 1 85 *2495 Flexible " " 3 75 2496 Tascher's " " .... 2 50 2497 Rumbold's " " set of 4 18 75 MOUTH AND THROAT INSTRUMENTS. All Instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 469 MOUTH AND THROAT INSTRUMENTS. Figure 2497. Tubular Laryngeal Forceps. Traction on the lever I pushes the two rods t' and f into the tube b, and causes the forceps to descend to the required distance as marked by the dotted lines ; then pressure on r' which is connected with the clutches r, will arrest the serrated rod /' and prevent the forceps f from descending farther into the larynx. If the rod t' is still pushed by the lever / into the tube b, the tube at f will close the forceps on the object in the larynx. 1, 2, 3 and 4 represent different shaped forceps that may be attached to the instrument. 470 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. 2498 Braun's Epiglottis Forceps $ 3 25 2499 Self-grasping Vulsellum Forceps 2 25 *2500 French " " 2 25 *2501 Byrne's " " 2 25 *2502 Musseaux' " " 2 25 *2503 Skene's " " 2 25 *2504 Nott's Wire Twisting " 3 00 2505 Emmet's " " " 2 25 2506 Sims' " " " 3 00 *2507 Langenbeck's Seizing " 2 25 2508 Nott's " " 2 25 2509 Durham's " " .. 3 35 *2510 Whitehead's " " . 3 35 2511 Ellsberg's Sponge-holding " • 3 25 Instruments designated by a * are illustrated. SHARP & SMITH. CHICAGO. 471 MOUTH AND THROAT INSTRUMENTS. FIG. 2512 Hanks'Double Tenaculum Forceps$ 2 25 2513 Ball's " " " 1 85 *2514 Tiemann's Canula Forceps for removing foreign bodies from Tracheotomy Tubes, while in situ 3 50 2515 Trosseau's Forceps for removing foreign bodies from Trache- otomy Tubes while in situ 2 50 2516 Meunier's Forceps for removing foreign bodies from Trache- otomy Tubes, while in situ 2 25 2517 Collins'Forceps for removing foreign bodies from Tracheotomy Tubes, while in situ 3 50 *2518 Bristle Probangs for removing foreign bodies, best 1 25 *2518-A " " " " " common 1 00 2519 Whalebone Probangs, set of six 3 00 2520 " " " " with Ivory tips 4 50 2521 Silver Bucket " in three parts 2 65 2522 Richardson's " 2 65 2523 Graefe's Articulated Probangs 1 50 2524 Sponge and Whalebone " 20 2525 " " " per doz 1 25 2526 Schaefer's Throat Scoop 6 25 2527 Stoerck's Drop Tube 1 85 *2528 Bosworth's Curette for use in glandular hypertrophy at the vault of the pharynx 1 30 2528-A Concealed Caustic carrier 1 50 2528-B Jointed " " 1 50 2528-C Long Silver " " 1 15 2528-D Lente's Caustic Probe 1 30 472 SHARP & SMITH, CHICAGO. FIG. 2529 Maw's English Stomach Pump $15 00 2530 Gray's " " " 13 50 2531 Plain " " 6 75 *2532 Sharp & Smith's " " N. P 13 5° 2533 Tiemann's " ' 12 50 2534 " H. R. 9 00 *2535 Toswell's Siphon " " 2 00 2537 Stomach Pump attachment for C. & S. Aspirator 4 50 *2538 Excelsior Stomach Pump, Aspirator and Enema Syringe com- bined (see next page) 15 00 MOUTH AND THROAT INSTRUMENTS. Washing out the stomach, and the aspiration of liquids secreted by it, is more and more practiced in Germany, since Kussmaul highly praised this method. Dr. Schliep uses the Syphon Principle in nearly all affections of the stomach, especially in chronic gastritis, with or without dilatation. The cure of chronic catarrh, according to his account in the Deutsche Klinik, vol. xiv., would require a limited number of applications. In simple catarrh five would suffice on an average. He uses this method even in dyspepsia of consumptive patients. In dilatation of the stomach, he empties that organ with the pump every day. He performs the washing out, even in cancer, with pure water ; or adds bicarbonate of soda to the water if the liquids be very acid ; or perman- ganate of potash if these liquids show signs of fermentation ; carbolic acid when they contain vegetable parasites ; boracic acid as a disinfectant, and tinc- ture of myrrh, in atonic dyspepsia with abundant secretion of mucus. Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 473 THE EXCELSIOR STOMACH PUMP, ASPIRATOR AND ENEMA SYRINGE. Stomach Pump.-A, Stomach Pump. B, Suction Tube, connects at Nos. i and 3. C, Stomach Tube, connects at Nos. 2 and 5. D, Mouth Gag. E, Mouth Screw. Aspirator.- A, Pump. F, Valve Box, connect as per cut. G, Double Stop Cock connect with tubes II and I. II-I, Tubing connect to Force or Exhaust with Valve Box as per Arrows. J, Bottle. K, Needle. Enema Syringe.-A, Pump. B, Suction Tube, connect at Nos. 1 and 3. L, Tubing, connects at Nos. 4 and 5. M, Rectal Nozzle. A complete Stomach Pump, Aspirator and Enema Syringe, combined, has long been sought for by the medical profession. In offering the Excelsior Pump and Aspirator we have combined three distinct instruments, each com- plete in itself, thus making one portable apparatus, and avoiding the necessity of purchasing each instrument separately. In manufacturing the above we have taken mandril drawn tubing for the barrel of the pump which offers an even surface to the packing of the piston and insures perfect suction. The valves in Valve box F, are made of metal, ground to fit the sockets securely, and cannot be injured by fluids or become dried as the oiled-silk valves formerly used. This enables the practitioner to use the Pump both for Forc- ing or Exhausting Fluids or Air. The valves in Valve Box F can be easily cleansed by unscrewing the conic nozzles at F. In order to make as compact and portable an instrument as possible, we have fitted the Double Stop Cock G with a Conic Soft Rubber Stopper, which will fit any ordinary bottle, thus avoiding the necessity of carrying a bottle in the same case with the Pump. All the metal parts are Nickel-plated and the whole is encased in a polished Wood Box, Velvet lined. The combinations of parts for Stomach Pump, Aspirator or Enema Sy- ringe separately, are formed as above. For prices, see preceding page. 474 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. 2539 Best English Stomach tubes $ 1 50 2540 English " " funnel end 1 50 2541 Plain English " " 1 00 2542 Silk Web " " best 2 50 2543 " " " " funnel end...., 3 00 2544 Soft Rubber " " 1 5° *2545 " " " " funnel end 2 00 2546 " " " " " " with bulb in center.... 2 00 2547 " " " " Jaques 1 50 *2548 English Double Channel Stomach Tube 3 00 2548A " " " " " silk 4 50 *2549 Dr. S. S. Cohen's Apparatus for Lavage in the treatment of gas- tric affections, with 28 inch Velvet Eye Stomach Tube 2 25 2549A Dr. S. S. Cohen's Apparatus for Lavage in the treatment of gas- tric affections, with 24 inch Velvet Eye Stomach Tube 1 85 LAVAGE IN THE TREATMENT OF GASTRIC AFFECTIONS. By Solomon Solis-Cohen, M. D., of Philadelphia, Pa. Any agent, or any method that promises to enlarge our therapeutic resources against those obstinate conditions of "gastric catarrh," "functional dyspepsia." etc., that are a source of distress to the patient, of annoyance to the physician, and of profit to the pepsin and patent medicine manufacturers, deserves at least a respectful consideration. The method that I desire briefly to present to the Society this evening-lavage, or irrigation of the stomach-has been employed for many years in Europe, so that it can no longer be considered to be merely on trial. In America, however, it has not won general introduction, nor am I aware that any discussion of it has been had before this body. This, then, is my excuse for calling attention to a subject in connection with which I have nothing new to communicate. SHARP & SMITH, CHICAGO. 475 The manner of performing lavage, recommended by the latter observer, is that which I have followed in the few cases in which I could induce private patients to submit to it. The results obtained in these cases have been suffi- ciently encouraging to induce me to continue, at least to propose it wherever it seems applicable. The apparatus and its employment are sufficiently simple. An aesophageal tube, with blunt, double-eyed extremity of flexible rubber, about twenty-eight inches long, and from one-quarter of an inch to a little less than half an inch in diameter-practically an enlarged catheter, and made of similar material-is attached by a small section of glass tubing to a soft rubber tube about one yard in length, into the free extremity of which a glass or rubber funnel of from six ounces to eight ounces' capacity, is inserted. The patient sits or stands, facing the physician. The aesophageal tube having been dipped into warm water or warm milk, is placed within the entrance of the aesophagus, and is then propelled by successive pushes into the stomach, the process being facilitated by efforts at deglutition on the part of the patient. The first introduction of the tube, and possibly the second and third, will occasion more or less dyspnoea, often nausea and retching, rarely vomiting. These effects, though partly physical, are largely psychical, and will disappear with tolerance. The dyspnoea maybe immediately checked by insisting on full inspirations. Nausea is overcome as soon as the water enters the stomach, floating the tube away from immediate contact with the mucous membrane. In highly neurotic subjects it may be well to prepare for the operation, at first, by administering full doses of bromides. I have tried anointing the end of the tube with a solution of cocaine in glycerin, but cannot claim any striking benefit from the procedure. Firm but skillful handling of the tube is the best sedative. , Sometimes during the withdrawal of the solution solid particles of food (grains of corn in one of my cases) may become impacted in the eyes of the tube, and the flow of liquid will cease. A little more of the solution must then be introduced, both to wash away the obstruction and to re-establish the syphon current. If the tube should be pushed too far into the cavity of the stomach, it may curve upon itself, and the syphon will not work. Withdrawal of the tube for a few inches will remedy this; if the flow is not readily established, it is said that it may be favored by manipulation of the stomach, and efforts at coughing may be made by the patient. I have not had occasion to resort to these devices. When lavation alone (washing) is the object of the procedure, a weak alka- line solution is employed; a drachm or two of sodium sulphate, sodium chloride, sodium borate or sodium bicarbonate, in a quart of warm water, at about ioo° F. Should it be considered necessary, however, various sedative or antiseptic medicaments may be added to the lavage solution. Those most highly recom- mended are resorcin (i per cent.), boric acid (i per cent.), creasote (i per cent.), carbon disulphide water (one part of a solution containing 15 grains to the quart, to two parts of water), charcoal powder (two to four tablespoonfuls), chloroform water (saturated), bismuth subnitrate (two tablespoonfuls to the pint). In the use of agents, like resorcin, carbolic acid, etc., the liability to absorp- tion if the solution be not all removed, must not be forgotten. In using what he terms " milk of bismuth," Dujardin-Beaumetz advises that the solution be allowed to remain a few minutes in the stomach, so as to allow the bismuth to be deposited; after which the supernatant liquid may be withdrawn. Lavage should be performed when the stomach is empty; therefore some authors recommend the hour of rising in the morning. I have found noon- say four or five hours after a light breakfast-or the same interval after lunch or dinner, to be more convenient for myself, and to answer as well in most instances. One lavation daily is usually enough. After a while the intervals may gradually be lengthened, until the process is discontinued. LAVAGE IN TREATMENT OF GASTRIC AFFECTIONS.-Continued. 476 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. *2550 Head Mirrors with plain head band, 3 inch $ 3 75 2550A " " " " 3% " 4 25 255°B " " " " 4 " 5 00 *2551 ' ' with improved head band, 3 inch 5 25 2551 A " " " " l' " 3% " 5 75 2551B " " " " " " 4 " 6 5° *2552 " ' " Schroeter s head band, 3 inch 4 25 2552 A " " " " " " 3% " 4 75 2552 B " " " " " " 4 " 5 50 Fig. 2554- Metal Head Band for holding a Head Reflector on the Fore- head. There is a joint on top, in the middle of the band, which allows the posterior half to be turned into the anterior half. The pads are made of black rubber, and may be turned into line with the head band. The metal band should not be longer than is required to easily reach from the forehead to the occiput. For price see next page. All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 477 MOUTH AND THROAT INSTRUMENTS. FIG. 2553 Ingals' Mirror and Head Band, 4 inch $ 5 50 *2554 Rumbolds' Head Band to go over the head 2 50 *2555 Simrock's " " " " " 3 25 *2556 Sardy's Combined Head Band and Mirror Protector for 3 inch Mirror 2 40 2556A Sardy's Combined Head Band and Mirror Protector for 3% inch Mirror 2 50 2556B Sardy's Combined Head Band and Mirror Protector for 4 inch Mirror 2 75 2556C Sardy's Spectacle Frame Head Band 3 00 2557 Semeleder's " " 6 00 2558 Plain Head Bands (see Fig. 2550) 1 00 2559 Schroeter's Head Bands, with Nose Rests (see Fig. 2552) 1 50 2560 Improved " " " " " (see Fig. 2551) 1 50 SARDY'S COMBINED HEAD BAND AND PROTECTOR. (Patent applied for.) These cuts, figures 2556, show a new head band which possesses several advan- tages over the old styles. When closed it affords perfect protection to the mirror, and is convenient to carry. When open it is self-adjustable to any forehead, and rests more comfortably and with greater security than other head bands. Any mirror attached to it can be brought into perfect juxtaposition with the eye, and when not in use can be easily turn- ed up from the forehead. They are made of the best material, with silk bands, and metal part oxidized so as to prevent reflection. IN USE All instruments designated by a * are illustrated. 478 SHARP & SMITH, CHICAGO. FIG. *2561 Throat Mirrors, in handle, 5 sizes each $ 65 2561A " " without handle, 5 sizes " 55 2561B " " set of 5 in case, with one Universal handle... . 4 00 2562 " " extra quality each 75 2563 " " oval 1 00 2564 Tobold's Large Laryngoscope in case, with Head Mirror and two Throat Mirrors 18 00 2564A Tobold's Small Laryngoscope in case, with Head Mirror and two Throat Mirrors 10 5° *2 1'obold's Large Laryngoscope in case, with Student Lamp.... 20 00 2265A " Small " " " " " . 15 00 2556 Seeger's Modification of Tobold's Laryngoscope, for gas 25 50 ''2567 Stucky's Improved Laryngoscope complete (see page 480). ... 50 00 MOUTH AND THROAT INSTRUMENTS. Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 479 LARYNGOSCOPIC CASES. FIG. 2567A Sharp & Smith's No. 1 Laryngoscopic Set $ 19 25 2567B " " No. 2 " " 15 00 2567c " " No. 3 " " 11 00 2567D " " No. 4 " " ,9 00 2567s Fowler's Laryngoscopic Set 13 50 2567F Bosworth's " " 16 50 2567-A Fig. 2567A Sharp & Smith's No. 1. Laryngoscopic Set contains: 1 3% inch Glass Concave Mirror, 1 Schroeter's Head Band, 1 Post Nasal Syringe, 1 Scoop Powder Blower, 1 Pair Polypus Forceps, 3 Throat Mirrors, 2 Universal Handles, 1 Tongue Depressor, 1 Sponge Holder to fit Universal Handles, 1 Set Toyn- bee's Ear Specula. Fig. 2567B Sharp & Smith's No. 2. Case containing 3% inch Glass Con- cave Mirror, Head Band and Handle, 3 Throat Mirrors, 1 Post Nasal Syringe, 1 Sponge Holder, 1 Brush Holder and 6 Brushes, 1 Tongue Depressor, 2 Universal Handles. Fig. 2567C Sharp & Smith's No. 3. Case containing 3% inch Glass Con- cave Mirror, Head Band and Handle, 3 Throat Mirrors, 1 Universal Handle, 1 Tongue Depressor. Fig. 2567D Sharp & Smith's No. 4. Case containing 3 inch Glass Con- cave Mirror, Head Band and Handle, 2 Throat Mirrors, 1 Universal Handle, 1 Tongue Depressor. 2567E Dr. Fowler's Case containing 3% inch Glass Concave Mirror, Head Band, 1 Tongue Depressor, 2 Vials, 3 Throat Mirrors, 2 Universal Handles, 1 Brush Holder, 6 Brushes. 2567F Dr. Bosworth's Case containing 3% inch Glass Concave Mirror, Nasal Rest Head Band, 1 Post Nasal Syringe with Ear Nozzle, 2 Throat Mir- rors, 2 Universal Handles, 1 Tongue Depressor, 1 Sponge Holder, 1 set Toyn- bee's Ear Specula. All of our Cases are morocco covered and lined with velvet. Laryngoscopic sets put up to order. Instruments designated by a * are illustrated. 480 SHARP & SMITH, CHICAGO. LARYNGOSCOPE. We desire to call the attention of the profession to a new illuminating lamp, especially adapted to, and filling, as we believe, the wants of those who make laryngology, rhinology and otology a specialty. Indeed, we cannot see how any member of the profession can do without a lamp suitable for thoroughly illuminating the cavities of the throat, nose and ears. This Laryng- oscope is nearer to perfection than any laryngo- scope or illuminating lamp we have ever seen, on which ordinary house gas is used. It gives a whiter, more concentrated and intense light than any of the lamps in the market. We believe, after a thorough trial by the profession, it will establish itself as the best laryngoscope. The cut represents the Laryngoscope mount- ed on a nicely ornamented iron table-stand. The following is a brief description of the lamp: The light chamber is made of a cylinder of sheet metal, and is four inches in diameter and eleven inches long, with a downward extension (for ad- mitting the burner) three and one-half inches in diameter and one and one-half inches in length. Also, an upward extension or chimney three inches in diameter, and three inches in length. These extensions are nicely fitted into openings made into the light chamber. A concave metallic reflector (of white metcu} is placed in one end of the cylinder; near the other is a double convex lens, which concentrates the rays of light from the burner. The lens is fastened in position by a thumb screw. A bent arm, about one-fourth of an inch in diameter, is secured about two inches above the light chamber-by being passed through a perpendicular post on the light chamber-and is screwed into a threaded perforation in the chimney. The rod extends about two feet from the chimney, and serves to hold the mirrors in position. On this rod is fastened by a thumb screw, two mirrors (four inches in diameter) which have ball and socket joints, and can be placed in any position-one is a plain mirror, by which the patient can see, in his own throat and nose, what the operator or any one standing behind his chair sees. This is a great desideratum when you desire to demonstrate to the patient or his friends the condition of the diseased organ. The other mir- ror is convex, for reflecting the light. Both the plain and convex mirrors can be used for reflecting, if desired, in this way concentrating all the light coming from the lamp The light chamber has a wedge shaped cylinder, which is fastened on the end opposite the reflector, and serves to shade the eyes of the operator. The shade and mirrors can be changed, so that the operator can have his patient on his right or left side. Its convenience, simplicity, and stronger, whiter, and more concentrated light commend it at once to the profession, and especially to laryngologists. For price, see page 478. SHARP & SMITH, CHICAGO. 481 LARYNGOSCOPES. *2568 Devilbiss' Laryngoscope with Lamp (complete) $15 00 2568-A " " without Lamp 11 50 2568-B " Condenser, plain Mirror and Mirror bar 8 50 2569 Czermak's Laryngoscope 7 50 2570 Ellsberg's Pocket Laryngoscope 4 50 2571 Semeleder's Laryngeal Instruments each 7 50 2572 Gibbs' " Ecraseur 2 25 This Laryngoscope is a modification of Mackenzie's light concentrator, and although simpler in construction than Tobold's yet it possesses several ad- vantages not found in the latter instrument. It is provided with two mirrors, one plain and the other concave, both of which are attached to a stationary mirror bar by means of ball and socket joints so arranged that they may be easily changed to any position on the bar, and inclined to any angle. The plain mirror enables the physician to show his patient the condition of the affected parts, and, if needing treatment, explain its necessity. By this method patients may ofttimes see the extent and nature of their disease, and thus be induced to receive treatment who might otherwise consider it of but little importance, not demanding medical assistance. We venture the assertion that patients will go for years with an ulcerated or otherwise inflamed condition of the nares, who, if shown the actual state of affairs, would give the matter the attention that the case demanded, for not one out of a large number, who, if the same diseased condition existed externally, would not seek medical as- sistance, and that promptly. If deemed advisable, the patient may be shown from time to time the changing condition of his disease, and thus keep interested in its treatment. By this device the patient can see to keep himself " in light," thus relieving the physician from the necessity of frequently adjusting the mirror. This Laryngoscope can be adjusted to a student's lamp, and may be raised or lowered by means of a single set screw. This advantage will be appreciated by those who have used the " Tobold," for in order to change the height of the latter, it requires the adjustment of three screws. 482 SHARP & SMITH, CHICAGO. FIG. 2573 Bishop's Laryngoscope $ 3 50 2574 " " and Bracket, polished brass 13 5° 2575-A " " " " Nickel-plated.... 14 50 2575-B " " Bracket only 10 00 LARYNGOSCOPES. A NEW ADJUSTABLE LAMP BRACKET. Reprinted from The 'Journal of the American Medical Association The accompany- ing cut illustrates the working of an adjustable lamp bracket I have de- signed for carrying lights, instruments, etc. It overcomes the difficulty ofprop- e r 1 y illuminating various parts from any desired direc- tion, and atany given angle. The lamp is easily adjustable to any point lying with- in a perpendicular line a foot and a half in length (from A to C) and it will swing through the arc of a circle, having a radius of three feet. It is supplied with joints, parallel arms and an extensible lamp holder, in such a manner as to place the light (B) either within a few inches of any wall to which it is attached, or at any intermediate point in a horizontal, to a distance of three feet from the wall. It is so constructed that in order to raise or lower the light, you need only to press the thumb and finger on the extension arm and brake be- neath, so as to close them together; then set the lamp at the desired point; re- lease the brake, and it sets automatically, holding the light wherever it ispiaced. 1 hese points will be appreciated by those who have to use light concentrators on the imperfect brackets now in use. 1 he lamp holder is prepared to receive an Argand burner connected with a flexible gas tube, so that the bracket may be attached to a wall or desk in any part of an office or house, and connected with the gas fixtures like an ordinary drop lamp. Or, where there is no gas, an oil lamp holder (A) is screwed on in- stead of a gas burner (B), and an oil lamp of large size may be used to obtain brilliant illumination. The bracket is very strong, and will support a weight of five pounds or more. Its utility is extended by substituting a tray (C) for the lamp receiver (A), so as to make it a convenient instrument holder for surgeons and dentists alike. I have employed this bracket in my office a sufficient length of time to demonstrate its superiority over any other that I have been able to find after a most exhaustive search. The bracket is made of brass or iron, and is an elegant addition to any office, both as to utility and beauty. 1 he nickel-plated light concentrator (B) of my own design, is made to use over any Argand chimney, and is much less expensive than any in the market. 1 he bracket is fitted with an oil lamp in the holder (A) and a light concen- trator when so ordered. Seth S. Bishop, M. D., of Chicago, Ill SHARP & SMITH, CHICAGO. 483 CONDENSERS, Etc. FIG. *2576 Boekei's Light Condenser and Bracket, complete $12 50 2576A " " " only 9 00 *2576B " Bracket and Mirror Bar for Light Condenser 5 00 *2576C " Light Condenser without Bracket or Mirror Bar 7 50 Fig. 2576. Bracket and Laryngoscope Combined. This is preferable to any other Light Condenser for the following reasons: First. On account of the spherical or round form of the flame chamber, which has a tendency to concentrate the rays, producing thereby a more powerful light than could be otherwise obtained. The light, thus condensed, is thrown forward through the lens on to the mirror by a reflector in the rear. Second. To avoid the annoyance of placing the mirror in the right position each and every time when brought to use, we have added a rod or bracket fastened to a band, which slides over the chimney and rests on the sphere, while the rod penetrates the chimney, holding it steadily and parallel with the focal line. At the extreme end of this rod the mirror is suspended by means of a ball joint, similar to the one used on the improved headbands, to allow the direction of the light wherever needed. The ball joint can be raised or lowered according to the size of the mirror. With this bracket the operator is never hindered in his movements, as the mirror is thereby always held in the local line, which is most decidedly an improvement over the independent stand or head- bands and all the other devices that have been used before for that purpose. Third. A ball-shaped weight which screws on the back of the band coun- terbalances the mirror when adjusted to a gas bracket or lamp. The Laryn- goscope with its attachments is constructed with screw-joints and can readily be taken apart for convenient packing. In connection with the above we recommend our Adjustable Gas Bracket. Fig. 2576 B Fig. 2576C. Plain Laryngoscope. 484 SHARP & SMITH, CHICAGO. FIG. 2577 Mackenzie's Light Condenser $5 00 2577- " " " with Student Lamp 9 00 *2578 Ingals' " " " " " 9 00 2578- " " " 5 00 Brass. N. P. *2579 Boekel's Adjustable Gas Bracket $7 5° 8 00 *2580 Collins' Lamp 5 25 2581 Miller's " 11 00 2582 Students' Nickel Plated Lamp 4 00 CONDENSERS, ETC. 1 o satisfy the long felt want for a good adjustable Gas Bracket, to be used especially in connection with our "Improved Mackenzie Laryngoscope," we have succeeded in constructing one which we think will gratify the demand of the trade in every respect. 1 he Bracket (as represented in the above cut) is more easily raised and lowered than any of the Brackets that have been in the market before. As the handle "a" is at the same time the set-nut for the Friction Disc, by means of which the Bracket is held in position, only one hand is required to loosen, move and set the Bracket with ease. This Bracket is made stronger than any of its kind in the market, fully strong enough to bear the required weight. SHARP & SMITH, CHICAGO. 485 POWDER BLOWERS. FIG. 2583 Ellsberg's Powder Blower $1 65 2584 Bosworth's Glass Powder Blower 35 2584-A " Hard Rubber Powder Blower 1 00 *2585 Clay's " " " " 1 00 2586 Leffert's one tip " " 17? *2587 " . " " 1 75 *2588 "with mouthpiece " " j 00 *2589 Devilbiss' " " 1 00 2589-A " " " with Bulb. 1 50 2589-B " " " with Bottle and Bulb. 1 50 2590 Goodwillie's " " 1 25 2591 Kelly's " " 2 00 Can be used with either condensed air apparatus or rubber bulb. Can readily change from one kind of powder to another by slipping cups apart, empty and refill with any powder that may be desired. It diffuses the powder perfectly, as it carries it by the counter current of air, and not by a direct one, which is always liable to throw the powder in a bunch. See Index for other Powder Blowers. THE DEVILBISS POWDER BLOWER 486 SHARP & SMITH, CHICAGO. POWDER BLOWERS. FIG. *2592 Ingals' Powder Blower $1 00 *2593 Bishop's Pocket " " 50 *2594 Knapp's " " 1 00 2595 Smith's " " 2 00 2596 Robinson's Reversible Powder Blower, two tips 2 25 *2397 " Powder Blower, with mouthpiece 3 73 2598 Oliver's " " 1 85 *2599 Gradle's " " 1 50 *2601 Sajou's (for patients) Powder Blower 50 *2602 Scoop " " 1 00 See index for other Powder Blowers. SHARP & SMITH, CHICAGO. 487 MOUTH AND THROAT INSTRUMENTS. FIG. *2603 Millard's No. 9 Laryngeal Powder Blower $1 50 *2604 " " 11 Throat " " 1 5° *2605 Morgan's Powder Blower 5 00 2605-A Mattson's No. 1 Powder Blower (see page 426) 1 00 2605-B " " 2 " " ( " " 426) 1 25 2606 Butts' " " 1 50 MORGAN'S POWDER BLOWER. Among the many Powder Blowers suitable for use with compressed air, we particularly recommend two, one recently devised by Dr. E. Carroll Morgan, of Washington, D. C., and one by Dr. A. Devilbiss, of Toledo, O. The former is a perfect instrument, suited to the wants of the specialists and others who need an instrument for frequent and constant use. As shown by Fig. 2605, it con- sists of a hard rubber handle, to which is attached a scoop for holding the powder. The powders should be kept in small wide-mouth bottles so that the quantity to be administered may be taken up in the scoop and the latter attached to the handle when it is ready for use. It is provided with four tips, rendering it applicable for all kinds of work. All instruments designated by a * are illustrated. 488 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. *2607 Cociman & Shurtleff's Steam Atomizer $4 00 2608 " " Nickel Plated Steam Atomizer 5 50 *2609 Sharp & Smith's Steam Atomizer 3 50 2610 Tiemann & Co.'s " " 4 00 *2611 German Nickel Plated" " 2 50 Glass. Hard Rubber. Metal. Silver. 2612 Atomizing Tubes for C. & S. Atomizer.. 20c $1 35 $1 50 2 00 2613 " " " T. & Co.'s " .. 20c 1 35 1 50 2 00 2614 " " " S. & S. " .. 20c 1 35 1 50 2 00 2615 " Bulbs, single 50 2616 " " double 75 2617 " " pure gum, double 1 00 2618 " " " " " and net 1 25 *2619 Hot Air Bath 4 00 *2620 Croup Kettle 4 co 2621 Waxham's Feeding Bottle 1 25 SHARP & SMITH, CHICAGO. 489 MOUTH AND THROAT INSTRUMENTS. FIG. *2622 The "Only" Ointment Atomizer $1 00 *2623 Devilbiss' Vaseline " with Bulb 2 00 2623-A " " " without Bulb 1 50 THE "ONLY" OINTMENT ATOMIZER FOR WARMING AND SPRAY- ING PURE VASELINE AND OINTMENTS. (Patent Pending.) The attention of the medical profession is respectfully called to the inven- tion figured above, of an Atomizer, especially designed for warming and spray- ing pure Vaseline, plain or medicated, for the treatment of such diseases of the respiratory organs as Nasal Catarrh, Hay Fever, Asthma, Bronchitis, Con- sumption, etc. The application of the healing and soothing properties of warm Vaseline Spray to the treatment of this class of diseases commends itself to the intelli- gence of every one at once, while ample experience with the method has fully confirmed its value. This Atomizer renders possible the use of pure Vaseline Spray, applied warm, by which its remedial effects are much increased. A great variety of medicines are combined with Vaseline, in extempora- neous prescriptions by physicians to use in this instrument, among the most successful of which may be mentioned: Cocaine, Menthol, Camphor, Carbolic Acid, Iodoform, Bismuth, Sub. Carb., Zinc Oxide, Hamamelis, and 01. Eucalyptus. There has been a question about the entrance of the Spray into the bronchial tubes, the affirmative of which is proven by the sensations of the patients, and the REAPPEARANCE OF THE SPRAY UPON THE EXPIRED BREATH. The inspired air passing over parts coated with medicated Vaseline becomes impregnated with the remedy, if volatile, and carries it much farther along the respiratory track. The application of plain Vaseline Spray, in cold weather, to the throat, nasal passages and bronchial tubes, has been found superior to any oro nasal respirator as a protective. THE DEVILBISS SPRAY PRODUCER. This instrument throws a spray in any direction de- sired. Will throw oils and vaseline by heating it from point to cup to blood heat. To throw fine spray, leave cover off.. To throw medium spray, place cover on To throw coarse spray, close hole in cover -with finger. To Clean Spray Tube, put cleansing solution in cup, place thumb tightly over it, and by using air pressure a stream will be thrown from point of tube. Should this fail to clean the tube, take outpoint, pass the point of a pin through small holes, then replace with bent point on side of tube leading from cup. 490 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. 2624 Essex Atomizer, single bulb $1 00 *2625 No. 59. Davidson Atomizer, single bulb 1 75 *2626 No. 62. " " for Cocaine 1 00 2626A No. 65. " " (see Ingals' Nasal Instruments)... 3 50 2626B No. 66. " " ( " " " " ).. . 3 50 *2627 Gilbert's Atomizer, single bulb 1 50 2628 Delano's " " " .... .... 150 *2629. No. 20. Tyrian Atomizer, double bulb 1 50 *2630 Clark's " " " 2 25 2631 Hall's " " " 2 50 2632 Leffert's, one tip " " " 2 25 2633 " three tips " " " 3 00 QAWD80M RUBBER CO. 2626 Sharp <5p Smith. 2630 All Instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 491 MOUTH AND THROAT INSTRUMENTS. Sharp &• Smith. 2646 492 SHARP & SMITH, CHICAGO. FIG. *2634 Magic Atomizer, No. 1, single bulb $1 00 *2635 " " Hard Rubber, No. 5, single bulb 1 25 *2636 " " " " No. 25 " " 1 5° *2637 " " " " No. 30 " " 1 5° 2638 Mattson's No. 1 Atomizer, single bulb 75 2639 " Clinical " " " 1 25 *2640 Millard's No. 5 " Throat and Ear, single bulb 1 50 *2641 " No. 6 " Larynx, single bulb 1 50 *2642 " No. 10 " Throat " " 1 5° 2643 Reversible Atomizer, single bulb 2 00 *2644 Richardson's " " " 2 00 2645 Davidson's " " " 2 00 *2646 Shurtleff's " " " 2 60 *2647 Phoenix " one bulb 60 *2648 Holmes' " " " 2 60 *2649 S. & S. Freezing Atomizer, one bulb 2 60 MOUTH AND THROAT INSTRUMENTS. SHARP & SMITH, CHICAGO. 493 MOUTH AND THROAT INSTRUMENTS. FIG. *2650 Atomizer Tips, Throat, straight, Platina lined, No. 1 $ 40 *2651 " " " curved " " " 2 40 *2652 " " " " " " "3 40 *2653 " " Nasal " " " 4 60 2654 " " Hall's " " " 60 Tips for all Atomizers furnished at once. CAPS. No. 1. 2650 No. 2. 2651 No. 3. 2652 No. 4. 2653 Instruments designated by a * are illustrated. 494 SHARP & SMITH, CHICAGO. MOUTH AND THROAT IN- STRUMENTS. FIG. *2655 No. 2 Compressed Air Appar- atus, complete $34 50 *2656 No. 3 Compressed Air Appar- atus, complete 44 50 Prices of Fig, 2656 include appurtenances same as in Fig. 2655. This Receiver is made of copper, and nickel-plated. It is tested to 300 pounds to the square inch, and provided with an A No. i gauge, registering from I to loo (or 200) pounds' pressure. The valves are made so they will not leak at any pressure. The gauge and valves are made of bronze, and plated. This Receiver stands as high as an ordinary table, and the valves can easily be controlled. Size, 7 inches diameter by 28 inches high. This outfit consists of a plated copper Receiver, warranted to be air-tight. Size, 9 inches diameter by 12 inches high. . With first-class gauge, registering from one to fifty pounds' pressure; plated air-pump (latest improved), capable of producing fifty pounds' pressure ; automatic cut-off; three Sass' spray tubes, glass ; three test tubes; four feet silk-covered rubber tubing, and four feet lined rubber tubing. All Air Receivers leaving our place are warranted. SHARP & SMITH, CHICAGO. 495 COMPRESSED AIR APPARATUS FIG. *2657 No. 4 Compressed Air Apparatus $36 50 *2658 " 5 « " " 41 50 Prices of Figs. 2657 and 2658 include appurtenances, same as in Fig. 2655. No. 4. This Receiver is made of supe- rior tinned steel, japanned in rich chocolate color, with first-class gauge registering from one to one hundred pounds' pressure, and high-pressure valves warranted not to leak. Also, provided with couplings for attaching the necessary rubber tubing. The gauge and valves are made entirely of bronze, highly finished and plated. Size, 10 inches diameter by 18 inches high. No. 5. This Receiver is made of superior tinned steel, japanned in rich chocolate color, with first-class gauge registering from one to one hundred pounds' pressure, and latest im- proved high-pressure valves, warranted not to leak. Also, provided with couplings for attaching the necessary rubber tubing. The gauge, valves, and couplings are made of bronze, highly finished and plated. Size, 10 inches diameter by 32 inches high. 496 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. * 2659 No. 6, Condensed Air Apparatus$42 50 * 2660 No. 7, " " " 37 50 * 2661 No. 8, " " " 39 50 2662 Burgess " " " (tubes extra) 20 00 Prices of figures 2659, 2660 and 2661, include appur- tenances same as in figure 2655. Fig. 2659-No. 6. This Receiver is made of same ma- terial and finish as the No. 5, and provided with the latest improved high-pressure valves, warranted not to leak ; first class gauge registering from one to one hundred lbs. and couplings for attaching the necessary rubber tubing. It is designed for use with globe inhaler as well as with ordinary spray tubes. Size, 10 inch, diameter by 32 inch. high. Fig. 2660-No. 7. This Receiver is made of copper, highly finished and plated. With first-class gauge, register- ing from one to fifty lbs. pressure; two accurately-fitted air cocks, and couplings for attaching the necessary rubber tubing. 1 he gauge, air-cocks, and couplings are made of bronze, and nickel plated. Size, 9 inch, diameter by 16 inch. high. big. 2661-No. 8. This Receiver is made of same ma- terial and finish as the No. 7, and provided with two latest improved high-pressure valves, warranted not to leak, and couplings for attaching the necessary rubber tubing. The gauge (first quality) registering from one to fifty lbs. pressure. Size, 9 inch, by 16 inch, high SHARP & SMITH, CHICAGO. 497 MOUTH AND THROAT INSTRUMENTS. FI®. No. 3 Air Receiver (only) as described in Fig. 2656 $27 00 No. 4 " " '' " " 2657 19 00 No. 5 " " " " " 2658 24 00 No. 6 " " " " " 2659 25 00 No. 7 " " " " " 2660 20 00 No. 8 " " " " " 2661 22 00 fig. PARTS OF CONDENSED AIR APPARATUS. *2663 Automatic Cut off (cutoff only) $ 3 00 *2664 Devilbiss' Automatic Cut off *2664-A Rumbold's " " " *2665 Sass'Spray Tubes, Glass mounted each 1 00 2666 " " " Metal " " 1 50 2667 " " " Hard rubber mounted " 2 00 2665- " " " Glass, not " " 80 2666- " " " Metal " " " 1 25 2667- " " " Hard rubber not mounted " 1 75 *2667-11 Holmes' Spray Tubes " 1 85 Devilbiss' " " Metal for Vaseline (see index) Mounted each 2 00 *2668 Hanks' Spray Tubes, Glass 3 sizes, not mounted " 85 Rumbold's Spray Tubes (see pages 499 and 500) 2668- (As in Fig. 2663) Spray Tube bottle with cork 25 2669 Thimbles for Spray Tubes 30 2670 Silk Covered Rubber Tubing per foot 50 2671 Lined " " " " 18 2672 Plated Air Pumps (T Handle) latest improved (same as in Fig- 2655) 8 00 2673 Black Walnut Stand to hold six spray tubes 2 00 2674 Hard Rubber Atomizer Stand, mounted on nickel-plated pillars, to hold nine sprays 10 00 2674-A Pressure Gauge 2% inches, including fitting for Receiver, made of bronze and nickel-plated 6 00 THE DEVILBISS AUTOMATIC CUT-OFF. The figure shows it in its working position. The dotted lines show the pressure-foot carried backward, permit- ting free passage of air. The part to connect with spray tube is constructed so it will fit to any fastening in use direct, or with short piece of rubber tube. There is with each Cut-off a coupling so that a piece of uncovered rubber tubing may be connected by one end to the tube leading from air receiver, and the other end slipped over the heel-piece of Cut- off. 498 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. Figure 2664-a. Rumbold's Spray Controller, a, set-screw, to control the pressure on the rubber tube'connected with the compressed air reservoir. The illustration shows the manner of holding the instrument. The Spray Controller is thus made the handle of the Spray Producer. SHARP & SMITH, CHICAGO. 499 MOUTH AND THROAT INSTRUMENTS. FIG. *2675102682 Rumbold's Glass Vaseline Spray Tubes each $ 40 *2675 to 2682 " Metal " " " " 1 50 *2675 to 2682 " Glass " " " Mounted for connection with Air Condenser each 70 *2675 to 2682 Rumbold's Metal Vaseline Spray Tubes, mounted for connection with Air Condenser each 1 75 The Rumbold Tubes are considered by those who have used them to be superior to any other in use. They are made in glass and metal-the glass being used the most. They are preferable because the desired amount of med- icine can be measured and put in the cup. Figure 2675, Spray Producer No. 4. This instrument is used to make local applications to the pharyngo-nasal cavity. Figure 2676, Spray Producer No. 5. This instrument is used to make local applications to the posterior nasal cavities, treating the surface under the inferior, middle and superior turbinated processes. Figure 2677, Spray Producer No. 1. This is used to treat the fauces, ton- sils, and by inhalation, the lower portion of the pharynx, and slightly the larynx, vocal cords and bronchial tubes. Figure 2678, Spray Producer No. 2. This instrument is used to make local applications to the anterior portions of the nasal passages. 500 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. Figure 2679, Spray Producer No. 3. This instrument is used to cleanse the posterior wall of the pharyngo-nasal cavity, when it is coated with a heavy, thick secretion that cannot be removed by the No. 4 spray producer. Figure 2680, Spray Producer No. 6. This instrument is used to make ap- plications to ulcerated surfaces on the posterior wall of the pharynx, and pos- terior wall of the epiglottis. Figure 2681, Spray Producer No. 7. This instrument is used to make local applications to ulcerated surfaces located on the superior border of the epiglottis, the ary-epiglottic folds, arytenoid processes, and vocal cords. Figure 2682, Spray Producer, No. 8. This instrument is used to make ap- plications to ulcerated surfaces that cannot be reached by Nos. 6 and 7. SHARP & SMITH, CHICAGO. 501 MOUTH AND THROAT INSTRUMENTS FIG. *2683 No. 9. Novelty Air Pump$35 00 *2684 " 10. " " " two wheel 50 00 2683 2684 Fig. 2683 .-This cut represents the well-known Novelty Air Pump, designed for ex- hausting as well as compressing air for atomizing purposes, and for compressing oxygen. The construction of the pump is such that a pressure of one hundred pounds to the square inch can be obtained with comparatively little effort. The fly-wheel, frame part, and base are nicely japanned in black and ornamented in bronze, and all bright parts highly finished and plated - making this pump especially adapted for the office. Height of pump from floor to top of wheel, 40 inch.; size of base, 14 by 14 inch.; diameter of wheel, 20 inch.; diameter of chamber, 2 by 6% inch, stroke ; weight of pump, 90 pounds. Fig. 2684.-This cut represents the two-wheel Novelty Pump, of same material and finish as the Fig. 2683 Novelty, but considerably heavier in construction, and designed for compressing air or gas into Receivers of extra large sizes. Height of pump from floor to top of wheel, inch.; size of base, 14 by 14 inch.; diameter of wheels, 2oJ£ inch.; diameter of chamber, 2 inch, by 8 inch, stroke ; weight of entire pump, 150 pounds. Instruments designated by a * are illustrated. 502 SHARP & SMITH, CHICAGO. FIG. *2685 Dr. N. L. McBride's Inhaling Apparatus complete as shown in cut, with Novelty Air Pump, and Figure 2658 No. 5 Air Re- ceiver 10x32 inch$67 00 2686 Dr. N. L. McBride's Inhaling Apparatus only 8 00 This apparatus can be had by itself or in connection with any of our air condensers or pumps. MOUTH AND THROAT INSTRUMENTS. Fig. 2685.-INHALING APPARATUS. For administering Vaporized Medicine in the treatment of Throat and Lung difficul- ties, as designed by Dr. N. L. McBride, New York. Shown in connection with the cele- brated Novelty Air Pump and No. 5 Air Receiver, 10 by 32 inches. Each Inhaler is provided with the necessary rubber tubing, (3% feet) and one hard rubber mouthpiece. Glass tube D to contain the liquid to be vaporized; glass jar be half filled with clear water. All of our Air Condensing apparatus, etc., are thoroughly reliable, and are guaranteed by us as represented. We pack them carefully, and would suggest in ordering, to have them sent by freight. SHARP & SMITH, CHICAGO. 503 New Apparatuses for Atomization with Compressed Air. Designed to combine efficiently all the advantages of an office and of a Portable Apparatus for Physicians' use. For attaching the Air Chamber of the Nos. 266 or 268 to the office wall we make Plated Metal Brackets designed to remain screwed to the wall. From these the apparatus may be readily detached and placed in case for portable use, and on return as quickly replaced upon them, as shown in cut. The Portable Case is 23 inches long, inches wide, 7 inches high. It has a separate compartment for safe carriage of the Oliver Jar, also a spare compartment for a second Oliver Jar or for other use. It is neatly made, with hinged top and brass handle. Each apparatus tested to more than 100 lbs. per square inch, and warranted perfect. PRICES, PACKED FOR TRANSPORTATION. The apparatus as described, including the Air Chamber, the 2% inch Pressure Gauge, the Pump, the Cut-off, the Oliver Jar, a sufficient amount of strong, serviceable Tubing, with screw couplings and wrench, and either the Portable Case or the Wall Brackets, at the option of pur- chaser; all metal parts handsomely polished and nickel plated. *2687 No. 266, with Wall Brackets, or with Portable Case $20 25 2687 No. 268, " " " " " " 19 50 For both the Wall Brackets and the Portable Case, add 1 50 For further details and description relating to Oliver's Vaporizing and Compressed Air Atomizer, also to pump and cut-off which accompany this apparatus, and for a great variety of Atomizing Tubes adapted to use with these apparatuses and fitting the cut-off, see our pamphlet on Atomization of Liquids, which will be mailed on request. *2688 No. 166. Dr. Oliver's Atomizing Apparatus, with Platinum Plated Atomizing Tube and Platinum Nozzles $10 50 2688 No. 168. Same as above, with Nickel Plated Atomizing Tube and Platinum Nozzles 9 75 *2689 No. 165. Dr. Oliver's Vaporizer, with Platinum Plated Atom- izing Tube and Platinum Nozzles 3 00 2689 No. 167. Same as above, but with Nickel Plated Atomizing Tube and Platinum Nozzles 2 25' *2689-ASharp & Smith's Air Receiver, 20 inches high, with Pressure Gauge, 3 Sass' Glass Tubes and Bottles, has 3 Metal Clasps on top of Cylinder fastened to back of Gauge for holding the Tubes. Price of apparatus complete with Pump 40 00 Fig. 26S7. No. 266. 504 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. 2688 (No. 166.) 2689 (No. 165.) 268g-A SHARP & SMITH, CHICAGO 505 MOUTH AND THROAT INSTRUMENTS. FIG. *2690 Globe Inhaler on Stand (without receiver shown in cut)$30 00 2691 " " only 3 00 2692 " " with trimmings 12 00 2693 " " . " " and bracket 20 00 This instrument consists of a glass vessel, 9 inches diameter by 12 inches long, one end being provided with a metal cap with a spray tube attached, reaching about two inches into the globe. The liquid to be vaporized can be taken from the globe, or from a test tube attached to the frame. The instrument can be adjusted to the height of the patient. The iron table stand is nicely ornamented in black and gilt, and the other metal parts are highly finished and plated. Price of Inhaler, without Receiver, $30.00. Two mouthpieces and six feet of silk covered tubing are furnished with each instrument. 506 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. *2694 Buttles' Inhaler, complete $ 1 00 2695 Cutter's " 1 00 *2696 Evans' " " 20 00 2697 " Spray Chamber and Inhaling Tube 8 50 2698 " Receiver alone 2 50 2699 " Pump " 8 00 2700 " Connections ' 1 00 2701 Brewster's Inhaler 60 *2702 Barber's " 3 00 SHARP & SMITH, CHICAGO. 507 MOUTH AND THROAT INSTRUMENTS. FIG *2703 Brady's Inhaler $ 75 2704 Fulgraff's " 50 *2705 Hunter's " 85 2706 Schofield's " 2 25 2707 Kirkwood's Large Inhaler. 3 75 2707-A " Small " 1 85 2708 Crumb's Inhaler . 1 00 2709 Vilas' " 1 75 2710 Oliver's Tar " 75 2711 Fitch's Hard Rubber Inhaler 75 2712 Roosa's Iodine " two tips., 1 50 2713 Gedding's " 4 00 2714 Hazen's " 2 25 2715 Hutchinson's " 3 5° 2716 Laforme's " 60 2717 Ramage's " 60 *2718 Semple's " 3 00 2719 Stafford's " 75 2720 Delano's " 85 All instruments designated by a * are illustrated. 508 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS fig. To Patients. To Physicians. *2721 American Nebulizer$3 00 $2 00 *2722 Oliver's " 2 00 1 5° In this Vaporizing or Nebulizing Apparatus, based upon the invention of Dr. Henry K. Oli- ver, the medicine, when suitably constituted by the addition of glycerine or other vehicle, is first atomized and then further broken into a fine cloud by striking against a hard surface. Issuing from the inhaling tube it floats upon the atmosphere for a long time without being ab- sorbed into it. Possessing this quality, it is ad- mirably adapted to be received by the air-cells of the lungs, into which it surely penetrates, as abundantly proved by careful observers. To use it, take the rubber bulb in the hand, compress it strongly, let it expand quickly and continue this as rapidly as convenient, and air charged with fine vapor of the medicament will issue from the inhaling tube G. In affections of the lungs and bronchial tubes, take this tube well into the mouth, close the bps and inhale the vapor with long, deep inspirations, holding the breath as long as can be done without inconvenience, and then allow it to pass out slowly through the nose. The bulb being worked continuously, the small hole in the rubber stopper being closed by the finger while breathing outward, the inspired vapor of the medicament will pass into the lungs and then outward through the pharyngeal vault and both nostrils, and will thus be brought in contact with the entire respiratory tract. For catarrh, coughs and colds, in addition to the foregoing, insert the inhaling tube a short distance into each nostril by turns, close the mouth and work the bulb while holding the finger over the small hole in the stopper. The vapor will now pass through one nostril into the deeper cavities of the nose and out at the other nostril. A number of valuable recipes with suggestions for their appropriate use, obtained from high medical authority, will be supplied with each. This ingenious little apparatus converts liquid remedies into a nebula or vapor so very fine that it re- mains suspended in the air like smoke, and can be inhaled and retained within the lungs as readily as the air we breathe, or can be introduced into the nasal passages without the slightest discomfort. Nor is the substance thus inhaled a mere gas or the odor of a medicine, but the actual medicine itself in its full remedial potency. Much good was expected from atomization, but it failed because the atomized liquid condenses in the throat, and never finds its way into the lower air passages. This is entirely different, however, with this new method, for the remedy selected penetrates to the very air cells of the lungs to the most 1 emote cavity of the head, or to the middle ear, as may be desired-a fact which a single application will conclusively demonstrate. Every nebulizer is accompanied by valuable recipes for the cure of the various diseases named above, gathered from the practice of well known specialists of established reputation. Your druggist can prepare the remedies. SHARP & SMITH, CHICAGO. 509 MOUTH AND THROAT INSTRUMENTS. FIG. *2723 Plain Mouth Respirator $ 75 *2724 Mouth and Nose Respirator I 50 2725 Nitz' Mouth and Nose Respirator . 1 50 *2726 Anti-Dust " 1 80 *2727 Tyndale's " 2 60 *2728 Robinson's " 50 CODMAN & SHURTLEFF, BOSTON. 2726 Instruments designated by a * are illustrated. 510 SHARP & SMITH, CHICAGO. INTUBATION APPARATUS. Fig. 2729 O'Dwyer's Intubation Set, complete$25 00 Comprising: *2730 Fig. 1. O'Dwyer's Mouth Gag. *2731 " 2. " Tube Introducer. *2732 " 2-G " Tubes with Obturator. *2733 " 3- " Scale for measuring the Tubes to assist in the selection of proper size. *2734 " 4. " Extracting Forceps. 2733 (Fig. 3- 2730 (Fig. 1.) 2732 (Fig. 2-G.) 2731 (Fig. 2.) 2734 (Fig. 4.) i he numbers on the scale (Fig. 3) indicate the years for which the corre- sponding tubes are suitable. For instance, the smallest tubes when applied to the scale will reach to the first line, marked 1, and is intended to be used up to SHARP & SMITH. CHICAGO. 511 the age of twelve or thirteen months; the size marked 2 is suitable for the next year, 3 and 4 for those years, and so on. When the proper tube is selected for the case to be operated on, a fine thread is passed through the small hole near its anterior angle, and left long enough to hang out of the mouth; its object being to remove the tube should it be found to have passed into the oesophagus instead of the larynx. The obturator is then screwed tightly to the introductor, to prevent the possibility of its rotating while being inserted and passed into the tube. The following is the method of introducing the tube, which is done without the use of an anaesthetic. The child is held upright in the arms of a nurse, and the gag (Fig. 1) inserted in the left angle of the mouth, well back between the teeth, and opened widely; an assistant holds the head, thrown somewhat backward, while the operator inserts the index finger of the left hand to elevate the epiglottis and direct the tube into the larynx. The handle of the introductor (Fig. 2) is held close to the patient's chest in the beginning of the operation, and rapidly elevated as the canula approaches the glottis. The tube is then pushed downward without using much force. It is then detached. The joint in the shank of obturator is for the purpose of facilitating this part of the operation. As soon as the obturator is removed, and it is ascertained that the tube is in the larynx, the thread is withdrawn, but at the same time the finger is kept in contact with the tube to prevent its being also withdrawn. It is important that the attempt at introduction be made quickly, as respi- ration is practically suspended from the time that the finger enters the larynx until the obturator is removed. It is therefore, under the circumstances, much safer to make several abortive attempts than one prolonged effort, even if successful. For the purpose of removal the patient is held in a similar position, except that the head is not inclined backward, or very slightly so, and the extractor passed into the tube guided by the index finger of the left hand, which also fixes the epiglottis, and is brought in contact with the head of the canula. Firm pressure with the thumb is then made on the lever above the handle while the tube is being withdrawn. If secondary dyspnoea supervenes at any time, the tube should be removed, and a larger one substituted. To avoid accidents it is very essential to have some preliminary practice on the cadaver, particularly in extracting, which is the more difficult operation, owing to the aperture of the tube being so much smaller than that of the larynx. These tubes will also prove valuable as dilators in chronic stenosis of the larynx or trachea. Parties wishing our instruments, and finding it more convenient to obtain them through dealers, are requested to order "S- & S. manufacture,'' as otherwise inferior goods are frequently substituted. All instruments of our manufacture have our name, on them, which is a guarantee of the quality. SHARP & SMITH, Manufacturers of Surgical Instruments, 73 Randolph Street, Chicago. 512 SHARP & SMITH, CHICAGO. INTUBATION SETS. FIG. 2735 Waxham's Intubation set $27 50 Comprising; 1 O'Dwyer's Tube Introducer (2731-Fig. 2). 1 " " Extractor (2734-Fig. 4). 1 " Scale (2733-Fig. 3)- 1 Waxham's Gag. 1 Pair Waxham's Trachea Forceps. 1 " Respirator. 5 " Tubes, with Epiglottis and Intubators. *2736 O'Dwyer's Instrument for Intubation in Chronic Stenosis of the Larynx . 2 50 Extract from an article entitled " INTUBATION IN CHRONIC STENOSIS OF THE LARYNX." * * I have also devised a snare (Fig. 2736) for the removal of laryngeal growths, particularly when situated in the subglottic region, where it is difficult to reach them with forceps in adults, and impossible in children. For growths attached to the lateral aspects of the larynx the snare is passed far enough down to give room for the neoplasm to slip between the blades, when it is Joseph O'Dwyer, M. D. pressed firmly against the side of the larynx, and withdrawn. If the seat of attachment is unknown, both sides, and then the anterior and posterior por- tions of the glottis, can be curetted in succession. 1 his instrument will not seize any of the normal tissues when applied laterally, but in removing it, when used antero-posteriorly, it is necessary to protect the epiglottis and uvula with the finger. Two sizes of this snare are necessary, that shown in the cut being suitable for children. In young sub- jects it is guided into the larynx in the same manner as in practicing intu- bation. In adults it can be inserted with greater facility by the aid of the mirror. All Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 513 INTUBATION. FIG. 2737 Dr. J. Tascher's Intubation Set$27 50 Comprising: 1 O'Dwyer's Tube Introducer (2737)-Fig. C). 1 " " Extractor (2734-Fig. A). 1 " Scale (2733-Fig. 3). 1 " Gag (2737-Fig. B). 6 TASCHER'S TUBES, with Epiglottis (2738-Fig. F), and one per TASCHER'S Throat Forceps (2738-Fig. E.) FIG.C 2737-C 2737-A FIG.D 2738-D, E and F. Fig. D in above cut represents the false Epiglottis used in the introduction of each tube. Cut Showing the O'Dwyer Tube in Position. 2737-B 514 SHARP & SMITH, CHICAGO. INTUBATION. Fig. i represents the anterior portion of a transverse section of the larynx, showing the head rest- ing in the ventricle of the larnyx; No. i, the true vocal cords as they grasp the body of the tube beneath the flange; No. 2, the false vocal cords resting above the flange; No. 3 the epiglottis; No. 4 the head of the tube; No. 5,the body; No. 6 ventricle. Fig. 2 represents an antero- posterior section of the larnyx, giving a side view of the position of the tube in the larnyx. No. 1, true vocal cords; No. 2, false vocal cords; No. 3, epiglottis; No. 4, head of the tube; No. 5, body of the tube; No. 6, ventricle. Fig. 3 represents the larnyx slit open posteriorly, with tube in position. No. 1, true vocal cords; No. 2, false vocal cords; No. 3, epiglottis; No. 4, head of tube situated in ventricle; No. 5, body of the tube; No. 6, ventricle. Fig. 5 represents the larnyx as viewed through the epiglottid ap- erture, showing the position of the true vocal cords, without tube. Fig. 4, same view with tube in position. Fib 2 FiG.3 F i G. F/S.5 For a Complete Description of Dr. Tascher's Method of Intuba- tion, see "Supplement." SHARP & SMITH, CHICAGO. 515 MOUTH AND THROAT INSTRUMENTS. FIG. *2739 Dr. J. Mount Bleyer's Tongue Tractor $4 50 *2740 " Mouth Gag 5 00 *2741 " Cupped and False Epiglottis Tube 3 00 TONGUE AND LARYNX TRACTOR For the Performance of Forced Laryngoscopy in Children. Mouth-Gag and Cupped- Out Intubation-Tube, with False Metal Epiglottis Attachment. J. Mount Bleyer, M, D.. New York. Among the methods of examination which are at our disposal for the recognition of laryngeal disease in children, laryngoscopy takes the first place, and the results which are thus attained are of such great importance in diag- nosis that I was led to devise some means which would assist in such a proce- dure. It is extremely difficult, by a mere verbal description, to explain clearly any process requiring the use of an instrument and skill. In such cases a single practical demonstration is of more value than a dozen pages of written directions. This tongue and larynx trac- tor, which is represented in the accompanying illustration, I have successfully used in my last three hundred cases, which were operated on in the described manner (intubation of the larynx for stenosis). These cases were previously examined by forced laryngoscopy in order to ascertain the extent of the disease present. This instrument was found to facilitate the examination necessary in the majority of cases of acute laryngeal disease in children under four years of age. Such procedure is not to be underrated in importance, nor neglected on account of any personal disinclination to undergo the necessary trouble involved in making it. If such an inspection will disclose facts of diagnostic importance, surely it will not be neglected by any earnest physician. Suggestions for Operating with the Tongue and Larynx Tractor. The patient is to be placed upon the lap of a nurse, who is directed to hold the child in an upright posture, facing the operator, the feet being most conveniently held between the knees of the nurse. With a towel envelop the body and arms, which are thus to be pinned securely. The gag is now inserted. At this stage of the operation a five per cent, solution of cocaine, with which the pharyngeal and laryngeal surfaces are to be thoroughly sprayed, or without any use of cocaine, as I often do when the examination is of short duration, the operator passes the tractor down, and secures the base of the tongue, guided upon the forefinger of his left hand. Then drawing upon the base of the tongue, which favors partial elevation of the larynx, the tractor is to be passed upward, outward and downward. Enforced laryngoscopic examination in children is performed in the above described manner, and there is no doubt that many advantages are thereby gained. Often a very common difficulty is met with in the position of the epiglottis, as more or less depressed, overhanging the larynx, or compressed and rolled together at its sides. By forcing and steadying the epiglottis against the base of the tongue this difficulty is nearly obviated, and a thorough view of the larynx and neighboring parts may be viewed and treated. Tongue Tractor.-2739. 516 SHARP & SMITH, CHICAGO. TONGUE AND LARYNX TRACTOR.-Continued. Other important advantages of this instrument are that where there might occur some difficulty in extracting a tube after intubation, extraction is per- formed after elevation of the larynx with any ordinary forceps. The mouth gag, which is herein represented, will be found to have superior qualities in its construction in many points. I have found that all other gags are very troublesome to introduce into the mouth of the child, on account of the shoulders of the alveolar processes of the gagger, which are very large,-and espec- ially when one has to deal with a stubborn patient, who will not begin to open his mouth. This Jed me to have a wedge attach- ment made to the side of the alveolar process, and very low shoulders, in order to help to open the mouth and thereby slip immediately the gag in between the angles of the jaw. The al- veolars of the gag are padded with soft rubber, and which can be changed in every case; thus no damage is done to the teeth, and where no teeth exist the gums are protected thereby. The shoulders are very low, so that while the gag is in position it will not press upon the hard palate and crush in the same, as I often had experienced. Slipping of the gag is avoided by the anatomical construction of the angles of the gag ; also the soft rubber padding keeping it in place by the indentation of the teeth. The separating of the jaws by the gag can be accomplished to any degree and with ease. Also it lies flat upon the cheek, and is self-retaining. To Dr. Charles E. Denhard of New York, I must credit the principle of this gag. Dr. J. Mount Bleyer's Cupped and False Epiglottis Tube. The tube is an improvement upon the soft rubber false epiglottis of Dr. T- E. Waxham of Chicago, to whom all honors should be given for this ingenious idea. When one has operated many cases he begins to see the necessary wants and deficiencies which exist. These tubes have many advantages over the first tubes of Dr. O'Dwyer. They are cupped out at the head, and admit of the extractor engaging itself into the tube, and thereby the extraction made easy. A metal-hinged artificial epiglottis, which is intended to assist the patient in swallowing, to prevent the falling of foods and fluids through the canula into the bronchi, and to guard against the dangers of broncho-pneumonia. Since the use of these tubes I have had better results. FIG. 2742 Mussey's Mouth Gag $5 25 2743 Dedham's " " 5 00 2744 Whitehead 's " " 9 00 2745 Smith's " " 9 00 2746 Wier's " " 5 25 2747 Lentz's " " 4 50 2748 O'Dwyer's " « (see page 510) 3 73 2749 Waxham's " " 3 75 2750 Warren's " " 3 00 2750-A Hartman's " " and Retractor 1000 Mouth-Gag.-2740. Cup and Tube.-2741. SHARP & SMITH, CHICAGO. 517 HARE LIP INSTRUMENTS FIG. 2751 Smith's Hare Lip Forceps $4 50 *2752 Hutchinson's Hare Lip Forceps 2 25 *2753 Parallel " " . 6 75 2754 Simpson's Pin Cutting Forceps 2 75 2755 Prince's Hare Lip Clamp .. 2 25 2756 Buck's Pin Carrier Folding, Plain 75 *2757 " " " 1 50 2758 Post's " " Folding, Plain 7C> 2759 Buck's & Post's Pin Carrier, in one handle $ 2 25 *2760 Buck's Pins, 1 to 2 inch doz. 05 *2760 " " inch " 10 *2760 " " 3 inch . " 15 *2761 Hare Lip Needles per dozen 1 25 2762 Canulated Silver Needles each 40 2763 Plastic Needles doz. 20 *2764 Southey's Set of Trocars and Canulas 2 50 All instruments designated by a * are illustrated. 518 SHARP & SMITH, CHICAGO. HARE LIP INSTRUMENTS. FIG. *2765 Emmet's Canulated Needle $1 85 *2766 Ivory Handle Scalpel 1 00 2767 Ebony " " 75 *2768 Hornby's Hare Lip Truss 4 50 2769 Hamilton's Hare Lip Scissors 1 50 *2770 Angular " " " 1 00 *2771 Curved " " " 1 00 SHARP & SMITH, CHICAGO. 519 TOOTH-EXTRACTING FORCEPS. FIG. *2775 No. 19-Right Upper Molar *2776 No. 19-Left " " *2777 No. 24-Universal " *2778 No. 28-Right and Left Lower Molar ALL OUR FORCEPS ARE OF THE BEST QUALITY, NICKEL PLATED AND FULLY WARRANTED. $1 5° each. Fig. 2775 (No. 19). Right Upper Molar. Fig. 2776 (No. 19). Left Upper Molar. Fig. 2777 (No. 24). Universal Molar. Fig. 2778 (No. 28). Right and Left Lower Molars. 520 SHARP & SMITH. CHICAGO. TOOTH FORCEPS. FIG. *2779 No. 47 Hutchinson's Tooth Forceps $ 1 50 *2780 No. 23 Lower Molar Cow-Horn, either side 1 50 *2781 No. 16 " " " " " 15° *2782 No. 45 Upper " " " " 1 5° *2783 No. 14 Lower Incisor 1 50 *2784 No. 13 Upper " 1 50 Fig. 2779 (No. 47). Lower Molar (Hutchinson's). Fig. 2780 (No. 23). Lower Molar Cow-Horn, either side. Fig. 2781 (No. 16). Lower Molar Cow-Horn, either side. Fig. 2782 (No. 45). Upper Molar Cow-Horn, either side. Fig. 2783 (No. 14). Lower Incisor. Fig. 2784 (No. 13). Upper Incisor. SHARP & SMITH, CHICAGO. 521 TOOTH FORCEPS. FIG. *2785 No. 8 Universal Incisor and Bicuspid $ 1 50 *2786 No. 46 Lower " " " 1 5° *2787 No. 4 Upper and Lower Bicuspid, half curve 1 50 *2788 No. 25 Lower Biscuspid, Safety 1 50 *2789 No. 27 Lower Wisdom 1 50 *2790 No. 10 Upper Dentes Sapientiae, with or without hook, either side 1 50 Fig. 2785 (No. 8). Universal Incisor and Bicuspid. Fig. 2786 (No. 46). Lower Incisor and Bicuspid, either side. Fig. 2787 (No. 4). Upper and Lower Bicuspid, half-curve. Fig. 2788 (No. 25). Lower Bicuspid, Safety. Fig. 2789 (No. 27). Lower Wisdom. Fig. 2790 (No. 10). Upper Dentes Sapientiae, with or without Hook, either side. 522 SHARP & SMITH, CHICAGO. TOOTH FORCEPS. FIG. *2791 No. 22. Lower Dentes Sapientiae either side *2792 No. 7. Universal Root *2793 No. 3. Lower Root, Full Curve *2794 No. 2. Upper and Lower Root, Half-Curved *2795 No. 1. Upper Front Root, Straight *2796 No. 35. Bayonet Root $1 5° each. Fig. 2791 (No. 22). Lower Dentes Sapientiae, either side. Fig. 2792 (No. 7). Universal Root. Fig. 2794 (No. 2). Upper and Lower Root, Half-Curved. Fig. 2793 (No. 3.) Lower Root, Full Curve. Fig. 2795 (No. 1). Upper Front Root, Straight. Fig. 2796 (No. 35). Bayonet Root. SHARP & SMITH, CHICAGO. 523 TOOTH FORCEPS AND SETS. *2797 Brophy's set of Tooth Forceps, for Physicians' use$7 85 Fig. 2797. Dr. Brophy's (Rush College) Set of Tooth Forceps for Physicians' use. CONTAINING i Pair No. 28R, Tooth Forceps. 1 " " 32, " " 1 " " 39, " " 1 " " 10, Special Tooth Forceps. In Chamois Lined Pouch. PLEASE DO NOT CUT OR MUTILATE THIS BOOK. In ordering state number of figure and page, and we can promptly fill your order. 524 SHARP & SMITH, CHICAGO. INSTRUMENTS FOR PHYSICAL DIAGNOSIS FIG. *2800 Camman's Ordinary Stethoscope$2 00 *2801 " Stethoscope with closed spring adjustment 3 00 *2802 Sharp & Smith's Improved spring adjustment Stethoscope 3 75 *2803 Knight's Improved (Camman's) Stethoscope 4 50 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 525 INSTRUMENTS FOR PHYSICAL DIAGNOSIS. FIG. *2804 Sharp & Smith's Perfected Camman's Stethoscope, No. 1 $ 2 20 *2805 " " " " " No. 2 1 85 *2806 Allison's Differential Stethoscope *..... 3 50 *2807 Paul's Stethoscope 2 75 2808 Laenec's " 6 00 2809 Koefenderfer's Stethoscope 2 75 2810 Davis'Stethoscope 3 00 2811 Powell's " 2 25 2812 Loomis' " 3 00 526 SHARP & SMITH, CHICAGO. INSTRUMENTS FOR PHYSICAL DIAGNOSIS FIG. *2813 Arnold's Stethoscope $ 1 00 2814 Boeker's " . 1 00 2815 Martin's Combined Stethoscope 3 75 *2816 Cedar Stethoscope 40 2816- " " with rubber ring 85 *2817 Ebony " 1 00 2817- " and Ivory Stethoscope 1 50 2818 " Stethoscope, with rubber ring 1 25 *2819 " " with Pleximeter and Hammer 2 50 *2820 Hawksley's New Stethoscope 1 00 *2821 University Stethoscope, Improved 2 25 *282iA " " 2 25 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 527 INSTRUMENTS FOR PHYSICAL DIAGNOSIS. Fig. *2822 Dennison's Hard Rubber Stethoscope$ 9 00 The instrument here presented is the result of considerable experimenting and differs from those heretofore used in many particulars which are of great importance in a good instrument, though in outward appearance it is very much like other stethoscopes. The points of dissimilarity are those which by having many different kinds made, are the essentials in a perfect instrument. 1. As to the quality of sound.-The material of which an instrument is made determines the character of the sound obtained. A stethoscope made wholly of metal or with metal tubes only, gives a metallic quality to all the sounds transmit- ted, whose pitch seems to be elevated and thereby unnatural. This perversion of natural sounds is not obtained in any such degree by gutta-percha, wood or celluloid. In this instrument is chosen hard rubber for the arms instead of the metal here- tofore used in most stethoscopes, and I have had the flexible tubes made so as to give a smooth inner surface to the coiled wire, which holds them in shape. We have succeeded in embedding the wire between two tubes of soft rubber and then vulcan- izing them together. This arrangement gives nearly as natural effects as does a stethoscope made wholly of hard rubber, which of course would be inflexible and unyielding. 2. As to the form of the instrument.-The size of the canal in this instrument is largest at the attachment of the bell and gradually decreases in diameter to the ear ends, and is in imitation of those trumpets or conversation tubes which best serve the purposes of deaf persons, owing to their property of concentrating and conducting the waves of sound, and forms one of the principal advantages of the instrument. The larger sized tube used in this stethoscope is an especial advantage to those physicians who have slight defects in hearing, and will be pre- ferred we believe by the great majority of the profession. The ear-tips are shaped with particular reference to the direc- tion of the canal in the arms of the stethoscope and have the lower and forward edges bulged to such an extent as to fill in spaces behind the tragi, so that it throws the tube openings in the direction of the auditory canals. The ear-tips are crowded into the external auditory canal as firmly as can be comfortably done by means of a rather stiff spring, which brings the arms of the instrument together, and which is supplied with a set screw so that it can be regulated to suit the listener. All the joints, bells, tubes and arms are constructed on the principle of a slightly conical tube, each portion fitting evenly and tightly into the other, and the fastenings of the flexible portion to the gutta-percha are so perfect that there is no interruption in the transmission of sounds from the chest to the ear. 528 SHARP & SMITH, CHICAGO. INSTRUMENTS FOR PHYSICAL DIAGNOSIS. FIG. *2823 Flint's Percussion Hammer, best $ 75 *2824 " " " rubber 55 2825 Bennett's " " . 1 00 2826 Bartlett's " " 90 2827 Winterich's " " 1 50 *2828 Wells' " " 1 25 2829 Schroeter's " " 1 50 2830 North's " " 1 00 2831 Post's Hard Rubber Pleximeter 60 *2832 Flint's " " 25 2833 " Ivory " 1 00 2834 Bartlett's Hard Rubber " 60 *2835 Camman's Inter Costal Auscultator 1 25 *2836 Ingal's Embalometer 2 25 2837 Seguin's 3 20 *2838 Vance's " 4 00 *2839 Carroll's " 3 00 2840 Hammond's " 2 00 2841 Sieveking's " 3 20 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 529 INSTRUMENTS FOR PHYSICAL DIAGNOSIS. FIG. *2842 Dynamometer ... $ 6 00 2843 Dudgeon's Sphygmograph 24 00 *2844 Marez's " ... 60 00 *2845 Pond's " ... 35 00 2846 Brown's Spirometer 9 00 2847 Barnes' " 8 00 *2848 Hutcninson's " 32 00 *2849 Marsh's " 2 50 2850 Extra Balloon for Marsh's Spirometer 25 2851 Dio Lewis' Improved " 11 00 All instruments designated by a * are illustrated. 530 SHARP & SMITH, CHICAGO INSTRUMENTS FOR PHYSICAL DIAGNOSIS. FIG. 2852 Carroll's Stethometer $3 20 2853 Quain's " 8 00 2854 Marsh's Pocket Respirometer 12 00 2855 Waldenberg's Pneumatometer 6 50 2856 " Pneumatic Apparatus 67 50 2857 Tobold's " " 48 50 2859 Holden's Resonator 2 00 2860 Camman's Cardiometer 4 00 2861 Flint's " 8 00 2862 White's Haemarheumoscope 1 20 2863 Spring Tape Measure, Metal Case, 3 feet 40 2864 " " " " " 5 feet 45 2865 Chestermann Stebl Tape Measure, Metal Case 1 5° *2866 Plain Urinometer, Wood Case 50 2867 English " - 75 *2868 Best " " enamel stem, plain black letters, and gradu- ated test glass 90 2869 Squibbs' Urinometer 75 2870 Hard Rubber " (patent) 225 2871 Thermometer and Urinometer combined 1 25 2872 Vance's Urinary Test Case 4 50 2873 Compact " " ., 5 00 2874 Complete " " with reagents 16 50 *2874-A Bartley's " " 2 00 *2875 Test Tubes, 6 inch per doz. 35 2875 " 5 " " 30 2875 " 4 " " 2S 2875 " 3 " " 20 2875 " 8 " .... " 50 2875 " 3 to 6 " nested 30 *2875-A " on foot. 10 *2876 " Holders 25 All Instruments designated by a * are illustrated 2868 2866 SHARP & SMITH, CHICAGO. 531 PHYSICAL DIAGNOSIS APPARATUS-URINARY. FIG. *2877 Test Tube Racks each, $ 75 *2878 Roberts' Test Case (modified by Lewis) 25 00 2879 Glass Alcohol Lamps, with Burner and Ground Glass Caps, 2 oz 35 2879 " " " 4oz 45 2880 Litmus Paper, red or blue, per book 10 28S0 " " " " per sheet 10 *2881 Porcelain Evaporating Dish with Lip, 2 oz each, 25 *2881 " " " " 4 oz " 40 *2881 " " " " 8 oz " 50 *-'881 " " " " 16 oz " 75 *2881 " " " " 32 oz " 1 00 2882 Watch Crystal Shape Evaporating Dish dozen, 75 *2883 Beaker Glasses, 1 oz " 75 *2883 " " 2 oz " 1 25 *2883 " " 4 oz " 1 75 *2883 " " nested, 5 in nest, 2 to 10 oz 1 25 2884 Blow Pipes, Brass 50 *2885 Medicine Droppers, Straight dozen, 50 *2886 " " Curved " 50 2887 Barnes' Medicine Droppers " 90 2888 Mohr's Burettes, 25 C. C each, 1 75 2888 " " 50 C. C " 2 00 2888 " *• too C. C " 2.50 2889 Graduated Pipettes " 25 2890 Curved Brass Forceps " 40 2891 Straight " " " 40 Fig. 2878 Roberts' Urine Test Appara- tus (improved by Lewis). Consists of the following parts: 1 Set Neubaur's urinometers with two test glasses 4 Urine glasses. 6 Test tubes. 1 Alcohol lamp. 5 Bottles with pure reagents. 1 Burette with holder. 3 Pipettes and 3 stirring rods. 1 Graduate. t Flask with ring support for same. The whole on a revolving etagere of black walnut, etc., with printed description 532 SHARP & SMITH, CHICAGO. BARTLEY'S POCKET URINARY TEST CASE. WARRANTED. Manufactured of German Silver. Dimensions 4x1 inches. THOUSANDS IN USE. The Re-agents (Powders) are prepared from the formulae of Dr. E. H. Bartley, of the Long Island College Hospital, and chemist to the Board of Health of the City of Brooklyn. The Case is designed for the use of physicians at the bedside of the patient, or for the office. With it a complete examination of the urine, for clinical purposes, can be made. 2874-A These Re-agents leave nothing to be desired as regards delicacy and certainty. No filtering of the Urine necessary. The Re-agents can be renewed by your home Druggist. It is unique, durable and cleanly. This case contains a scientifically correct urinometer inclosed in a cloth bag to prevent breakage, a heavy glass test tube serving as a urinometer jar and test tube, a package of litmus test papers, a pipette for convenience in handling the urine, two vials to contain the test powders and spoon. With these the following points may be determined at the bedside, viz.: The quantity of urine passed, the color, transparency, reaction, specific gravity, total solids passed, and the presence or absence of sugar and albumen. Each Bottle contains sufficient Powders for some 50 Tests. A small handbook containing instructions, formulae for the powders and valuable information obtained by recent investigations of Dr. Bartley and others, accompanies the case. Please do not mutilate this book. Send us Number of Page and Figure, and we can promptly fill your order. SHARP & SMITH, CHICAGO. 533 SELF-REGISTERING FEVER THERMOMETERS. With Absolutely Indestructible Register. The great improvement made in self registering fever Thermometers, by forming an indestructible register, has within the past year or two, practically driven from the market the old style of fever Thermometer, which registered by means of a piece of mercury detached and separated from the main column by a small air space. The indestructible registei is formed by a very small contraction of the caliber near the bulb, which allows the column to rise, but upon contraction of the mercury the column breaks at the contraction in the caliber, thus leaving that part of the column above it a stationary register, until shaken down by the operator. We particularly recommend this Thermometer to the trade All of our clinical Thermometers are made from seasoned tubes, and put up in hard rubber cases. Certificates from the Thermometric Bureau of Yale College, will be furnished if desired. A Few Remarks about Clinical Thermometers. The normal temperature of the human body, at completely sheltered parts of its surface, amounts to 98.4° Fahr., or a few tenths more or less, and a rising above 99.5° Fahr., or a depression below 97.30 Fahr., are sure signs of some kind of ailment, if such increase or decrease is persistent. The average temperature of the trunk of the body in the tropics is nearly one degree higher than in temperate climates. The increase of temperature above 99° F., as measured by the thermome- ter is the best index of the amount of fever present in any disease. The temperature of the body in disease is much more readily and rapidly influenced than either the pulse or respiration. The co-relation of the pulse, respiration and temperature is of the utmost importance to be known in many diseases. For example, in pneumonia, if the mean of the temperature is not above 104° Fahr., and that of the pulse is not above 120 in a minute, and the mean of the respirations not over 40 in same time, the case must be considered a slight one, and if the patient is healthy otherwise, he will surely commence to get well in from eight to twelve days, without any medical treatment beyond attention to diet and rest. Each disease which runs a definite course (scarlet fever, measles, small pox, typhus, typhoid, rheumatism, acute phthisis, etc., etc.,) has a characteristic and distinctive range of temperature. The necessity of using a reliable thermometer is, therefore, of the utmost importance. 534 SHARP & SMITH, CHICAGO. CLINICAL THERMOMETERS. Please Read and Carefully Observe these Directions. Thermometers are in working order, and always ready for application when the top part of the small bit of mercury that forms the Index is below the arrow point. After using it, and in order to bring the Index again below the arrow point and ready for use, take the top part of the stem of the Thermom- eter (near the 105) between the thumb and first finger, with the bulb turned downward, or inclined toward the floor. In this position quietly swing from you (like a pendulum) from the elbow down, leave wrist hang as loose as pos- sible. Always look at the position of your Index after each swing, until you again see the top part of it below the arrow point, and it is again ready for ap- plication. If it be found that one or two quiet swings is not sufficient to bring the top part of the Index below the arrow point let your swing be somewhat forcible. Don't shake the Index lower than is necessary. One or more separations of the column does not put the instrument out of order. Always take the top part of the top separation for a reading, and so long as any separation remains the instrument is good for years. By observing these directions you will have no trouble with your Thermometer. FIG. *2892 Sharp & Smith's Self-Registering Indestructible Index Ther- mometer $1 25 2893 Sharp & Smith's Self-Registering Indestructible Index Ther- mometer, black 1 50 *2894 Sharp & Smith's (Gilt Case and Chain) Self-Registering Inde- structible Index Thermometer 1 75 *2895 Sharp & Smith's (one minute) Self-Registering Indestructible Index Thermometer 1 50 *2896 Hicks' Self-Registering Indestructible Index Thermometer. 1 50 2897 u Lens front " " " " 2 75 *2898 Spiral " " " " 1 25 *2899 T. & Co.'s Syphon " " " " 2 50 *2900 Spiral Surface Self-Registering Thermometer $6 00 to 7 50 2900A Surface " " 2 50 to 7 50 *2901 Seguin's Surface " " 2 00 SharJ> Smith 2898 All Instruments designated by a * are illustrated, SHARP & SMITH, CHICAGO. 535 CLINICAL THERMOMETERS. FIG. *2902 Patent Double Bulb Thermometer (see description below)$ 1 50 2903 " New Twisted " " " 2 50 A matter of great importance to physicians, in order to obtain the temper- ature of a feverish patient, is to have a correct, quick working instrument, and one that will enable them to see the register quickly. Many are the contrivances resorted to to enlarge the column, but the trouble has always been that a large bore tube requires a correspondingly large bulb, which would be too slow of motion, and therefore impracticable. Hicks, of London, has succeeded in enlarging the column of mercury by the use of a prismatic (magnifying) front, but there still remains the need of first finding the proper axis of the prism, so as to enlarge the column. Annexed cut shows at once the advantage of this instrument above all others. I. Instead of a large, slow moving bulb, we use two small bulbs which by uniform action supply the large bore with a big column of mercury, the stand- ing of which can be seen at a glance. II. The two bulbs exposing double the amount of surface to the influence of temperature than the single, will necessarily move much quicker. III. The double bulb forming a flat surface, will prevent the instrument from rolling, a point that will not fail to be appreciated by the practitioner. IV The instrument having an indestructible index (self register) by which the losing of the register is completely overcome. In recommending this new instrument we guarantee that every thermome- ter is fully seasoned and carefully tested before leaving our factory, and certifi- cates, when desired, will be issued from the Observatory in Yale College, New Haven, which will bear out our claim for accuracy. 536 SHARP & SMITH, CHICAGO. CLINICAL THERMOMETERS. FIG. *2904 Immisch's Avitreous Clinical Thermometer, silver$7 50 2904- " " " with certificate, silver. 8 00 2905 " " " " " " gold .. 20 50 2905- " " " " " 20 00 The glass Thermometers now in use, are of necessity so frail that the chances of breaking one almost as soon as bought are excellent, and for this reason many physicians are compelled to spend from twenty-five to fifty dollars a year for Clinical Thermometers alone. A reliable instru- ment that will last indefinitely has always been desired, but until Immisch's Avi.tr eons Thermometer was invented could not be obtained. These neat and elegant instruments are in shape like a miniature watch with thick glass face and either gold or silver case, and though the first cost is a trifle more than that of the ordinary glass thermometer, they are far cheaper in the end, as with ordinary care they will last a lifetime. The figures on the face or scale are clearly marked in both Fahrenheit and Celcius, and the temperature can be read far easier than on any other ther- mometer; in fact, in this respect alone, the Avitreous Thermometers possess the greatest possible advantage over the best glass tube instruments ever made. On account of their shape and size they can be either worn on the watch chain as a charm, or carried in a neat case in the vest pocket; while, if pre- ferred, they may be attached to a small cord round the neck, which will allow the instrument to be inserted either in the mouth or axilla without fear of being swallowed or falling. As a surface Thermometer it is unsurpassed for readily recording the tem- perature ; its sensitive nature is shown by the slightest breath on the case caus- ing the indicator to move. For use internally it can neither injure nor receive injury, and is conse- quently convenient and safe. Before being applied the instrument can be brought by friction to about normal; this saves much time with a restless patient or fractious child. No shaking down is required, the instrument readily accommodating itself to the- altered temperature. About 30 seconds elapse before the temperature last recorded is changed. This is generally admitted to be sufficient time in which to take the reading. The mechanism is so simple that it would be hardly possible for it to get out of order, and even in so unlikely an event it can be easily and inexpen- sively repaired. The action of the instrument depends upon the opening and closing of a metallic tube which is filled with highly expansive liquids; this being the case, it is insensible to barometric changes, as has been proved to the satisfaction of the highest scientific authorities. It received the only First Class award for Thermometers at the International Medical Congress, 1881, but has only recently been made for sale. Possessing so many advantages over the ordinary thermometer, the glass of which is generally made so thin over the bulb that it becomes often danger- ous to use, it cannot be wondered at, that it has received the highest praise from the medical press and profession, while the meteorological, engineering, and other scientific journals unite in recommending it to the public generally, as an accurate, ingenious and sensitive instrument. AH instruments designated by a * are illustrated. SHARP & SMITH. CHICAGO. 537 CLINICAL THERMOMETERS. FIG. *2906 Sharp & Smith's Companion Case ■ $ 5 00 *2907 Barry's New Self Registering Indestructible Index Thermometer 1 75 2908 " Self " " " " ordinary , 1 25 2909 Colored Bulb Self Registering Indestructible Index Thermom- The improvement in Fig. 2907, Thermometer, is in the stem or grad- uated part, being brought parallel with the center of the cylinder, and having the bulb partly curved so that it will come in contact with all the necessary parts under the tongue, and at the same time will rest securely and not slide either way. By this means, as well as by the fact that the bulb is surrounded by the flesh, either with the mouth shut or open, the heat being evenly distrib- uted, a more uniform and satisfactory result is obtained. The instrument may be used for surface temperatures, and its crutch shape also adapts it to the ax- illa. They cannot roll, are strongly made, and with ordinary care will last for years. Sharp & Smith's Companion Case contains i No. 3 Hypo. Syringe, 1 Fig. 2892 Thermometer, 1 Soft Rubber Catheter, Hypodermic Tablets, all in neat morocco covered, velvet lined case, 538 SHARP & SMITH, CHICAGO. HYPODERMIC SYRINGES. We keep in stock a very large assortment of Hypodermic Syringes of our own make, and others. We guarantee the quality of all of them, and will repair syringes free of charge where the fault is our own. In ordering "needles ' for Hypodermic Syringes, it is better to send us the syringe on which they are to fit, or an old needle of the kind wanted, so as to insure c.n accurate fit. In sending syringes to us for repairs, please put your name on the bot- tom of the syringe box or on a tag attached to the syringe. The " pistons " of all syringes should be kept in proper order by fre- quent oiling, and renewing of the leather packing whenever it becomes too loose. FIG. 2915 Sharp & Smith's Hypodermic Syringe, No. 1. Fenestrated, grad- uated glass barrel, two needles$ 1 50 *2916 Sharp & Smith's Hypodermic Syringe, No. 2. Plain, graduated glass barrel, two needles 1 25 *2917 Sharp & Smith's-Hypodermic Syringe, No. 3. Fenestrated, grad- uated glass barrel, two N. P. Needles 1 50 *291.8 Sharp & Smith's Hypodermic Syringe, No. 3X. Fenestrated, graduated glass barrel, two N. P. Needles (reinforced), mo- rocco case, with space in top for wire, packing, etc 1 75 2919 Sharp & Smith's Hypodermic Syringe, No. 4. Solid barrel, graduated on piston, two N. P. Needles 1 75 _ ■ - -= /I All of our Hypodermic Syringes are furnished with " cases," whether illustrated as such or not-except when otherwise designated. SHARP & SMITH, CHICAGO. 539 HYPODERMIC SYRINGES. FIG. 2920 Sharp & Smith's Hypodermic Syringe, No. 5, Fenestrated, grad- uated glass barrel, two N. P. Needles, oval Morocco case.. 1 75 2921 Sharp & Smith's Hypodermic Syringe, No. 6, Fenestrated, grad- uated glass barrel, two N. P. Needles, metal case r 75 2922 Sharp & Smith's Hypodermic Syringe, No. 7, Hard rubber bar- rel, graduated on piston, two needles 1 25 *2923 Sharp & Smith's Hypodermic Syringe, No. 8, Fenestrated, grad- uated glass barrel, two gold-plated needles, syringe gold- plated, Morocco case, space in top for wire, etc 3 00 *2924 Sharp& Smith's Hypodermic Syringe, No. 9, Double Fenestrated, graduated on both piston and glass, 3 assorted steel, nickel plated needles-in fine Morocco covered case, space in top of case for wire, etc., screw cap for keeping packing moist .... 2 25 *2925 Sharp & Smith's Hypodermic Syringe, No. 10, Pocket syringe, Double Fenestrated, capped at both ends, carrying two fine steel needles in one end, and provided with room at the other end for carrying tablets if desired 2 00 This Hypodermic Syringe is a very popular one, being made with finger rests on the sides, which are of considerable assistance in using the instrument. They are also provided with a vial with perforated rubber stopper, which greatly facilitates the filling of the Syringe. 540 SHARP & SMITH, CHICAGO. HYPODERMIC SYRINGES. FIG. *2926 Sharp & Smith's Hypodermic Syringe No. 11. Same style as figure 2918, but with Gold Plated Needles $2 00 *2927 Sharp & Smith's Hypodermic Syringe No. 12. For Pocket. Patent Hollow Piston arranged similar to Fig. 2925, but with only one needle 1 75 *2928 Sharp & Smith's Hypodermic Syringe No. 13. Very compact, holds 15 minims only, has two fine needles which are carried parallel with the barrel and are protected from rust by carefully sealed cylinders. The syringe in case is but 2| inches long 3 5° *2929 Sharp & Smith's Hypodermic Syringe No. 14. Double Fenestrated, graduated on piston, end of barrel removable for introduction of hypodermic tablets; metal cap to screw on in place of the needle when the syringe is not in use. Six bottles of hypodermic tablets, two needles, in neat satin-lined Morocco case, with extra wires and washers 3 00 -'930 Sharp & Smith's Hypodermic Syringe No. 15. Same as No. 14, but with ears SHARP & SMITH, CHICAGO. 541 HYPODERMIC SYRINGES. FIG. *2931 Sharp & Smith's No. 9-A Hypodermic Syringe $2 50 2932 Tiemann's No. o Hypodermic Syringe. 3 00 2933 " " 1 " " 3 00 2934 " "3 " " 2 50 *2935 Fowler's Hard Rubber Pocket Hypodermic Syringe 2 50 Fig. 2931. SHARP & SMITH'S No. 9-A HYPODERMIC SYRINGE. This Syringe is in shape and size same as our No. 9, but differs from that and all others in the construction of the piston, which is provided with an oil chamber between the exhausting and ejecting sections of the packing, which, when filled with oil, will distribute the same along the inner surface of the glass cylinder. The leather packing, in pass- ing along this surface, will come in contact with the oil, and be continually lubricated. This will be found of great advantage when the instrument is not in constant use; because, as soon as the piston is withdrawn, the oil con- tained in the chamber is immediately brought in contact with the leather packing, which renders it soft, distends it, and keeps the syringe always ready for use. The chamber should be refilled occasionally. To refill, unscrew the upper cap and withdraw the piston just enough to expose the chamber, drop in a small quantity of oil, then replace the piston, and screw the cap down firmly. We put these Syringes up in same style as the No. 9, in velvet lined, mor- occo covered case -3 fine steel N. P. points, and a bundle of non-corrosive wires. The Syringe is made at the end so as to allow of tablets being used. Fig- 2935. FOWLER'S HYPODERMIC SYRINGE. For the Pocket or Pocket Case. This Syringe consists of a hard rubber barrel and piston a needle («) whose mounting screws into the barrel, and a hard rubber tube (c) with a cap (</.) This second barrel serves the double purpose of a protection for the needle, and a receptacle for powders, eight of which, of a quarter of a grain each of morphine, can be placed in it. The instrument all screwed together, is represented at e and is about the size and shape of an ordinary Hard Rubber Thermometer Case, and occupies no more room in the pocket. To give a hypodermic injection, remove the receptacle, unscrew the needle, draw back the piston and empty one of the powders into the barrel. Then pour a few drops of water into the barrel, replace the point, and after giving the instrument a few shakes to make sure that the morphine is all dissolved, it is ready for use. Instruments designated by a * are illustrated. 542 SHARP & SMITH, CHICAGO. HYPODERMIC SYRINGES. FIG. 2936 Declat's Hypodermic Syringe, with two Needles$5 00 *2937 " " " " four " 6 00 J Leiter's " " Hard Rubber Case 3 75 293 f " " " Leather Case, No. 1 3 00 *2939 Stimson's " " for pocket, all silver needles fit in- side the Syringe 2 00 2940 Celluloid Barrel Hypodermic Syringe, two steel Needles, Celluloid Case 3 00 2941 Celluloid Barrel Hypodermic Syringe, two steel Needles, met'l case 1 25 2942 Hypodermic Syringe and Cocaine Set 3 00 2943 Greene's Hypodermic Case 9 00 All Instruments designated by a * are illustrated, SHARP & SMITH. CHICAGO. 543 HYPODERMIC SYRINGES. FIG. *2944 Sharp & Smith's Hypodermic Syringe, No. 16$2 25 *2945 W. T. & Co.'s No. 3 Phoenix Hypodermic Syringe 2 50 *2946 "Farny" Metal Case Hypodermic Syringe 3 00 Fig. 2944 This Hypodermic Syringe is designed to use with soluble tablets, and is put up in very neat and compact nickel-plated case, inch. Beside the Syringe and two Needles, the case contains 20 tablets of Morphine Sulphate % grain. In other respects the same description will apply to this Syringe as to Fig. 2929. Instruments designated by a * are illustrated 544 SHARP & SMITH, CHICAGO. HYPODERMIC SYRINGES. FIG. *2947 P. D. & Co's. Tablet Syringe in metal case, with six bottles of Tablets. This Syringe has the Patent Plunger Attachment $3 50 *2g47-A Sharp & Smith's Hypodermic Syringe No. 17 : 2 50 *2948 Stop Cocks for Aspirator Attachment to Hypodermic Syringes 1 25 *2949 Pure Silver Canulas (Ingals'), to fit Hypodermic Syringes 100 2 9 So Hypodermic Bottles, Tiemann & Co.'s 75 2951 " Minim Measure 40 2952 " " Pipette 40 2953 " Points, steel, best 30. 2954 " " gold plated 45 295 s " " nickel-plated 50 2956 '• " gold tips 75 2957 " " aluminium 75 2958 " " platinum ... 75 2959 " " extra long 50 2960 " Trocar 75 2961 OilStone, for sharpening points, each 25c. to 1 00 2962 Reamers for cleaning out Needles " 10 2963 Wire for needles, per bunch 05 2947-A No. 17 same as Fig. 2917 (No. 3) except with 6 Tablet Bottles. All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 545 ASPIRATORS. We recognize the fact, that it is of the utmost importance to have an " Aspirator " in working order just when needed, and on this account we are more than particular to have every instrument (in this line) leave our office in PERFECT CONDITION. FIG. *2970 Sharp & Smith's No. 1, Aspirator$15 00 *2971 " " " 2, " French Pattern 10 00 2972 " " " 3, " with Trocars and StopCock 18 50 2973 Stomach Pump Attachment for Sharp & Smith's Aspirators 4 50 Instruments designated by a * are illustrated. 546 SHARP & SMITH, CHICAGO. ASPIRATORS. FIG. *2974 Sharp & Smith's No. 4 Aspirator, large $11 50 2975 " " No. 5 " small 9 75 *2976 Codman & Shurtleff's No. 1 Aspirator, in walnut case 12 00 2977 " " No. 2 " without bottle, in morocco covered case, with stopcock (to fit any bottle) 10 00 *2978 Stop Cock for C. & S.'s Aspirators-to fit any bottle 2 50 *2979 Flint's Aspirating Trocar, with Syringe ' 3 75 SHARP & SMITH, CHICAGO. 547 ASPIRATORS. *2980 Sharp & Smith's Compact Aspirator $ 3 50 *2981 " " Pocket Aspirator, Hypodermic and Brandy Syringe Combined 4 00 2982 Sharp & Smith s Pocket Aspirator, etc, Syringe, same as above, without finger rings . 3 00 The above syringe will be found to be of the greatest importance to every practitioner. It is small, can be carried in the pocket or instrument bag, and in a case of emergency when a large "Aspirator" is necessary (and is not on hand), will be invaluable. 548 SHARP & SMITH, CHICAGO. ASPIRATORS AND TROCARS. FIG. *2983 Fitch's Dome Trocar for Paracentesis Abdominis, 1, 2, 3, complete$io 50 *2984 " Aspirator Needles " " 4,5 1 75 *2985 " Clamp Forceps " " 6 3 35 *2986 Aspirating Trocar with Stop Cock 2 75 2987 " " " " " gold plated 3 25 2988 " Needles, assorted lengths, " each. 1 25 2989 " " " " nickel plated " 85 2990 " Trocars, nickel plated 1 25 2991 Otis' Hard Rubber Aspirator 4 50 2992 Emmet's Aspirator 9 00 2993 English " 13 50 2994 Dieulafoy's " 30 00 2995 Excelsior " and Stomach Pump combined 15 00 2996 Dr. H. Landis Getz's Aspirating Trocar and Canula 6 75 Fiyl 2983 2984 2985 DR. H. LANDIS GETZ' NEW IMPROVED COMBINED TROCAR AND CANULA AND ASPIRATING NEEDLE. take pleasure in presenting and recommending to the profession a New Improved Combined I rocar and Canula and Aspirating Needle, devised by Dr, H. Landis Getz. 1 he object of this instrument is to overcome the dis- advantages of the common trocar and canula and common aspirating needle and yet to preserve the advantages and applicabilities of both, and at the same time combining the instruments in a neat and compact manner at reason- able expense. rhe advantages of the instrument will readily suggest them- se ves, and we will therefore give only a brief description and a few suggestions concerning its application. SHARP & SMITH, CHICAGO. 549 ASPIRATORS AND TROCARS. a. Button which screws on trocar rod f, which is used as a handle, and also prevents the trocar from passing too far through the canula. To rod f are attached the three largest sizes of trocar tips; h, one of the tips are screwed on the rod f\ c, handle portion of canula to which are attached by screw-joint the largest sizes of canula and the smaller or aspirating sizeyy e, repre- sents the outlet from handle portion of canula; z, a short piece of glass tubing through which fluid is seen to pass; g, a reversible bulb which may be used for exhausting or injecting; b, cap attaching to c, by screw joint into which is placed a small rubber disk, cut from rubber bandage material, through which pass the exploring trocar or the larger trocar rod; 4, one of the open- ings, of which there are several in the end of each canula, to allow the fluid to pass, which will aid in determining the entrance of the sac; j, exploring canula with trocar needle passed through it. This needle is of the same length as the parts f and h combined, and when f is used the needle is entered in the opening in b passed through the small rubber disk and then passed on through c and j until the needle point projects about one-eighth of an inch beyond the canula. The instrument may now be used in the same manner as when used fop exploring. The sac having been evacuated, the trocar point is pushed forward into the canula just beyond the attachment with c-the instrument still in the cavity, the bulb is now reversed, the trocar is again withdrawn past e and the cavity injected. The manner of again evacuating will readily suggest itself. Should it be desirable to leave a drainage tube within the sac, detach the handle portion of canula c from the canula proper, leaving the canula still in the sac, and pass the tube through canula into sac and now withdraw canula, leaving the tube dipping into the sac. The instrument is novel, neat, compact, inexpensive and complete. Note.-A convenient and perfect female catheter is formed by the parts a, b, c, e and /, and the largest sized canula and a catheter tip (instead of trocar tip) attached to f. If the bladder is to be injected or washed, the instrument is used as when washing any other cavity. To use the instrument for washing or injecting the male bladder use parts b, c, e, i and g, with such size of canula attached tor as the end of will slip tightly into the opening of the male catheter. 550 SHARP & SMITH, CHICAGO. CUPPING INSTRUMENTS. FIG. 3000 8-blade Scarificators $3 00 *3001 10 " plain Scarificators 3 00 *3002 10 " reverse " 3 75 *3003 12 " plain " 3 50 *3004 12 " reverse " 4 50 *3005 Cupping Case complete 5 50 3006 Plain Glass Cupping Cups per doz. 1 00 *3007 " " " " with Rubber Bulb each. 50 3008 All Rubber Cupping Cups 75 3009 Cupping Cup Caps 60 3010 " Pump, metal, nickel plated 1 85 3011 " " " with Stop Cock 3 00 3012 Stop Cocks for Cupping Cups 60 3002-3004 This case contains : Three Glass Cups, mounted ; three Stop-cocks, and fine nickel plated Pump. In morocco case, velvet lined. SHARP & SMITH, CHICAGO. 551 CUPPING INSTRUMENTS. *3013 Knapp's Glass Cupping Cups with Rubber Rim, No. 1... .each. $1 25 *3013 " " " " " " " " 2.... " 1 00 *3013 " " " " " " " "3.... " 75 *3013 " " " " " ' " 4.... " 75 *3013 " " " " " " " " 5.... " 50 *3014 " Metal Cupping Pumps 1 00 *3OI4 " Japan " " 75 *3015 Thomas' Hard Rubber Dry Cupper 1 50 *3016 American Spring Lancets 1 25 3017 German " " 50 3018 " silver4' " 1 75 3019 " " " with 5 blades 2 00 3020 Tiemann & Co.'s Spring Lancets 2 50 *3021 Reece's Artificial Leech 3 50 3022 Herteloup's " " 6 00 3023 Smith's " " 3 50 *3024 Aveling's Transfusion Apparatus 6 00 3025 Fryer's " " 4 85 3026 Garrigue's Mediate Transfusion Apparatus 3 00 3027 McDonald's " " 4 5° No. 3. No. 4. No. 5.. 3013 552 SHARP & SMITH, CHICAGO. VACCINATING INSTRUMENTS. FIG. 3028 Spear-point Vaccinating Lancet $ 60 *3029 Thumb " " 50 *3030 Vaccinating Lancet and Comb 75 3031 U. S. Army Vaccinating Instruments 1 85 3032 Vaccinating Trocar 1 85 3033 " Comb, plain metal (6 needles) 20 3034 " Scarifier, plain 75 *3035 Cyrus Edson's new Vaccinator 1 50 A NEW VACCINATOR. The little instrument shown in the cut has been in the hands of members of the vaccinating corps of the Health Department of New York during the past year, and has proved very useful. It consists of a needle holder, similar to those used by microscopists, having two jaws that are approximated by means of a sliding ring. These jaws are funnel shaped at their extremity in order to facilitate the introduction of the needle, which is inserted to the depth of three-fourths of its length. The handle is of hard rubber, with hollow space sufficiently large to hold twenty-five No. 5 needles. To use the instrument the operator unscrews the cap, selects a needle, fixes it in the jaws, and proceeds to scarify. Having performed the operation, the needle is removed and thrown away. The scarification made by the needle will be found to be better for the purpose in question than that made by the lancet-the skin and vessels being By Cyrus Edson, M. D., New York. torn, and not cleanly cut. The result, is that a larger absorbing surface is exposed and just sufficient blood and serum exuded to dissolve the virus from the quill. The instrument can be used more rapidly than the lancet, if time is taken to cleanse the latter after each vaccination is performed. The cost of needles is only five or six cents per paper of twenty-five. The device was contrived partly to meet the objections to vaccination made by parents of children attending school, on the ground that in the use of the lancet disease was liable to be transmitted from child to child. Indeed, one case of skin disease was alleged to have been caused in this manner; inves- tigation, however, disproved it. The popular prejudice against the lancet is deeply rooted, and is best and easier overcome by the new vaccinator. SHARP & SMITH, CHICAGO. 553 GYNECOLOGICAL-UTERINE DILATORS. FIG. *3050 Atlee's Uterine Dilator $ 2 25 *3051 Nott's " " 2 25 3052 Ady's " " 11 25 *3053 Ellinger's4' " with Ratchet 7 50 3053-A " " " plain '6 50 *3054 Goodell's modification of Ellinger's Uterine Dilator 7 50 3055 Baer's " " " " " 7 5° *3056 Hobbs' Uterine Dilator 3 75 *3057 Wylie's " " 3 00 *3058 Wilson's " •* 4 50 *3059 Miller's " " 7 50 3060 Schweig's " " 7 5° *3061 Nelson's " " 4 00 All instruments designated, by a * are illustrated. 554 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-UTERINE DILATORS. SHARP & SMITH, CHICAGO. 555 GYNAECOLOGICAL-UTERINE DILATORS. FIG. 3062 Barnes' set of 3 Uterine Dilators$ 1 50 3063 " " 3 " " with Stop Cock 2 00 *3064 " " 3 " " " " and Syringe.... 3 25 3065 " single " " " " 1 00 *3066 " " " " ' 65 *3067 Cowan's modification of Barnes'Uterine Dilator 1 85 *3068 Hanks' set of 10 small " Dilators 3 75 *3069 " " 10 large " " 4 25 A NEW MODIFICATION OF BARNES' DILATOR. By George Cowan, M. D., Danville, Ky. In the Barnes' dilator the pocket into which the probe is inserted for intro- ducing the bag serves as a serious obstruction to its easy introduction, besides being placed externally and to one side of the bag-a very unsuitable point upon which to direct the force which is to guide and push the dilator into its place in the canal. Furthermore, the distal extremity is unnecessarily blunt or flat. The modification which I have had made, and which the accompanying diagram will serve to illustrate, is circular on transverse section throughout its length, and has a tapering distal extremity for its easy introduction into the cervix uteri. The probe which accompanies it is a small brass rod, having a 556 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL-UTERINE DILATORS. small button shaped extremity, and is introduced through the gum tube to the inside of the bag, and finally lodged in the center of the extremity, thus enabling the bag to fold and adjust itself neatly and closely around the probe during its passage through the cervix and along the canal, while the force is applied in the most advantageous position, i. e., inside the dilating bag. FIG. *3070 Dr. Malcolm McLean's modification of Barnes' Uterine Dilator.$ 1 85 *3071 " " Forceps for introducing above 3 35 *3072 Dr. Bernay's Utero Tractor 4 50 THE MANAGEMENT OF PLACENTA PREVIA. Malcolm McLean, M. D., New York. * * * There are several objections to the usual form of Barnes dilators which are worthy of notice, and it is especially to the correction, as far as possible, of these faults, that I wish to call attention. The instruments, modified, as I shall demonstrate, seem to fulfil all the indications above alluded to without the attendant disadvantages. The usual fiddle shaped bags are inserted by means of a sound introduced into the little pouch, which is situated, necessarily, at an awkward point on the surface of the bag. This pouch, besides being liable to be punched through in a somewhat dangerous manner in the attempt at introduction, is a convenient receptacle for septic matter. And I have always felt misgivings in passing such a one into the uterine mouth. That the operation of inserting an ordinary Barnes' dilator in the ordinary manner is often a tedious perform- ance, I think those who have most frequently used them or have seen them used, will agree. I have more than once seen a skillful accoucheur baffled for fifteen or twenty minutes in this simple manceuver. To facilitate matters, Dr. Cowan of Danville, Ky., has offered a modification of these bags, in which there is no superfluous pouch, the instrument being made more cylindrical, and the distal end reinforced so as to allow firm pressure of a rod which is passed through the tube into the cavity of the dilator. There is one objec- tion to Dr. Cowan's instrument as it is pre- sented, viz., necessity of withdrawing the in- serting rod before dis- tension of the bag is commenced. This renders it liable to be- come displaced from the os uteri before it is expanded sufficiently to retain it. Again, there is the very serious objection to all the dilators described, in their use in cases of placenta previa, that they have to be graduated in sizes to suit the dilating cervix. In exchanging from a small one to a larger there is liability to some haemorrhage, and the operation of insertion has to be gone through a second or third time. Anything we may do to avoid unnecessary manipulation is desira- ble, especially in instrumental manoeuvers. I have therefore devised a modification of Dr. Barnes' dilator, by which the operation of dilation, etc., by their use, is easily accomplished without the disadvantages alluded to. As will be seen at a glance, it is a duplication of the SHARP & SMITH, CHICAGO. 557 GYNECOLOGICAL-UTERINE DILATORS. bag and tube, so that one side may be distended independently of the other, thus requiring but one insertion to get a very extensive dilation. These bags are made as smooth as possible, have no extra pocket, and are easily and quickly inserted by means of a pair of somewhat curved forceps, and are held in situ until sufficiently distended to retain themselves within the grasp of the cervix. Any one who will use this means of inserting the water bags will be impressed with the advantage gained over other methods. In placenta previa time is exceedingly valuable, and this instrument renders the operation more valuable by being promptly accomplished. 1 have generally found one size all that is required in dilating the cervix, so that one insertion has sufficed to com- plete the necessary expansion. They are easily cleansed, are very strongly made, and there need be but two sizes used. I have found them also very valuable in the induction of labor for eclampsia, and I know of no other means which will accomplish delivery so safely and quickly. The objection made by some to India rubber dilators, that they are " apt to be found rotten just when needed," is scarcely worthy of notice. Because, in the first place, when well made and preserved, they will last for many months. (I have used one over two years.) And second, they may be obtained new on order at the better instrument makers of the cities. The largest size I have found useful as a vaginal dilator or colpeurynter. For expanding this instrument I always used carbolized hot water. The pres- sure made by it is very powerful, and they should be slowly injected; one side being fully distended first, and as soon as the grasp of the cervix begins to relax the other tube is attached to the syringe and very slowly filled. In this manner continuous dilatation with complete occlusion of the bleeding os is accom- plished, giving us most valuable aid in the management of placenta previa. I ought to make mention of Tavarnier's dilator, which consists essentially of a rubber bulb, which is carried through the os into the uterine cavity, and being distended to about the size of a large English walnut, is left to excite uterine contractions. T'his instrument will seldom be useful, as the larger instruments may generally be introduced without difficulty by the means above described. * * * 558 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-UTERINE DILATORS FIG. 3073 Thomas'Uterine Dilator $ 3 50 *3074 Hunter's " " 10 50 *3075 Peaslee's " " per set 5 00 3076 Seimon's " " (7 sizes) each 1 00 *3077 Palmer's " " .. 4 00 *3078 Molesworth's Uterine Dilator 13 50 3079 Mansfield's Electric Uterine Dilator 5 00 *3080 Simpson's Set of " " 5 00 SHARP & SMITH, CHICAGO. 559 GYNAECOLOGICAL-UTERINE DILATORS. FIG. *3081 Sims' New Blade Uterine Dilator $9 00 3082 Seeley's " " . 2 00 3083 Scanzoni's " " 7 50 3084 Priestley's " " 7 5° 3085 Emmet's Water " " 1 50 3086 11 Sponge " " 1 85 *3087 Dr. Wm. Wm. H. Wathen's (Louisville, Ky.) Uterine Dilator .. 6 00 *3088 Solid Elm Tents, straight per doz. 1 00 *3089 " " " curved " 2 00 *3090 Hollow " " straight " 1 5° By William H. Wathen, M. D., Louisville, Ky. UTERINE DILATOR. This dilator has been much improved, and to its superior qualities has been added a principle that makes it as perfectly aseptic as it is possible to have any surgical instrument. The blades are held together by a modified French lock that admits of the instrument being separated into its different parts in a few seconds, so as to be easily cleaned and made aseptic. This is the only dilator that is made after this fashion, and as the handles are of vulcanized rubber, hermetically sealed over the steel, there is no place where it is possible to have poisonous matter retained after any reasonable degree of surgical cleanliness. Instruments designated by a * are illustrated. 560 SHARP & SMITH, CHICAGO. FIG. *3091 Cervical Elm Plugs or Tampons each 25c to 50 3092 Sponge Tents, best quality, carbolized per doz$ 1 00 3093 " " " " " curved " 1 5° 3094 " " " " " straight waxed.... " 125 3095 " " " " " " extra large " 1 50 3096 Sea Tangle Tents, best quality solid " 1 25 3096- " " " " " hollow " 1 50 *3097 Tupello " " " solid " 1 50 3097- A " " " " hollow " 2 00 3097-B Tent Expeller 55 *3098 Dr. R. W. Wilcox's Forceps for introducing Uterine Tents .... 2 25 *3099 Elm Vaginal Plugs each 30 to 60 GYNECOLOGICAL-UTERINE DILATORS. DR. R. W. WILCOX'S UTERINE TENT FORCEPS. After considerable experience with the various forceps in use for the intro- duction of tents into the uterus, it was found that these instruments were faulty because of the construction of the jaws, or of the handle. The jaws were too long or too smooth, or of a bad curve; the scissors handles are also objection- able. In this instrument the proper length of the jaws was ascertained by ex- periment; they are made rough to take a firm hold upon the tent, and they are curved so that an unobstructed view of the tent itself and the field of opera- tion is obtained. The handle is modeled after the very convenient ones in use upon the Collins needle holders, and the instrument can be taken apart to in- sure thorough cleanliness. All instruments designated by a * are illustrated. SHARP & SMITH. CHICAGO. 561 GYNECOLOGICAL. FIG. 3100 Sims' Glass Vaginal Dilators, set of six $ 2 25 *3101 " " " " each 40 *3101 " Hard Rubber Vaginal Dilators " 75 3102 " " " " " set of six 4 25 *3103 Anderson's Vaginal Capsules, sizes 1, 2 and 3 per doz. ' 60 *3104 Thomas' Dry Cupper 1 00 *3105 Reese's Artificial Leech 3 50 3106 Smith's " " 5 5° ANDERSON'S ANTISEPTIC VAGINAL CAPSULES. Care should be taken to select the proper size for each patient, T he small size No. 1 are generally used for young or unmarried women, and other cases where it is difficult to introduce a larger size. The medium size No. 2, are usually used for married women, and answer for most ordinary cases. 1 he large size No. 3, is used in cases when it is desired to introduce more cotton, or when the parts are much relaxed. Size of Capsules. All instruments designated by a * are illustrated. 562 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-CURETTES FIG. *3107 Sims' Sharp Uterine Curette $ 1 50 3108 " Blunt " " 1 00 *3109 Thomas' Blunt " " 1 00 *3110 Siemens' " " each 1 75 3111 Peaslee's " " 2 25 *3112 Skene's " " 1 25 3113 White's " " 1 5° *31x4 Hoag's " " 2 50 Instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 563 GYNECOLOGICAL-CURETTES. FIG. *3115 Marcy's Uterine Curette$ 2 65 *3116 Burt's " " 2 65 *3117 Cheatham's " " 1 85 *3118 Thomas'Serrated Uterine Curette or Spoon 2 60 3119 Engelman's " " 2 25 *3120 Duke's " " 2 00 *3121 Wylie's " " 1 75 *3122 Byford's " " 1 00 *3123 Recamier's " " 1 50 All instruments designated by a * are illustrated. 564 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-TOURNIQUETS. FIG. *3124 A. Ady, M. D's. New Uterine Constrictor $3 75 *3125 " " " " Tourniquet and Expanding Curette 3 00 *3126 Dr. Chas. N. Dixon Jones' Rope Ecraseur for Hysterectomy... 11 25 DR. A. ADY'S UTERINE CONSTRICTOR. This is a simple and in- expensive instrument that answers the purpose of operations in trachealor- aphy admirably, and is not in the way of the operator. It consists of a canula like a catheter, bent to fit the anterior part of the vagina, and hook around the pubes. At the outer end is a screw like that in a light and small ecraseur. The loop that goes around the cervix, as seen in the cut, is of twine, or fine copper wire (which is the easiest to adjust). To use the instrument, grasp the os with the tenaculum, pass the loop over it and around the cervix. One end of the cord or wire being fastened to the peg, pull the other through and give it a few turns around the same ; the loop can then be tightened by a few turns of the screw. The instrument is very light, needs no assistant to hold it, and is easily cleansed. DR. A. ADY'S UTERINE TOURNIQUET AND EXPANDING CURETTE. This instrument was originally used as an Expanding Curette, and roughly made of a piece of watch spring and a piece of catheter. It is also an improve- ment of the Emmet's. It is light, small, and can be taken apart for cleaning by turning one set screw. We should have several different lengths of watch-spring loops ; for the tourniquet, the latter is better made light, but, when used as a curette, it should be of the strongest. In doing Emmet's operation, place the loop around the cervix, tighten it by pushing on the flange to any desired tension, and fasten it by set-screw ; it will not slip off or come loose during the operation. It is very easily controlled, hen it is desirable to use it as a curette, put in a heavier and shorter loop, and draw it back into the canula, when it is easily introduced into the uterine cavity, where it can be expanded by pulling on the flange with the thumb, to any desired extent. The piece of watch-spring adapts itself to the cavity, and, when rotated, will detach anything that may be attached in the shape of a secundine, without danger of lacerating the uterine walls. All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 565 GYNAECOLOGICAL -ECRASEURS. A ROPE ECRASEUR FOR HYSTERECTOMY. Charles N. Dixon Jones, M. D., Brooklyn. The accompanying cut illustrates a temporary rope ecraseur which I ex- hibited at the December meeting of the Section in Surgery of the New York Academy of Medicine. Those who are accustomed to use the elastic ligature in hysterectomy or supra-vaginal amputation of the uterus for myoma, will find the operation greatly facilitated by the use of this instrument. Some form of instrument for temporary compression of the pedicle during manipulation and enucleation, before the stump is permanently secured, is a necessity in order to prevent haemorrhage. The elastic tourniquet is not so rapid nor so powerful in its action, and, furthermore, it is open to the more serious objection that it is apt to slip over the stump after the tumor is removed. The rope ecraseur is a modification of Mr. Lawson Tait's well known clamp. It is made stronger and longer, being about fourteen inches in length so as to give a wide range of compression in the rope. The rope is thoroughly boiled before use, so that it is not likely to slip. The instrument may be easily tightened during any stage of the operation. After it has accomplished its purpose the rope is cut, and the instrument is quickly removed and laid aside. A COMBINED CURETTE AND DOUBLE CATHETER. Fig. 3127. George E. Abbott, M. D., New York. I send herewith a drawing of a double catheter, with a curette attachment, which has been found to work well by my friends and myself in several cases. It consists of a fac simile of a double catheter lent to me by Dr. Edwin F. Ward, (of New York) which has unusually large fenestrae for the free return of the injected fluid, to which may be attached the curettes Z>, E, F, on the round end of the catheter G. The curettes are of various sizes, and dull or sharp as desired. For curetting the anterior surface of the uterus or Qther cavity, screw the curette on as far as it will go, when it will be in position as at D, Fig. i, or A, Fig. 2. For the posterior surface, give the curette a half turn, when its con- cavity will look backward, and will attack the posterior surface wall, b or cu- retting the sides, unscrew the curette a quarter turn or a three-quarter turn, when it will have the position of Fig. 2, C or B. (See next page.) 566 SHARP & SMITH. CHICAGO. GYNECOLOGICAL-ECRASEURS.-Continued. It will at first seem that, when placed in these positions, the curette would not attack its work, but would turn this way and that. That this is not the case can be demonstrated by curetting the sides of the hand as it grasps the instrument. The curettes are attached by a fine thread and a long shoulder or tenon, as at b, and thus allow of the positions above indicated without loss of firmness. In use, a Davidson's syringe or irrigating tube is attached to the catheter at Fig. i, <z, through which the antiseptic fluid passes, emerging at the little holes at the base of the curette D. The return current passes through the large fenestras below b, and out at r, into a white receiving vessel. (It will add much to the comfort of the surgeon to have a tube attached to r, thus avoiding wetting his hands, etc.) The advantages gained are: i. In making the parts thoroughly aseptic. The antiseptic fluid being allowed to run before entering the cervical canal, and during the time of operating. 2. The denuded surfaces are immediately covered by the antiseptic fluid before infection can possibly take place. 3. The detritus is immediately and fully re- moved. 4. The surgeon can see by the returns in his white receiving bowl what he is doing-fungosities, membrane, pure blood, or clear antiseptic fluid. 5. No bacteria are introduced, as in the use of the ordinary curette. 6. No fungosities or detritus remain to decompose. SHARP & SMITH, CHICAGO. 567 GYNECOLOGICAL-ECRASEURS FIG. *3127 Dr. Geo. E. Abbott's Combined Uterine Curette and Double Catheter . 4 50 3128 Emmet's Uterine Tourniquet 4 50 3129 Millers' " " 4 50 3130 Spohns' " " set of 7. 2 50 3131 Smith's Straight Wire Ecraseur 4 00 *3132 " Curved " " 4 00 3133 " " " " 2 points 5 00 3134 Braxton Hicks' " " 3 " 12 00 3135 Barnes' " « 4 50 3136 Chassaignac's Small Straight Chain Ecraseur 10 50 3137 Chassaignac's Small Curved Chain Ecraseurs 11 00 *3138 Chassaignac's large Curved or Straight Chain Ecraseur 15 00 568 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-REPLACERS FIG. 3139 T. & Co.'s Short Chain Ecraseur $ 8 00 *3140 " Long " " 15 00 3141 Emmet's " 26 50 3142 Edwards' " " 13 50 *3143 Sims' Porte " " 26 25 3144 Nott's Rectilinear " 9 00 3145 Koeberle's " 5 00 *3146 Gooch's Polypus Canula, silver 2 00 *3146 " " " plated 1 50' *3147 Aveling's Polypotome 6 00 3148 Simpson's " 2 oa *3149 Ludlam's Uterine Elevator $ 4 50 3150 " Modification of Guernsey's Uterine Elevator 1 50 *3151 Elliott's Uterine Elevator or Replacer 5 00 *3152 Sims' " " " 4 00 *3153 Noeggerath's Uterine Elevator or Replacer 6 75 UTERINE ELEVATORS. SHARP & SMITH, CHICAGO. 569 FIG. *3154 Emmet's Uterine Elevator$ 3 25 *3155 Carroll's " " 2 60 3156 Wylie's " " 5 00 3157 Miller's " " 2 06 *3158 Guernsey's " " 1 00 3159 Skene's , " " 5 25 3160 Gardner's " " 6 00 3161 White's " " 3 75 *3162 Simpson's Uterine Sound, graduated 1 00 3163 " " " not graduated 1 00 *3164 " Plain Uterine Sound " 70 GYNAECOLOGICAL-ELEVATORS. 570 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-SOUNDS. FIG. *3165 Simpson's Telescoping Uterine Sound $ 2 25 *3166 " Folding " " 1 50 *3167 Pratt's Uterine' Sound each 75 *3168 Peaslee's Graduated Uterine Sound 1 50 *3169 Sims' Plain " " 70 *3170 " best " " 1 00 *3171 Cutter's " " 1 50 *3172 Jenks' " " 2 65 3173 Fitch's " " . 1 50 *3174 Hunter's Sliding " " 1 75 *3175 Gidden's " " 1 75 *3176 Cupped Uterine Sound for applications of ointment 1 50 3177 Buttles' set of Uterine Sound, Probes, etc 2 75 3178 Chapman's set of " " 3 50 *3179 Sharp & Smith's Plain Uterine Sound 70 Instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 571 GYNECOLOGICAL-SOUNDS. 572 SHARP & SMITH, CHICAGO. GYNECOLOGICAL. FIG. *3180 Jennison's Exploring and Indicating Sound$ 3 00 We have pleasure in calling the attention of physicians to this Instrument, containing valuable and remarkable qualities never before embodied in any for similar uses. In explorations of the uterine canal, and the diagnosis of malfor- mations, growths, displacements, and, to a certain extent, as a repositor, there seems abundant reason for the belief that it is possessed of peculiar and posi- tive value. In its construction a number of light steel springs about fifteen inches in length are arranged upon and parallel to each other, united at their ends, and placed within a small metal tube, which surrounds them, with the exception of about three inches at each end. One end of this tube is covered with hard rubber of size and form to constitute a convenient handle, which allows the instrument to rotate easily within it, affording complete freedom of movement while being introduced; or it may be held above or below the handle if free- dom is undesirable. The ends are each of about the diameter of Simpson's Sound. The whole of the instrument, except the handle, being covered with a deli- cate flexible rubber sheath, is protected from the intrusion of fluids, and is in all respects complete and convenient. Its construction being understood, it will be evident that any simple or single curve made in either of the flexible ends will be reproduced in an inverted form at the other; that an S, or double curve, in one end, will cause the other end to become straight; and that the instrument, while able to con- form its distal extremity to the uterine canal, whether normal or abnormal, will reveal its real form at the proximal extremity. Figure I. COOMAN & SHURTLEFF, BOSTON. Pig. i is a representation, the dotted lines showing some of the almost unlimited number of positions of the ends attainable by manipulation. In the diagnosis of displacements by the use of flexible silver instruments, their form, when withdrawn from the os, indicates little or nothing, because of straight- ening; not so, however, with this instrument, which, at each movement of introduction or of withdrawal, indicates at the exposed end the form of the covered one. In the use of any metal or partially flexible sound in a canal whose axis does not correspond exactly to its own, the sound overcomes resistance to its advancement by compelling the canal to assume its own shape; with the new instrument, on the contrary, an undulatory movement, or a slight increase of the curve already indicated, is obtained by gently manipulating its proximal end, so that it may be made to pass where other instruments would be excluded. SUGGESTIONS RELATIVE TO USING. (See Fig. i.) Hold the instrument firmly by the handle D in the right or left hand, as may be most convenient, the thumb E being uppermost, the fingers F F under- neath, introduce the end A, and, with the index finger and thumb of the other hand in the positions G H, it will be easy to manipulate the end B so as to ob- tain any required curve, combined with whatever of undulatory or worm-like movement may be useful while gently pressing the instrument forward. SHARP & SMITH, CHICAGO. 573 GYNECOLOGICAL-PROBES. FIG. 3181 Sims' Silver Uterine Probe $ 85 3182 " " " " with shield 1 00 3183 " Aluminium Uterine Probe 90 3184 ' " with shield 1 05 *3185 Emmet's Silver Uterine Probe 85 3186 " " " " with shield 1 00 3187 " Aluminium Uterine Probe 90 3188 " " " " with shield 1 05 *3189 Lente's Caustic Probe, one bulb 1 30 3190 " " " two " 1 65 *3191 Jenks' Uterine Probe 1 25 3192 Skene's " " and knife 75 3193 Whalebone Uterine Probe 40 3194 Leaden " " 35 3195 Budd's Hard Rubber Uterine Probe 35 3196 Thomas' Flat Hard Rubber Uterine Probe 1 35 *3i97 " " " " " 85 *3198 Emmet's Silver Uterine Applicator, with slide 1 00 3199 " Aluminium " " 1 00 3200 Mitchell's Uterine Applicator 1 75 *3201 Budd's Hard Rubber Uterine Applicator 40 3202 Thomas' " " " " 1 50 3203 Sims' " " " " 1 25 *3204 Turner's Uterine Applicator.... 1 10 3205 Dudley s " " 1 00 3206 " Whalebone Uterine Applicator 75 3207 Miller's Hard Rubber " " 35 3208 Nott's " " " " 75 3209 Rea's Uterine Applicator 75 3210 Recamier's Uterine Applicator 1 00 3211 Woodbury's " " 75 3212 Wylie's " " 1 5° *3213 " Cervical Protector 2 50 3214 Barker's Ointment Bougies 1 00 3215 Dixon's " " 1 00 *3216 Lallemand's Porte Caustic 3 00 3217 Gross, " " 3 00 Instruments designated by a * are illustrated. 574 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-HOOKS. FIG. *3218 Sims' Blunt Hook $ 90 *3219 Byford's Blunt Hook 1 10 *3220 Bozeman's " " 1 10 *3221 " Double Hook for exerting traction on the uterus.... 1 90 *3222 Emmet's Counter Pressure Hook 1 00 *3223 McDonald's " " " 1 5° *3224 Skene's " " " 1 35 *3225 Wylie's " " " 1 00 *3226 A and D Sims' Uterine Tenaculum 85 3227 Nott's " " wire 25 *3226 F Perry's Barbed " " 1 10 3228 Skene's Double " " 2 25 3229 Miller's " " wire 25 3230 Nelson's " " " .... 25 *32266, C Emmet's " " 85 *3231 " " angular 90 3232 Heavy " " for pulling down the uterus. 1 50 *3226E Bozeman's " " 1 15 *3233 " " " with steel shank 1 15 3223 3224 3225 3216 32o4 3i98 3221 3201 3222 3213 3220 3219 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 575 GYNECOLOGICAL-HOOKS. FIG 3234 Wylie's Uterine Tenaculum... $ 85 3235 Dudley's " " 90 3236 Thomas' " " 85 *3237 Pratt's " " 75 *3238 " " " blunt ' 75 Double Tenacula and Tenaculum Forceps-see index. *3239 Sims' Pulley 90 *3240 " Wire Adjuster 1 00 *3241 Bozeman's Wire Adjuster 1 50 *3242 Sims' Enucleator 3 00 *3243 " " blunt hook 3 25 *3243A Emmet's Enucleator.... 1 15 3233- Dr- Hanks' Improved Tenaculum is of the ordinary shape and size, but differs from other instruments of the kind in this respect. The steel shank is so constructed that the steel extends along the back of the handle, on the side opposite to the point or hook. When the latter is buried in the tissues, the direction in which it points will always be indicated by the metal back, as in the case of Simpson's sound, so that the hook can be disengaged immediately. 3243 3242 3231 3338 3233 3237 324' 3239 576 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL-DEPRESSORS FIG. 3244 Sims' Vaginal Depressor $1 00 *3245 " Double " " 1 00 3246 Emmet's " " 1 25 *3247 Nott's Double " " 1 00 *3248 Bozeman's " " 1 30 3249 Jackson's " " 1 5° *3250 Hard Rubber " " 1 30 *3251 Whitney's " " Hard Rubber . 1 30* 3252 Hunter's " " 1 5° 3253 Ludlam's " " 1 50 3254 Peaslee's " " 1 75 *3255 Hoffman's Automatic Suture Instrument 4 25 *3256 Brickell's Perineal Stays 60 *3257 Munson's Quill Suture perpair. 60 3258 Thomas' Tampons 1 15 3259 Yarrow's Tampon Carrier 2 50 *3260 Sims' Tampon Screw 1 00 *3261 Hard Rubber Tampon Screw 40 *3262 Sharp & Smith's " " 1 10 *3263 Emmet's Glass Button for Cystitis 25 *3264 Carroll's Knot Tier 1 85 *3265 Dr. Chas. D. Scudder's Knot Tier 1 50 SHARP & SMITH, CHICAGO. 577 GYNECOLOGICAL. The accompanying cut represents an instrument de- vised by Charles D. Scudder, M. D., New York, to help in making knots, when suturing or ligaturing in cavities. The instrument consists of a two-pronged steel shaft with a baked rubber handle. Each prong has an eye near its end, and the distance between the eyes is three-eighths of an inch. The form of the prongs has been changed since the drawing was made, and the fork is now lyre-shaped. It can be made curved to any degree desired. The holes are carefully bevel- ed, and three sizes-nine-inch, six-inch, and four-inch length are made. In ligaturing, the first knot is carried over the haemostatic forceps, and the ends of the ligature (which should be of good length) are passed through the holes in the fork, as shown in the sketch. The knot is carried down and placed by the knot-tier wherever wished, and suit- able traction is made by pulling on the ends of the ligature, which are wrapped around the fingers of either hand, while steadying the handle with the thumbs. The instrument is then removed care- fully, in order not to undo the knot; a new hitch, single or double, is made, the ends again threaded through the eyes, the knot placed, and firm traction com- pletes the operation. In suturing, the needle is detached after the suture is passed through the tissues to be sewn together, and the knot is made and placed as above described. A little practice will enable the operator to apply knots quickly and surely. 578 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-SPONGE HOLDERS. FIG. *3266 Sims' Uterine Sponge Holder $ 75 *3267 Hart's " " " 1 50 *3268 Emmet's " " " 75 3269 Granger's " " " 1 75 *3270 Fergen's " " " 1 00 3271 German Silver Uterine Sponge Holder, long '.. 55 3272 Ellsberg's " " " 1 15 *3273 Husson's " " " 75 3274 Byrnes' Uterine Fixator 1 85 3275 Perforated Shot per doz. 10 3276 Shot Punching Forceps.... 2 50 Marcy's Perineum Pins each. 35 We call the attention of the profession to an easily cleaned and perfectly aseptic Sponge Holder (Fig. 3273.) 1 he instrument is nine inches long and made out of a single piece of steel wire, nickel plated. I he blades are brought together by a ring of steel, which can be readily slipped off, thus permitting the instrument to be thoroughly cleaned. 1 he cut represents the instrument so clearly that further explanation is unnecessary. The advantages claimed for this instrument are : 1. That it is easily cleaned, hence thoroughly aseptic. 2. That it is light, strong and durable. 3. That it is cheap. Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 579 GYNAECOLOGICAL-DRESSING FORCEPS. FIG. *3278 Bozeman's Uterine Dressing Forceps, with catch $1 75 3279 " " " " without catch 1 50 3280 Sims' " " " " " 1 75 3281 " " " " with slide " . 2 25 3282 Elliott's " " " " " 1 75 3283 " " " without catch 1 50 *3284 Plain " " " " " 1 5° *3285 Byford's " " " " " 1 50 3286 " " " " with " 1 75 *3287 Thomas'latest Uterine Dressing Forceps, cross action 3 00 3288 Emmet's " " " slide catch 2 00 3289 Hart's " " " 1 85 3290 Leonard's " " " with catch 1 85 3291 Allen's straight " " " " " 1 75 3292 " " " " " without catch 1 50 3293 Winston's " " " 2 60 3294 Buttles' " " " 1 75 3295 Wylie's " "• " 2 25 3296 Shield's " " " 1 75 *3297 Emmet's " Curette " 2 50 3298 Thomas' " Dilating " 2 00 *3299 Gardner's Uterine Caustic Holding " 2 40 *3300 Sims' " " " " 3 00 327S 3284 3285 3299 3287 3297 All instruments designated by a * are illustrated 580 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-POLYPUS FORCEPS. FIG. 3301 Sims' Uterine Polypus Forceps $ 3 00 3302 Luer's " " " 4 00 *3303 McClintock's Uterine Polypus Forceps 4 50 *3304 Baer's " " " 3 00 *3305 Heavy Straight " " " with catch 2 75 *3306 Thomas' " Applicating " 2 00 *3307 Wylie's " Angle " 2 50 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 581 GYNAECOLOGICAL-FORCEPS. FIG. *3308 Currie's Double Canulated Forceps$ 5 25 *33°9 Byrnes' Uterine Tenaculum " 4 50 *3310 Skenes' " " " 2 25 *3311 Ball's " " " 1 85 3312 Hanks' " " " ' 2 25 3313 Nott's " " " 2 25 *3314 Emmet's " " " for holding together the edges of wounds 3 75 3315 Thomas' Uterine Tenaculum Forceps for holding together the edges of wounds 3 75 582 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL-FORCEPS. FIG. *3316 Thomas' Shouldering Forceps $3 5° 3317 Sponge Holding and Dressing Forceps 2 00 *3318 Langenbeck's Seizing " 2 25 *3319 Sims' " " 2 25 3320 Thomas' " " 3 00 *3321 Self Grasping " " 2 25 *3322 Byrnes' " " 2 25 *3323 Whitehead's " " 3 35 *3324 Dixon's Applicating and Dressing " 4 5° In certain cases in gynaecological practice the ordinary methods of clean- ing the part and making application to diseased surfaces have proved so troublesome that there has been devised the following described instrument, in order to facilitate the performance of the process. The instrument is a modification of the well-known throat applicator devised by the late Dr. Ellsberg. It is essentially a forceps provided with a lock similar to the lock of an obstetrical forceps, in order that the blades may be separated, to facilitate cleaning. The method of using the instrument is as follows: A bit of cotton is rolled into a wad of the proper size, leaving a firmly twisted projecting portion, which is grasped between the teeth of the forceps without springing the blades; the cotton is then saturated with the appropriate medicament. Thus armed, the instrument is introduced through a speculum, and the cotton point passed through the ostincae into the uterine cavity, and the medicament brought into contact with the parts to be operated upon. SHARP & SMITH, CHICAGO. 583 FIG. *3325 Plain Tissue Forceps, straight $1 50 *3326 " " " curved 2 00 *3327 Agnew's " " and adjuster ............................... 2 00 3328 Thomas' " " straight 3 25 *3329 " " " curved 3 25 3330 Sims' " " " 2 75 3331 " " " straight 2 75 3332 Scott's " " 2 00 3333 Nott's " " 2 00 3334 Adjustable " " with catch 300 3335 Curved " " " 2 25 *3336 Dr. Geo. Cowan's Tissue or Trachealoraphy Forceps, spring catch 3 35 *3337 Emmet's Wire Twisting Forceps 2 25 *3338 Nott's " " " 2 25 *3339 Fitch's " " " 3 00 3340 Thomas' " " " 2 25 *3341 Sims' " " " 2 25 3341 Emmet's " Pressing " 1 85 GYNECOLOGICAL-FORCEPS. 3325 3326 3337 3341 3329 3327 3339 333? 584 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-FORCEPS. FIG. *3342 Byford's Vulsellum Forceps small $2 25 *3343 " " " medium 2 50 *3344 " " " large 2 75 *3345 Musseaux' " " 2 25 *3346 Byrnes' " " 2 25 3347 Steele's " " 3 00 3348 Jackson's " " 2 00 3349 French's " " 2 25 3350 Plain Regular " " 6 and 7 inch each 1 70 3351 " " " " 8 " 9 " " 1 85 3352 " (with catch) Vulsellum Forceps, 6 and 7 inch " 1 85 3353 " " " " 8 " 9 " " 2 25 3354 " with ratchet " " 7% " " 2 25 *3355 " " " " " 8% " " 2 65 3356 " " " " " 9% " " 3 00 3357 Side Prong - " " 6 " 7 " " 1 85 3358 " " " 8 " 9 " " 2 25 3344 3355 3345 3343 3342 All instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 585 FIG. 3359 Campbell's Uterine Tumor Forceps $6 oo *3360 Greenhalgh's " " " 5 00 3361 Nelaton's " " " 2 75 *3362 Tumor Forceps with Set Screw 2 50 *3363 Byrne's Tumor Forceps with Ratchet 2 50 Catch Tumor Forceps 3 25 *3364 Sims' Vulsellum Hook 4 50 3364-AKuechenmeister's Vulsellum Hook 3 75 3365 Thomas' Speculum Forceps 2 00 *3366 Shot Compressing " 1 85 GYNECOLOGICAL-FORCEPS. 586 SHARP & SMITH, CHICAGO. OVARIOTOMY INSTRUMENTS. FIG. *3367 Nelaton's Pedicle Forceps$ 2 85 *3368 Spencer Wells' Pedicle Forceps, angular 3 75 *3368 " " " " straight 3 75 *3368 " " " " half curved 3 75 *3368 " " " " full " 3 75 *3369 . " " Sac " 3 75 *337° Sidney F. Wilcox's " " 4 25 *3371 Thomas' 11 " 2 25 3372 Thompson's Vesico Tumor Forceps 4 50 3373 " " " " 4 5° 3374 " " " " 4 5° *3375 Dr. C. M. Wilson's " " 4 50 SHARP & SMITH, CHICAGO. 587 GYNECOLOGICAL-OVARIOTOMY. A NEW FORCEPS FOR CATCHING THE SAC IN THE OPERATION OF OVARIOTOMY. By Sidney F. Wilcox, M. D., New York. Having on many occasions noticed the difficulty experienced in catching the sac of an ovarian tumor, I devised the forceps represented in the cut, and they have proved in every way a success. The difficulty usually experienced is that, when the sac is distended, it is difficult to catch hold of it with anything except a large vulsellum forceps, and afterward the sharp teeth are liable to tear a friable sac if traction is made. For holding the sac and making traction, a forceps with broad flat blades is necessary, but, with those ordinarily made, it is impossible to seize the sac until it has collapsed. The forceps shown in the cut is a combination of the vulsellum and the broad bladed forceps. By widely separating the blades the projecting teeth can be fixed into the sac, and as the trocar is plunged in and the sac gradually collapses, the jaws are closed, and the walls are folded in between the broad fenestrated blades. The handles are then locked, thus giving a firm hold on the sac, by which means a great deal of traction can be made without fear of laceration. 588 SHARP & SMITH. CHICAGO. GYNECOLOGICAL-OVARIOTOMY FIG. *3376 Thomas' Haemostatic Forceps $ 1 85 *3377 Faenger's large straight Haemostatic Forceps, 914 inches 2 50 *3377 " " curved, " " " 2 50 3378 " small straight " " 1 75 *3379 Spencer Wells' Torsion Forceps 3 00 *3380 " " Clamp " 6 00 *3381 . " " " " 3 75 3382 Tait's Compression " 1 50 *3383 Thornton's " " 3 75 *3384 " Mod. by Byford's Compression Forceps 4 50 *3385 " " " " " 4 5° *3386 Peans' Heavy Clamp " each. 3 50 3377 337*3 3379 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 589 GYNECOLOGICAL-OVARIOTOMY. FIG. *3387 Dudley's Ovariotomy Pins each. $ 75 *3388 Peck's " " " 60 *3389 Wilcox's " " : " 50 3390 Kellogg's " " Silver per doz. 2 00 3391 " " " Gold " ' 3 00 *3392 Hunter's Pedicle Needle 7 50 3386 3384 3383 3385 Instruments designated by a * are illustrated. 590 SHARP & SMITH, CHICAGO. FIG. *3393 Atlee's Ovariotomy Clamp $4 50 3394 Nott's . " " 9 00 *3395 Spencer Wells' Ovariotomy Clamp 4 50 *3396 Storer's " " 9 00 *3397 Tait's " " 10 00 *3398 Thomas' " " 3 35 *3399 Dawson's Modified " " 6 00 GYNAECOLOGICAL-OVARIOTOMY. 3393-No i. 3393-No. 2. All Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 591 GYNAECOLOGICAL-OVARIOTOMY. 592 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-OVARIOTOMY. FIG. *3400 Gueride's Ovarian Clamp $2 75 3401 Skene's " " 1 15 3402 Hard Rubber " " 4 00 3403 Noeggerath's " " 5 25 *3404 Baker Brown's " " 5 25 *3405 Byford's " " consisting of two Clamps and one pair Lever Forceps 11 25 3406 Wilde's Ovarian Clamp 4 50 3407 Lewis' " " 3 00 3408 McLeod's " " 1 85 *3409 Spencer Wells'Pedicle Clamp 18 75 SHARP & SMITH, CHICAGO. 593 GYNAECOLOGICAL-OVARIOTOMY. FIG. *3410 Dr. A. J. Skene's and W. H. Thallon's M. D.'s Cautery Ovari- otomy Clamp$ 6 00 *3411 Thomas'Clamp, for Compressing Vaginal Wounds 6 00 3412 King's Scrotal Clamp 3 50 3413 Henry's " " 6 00 *3414 Thomas' Ovariotomy Clamp , 4 50 *34i4-A Byford's Vaginal Retractor 1 50 Fig. 3410.-This Cautery Clamp was de- vised by Drs. A. J. Skene and W. H. Thallon. It is essentially a combination of the old-fash- ioned Cautery Clamp and the Clamp which Dr. Dawson, of New York, devised to leave on the pedicle stump brought up into the wound. It is very well shown in the accompanying cut. All instruments designated by a * are illustrated 594 SHARP & SMITH, CHICAGO. Fig. 3414-B-DR. C. S. ELDRIDGE'S CUT- TING CLAMP. The following are some of the advantages of this in- strument : 1st. It cuts and clamps simultaneously. 2d. It is a safe haemostatic. 3d. This instrument works admirably in operations for cystocele. Its work here, as elsewhere, is accurate, reliable, bloodless, and rapid. 4th. As a Clamp in Ovariotomy it is so convenient that it must of necessity become a general favorite. 5th. There is no instrument on the market like it ; nor is there one that can be handled so dexterously. 6th. This instrument is arranged with teeth that transfix the tissues before cutting, and makes it impos- sible for them to slip. 7th. Of its application for removal of prolapsed and redundant rectal tissues, Dr. E. II. Pratt says: "It is an exceedingly ingeniously contrived Clamp, and is much superior to previous inventions for this purpose. It is more easily managed than other instruments, does its work speedily, and is a valuable contribution to a surgeon's outfit." 8th. It is usually desirable to stitch tissues that are clamped. In pedicled strictures, of course the tissues are to be thoroughly choked by ligatures before the Clamp is removed, simply because they are the more easy of access. Where the object is to merely hold in coaption several edges, the ligatures can be placed in position before the Clamp is removed, but not tied until clamp is taken off. Fig. 3414-C.-DR. C. S. ELDRIDGE'S CLAMP FOR INTERNAL PILES. The jaws of this Clamp are placed at right angles with its handles, which allows such tissues to be complete- ly viewed as it is the operator's intention to include in the Clamp. The instrument possesses so much power, and clamps so effectually, the inventor thinks it will become deservedly popular. 34I4-C For other Instruments of Dr. Eldridge's, see " Supplement " at end of book. SHARP & SMITH CHICAGO. 595 GYNECOLOGICAL-OVARIOTOMY. FIG. *3415 Spencer Wells' Ovarian Trocar, straight $ 7 50 *3416 " " " " curved, large 15 00 *3417 Lawson Tait's " " curved 16 50 *3418 " " " " straight 12 00 *3419 Dunster's " " ,5 00 *3420 Emmet's " " 3 25 3420-A " curved " " 8 25 *3421 Warren's " " 11 25 *3422 Fitch's Dome " " complete 10 50 *3423 Thomas' " " 15 00 596 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-OVARIOTOMY. SHARP & SMITH, CHICAGO. 597 GYNECOLOGICAL-OVARIOTOMY FIG. *3424 Set of 4 Nested Trocars in case $4 00 3425 " 3 " 3 5° *3426 Pean's Trocars 5- 25 *3427 Flint's " 3 00 WE call attention to the front part of this Catalogue, stating that prices are strictly net, except where otherwise stated. We be- lieve this to be the best plan, because Surgical Instrument Lists differ to such an extent that the physician and surgeon would have great difficulty in figuring out the net prices of each house in our line. All goods bearing our name are warranted. 598 SHARP & SMITH, CHICAGO. FIG. *3430 Spicker's Hard Rubber Spiral Drainage Tubes, small $ 50 3431 " " " " " " large 75 *3432 Pure Silver Drainage Tube, 7 inches long 75 *3433 Rubber (soft) " " per yard 30 *3434 Thomas' Glass " " 35 3435 " '* " " perforated on sides 85 *3436 " Hard Rubber Drainage Tube double 2 00 GYNAECOLOGICAL-DRAINAGE TUBES. Regarding the above Drainage Tube we would state that hard rubber being a non-irritant, the drain is more complete than glass or soft rubber. They can be screwed into any wound, no matter how much curved the wound is, and when removing the tube does not need to be drawn by force, but only needs to be twisted or turned to the left same as a screw. It can be easily cleaned, thereby aseptic, and can be used any number of times. We make them to order any length and thickness. All instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 599 GYNECOLOGICAL-DRAINAGE TUBES. FIG. PER SET. *3437 to 3445. Dr. D. A. K. Steele's No. 1 Set of Drainage Tubes.... $3 00 *3446103451. " " " " 2 " " " .... 4 00 PROF. D. A. K. STEELE'S IMPROVED GLASS DRAINAGE TUBES. We desire to call the attention of the medical profession to an Improved Glass Drainage Tube, manufactured by us at the suggestion of Prof. D. A. K. Steele. They are manufactured from the best double annealed imported glass and possess the ideal requisites for perfect wound drainage. They are absolutely aseptic, non-collapsible, easily removed and re- inserted, and durable. We feel confident that they possess many points of superiority over rubber or bone drainage tubes, that will be readily recognized by practical surgeons. The apertures in these tubes are oblong and perfectly smooth. Fig. 3437- No. 1 Straight. 5 inches long. " 2 " 4 " " 3 " 3i " " 4 " 3 " ' Fig. 3438. No. 5~A. Curved. 3I inch. long. Fig. 3439- No. 6-B. Curved. 5 inch. long. " 7-B. " 4 " ' 8-B. " 3 " " Fig. 3440. No. 9-C. Curved. 3 in. long. " 10-C. " 4 " " " 11-C. " 5 " " Fig. 3441. No. 12-D. Curved. 3 in. long. " 13-D. " 4 " " " 14-D. " 5 " " Fig. 3442. No. 15-E. Curved. 4I in. long. Fig- 3443 No. 16-F. Curved. 4 in. long. 600 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL-DRAINAGE TUBES. *3444 No. 17-G Curve 3% inches long. *3445 " l8"H " 3% SET No. 2. inch Tubing consisting of Nos. 19 to 24 inclusive. Curves correspond with Set No. 1, as shown by the Letters. 3446 No. 19-B Curve 6 inches long. 3447 " 20-D " 7 " " 3448 " 21-E " 6 " " 3449 " 2 2-G " 6% " " 345° " 23 Straight 5% " " 3451 " 24-C Curve 7 " " Other Curves and Lengths being desired, can be furnished by sending drawing, stating length and size Tubing. For other Drainage Tubes see index. Fig- 3452- Sharp & Smith's Drainage Tube Introducing Forceps $2 00 3453 Chamberlain's Glass Uterine Drainage Tube $ 85 *3454 Dr. J. C. Hoag's modification Chamberlain's Glass Uterine Drainage Tube, double curve and grooved, holes in side .... 1 00 3455 Dr. J. C. Hoag's modification Chamberlain's Glass Uterine Drainage Tube, double curve and grooved, and holes in end. 1 00 *3456 Dr. J. C. Hoag's modification Chamberlain's Glass Uterine Drainage Tube, bulbous, with perforations 60 *3457 Dr. J. C. Hoag's modification Chamberlain's Glass Uterine Drainage Tube, bulbous, with slots 75 AH Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 601 GYNECOLOGICAL-DOUCHE TUBES. FIG. *3458 Bozeman's Uterine Douche Tube $1 75 *3459 Kelly's Modification of Bozeman's Uterine Douche Tube...... 3 50 *3460 Jennison's Uterine Douche Tube 1 50 3461 " " " " with Syringe 2 00 *3462 " (Wigmore's)" " " 1 50 " modified " " " 2 00 All instruments designated by a * are illustrated. 602 SHARP & SMITH, CHICAGO. FIG. *3464 Dr. Wm. S. Gardner's Tube for Intra-Uterine Irrigation$2 50 *3465 Dr. W. Thornton Parker's Soft Rubber Velvet-Eyed Tube for Injecting and Measuring the Uterus 1 25 *3466 Bozeman's Utero-Vesico-Urethral Drainage Support with Urinal 900 GYNAECOLOGICAL. PUERPERAL SAPRiEMIA AND A METHOD OF INTRA-UTERINE IRRIGATION. ' Fig. 3464. For giving vaginal injections a syringe, made on the pattern of a Davidson, with hard rubber finishings, is used. For intra-uterine injections the same syringe, with a soft rubber intra-uterine injection tube, is used. This tube is twelve inches long and seventeen (American) caliber. The point is round, smooth, and closed. Three inches from the point is a slightly raised collar. Between the point and collar, but grouped rather toward the point, are three large lateral velvet-eyed openings. The whole instrument is per- fectly smooth and flexible; there is not a rough edge or corner that can scratch the most delicate surface. The smallest nozzle of the syringe being on, the open end of the tube is slipped over it. The syringe and tube are then filled with corrosive sublimate solution, and the tube is introduced into the uterus by grasping the point between the index and middle fingers of the right hand, allowing the remainder of the tube to rest in the palm of the hand; then carry the tube between the fingers up to the external os; reflect the point into the cervical canal; grasp the middle of the instrument between the thumb and the finger of the left hand, and gently push it in until the collar is felt just at the external os. You then know that the end of the tube is well into the cavity of the uterus, and still a safe distance from the fundus. There is some danger from introducing even the softest instrument too far into the puerperal uterus. 1 he solution is then forced into the uterus until it returns clear. About a quart is the quantity usually used, though as much as a gallon is sometimes necessary. I he nozzle of the syringe is slipped out of the tube, the latter being left in place to assist in the exit of all the injected fluid. When the tube comes out of itself, it is plated in a solution of corrosive sublimate, 1-2000, until wanted. SHARP & SMITH, CHICAGO. 603 GYNECOLOGICAL FIG. *3467 Nott's Double Current Catheter, silver $2 75 3468 " " " " plated 1 75 3469 Reliquet's Double Current Catheter 1 50 *3470 Skene's Reflux Catheter, metal 1 75 3471 " '' " hard rubber 1 75 *3472 " Double Perforated Catheter 1 75 *3473 " Goodman's Self-Retaining Catheter 65 3474 Byrne's Reflux Catheter, silver . 1 85 3475 " " " rubber 3 00 3476 " Catheter Adjuster 1 50 *3477 Silver Female Catheter 65 3478 Plated " " 40 *3479 " " " small holes 50 3480 Jointed " " 75 3481 Hard Rubber Female Catheter 65 3482 Leavitt's Soft Rubber Female Catheter 40 3483 Flexible Metal Female Catheter 50 *3484 Sims'Sigmoid " " silver 1 25 3485 " " " " plated 75 3486 " " " " hard rubber 50 3487 " Improved Sigmoid Female Catheter 75 *3488 Dowse's Self-Retaining Soft Rubber Catheter $1 00 to 1 25 3470 3488 3466 3477 3479 3467 3472 Instruments designated by a * are illustrated. 604 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL-NEEDLE HOLDERS. FIG. *3489 Bozeman's Spiral Needle Carrier $ 3 75 *3490 Ady's Uterine Needle Holder 7 50 *3491 Ethridge's Uterine Needle Holder 3 75 *3492 Dr. A. J. Skene's Uterine Needle Holder 5 50 *3493 Tiemann & Co.'s " " " 4 50 *3494 Thiersch's " " " and Spindles 7 50 *3495 Abbe's Modification of Hagedon's Uterine Needle Holder.... 3 00 *3496 Hanks' Uterine Needle Holder 3 00 *3497 Fowler's " " " 3 00 3498 Thomas' " " " 3 5° 3499 Wyeth's " " " 3 40 All instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 605 GYNECOLOGICAL-NEEDLE HOLDERS. 606 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-NEEDLE HOLDERS. FIG. *3500 Philadelphia Uterine Needle Holder $4 00 *3501 Fritche's or (Paris) Uterine Needle Holder 3 5° *3502 Emmet's Uterine Needle Holder 2 25 I*35°3 Sims'plain " " " 1 85 3504 " catch " " " 2 00 *3505 Russian " " " 3 00 3506 " Improved Uterine Needle Holder 3 25 f *35°7 Reiner's Uterine Needle Holder 3 00 J *3508 Fowler's " " " with Russian handle 5 00 [ *3509 Gibbon's " " " 4 50 *3510 Hagedorn's " " " small 5 00 3511 " " " " large 6 00 All Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 607 GYNECOLOGICAL-NEEDLE HOLDERS. 608 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL-NEEDLE HOLDERS. FIG. *3512 Stimson's Uterine Needle Holder $2 75 *3513 Dr. C. A. Von Ramdohr's Combined Needle Forceps 7 50 *3514 Dr. Wm. K. Otis' Aseptic Needle Holder for Hagedorn or Round Needles 8 25 Cut showing the Manner of Operating with Sims' Wire Twisting Forceps and Scissors, COMBINED NEEDLE FORCEPS. By C A. Von Ramdohr, M. Di, Instructor in Gynaecology and Operative Midwifery, New York; Post Graduate Medical School. In operating for lacerated cervix a great deal of time is occupied in pass- ing the sutures. Usually the needle is first passed through one lip, extracted, introduced into the other one, and extracted again. The reason for this manceuver is that it is the harder to catch the point of the needle with the extracting forceps the more it is embedded in the surrounding tissues; and in passing the needle through both lips at the same time, it will always leave the point more or less deeply embedded. Any simple contrivance enabling the operator to pass a needle through both lips at the same time, and extracting it without difficulty, thereby shorten- ing the time of operation, is well worthy of consideration. SHARP & SMITH, CHICAGO. 609 The combined needle forceps answers such a purpose. It consists of a pair of needle forceps which may be united or separated by a pivot and notch lock at their middle. The modus operandi is as follows: A straight needle (Fallen's trocar pointed by preference, longer or shorter according to the thickness of the denuded cer- vix) is clasped at a right angle in the right hand (pivot) forceps. It is pushed through both lips, then the open left hand forceps (notch) is hooked on the pivot and the open branches are pressed against the cervix until the point of the needle lies, as it always must lie, according to the construction of the for- ceps, between the branches. The left hand forceps is then closed and the right one opened and withdrawn, and the point of the needle grasped by the left forceps is extracted. In this way I have been able to pass four sutures in a unilateral laceration inside of four minutes, certainly not very slow time. AN ASEPTIC HOLDER FOR HAGEDORN AND ROUND NEEDLES. The manifest advantages of the Hagedorn needle and its very general adoption by American surgeons, together with the fact that most of the holders adapted for its use are both cumbersome and difficult to clean, led me, a year or two since, to modify probably the most popular holder ever invented for round needles (that of Dr. Henry B. Sands) in such a manner as to render it capable of firmly holding flat needles, and also of being more easily cleansed, without eliminating any essential feature of the original instrument. This instrument is easily understood by a reference to the illustration. . The end for holding round needles is unchanged, except that it is placed at the opposite end of the instrument to that which it originally occupied. The end adapted for flat William K. Otis, M. D. needles consists of the solid lower bar, the end of which is turned upward at a right angle; a sliding bar forced down upon this end by the powerful double lever, firmly grasps a needle placed between them. Several notches have been added to the original spring catch, in order to hold needles of different sizes. For cleaning, by simply turning the little button which holds down the sliding bar, the whole upper portion of the instrument may be raised, swung over on the axis of the joint, opening the round end, and disconnected. The last named joint has been constructed on a novel principle, recently introduced, and is more powerful and more easily manipulated than the old French button- hole joint. This instrument, owing to its compactness, is particularly adapted for its use in the pocket case, and holds a needle very firmly, and considerable practical use in the hands of competent surgeons has proved its efficiency. 610 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-SCISSORS. FIG. *3515 Sims' Straight Uterine Scissors, sharp or blunt $2 00 *3516 " Curved on Flat Uterine Scissors 2 50 3517 " Angular " " 3 00 *3518 Emmet's Full Curve " " R.orL each. 3 25 *35*9 " Half " " " " " 3 25 352° " Angular " " " " 3 25 *3521 " Lesser Curve " " " " 3 00 3522 " Wire Cutting " " " 3 35 *3523 Fallen's (A and B) " " " 3 75 *3524 Bozeman's Angular " " " 2 50 *3525 " Curved Down Handles, Uterine Scissors " 3 25 *35 26 " " Right and Left " " " 3 35 3527 Byford's Sharp Point Uterine Scissors 3 25 *3528 " Blunt " " " 3 25 *3529 Jenks' Perineum.... " " 3 00 35j6 3518 3519 3521 SHARP & SMITH, CHICAGO. 611 GYNAECOLOGICAL-SCISSORS. 3528 3524 3525 612 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-SCISSORS FIG. 3530 Goodell's Uterine Scissors $3 25 3531 Clark's Saw Tooth Uterine Scissors, straight 3 75 *3532 " " " " " curved 4 50 *3533 Cervix Scissors for Amputation of the Cervix 5 00 *3534 Keuchenmeister's Scissors for dividing the Neck of Uterus.... 4 50 3535 Dawson's " " " " " .... 4 00 *3536 Smith's Wire Cutting Scissors 3 00 *3537 Heywood Smith's Uterine Scissors 9 00 3537 3534 3532 SHARP & SMITH, CHICAGO. 613 GYNECOLOGICAL-SCISSORS. FIG. *3538 Wilson's Wire Cutting Scissors $3 25 *3539 Pratt's Uterine Scissors 3 00 *3540 T. & Co.'s Revolving Blade Uterine Scissors 6 25 *3541 Skene's (new) Hawk Bill " " 7 50 The rotation of the blades is produced by the index finger of the same hand which operates. By depressing the lever near the handles and sliding it forward or backward, the scissors are placed in any required position, and held firmly by allowing the lever to snap into one of the notches; in the same man- ner the position can be constantly changed at pleasure. The instrument has been frequently used with much success in many operations where no other scissors could have been employed. 3541 The parts of these scissors are made to seize the angle formed by the junc- tion of the two flaps as far as appears necessary. The flaps are brought together by the aid of the forceps on each side, so as to bring the tissues more within the grasp of the scissors. The blades of the scissors are then closed, and a strip is removed from above downward on each flap. 614 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-NEEDLES. FIG. *3542 Dr. H. T. Hanks' Trachelorrhaphy Scissors $3 75 *3543 Emmet's Cervix Needles per doz. 1 00 *3544 Sims' " " " 1 25 *3545 Emmet's Perineum " " 1 00 *3546 Sims' " " " 1 25 *3547 Silver Wire Needles each. 20 3548 Aluminium Wire per foot. 45 3549 Silver (pure) Wire all sizes " coil. 35 3550 Lead Wire "yard. 25 TRACHELORRHAPHY SCISSORS. TRANSACTIONS OF THE OBSTETRICAL SOCIETY OF NEW YORK. STATED MEETING, NOVEMBER IJ, 1887. The President, Dr. H. T. Hanks, showed a pair of strong curved scissors with blunt points, ground in such a manner that the blades meet and begin to cut first at the very end or distal extremity. The figure shows quite clearly the edges of the blades ground so that there is an elongated diamond shaped opening between them when they are about to be closed. It will be noticed that, when the blades are approaching, it is quite impossible for the tissue to retract or slide away from the scissors. On using these scissors, it is found that they cut their way quickly into the most dense and most decidedly cicatrical tissue. These shown are bent and ground with special reference for use in Dr. Emmet's operation on the cervix. . They will take the place of the very excellent tenaculum-pointed scissors of Dr. Dawson. The instrument here shown cuts with even less effort, does its work more exactly than the Dawson instrument, and leaves less unevenness after completion, as it is sure of cutting all the tissues between the blades. SHARP & SMITH, CHICAGO. 615 GYNAECOLOGICAL-NEEDLES. FIG. *3551 Rivedon's Perineum Needle, full curved $3 50 *3552 " " " half curved 3 50 *3553 " " " " (modified by Keyes) 7 00 *3554 " " " straight....( " " ) 700 *3555 " " " in folding shell handle • • 3 75 *3556 Whitehead's Helical " 1 30 3551 3552 3553 3556 3555 Instruments designated by a * are illustrated. 616 SHARP & SMITH, CHICAGO GYNECOLOGICAL-NEEDLES. FIG. *3557 Agnew's Perineum Needle and Needle Holder set $ 3 40 *3558 Parker's " " set of six in handle, handle serves as a case for the needles 3 75 *3559 Wilson's Perineum Needle 1 00 *3560 " " " right or left each 1 50 *3561 Peaslee's " " set of three 2 25 *3562 Skene's " " 1 25 *3563 Jackson's " " 2 25 *3564 Straight " " 55 *3565 Curved " " 55 3566 Stone's " " j 50 3567 Thomas' " " doz. 75 *3568 Papine's " " 65 3569 Goodell's " " 25 3570 Ashton's " " 75 *3571 Knox's " " *3572 Emmet's Canulated Needle 2 00 SHARP & SMITH, CHICAGO. 617 GYNECOLOGICAL-NEEDLES. 618 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-NEEDLES. FIG. *3573 Pease's Canulated Needle $9 00 3574 McClellan's Canulated Needle ... 1 75 3575 Simpson's " " I 50 3576 Vandeworker's " " 3 75 3577 Atlee's " " 1 15 *3578 Sharp & Smith's Hollow Wire Needle, 2 Needles 3 oo " " ' 3 " 4 oo Instruments designated by a * are illustrated. Bozeman's Button Suture. SHARP & SMITH, CHICAGO. 619 GYNECOLOGICAL-UTERINE KNIVES. FIG. *3579 Sims'Straight Uterine Knife, No. 2 $ 1 10 *3579 " Right or Left Uterine Knife No. 1 each 1 10 *3579 " Angular " " " 3 " 1 25 *3579 " Double Edge " " " 4, curved or flat.... " 1 35 *3579 " Scalpel " " " 5 " 1 10 *3579 " Bent Down " " " 6, double edge " 1 50 *3580 " Revolving " " 3 25 *3581 " Latest " " 4 blades and holder 7 50 3582 Emmet's " " 5 00 3583 Bozeman's " " 1 25 3584 " Angular " " 1 25 3585 Civialle's Meatus Knife 4 50 3586 Double Edge Uterine Knife 1 25 3587 Right and Left " " each 1 25 *3588 Skene's Uterine Knife and Probe 75 3597 358o 3588 620 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-KNIVES AND SCARIFICATORS. FIG. 3589 Barker's Uterine Scarifier $2 25 *3590 Buttles' " " Spear Point 1 00 *3591 " " " with Hook 1 50 3592 Chapman's " " .... 1 10 3593 " " " folding 2 00 3594 Nott's " " 75 3595 Peaslee's " " 3 50 3596 Storer's " " 4 50 *3597 Skene's " " and Sound 4 50 3598 Cutter's " " 3599 White's Hysterotome 9 00 *3600 Simpson's " 5 00 *3601 Stohlman's " 5 50 3602 Peaslee's " 5 00 *3603 Peaslee's Uterotome 3 25 3604 " " two blades 5 00 3605 Edwards'Self-Grasping Uterine Caustic Holder. 2 25 3606 Byford's Platina Cup " " " 2 qo *3607 " Silver " " " " 1 5° 3608 Earle's Jointed " " " 1 85 3609 Gardner's " " " 2 25 3610 Sims' " " " 1 75 3611 Emmet's " " " 1 75 *3612 Lente's Platina Cup for Caustics..... 2 25 *3613 Alum Pencils mounted on handle 25 3614 Blue Vitriol Pencils, mounted on handle 25 3615 Chloride of Zinc " 3616 Nitrate of Silver $1 00 SHARP & SMITH, CHICAGO. 621 GYNECOLOGICAL-SPECULA. FIG. *3617 Graves' Vaginal Speculum$ 2 75 *3618 Brewer's " " 2 50 Both of the above are convertible into a "Sims" Speculum *3619 Cuscoe's Vaginal Speculum 2 50 3620 " Improved Vaginal Speculum 2 50 *3621 Jones'Vaginal Speculum 3 00 622 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-SPECULA. FIG. 3622 Cuscoe's Vaginal Speculum (modified by Ludlam) $ 3 00 Figs. 3619, 3620, 3622 and 3623 have folding handles, and are convenient for carrying in the pocket. 3623 Thomas' Modification of Cuscoe's Vaginal Speculum 2 50 *3624 Storer's Vaginal Speculum 2 50 *3625 McNutt's " " (Dr. McNutt of San Francisco) 3 00 *3626 Taylor's " " 2 50 *3627 Howard's " " 2 50 *3628 Higbee's " " (3 sizes) each 2 50 3628 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 623 GYNECOLOGICAL-SPECULA. FIG. *3629 Sims'Vaginal Speculum (made in five sizes) each $1 50 3630 " " " hard rubber.... " 2 25 *3631 " " " wire " 1 50 *3632 " " " with handle 2 25 3633 " " " (virgin) 1 50 *3634 " " " folding ' 4 00 *3635 " " " modified by Emmet 7 50 *3636 " " " " " Dawson 4 50 3637 " " " " " Hepburn 2 50 *3638 " " " " " Munde 3 00 624 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-SPECULA. FIG. *3639 Nott's Vaginal Speculum, three blades..,...$2 50 *3640 Nelson's " " . 2 50 3641 Palmer's " " three blades 3 00 3642 " " " two " 3 00 *3643 Jackson's " " 3 00 *3644 Stohlman's " " 6 00 *36441 Hale s " " 3 00 « Virgin Vaginal Speculum 3 00 SHARP & SMITH, CHICAGO. 625 GYNECOLOGICAL-SPECULA. FIG. *3646 Goodell's Vaginal Speculum $ 6 00 *3647 Hunters " " 400 (Miller's " ' small 2 50 " medium 2 50 " large 2 50 *3649 Fitch's " " 2 50 *3650 Ethridge's " " Fenestrated 2 50 3651 Byrne's *' " ...................... 7 00 3652 Baxter's " " 3 75 626 SHARP & CHICAGO. GYNAECOLOGICAL-SPECULA FIG. *3653 Universal Vaginal Speculum $ 7 50 *3654 Leonard's " " 5 00 *3655 Jenks' " " 6 00 3656 Reed's " " 5 00 3657 Meadow's " " 9 00 3658 Byford's " " four blades 10 00 3653-Open. All Instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 627 FIG. *3659 Shiland's Vaginal Speculum $ 3 75 *3660 Siemon's (set) Vaginal Speculum, with two handles and eight blades 15 00 3661 " " " " " " four " 9 00 *3662 Schlotterbeck's " " 7 50 *3663 Thomas, latest " " 15 00 *3664 Ricord's Bivalve " " ' 3 00 GYNAECOLOGICAL-SPECULA. 3659-Open. Pat., Feb. 24, 1874. 3662 628 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-SPECULA. FIG. *3665 Erich's Vaginal Speculum $ 7 50 3666 " " " modified by Hunter 12 co *3667 Bozeman's Trivalve Speculum 9 50 3668 " Duck Bill " 2 00 *3669 Neugebauer's Vaginal Specula, set of 4 pieces, making 3 sizes of Sims' Specula 4 50 3670 " " " with screw attachment for making into form of Sims' 5 00 *3671 Neugebauer's Vaginal Specula, modified by Barnes 2 00 *3672 Bath " " 1 50 SHARP & SMITH, CHICAGO. 629 GYNAECOLOGICAL-SPECULA. FIG. 3673 Wackerhagen's Vaginal Speculum $800 *3674 T. & Co.'s Four Blade Vaginal Speculum 7 5° *3675 Thomas' " " 7 50 *3676 " Telescopic " " 3 75 *3677 Fergusen's Glass Mirror " " 35 3678 " " Plain " 30 3679 " " Round End " 55 3680 " " Fenestrated " 55 3681 " " Opaque " 50 3682 " Metal Lined " 1 50 *3683 " Hard Rubber " 1 00 *3684 Dr. Jno. Blake White's Modification of Sims' Speculum 1 85 *3685 " " " " " Nott's " 3 75 See following page for description of Figures 3684 and 3685 All Instruments designated by a * are illustrated 630 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-SPECULA. Visiting Physician to Charity Hospital, Blackwell's Island, N. Y. John Blake White, M. D., The speculum we use to-day is a composite instrument, the result of suc- cessive improvement at the hands of experts. Although important features about it have from time to time been added, not one alone of these instruments can be relied upon to the exclusion of the rest. There is, therefore, latitude yet open for the exercise of invention to those who are in the habit of employing the various forms of this essential aux- iliary to diagnosis and treatment of uterine diseases. Its success in my own hands, and that of a few of my professional friends, for the past three years, in facility of introduction, in readiness of adaptability and perfect command of the parts to be examined and treated, has been so satisfactorily demonstrated that I have esteemed it a duty I owed to the profes- sion to place it at the option also of those from whom I have, at various times, received similar favors. The lower blade A is so constructed that when introduced it follows the posterior vaginal wall, which, owing to the concavity of the sacrum, is curved, and the cup-shaped extremity rests directly behind the cervix uteri. If the uterus is displaced, the curved end of the speculum will assist in bringing the cervix into view. By its aid the vagina is more easily distended poster- iorly and inferiorly. The two upper blades, B and C, are con- cavo-convex, so that full dilata- tion may be effected superiorly at points where least resistance is offered by the anatomy of the region. _ The part of the pelvis through which the vagina courses and admits a speculum, contains no organ or tissues that can possibly suffer by considerable distension of the vagina. This fact is well shown by the act of parturition. The Sims speculum is ren- dered far more useful, constructed in accordance with this natural vaginal curve posteriorly. The cylindrical specula are also more useful when made to conform more fully to this posterior vaginal curve. The improved Nott's speculum has another ad- vantage in that the two upper blades, B and C, are arranged to admit of independent action, enab- ling the operatorto lift one or the other lateral half of the vagina. This mech- anism facilitates the search for the cervix uteri, especially in displacements. The introduction of the uterine sound, as well as tents, is rendered more practicable when this curved speculum is used, and local treatment of the endometrium can be far more thoroughly and satisfactorily accomplished. When this instrument is closed for withdrawal, the folds of the vaginal mucous membrane are less apt to be pinched than with the other trivalve specula. A smaller sized instrument than the one presented should be used in nulliparous vaginae. SHARP & SMITH, CHICAGO. 631 GYNECOLOGICAL-SPECULA. *3686 Cleveland's Vaginal Speculum, Fig. 1 *3686A " " « " 3 *36866 " Speculum Belt " 2 $2 5° A SELF-RETAINING SPECULUM. This instrument is designed as a so-called relf-retaining speculum. It consists of two Sims blades, each with a flange, and separated by an interval of one inchand three-fourths (Fig. i). These, though in parallel planes, looking at them from the side, will be seen to be at a slight angle to each other when held with the concavity of either toward the observer, the nearer blade deflected to the right, and the farther one to the left. The object of this will be explained further on. At the point of each blade is a fenestra, and at the bend of the instrument, where the two blades come together, is a narrow metal band. To complete the instrument, there is a belt of webbed material to be applied about the waist. On this is looped, to admit of its being moved readily to any position upon the belt, a piece of the same material. To this is attached a long leather strap, with ob- long perforations placed at intervals of half an inch. At the point where this strap and the piece of belting are joined there is a hook, the purpose of which will appear later. (See Fig. 2). To apply the instrument, the belt is first buckled by the patient, not tightly, about her waist and outside of her clothing, with the attached strap behind and the hook turned outward. She is then placed in the Sims position. The operator selects the blade he thinks better suited to the case, and, holding the instrument with the right hand, with the left he passes the leather strap through the fenestra at the point of the other blade, and then under the metal band, leaving the strap quite loose between them. Then holding the speculum still with the right hand, with the index finger extended along the concavity of the blade, it is introduced, care being taken to pass it back of the cervix. The instrument is then pushed firmly up against the perineum, the outer blade reaching a point just at the bend of the coccyx. I would say here, in parentheses, that I have tried the instrument in over fifty women in my clinic Clement Cleveland, M. D., New York. 632 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL-SPECULA. at the Woman's Hospital, and find that the interval of one inch and three-fourths between the blades is enough, even in the stoutest women, to include all tissue between the posterior wall of the vagina and the integument between the nates. In very thin women it will even be found advisable to place a folded towel under the external blade. The next step is to draw the leather strap tight, first through the fenestra and then under the metal band. The perineum is then retracted to the required degree by drawing the strap backward and securing it to the hook provided for the purpose, as here described. By now using the vaginal depressor the cervix is brought at once into view. When the belt is applied outside the dress it may be necessary to pass the strap through the fenestra at the end of the blade. In many cases the clothing, pushed back from the buttocks, is bunched up so high that it is necessary to have the tension exerted from the two points. If the tension were from the metal band alone the speculum would be more likely to pull out. When the belt is applied merely over the nightdress, as in an operation, then it may be only necessary to pass the strap under the metal band, for then the tension is directly backward, and the spec- ulum cannot possibly pull out, as the strap presses firmly over the point of the blade. Still I should advise it always being passed through the fenestra. This I will explain below. To remove the speculum, detach the leather strap from the hook. The oblong per- forations enable the operator to pull the strap off with the greatest ease. Then the speculum is with- drawn from the vagina and off of the strap at the same time. I should here explain why the blades are placed at an angle to each other, as above described. The chief fault to be found with all self-retaining specula is that, to see at all satisfactorily, one has to stoop; while with the Sims speculum, held by a nurse, we look directly down upon the cervix as we sit before the patient. This is because the nurse does not pull directly backward upon the perineum, but a little upward, thereby tilting the point of the blade a little downward. This is precisely what is accomplished by giving the aforesaid angle to the blades in this new speculum, the strap pulling the outer blade directly backward, thus tilting the other just enough downward. (See Fig. 3.) If the strap is not passed through the fenestra there is danger that the point of the blade under the strap may slip upward, and especially so in thin women, thus deranging the position of the blade in the vagina. The instrument seems to possess several advantages which it may be well to mention. In the first place, it consists of two blades of different size. It is simple, having no mechanism about it to get out of order. It can be easily kept clean, being entirely of metal, and in one piece. It is not claimed that it can take the place of a well-trained nurse, but it certainly does better than an indifferent one. It has been used in several cer- vix operations at the Woman's Hospital, with entire satisfaction to the operator. SHARP & SMITH, CHICAGO. 633 GYNECOLOGICAL-URETHRAL. FIG. *3687 Clover's Perineal Crutch$ 9 00 *3688 Elliott's Cervical Speculum 4 75 3689 Wire Douche " ... 1 5° *3690 Peaslee's Tube and Stem for Intra Uterine Medication 2 75 *3691 Skene's Urethral Speculum 2 25 3692 Folsoms " 1 20 *3693 Sharp & Smith's Urethral Speculum ' 1 5° *3694 Jackson's Mirror " " 85 *3695 Barnes' Pledget Speculum 2 40 634 SHARP & SMITH, CHICAGO GYNAECOLOGICAL-URETHRAL. FIG. *3695 Brown's Urethral Speculum $ 3 35 *3697 Jackson's Vaginal Retractor ...each 1 50 3698 Sims' " " " 2 5° 3699 Porter's " " " 2 5° 3700 Feig's " " 7 00 *3701 Beatty's " " 1 85 *3702 Wire Labia " 2 4° A NEW URETHRAL SPECULUM. This cut shows an instrument first made two or three years ago. At times it is serviceable when those of other designs are not. The fault with many instruments intended for this purpose, is the pain caused by tension of the meatus, especially when this part, as is often the case, is tighter than the parts within. Again, the unsupported tips of a speculum converge, giving a funnel- shaped opening, into which it is difficult to secure a satisfactory view. These two annoyances increase proportionately with the spread of the speculum, by reason of the increased resistance, whether at tip or base, being conveyed to the most yielding part of the arms of the speculum, namely, their free extrem- ities; the increased resistance adding at the same time to the pain. To obviate these difficulties, a lever is placed similar to that in Dr. Brown's metro-urethrotome, at the distal end of the speculum, its contact with mucous surfaces being prevented by side plates. This lever is controlled by the screws with B, running on a thread and bearing against the head of one pair of lateral rods. The spreading of the proximal parts of the speculum is effected as usual, by a screw, A, at the base. By this means the tips and base of the in- strument are independently controlled, consequently the arms may be spread so as to be parallel or to converge at either ex- " tremity. In this way any part of the urethra, to the depth of four inches (the length of the arms) can be distended at will. This drawing represents the tips well opened; the base moderately so. SHARP & SMITH, CHICAGO. 635 GYNECOLOGICAL-PESSARIES. For the Mechanical Treatment of Prolapsus Uteri, Versions and Flexions. Much has been written by physicians on the subject of uterine displace- ments, and very opposite views have been entertained of the proper treatment. Some advocate the use of pessaries, while others condemn them. But we do not see why pessaries should be wholly condemned because they have been used injudiciously. Physicians must acknowledge that great benefits have been de- rived from the application of the principles of mechanics to the treatment of uterine displacements. Ever since the days of Hippocrates, pessaries of vari- ous forms have been used for supporting and elevating the uterus. The first pessary that we read of was a small pomegranate, pierced through the core and placed by Hippocrates in the vagina for the purpose of supporting the womb. This has been imitated by French surgeons, who used for the same purpose unripe oranges and lemons. We keep on hand and manufacture to order every variety of pessary for uterine displacements. At present there seems to be no settled plan of treatment. While one surgeon prefers a ring pessary, another prefers the stem, another a cup, another a globe, another a disk, another an inflated, another an S, while others discard them in toto. We will not assert all the claims of each individual inventor, as each claims his to be superior to all others. We will illustrate the pessaries and leave the physicians to judge of the merit, or demerit of each. FIG. *3703 Fowler's Pessary, three sizes .each $ i 25 *3704 " Bow Pessary 1 75 *3705 " Anti-Impaction Pessary 1 75 *3706 Hodge's closed " 25 3707 " open lever " 30 3708 " soft rubber " 75 *3709 Hitchcock's Anteversion " 1 00 3710 Sims' Metal ring " 35 *3711 Smith's " 25 3712 " soft rubber " 75 636 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL-PESSARIES. FIG. *3713 Cutter's Prolapsus Pessary$ I 50 *3714 Thomas' Cutter's Prolapsus Pessary 2 00 *3715 " Chair Pessary 2 00 *3716 Cutter's Retroversion Pessary 1 25 *3717 Thomas' " " 1 25 *3718 Thomas'Cutter's Retroflexion Pessary 2 25 *3719 " " Retroversion *' 1 85 3720 Cutter's Ring Pessary 1 50 3721 " Anteversion Pessary 1 50 *3722 " " T " " 1 50 *3723 Thomas' "T" " 1 50 *3724 Scott's " 1 75 3713 3714 3722 3715 3724 3717 37l6 1 he prices on all of Cutter s and Thomas' Modification Pessaries include a belt, as shown in F'g- 3714- All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 637 GYNECOLOGICAL-PESSARIES FIG. *3725 Thomas' Modification of Noeggerath's Pessary $ 1 00 3726 " " Smith's " 50 *3727 " Retroversion Pessary each 75 *3728 " Anteversion " five patterns each $0 75 to 1 20 *3729 " " " old style each 75 *373° il Retroflexion " 75 *3731 " Anteflexion " 1 00 *3732 " " . " 1 50 *3733 " Lateroflexion " 1 75 3734 " Cradle " 85 3728-Open. 3728-Closed, 3732-Open. 638 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-PESSARIES. FIG. *3735 Conant's Intra Uterine Stem Pessary •$ I 75 *3736 Dr. Wm. H. Wathen's Intra Uterine Stem Pessary 1 25 *3737 Jackson's Elastic " " " " 35 *3738 " Hard Rubber " " *' " 75 *3739 Hard Rubber " " " " 55 *3740 Peaslees' " " " " 1 00 3741 Galvanic " " " " 1 00 3742 Thomas' " " " " 1 10 Fig. 3736.-Dr. Wm. H. Wathen's Elastic Stem Pessary. In treating uterine flexures or curvatures unconnected with great stenosis, one has trouble with a rigid stein pessary, which causes irritation of the part. Elastic pressure being the proper mode of treating those, as well as flexures of other parts of the body, a Pessary, described by the accompanying cut, has been devised by Wm. H. Wathen, M. D., Louisville, Ky. It is made of soft red rubber, of the same shape as an ordinary simple Stem Pessary, with a flange at the lower end fitting smoothly over the cervix, but perforated so as to allow free dis- charge of secretions. The stem is hollow, so as to allow the introduction of an elastic stylet of any desired strength the operator may wish, but great force is not necessary. The stylet can be made by any person, whittled out of whalebone or hard rubber, left hard enough at the outer end to tightly fill the stem, exclude the moisture, and retain it in place. In ordinary cases, the stem can be introduced with the Stylet in position, but, when the parts are intolerant, the rubber alone can be worn until a tolerance is established, after which the spring is easily slipped in without the least danger of lacerating or irritating the over-sensitive endometrium. Under elastic pressure applied in this way, curvatures soon disappear. Other Pessaries for retaining the uterus in position, can be worn at the same time without interfering with this one. When the uterus is in normal position, the vaginal walls exert pressure enough to keep the stem in position. When they do not, pledgets of antiseptic wool or cotton should be used. 1 hese stems should be made of two lengthsand sizes, 2J4 and inches long, and Nos. 6 and io in size. I he size and length of the stylet can be made to make quite a difference in their size and length. The stylet in the above cut is pictured too long ; it should be no longer than the cavity in the stem. SHARP & SMITH, CHICAGO. 639 GYNECOLOGICAL-PESSARIES. FIG. *3743 Curved Hard Rubber Intra Uterine Stem Pessary $ 75 3744 Chambers' " " " " 75 *3745 " " " " " with stem for introduction, per set. 2 75 *3746 Sims' " " " " 1 50 3747 Edwards' " " " " 2 25 3748 Coxeter's " " " " 95 3749 Ball's " " " " 95 *375° Munde's Ovarian Pessary 1 50 *3751 Gehring's Anteversion " 50 3752 " Retroflexion " 1 50 3753 " Antiflexion " 1 50 *3754 Graily Hewitt's " 75 *3755 Hank's Galvanic " 1 10 640 SHARP & SMITH. CHICAGO. PESSARIES. FIG. A *37.56 Dr. H. T. Byford's Retroversion Pessary 00 *3757 Trask's Rubber Dumb-Bell Pessary 60 *3758 " Cotton " " Pessary 45 *3759 Zwank's Pessary 1 5° *3760 Hurd's " 1 00 *3761 Buttles " 55 *3762 Hard Rubber Sleigh Pessary 1 10 *3763 Kinloch's Anteversion Pessary 1 25 *3764 Hoffman's Anatomical " $1 50 to 3 00 *3765 Meigs' Gutta-Percha Ring Pessary 25 3766 to 3770 SHARP & SMITH, CHICAGO. 641 FIG. *3766 Peaslee's Ring Pessary $ 35 *3767 Block Tin " " 35 *3768 Copper Wire Ring Pessary, rubber covered 35 *3769 Spiral " " " " " 35 *377° Watch Spring " " " " 35 *3771 Hard Rubber " " 35 *3772 Inflated " " . 30 *3773 " " " pure gum 50 3773-a "■ " " German 75 *3774 Inflating Stem Pessary 30 *3775 " " " pure gum 50 *3776 " " " pear shape 30 *3777 " " " " pure gum 50 *3778 Hornby's Pessary, with belt, plated 2 25 *3779 " " " " silver 4 00 *3780 O'Leary's " " " " plated 2 25 *378i " " " " " 4 50 *3782 Braun's Colpeurynter with Stop Cock 1 5° 3783 Woodward's New Pessary 1 10 3784 Glass Concave " 25 3785 Hard Rubber Concave Pessary 25 3786 Glass Globe " 25 3787 Hard Rubber Globe " 1 00 3788 Noeggerath's " 60 3789 Chamberlain's " 1 00 3790 Beebe's " 50 3791 Wilson's " 6 00 3792 Higbee's " 60 GYNECOLOGICAL-PESSARIES. 3782-Braun's Colpeurynter. 642 SHARP & SMITH. CHICAGO. GYNECOLOGICAL-PESSARIES. Fig. 3794. Bozeman's Vaginal Pessary$ 1 60 (Extract from " Retroversion in Relation to Lacerations of the Cervix Uteri.") BOZEMAN'S VAGINAL SUPPORT. * * * I have labored long to devise a suitable vaginal support to take the place of the column of carbolized cotton, but it is only within the last year that I have succeeded in bringing the instrument to a degree of perfection which enables me to predict its ultimate success. This instrument is constructed upon the principle of the parallelogram. It is elastic, and thoroughly self-sustaining. This instrument is made of steel wires. It has vesical and rectal branches which are covered with thin rubber up to points near the heel of the instru- ment, where an opening is left for the escape of the menstrual and other discharges. Upon the vesical branch is set a cushion which is to receive and support the vesico-vagi- nal septum. The covering of the rectal branch is distended with air in order that it may adapt itself uniformly to the recto-vaginal septum. The two upper uneven points are united by a broad elastic apron which, like a chair, is to receive the cervix uteri, and to a certain extent support the weight of the entire organ. When viewed edgewise the instrument presents somewhat the appearance of a jockey's cap, and a medical friend suggested that it should be called the "jockey cap" pessary. However, to avoid the name of a uterine pessary, I prefer to call it a vaginal stipport. This name is in strict accord with the action of the instrument, for it leaves the uterus and its relaxed ligaments to take care of themselves in their normal relation and position. This is an attainment of the highest aim I can conceive for any form of instrument employed for the latter purpose. This instrument is not only useful for maintaining the uterus in an ele- vated position after retroversion and prolapsus have occurred, but it is also a most valuable instrument with which to accomplish the same end after the retroflexed and fixed uterus has been dislodged from the hollow of the sacrum by means of the cotton columns or compresses already described. After proper preparatory treatment by means of the cotton columns directed obliquely against the vesico-vaginal septum from the perineum or point d'appui, the instrument can be used with equally satisfactory results in cases of anteflexion and anteversion of the uterus. I have numerous illustrations which show in what direction the several forces alluded to operate, both with reference to the oblique cotton columns employed in the preparatory treatment, and the vaginal support used in the curative treatment, but time and space do not permit their description and introduction into the present paper. Suffice it to say that retroflexion and fixation of the uterus in the hollow of the sacrum constitute, both in the primiparae and in the multiparae, the largest class of uterine displacements, and often the most deplorable, which we are called upon to treat. Hitherto, treatment of these cases by means of the uterine sound and stem pessary has been unsatisfactory, and, according to my experience, a more comfortable, safe and effective method is unquestionably a great desideratum. The plan of treatment which I have described is nothing more nor less than an application of some of the principles of orthopedic sur- gery to uterine distortions, and I think, will accomplish the end desired. * * PESSARIES OF ALL KINDS MADE TO ORDER. Nathan Bozeman, M.D., New York. SHARP & SMITH, CHICAGO. 643 GYNECOLOGICAL-UTERINE DILATORS. FIG. *3793 Improved Uterine Supporter, with cup and belt $ 2 25 3794 McIntosh's " " " " " 5 00 *3795 T- & Co 's " " 4 5° 3796 Farr's No. 1 " " 5 00 3797 " No. 2 " " 4 00 *3798 James' " " 3 25 *3799 Babcock's Silver Uterine Supporter 10 00 3800 Lutz's " " 4 00 3801 Shannon's Elastic " " 5 00 *3802 " Silver " " 8 00 3803 Wadsworth's " " 5 00 All instruments designated by a * are illustrated 644 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL-DOUCHES FIG. 3804 Frazer's Vaginal Douche $ 2 75 3805 Frost's " • • 2 25 3806 H. Webster Jones' Bed Pan and Douche, complete 5 00 *3807 " " " only. 4 00 *3808 " " Douche " 1 00 3809 Emmet's Rubber Bed Pan 3 75 For other Bed Pans see index. DR. H. WEBSTER JONES' Discharging Or UTERINE DOUCHE Reservoir Capacity. One Gallon, "A"-Stop-Cock. " B " - Hard Rubber Vaginal Pipe. This apparatus facilitates the use of Dr. Emmet's plan of Vaginal and Uterine Irrigation, which has done more to restore and to promote health in the pelvic organs than any other device of modern gynaecology. For the benefit of the uninformed, we state the essentials of success: rst. The patient must be recumbent during the administration of the douche, and remain so as long as possible thereafter. It is better, therefore, to take it after retiring for the night, and if in the morning, to lie at least an hour afterward in a horizontal position. 2d. The water must be at a temperature of 105° Fahrenheit, and may be gradually increased, day by day, until 120° is reached. 3d. A gallon should be used each time, and about twenty minutes be consumed in its outflow. 4th. If a fountain syringe be used, or other similar instrument, it should not hang higher than eighteen inches above the patient's body. This secures moderate force to the current. 5th. The syringe-point should be directed (after entrance) well to either side, so that the current may flow around, not against the uterine neck. 6th. The douche thus employed, will unaided, cure many a case of leucor- rhcea, painful or excessive menstruation, inflammation of the uterus or ovaris cellulitis, excessive sensitiveness of the organs, irritable bladder and rectum, etc., etc. When used as an adjuvant to other treatment, it will greatly hasten convalescence, and contribute to permanence of health, if persevered in after cure. SHARP & SMITH, CHICAGO. 645 GYNECOLOGICAL-SYRINGES FIG. 381c Hard Rubber Uterine Syringe, long stem $ 85 *3811 Lente's Uterine Syringe 3 00 *3812 " " " 3 35 *3813 Bumstead's Uterine Syringe 1 85 *3814 Burr's Hard Rubber Uterine Syringe (Ointment)>• 1 00 *3815 Spicker's Double Tube " " 2 50 *3816 Chamberlain's Utero Vaginal " ' 1 75 *3817 Barthalow's Regurgitating Tube 1 00 *3819 Molesworth's Uterine Syringe 4 5° 3811 3812 3819 3815 3817 All instruments designated by a * are illustrated 646 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-SYRINGES. FIG. 3820 Braun's Uterine Syringe $ 1 50 3821 Taylor's " " 2 25 3822 Rubber Bag " " 2 50 3823 Barker's " *' I 10 *3824 Nott's " " 2 00 3825 Buttles' " " 2 00 3826 Essex' " " 1 10 3827 Sims' " " 1 50 3828 Sharp & Smith's Universal H. R. Syringe 2 75 3829 Universal H. R. Syringe 4 50 3830 Saltz's Uterine Syringe and Sound 3 40 *3831 Thomas'Syringe for Cervical Mucus 150 *3832 Woodward's Vaginal Syringe 3 00 *3833 Molesworth's " •' 1 25 3822 All Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 647 GYNECOLOGICAL-SYRINGES. FIG. 3834 Hutchinson's Ointment Syringe $3 00 *3835 " . " " 3. pipes 4 5° *3836 Tucker's Indispensable Cup Syringe 3 00 *3837 Lady's Bag Syringe 2 50 *3838 Stiles' Vaginal Syringe Tube 1 00 3830 Keyes' Hard Rubber Syringe, Stop Cock • 1 qo *3840 " Metal " " 1 75 3841 Small Brass " 50 3842 Large " 'A 75 3843 Small Hard Rubber " 50 3844 Large " " 1 00 *3845 Silk Web Vaginal Tube 1 00 3846 Cutter's Vaginometer 5 00 3847 Hard Rubber Ointment Syringe 1 50 3848 Sharp & Smith's Syphon Vaginal Syringe 1 75 3849 Parker's Caustic Syringe 2 65 3850 Dick's " " 2 75 3851 Munde's Applicating Syringe 1 60 *3852 Buttles' Suppositor, Hard Rubber 60 3853 Hard Rubber Vaginal Tubes each. 25 3854 " " " " with Stop Cock 75 3856 Glass " " each. 10 3857 Mattson s Vaginal Irrigator $ 80 3858 Spiral " " 1 25 3859 Lutz's " " 4 00 3860 Long's Uterine " 7 50 648 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL-SYRINGES. FIG. 3861 Kelly's Silver Applicating Syringe$4 5° Aii Improvei Method of Makins Ajjlications lo the Dterine Mucous Membrane. J. D. Kelly, A. M., M. D., Utica, N. Y. The instrument is, in general terms, a syringe and probe combined, and consists essentially of two parts; the syringe barrel and the probe point. The barrel A is made of sterling silver. It is six inches in length, and one- fourth of an inch in diameter. The point B is made of virgin silver and is four inches in length, and one-sixteenth of an inch in diameter. It is attached to the barrel by means of a screw-cut cap at b, which fastens down closely upon the leather-covered shoulder at a. It is made of virgin silver, in order to better resist the action of acids and caustics, and also to secure the flexibility required to adapt it to the varying directions of the uterine cavity. The distal end of the point is perforated by a number of fine pin-holes, for the escape of medica- ments upon operating the syringe. At one side of the shoulder a is a pin to which is attached a piece of fine silver wrie suture or fine surgeon's silk. SHARP & SMITH, CHICAGO. 649 GYNAECOLOGICAL-SYRINGES. The method of using the instrument is as follows : The point B is screwed upon the barrel A, and, the direction of the uterine canal having been learned, the point is bent to the proper curvature. With the piston depressed the point is inserted in the liquid medicament, and a quantity drawn up into the barrel by withdrawing the piston. A bit of cotton is then wrapped loosely about the tip of the point covering the perforated extremity and held in place by a few turns of the silver wire or silk thread, which is then brought back and its extremity fastened at a. The instrument is then introduced through a speculum and the probe point passed through the os tincae into the uterine cavity. When the cotton covered point is upon the part to be treated, the pis- ton is depressed, thereby forcing the medicament through the pin holes, satur- ating the cotton, and therefore, placing it directly in contact with the parts to be operated upon. During treatment it is well to place a pledget of cotton under the posterior lip of the os to take up any excess of the app'ication that may escape into the vagina upon withdrawing the instrument. After use, the cotton is readily removed from the point upon unwinding the wire or silk thread, avoiding thereby all force in detaching it which would be likely to injure the flexible and hollow point. After cleaning, the point may be unscrewed and be bound to the side of the barrel by a few turns of the wire or thread, to protect its flexibility in carriage. The advantage of this instrument consists in the facility and directness with which it does its work. It is introduced but once at a treatment, whereas the usual method with a probe or sound wrapped with cotton required passage through the neck of the canal several times, thereby causing damaging irrita- tion. Moreover, the medicament is hereby delivered directly in situ, whereas, by the usual method, the operator is usually obliged to witness the medicament squeezed out of the cotton in its passage through the os and run down before his eyes into the vagina, while his cotton is pushed on quite dry into the cavity of the uterus, where it is directly coated over with secretions and wholly incapa- ble of the designed effect. FIG. 3862 Emmet's Gynaecological Case $64 00 3863 T. Gaillard Thomas' Gynaecological Case 30 00 3864 Dr. G. S. Winston's " " 40 50 3865 Buttles' " " 18 75 3866 U. S. Army " " 94 00 3867 A. Reeves Jackson's " " 40 00 3868 Byford's " " 5° 00 3869 Bozeman's " " 70 00 3870 Sims' " " 35 00 650 SHARP & SMITH, CHICAGO. GYNECOLOGICAL SETS. Fig. 3862. Dr. T. A. Emmet's Set of Instruments for Vesico-Vaginal Fistula, contains: i Sims' Hospital Speculum. i " Virgin " i Emmet's Depressor. 4 " Sponge Holders. i Sims' Catheter, soft metal. 1 Emmet's Uterotome. 2 " Tenaculums. i Perry's Tenaculum. 6 Emmet's Scissors. i " Wire Pressing Forceps. 2 Bistouries. i Scalpel. i Emmet's Needle Forceps. i " Dressing " i " Wire Twisting Forceps. i Sims' Blunt Hook. i " Shield. i " Wire Carrier. i Coil Silver Wire. i Dozen Emmet's Needles. Put up in a fine morocco pouch, lined with red chamois. Fig. 3863. Dr. T. Gaillard Thomas' Uterine Case, contains : i Thomas Speculum. i Budd's Probe. i Sims' Sound. i Simpson's Sound. i Sims' Uterine Probe. i Sims' Tenaculum. i Emmet's Dressing Forceps. i Thomas' Sponge Tent forceps. 3 Whalebone Rods. i Buttles' Scarifier. i Long Pipe Syringe 3 Bristle Brushes. 1 Plain Curette. 2 Sponge Holders. 3 i oz. Bottles. i Cotton Applicator. Put up in a wooden morocco covered case. Fig. 3864. Dr. G. S. Winston's Uterine Case, contains : i Set of 3 Buttles' Glass Specula. i Gillette's Speculum. i Hard Rubber Intra-uterine Syringe. i Uterine Sound, i Silver Uterine Caustic Probe, i Silver Uterine Applicator, i G. S. Sponge Holder, to fit into one handle. i Buttles' Scarifier. i Set Peaslee's Dilators. i Nott's Uterine Dilator. i Pair Winston's Dressing Forceps. i " Sims' Scissors, curved up. i Budd's Hard Rubber Applicator. i " " Probe. % Dozen Sponge Tents. i " Emmet's Needles. i Coil Silver Wire. i Emmet's Caustic Forceps. Arranged in a fine black calfskin case, satchel form, lined with red chamois. Fig- 3868. Dr. Byford's Gynecological Case, contains: 3 Higbee's Speculums, large, medium and small. i Sims' Speculum, with i broad blade. i " Wire Adjuster. i Emmet's Plain Silver Applicator, without sheath. i Byford's Blunt Hook. i Sims' Sigmoid Catheter, Hard Rub- ber. i Byford's Curette. i Sims' Sharp Curette. i Jackson's Retractor. i Nelson's Uterine Dilator. i i Byford's Dressing Forcep. i Straight Serresfin. 2 Curved Serresfins. i Sims' Needle Holder. i Plain Tissue Forcep. i Emmet's Twisting Forcep. i Byford's Medium Vulsellum Forceps. i Uterine Knife. i Sims' Probe. i Hard Rubber Probe. i Byford's Scissors. 1 Fitch's Sound. 3 Emmet's Sponge Holders. 2 Sims' Tenaculums. i2 Elm Tents, assorted, straight, curved and hollow. 12 Needles, assorted, for Uterine work. The small instruments in a neat roll up pouch, and all in a good quality instrument bag. SHARP & SMITH, CHICAGO. 651 GYNAECOLOGICAL SETS. Fig. 3866. U. S. Army Gynaecological Set, contains: 1 Wallace's long Obstetric Forceps. 1 Brickel's Obstetric Forceps, for pre- mature delivery. 1 Dr. T. G. Thomas' Perforator. 1 Braun's Cephalotribe. 1 Budd's Blunt Hook and Crochet, guarded. 1 Loomis' Placenta Forceps. 1 Vectis, with handle. 1 Set of Barnes' Dilators. 1 Uterine Dilating Catheter. 1 Small Tampon. 1 Breast Pump, Penis Congestor, and Transfusion Glass, combined. % Dozen Sponge Tents. 1 " Sea Tangle Tents. 1 Bottle, Glass Stoppered, and Glass covered, for Little's saline solution. 1 Bottle, glass stoppered, and glass covered, for sulphate of iron. 1 Do. do. Bottle for Ergot. 1 Dr. Walter R. Gillette's Speculum. 1 Simpson's Folding Sound. 1 Each Emmet's Silver Probe and Ap- plicator, with set screw handle. 1 Buttles' Scarifier. 1 Nott's Tenaculum. 1 Sims' Uterine Elevator. 1 Pair Sims' Scissors. 1 Intra-uterine Suppository Tube, hard rubber. 2 English Gum Elastic Catheters. 1 Fryer's Transfusion Set. 1 Sims' Sigmoid Catheter. 1 Goodyear Union Syringe. 1 Sponge Tent Applicator Arranged in a wooden, calfskin covered case, valise form, with lock and key, and German silver catches, and lined with purple velvet; 21 inches long, 8 inches wide, 5 inches deep, inside measurement. Case opens in the center. Fig. 3867. Dr. A. Reeve Jackson's Gynaecological Case, contains: 1 Jackson's base expanding Speculum, t Jackson's Perineal Retractor. 1 Sims' Speculum, with one Broad Blade. 1 Sims' Best Uterine Sound. 1 Byford's Dressing Forcep. 1 Jackson's Tissue Forcep. 1 Jackson's small Vulsellum Forcep. 2 Jackson's Sponge Holders. 3 Jackson's Applicators. 1 Jenks' Scissors. 1 Buttles' Scarifier. 1 Jackson's Cervical Needle. 1 Thomas' Blunt Curette, large. i Thomas' Blunt Curette, small. i Wylie's Large Sharp Curette. i Simon's small Sharp Curette. i No. io Soft Rubber Catheter. 1 Improved Russian Needle Holder. 2 Olive Tip Best Web Bougies. (These are used instead of Sounds in cases of flexions.) i Long Handle Bistoury. i Dozen Tupello Tents, assorted. i Bottle No. 3 Catgut Ligature. 3 Cards Silk, Nos. io, 12 and 14. 1 Doz. assorted Cervical and Perineum Needles. In addition to these the operator should provide himself with absorbent cotton, antiseptic sponges, glycerine, vaseline, Churchill's solution of iodine and a solution of alum in glycerine and water, one part to eight. 1 he small instru- ments, in a roll up pouch and all in a substantial instrument bag. Fig. 3865. Buttles' Set of Uterine Instruments, contains: 2 Glass Specula; 1 Hard Rubber Syringe with two long pipes; (1 Simp- son's Sound; 1 Flexible Probe; 1 Sims' Razor Shaped Knife; 1 Sponge Holder; 1 Cotton Expeller; all fitting one handle). 1 Budd s Whalebone Probe; 1 Scarifier and Tenaculum; 1 Vial to carry Caustic. In a Russet Leather Case, with metal hinge and lock, lined with oil dyed velvet. 652 SHARP & SMITH, CHICAGO. OBSTETRICAL INSTRUMENTS. FIG. *3900 Bedford's Obstetrical Forceps, nickel plated$ 6 00 *3901 Simpson's " " " " long 6 00 3902 " " " " " short 4 5° *3903 Wallace's " " " " 6 00 *3904 Hodge's " " " " 5 00 *3905 Denman's " " " " 6 00 FORCEPS. All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 653 OBSTETRICAL-FORCEPS. FIG. *3906 Elliott's Obstetrical Forceps, with screw, nickel plated $ 6 00 *3907 Roler's " " nickel plated 6 00 3908 Meigs' " " " " 6 00 *3909 Davis'Improved Obstetrical Forceps, nickel plated 6 00 *3910 Miller's Obstetrical Forceps, nickel plated 5 50 *3911 " " " jointed, nickel plated 10 50 654 SHARP & SMITH, CHICAGO. OBSTETRICAL FORCEPS. FIG. *3912 Hunter's Obstetrical Forceps, new, nickel plated $ 7 00 *3913 Clark's " " (Chicago) 5 50 *3914 Sawyer's " " new, nickel plated 4 50 *3915 Naegeli's " " nickel plated 6 00 *3916 Tarnier's " " 18 75 3917 Knight's " " nickel plated 6 00 3918 Duncan's " " " " 5 00 3919 Gillman's " " " " 6 50 3920 Henrotin's " " " " 6 25 SHARP & SMITH, CHICAGO. 655 OBSTETRICAL FORCEPS. FIG. *3921 Hale's Obstetrical Forceps, short $ 5 00 3922 " " " long 6 50 *3923 Jenks' " " " 6 25 *3924 " " " short 4 50 3925 White's " " nickel plated 6 00 *3926 Comstock's " " " " .5 5° *3927 Budd's " " " " 6 00 3928 Newman's " " " " 5 00 3929 Hale's Pocket Obstetrical Forceps, nickel plated 5 00 3930 McLean's " " " " 6 25 *3931 Robertson's " " " " 6 00 3932 Bond's " " " " 6 00 3933 Quackenbush's " " " " 6 00 656 SHARP & SMITH, CHICAGO. OBSTETRICAL FORCEPS. FIG. *3934 Dr. Hobbs' New Obstetrical Forceps$9 co *3935 Dr. Adam Miller's " " 9 00 *3936 Barclay's " " 9 00 *3937 Thomas' " " 5 25 *3938 Denman's " " 6 00 SHARP & SMITH, CHICAGO. 657 OBSTETRICAL FORCEPS FIG. *3939 Reamy's (Cincinnati) Obstetrical Forceps $ 6 oo *3940 Leavitt's " " 6 50 *3941 Leonard's " " 4 50 *3942 Stone's (St. Paul) " " 4 50 *3943 Dr. J. Suydam Knox's (Chicago) Obstetrical Forceps long 8 00 *3944 " " " " " " short .5 00 3945 Jaggard's Modification of Simpson's " " 6 00 3946 Brickell's " " 6 00 3947 Burdick's " " 6 75 3948 Scroggs' " " short 6 50 All instruments designated by a * are illustrated. 658 SHARP & SMITH, CHICAGO. CRANIOTOMY FORCEPS. FIG. 3949 Meigs', straight Craniotomy Forceps 3 00 *395° " curved " " 3 00 3951 Simpson's (Cranioclast) Craniotomy Forceps 7 50 *3952 Thomas' " " 4 5° 3953 Ramsbotham's " " 4 50 3954 Brickell's " " 3 00 *3955 Elliott's " « 3 25 3956 Budd's " " 3 00 3957 Taylor's " " 3 75 *3958 Lusk's Cephalotrite 13 50 3959 Braun's " 15 00 *3960 Simpson's " 11 25 SHARP & SMITH, CHICAGO. 659 OBSTETRICAL-CRANIOTOMY AND EMBRYOTOMY FORCEPS. FIG. *3961 Batchelder's Embryotomy Forceps $9 00 *3962 Double Crossing " " 225 3963 Nickel-plated Placenta Forceps 1 75 3964 Munde's " " 2 25 *3965 Budd's Nickel-plated Placenta Forceps 225 *3966 Loomis' " " 4 50 3967 Tiemann & Co.'s " " 1 8=; 3968 Hodge's " " 4 50 3969 Bond's " " 2 25 3970 Fenestrated, nickel-plated Placenta Forceps 2 25 3971 Double Crossing " " 2 25 *3972 Chamberlain's " v " 3 25 3973 Clark's " " 2 00 *3974 Hart's " " 2 25 3975 Schnetter's " " 4 5° 3976 Carey's Ovum and " " 2 75 *3977 Dentated " " 1 85 SHARP & SMITH, CHICAGO. 660 CRANIOTOMY PERFORATORS. Sharp & smith, Chicago. 661 CRANIOTOMY PERFORATORS. FIG. *3978 Blot's Cranium Perforator $ 4 50 *3979 Holmes' Double Crossing Perforator 4 00 *3980 Bedford's Cranium " 2 25 *3981 Smellie's " " 1 85 *3982 Simpson's ' " 2 25 *3983 Thomas' " " ' 5 00 *3984 Naegeli's " " 3 00 3985 Bachelder's " " 3 75 3986 Hodges' " " 3 75 *3987 Garland's " " 3 00 *3988 Braun's Trephine " n 25 *3989 Truehart's " " 3 75 *3990 Lucas' " " 3991 Plain Ebony Handle, Blunt Hook.. 1 15 *3992 Taylor's " " 1 15 *3993 Blunt Hook and Crotchet Combined 1 15 *3994 Bedford's " " " " 4 50 *3995 Budd's " " " " (guarded) 3 30 3996 Taylor's " " " " 1 25 3988 399° 3992 3993 3994 3995 3989 662 SHARP & SMITH, CHICAGO. OBSTETRICAL-CRANIOTOMY HOOKS AND VECTIS FIG. 3997 Ebony Handle Vectis $i 75 *3998 " " " (folding), 3 00 3999 Ryerson's Improved Vectis. 3 75 *4000 Leavitt's Placenta Hook 1 25 *4001 Dewee's " " and Carey's Lever 85 4002 Bedford's " " 2 25 *4003 Decapitating " 2 00 *4004 Clark's Placenta " 2 50 4005 Ebony Handle Crotchet plain r 15 4006 Taylor's Ebony Handle Crotchet 1 25 4007 Elliott's •* " " 1 50 *4008 Pulling's Funis Clamp 40 *4009 Munde's Placenta Curette 2 00 4010 Robbins' " Spoon 2 00 *4011 Sharp & Smith's Placenta Scissors 1 50 399® 4°n 4003 4000 4009 4004 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 663 OBSTETRICAL. FIG. 4012 Bandeloque's Pelvimeter $ 6 50 4013 King's *• 3 00 4014 Porte Cordon 3 00 4015 Leather Covered Manikin and Foetus, for College use 40 00 French Manikins all kinds, imported to order. *4016 Obstetrical Bags, 12 inches long, black or brown 2 75 *4017 " " 13 " " " " • 2 75 *4018 " " 14 " 3 00 *4019 " " " 3 25 *4020 " " 16 " " " " 3 50 *4021 '• " 17 " " " " 4 00 *4022 " " 15 to 16 " " " " (empty) 4 50 4023 " Pouches, Morocco, Chamois-Lined 5 00 4024 " ' Plain 3 00 All of our leather bags are made of the best material, lined with Buckskin, and have pockets for hol- ding powders, etc. To the price of any of these bags add 50c. if you desire to have bottles with them (6). 4016 to 4018 4019 to 4021 Fig. 4022. Repre- sents any of our cases open and with bottles blocked in. Price of this case empty with bottles $4 5° 4022 664 SHARP & SMITH, CHICAGO. OBSTETRICAL CASES. Fig. 4025. ELLIOTT'S OBSTETRIC SET, Containing: 1 pair Elliott's Long Forceps; 1 Blot's Perforator; 1 Blunt Hook and Crotchet; 1 pair Placenta Forceps; 1 pair Thomas'Craniotomy For- ceps; 1 pair flat Curve Scissors$26 25 Fig. 4026. DR. HODGES' OBSTETRIC POUCH, Containing: 1 Hodges' Forceps ; 1 Smellie's Perforator; 1 Blunt Hook and Crotchet combined, in a leather pouch lined, to roll$11 25 Fig. 4027. DR. BEDFORD'S OBSTETRIC POUCH, Containing: 1 Bedford's Forceps; 1 Bedford's Perforator; 1 Placenta Forceps; 1 Blunt Hook and Crotchet combined, in a leather pouch, lined, to roll, $15 00 Fig. 4028. DR. ELLIOTT'S OBSTETRIC POUCH, Containing: 1 Elliott's Forceps; 1 Blot's Perforator; 1 Placenta Forceps; 1 Blunt Hook and Crotchet combined, in a leather pouch, to roll$18 75 Fig. 4029. OBSTETRIC POUCH, Containing: 1 pair Hodges' Forceps; 1 Blunt Hook and Crotchet; 1 pair Placenta Forceps; 1 Vectis; 1 Perforator; 1 pair Meigs' Craniotomy Forceps.$i6 25 Obstetrical Pouches, Rolling, best Morocco leather, lined with Chamois Skin 3 00 Obstetrical Cases of any Style made to order. SHARP & SMITH, CHICAGO. 665 SHARP & SMITH'S COMBINED OFFICE AND GYNAECO- LOGICAL CHAIR AND OPERATING TABLE. While we have and can furnish all styles of Operating Chairs or Tables, we especially recommend the Chair, etc., known as "Sharp & Smith's Combined Office and Gynecological Chair and Operating Table." We recommend this because the best physicians and surgeons of Chicago have assured us that, with it, more can be accomplished, practically, than any other device known of in that line. However, if the description of our chair should not be sufficient to warrant an order, and more description is necessary, we will be glad to furnish it. We wish also to say that the " Foot- stool " and " Pillow " that accompany this "Chair" are ("accidentally") not shown in the cut, but both are furnished with each chair leaving our office. Fig. 4030. No. 1 represents the Chair in simple position, and as it appears in the office or private room. 4030 J • u Fig. 4030. No. 2 represents the Chair turned over from the back. It can be so turned with the greatest ease requiring comparatively no exertion. In this cut is also shown an extension which is attached to the foot end, thereby making the chair in table form sufficiently long for any operation. 666 SHARP & SMITH, CHICAGO. SHARP & SMITH'S COMBINED OFFICE AND GYNECO- LOGICAL CHAIR AND OPERATING TABLE. Fig. 4030. No. 3 represents the Chair with extension removed from the foot of the Chair to the side, for "Sims' Position." Fig. 4030. No. 4 represents the Chair in the Gynaecological position, with stirrup attachments, which can be placed at any angle or distance from the foot of Chair. Under the seat will be seen a drawer which contains all accessories, including the extension piece and fittings, leaving the Chair when not in use as shown in Fig. 1. PRICES. Chair Complete, in fine plush$55 00 " " " best leather 55 00 " " " imitation leather 50 00 SHARP & SMITH, CHICAGO. 667 SHARP & SMITH'S COMBINED OFFICE AND GYNAECO- LOGICAL CHAIR AND OPERATING TABLE. See preceding pages. This Chair works without "Cranks," " Levers " or " Ratchets." Any position can be obtained instantly, and it .s movable in any direction with but the strength of one finger. A convenient Ottoman, and a leather-covered Hair Pillow accompany the Chair. In the short space of time that this Chair has been on the market we have had innumerable testimonials as to its superi- ority over others, and we submit a few herewith. TESTIMONIALS. A. C. Cowperthwaite, M. D., LL.D., Prof. Materia Medica and Diseases of Women, State University of Iowa, Iowa City, says in his Textbook on Gynecology : "The latest design of chair for Gynecological Works, and the one, in my opinion, best calculated for that purpose, at least for the general practitioner, is the ' Combined Office and Gynecological Chair and Operating 'fable,' recently devised by Sharp & Smith of Chicago. This chair is very simple in its adjust- ment, is easily operated, and when not in use forms a handsome and comfort- able office chair." Dr. De Laskie Miller, Professor of Obstetrics and Diseases of Children, Rush Medical College, Attending Physician for Diseases of Children and Accoucheurs, Presbyterian Hospital, Attending Obstetrician St. Luke's Free Hospital, Consulting Physician Woman's Hospital, Consulting Physician Home for Incurables, says: "Messrs. Sharp & Smith:-I have examined your ' Combination Easy Chair,' Gynecological Chair and Operating Table. It certainly excels any- thing I have ever seen on account of its being so easily and quickly changed from one position to the other, and I failed to find any complicated machinery to get out of order. Its simplicity is a very desirable part of its construction. S. A. McWilliams, A. M., M. D., Professor of Clinical Medicine, College of Physicians and Surgeons, says : "Messrs. Sharp & Smith:-I am better pleased with your Gynecological Chair than any other I have seen, on account of its neatness, simplicity, dura- bility and usefulness." Dr. D. W. Graham, Professor of Surgery Woman's Med. College, Professor of Emergencies Chicago Training School, Attending Surgeon Presbyterian Hospital and Central Free Dispensary, Secretary Illinois State Medical Society, Editor Chicago Medico-Historical Society, says: "Messrs. Sharp & Smith:-I have examined your Combined Chair and Operating Table. For simplicity and ease of adjustment it has no superior. It has more good features than any chair I know of, and I can highly recommend it." Dr. E. H. Pratt, Professor of Principles and Practice of Surgery, Chicago Homeopathic Medical College, says among other things in praise of the Chair: "Your new Chair is a clever invention and cannot fail to more than satisfy the most critical of operators." 668 SHARP & SMITH, CHICAGO. SHARP & SMITH'S COMBINED OFFICE AND GYNAECO- LOGICAL CHAIR AND OPERATING TABLE. TESTIMONIALS.-Continued. Dr. D. A. K. Steele, Professor of Orthopedic Surgery (and also Secretary of) College of Physicians and Surgeons, Surgeon Cook County Hospital, says: "It is simply perfection." P. M. Woodworth, M. D., attending physician Augustana Hospital, says: "Messrs. Sharp & Smith:-The new Surgeon's Chair is the most com- plete yet simple working chair it has been my privilege to examine, and the omission of cranks and springs is a great advantage. I consider it the best Gynecological Chair that I have seen." W. F. Knoll, M. D., Surgeon's Department Central Homeopathic Hospital and Free Dispensary; Professor of Minor Surgery, Physiology and Pathology Chicago Homeopathic Medical College, says: "Sharp & Smith:-I am very much pleased with the construction and operative qualities of your Surgical and Gynecological chair. It is a decided improvement in the right direction, and 1 am certain that any physician who has the pleasure of using it will bear testimony to its perfection." Dr. Norval H. Pierce, under date of December 6, 1888, says: " I consider the Sharp & Smith Operating Chair and Table the most per- fect combination of practical usefulness, strength and elegance thus far offered to the surgeon." We refer also to the following doctors, who appreciate, among many others, the superior qualities embraced in our Chair: A. L. Clark, M. D., Prof, of Obstetrics and Diseases of Women and Clini- cal Gynecology at Bennett Medical College, Gynecology Bennett Hospital, Professor Diseases of Women Bennett Free Dispensary, Member State Board of Health. A. E. Hoadley, M. D., Professor Anatomy College of Physicians and Sur- geons, Professor of Surgery, Chicago Polyclinic. A. L. Cory, M. D., Chicago, Surgeon of L. S. & M. S. R. R. H. Wardner, M. D., Supt. Illinois Hospital for Insane. Dr. G. W. Nesbitt, Sycamore, Ill. Dr. Jno. E. Owens, Professor of Surgical Anatomy and Optical Surgery, Chicago Medical College, Attending Surgeon St. Luke's Free Hospital. Dr. Charles Gilman Smith, Consulting Physician to Presbyterian Hospital, and Chicago Hospital for Women and Children. F. L. Wadsworth, M. D., Physician in charge St. Joseph's Hospital, Profes- sor of Physiology Woman's Medical College. SURGICAL INSTRUMENTS AND APPLIANCES, 73 Randolph Street, CHICAGO. MANUFACTURERS, IMPORTERS AND DEALERS IN SHARP & SMITH, CHICAGO. 669 DE PEW OPERATING CHAIR. FIG. *4031 No. 1 and 2, DePew Chair Upholstered in best leather$55 00 *4031 " " " " " in fine mohair plush60 00 CONVERTIBLE OPERATING CHAIR. Chair in an Upright position. (Patented.) 670 SHARP & SMITH, CHICAGO. DE PEW OPERATING CHAIR. Fig. 4031. CONVERTIBLE OPERATING CHAIR. In position for Gynaecological Operation. Fig. 4031. CONVERTIBLE OPERATING CHAIR. Seat raised for Sims' Position. SHARP & SMITH, CHICAGO. 671 THE ARCHER GYNAECOLOGICAL CHAIR. FIG. *4032 The Archer Chair complete, with Seat Extension and Platform Step $ 60 co 4033 Leather Pillow to match, extra 5 00 4034 Foot Supports for Lithotomy position, extra 5 00 4035 Oculist Head-Rest, extra 1000 4036 The Archer Chair complete with Seat Extension and platform Step and I lead-Rest. 7000 Fig. 4032. THE ARCHER CHAIR Fig. 4032. THE ARCHER CHAIR, (Sims' position). 672 SHARP & SMITH, CHICAGO. GYNECOLOGICAL-CHAIRS.-Continued. Fig. 4032.-THE ARCHER CHAIR (speculum position). FIG. *40.37 " ilson's Surgical Chair, upholstered in rep $36 00 " in best leather 45, 00 *4038 Curtis Gynaecological Chair 25 00 SHARP & SMITH, CHICAGO. 673 RECTAL INSTRUMENTS-SPECULUMS. FIG. *4100 Sims' Bivalve Rectum Speculum Fenestrated $3 00 *4101 O'Reilley's Bivalve Rectum Speculum... 2 50 *4102 Bodenheimer's " " " 2 50 *4103 Leonard's " " " (flange) 2 75 *4104 Ricord's " " " 3 00 *4105 Dr. E. Andrews' (Chicago), Rectum Speculum 2 00 *4106 Allingham's Rectum Speculum 4 50 *4107 Squire's " " 4 00 674 SHARP & SMITH, CHICAGO. RECTAL INSTRUMENTS-SPECULUMS. FIG. *4108 Dr. J. B. Pouncey's Rectum Speculum $10 00 *4109 Haslam's Rectum Speculum 3 50 *4110 Aloe's " " 5 00 *4111 T. & Co.'s Three Blade Rectum Speculum 7 50 AN IMPROVED RECTAL SPECULUM. J. B. Pouncey, M.D., Birmingham, Ala. The points of superiority are: 1st. The instrument, as shown in the cut, has two blades, the lower blad fitting into the upper, making it small and compact. 2d. The facility and ease of introducing. 3d. After the introduction of the instrument the rectum can be dilated to any de- sired extent by running up the screw attached to the blades. 4th. If this is done, any tumors, fistulous tracts, ulcers, etc., are in plain view for treatment. 5th. The blades dilate equally at both the internal and ex- ternal openings. 6th. There is a wide slot in the upper blade, covered by a slide, which, when withdrawn, exposes the diseased parts fully to view. See Pratt's Instruments, beginning page 691. SHARP & SMITH. CHICAGO. 675 THE NILES RECTAL SPECULUM. Fig. 1. Shows the instrument ready for use. Fig. 2. Shows the slides with- drawn, and illustrates the character of the milled edges which fit in the grooves of the slots. Fig- 3- Shows the slot on each side, giving a full view of their position. Fig. 4. Gives a front view of the instrument with the slides half drawn and bent at the joints, exposingthe inner half of the slots. 4ii2-For description see next page. 676 SHARP & SMITH, CHICAGO. RECTUM INSTRUMENTS-SPECULA. FIG. *4112 Niles' Rectum Speculum (for illustration see preceding page)..$ 5 00 *4113 O'Neal's Rectum Speculum 5 00 *4114 Keen's " " 5 25 Fig. 4112 (Niles' Rectum Speculum.) Its advantages are : That it is a double inclined plane, and has double slides hinged in the center, the unique character of the milled edges of which make it impossible to wound the mucous membrane, either on the withdrawal of the slides or instrument. You can expose one-half of the surface on either side, which is necessary whenever acids or caustics are used in treating fissures or ulcers. It is constructed upon purely scientific principles. It is shaped similar to the index finger, making its introduction easy for the physician, and painless to the patient, even in extremely irritable conditions, and gives a complete view of the parts, thereby facilitating a ready diagnosis of the case. See Pratt's Instruments, beginning page 691. All instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 677 RECTAL INSTRUMENTS-SPECULUMS FIG. 41E5 Yount's Wedge End Rectum Speculum $5 00 *4116 Trivalve Trellis Rectum Speculum 12 00 *4117 Thebaud's Sphincter Ani-Dilator .... 7 50 *4118 Ashton's Glass Mirror Speculum 75 4119 " " " " metal lined ... 1 50 4120 " Trivalve " 6 00 4121 Ordinary Glass Mirror " ' 50 *4122 Williams' Rectum '' 3 00 4123 Van Buren's " " 2 50 4123A Weiss' three blade Rectum Speculum 9 00 4124 Sass' Bivalve " " ... .... 2 50 4123 Sharp & Smith's '' " 2 50 4126 Fenestrated Hard Rubber Rectum Speculum, set of 4 3 00 4127 Lane's three blade *' " 7 5° 4128 Reed's Soft Metal Glass Slide Rectum Speculum 2 50 4129 Kelsey's Rectum Speculum 4 50 4130 Helmuth's " " 2 75 All instruments designated by a * are illustrated. See Pratt's Instruments, beginning page 691. 678 SHARP & SMITH, CHICAGO. RECTAL INSTRUMENTS-DILATORS. FIG. *4131 Sims' Rectal Dilator $3 4° *4132 Dupuytren's Enterotome 3 75 4133 Little's Rectal Dilator 9 00 *4134 Bolton's Pile Plug 90 *4135 Trosseau's " " 1 50 *4i35~A Plain H. R. Pile Plug ; 90 *4136 Reed's Pile Plug 1 00 4137 Kent's " " 1 50 *4138 Bodenheimer's Rectal Irrigator 2 25 4139 Munde's " " 1 90 *4140 Cylindrical " Bougies, 1 to 12, each 75 *4141 Conical " " 1 to 12, " 1 00 4142 Olive Tip " " 1 to 12, " 1 25 *4143 Hard Rubber " " set of six in Hard Rubber Case 3 51 4144 Bodenheimer's Set of 10 Exploring Bougies 7 50 4i3i 4132 4138 See Pratt's instruments, beginning page 691 SHARP & SMITH, CHICAGO. 679 RECTAL INSTRUMENTS.-Continued. FIG. 4145 Soft Rubber Rectal Bougies, according to size $1 00 to 2 00 *4146 Dr. A. H. Meisenbach's Rectal Plug A Rectal Plug for Senn's Method of Insufflation of Hydrogen Gas. By A. H. Meisenbach, M. D., St. Louis, Mo. In repeating Dr. Senn's experiments, of insufflation per rectum of hydrogen gas, I found considerable difficulty at times, to prevent the gas from escaping out of the rectum, using the ordinary syringe tip. I found this to be the case in experimenting on dogs, and also on the human cadaver. Dr. Senn recommends in his paper on "Insufflation of Hydrogen Gas per Rectum," etc., that "an assistant hold the margin of the rectum around the syringe tip." In order to obviate the inconveniences of an ordinary syringe tip, and do away with the need of an assistant in controlling the margin of the rectum, I devised the herein described rectal plug. This plug *has given great satisfaction, having used it in applying Senn's test in four cases of gunshot wounds of the abdomen which were brought to the City Hospital, and in a case of obstruction of the bowel due to the rupture of a Fallopian pregnancy, where obstruction was produced by an immense coagulum-later case occurring in private practice of Dr. Hornsby, and in which I applied "Senn's Test," demonstrating the value of this measure in diagnosing intestinal obstruction. In the above applications of Senn's test the plug completely plugged the rectum, and effectually prevented the regurgitation of the gas, and allowed the gas bag and plug to be controlled by one person. The plug is made of hard rubber. The annexed cut shows a half size perspective and sectional view of plug. "A" represents cone-like plug, with tip similar to ordinary syringe tip. B is a hollow chamber in plug into which extends tip E, on which is a thread which screws into plug as shown at C. At D on tip E is a square shoulder and a round collar. The square shoulder is for the purpose of allowing a wrench to be used to tighten the tip into plug. Between collar on plug and collar on tip at D a washer is used, so as to insure perfect air-tightness. The end of Tip E which projects outside of plug is corrugated, so as to easily and tightly fit into rubber tubing from gas bag. I have found that pouring a little sweet oil into chamber, through opening in plug into chamber, in a measure prevents the liability to clogging, as the oil lubricates the sides of opening and facilitates its being readily blown out by pressure from the gas bag. 680 SHARP & SMITH, CHICAGO. RECTAL INSTRUMENTS. FIG. *4147 Philip S. Wales Soft Rubber Rectal Bougies, Nos. 3 and 4, each$ 1 15 *4147 " " " " " " " 5 and 6, " 1 50 *4147 " " " " " " " 7 and 8, " 2 00 *4147 " " " " " " " 9 and 10, " 2 25 *4147 " " " " " " " 11 and 12, " 2 75 The price of Bougies quoted above refers to the style shown in cut No. 7, Figure 4147. The circular cut marked "actual size," will assist greatly in or- dering. FIG. *4148 Sharp & Smith's Hard Rubber Pile Pipe, small$ 1 25 4149 " " " " " " large 1 50 4150 " " " " " Ointment, per bottle 50 4151 Seeley's " " " Pipe 1 50 4152 " " " " Ointment, per bottle 50 STRICTURE OF THE RECTUM. f By Philip S. Wales, M. D., Washington, D. C., Surgeon-Gen. U. S. N. * * * With the view of obviating all possible objections to mechani- cal dilatation, I devised, for the first time, in 1876, rectal bougies made of pure gum (not, as heretofore, of gummed cloth webbing, or other materials), of ex- ceeding flexibility, smoothness and varying in size. A conduit runs through the center, and terminates in the point of the bougie, for the purpose of com- manding a stream of water that might be required at any moment to facilitate the introduction of the instrument. The points of the bougies are made in various shapes, spherical, conical, and olivary, with a view of meeting the neces- sities of special cases. The surface is perfectly polished, which, by reducing friction, increases the facility of introduction, and eliminates the unpleasant sensation of dragging caused by a rough instrument. The method of introducing the bougie is simple. The patient, after the bowels have been cleaned out by injection, is placed, reclining on his left side, upon an ordinary operating table, the thighs flexed, and the buttocks just over- hanging its lower edge. The smallest sized instrument likely to pass the stricture SHARP & SMITH, CHICAGO. 681 is smeared with grease, its point inserted into the anus, and gently pushed on- ward in the following manner: The right hand grasping the bougie close to the anus, the whole perineum is pressed upward, which will advance the point of the instrument; the left hand now steadies it, while the right is slid downward for a lower hold, the perineum, of course settling with it; the bougie is again pushed forward in the same manner until the obstruction is passed. I have oc- casionally found that this manoeuver may be greatly facilitated by sinking the fingers of the left hand deep into the left iliac region, and drawing upward, as though an effort was being made, so to speak, to stretch out the sigmoid flexure, while pressure is made at the same time upon the bougie in the manner described. Another practical point of prime importance is to employ a stream of water, as warm as can be comfortably borne, propelling it through the conduit of the in- strument, whenever its point is arrested from any cause. The water, flowing from the distal aperture, will distend the bowel, efface its folds, and break down any hardened fceces which may exist, obstructing the ascent of the bougie. An assistant may manage the syringe, throwing in the water in such quantities as may be needed, while the operator is engaged with the bougie. It must be borne in mind, however, that no great volume should be used at once, other- wise the bowel will be excited to energetic contraction, and compel the instru- ment to be withdrawn before it has been properly lodged. In preliminary trials, the bougie may be permitted to remain two or three minutes, and afterward, when greater tolerance is established, a longer stay may be allowed. I rarely exceed five minutes in any case, even when the patient makes no complaint of irritation or pain. After several introductions of one size of a bougie, say number seven or eight, the next largest may be taken, and so on until the stric- ture has been sufficiently dilated. The application of the instrument may be repeated twice or thrice a week, according to circumstances, such as the irritability of the rectum, temperament of the individual, and inter-current attacks of diarrhoea or other trouble. Twice a week, in my experience, suffices in most cases; a fortunate issue, if attainable, can only be brought about by patient and prolonged treatment. Rudeness or violence inflicted with a view of hastening the case, can effect nothing but harm, and may jeopardize the life of the patient. If the instruments be hastily thrust into the bowel it may be perforated, especially in those cases in which inflammatory softening or ulceration exists; or if it be too large, the rectal mucous membrane may be ruptured, giving rise to smart hemorrhage; or the entire wall of the bowel may be ruptured into the peritoneum, an accident that is pretty sure to be followed by peritonitis, with all of its attendant dangers. But these funest consequences are infinitely less liable to follow the use of In- dia rubber bougies than any other sort, for certainly, a priori, nothing could furnish a milder, more equable and less dangerous force than these- and expe- rience shows this to be the fact. It often happens that after the most patient devotion to this method of treat- ment, the bowels do not regain their functions, even after the largest size bougie has been passed with ease. This result is due in part to long continuance of the expanded condition of the bowel above the stricture, by which its muscular walls have been more or less paralyzed. 682 SHARP & SMITH, CHICAGO. RECTAL INSTRUMENTS-CLAMPS. FIG. *4153 Smith's Haemorrhoidal Clamp $4 50 *4154 Rockwell's " " 6 50 *4155 Nott's " " g 00 4156 Amusat's " " 6 00 4157 Jones' Parallel " " 9 00 4158 Langenbeck's " " 3 75 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 683 RECTAL INSTRUMENTS-CLAMPS AND FORCEPS. FIG. 4159 Allingham's Haemorrhoidal Clamp$ 9 00 4160 Baker Brown's " " 9 00 *4161 Bodenhamer's Curvilinear Forceps for facilitating the ligation of Haemorrhoids 3 75 *4162 Ashton's Pile Clamp Forceps 2 25 *4163 " " " " with lock 3 25 *4164 Smith's " " " " " 3 25 *4165 Allingham's Scissors and Director for Fistula in Ano 5 25 *4166 Munde's Rectal Irrigator 1 90 4167 Bodenhamer's Rectal Irrigator 2 25 4168 Mattson's " " 1 00 684 SHARP & SMITH, CHICAGO. RECTAL INSTRUMENTS. FI *4169 Hall's Elastic Ligature Carrier $ 3 50 *4170 Allingham's Elastic Ligature Carrier 2 60 4171 Bush's Ligature Carrier 2 40 4172 Lente's " " 1 00 4173 Plain " " 1 00 4174 Ostrum's " " 4 00 4175 Helmuth's " " 2 75 *4176 Gibson's Instrument for the Introduction of the Ligature in Anal Fistula 2 25 4177 Hutchinson's Ligating Needle 3 75 *4178 Whitehead's " " 1 3° 4179 Bodenhamer's Knife for Anal Fissure 3 75 *4180 Kelsey's " " " 1 85 4181 Blandin's " " " 6 00 4182 Bistoury Cache for Rectal Stricture 5 25 4183 " " " Anal Fistula $ 5 25 *4184 Tillaux's Forceps for Recto-Vaginal Fistula.. 3 50 *4185 Bush's Pile Needle-Set 2 25 SHARP & SMITH, CHICAGO. 685 RECTAL INSTRUMENTS. FIG. *4186 Dr. Larney's Silver Probe and Director for Anal Fistula $ 1 75 4187 Delicate Silver Probe 60 4188 Delicate (pure) Silver Probe 85 4189 Flexible Silver Director Probe Point 1 10 4190 Wales' Explorer 1 60 *4191 Gooch's Plated Double Canula x 00 *4192 " Silver " " 2 00 *4193 Sharp & Smith's Haemorrhoidal Syringe ' 3 50 4193-A Adams' Haemorrhoidal Syringe 4 00 *4194 Sharp & Smith's Silver Haemorrhoidal Needle 1 00 *4195 Sharp & Smith's Rectal Curette.. - 1 85 4196 Van Buren's Ligator 5 00 4197 Rectal Scarificator 1 00 4198 " Insufflators 1 5° 4199 Bodenhamer's Rectal Exploring Sound, Set of 10 7 50 4200 Vertebrated Recto-Colonic Exploring Sound 6 00 4201 O'Berne's Rectal Tubes 1 00 4202 English " " 1 15 4203 Soft Rubber Colon Tubes , 1 15 This instrument consists of a solid barrel syringe with cap, holding 35 minims, one pure silver probe pointed canula for the exploration and injection of sinuses, fistulae, etc., one hypodermic needle and one long point for the injection of haemorrhoids, the point being of platinum, and having a screw cover by means of which the distance the needle is inserted can be regulated. In fine morocco case. All instruments designated by a * are illustrated. 4'94 4T95 686 SHARP & SMITH, CHICAGO. RECTAL INSTRUMENTS. FIG. *4204 Curved Rectal Trocar $1 50 *4205 Buck's " " 3 50 4206 Exploring " " (see amputating instruments) ' 00 *4207 Skene's Hard Rubber Endoscones each 2 00 *4208 Plain " " " " 1 30 *4209 Prolapsus Ani Truss 3 75 4210 Rectal Porte Caustique 2 00 4211 Pins for transfixing haemorrhoidal tumors 20 Enema Pumps, all prices. Instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 687 RECTAL INSTRUMENTS. FIG. *4212 Dr. Chas. D. Scudder's Knot Tyer $ 1 50 *4213 Carroll's Knot Tyer 1 85 4214 Allingham's Scissors 3 75 4215 Saw Tooth " 4 50 4216 Bush's Pile " 1 15 *4217 Angular " $1 00 to 2 50 *4218 Curved on flat " 1 00 to' 3 00 4219 David's " 3 00 Instruments designated by a * are illustrated. 688 SHARP & SMITH, CHICAGO. RECTAL INSTRUMENTS FIG. 4220 Suture Needles, ordinary, per doz., $060 4221 Self Threading Needles " 1 25 4222 Hagedorn's Needles, flat " 1 25 4223 Silver Wire " each, 20 For cuts of above, see Amputating Instruments. *4224 Cautery Irons, set of 4 4 25 4225 " " " 3 3 00 *4226 Thomas' Cautery Irons, set of 3 3 35 4227 " " " " 4 4 50 4228 " " " single each, 1 co 4229 " " Handle 75 4230 Self Blowing Cautery Iron Lamp. 3 00 *4231 Byrnes' Tenaculum Forceps, for pulling down the rectum 4 50 *4232 Ball's " " " " " 2 25 For Other Tenaculum Forceps, see Uterine Instruments. *4233 Rectal Dressing Forceps, with catch . ..'.... 1 75 4234 " Polypus " 4 50 4235 Ashton's Rectal Polypus Forceps 2 25 All instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 689 RECTAL INSTRUMENTS A FEW NEEDLE HOLDERS. FIG. *4236 Sims' Plain Needle Holder $1 85 *4237 Emmets' " " '* 2 25 *4238 Russian " " 3 00 *4239 Reiner's " " 3 00 *4240 Hagedorn's " " 5 5° *4241 Ethridge's " " 3 75 For Other Needle Holders see index. 690 SHARP & SMITH, CHICAGO. FIG. 4242 Rectal Sponge Mop Holder $ 75 *4243 ' " Holder 75 4244 " Brush Holder and I dozen Brushes 1 50 4245 Glass Brushes for making applications each, 20 4246 Hutchinson's Ointment Syringe 3 og 4247 " " " 3 pipes 4 50 *4248 Lente's Platina Cup for fusing caustics 2 25 4249 Silver Artificial Anus $5 00 to 10 00 4250 Small H. R. Suppositors 40 4251 Large " " 50 *4252 Sharp & Smith's Gas Apparatus (complete) 7 50 RECTAL INSTRUMENTS. The Administration of Gaseous Enemata, for Cure of Consumption. Send for Circular. SHARP <& SMITH, CHICAGO. 691 PROF. PRATT'S RECTAL INSTRUMENTS. In introducing to the medical profession the Rectum Speculum, Scissors and Hooks, which I have recently invented, I desire to call attention to some of the peculiar advantages these instruments possess. In the first place, as the most important pathological conditions in a rectum are situated about an inch above the anus, on a level with the upper border of the internal sphincter, none but an expanding valvular instrument will sufficiently smooth out the natural rectal folds so as to render the discovery of these conditions possible. In the next place the bulbous extremity of the instrument, for the same reason that a fair sized urethral sound passes easier than a small one, can be introduced with the very minimum of discomfort to the parts. This bulb also holds back the expanded part of the rectum above the sphincter and enlarges the field of observation. The Speculum is self-retaining, enabling the operator to work if necessary without assistance, and is so constructed as to secure when so desired sufficient stretching of the sphincter, thus saving the operator much subsequent effort with thumbs or fingers. By partially closing the Speculum it can be revolved at pleasure without withdrawal. Piles, ulcers and fistulae can also be easier treated through this than through any other devices. Add to these qualifications the remarkably low price of the instrument, and it will be evident that at last a long felt want of the profession is supplied, viz.: a Perfect Rectal Speculum. The Tenaculum is needed for seizing for removal papilla or other morbid growth, pendulant mucous membrane, etc. The small blunt hook is indis- pensable in discovering and raising for removal rectal pockets. The Scissors are constructed in this peculiar manner so as to remove the hand of the oper- ator from the field of vision. The original article upon rectal pockets and papilla or fringes, by Prof. Pratt, also the cut illustrating their situation and manner of detection is appended, as some may still be unfamiliar with them. Messrs. Sharp & Smith have made all the above mentioned instruments for me in a very workmanlike manner, and at my request have made the price within the reach of all. Yours truly, E. H. PRATT, M. D., Central Music Hall, Chicago. A Paper read before the Illinois State Homoeopathic Association, Peoria, in 1S85, by Prof. E. II. Pratt, A. M., M. D., LL. D., of the Chicago Homoeopathic Medical College. RECTAL POCKETS AND FRINGES. They are as common as piles; more prolific of mischief than you would believe without a special acquaintance with them, and still they have been hitherto almost unknown to fame, and very much neglected. Our current literature contains little or no mention of them, and only in a few isolated places in medical lore will you find any indication that they have ever been even discovered; and nowhere, so far as I am aware, are they well described or properly noticed. This paper, therefore, is but an act of jus- tice to a condition which should have received earlier attention, and although in itself but a feeble effort, it is to be hoped that it wdl inaugurate a line of thought and investigation that will in tune place the complaint where it belongs-in the regular index of all standard surgical works. 692 SHARP & SMITH, CHICAGO. PROF. PRATT'S RECTAL INSTRUMENTS-Continued Your attention is called to the mucous membrane at the upper border of the internal sphincter, just where the enlarged middle third of the rectum is puckered to the smaller limits of the lower third. Through an expanded trivalve speculum the lower third will appear as a short, straight, smoothly distended canal ending above in a well-defined bor- der, beyond which is seen the plentiful folds of the middle portion crowding into the upper part of the speculum, and completely obstructing a farther view. This narrow edge is sometimes smooth and unbroken, but sometimes is ornamented with a few thickened prolongations of mucous membrane-cone- shaped, very pointed and sensitive at the apex, which is free-very broad and thick at the attached base. These papillae vary in number from one to five or six-and in length from a line to one-half inch, and are not unlike in appear- ance the broken relics of a hymen. If no one can suggest a better name let us call them a fringe. They are always sources of irritation and should be removed. Transfix them one by one with a tenaculum and with a pair of long scissors snip them off at their base. Each one contains a small artery which requires no attention, as the bleeding ceases spontaneously upon the removal of the speculum. These papilla or fringes are not found in every rectum, but are common, and when present should be treated as above. This is the first of the two neglected conditions which it is the object of this paper to introduce. The second one-the pockets-is more important, more unobserved, and consequently more neglected than are the fringes. These pockets are simply small blind canals, from one-eighth of an inch to an inch in depth, and their number varies from one to eight or ten in cases troubled with them. Their mouths are in the same situation at the bases of the papillae; in fact, there will often be found two starting from the base of a papillae, one on each side, running parallel with each other, but separated always by a partition. Their direction is always toward the anus and they are very superficial, hugging the mucous membrane closely; their caliber is often sufficient to entertain a uterine sound, but they are usually smaller. The bottom of these pockets is usually very sensitive, the patient often flinching, even when partially under ether, as soon as the bent probe touches it. Several times I have entered a pocket with a probe, bent in the shape of a fish-hook, raised it slightly and with a pair of scissors snipped it out. Upon then removing the amputated pocket from the probe, over which it fitted like the finger of a glove, 1 have carefully turned it inside out, and examined its lining, finding it to resemble ordinary mucous membrane except at the very bottom, where there is usually found a small spot of ulceration. This last fact explains the ease with which, many times, the probe, during an examination of them in situ, will often pierce the bottom of a pocket and passing readily through the loose areolar tissue under the mucous membrane, will burrow to the anus itself. The operation of snip- ping them out is so simple and slight that ether is unnecessary, except in very nervous patients, or in those who would be poor subjects for the local appli- cation of cocaine. Do not confound these pockets with blind, internal fistulse, as they are not the product of abscesses, are never tortuous, never inclose the sphincter, and their lining is mucous membrane. They doubtless frequently result in fistulae, but cannot properly be so considered in the state in which we are considering them. So irritations of the rectum, be they ulcerations, haemorrhoids, erosions, prolapsus, pockets or fringes, can write their story of distress upon the feet, limbs, back, bladder, uterus, urethra, kidneys, liver, stomach, heart, head, face or coats of the bloodvessels, as suits their pleasure. I do not regard the exam- SHARP & SMITH, CHICAGO. 693 PROF. PRATT'S RECTAL INSTRUMENTS-Continued. ination of a case of insomnia, neuralgia, nervous prostration, general debility or functional derangement of any one or all the organs of the body as thorough or complete, without a careful exploration of the lower two or three inches of the rectum. The conditions of haemorrhoids, ulcerations, etc., are so fully under- stood and appreciated, that it seems best in this paper to neglect consideration of them, so that the pockets and fringes could have a little of the attention so long denied them. Permit for illustration the brief mention of two cases: i. A bright little lady came clear from Denver, Col., to be relieved of severe congestive headaches occurring once or twice a week, and of a long established habit of constipation. Four papillze were removed and three pockets laid open soon after her arrival, and to my own delight the habit of con- stipation was entirely removed, and the headaches improved in two weeks' time; and although medicines were given and suppositories were used, from what I have seen accomplished with them in previous cases, I do not believe I am unfair in ascribing the cure to the operations. The second case is one of the most remarkable it has befallen me to care for. A prominent lawyer of Chicago, a man standing six feet and two inches, and weighing over two hundred pounds, called to be examined for a life insur- ance. He appeared well in every particular, except feeling tired, sleeping poorly, and having a heart beat of 94 strokes per minute. He used neither liquor nor tobacco. He was informed that the rate of his heart's action would exclude him from present insurance, and he was referred to his family physician to reduce the rapidity of his pulse. He crowded me so hard to explain the condition that at last I began more thoroughly to investigate his case. The cold hands and feet and the pulse rate pointed to a weakened state of the sympathetic nerve. His mouth and teeth were all right. His tongue showed no signs of distress in stomach or liver-the urine was normal. An exploration of the rectum was then begun, with a view, chiefly, of ascertaining the size of the prostate gland, as he positively denied any rectal irritation or irregularity. Upon the mere introduction of the finger, the man became ashy pale. The prostate was normal, but the speculum revealed a few superficial abrasions of the mucous membrane and a few pockets and papillae. The spots were carefully touched with 950 carbolic acid and a cotton tampon inserted. Everybody has seen the white alae nasi and mouth caused by pin worms, or other rectal troubles. Imagine this same dead white painted over the whole face and the entire skin surface beaded with drops of cold perspiration, and you will have a fair image of the appearance of the patient as he wearily arose from the operating chair. Suppositories and medicines continued for a space of three weeks failed to reduce the pulse, but improved the color of the rectal mucous membrane, and prepared him for more radical work. Under ether two papillae were cut off and four pockets slit up and the sphincter thoroughly paralyzed. In twenty-four hours a report from the attending physician in whose care he was left (as he lived out of town too far for me to care for him) pleased me by recording his temperature as only 990 and his pulse at sixty beats per minute. A few days of rest sufficed to heal the wounds and start him well on the road to recovery. His pulse rebounded to 68 or 70, but no farther, when quiet-and he resumed his work with more vigor and life than he had known for years. I have not fairly painted his weakened condition when the case was undertaken. For several years he had been able to work but four or five hours a day, and he spent three months of last summer in Germany in search of health, which he did not succeed in finding, and he was just about abandoning his business for some out of door employment, supposing his case was one of brain-fag, which only prolonged rest and change of occupation would cure. 694 SHARP & SMITH, CHICAGO. AFTER TREATMENT OF RECTAL OPERATIONS. E. H. Pratt, M. D., Chicago. From The Medical Era. The after-treatment in rectal troubles has necessitated the invention of two new instru- ments, and at the request of the Medical Era and many friends, I will briefly explain their use. Fig. 4253.-PRATT'S RECTAL DILATORS. The first invention is a set of graded Rectal Dilators, five in number, and varying in diameter from an inch to 2 inches. I regard them as almost indispensable for fine rectal work. If any one thinks he can operate on a case at one sitting and dismiss it as cured without sub- sequent attention, he is doomed to repeated disappointments. Occasional experiences of this happy nature will sometimes occur, but they are exceedingly rare. After all forms of .operations upon the rectum, particularly those involving extensive des- truction of mucous membrane, no matter how thoroughly the sphincters may be stretched at the time, they are sure to regain their tone before the soreness disappears, and again contract to such a degree as to bring on a temporary return of old reflex troubles, or, possibly, of new ones. Dilatation at this time is essential to success, and since the bowel is still sensitive, fingers and thumbs and speculums cause such discomfort as to be decidedly objectionable; besides bruising the parts into a soreness that may take much time to remove. It is the same objection which I have previously raised against all valvular uterine dilators, and which induced me to add the larger sizes of female sounds to the small numbers in use. SHARP & SMITH, CHICAGO 695 DR. PRATT'S RECTAL INSTRUMENTS Fig. 4254.-PRATT'S SPECULUM. Fig. 4256.-PRATT'S SCISSORS. Fig. 4257-PRATT'S TENACULUM. Fig. 4258.-PRATT'S BLUNT HOOK. 696 SHARP & SMITH, CHICAGO. PROF. PRATT'S RECTAL INSTRUMENTS-Continued. Fig. 4259-PRATT'S ARTERY FORCEPS To escape this dilemma, I have invented these round, polished, graded pear-shaped Rectal Dilators. I am glad to chronicle their success. They give so little pain, they dilate so evenly and thoroughly ; they bruise so little, that they relieve soreness instead of causing it. In badly constipated cases, where the operation has not immediately relieved the condition- if the three smaller sizes be intrusted to the patient, by passing them at bed time-twice a week, the proper dilatation will not only be secured permanently, but the regularity of the bowels easily established. In such cases, they should be completely inserted, allowed to remain a short time, and then withdrawn during an expulsive effort. The two larger sizes are useful in arresting hemorrhage after operations. The manner of using them is to dip the size selected in vaseline, and introduce it carefully and slowly during an expulsive effort. The second invention is an improved Artery Forceps, suggested to me by Dr. C. Manville Pratt, of Towanda, Pa. This cut will sufficiently explain their advantages. Straight Forceps are so awkward in rec- tal work, and the grasp of the ordinary one is so poor on the slippery surface of the bowel, that I am grateful to Dr. Pratt for his suggestion. This modification leaves little to be desired in the way of Rectal Artery Forceps. PRICES OF PROF. PRATT'S INSTRUMENTS. FIG. *4253 Pratt's Rectal Dilators, sizes 1 to 5 each $1 25 " " Speculum, triblade " 3 50 4255 " " " two blade " 3 50 *4256 " " Scissors " 3 00 *4257 " " Tenaculum " 75 *4258 " " Blunt Hook " 75 *4259 " " Artery Forceps " 1 75 426° " " " " long " 2 50 *4261 " " Clamp, small " 2 50 4262 " " " large " 9 00 4263 " Stem Pessaries, latest improved " 1 00 *4264 " Latest Bivalve Rectal Speculum " 3 50 *4265 " " " Dilator " 1 50 See following page for last two items. SHARP & SMITH, CHICAGO. 697 \kl0 Carry ip a Corpplefa Llirje -■- ■= | OF I = DR. PRATT'S RECTAL INSTRUMENTS, AND MAKE IMMEDIATELY NEW PATTERNS AS THEY ARE WANTED. See Supplement for other Instruments of Dr. Pr/hts. Doctors desiring new Instruments manufactured, can have patterns, etc., made here by skillful Designers, and manufactured in our Fac- tory by some of the best Instrument Makers in the country. PLEASE DO NOT CUT or MUTILATE THIS BOOK. In ordering, Please state Number of Figure and Page, and we can promptly fill your order. 698 SHARP & SMITH, CHICAGO. THERMO-CAUTERY. FIG. *4268 Pacquelin's Cautery, complete, in neat Morocco Case, Fig. 4269, with two Cautery Points $30 50 *4269 Showing Cautery, in Case, as described in Fig. 4268. *4270 No. 4-Button Cautery Point ) These two Tips are the ones referred to as be- ) 10 00 *4271 No. 5-Knife " " ) longing to complete Apparatus Fig. 4268. f 10 00 *4272 No. 6-Curved Knife, Cautery Point 10 co *4273 No. 7-Small " " 10 00 *4274 No. 8-Curved Small Knife, " to 00 *4275 No. 9-Cylindro Conical " 10 00 *4276 No. 10-Sharp Point Cautery 10 00 4277 No. 11-Very Fine Knife, Cautery Point 10 00 *4278 No. 12-Needle Tip, " 10 00 *4279 No. 13-Cautery Scissors, Straight or Curved 18 00 PARTS OF THE CAUTERY. 4280 Metal Reservoir $ 3 00 4281 Glass " 2 50 4282 Metal Lamp 2 50 4283 Glass " 2 00 4284 Canulated Handle, with lengthened Tube 2 co 4285 Double Bulb Blow Apparatus 3 00 DR. PACQUELIN'S CAUTERY (THERMO-CAUTERY.) Pacquelin's Cautery is an instrument for the production of permanent and controllable heat and with slight radiation, it can be raised to the highest temperature. It passes through liquids and organic tissues without losing its activity. 1 his admirable instrument (without rival) is adapted to all the needs of actual cautery, owing to the variety of its forms. It occupies a privileged rank among the principal instruments indis- pensable in surgery, where the use of cautery by fire is indicated. 1 he use of this instrument is desired from the fact that when platinum, as well as several other metals, slightly heated, is brought in contact with hydrocarbon vapors, it gradually becomes incandescent, and retains its heat as long as the vapors are supplied. It is combined as follows : A combustion chamber of platinum, a canulated ebony handle, a thick fubber tube, a reservoir for the hydrocarbon, a double bulb apparatus for supplying air. A spirit lamp, with blow pipe, is furnished with the above. NOTICE.-The above described parts are put up in a neat Morocco Case, four inches high, seven inches long, and five inches wide. SHARP & SMITH, CHICAGO. 699 THERMO-CAUTERY. 4270 427r 4272 4273 4274 4275 4276 700 SHARP & SMITH, CHICAGO. THERMO-CAUTERY. 4279-(see page 698). ALLEN'S UNIVERSAL SURGICAL PUMP, WRITE FOR PRICES. Fig. 2.-Showing the Pump attached to a Chair. INSTRUMENTS FOR MALE URETHRA, BLADDER AND GENITALS-CATHETERS. 4300 English Web Catheters, sizes 1 to 12 each $0 15-doz. $ 1 25 4301 " (Double) Web Catheters, sizes itoi2 " o 25- " 2 00 4302 " " " " 12 to 16 each 35 4303 " " " " "17 and 18 , " 50 4304 " (Best) " " Olive Tip, sizes 1 to 12 " 50 4305 " " " " " " 12 to 18 " 75 4306 " " " " Conical, " 1 to 12 " 50 4307 " " " " " " 12 to 18 " 75 CONTINUED ON NEXT PAGE. SHARP & SMITH, CHICAGO. 701 INSTRUMENTS FOR MALE URETHRA, BLADDER AND GENITALS-CATHETERS. FIG. *4308 French Web Catheters, Conical, all sizes each, $0 50 *4309 " " " Olive, " " 50 *4310 " " " Cylindrical, all sizes " 50 *4311 " " " " hole in end and side " 50 4312 " " " Prostatic " 60 *4313 " " " Mercier's Elbow " 65 *4314 " " " " " Double Curve " 85 *43*5 " " " Curved Cylindrical " 60 *43'6 " " " " Olive Tip " 60 *4317 " " " Bulbous " 60 *43*8 " " " with long Bougie Tip " 75 43oS 4309 4310 4311 43*3 43T4 43T5 43x6 43T7 43!8 702 SHARP & SMITH. CHICAGO. URETHRAL INSTRUMENTS-CATHETERS. *43*9 Lee's Cylindrical half silk Catheter • $ 50 *4320 " Olive Point " " " 60 *4321 " Open End " " " 75 *4322 " Mercier's " " " ... 75 4323 Silk Web Cylindrical Catheters 75 4324 " " Olive " 85 4325 " " Mercier's " 1 25 *4326 Belfast Linen Web Catheters, Olive Tip 50 *4327 " " " " Cylindrical 50 *4328 " " " " Mercier's 75 *4329 " " " " Olive Metal Tip 1 00 *4330 " " " " Cylindrical Metal Tip 75 *4331 " " " Mercier's " " 1 25 *4332 " " " " Conical " " 1 00 *4333 Jacques'Soft Rubber Catheter 50 SHARP & SMITH, CHICAGO. 703 URETHRAL INSTRUMENTS-CATHETERS A NEW CATHETER TIP. Antiseptic-N on-breakable. Heretofore in all Flexible Catheters, whether with woven or cut eyes, at least one-quarter of the body of the tube is displaced where the eye occurs, and the Catheter is consequently made weakest at the very part where the most strength is required. This gen- eral defect has been overcome in the Metal Eye Belfast Linen Catheters, by ingeniously attaching a properly con- structed German Silver Eye Piece, which is firmly woven inside the tip of the Catheter, so that it not only thor- oughly protects the weak part about the eye, but makes the head of the Catheter perfectly solid and antiseptic. In the Olive and Conical patterns, additional stability is given to the slen- der points by means of a catgut inside, which extends from the metal eye to the extreme tip. and makes the points solid and firm. CYLINDRICAL, WITH METAL TIB INSIDE OLIVE, WITH METAL TIP INSIDE CONICAL, WITH METAL TIP INSIDE MERCIER, WITH METAL TIP INSIDE SECTIONAL VIEW OF METALTIP 704 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS-CATHETERS. fig. Each. *4334 Soft Rubber Velvet Eye Catheters, cylindrical $ 50 *4334~B " " " " " " hole in end 75 *4334~C " " " " " long conical 60 *4334~D " " curved olive tip too *4334-E " " " " " small openings 60 *4334-F " " " " " Mercier style 60 *4334-G " " " " " open on end and side 60 *4334-1 " " " " " open near end 50 4335 Nelaton's " " " 30 4336 Drainage " " " 75 4337 Leavitt's " " Female Catheter 50 *4338 Marcy's Soft Rubber Double Current Catheter 1 85 *4339 French Gum " " 1 50 4340 English " " " " 1 25 4341 «Hard Rubber " " " 2 00 4342 Tiemann's Soft Rubber " " " 2 50 *4343 Nott's Silver " " " 3 00 4344 " Plated " " " 2 00 4345 Plain Silver " " " .... 2 75 4346 " Plated " " " 1 75 SHARP & SMITH, CHICAGO. 705 URETHRAL INSTRUMENTS-CATHETERS FIG. 4347 Flexible Metal Catheter $ 50 *4348 Sterling Silver Male Catheter 1 50 4349 Plated " « 75 4350 Pure Silver " " 2 00 4351 Plated Prostatic Male " 1 00 4352 Silver " " " 3 00 *4353 Barthalow's Silver " 1 50 *4354 " Plated " 75 4355 Gross' Spiral " Silver 2 50 4356 " " " Plated 1 50 *4357 Goulay's Tunneled " and guide 2 25 4358 Cowan's Vertebrated " 6 50 4359 Squires' Vertebrated " 4 50 *4360 " (mod. by Caro), Vertebrated Catheter 4 50 4361 Warren's Door Catheter for evacuating the bladder 450 4362 " Vermicular " $2 25 706 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS-CATHETERS FIG. *4363 Male and Female Jointed Silver Catheter$ 2 00 *4364 " " " Plated " 1 00 *4365 " " " Silver " Parker's 3 00 *4366 " " " Plated " " 2 00 *4367 Holt's Self Retaining " 1 00 *4368 Dowell's " 3 75 4369 Metal Cooling " 2 00 4370 Wyeth's Cocaine " 1 00 4371 Otis' Urethral Flaemostatic Tube " 50 *4372 Bigelow's Metal Catheter Syringe 4 50 *4373 Dick's " Caustic " 2 75 *4374 Van Buren & Keyes' Bladder Syringe with Stop Cock, Catheter, etc 3 50 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 707 URETHRAL INSTRUMENTS-SYRINGES. FIG. *4375 Otis' Catheter Syringe $4 50 *4376 Parker's " " (Silver) 2 65 *4377 Otis' " " Nozzle 1 15 4378 Keyes' " Guide 60 4379 Gouley's " "12 inch each 40 4380 " " " 24 " " 60 *4381 Otis' " " ' 75 4382 Taylor's Urethral Syringe 2 80 4383 Ultzman' " " 3 00 4384 Bumstead's " " Glass Barrel 2 00 *4385 Braun's " " 1 75 *4386 Keyes' (Ultzman's) Urethral Syringe 4 50 *4387 Spicker s " " 2 00 *4388 Bryce's " " and Applicator 4 25 4389 Thornton Parker's " Tube 35 *4390 Hosmer's T. for washing out the bladder 75 *4391 Van Buren & Keyes'Stop Cock Metal 1 75 *4392 " " " Hard Rubber 1 50 *4393 " " Bladder Syringe 1 75 4394 " " Hot Water Bag for diseased prostate.... 3 75 *4395 Peck's Double End Bladder Syringe 2 00 708 SHARP & SMITH, CHICAGO. BRYCE'S URETHRAL APPLICATOR AND SYRINGE. This instrument, known as "Bryce's Urethral Applicator and Syringe," consists of a silver cylindrical tube, perfectly straight, ten inches long, with a number of perforations near the vesical end; within this tube slides another tube of equal length, pro- vided with a large fenestrum to correspond with the perforations in the outer tube. An air-tight plunger fits accurately in this inner tube. An ointment may be placed in this tube, and the whole encased in the outer one. This instrument is so arranged that when it is carried down to any desired spot, by turning the inner tube and forcing a little gauge pin into a slot in the outer tube, the fenestrum is brought opposite the perforations in the outer tube. By gently forcing the piston rod down, an ointment may thus be applied in any quantity to any particular spot or spots within the urethral tract. The instrument may be used equally as well for a syringe. It is the best one I have ever used for medicating the urethra. The surgeon can with positive cer- tainty know exactly where he is applying his remedies, and has perfect control of such agents, medicating only such spots as he may choose, applying large or small quantities as the case may demand. Any surgeon who is familiar with the anatomy of the parts, knows that a perfectly straight instrument can be readily passed into the bladder. SHARP & SMITH, CHICAGO. 709 URETHRAL INSTRUMENTS-SYRINGES. FIG. *4396 Zuelzer's Katharaphor$ 3 00 *4397 Wigmore's Gonorrhoea Tube 1 85 ZUELZER'S KATHARAPHOR FOR THE URETHRA. [From Medical News.] The above named instrument, designed by Professor Zuelzer, is well adapted to cleanse a diseased urethra of infectious bodies and inflammatory effusions. Its chief use is in cases of acute gonorrhoea, but it also finds appli- cation in the chronic state, with accompanying erosions, rents, broad superficial loss of substance and ulceration or croupous infiltration of the mucous membrane. The customary method of using injections, suppositories and ointments, is undoubtedly deficient in not providing for a preliminary thorough washing of the affected tract, and the want of care and exactness, which lies in applying medicaments over an unremoved layer of inflammatory products, needs hardly to be mentioned as incompatible with our ideas of antiseptic treatment. By the use of the Katharaphor this indica- tion is fulfilled, and the ingenious and com- plete manner of construction has led to the belief that it is deserving of notice in America. The accompanying illustrations may serve to explain the instrument: , The bell A is of a size to cover the glans penis. The bent tube <z, distinguished from its fellow c by an elevated ring, is connected with an irrigator of water or antiseptic solu- tion, and terminates in the straight tube B. The latter has a length of inches, and ends with a free opening. The outer tube C, encasing B, is screwed into the under surface of the bell and communicates thereby with the outflow tube c. The outer tube is of silver or German silver, its lower end is closed and has a tip like a catheter's. Its sides are per- forated by four long broad slits. The three elevations on B prevent the outer tube C from bending inward. The current of fluid in A B escapes at the open extremity. Through the slits in C it bathes the urethral walls, and the collected washings returning inward again are discharged through r. In the treatment of acute gonorrhoea in Zuelzer's clinic, the patient's urethra is irrigated once daily. The liquid is either hot or cold, the latter state being generally preferred on account of the comfortable sensations it produces. The washings are collected in glass vessels until the fluid no longer shows turbidity. By compressing the rubber tube attached to c the outflow is arrested. This is done at short intervals and tends to remove particles that would not otherwise come away. An irrigation lasts from fifteen to forty minutes. It may, of course, when possible, be frequently repeated. Prof. Zuelzer usually combines the use of medicated suppositories, but not with any decided influence on the duration of the purulent discharge. This, as a rule, entirely disappears in from six to eight days, even when pure water is the irrigant. Louis Kolipinski, M. D. Berlin, Aug. 6, 1887. 710 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS-BOUGIES AND GUIDES. 44°5 4406 44°7 4408 4409 4411 4412 4416 SHARP & SMITH, CHICAGO. 711 URETHRAL INSTRUMENTS-BOUGIES. FIG. 4398 English Web Bougies (Common), sizes 1 to 12 $ 15 4399 " " " " " ito 12 per doz. 1 25 4400 " " " " " 13 to 16 each. 25 4401 " " " " " 17 and 18 " 30 4402 " " " (Fine) " 1 to 12 " 50 4403 " " " " " 13 to 16 " 65 4404 " " " " " 17 and 18 " , 90 *4405 French " " Cylindrical " 50 *4406 " " " Conical " 50 *4407 " " " Olive Tip " 50 *4408 " " " Bellied " 60 *4409 " " " Aboule " 75 *4410 " " " Double Aboule " 1 00 *4411 " " " Triple " " 1 25 4412 Otis' Bougies, Aboule, Nos. 6 to 40, French scale " 35 4413 English Filiform Bougies " 5° *4414 French " " " 5° *4415 Whalebone " " " 3° *4416 " " " 1 doz. inbox per box. 3 50 *44(7 Olive Tip Whalebone Filiform Bougies each, 35 *4418 Goulay's " " " " 4° 4419 Banks' " " " 95 4420 Eldridge's Pathfinder 2(J 25 4421 Modified Eldridge's Pathfinder 2 75 4422 Warren's Exploring Sound 1 85 *4423 Weisse's Bougie Abould, with non-flexible, ruled staff 75 *4424 " Urethral Sound, for treating Strictures of the Male Urethra exteriorly to the triangular ligament 75 4425 Belfast Linen Bougies, Olive Tip each. 50 4426 " " " Cylindrical " 5° 4427 Sea Tangle " " » 75 4428 Silk Web " . " 1 00 *4429 Papier Mache and Catheter Box (see Fig. 4416) " 75 4430 Casper's Rubber, Gonorrhoeal Bougie 2 00 4431 Hunter's Filamentous Wedges each. 60 4432 Wax Bougies " 3° 4433 Flexible Metal Bougies " 5° *4434 Straight Elm " Per doz. 3 00 *4435 Curved " " " 3 00 *4436 Piffard's Bulbous Bougies each. 35 712 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS-BOUGIES AND SOUNDS FIG. 4437 Fowler's modification of Otis' Bulbous Bougies each $ 75 *4438 " " " " " (in case), Set 7 50 4439 Leather Rolls for Fowler's Bougies, to hold from 16 to 34 Bougies 2 00 *444° Wier's Short Curve Steel Sound i 15 *4441 Piffard's Fossil Sound 75 *4442 " Meatometer 85 SOUNDS. DR. FOWLER'S CASE OF OTIS BOUGIES. This set of Bulbous Bougies, for locating strictures of the male urethra, was devised by Dr. Geo. R. Fowler, as a companion to Prof. Weisse's Pocket case of Sounds. This set consists of 16 bulbs numbered according to the French Scale, giving every even number from io to 40. Owing to the small difference between the sizes in this scale, every alternate size is all that is usually thought necessary. The slide attached to the rods serves as a place on which the sizes of the bulbs are stamped, and as an accurate and simple means of measuring the depth of the stricture, by sliding it up to the meatus and fastening it with a turn of the screw, while the bulb is engaged in the stricture. Owing to the rare occurrence of strictures below the straight portion of the urethra, the rigidity of the stems in these instruments, will very seldom become an objection, and their compactness and arrangement will be found a great convenience in carrying, and in use. The entire set is contained in a morocco case inch x and less than one inch thick. SHARP & SMITH, CHICAGO. 713 URETHRAL INSTRUMENTS-SOUNDS. FIG. *4443 Fowler's set of 12 sizes curved Sounds in Case $7 00 *4444 Weisse's " 12 " straight " " 5 00 DR. FOWLER'S SET OF SOUNDS. This set of Sounds comprises twelve sizes from No. 9 to No. 20 American Gauge, and while they are as effective as the old style of Sounds, the weight, bulk and expense are reduced nearly one-half. They have the regular Van Buren curve and taper, and are put in Morocco cases 12% inches long, 4 inches wide, and 1 inch deep. Weight complete, 20 ounces. DR. WEISSE S POCKET SET OF SOUNDS. This set of Sounds, devised by Dr. Weisse of the University Medical C ollege, New York, comprises twelve sizes, from No. 9 to No. 20 American Gauge. They are well adapted to all purposes for which Sounds are used in the straight portion of the urethra; as almost nine-tenths of the treatment requiring Sounds is confined to this portion of the canal, they will nearly fulfil all the require- ments. The absurdity of introducing a curved instrument into the bladder for the purpose of dilating any part of the straight urethra is apparent. The Sounds are Nickel Plated, and put up in neat Morocco Case, measuring only 8)4 inches long, inches wideband inch deep, so it can be readily carried in the pocket. Case and Sounds only weigh ten ounces. 714 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS-SOUNDS and EXPLORERS. FIG. 4445 Van Buren's Steel Sounds, finely Nickel plated, sizes i to 20 English Scale each$ 75 4446 Van Buren's Steel Sounds, Sizes 21 to 25 English Scale 1 00 *4447 " Set of 8 Steel Sounds, in case 8 00 *4448 " Steel Ointment Sounds ...each 1 50 4449 Morocco Covered, Velvet Lined Cases, for 2 Sounds 2 50 445° " " " " " "8 " 3 00 4451 " " " " " "12 " 4 25 4452 " " " " " "16 " 5 5° *4453 Mastin's (mobile) Olive Point, Steel Sound 1 85 SHARP & SMITH, CHICAGO. 715 URETHRAL INSTRUMENTS. FIG. 4454 Left's Sound for Strictures exteriorly to the Triangular Ligament $ 95 4455 Flexible Metal Sounds 40 4456 " " " double curved 60 4457 Goulay's Sounds, same prices as Van Buren's. 4458 Otis' " " " " 4459 Straight Steel Sounds 90 4460 Double End Steel Sounds 1 00 4461 Pratt's " " ' 75 4462 Winternitz's Cooling " 3 00 4463 Piffard's Fossil " 75 4464 Goulay's Tunneled " 1 85 4465 Lawrence's " 1 25 4466 Hale's Sound for Involuntary Emissions 1 75 4467 Benique's Sound 1 00 4468 Bumstead's " 1 00 4469 Hollow Sounds for Cold Water 2 00 *447° Andrews' Stone Searchers, complete $ i 75 *4471 Thompson's " " 3 o<5 *4472 Goulay's " " 1 50 *4473 Little's " " 2 75 *4474 Otis' " " 4 00 4475 Plain " " 1 50 4476 Mercier's Prostatic Gland Dilator 7 5° 4477 Goulay's " " " 12 00 4478 Walker's " " " 27 00 4479 Harrison's " " " each. 1 15 STONE SEARCHERS. DILATORS. *4480 Schweig's Urethral Dilator $ 7 50 *4481 Goulay's " " for over-distension 9 00 4482 Thompson' " " 7 5° 4483 " " " in case 9 00 4484 Goulay's (") " " 10 5° 4485 Gross' " "■ • 10 5° *4486 Holt's " " .... ■ 13 5° 4487 " (Bumstead's) Urethral Dilator 10 25 4488 Dolbean's " " 18 00 4489 Bigelow's " " 11 5° *4490 Stearns' " " 3 75 *4491 Priestley's " " 10 5° 4492 Thebaud's " " 7 5° 4493 Powell's " " 27 00 4494 Steurer's " " 6 00 4495 Voillerner's • " " *4496 Otis' Meatus " •••• 1 J5 *4497 Thompson's Prostate Sound and Tube-Sound, $2 25. Tube.. 375 See preceding and following pages. 716 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS-DILATORS. 4497 448o 44&1 See preceding page for prices SHARP & SMITH, CHICAGO. 717 URETHRAL INSTRUMENTS FIG. 4498 Desormeaux's Endoscope $45 00 to $95 00 *4499 Skene's " 2 00 *4500 Otis' " 1 15 4501 Laveur's " 15 00 4502 Glass Mirror Urethral Speculum 35 *4503 Sharp & Smith's Bivalve Urethral Speculum, 3% inches long... 1 50 4504 Meatus " " " .3 5° *4505 Skene's Folsom's " " 1 00 *4506 " " 1' 2 00 *4507 Brown's " " 3 35 *4508 Lallemand's Silver Porte-Caustic 3 25 4509 Gross' " " " . 3 25 4510 Wier's Meatoscope 1 00 4511 Porcelain " 60 4512 Silvered Glass Meatoscope 60 4513 Smith's Urethroscope 6 35 718 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS-URETHROTOMES. Fig. 4517. Gross' Straight Urethrotome. It is nothing more, as may be seen in the wood cut, than a metallic exploratory bougie, the slender shaft being provided with a handle, grooved for the Reception of a steel rod, to one end of which is attached the blade, and to the other a button, through the retraction of which the former is thrown out of the under surface of the bulb, so that the incision may be made along the floor of the urethra. The extent to which the blade can be projected is regulated by a lateral screw near the handle. The length of the contrivance is eleven inches, of which three are taken up by the handle, button and screw. In actual practice I have found two such instruments to be all that are required. In one, which is intended for strictures of moderate caliber, the bulb is equal to No. 15 of the French catheter scale; while in the other the bulb corresponds with No. 23, which suffices to define coarctations of much larger size. In exceptional cases, still larger bulbs may be demanded. SHARP & SMITH, CHICAGO. 719 URETHRAL INSTRUMENTS-URETHROTOMES. FIG. *4514 Otis' Straight Urethrotome (latest pattern) $22 50 *4515 " Curved " ( " " ' 22 50 *4516 " Bulbous " 13 50 *4517 Gross' Straight " 5 00 *4518 " Curved " 5 00 *4519 Gouley's Dilating " n 25 4520 " Tunneled Urethrotome 9 00 4521 Maisonneuve's " * IO 5° 4522 Teevan's " with guide and tunnel : 9 00 *4523 Bumstead's " 10 50 *4524 Civiales' 9 00 4525 White's Urethrotome 10 50 4526 Peters' " 4 5° 4527 Bates' " 11 25 *4528 Nall's " 27 50 *4529 Kinloch's " 20 00 *453° Charrieres " 10 50 All instruments designated by a * are illustrated 720 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS-URETHROTOMES AND URETHROMETERS. FIG. *4531 Mastin's Diagnosing Urethrotome • $11 25 *4532 " Instrument for Subcutaneous Urethrotomy 4 50 4533 Pfitchett's Rotating Urethrotome 18 75 4534 Westmoreland's Urethrotome 9 00 4535 Peters' " 4 50 4536 Banks' " 15 00 *4537 Otis' (modified by J. Blake White's), Urethrotome 30 00 *4538 Dr. J. Blake White's , " 15 00 4539 Milnes' Dilating Urethrotome 12 75 4540 Stearns' Dilating Urethrotome 9 00 4541 Wyeth's " " 27 00 4542 Hunter's " " 27 00 4543 Brown's " " 19 5° 4544 Young's ' " 37 50 4545 Rogers' " " and Urethrometer 30 00 4546 Walker's External Urethrotome 1 35 *4547 Otis' Urethrometer 13 50 4548 Weir's " 14 50 4549 Gross' " 5 00 4531 4532 4537 4538 4547 SHARP & SMITH, CHICAGO. 721 URETHRAL INSTRUMENTS-STRICTURE CUTTERS. FIG. *4550 Sharp Point Lithotomy Scalpel $ 1 50 *4551 Probe " " " 1 50 4552 Dupuytren's " " 1 40 *4553 Little's Sharp Point Lithotomy Bistoury 1 25 4554 Gouley's Beaked " " 1 20 *4555 Blizzard's Probe Pointed Bistoury American 1 50 *4556 " " " " English 1. 50 4557 Wyeth's Sharp " " 1 50 4558 Piffard's Fossil Stricture Cutter 7 50 4559 Civiale's Bistoury Cache 4 50 4560 Dupuytren's Double Bistoury Cache 18 00 *4561 Wood's Bisector 3 40 4562 Hutchinson's Lithotome 5 50 4550 4551 4553 4555 4556 ' 45&I All instruments designated by a * are illustrated 722 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS-MEATOTOMES. FIG. *4563 Gouley's Meatotome $ 2 25 4564 Mitchell's " • 16 50 *4S6s Otis' " 1 50 4566 Civiale's " 4 50 *4567 Piffard's " 1 50 4568 Simpson's " 5 25 4569 Piffard's Meatometer 85 *4570 Bush's Gorget 3 40 *4571 Hooked Gorget 2 25 *4572 Physick's " two blades 4 85 4573 Ordinary " Blunt 1 90 4574 Keyes'Blunt Gorget 1 85 4575 Scoop and Gorget 1 85 4576 Sims' Scoop 1 50 *4577 Luer's *' 1 85 *4578 Scoop and Conductor , 1 90 4579 Dowell's Gorget and Staff 4 25 *4580 Little's Lithotomy Director 1 15 4581 Gouley's " " 1 20 SHARP & SMITH, CHICAGO. 723 LITHOTOMY STAFFS. FIG. *4582 Markoe's Lithotomy Staff $ 1 50 *4583 Little's " " 1 50 4584 Lateral " " 1 50 4585 Rectangular " *' 1 90 4586 Plain Steel " " 1 35 4587 Walker's " " 1 50 4588 Buck's " " 2 25 4589 Whitehead's " " and Knife .9 00 4590 Woods' " " 1 75 4591 Hewitt's " " and Knife 3 00 4592 Syme's " " 1 35 *4593 Buchanan's Rectangular Lithotomy Staff 1 85 4594 Wheelhouse's " " 1 50 4595 Single Edge Circumcision Knife 1 60 4596 Double " " " 2 00 *4597 Circumcision Probe and Spatula 75 4598 Silver Urethral Applicators 1 50 *4599 McCoy's " 2 00 724 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS-FORCEPS. 4608 4603 46°° SHARP & SMITH, CHICAGO. 725 URETHRAL INSTRUMENTS-FORCEPS. FIG. *4600 Curved Bladder Forceps $4 40 *4601 Double '' " 4 40 *4602 Thompson's Bladder Forceps 4 40 *4603 Curved Lithotomy Forceps 2 25 *4604 Teevan's " " fenestrated 2 25 *4605 Little's " " straight 2 25 4606 Stone Crushing Forceps..... 4 50 4607 " Extracting " 2 25 *4608 Gouley's Double Lever Lithoclast 7 5° *4609 Dolbeau's Lithoclast 5 25 *4610 " Lithotomy Guide 2 80 *4611 Thompson's Urethral Forceps 1 5° *4612 Alligator " " straight 4 00 4613 Mathieu's " " curved 4 5° *4614 Collins' " " 4 00 *4615 Hutchinson's Prepuce " 1 80 All instruments designated by a * are illustrated. 726 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS-Lithotrites and Evacuators FIG. *4616 Bigelow's latest Lithotrite$30 00 4617 Ferguson's " 20 00 4618 Teevan's " 27 00 *4619 Thompson's " 27 00 4620 Mathieu's " 11 25 4621 Jacobson's " 22 50 4622 Heurteloup's " and Mallet 18 75 4623 Gouley's " 27 00 4624 Keyes' " 27 00 4625 Chismore's Evacuating Lithotrite 18 00 LITHOLAPAXY. Rapid Lithotrity with Evacuation. By Henry J. Bigelow, M. D. The following are the chief points connected with the modification in lithotrity which I have described, and for which I propose the above name. 1. The calculus, although not necessarily pulverized, is crushed as rapidly and completely as is practicable. The dust and fragments are immediately evacuated, and a serious source of irritation is thus removed. 2. This can be generally effected in a single operation. 3. The operation-performed of course under ether- may be if necessary, of one or two hours' duration, or even longer. 4. The method applies to larger stones than have been hitherto considered to lie within the province of the lithotritist. It also applies to small stones, nuclei, phosphatic deposits, and foreign substances. 5. Evacuation is best accomplished by a large tube, pre- ferably straight with a distal orifice, the extremity of which is shaped to facilitate its introduction, and, during suction, to repel the bladder wall-and by an elastic exhausting bulb, which acts partly as a siphon. Below the latter is a glass recep- tacle for debris. 6. The best size for the tube is the largest the urethra will admit. 7. Such a tube is usually introduced with facility, if passed vertically as far as it will go toward the anus before changing its direction, and afterward directed almost horizontally, and passed by rotation through the triangular ligament. The first part of this rule applies also to the introduction of a lithotrite, and even a curved catheter. A free injection of oil is im- Bigelow's Lithotrite. portant. SHARP & SMITH, CHICAGO. 727 8. A small meatus should be enlarged, or a stricture divulsed, to allow the passage of a large tube. 9. If the bladder be not small, a large and powerful lithotrite is always better than a small one. 10. That this may have room for action, the escaping water should be replaced occasionally, through a tube inserted a few inches into the urethra by the side of the lithotrite. But the bladder should not be over distended. 11. To save time, and also to prevent undue dilatation of the vesical neck, a non-im- pacting lithotrite is desirable. The jaws of a non-fenestrated instrument will not impact, if the male blade is furnished with alternate trian- gular notches by which the debris is discharged laterally, and also with a long thin spur at the heel fitted to a corresponding slot in the female blade-provided the floor of the female blade, especially at the heel, be made nearly on a level with its rim. To repel the bladder, the female blade should be longer and a little wider than is usual. It should have also low sides easily \ ? accessible tofrag- Bigelow's Evacuating Apparatus, ments, relying for strength less upon these than upon a central ridge below the heel. In the male blade of such a lithotrite the apices of the tri- angles should be a little blunted. Lastly, a non- fenestrated female blade protects the floor of the bladder, during a long sitting. A fenestrated instrument directs sharp splinters against it. The latter also delays the process of disinteg- ration, by delivering through its opening the same fragments many times. 12. In locking and unlocking a lithotrite repeatedly in a long operation, it takes less time and is easier to turn the right wrist, as in my instrument, than to displace the thumb stand for Bigelow's Evacuating of either hand in search of a button or lever, Apparatus. as in previous instruments. FIG. *4626 Bigelow's latest Evacuating Apparatus (see page 728) $22 50 *4627 Bigelow's old style " " and Stand 12 00 4628 Otis' " " 22 50 4629 Thompson's " " 10 00 4630 Nelaton's " " 22 5° 4631 Clover's " " 10 5° 4632 Walker's " " 5° 4633 Keyes' straight Evacuating Tube with Obdurator 6 00 4634 " curved " " " " 6 75 728 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS. FIG. 4635 Reliquet's Urethral Stone Crusher $11 25 4636 Maisonneuve's Urethral Stone Crusher 15 00 4637 DeRigal's Stone Holder, Perforator and Breaker 45 00 4638 Nelaton's Urethral foreign body instrument 3000 4639 Collins' " " " 22 50 PHIMOSIS. *4640 Fisher's Phimosis Forceps $ 2 25 4641 Briggs' " " 3 75 4642 Cohn's " " 6 75 4643 Nelaton's " " 3 75 4644 Ricord's ' " . 3 00 *4645 Roger's " " • 2 25 *4646 Skillern's " " 1 85 *4647 Knox's " " 3 00 *4648 Hall's " " 2 25 *4649 Levis' " " 2 60 4650 Henry's " " 3 00 *4651 Girdner's " " 2 65 4626-(See page 727). SHARP & SMITH, CHICAGO. 729 NEW OPERATION FOR PHIMOSIS. By P. G. Skillern, M. D. I wish to invite the attention of the profession to a method of performing the operation of circumcision which I originally proposed and have since per- formed upon several cases of phimosis. The object sought to be obtained is to excise both prepuce and mucuous membrane at the same time, so that when the forceps are removed the glans penis will be at once entirely clear of' both. In the ordinary manner of operating, it frequently occurs that the lining mem- brane of the prepuce covers and entirely surrounds the glans after the foreskin is removed, so as to necessitate slitting it up afterward. This is a real annoy- ance, and also protracts the healing considerably. In performing this operation, the foreskin is to be retracted until the junction of skin and mucous membrane is reached, or as nearly so as may be desired; then three small hooks attached to a chain-somewhat similar to those con- tained in postmortem case, but smaller-are inserted from within outward, at Fig. 4646. equidistant points, first through the mucous membrane, then through the skin, thus fixing the two in their new relation to each other, so that when traction is made the mucous membrane is put upon the stretch. A grooved director is then passed around the glans, so as to break up any existing adhesions. Now the chain being kept taut, the forceps (see figure) are applied, and a threaded needle passed twice through the fenestra of the forceps, so as to leave two long threads passing through both skin and mucous membrane. The prepuce is then divided close to the blade of the forceps, and the latter removed. After ligaturing the small vessels, if necessary, the threads are raised on a director from the center between the remaining prepuce, and divided so as to leave four separate and distinct sutures, which, when tied, will leave both skin and mucous membrane nicely coaptated. This is the operation as done with the author's forceps. The results obtained by it in several cases in which it has been used, have been all that could be desired. 48 South Bond Street, Philadelphia. A NEW PROCEDURE IN THE OPERATION FOR PHIMOSIS. Fig. 4649. By R. J. Levis, M. D., Surgeon to the Pennsylvania Hospital, and to the Jefferson College Hospital. The object of the instrument illustrated in the cut is to facilitate the entire excision of the inner inelastic mucous membrane of the prepuce, without removing any, or more than maybe required, of the outer normal skin. In some cases of phimosis total circumcision is necessary, but in a considerable proportion only a partial ablation of preputial integument is essential, and the inconvenience may be readily overcome by the method I suggest, without causing disfigurement, or indeed, making much change from the normal appearance of the organ.. In most instances only the inner lamina of the preputial fold is morbidly involved, and the excessive removal of the outer layer is an error which is liable to be committed in the usual manner of operating. 730 SHARP & SMITH, CHICAGO. LEVIS' OPERATION FOR PHIMOSIS-Continued. In general form the instrument somewhat resembles the ordinary mathe- matical compasses or dividers. The limbs, or blades, terminate in blunt points, and are deeply serrated on their outer surfaces, with points or teeth set back- ward, like fine saw teeth, for the purpose of firmly holding the mucous mem- brane, without the risk of slipping when traction is made. The blades are forced apart by a thumb screw. In operating, the blades, closed to a point, are introduced within the pre- puce up beyond the corona of the glans. They are then, by turning the thumb screw, strongly separated, so as to render the mucous membrane tense. Trac- tion is then made, and the outer elastic skin is drawn back fully, so as to be away from the portion to be excised, and excision is effected by transfixing the prepuce through the middle with a bistoury, and cutting laterally in both direc- tions toward the blades of the instrument. Any remaining portion of inelas- tic tissue may be removed with the scissors, and the operation is completed by attaching the cut edge of skin to the edge of mucous membrane remaining around the cervix by a few stitches. In this manner the inner inelastic mucous membrane maybe removed, while all the normal outer integument remains. 4651.-Showing Girdner's Method of Operation. Figure 4651. This instrument is introduced closed into the preputial opening, then, relaxing the spring, causes the barbs to transfix, first the mucous membrane, and then the skin. SHARP & SMITH, CHICAGO. 731 URETHRAL INSTRUMENTS-PHIMOSIS, VARICOCELE. FIG. 4652 Baruch's Circumcision Scissors 2 00 *4653 Taylor's " " 3 75 *4654 Curved on flat " " , 1 00 *4655 Lewis Varicocele Clamp 3 00 4656 Sayre's " " 3 00 *4657 Andrews' " " 4 00 4658 Wood's " " 1 85 *4659 Henry's Scrotal " 6 50 *4660 " •' " ' 6 50 *4661 " Cartilage Scissors .. 3 75 4662 Masturbation Clamp 75 4663 Keyes' Varicocele Needle 1 00 4664 Whitfield's " " 1 25 4665 Wyeth's Cocaine " 1 00 4666 Miliano's Scrotal Compressor 1 25 4667 Carroll's " " 1 00 4668 Howe's " " 2 40 (See Suspensories in Index). 732 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS-VARICOCELE. [Extract from the " Medical Record," May 28th, 1881.] (Read before the New York Academy of Medicine, April 21st, 1881.) REMARKS ON AMPUTATION OF REDUNDANT SCROTUM FOR THE RELIEF OF VARICOCELE. Illustrated with New Instruments to Facilitate the Operation. By M. II. Henry, M. A., M. D., Late Surgeon-in-Chief State Emigrant Hospitals, Ward's Island, New York, Etc., Etc. * * * In the removal of a redundant scrotum in the manner I shall describe, for the relief of varicocele, no more than ordinary skill is called for. The success o,f any delicate surgical operation depends mainly on the care and management before, during, and subsequent to the operation. I have ventured to allude to many little details because I am fully impressed that they bear a most important relation to the chances of success. Success in any operation depends on attention to details. Failures are too frequently the result of neglect of these so called trifles. Cases of minor sur- gery have frequently-by neglect of details-been converted into cases of ma- jor importance. This instrument, which I have called scrotal forceps or clamps, consists of two parts (Fig. 1.) The main part of the instrument has two double curved DESCRIPTION OF INSTRUMENTS. 4659-Fig. 1. blades, made of steel, about ten inches long, sufficiently heavy to give strength and admit of pressure without injury when in contact with the tissues. The han- dles are large enough to admit of a good grasp without cramping. That part of the instrument below the joint is curved as nearly as possible according to the natural lines of the raphie, from the upper anterior part of the scrotum down to and under the scrotum, so that it embraces, when placed in front of the scro- tum the entire and exact portion which it is desired to remove. The coating surfaces are evenly notched to prevent the tissues from slipping, affording a more secure hold on the soft parts, with less pressure and less injury than smooth surfaces. The blades are only thick enough to give strength, without leaving too much tissue in front. The handles are curved so that while they maintain a direct median line, they do not interfere or press on the genital parts. The double spring, besides giving additional security and compactness, renders them, to a great extent, self-acting, easy of manipulation, and that, at times, of very great consequence, ability on the part of the operator to perform the operation without the aid of additional assistance. The screws in the handle and at the end of the blades afford a complete and perfect hold of the parts to be removed. They are not adjusted until the oper- ator is perfectly satisfied that he has embraced the exact portion to be removed in front of the blades. SHARP & SMITH, CHICAGO. 733 URETHRAL INSTRUMENTS-VARICOCELE. The extra blade is made of steel, nickel plated, and is maintained in the right anterior surface of the clamp by two small pins that fit in grooves cut in the clamp. It is easily inserted with a little pressure, and removed as easily by press- ing downward and forward; it is then dislodged by slightly raising the extreme end. The extra blade, when in position, leaves a fenestra to afford the surgeon the facility of inserting all his ligatures, should he prefer it, before dividing the parts. The thickness or amount of the tissue left in front of the main blade and between that and the extra blade, which is the guide for the part to be re- moved, is ample to assist union, and if the division is a clean one, and the stitches are close and evenly inserted, the pressure and tension are so slight or rather, so divided over the entire cut surfaces, that there is little probability of ul- ceration through the stitches before union has taken place. When the part has been removed, the extra blade is displaced, leaxing a free border exposedin front of the main blade about a quarter of an inch in thick- ness. In a few minutes the whole wound can be stitched without any incon- venience. The clamp is, of course, not removed until this is accomplished. Besides the clamp, the only instruments necessary are the scissors or scalpel, needles, with either silk or fine silver wire for sutures, a few acupressure needles, a few serres-fins, silver pins and some adhesive plaster. 4661-Fig. 2. For the removal of the redundant portion I prefer scissors to the knife. I am inclined to think the hemorrhage is apt to be less and the cut edges heal more readily by first intention. I cannot give any positive explanation for this, but such is my impression. When the double layers of the scrotum are tightly compressed between the blades of the clamp, it forms a very dense, tough sub- stance, and requires a pair of very strong, sharp scissors to cut through. It is as dense as cartilage. A strong pair of scissors will, with some extra effort, serve the purpose; but to insure an easy and clean removal of the part, I use a cutting instrument which I have named cartilage scissors (Fig. 2). I have dis- pensed with the rings. These scissors can be grasped and handled with the ut- most ease. By the aid of the springs on the inner sides of the handles they are self-acting so far as opening the blades. They are curved on the flat side. They are not only useful for this operation, but will, I think, be found to serve better, and are handled with greater facility, than any other scissors wherever a cutting instrument is needed for cartilage or other dense or thickened tissues. 734 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS. FIG. ♦' 4669 Aspirators. See pages 540 to 548 $ 4670 Harrison's Bladder Trocar 8 25 4671 German Silver Hydrocele Trocar 1 00 4672 Set of 4 " " metal case.... 4 50 4673 "3 " " " •••35° *4674 Curved " " 1 85 4675 Reversible " " 1 00 4676 " (with set screw) Hydrocele Trocar 1 00 4677 Cock's Instrument for tapping the bladder per rectum n 25 *4678 Getz' Trocar and Aspirator in case 6 75 4679 Bumstead's Insufflator 3 75 4680 Mallez " 1 40 *4681 Straight Tube " • 1 00 *4682 Spermatorrhoea Ring 55 For description, see pages 548 and 549, and below. Note.-A convenient and perfect female catheter is formed by the parts a, b, c, e and /, and the largest size canula and a catheter tip (instead of trocar tip) attached to f. If the bladder is to be injected or washed, the instrument is used as when washing any other cavity. To use the instrument for washing or injecting the male bladder use parts b, c, e, i and g, with such size of canula attached to c as the end of will slip tightly into the opening of the male catheter. SHARP & SMITH, CHICAGO. 735 URETHRAL INSTRUMENTS. FIG. 4683 Hunter's Urethral Tourniquet $ 4 50 4684 Dolbean's Lithotomy Dilator 18 00 4685 Walker's Prostatic Divulsor 1 50 4686 Penis Congester 3 75 4687 Bumstead's Lamp 2 40 4688 Hard Rubber Caustic Holder 40 4689 Dick's Caustic Catheter Holder 2 65 4690 Debris Tube and Obdurator 1 85 4691 Circumcision Spatula 40 4692 Mussey's Bladder Curette 3 40 4693 Gouley's Sharp Hook 1 00 4694 Brown's Air Tampon for Haemorrhage ' 3 00 4695 Pasteboard Catheter Scales. No charge. *4696 Metal Catheter Scales, all Gauges each. 3 00 please do not ear or mutilate tris BOOK. Jn of e<Xr? fill vohf for nSFJARP & SMITH'S" Instruments in ordering* through dealers. 736 SHARP & SMITH, CHICAGO. APPLIANCES FOR DEFORMITIES AND DEFICIENCIES, CONGENITAL OR ACQUIRED. PRICES QUOTED ARE TO PATIENTS. The period when the mechanical treatment of deformities was chiefly a question of brute force is not so remote that the remembrance of it should have altogether escaped from the minds of the medical professors. Formerly sur- geons sought to compel by violence, directly or indirectly applied, a distorted spine to resume its normal position. An idea of the primitive method is to be found in the practice, now extinct, of constructing apparatus for the treatment of spinal curvature upon an ideal type of a symmetrically formed spine, and exercising force with the intention of causing the curves of the distorted spinal column to approximate to those of the instrument. The mechanist now recog- nizes the fact that the laws of nature must be set in operation. Hence he applies himself diligently to study those laws by which the symmetry of the human frame is maintained, as well as the mode of action of the different causes which lead to a deviation from the normal standard. Anticipating these causes, he seeks to check the further progress of the disease, and to remedy its sure results. He no longer seeks to secure his object by a mere empirical use of mechanical force, but he seeks to attain it by a just adaptation of the means at his command, founded upon a careful appreciation and accurate calculation of the kind, direction and amount of force required. The evils of an empirical system of mechanical appliances were shown not only by the inefficiency or actual unfitness of the apparatus made for a given purpose, but also by the im- perfection of their construction. They were commonly made either more com- plex than was necessary, or so simple as to be worthless, or so heavy and cum- bersome as to weary the body, and so act as to constrict the muscles, or so light as to yield to the distension. Lightness of an instrument is too often sought at the expense of more important properties. These evils are the result of an insufficient knowledge of the lesions to be treated. The scientific mechanist constructs his appliances from an accurate estimate of the character and arrangement of the force needed, and of the strength of material required to meet the object he has in view. Thus he avoids on the one hand too great complexity, and on the other a deceptive sim- plicity of construction. He thus combines durability with the greatest attain- able lightness consistent with efficiency. This branch of mechanical surgery needs a special training, and cannot be acquired without a certain amount of surgical education. We pay special attention to the careful and correct fitting of braces. Surgeons residing at a distance whose patients cannot visit us for adjust- ment, will have their orders promptly attended to by sending us the particulars found accompanying each illustration. SHARP & SMITH, CHICAGO. 737 DEFORMITY APPARATUS. We manufacture a variety of shoes to meet every form which the foot can assume. There are four varieties of primary club foot, viz. Talipes Valgus, Equinus, Varus and Calcaneus. Two or more of these varieties may exist together, forming sub-varieties. Talipes Valgus, or lateral yielding of the ankle joint outward, combined with extension and sometimes obliteration of the arches which compose the plantar surface, or sole of the foot, is among the most common of these deformities of the lower extremity, which calls for mechanical treatment. Fig. 475° exhibits diminution of the niched arches of the foot; the toes are averted, and the external malleolus buries its contours in the external tarsal fossa. In every case it should first be decided whether divisions of the tendons be advantageous, or per contra. In severe cases of Valgus there can be but little doubt that as the peroneal muscles aid in raising the external margin of the foot, divisions of their tendons will often materially lessen the period of mechanical treatment by instantly removing one of the main ob- stacles, by tenotomy. But a large portion of cases recover without operation by using Dr. L. A. Sayre's Club Foot Shoe, (Figs. 4751 and475i-A.) The shoe pictured below is arranged for valgus or varus. This simple but ingenious shoe, contrived by Dr. Sayre, is so con- structed that it can be applied and secured accurately to the de- formed foot, before the elastic force is attached, instead of adjusting the foot to the shoe. This shoe is made with two lateral rods of steel running up to the calf of the leg, with a joint for its ankle, and it has in the sole opposite the medio-tarsal articulation, a ball or socket or universal joint, and three elastic muscles for the purpose of mak- ing flexion and eversion, and an elastic strap in front to secure heel in position; the upper leather laces neatly over the foot, adapting itself more perfectly than if arranged with straps and buckles. Figs. 4751, and 4751 A. Sayre's Club Foot Shoes. In ordering these shoes, send the following Measurements. INCHES. 1 Length of sole of foot 2 Circumference of calf 3 Circumference of instep 4 Circumference of ball of foot 5 Circumference above ankle 6 Length from floor to garter 7 Right or left foot? 8 Talipes-varus or valgus? Price to patients, Single Shoe $10 00 to $14 00 " " per pair 20 00 " 28 00 (According to size.) Fig. 4751-A is same as 4751, except that press- ure in front to keep heel in position is of "leather," and directly next the foot inside of shoe. 738 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS.-TALIPES VARUS. This deformity is, in a majority of instances, of congenital origin. Its dis- tinguishing features are retraction of the heel, an inversion of the toes, and a rota- tion upward of the entire foot, the inner lateral margin of which very often holds a position rectangular to that of the normal position of the limb. The foot, as is shown, is longitudinally turned, so that the external margin stands on the floor, whereas the internal margin is uppermost. The foot touches the ground anteriorly from the external malleolus; the back of the foot has a forward and the plantar surface a backward direction, which, of course, implies inversion of the toes. Fig- 4752. PROF. GUNN'S APPARATUS FOR TALIPES VARUS. Directions for Measurement. 1. Patient's name (or sex). 2. Which leg (or both). Inches. 3. Length from floor to ankle joint. 4. Length from floor to knee joint, inner inside 5. Length from floor to knee joint, outside 6. Length from floor to upper third of thigh 7. Circumference of ankle 8. Circumference of calf 9. Circumference of upper third of thigh Patients will furnish their own laced shoes, or send us the following additional measurements if they wish us to furnish them: Inches. 10. Length of sole of foot 11. Circumference of ball of foot.. 12. Circumference of instep 13. Circumference above ankle This apparatus is especially useful in cases of children one year and upward. Steel bars pass up on each side of the leg, having joints at knee and ankle, which allows motion of joints and at the same time prevents heel from drawing up. The part extending to upper third of thigh prevents brace from turning on leg, holding the foot in natural position. We have found by expe- rience that all short appliances extending only to garter will turn on leg, and thus allow foot to turn. In all cases where the foot cannot be held straight with the hands without pain the tendons should be cut, so the foot can be placed in a straight shoe. The operation should not be done until apparatus is ready to apply at once. To apply the brace the screw at ankle-joint should be removed to enable you to get heel well down in shoe. The shoe must be laced tightly before placing brace in position on leg. Put screw in place after brace is adjusted. This apparatus can be lengthened as child grows, and new shoes put on as often as required. Full tension of screw at ankle should not be put on tendo Achilles directly after operation, but should be gradually tightened for the first three or four days. Fig. 4752 Price to Patients for Apparatus for one leg$15.00 to 20 00 " " " " " both legs 30.00 to 40 00 (According to size.) SHARP & SMITH, CHICAGO. 739 DEFORMITY APPARATUS. Fig. 4752-A. IMPROVED SHOE FOR TALIPES VARUS. Directions for Measurement. 1. Length of foot. 2. Circumference of calf. 3. " of instep. 4. " of ball of foot. 5. " above ankle. 6. Length from floor to garter. 7. Right or left foot. Price to Patients, one shoe (according to size)$10 00 to 14 00 Price to Patient, two shoes (according to size)$20 00 to 28 00 TALIPES EQUINUS. The chief anatomical characteristic is a permanent contraction of thetendo Achilles, by which the os calcis, the posterior pier of the plantar arch, is raised to such an extent as to cause the whole weight of the body to pass through the front of the foot only, thus destroying the natural heel and toe action during progression. Fig. 4753 shows Talipes Equinus. The plantar arch is materially increased, and the toes, more especially the large ones, are drawn back. The Achilles tendon is found to be extremely tense, and is rendered still more so by any attempt to flex the foot. Fig. 4754. SHOE FOR TALIPES EQUINUS. Directions for Measurement. 1. Patient's name (or sex.) 2. Patient's age. 3. Weak ankle, resembling varus or valgus ? 4. Right, left, or both feet ? 5. Tendoachilles contracted? 6. Length from floor to ankle jointInches. 7. Length from floor to garter 8. Circumfer'nceof calf (If you wish us to furnish shoes, send thefollowingadditional measurements.) 9. Length of sole of foot. 10. Circumference of ball of foot 11. Circumference of in- step 12. Circumference above ankle Fig. 4754 Price to Patients for one shoe (according to size)..$ 8 00 to 12 00 " " " two shoes " " .16 00 to 24 00 740 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. TALIPES CALCANEUS. The patient walks on the heel with the toes uplifted without much lateral distortion (see Fig. 4755); the plantar arch is contracted, by which occurrence the outer extremities of the metatarsal bones and the os calcis will be approxi- mated, and the sole of the foot is almost invariably contracted in its long axis. These are the distinguishing features of this deformity. In such cases, shoe figure 4756 is most efficient. Directions for Measurement. 1. Patient's name. 2. " weight. 3. " age. 4. Right or left foot. 5. Length from sole to ankle joint. 6. Length from sole to calf. 7. Circumference of calf. Fig- 4756 Price to patients for brace for one leg$10.00 to 20 00 " " " " two legs 20.00 to 23 00 (Shoes extra.) Fig- 4757 represents an Apparatus for Weak Ankle, and after treatment of Talipes, which will retain the limb in correct position in cases where there is a tendency to Club Foot. The instrument- is attached to an ordinary laced boot, has two lateral rods connected at the calf, with padded band, and fastened with straps and buckles, has an ankle joint, a stud above and below for the purpose of applying a strap of stout leather to hold the ankle in position. This strap is used only in Weak Ankles. In after treatment of Talipes the same mechanism is used, but furnished with a stop ankle joint, the object of which is to main- tain the plantar surface in a horizontal position, especially where it manifests any tendency to obliquity. Since the stems are riveted to the sole of the shoe, and connected at the calf by the padded band, they compel the bottom of the foot to remain at right angles with themselves. It is impossible for the sole to become oblique without a shortening of one of the perpendicular bars. See following page for illustration of Weak Ankle Braces. SHARP & SMITH, CHICAGO. 741 DEFORMITY APPARATUS. WEAK ANKLE BRACE. Directions for Measurement. 1. Patient's name (or sex). 2. Patient's age. 3. Weak ankle, resembling varus or valgus? 4. Right, left, or both feet? 5. Tendo Achilles, contracted? 6. Length from floor to ankle jointInches. 7. Length from floor to garter 8. Circumference of calf . If you wish us to furnish shoes, send the following additional measurements: 9. Length of sole of footInches. 10. Circumference of ball of foot " 11. Circumference of instep " 12. Circumference above ankle " WEAK ANKLE BRACE. Directions for Measurement. 1. Send laced shoe to fit foot, or give size of foot. 2. Patient's name (or sex). 3. Length from floor to ankleInches. 4. Length from floor to garter " 5. Circumference at ankle 6. Circumference at garter 7. Which foot, right or left? 8. Which way ankle bone tips, in or out? (Shoes extra.) *4758 Price to Patients, for single brace, according to size $8 00 to 10 00 *4759 Price to Patients, for two braces, according to size00 to 20 00 The above (Fig. 4759) represents a milder form of weak ankle brace, which is sometimes all that is required. Fig. 4760-BIGGS' BUNION APPARATUS. This apparatus consists of a delicate lever of spring steel, with an oval ring in the center which is provided with hinges at its anterior and posterior margin. The apparatus is attached to the instep by a laced band, and the toe to the extremity of the spring by a piece of webbing. It affords the articulation freedom of motion in the natural plane, whilst the malposition of the toe is gradually rectified by constant lateral traction. It can be worn in a shoe. Directions for Measurement. 1. Place the foot on paper and trace with pencil. 2. Circumference of ball of footInches. 3. Circumference of instep Price to Patients, single$ 8 00 to 12 00 Price to Patients, double 16 00 to 24 00 742 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Fig. 4761 represents an instrument for extension of the Knee Joint. It is constructed in the following manner: Two bands or collars of stout sheet iron, about one inch wide, embrace the limb, the one just above the ankle, the other at the upper third of the thigh. The bands are hinged posteriorly, and in front slide together like a dog collar. They are connected on either side by a firmly riveted steel rod, in the center of which works a screw, which can be retained at any given point by a small thumb screw working in its slide, and fastening to the thread of the larger screw. To apply this instrument the Canton flannel adhesive plaster is required. It is applied from the ankle to a point just below the knee, and from a point just above the knee to the top of the instrument upon the leg perpendicularly. The plaster strips are secured in their place by a roller bandage. The connecting rods are extended, the articulating surfaces of the tibia and femur separated, and the limb brought nearly straight again. Sponge is used to absorb the deposits that generally form in and around the joints in this condition of chronic inflammation. If this instrument is applied in the manner above described, and when extension is exerted, the patient will be enabled to bear almost the entire weight of the body upon the limb. With this instrument and the aid of a pair of crutches, the patient will be enabled to exercise in the open air with perfect comfort. SAYRE'S KNEE EXTENSION APPARATUS. The necessary measurements in ordering this apparatus are as follows: 1. Circumference of ThighInches. 2. Circumference of Leg above Ankle.. " 3. Circumference of Knee " 4. Length from above Ankle to upper third of Thigh " Price to Patients$20 00 Fig. 4762 represents a splint for Morbus Coxarius. The instrument con- sists of a flange of steel three or four inches long and about one inch wide (according to the size of the patient), slightly curved, and which, when cushioned, fits directly under the crest of the ilium. At each extremity is a buckle to secure the perineal band, made of buckskin, filled with bran or stuffed with hair, and with ends of web (non elastic) to attach to the buckles. On the outer side of the flange is a ball and socket, or universal joint, to receive the head of the splint which runs down the thigh to within three or four inches of the extremity of the femur, and is capable of being made longer or shorter by a ratchet worked with a key. Near its lower extremity is attached a branch, which, curving over the thigh, extends as far down as the main splint, and both terminate in broad ends with a roller, over which a webbing attached to the adhesive plaster plays, and is secured tp the splint by the means of buckles near each lower extremity. See next page for description of Fig. 4762. 4761 Applied. SHARP & SMITH, CHICAGO. 743 4762.-SAYRE'S HIP APPARATUS. The Application of the Splint. The application of the splint is as simple as its con- struction. Take strong adhesive plaster, spread on twilled muslin; cut two fan-shaped pieces (shape of accompanying cut), one large enough to reach from the perineum to within two or three inches of the condyle of the femur, on the inner side of the thigh, the other from the trochanter major to a point di- rectly opposite the end of the inner plas- ter. Sew on the narrow end of each («) one of the webbings represented (aa) [not on the sticky side.] Apply them to their places, and after pressing them with the warm hand, to obtain a firm adhesion, secure them further by a well adjusted roller. The instrument contracted, is now laid over the thigh, the webbing («) firmly fastened over the rollers to the buckles (aa) and the remaining one around the thigh. The perineal band is now adjusted rather firm, and the instrument extended with the key, just enough to make the patient comfortable, and then locked by pulling the slide down over the spring. In order to prevent the limb from swelling below the bandage, Dr. Sayre recommends the use of an elastic stocking or knee-cap. Price to Patients$T5 00 to 00 Fig. 4763.-SAYRE'S IMPROVED HIP APPARATUS. Dr. Sayre has improved his first device in many respects, and the instru- ment now employed by him is a short thigh splint, as shown in Fig. 4763. It consists of a pelvic band passing partly around the body under the crest of the ilium, well padded on its inner surface, to which usually two perineal straps are fastened for counter-extension; its outer surface holds a ball and socket joint, from which runs a steel bar or rod down the outer side of the thigh to within about two inches of the lower end of the femur. '1 his outer bar is divided into two sections, one running within the other, and gauged or controlled bv a ratchet and key, which can make it longer or shorter. At the lower extremity of this outer bar is a pro- jecting branch going over to the inner surface of the thigh to receive the attachments of the plaster. Both of the lower extremities terminate in a cylindrical roller, over which the tags of the plasters are attached to the two buckles placed at the lower ends of the apparatus. Directions for Measuring Figures 4762 and 4763. 1. Circumference of body between crest of Ilium and Trochanthr MajorInches. 2. Distance from same point to center of Knee-joint " 3. Circumference of Thigh two inches above Knee-joint " 4. Circumference of middle of Thigh.... " 5. Mention if for right or left Hip. 6. Sayre's or Sayre's Improved Splints. Price to Patients§l7 00 to 20 00 DEFORMITY APPARATUS 744 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Fig. 4764.- Hutchinson's Hip joint Apparatus. DIRECTIONS FOR MEASUREMENT, i. Name of patient. > 2. Age of patient. 3. Weight of patient. 4. Right or left leg. 5. Length from floor to ankle joint Inches. 6. Length from floor to knee-joint " 7. Length from floor to trochanter major " 8. Length from floor to crest of illium " 9. Circumference of calf " 10. Circumference of thigh " 11 Circumference of pelvis If you wish us to furnish shoes send the following additional measurements: (Shoes charged extra.) a. Length of foot Inches. b. Circumference of ball of foot c Circumference of instep d. Circumference of ankle Price to Patients, small size$25 to 30 00 " " large size30 to 40 00 Fig. 4765.-Washburn's Hip-joint Splint. This is a simple, straight bar of steel, jointed to a pelvic band. It is intended for poor patients, and has neither racks, pinions, nor screws. Extension is made, after fastening the lower end with adhesive strips, simply by the degree of tensity to which the lower perineal straps are adjusted. A knee-cap assists in keeping the splint in place. DIRECTIONS FOR MEASUREMENT. 1. Length from ankle to dorsum illiInches. 2. Circumference of pelvis " Price to Patients$7 00 Fig. 4766.-Hyde's Hip Apparatus. DIRECTIONS FOR ORDERING. Length from trochanter to knee-joint. Circumference of thigh above knee. Which leg, right or left? Price to Patients.. ..$17 00 to 20 00 SHARP & SMITH, CHICAGO. 745 DEFORMITY APPARATUS. Fig. 4767 shows Dr. Louis A. Sayre's Long Extension Splint for Hip Joint disease. This Splint extends from the crest of the ilium to the sole of the foot, and turned under it, from which position extension is made. Adhe- sive straps are applied to both sides of the whole leg in the usual manner, the inside strap terminating in a buckle at the waist belt, and the outside strap ter- minating in a short piece of webbing, which is passed through a slit in the apparatus, thence under the foot, and through another slit at the end of the foot piece, and buckled at the inside strap just above the internal malleolus. Thus extension is made from the bottom of the foot. Thus, also, when the patient attempts to walk it is the instrument which strikes the ground and sus- tains his weight without the least increasing the strain on the adhesive straps. In fact, it is an ever present crutch, allowing motion of the joint, but not allowing weight to be borne on it. Extension is kept up continually, more surface is allowed for adhesive straps, and only the 'legitimate strain is ever thrown upon it, never the weight of the body. There is one other advan- tage which this instrument has over others. Usually the physician has to depend much upon the care and judgment of others. With the splint termi- nating in the middle of the leg, there is no definite point where it should be. Hence there is no need of getting the most definite directions and calling in the aid of others to know if it is acting well, but the patient himself can tell if anything is wrong, The least slipping or relaxing of the straps he must feel, and will have them readjusted. Fig. 4767. DR. LOUIS A. SAYRE'S LONG SPLINT FOR HIP-JOINT DISEASE. Directions for Measurement. 1. Name of Patient. 2. Age of Patient. 3. Weight of Patient. 4. Right or left LegInches. 5. Length from sole to crest of Ilium 6. Circumference of Pelvis at Iliac Crests.. . Price to Patients, $25 00 to 45 00, according to size and finish. Directions furnished for applying these Apparatuses 746 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Fig. 4768 represents Dr. Bauer's latest improved Instrument for Extension (in a vertical line), which is attached to a well fitting laced boot, thus appropri- ting the foot for extension and the tuber ischii for counter-extension. The ratchet and key are the moving power, and do away with adhesive plaster. This apparatus needs no further explanation; its construction speaks for itself. Directions for Measurement. 1. Patient's name. 2. Patient's age. 3. Patient's weight (estimated). 4. Right or left leg. 5. Length from the sole to the tuber ischii (sound leg)Inches. 6. " *' •* " " " (diseased leg) " 7. Circumference of calf " 8. Circumference of thigh " Send a shoe or the following additional measures if you wish us to furnish one: a. Length of footInches. b. Circumference of ball of foot .. *' c. Circumference of instep " ■ d. Circumference above ankle " Price to Patients, $25 00. Shoes extra. Fig. 4769 shows Dr. Bauer's Wire Breeches. In the second stage of Hip Disease, where rest and an unchanging position is required, this instrument is resorted to for the accomplishment of so important an object. It is also used in cases where the hip joint has been exsected. Asemicircle is cut away to admit of applying dressings to the wound. The apparatus consists of a heavy wire frame fitting the posterior part of the body, and reaching from the axillary cavity to the sole of the feet. The foot plates are movable by means of screws and bands. There is an opening for the arms. To protect it from the corroding influences of urine or of faeces, that part of the apparatus most exposed, is covered thickly with varnish. It is lined with cotton batting. The Patient is placed in the apparatus while under the influence of chloroform, and fastened by means of bandages, body and limbs, so securely as to insure his position. If extension is desired, for the greater security of rest and position, longitudinal and circular, straps of Canton flannel adhesive plaster should be applied and fastened, the former to the foot-board. With this apparatus direct extension can be exercised, while the counter extension rests with the healthy extremity, on the same principle we employ in having our boot pulled off. In this position and rest are insured. The patient can pass his faeces with perfect ease by raising the lower end of the apparatus and placing a bed pan under it. You can carry the patient from one place to another, put him in a carriage, draw or drive him in the open air, and thus meet all the objections that have been raised to confinement. Directions for Measurement. 1. Patient's name. 2. Patient's age. 3. Patient's weight. 4. Length from sole of foot to axilla,Inches. 5. Length from sole of foot to perineum " 6. Circumference of calf " 7. " " knee " 8. " " thigh. " 9. " at the nates . ... " 10. " of pelvis at iliac crests " 11. " of waist " 12. " of chest under axillae " Price to Patients, $15 00 to 25 00. SHARP & SMITH, CHICAGO. 747 DEFORMITY APPARATUS. Fig. 4770. Hamilton's Wire Gauze Splint. This consists of an iron wire frame, moulded to the outside or back of the pelvis and thigh, covered with wire gauze. It is kept in place by a pelvic and a broad thigh band, and secured with buckles. Dr. Hamilton advises its use whenever it is desired to secure immobility of the joint, together with ex- ercise in the open air. DIRECTIONS FOR MEASUREMENT. 1. Name of patient. 2. Age of patient. 3. Weight of patient (estimated). 4. Right or left side. Inches. 5. Crest of ilium to the condyles of the femur " 6. Circumference of the pelvis at iliac crest. " 7. Circumference at the nates " 8. Circumference of the upper part of the thigh " 9. Circumference of the thigh above the knee " Price to patients $15 00 Fig. 4771. DR. L. A. SAYRE'S WIRE CUIRASS. See following page for illustration. This is used in cases of hip-joint disease of the third stage and excision of the neck of the femur. It consists of strong wire netting, well padded inside. The cuirass being properly prepared and well padded, the patient is laid in it so that the anus is opposite the opening and free from any possibility of obstruction, when the well leg is the first to be dressed, by making it perfectly straight and screwing up the foot rest until it is brought firmly against the heel of the patient; having a pad between the foot and the rest to absorb the perspi- ration; the instep is then well padded with cotton or a blanket; and a roller is carried firmly round it and the foot rest, running up over the limb; but before going over the knee a piece of pasteboard, or leather, or several pieces of folded paper, are placed over the leg, knee and thigh, and the roller carried firmly over this extemporized splint for the purpose of preventing the slightest bending of the knee, when the roller is carried up the entire length of the thigh, around the perineum and over the outer arm of the instrument, and several times back through the perineum, and then across the pelvis, by which means the well limb is made a firm counter-extending force. Two strips of adhesive plaster from two t.o four inches in width, according to the size of the patient, are then placed upon either side of the operated limb, and secured with a nicely adjusted roller over the foot and up the limb and thigh, as far as the abscesses on it or the wounds will permit, being care- ful to leave a sufficient length of the plasters at the lower extremity, free for the purpose of applying them to the foot rest when extension is made, and firmly secured by a well adjusted roller. The foot rest is then screwed up to meet the heel of the shortened limb, and these strips of adhesive plaster are brought down around the foot rest and securely fastened. The foot rest is then extended by the screw, slowly and gradually, at times waiting a few moments for the muscles to yield, which have been so lyng contracted, until the limb is brought 748 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. down to its full extent. It sometimes happens that, from long contraction of the abductors and the tensor vaginae femoris, subcutaneous section of those tendons and fascia will be requisite before the limb can be brought to its proper position, even after the head of the femur has been removed. After the limb is brought into this position a roller is carried from the foot over its en- tire surface; a large wad of oakum is plaited around the wound to absorb the discharge, and the roller is carried firmly over the wound, inner surface of the thigh, and around the pelvis. I place great importance upon this latter part of the dressing, as we thereby compress the tissues, and prevent the burrowing of pus, the oakum, which has already been placed in the wound, allowing of free drainage, no matter how tight the roller may have been applied. Immediately after the patient is dressed in this way, and has recovered from the antesthetic, he is capable of being stood up against the wall, or riding out in a car- riage or boat, and can take his daily exercise in this way. I have, in several instances, had them removed a long distance, some miles, in fact, within an hour of the opera- tion and without the slightest inconvenience or pain. This dressing will probably not require to be changed for from 48 to 60 hours, or until secretion has been formed to moisten the dressings, when the oakum plug can be removed without hemorrhage. If this dressing does not come away easily, warm water injections will readily float it out. The wound made clean, is again filled with Peru- vian balsam and dressed as before. After this it may require dressing once or twice a day, according to the amount of discharge, and the child should be removed from the entire instrument as often as is requisite. The well leg should be removed from the instrument at least <771 once a week, and free movements given to all the joints, ankle, knee and hip, otherwise we may anchylose them, although they are not diseased. The wire cuirass should be used from a month to two months, accord- ing to necessity, after which the patient can be put upon the long splint and allowed to exercise, thereby increasing his prospects of perfect motion of the new joint. 1 Sex of patient. 2 General appearance of patient. 3 Distance between base of neck, from one side to the other, passing, over the ears and head. 4 Circumference of head at the eyes. 5 " " neck. 6 Length from top of skull to the ver- tebra prominens. 7 Circumference of body under axillae. 8 " " at the waist. 9 " " between crest of ilium and trochanter major. MEASUREMENTS REQUIRED: 10 Circumference of body at nates. 11 Length from axillae to perineum (back). 12 Length from vertebra prominens to perineum. 13 Length from perineum to sole of foot inside. 14 Length from crest of ilium to sole. 15 Circumference of thigh at perineum. 16 " " midway be- tween perineum and knee-joint. 17 Circumference of calf. 18 " " ankle. Price to patients $20 to $45, according to size. SHARP & SMITH. CHICAGO. 749 DEFORMITY APPARATUS. Fig. 4772. APPARATUS FOR HEMIPLEGIA. (Pa.alysis of one limb.) The apparatus represented by Fig. 4772 is for hemi- plegia, affecting the limb to the hip joint. We have often had occasion to make it, and found it to answer a good purpose, both as a support, and in aiding the restoration of the mobility of the muscles. It answers to the same des- cription as Fig. 4774, but is carried up to the pelvis. On to a broad steel pelvic band we fasten the artificial muscles for flexion or extension, as the case may require. It may also be worn with good results after treatment of hip joint disease, when, by adding a perineal band, the weight of the body is borne by the apparatus. SEND THE FOLLOWING MEASUREMENTS. 1. Patient's name and description of the case. 2. Patient's age. 3. Right or left leg. Inches. 4. Length from sole of foot to ankle joint " 5. Length from sole of foot to knee joint " 6. Length from sole of foot to trochanter major.. " 7. Length from sole of foot to crest of ilium " 8. Circumference of calf " 9. Circumference of knee " 10. Circumference above knee " 11. Circumference of thigh " 12. Circumference of pelvis one inch below iliac crests * Patients will furnish their own laced shoes, or send the following additional measurements, if they wish us to furnish them: a Length of sole of footInches. b Circumference of ball of foot " c Circumference of instep " d Circumference above ankle " Price to patients, apparatus for one leg, $30 to $40. Shoes extra. Fig. 4773. APPARATUS FOR PARAPLEGIA. (Paralysis of both limbs.) The apparatus for paraplegia answers to the same description as the one for hemiplegia, except that it is double. It is used when both the lower extremities are affected. A general description of the case is necessary to guide us in placing the artificial muscles in the right spot. The directions for measurements are the same as Tor the apparatus for hemiplegia, Fig. 4772. Price to patients $35 to $70. Shoes extra. 750 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Fig. 4774.-APPARATUS FOR PARTIAL PARALYSIS OF THE LEG OR THIGH. This cut shows an apparatus in every way applicable in cases of wasting palsy, or when certain groups of muscles become atrophied, losing the power to perform their proper functions. With this apparatus, the muscles are excited into action, and, aided by art- ificial substitutes, made of elastic rubber or steel, placed on the instrument so as to gently exercise the affected parts, will recall them to a sense of duty. Fig- 4774--Directions for Measurement. Patient's name and age. Right or left leg. Length from sole of foot to ankle-jointInches. Length from sole of foot to knee-joint " Length from sole of foot to upper third of thigh " Circumference of calf " Circumference of knee " Circumference above knee " Circumference of thigh " Send laced shoes. If you wish us to furnish shoes, the follow- ing additional measurements are required : Length of sole of footInches. Circumference of ball of foot " Circumference of instep " Circumference above ankle " If both legs are of equal length, the above apparatus is sufficient; but if the affected limb is shorter than its fellow, the extension apparatus, Fig. 4776, must be combined with it. This will add $8 00 to the price stated below. Price to Patients, Single Apparatus, full length$25 00 to 30 00 " " Double " " 30 00 to 60 00 (Shoes extra). Fig- 4775--SHORT LEG EXTENSION. We make an Extension Apparatus, Fig. 4775, to correct the Patient's limp, and to guard againt the danger of spinal curvature, induced by the result of infantile paralysis, when the bones have not kept pace in growth with those of the corresponding extremity. It consists of a steel sole and pillars. The steel sole is underlaid with leather, which is riveted to it. Fig- 4775-EXTENSION FOR A SHORT LEG. STEEL SOLE AND PILLARS. Directions for Measurement. 1. Have the patient (both feet bare) stand up ; place books or blocks of wood under the short foot until the shoulders and pelvis are in hori- zontal plane; then measure these books orblocks, which will be the height required for extension. 2 Send us a well-fitting shoe. 3. Right or left leg. If we are to furnish shoes, send the measure as directed. 4775- (We make several patterns.) Price to Patients for Extension$900 SHARP & SMITH, CHICAGO. 751 DEFORMITY APPARATUS. Fig- 4776 Represents a Cork or Willow Wood Soled Shoe, to be Applied to a Limb that is Shorter than its Mate. The importance of this Shoe is that it gives stability. It thus allows of the Patient's body be- ing sustained with ease in walking. The cork or willow sole is made of such height as to correspond with the length of the other leg. In measuring for this Shoe, please observe same directions as with Fig. 4775. FIG. *4776 Price to Patients, Willow Extension. .$ 5 00 *4776 " " Cork " .. 10 00 Fig- 4777.-BRACE FOR PARALYSIS AND SHORTENING OF LIMB. Price to Patients$30 00 to 50 00 (Corset and Shoes extra.) This illustration shows a Brace devised for Patients having hip-joint disease, together with partial paralysis and slight spinal curvature, and consequent shortening of the limb. The Brace is provided with a leather- covered cork sole extension, giving the proper length to the deformed limb, as well as assisting in giving proper and even support to the spine. This Brace gives power and force to the paralyzed limb, allowing the physical force to control the parts more effectively than could be otherwise done, thereby assisting nature to more fully perform its functions, thus preventing the wasting away of the limb. When desired, we furnish either a special Corset made to order, or one of the perforated leather ones, shown by Figs. 4705 and 4706, page 767. Measurements Required. Sole of shoe to ankle-jointInches. Ankle to knee-joint " Knee to hip-joint Hip-joint to iliac crest ... " Circumference at ankle " Circumference at calf Circumference at thigh " Circumference at hip-joint over iliac crest " Send shoe, giving full particulars of case, that we may be assisted in making a correct fitting, as well as acting brace. 752 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Fig. 4778 represents an Apparatus for cases of Shortening. It is most useful when there is a permanent shortening of the limb resulting from anchy- losis. It consists of a padded thigh band, secured to the limb with straps and buckles. The band is attached to a strong metal stem by a hinge. The stem is open in the center for lightness, and has a foot plate fastened below, into which is sunk a tube with a rubber bottom, which fills up the space between the foot and the ground. A strong knee cap passes over the patella, and, with the foot and ankle straps, secures the leg firmly to the apparatus. When this instrument is worn the weight is received by the thigh band and transmitted thence to the ground, so that the knee is guarded from all strain, while the ten- dency to spinal deformities is arrested, which is always the result of a shortened lower limb. Fig. 4778. Directions for Measurement. 1. Patient's name. 2. Right or left Leg. 3. Length from Sole of Foot to Knee-joint. .Inches. 4. Length from Knee-joint to upper third of Thigh " 5. Circumference of the Thigh " 6. Circumference of the Calf " 7. Degrees of the angle of flexion " 8. Distance from the heel of the Patient's Shoe to the ground when standing erect " Price to Patients$35 00 Fig. 4779 represents Sharp & Smith's Apparatus for Anchylosis. There are many cases where the joint is free from disease, but where at the same time, it assumes a distorted condition. In these cases a mechanical extension of the contracted muscles is so clearly indicated as a means of curative treatment, that anything which tends to facilitate this action may be considered a boon. This instrument consists of two lateral rods connected with thigh and calf bands, and a joint at the knee, a screw connecting the calf and thigh bands, hinged so as to admit of extension. By examining the drawing, it will be seen that the greatest amount of resistance must be found just at the anterior surface of the knee, over which the knee cap passes; secondly, against the calf; and thirdly, at the thigh. 1 he center joint becomes the fixed point of rotation for the thigh, and by levers thus diminishing the angle of the knee but, as the tibia is acted upon by the lower band and knee cap in such a manner that it acquires a disposition to rotate backward around its own center, and as the same thing cannot occur at the thigh because it is firmly fixed to the pelvis, pos- terior laxation of the head of the tibia must take place, although this is generally of so small an extent as to be hardly noticeable. For illustration see next page. SHARP & SMITH, CHICAGO. 753 DEFORMITY APPARATUS. Fig- 4779.-SHARP & SMITH'S APPARATUS FOR ANCHYLOSIS. (We make several Patterns.) (For description of this Apparatus, see preceding page.) Directions for Measurement. 1. Right or left Leg. 2. Patient's name. 3. Patient's age. 4. Length from floor to Ankle-jointInches. 5. Length from floor to Knee-joint " 6. Length from floor to upper third of Thigh " 7. Circumference above Ankle " 8. Circumference of Calf " 9. Circumference of Knee " 10. Circumference above Knee " 11. Circumference of Thigh " When long apparatus, extending to bottom of foot is wanted, and you wish us to furnish shoe, send the following additional measures: Inches. a. Length of sole of foot b. Circumference of ball of foot c. Circumference of instep d. Circumference above ankle Price to Patients for Apparatus$2° 00 Fig. 4780.-MARKLEY'S PATELLA SPLINT. This splint is intended for the treatment of fractures of the patella and dislocations of the knee joint, and may be utilized in cases of fractures either just above or below the knee. . It consists of two well padded iron troughs connected with hinges and circle stop so that it may be used straight, or flexed to any desired angle. Traction on the pads may be made by means of the two long screws, which are shown on the under side of the splint, and turned by a wrench. Each screw is provided with a sliding nut, which moves in a slot cut in the trough and to which is attached the traction bands CC. The bands BB assist in holding the pads firmly in place, while the bands A A hold the splint to the limb. As this splint can be made useful in many ways it should be in the hands of every practitioner. Fig. 4780. Directions for Measurement. 1. Length from above Ankle to upper third of Thigh. Inches. 2. Right or left Leg 3. Circumference of Thigh 4. Circumference of Calf Price to Patients$12 00 754 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Fig. 4781.-KNEE-CAP FOR AFTER-TREATMENT OF FRACTURED PATELLA. Authorities on surgery say that great care must be taken not to rupture the ligaments of the newly formed union, which so often happens after recov- ery of the patient from fractured patella. For the purpose of guarding against such a recurrence, we make the apparatus shown, Fig. 4781. It consists of a knee-cap made of buckskin or satin jean, which is adjustable to the knee by buckles or laces. It is provided with a pair of coaptation pads, to retain the newly united patella in place. These pads are arranged to approximate by drawing on laces, as shown in the upper border of the cap, represented by Fig. 4781. It affords the patient exercise of the knee-joint, the best guard against the danger of anchylosis, at the same time preventing any undue strain on the newly united upper fragment of the patella. Directions for Measurement. 1. Circumference above Knee Inches. 2. Circumference of Knee " 3. Circumference below the Knee " Price to Patients $5 50 Fig. 4782.-LEWIS' APPARATUS FOR TREATMENT OF FRACTURE OF THE PATELLA. This apparatus consists of a broad pad, resting on the popliteus, to keep the knee extended, and a narrow pad, fitting the upper border of the patella. A strap connected with the latter one is first passed through a ring attached to the popliteal pad, then continued down the leg on each side, being finally buckled to a lined foot pad. This makes the foot a fixed point for extension, and the ring through which the strap passes gives it also a direction backward, maintaining a firm hold of the upper fragment of the patella, whilst the lower fragment is readily kept in place by a strip of adhesive plaster. Directions for Measurement. 1. Circumference above knee Inches. 2. Length from sole of Foot to Knee " Price to Patients $6 00 SHARP & SMITH, CHICAGO. 755 DEFORMITY APPARATUS. Fig. 4783.-HOOPER'S KNEE EXTENSION APPARATUS. This apparatus consists of a band encir- cling the thigh, of another for the calf, and of one above the ankle. These are fastened to two lateral shafts provided with joints at the knee. Two semi-circular brass tubes, fastened to the lower calf shafts, contain each a spiral spring, acting on bows fastened to the thigh shaft, thus exerting constant elastic extension, which is sure to overcome muscu- lar contraction soon. Directions for Measurement. Circumference above kneeInches. " at knee " " below knee " " above ankle " Length from above ankle to knee.. " " knee to upper third of thigh " Price to Patients$35 00 Fig. 4784 represents our Apparatus for Knock Knee (Genu-Valgum). This deformity, when occurring in young children, is attended with very grave consequences', inasmuch as it rarely happens that both legs yield in the same ratio, or present the same angle of inversion. 1 his deformity is commonly complicated with Talipes Valgus. Sometimes the latter appears as the pre-existing impediment, Knock Knee having been superadded in time. A careful examination of the trouble, under a proper degree of extension and counter-extension of the extremity, will disclose, as the direct cause of Knock Knee, a marked contraction of the external duplicature of the vagina femoris inserting at the capilalum fibulae, and occasionally a contraction of the biceps femoris, which involves a disturbance of the normal perpendicular position of the entire leg, resolving it into an angle. In cases of simple ligamentous weakness, instruments furnished with knee joints are very useful, as they aid in sustaining the perpendicular position of the limb; but where there is deflection to any serious extent, nothing will be able to overcome the deformity but an apparatus without a joint at the knee, extending from the pelvis to the ground, as represented in Fig. 4784. It consists of two lateral stems, secured to the boot by copper rivets. A padded band encircles the body, and a knee cap secures the knee to the lateral stems, and padded straps above the ankle and around the calf and thigh combined, direct the force outward. I his instrument is exceedingly light, and, as it admits of ' free muscular motion, answers admirably in these cases. For illustration of Fig. 4784, see following page. 756 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Fig. 4784.-APPARATUS FOR KNOCK-KNEES. (GENU-VALGUM.) (For description of these Braces, see preceding page.) Directions for Measurement. 1. Patient's name. 2. " age. 3. Length from floor to ankle joint.... Inches. 4. " " " knee joint " 5. " " " hip joint " 6. " " " iliac crests " 7. Circumference of pelvis one inch below " iliac crests " 8. Circumference of thigh at c " 9 " leg at d " (A stick to be placed on the outside of the limb, and the above two measures taken around both.) 10. Right, left, or both feet ? If you wish us to furnish shoes, send the fol- lowing additional measurements (shoes extra:) 11. Length of sole of footInches. 12. Circumference of ball of foot " 13. " instep " 14. " above ankle " Price to Patients for pair Braces (according to size)$30 00 to 40 00 Fig. 4785 represents Sharp & Smith's Apparatus for Bow Legs. Few dis- tortions are more common, and yet they do not receive that attention which they demand. Parents, not understanding the cause of the deformity, think it will disappear as the child advances in years. Those who consider what influ- ence one class of deformities will exert in the production of others, know that an incurvation of the tibia may, if neglected, lead to a loosening of the liga- mentous attachments of the knee joint, disturbance of the functions of the hip joint, and even deflection of the spinal column. 'rhe direction assumed by the tibia may be lateral, anterior, or a combina- tion of both. 1 his deformity is primarily due to a softening of the bones, the result of a change in the chemical properties of the component ingredients of the osseous structure, viz., a diminution of earthy matters. I his deformity requires constitutional as well as mechanical treatment. From the softened condition of the bones, the legs are unable to bear the weight of the body, unaided by artificial means. Our instrument is fastened to the sole of the shoe, consisting of two lateral rods extending above the knee, with joints at ankle and knee, and two round pads for the condyles to bear against the rods. The bars are connected by padded bands above and below the knee. On the side of the concavity we establish an artificial base, with two studs on the lateral bar, to which are attached elastic straps with buckles and sliding pad. These straps and pad are placed inside of the lateral bar, on the side of the convexity, and buckled on the concave side of the limb; by this means we get an extension of the tibia and fibula, and a depression of the arc by the elastic pressure, until the limb has been brought into a normal shape. For illustration of Fig. 4785, see next page. SHRAP & SMITH, CHICAGO. 757 DEFORMITY APPARATUS. Fig. 4785.-BOW LEG APPARATUS. (For description of this Apparatus, see preceding page.) Directions for Measurement. 1. Patient's name (or sex). 2. Which leg (or both) ? 3. Length from floor to ankle jointInches. 4. " " to knee " inner side " 5. " " to " " outside " 6. " " to upper third of thigh " 7. Circumference of ankle " 8. " calf " 9. " upper third of thigh " Patients will furnish their own laced shoes, or send us the following additional measurements, if they wish us to furnish them: 10. Length of sole of footInches. 11. Circumference of ball of foot " 12. " instep " 13. " above ankle " Price to Patients, per pair Braces$20 00 Fig. 4786.-SHORT BOW-LEG APPARATUS. Directions for Ordering. 1. State which leg, right or left, or both? 2. Distance from floor to ankle joint. 3. " " " knee " 4. Circumference at calf. Send laced shoe to fit, or give size of foot. The measure- ment for length of brace should be taken inside of limb. Price to Patients, per pair Braces$r5 00 Fig. 4787.-APPARATUS FOR ANTERIOR CURVATURE OF THE TIBIA. Directions for Measurement. 1. Patient's name (or sex). 2. " age. 3. Anterior curvature of the tibia. 4 Which foot? 5. Length from floor to ankle jointInches. 6. " " " garter (f) " 7. Circumference of calf If you wish us to furnish shoes, send the follow- ing additional measurements: a. Length of sole of foot " b. Circumference of ball of foot " c. " instep " d. " above ankle " Price to Patients, Single Brace$12 00 to 18 00 758 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Fig. 4788 represents Dr. Lewis A. Sayre's instrument for extension of the Ankle Joint. This instrument consists of a firm steel or hard rubber plate, shaped to the sole of the foot, with a hinged joint at the heel, attached to a rod slightly curved at the bottom, and extending up the back of leg to a point near the knee. Over the instep is an arch like the top of a "Stirrup " with a hinged joint at its summit, from which springs another rod, which runs up the front of the leg, and is of the same length as the other. These rods are made with ratchet and cog, for extension, and connected at the top by a band of sheet iron, on one side of which is a hinge, and on the other a lock like that of a dog collar. The instrument is applied with Canton flannel, adhesive plaster (made expressly for extension purposes), cut in strips about one inch in width, long enough to reach from the ankle to a point near the tuberosity of the tibia, and placed perpendicularly all around the limb. 'rhe plaster is secured in its position, to within an inch of its upper ex- tremity, by a well adjusted roller bandage. The instrument is then applied, and the foot firmly secured by a number of strips of adhesive plaster to prevent its slipping, and the ends of the plaster at the top of the instrument turned over the collar, which has been previously locked just tight enough to be comfortable, and secured by a turn or two of the bandage. A roller should be carefully applied over the foot to prevent the plaster from slipping. This Apparatus was applied in the presence of the class at Bellevue Hos- pital by Dr. Sayre, on the 24th of February, 1864, in the manner above described. I he patient was a sixteen year old girl; as soon as the instrument was properly adjusted, she stood upon her feet, without the aid of crutch or cane, for the first time in two years, and without any pain whatever, but the instant the screws were shortened, the pain was intense. • Fig. 4788. SAYRE'S ANKLE EXTENSION APPLIANCE. Directions for Measurement. Length of the sole of the footInches. Height from sole to two inches below knee... " Circumference of calf " " instep " Price to Patients$22 00 SHARP & SMITH, CHICAGO. 759 DEFORMITY APPARATUS. APPARATUS FOR WEAK LIMBS. Directions for Measurement. 1. Patient's name. 2. " age. 3. Length from floor to ankle joint. Inches. 4. " " " knee " " 5. " " "hip " " 6. " " " iliac crests " 7. Circumference of pelvis x inch below " iliac crests " 8. Circumference of thigh " 9. " calf " Send well fitting laced shoe, or if you wish us to furnish them, the following measurements: a. Length of sole of footInches. b. Circumference of ball of foot " c. " instep " d. " above ankle " Price to Patients, adult's size (shoes extra)$35 00 to 70 00 " " children's " " 25 00 to 35 00 Fig. 4790.-APPARATUS FOR OVER-RIDING TOES. The apparatus for over riding, or "hammer toes," consists of a steel sole, arranged with slits corresponding to the spaces between the toes. A strap of webbing is passed through these slits and over the contracted toe (or over each and all, as the case may require), and buckled or tied under the sole, tense enough to straighten the toe. This ap- paratus is kept in place by a thin silk, linen, or cotton covering, laced to the instep, and may be worn in an ordinary shoe. Directions for Measurement. Place the foot on paper and trace with pencil. Circumference of ball of foot. " instep. Fig. 4790 Price to Patients, Apparatus for one foot$ 7 00 to 15 00 " " " " two feet 14 00 to 30 00 Fig. 4791.-ECLIPTING SPRING FOR FLAT FOOT. Consists of a spring tempered steel sole, constructed of the exact shape of the arch of the foot in its normal position. This sole is placed in the shoe and fastened at the heel by a screw, having the anterior portion free to move as the weight of the body is thrown upon it. Directions for Measurement. 1. Send a well fitting strong laced shoe. 2. Send a plaster cast of the foot with its arch elevated to the normal position. Fig- 4791 Price to Patients$4 50 to 6 00 760 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Fig. 4792.-APPARATUS FOR PARTIAL ANCHYLOSIS OF ELBOW JOINT. This consists of a broad band at the upper portion of the arm. a band just below the elbow joint, and one at the wrist; connected with these is a steel bar running parallel with the arm, having a joint at the elbow. Connected with the wrist band and the upper arm band is a screw extension attachment; by gradually turning this screw, the adhesions are broken up, and patient soon acquires the full use of the anchylosed member. Apparatus for Anchylosis of the Elbow Joint. DIRECTIONS FOR MEASUREMENT. 1. Right or left arm? 2. Length from wrist to elbow joint (« to r) Inches. 3. Length of wrist to axilla {a to ci).................... " 4. Circumference of wrist (a) ......................... " 5. Circumference of forearm (i>) " 6. Circumference of elbow joint (c) .... " 7. Circumference of arm (tZ) " Price to Patients $1800 Fig. 4793 represents an Apparatus for Contracted Wrist. It is intended for correcting cases of flexed wrists, caused either by contraction of the muscles or by partial anchylosis. The cut fully shows the manner in which force is applied, and, if well fitted, good results can always be obtained. Directions for Measurement. 1. Circumference of arm just below the elbow. 2. Circumference of arm between wrist and elbow. 3. Circumference of hand between wrist and thumb joint. 4. Length of forearm to wrist. 5. Length - from wrist to thumb joint. Price to Patients (according to size) $20 00 to 30 00 Fig. 4794.-Darrach's Patent Wheel Crutch. $50 00 to 85 00. DIRECTIONS FOR MEASUREMENT. Width of body in direct line from arm- pit to arm-pit; distance from arm-pit to floor. To measure width of body correctly, place a stick under each arm, close to the body, projecting in front parallel, and take distance between (not including curve of breast.) Prices of Crutches (Fig. 4794), desig- nated by distance from arm-pit to floor. 16 to 25 inches $50 00 25 to 35 " 60 00 35 to 45 " 7° 00 45 to 55 " 85 00 Sunshades and Fixtures, from $6 00 to $12 00. SHARP & SMITH, CHICAGO. 761 SPINAL DEFORMITIES AND APPARATUS. In cases of Spinal Disease, when we cannot have the patient for the proper adjustment of the instrument, if practicable, a plaster of Paris cast of the trunk would be desirable to model the apparatus from, in order to obviate the lia- bility to error, and to insure a proper application and save the medical attend- ant much alteration and manipulation. In order to show the deformity, the attendant may place a plate of glass upon the spine of the patient, and so adjust it as to cover the whole trunk, taking care that the patient stands with his spine in the medial line of the plate as straight as possible (heels together). By means of a delicate brush and some paint the contour may be accurately drawn upon the glass. By this means the curved lines of the spine and its deviation can be marked. This done, a large sheet of paper must be placed on the glass and the lines of the body transferred thereto. With the above contours, together with a description of the case, the following measurements are required, viz.: Circumference of the body at the crest of the ilium and under the axillae, and the length from the crest of the ilium to the axillae. Inasmuch as the human body is purely mechanical in the formation and arrangement of all its parts, from the largest organs to the finest cells, it fol- lows that any variation from the primitive arrangement of any one of these must involve corresponding morbid manifestations, not only in the parts imme- diately concerned, but also in those which are associated with them, either by juxtaposition, continuity or function. The equilibrium of the spine is constantly being disturbed by the irreg- ular distribution of weight, or from habit or indolence, an indisposition to sit erect, and the constant strain unduly exercised against the weakened ligaments, added to the gravital weight of the head and shoulders, finally induce a permanent change of form. Directions for Measuring for Figs. 4696, 4697, 4698, 4699 and 4703. 1. Patient's name (or sex). 2. " age. 3. " weight (estimated.) Inches. 4. Distance from sacro-lumbar articu- lation to vertebra prominens... (C to D) 5. Distance from sacro-lumbar articu- lation to first vertebra involved. (C to C) 6. Distance from sacro-lumbar articu- - lation to last vertebra involve.. (C to D) 7. Distance from crest of ilium to axilla, -right side (A to //) 8. Distance from crest of ilium to axilla, G' left side (y4to//) 9. Distance from the center of one scapula to the center of the other.(7? to F) 10. Horizontal (transverse) diameter of the protuberance. 11. Circumference of the chest under axilla (/<) 12. Circumference of pelvis, one inch below the iliac crests. In addition to the above measures, please state if the *Convexity of the Curve is to the right or left side. *In the Figure of the accompanying Skeleton it is to the right. We Make a Specialty of Deformity Apparatus. 762 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS SPINE BRACE FOR LATERAL CURVATURE. (scoliosis.) Fig. 4696. To the pelvic belt are attached later- ally two elastic crutches, as in the Brace for Pott's disease, to relieve the spine of the weight of the trunk, posteriorly a single strong, upright bar, hold- ing a couple of adjustable pads for the scapulae, and just below, a leather band of proper width (attached by a number of small brass buttons), terminating in a strong, elastic India rubber webbing. This band is passed around the protuberance obliquely, and but- toned to the pelvic belt in front an inch or two be- yond the lines alba, and will be found to exercise a gentle, but continuous elastic pressure, at the same time rotating the ribs around their vertebral axes, thus unfolding the helical curve. Directions for measuring, see Fig. 4695, page 761. Price to Patients $35 00 SPINE BRACE FOR POSTERIOR CURVATURE. Fig. 4697. "It is intended to afford an en- tirely elastic continuous and gentle pressure to the parts to which it is applied, giving to the patient, along with adequate support, an easy and comfort- able feeling. It is made of light tempered springs, and softly padded wherever it comes in contact with the body. "The belt below passes around the pelvis, and the principal weight is thrown upon the gluteal region. The front portion is broad, so as to com- press the protruding abdomen. Two upright parallel bars pass on each side of the posterior ele- vation, having a portion of silk elastic rubber between them, which gives a constant pressure upon the protuberance. If the latter is inflamed, a portion cut out of the elastic material prevents direct pressure upon the extremity of the bone. Upon these side bars are attached two elliptic and padded springs, yielding to every pressure, and adapting themselves to the sides of the spinal column and keeping the body in an erect position. These are removed or applied by a very simple process. The two padded crutches are elastic, and elevate the body by pressing mostly under the margin of the scapula, thus obviating any tendency to pressure upon the axillary veins 1 hey are constructed in such a manner that the equilibrium of the body can be restored in case one shoulder is depressed." Directions for measuring, see Fig. 4695, page 761. Price to Patients .. Jk 00 SHARP & SMITH, CHICAGO. 763 DEFORMITY APPARATUS WASHBURN'S BRACE FOR POSTERIOR CURVATURE OF THE SPINE. (Potts' Disease.) Fig. 4698. This Brace was designed and first used in the St. Luke's Hospital, New York, by Dr. Charles Washburn, and has since, as then, been very successful. " Success with this apparatus depends entirely upon the faithfulness with which it is kept adjusted to the spine of the patient. It is only necessary that a gentle pressure should be maintained if it is con- stant. As the spine approaches its normal shape the curve of the brace will require to be altered from time to time. The steel has a soft temper, so that it will take the form in which it is bent when consid- erable power is applied, but will be sufficiently elastic for the purposes of this apparatus. With children's braces the necessary bending is readily accomplished by hand. " In the accompanying figure aa is a steel band which passes half way around the pelvis, just above the trochanters, l>b are two flat bars of steel, parallel to each other, and curved upon their flattened sides to the form of the spine to which the apparatus is fitted. '1 hese bars are curved a little less than the spine, so that when secured in position their elasticity will constantly operate to rectify the spinal curve. 1 he cross bar at the upper ends of the parallel ones is firmly riveted to them, and is to cross the back just above the spines of the scapulae. At the ends of this bar are affixed buckles to receive the shoulder straps; cc are two movable pads which slide upon the bars to which they are attached-these are best stuffed with chopped cork. 1 hese compresses are to be brought one upon each side of the projecting knuckle of spine and secured firmly by means of the screws provided for that purpose. Buckles are attached to various parts of the brace, by means of which it is secured to the front part of the apparatus, which consists, as shown, of a piece of twilled muslin, or other strong material, which covers the chest and abdo- men, and is provided with straps. Such parts as are in contact with the body are carefully padded." Directions for measuring, see Fig. 4695, PaSe Price to Patients$T5 0010 20 00 764 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Fig. 4699.-DAVIS' APPARATUS FOR CARIES OF THE SPINE. [Extracted from Hamilton's Principles and Practice of Surgery.] "The principles which ought to govern the construction and application of mechanical supports, in cases of caries of the spine, are the greatest degree of lightness, compatible with the requisite firmness, accurate adaptation; pressure in opposing directions upon the spinal column, sufficient to insure support and steadiness, and to transfer, in some degree, the weight of the spinal column from the affected vertebrae to their corresponding oblique processes, while at the same time these vertebrae shall not separate from each other in a manner to defeat the end desired, namely, their final union and consolidation by callus; the pressure being so applied on either side of the spinous processes, and not upon the processes them- selves, so that it shall cause the least pain and not endanger ulceration or excoriation, giving support to the tumid or pendulous belly; interfering in no way Iwith the free motions of the arms or legs. These indications we find more or less completely fulfilled in the apparatus of Davis, Bigg or Taylor." This brace is only adapted to moderate cases where the curvature is between the sacro-lumbar artic- ulation, and the lower edges of the scapulae. It consists of a band of steel encircling one-half of the pelvis, and having the ends united with a leather band; to this are attached two upright parallel bars of thin well tempered steel, shaped to fit the spine and curvature, and having two pads placed in a proper position to exert a gentle pressure on the protuberance. The tops of these bars are held in place by a band passing around the chest, to which is attached a strong piece of cloth which forms the front of the brace. Directions for measurement the same as for Tiemann's brace, No. 4695. Directions for measurement, see Fig. 4695, page 761. Price to Patients $20 00 Fig. 4700.-WRY NECK APPARATUS. (We make several patterns.) Directions for Measurement. 1. Patient's name (or sex). 2. " age. 3. Head leans to right or left side ? 4. Circumference of the neck Inches. 5. Length of the neck at side, from clavicle to mastoid process " 6. Circumference of chest under axilla " Price to Patients $5 00 SHARP & SMITH, CHICAGO. 765 DEFORMITY APPARATUS. Fig. 4701.-Dr. Chas. Taylor's Apparatus for Potts' Disease of the Cervical Vertebrae and Chin Rest Attachment Applied. In this apparatus we have direct pressure on the transverse processes of the spinal column, with the additional suspension necessary in the mechanical treatment of such diseases. The object of this arrangement is, that the parts may be directly acted upon, and that the pressure shall be made directly upon the parts where most needed, and where the disease can be best controlled. Pads are made of chamois skin, filled with hair, making them at once soft, durable and flexible. If desired these pads can be made of rubber, especially molded to the parts involved, which presents at once a smooth and easy acting surface. To the brace is attached by buckles (as seen in cut), a broad, sub- stantial belt crossing the abdominal parts and chest, assisting in holding the apparatus in a proper position. Directions for Measurement. Give as full particulars of the case as is possible, whether the curve is to the right or left, and if con- venient, a plaster cast of the patient's back; if not possible, take a piece of soft lead, mould it to the back, being particular to give all of the indentations or prominences caused by the disease, covering the full length of the spine, and trace the curves on a paper to be sent with order; circumference of the body between crest of ilium and axilla. Circumference of body one inch below crest of ilium. Distance from center of one scapula to center of the other. For the additional attachments controlling the cervi- cal portion of the spine, give the following measurements: Vertebrae prominens to base of head. Circumference from vertebrae prominens around chin, giving particulars as to formation of inferior maxillary. Fig. 4701. Price to Patients$30 00 to 50 00 Fig. 4702.-Dr. Thomas M. Markoe's Brace for Torticollis. DIRECTIONS FOR MEASUREMENT. 1. Patient's name (or sex). 2. " age. 3. " weight. 4. Distance from sacro-lumbar articulation to vertebra prominens Inches. 5. Distance from sacro-lumbar articulation to base of skull 6. Circumference of pelvis one inch below iliac crest 7. Circumference of chest under axilla " 8. Circumference of the head Price to Patients$35 00 to 45 00 766 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS Sharp & Smith's Corset Brace for Posterior and Early Stages of Lateral Curvature. Fig. 4703-Front View. Fig. 4703-Back View. Directions for measuring, see Fig. 4695, page 761. Price to Patients $25 00 In the accompanying illustrations, Figs. 4704, 4705, 4706, we show the application of a perforated leather jacket to a case of antero-posterior curva- ture of the spine combined with a slight inclination to lateral curvacuture. The brace consists of a leather corset accurately moulded to the body and properly strengthened with well-tempered steel stays, shaped to conform to the contour of the body when in a normal condition, thus furnishing special support to the vertebrae involved. Owing to its funnel shape above the waist and by means of crutches placed under the arms, it produces partial suspension, which not only pre- vents the further spread of the disease, but com- pletely controls the disposition to inflammation so common to these cases. Fig. 4704 shows the condition of the patient when presented for treatment. Fig. 4705 gives a front view of the corset after application. Fig. 4706 presents a rear view of the same, showing the steel stays bearing upon the transverse processes of the vertebrae. 1 hese braces are a great improvement over plaster of Paris jackets, being much lighter, more comfortable and cleanlier, besides being easily removed. SHARP & SMITH. CHICAGO. 767 DEFORMITY APPARATUS They are per- forated, permit- ting the free pass- age of air, and allowing the body to throw off its natural e x u d a- tions. We have appli- ed a large n umber of them withinthe past two years, and so far as we have been able to learn, every one of them has proven satisfac- tory to both phy- sician and patient Better results have been obtain- ed by sending the patients to us, that w e may apply the brace ourselves, but where this is not feasible we can secure a fit if furnished with a well-fitting plaster Paris jacket, having the diseased por- tion and all prominences carefully marked on the inside of the jacket. 1 his plaster Paris jacket, must, however, be applied while the patient is suspended by Dr. Sayre's or some similar method. No measurements are necessary other than the careful marking of the jacket, which should include the iliac crests and extend to or above the axillae. Price to Patients$25 00 to 40 00 SAYRE'S JURY MAST. Directions for Measurement. 1. Bend a flexible strip of lead to the contour of the back, commencing at the top of the head; carry along the spine to the sacrum. Carefully remove and trace on paper; mark the position of the scapulae, iliac crests and disease. 2. Circumference; top of head around chin.. Inches. 2 " around cranium " 4 " pelvis, below iliac crests.. " 5 " neck " g " neck and chin " Price to Patients$12 00 4705.-Front View. 4705.-Back View. 768 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Fig. 4708.-Sayre's Suspension Apparatus. DIRECTIONS FOR MEASUREMENT. 1. Age of patient. 2. Circumference of head around chin. FIG- 3. " of head around occiput. *4708 Price of apparatus with plain pulleys $ 6 00 With brass compound pulleys (as shown in cut) 11 00 *4709. Tripod (only) $6 00 Seamless Shirts.. .$1 50 to 3 00 *4711. Price to Patients Short, $8 00; Long, 10 00 Fig. 4710.-Apparatus for Preventing the Dislocation of the Shoulder Joint. DIRECTIONS FOR MEASUREMENT. 1. Name. 2. Weight (estimated). 3. Right or left shoulder. 4. Circumference of the arm. 5. " axilla to acromion. 6. " of chest under axilla. Price to Patients $6 00 to 9 oc Pages 736 to 768, are prices to Patients. Special prices to Physicians, and the Trade SHARP & SMITH. CHICAGO. 769 W e Make to Order PROF. GUNN'S APPARATUS FOR BPIN AL CUp'/JTURE. ANCHYLOBlB of KNEE. ANCHYLOBlB OF ELBOW. HIPJOINT DIBEABE, WRY NECK, CLUB LOOT, ETC We Make to Order PROF. OWEN'S AND PROF. STEELE'S APPARATUS FOR BPIN AL CURVATURE, BOW LEGtjS, KNOCK KNEEB, ANCHYLOBlB OF KNEE, ANCHYLOBlB OF ELBOW. HIP-JOINT DIBEABE, CLUB FEET, WRY NECK. We Make to Order PROF. ISHAM'S APPARATUS, PROF. BEEBE'S APPARATUS, PROF. JAY'S APPARATUS We make a specialty of Deformity Apparatus, Elastic Stockings and Sup- porters. We give our personal attention to the correct and careful fitting of Deformity Apparatus. Surgeons from a distance will have their orders promptly attended to by sending us careful measurements, and as full particu- lars as possible. SHARP & SMITH. 73 Randolph Street, - - CHICAGO. 770 SHARP & SMITH, CHICAGO. ARTIFICIAL LIMBS. Send for Our Late Book on Artificial Limbs and Appliances. We wish to call the attention of the medical profession, and all those who are interested in the latest and most useful improvements in mechanical sur- gery, to the merits of our limbs. After having made and sold these limbs with unvarying success during a period of fourteen years, and upon their adoption by leading surgeons, and the favorable testimonials of hundreds who are wearing them, we feel justified in making the declaration, that for all the purposes for which an artificial leg is intended, they are without a rival. Practical experience and the scientific adoption of mechanical principles to answer anatomical purposes, have resulted in the production of these, the most durable and successful imitations of the natural leg ever yet attained. Heretofore inventors, in their attempts to imitate nature, have lost sight of the fact that an artificial limb is simply a machine, and that its merits are based entirely upon the superiority of its internal mechanism. In external appearance we claim nothing original, while internally they are unlike any other limb made. In contour and symmetry of motion they as closely resemble nature as is possi- ble, and retain the elements of comfort (to the wearer) and durability. The materials used in their construction are English willow, steel, rawhide and car spring rubber. We use but one cord, which is made of silk, covered with buckskin, making it very strong and durable. This cord is removable from both ends. Our limb is not complicated, consequently is not liable to get out of order. It can easily be taken apart for the purpose of cleaning and greasing joints. Our knee-joints are of a recent patent of our own, and will outwear any four sets of joints in use by any other manufacturers. They will not work loose and rattle like other leg joints in general use, and are shaped to fit limbs so that they do not show through pants, when in a sitting position. The spring that regulates the flexing of foot is made of spiral steel, carefully tempered and so arranged that it can be easily removed and a new spring substituted in case of breakage without the necessity of sending limb to our factory. This spring does not become hard like rubber, but will always remain flexible. We seldom hear of one breaking, and no charge is made for them when wanted to replace a broken one. The toe spring is so arranged that the motion can be regulated to suit by simply turning a nut inside of foot. Our laces are made of substantial leather, covered inside and out with buck- skin, stitched with silk, and fastened with patent hooks. The weight of these limbs is from 2% to 4% pounds, according to the weight of the patient. Our artificial foot is fully explained in the cut, and is the most complete apparatus ever applied to what is known as "Chopart's Operation." We also construct an apparatus for the extension of shortened limbs. SHARP & SMITH, CHICAGO. 771 ARTIFICIAL LIMBS. 772 SHARP & SMITH, CHICAGO. ARTIFICIAL LIMBS. FITTING. These limbs are fitted by a thoroughly experienced person, an„ their con- struction is under our personal supervision. We guarantee entire satisfaction in every case, and as regards our responsibility, we refer you to physicians and druggists generally. Parties desiring a limb, should write for blank measurements, which must, when received, be filled as per instructions accompanying them. When returned to us, the limb will be put in form, and the patients notified when to come to the factory, have it fitted, and give it a trial. It is possible in some cases to make a limb from measurements only. If, after measurements and a detailed statement of the case are received, we con- clude that your presence is unnecessary, you will be so informed. Twenty-five per cent, of the price must (except on special contract) accom- pany each order. For parties coming from a distance, we will procure board and lodging at the most reasonable rates, if desired. TESTIMONIALS. In place of an array of testimonials (which are cheap and very common) we will furnish, on application, the names of persons, male or female, who are wearing our limbs, and who represent the various forms of amputation, from the flexors of the foot to within three inches of the body. We have also numerous cases of double amputations, to whom we will gladly refer you. ARTIFICIAL ARMS. OUR ARTIFICIAL ARMS Embrace all the Modem Improvements. Send for onr late Book on Artificial Limbs and Appliances. SHARP & SMITH, CHICAGO. 773 SPLINTS. LEVIS' METALLIC SPLINTS. The copper used in the manufacture of these Splints being less than one-eightieth of an inch in thickness, makes them very light and readily conformable by bending so as to suit the pe- culiarities of any limb, and yet the Splints when applied are as firm as the heaviest wooden ap- pliances. They fit so accurately that but little padding is required; a piece of woven lint or of cotton or woolen flannel, is all that is necessary for their lining. A slight roughness is left on the outside of the Splints by perforations to prevent the bandage from slipping. They are nickel-plated to prevent oxidation. They are invaluable when the parts are lacerated. As the perforationsallow ventilation, and secretions are not confined and liable to be absorbed, as in every other kind of splints, but readily pass off through the numerous orifices, they do not become offensive like those made of porous materials. These Splints are cooler, and lighter in weight, thinner in material, more correct in shape and more perfect in fit than any other Splints offered to the profession. They are all made in two sizes-one for adults, and one for children, and all, except the radius, fit the same on either the right or left limb. The following comprise a complete set, and are ample to apply to any fractures that may occur. For Fracture of Lower end of the Radius. Four in each set. For each pieceoo In the treatment of fracture of the lower end of the radius it is essential that proper allow ance be made for the curvature of the anterior or palmar surface of this part of the bone. 1 his is insured in this Splint, which follows directly the radial curvature; and the fixing of the thenar and hyoothenar eminences of the hand in their moulded beds, maintains the splint immovably in its correct position with reference to the radial curve. To neglect of complete primary reduction of the displacement of the lower fragment, and to inefficient restoration and retention of the normal radial curve, are due the frequent unfortunate sequences of this fracture. No dorsal splint is needed, but a small pad will in most cases be required over the dorsal surface of the lower fragment. For retention of the Splint an ordinary bandage, two inches and a half to three inches wide, is all that is necessary. This Splint has the merrit of being applicable to all cases of fracture of the lower end of the, radius, and also to many other injuries involving the forearm and wrist. No. i. Radius Splints-Right and Left. 774 SHARP & SMITH, CHICAGO. SPLINTS-LEVIS' METALLIC. < 4751 No. 2.-ADJUSTABLE ANGULAR SPLINT. For all fractures of the elbow joint, and of the arm and forearm, excepting those at the lower end of the radius. Two in each Set each $1 50 This Splint can be applied either anteriorly or posteriorly, and is comfortable and adjust- able to any angle. The pieces are detachable, and can be used separately. This Splint is also applicable to diseases, and to resections, of the elbow joint. 4752 No. 3.7HUMERUS SPLINT. For Fractures of the Humerus. Two in each set each 50 cents. 4753 No. 4.-PHALANGES SPLINTS. For Fractures of Fingers or Toes. Three in each set each piece $0 15 .4754 No. 4.-IMPROVED PHA- LANGES SPLINT. For Fractures of Fingers and Toes Three in each set.. .per piece $0 15 We have made a great improve- ment in these Finger Splints by adding the extension which runs up on the palm of the hand. This tip also makes them adaptable to If A. Wilson's Metacarpal Splints. 4755 Two in each set .. each $0 75 4756 Two in each set... .each $0 75 Fig. 4755--No. 5.-Clavicle Splint •-This Splint forms a cap for the shoulder, and can be applied to fractures of the clavicle and humerus. Fig. 4756.-No. 6.-Maxilla Splint.-This Splint formsa complete cap or covering for the entire chin and lower maxillary bones, and keeps the fractured parts rigidly in the correct position. SHARP & SMITH, CHICAGO. 775 SPLINTS-LEVIS' METALLIC. 4577 No. 7. FEMUR SPLINT. For fractures of femur, ribs and hip-joint. Two in each set each $ 50 4578 No. 8. PATELLA SPLINT. Two in each set each$i 00 This Splint can be applied to all fractures from middle of femur to middle of tibia and fibula, and is particularly well adapted for fractures of the patella and all other fractures occurring near the knee joint, eiiher above or below it. 4579 No. 9. TIBIA AND FIBULA SPLINT. For all fractures and other injuries of the leg below the knee, and especially adapted for those at or about the ankle joint. Two in each set each$i 00 The complete set consists of the twenty-one pieces just described, in a neat, compact case. $15 00 per set. 776 SHARP & SMITH, CHICAGO. SPLINTS-LEVIS' METALLIC. No. 10.-Two in a Set.-Splint for Treatment of Club Foot. Price, 75 Cents Each. Made of perforated and nickel-plated copper, in two sizes, for infants from three months to three years of age. They are made so as to fit the same on either limb, and are especially adapted to have shoes made over them, or to be fastened to the inside of ordinary shoes. The leg part can be trimmed off at the top of the shoe, unless needed for support. They are much lighter in weight, and better in fit than iron braces can possibly be made. They support, strengthen and straighten the limbs by a very gradual and uniform pressure throughout. This is owing to the large surface of the limb which they incase. Set for Infants. The only Set of Infant Splints in the Markef. This set consists of Eleven Pieces, and is only intended for infants of three years of age and under. They are made in the same shapes as the large sets, No. 1 being made in Rights and Lefts, and all the other shapes made to fit the same on either limb. Prices of the Different Pieces. No. 1 each $075 No. 2 " 1 00 No. 3 " 25 No. 4 each $0 10 No. 5 " 50 No. 6 " 50 No. 7 each $0 25 No. 8 " 75 No. 9 " 75 Above set (Fig. 4581) contains eleven pieces, put up in Walnut Case. Price, $5.00. This Infant Set will never be included in the regular Adult and Children Set, unless so specified in the order. The regular set of twenty-one pieces, and this Infant Set of eleven pieces combined, thirty-three pieces in all, put up in one case. Price $18.00. SHARP & SMITH, CHICAGO. 777 SPLINTS-LEVIS' METALLIC. NEW HAND SPLINT DEVISED BY H. AUGUSTUS WILSON, M. D., OF PHILADELPHIA. No. II.-H. A. Wilson's Metacarpal Splint, Four in each Set. Price, 75 Cents for Each Piece. Finger Splints, 15 Cents for each Piece Extra The usefulness of the above Splint is fully illustrated in the above cut. It is made in Rights and Lefts for Adults and Children, of thin, flexible, perforated and nickel-plated copper, which can be readily moulded to the parts as desired. It is indestructible by use, and can be thoroughly and easily cleansed by simply immersing in hot water-a very important consideration in this age of antiseptic surgery. It has been found very useful in the treatment of all kinds of injuries to the hand, where support and immobility are desired. In the treatment of fractures of the metacarpal bones, it meets every requirement, and at the same time permits of the judicious use of the fingers, thereby avoiding the trouble- some anchylosis that is so apt to follow injuries to the hand. It is made adaptable for the adjustment of Levis' Metallic Splint, No. 4, (Phalanges) so that one or more of which may be used at a time, as the ex- igencies of the case require. The injured fingers are given full support in their adjusted position, leaving the sound one free for limited use, so as to avoid anchylosis. NEW COMBINED FOREARM AND HAND SPLINT. Made in two forms, as shown in the Figs. 4583 and 4584. These Splints are designed to fill a long-felt want for a Splint that could be universally used for all fractures and injuries to the forearm, hand and fingers. Thus, the band- age can be applied (if necessary) above and below the injury, leaving it open or exposed for treatment. In addition to their " Antiseptic" qualities, our Splints retain the members in their correct and normal position ; these are very im- portant and essential features, not possessed by any other Splints in the market. Fig. 4583. No. 12 each $1 00 Combined Forearm Splint. Rights and Lefts. Adultsand Children. Four in each Set. For all fractures and injuries of forearm, hand and fingers. 778 SHARP & SMITH, CHICAGO. SPLINTS-LEVIS' METALLIC. Fig. 4784. No. 13each $j 00 COMBINED FOREARM SPLINT (IMPROVED BOND'S SPLINT.) RIGHTS and LEFTS. ADULTS and CHILDREN. FOUR IN EACH SET. For all Fractures and Injuries of the Forearm and Hand. LEVIS' EXTENSION APPARATUS. Designed by R. J. Levis, M. D., Surgeon to the Pennsylvania Hospital, and to the Jefferson College Hospital. The application of the principle of weight-extension to the treatment of fractures, and in diseases and deformities of joints, is of such importance as to require more effectual and conven- ient apparatus than is ordinarily used. It is desirable that the mechanical appliances for this object should be convenient and inexpensive, portable, not cumbersome, and readily and secure- ly applicable to various forms of bedsteads and couches. It is also important that the amount of tension by weight can be estimated, and varied to the requirements of the case. All these requisites are secured in an accurate and mechanical manner by the Apparatus devised by Dr. R. J. Levis, which has been used for a number of years in the Pennsylvania Hos- pital, and also to some extent in the hospitals of New York, London, and other large cities. SHARP & SMITH, CHICAGO. 779 SPLINTS-LEVIS' EXTENSION. (See Illustration on Opposite Page.) The rod (A) fits the hole in the center of weight (B) nicely, excepting about an inch from the top, which is flattened in order to admit the weights being put on and taken off at that point, and at that point only. The wood cuts render a full description of the apparatus unnecessary. An adjustable clamp holds in position the upright rod which supports the pulley. The rod and pulley can be adjusted at any required elevation. The clamp will grasp either a wide or a narrow bar at the foot of the bedstead, or it can be attached to the back of a chair, to the end of a table, or to any object of sufficient security and steadiness. It can be reversed so as to grasp an under edge when such hold is more convenient. The above apparatus is put up complete, with foot block and cord attached, ready for instant use, in a neat and substantial case. Price $5.00. AHL'S ADAPTABLE POROUS SPLINTS. Detailed Description of the Sets-What Constitutes a Complete Set. The complete set of Adaptable Porous Splints contains twenty-five (25) pieces for adults, and twenty-five (25) pieces for children, making in all fifty (50) pieces. They weigh altogether not quite five pounds, and are neatly packed in nests in a light wooden box with a firm fastening. This allows them to be conveniently transported in the physician's carriage. Lower Maxillary Splint (Fig. 4786.) This splint embraces the entire chin, and forms a complete support to the fractured part while at the same time it allows, by its flexibility, sufficient motion to open the mouth slightly, to take food and drink. They are more comfortable than the gutta-percha splint. Retain it by Barton's bandage. Adults' size, 75c. Children's size, 50c. Inferior Forearm Splint for the Ulna (Fig. 4787) and Superior Forearm Splint for the Radius (Fig. 4788.) These two splints are in- tended for all fractures of the forearm, and also for sprains and dislocations at the wrist joint complicated or not with fracture. Very often actual fractures of the head of the radius or ulna are diagnosed as sprains, and result in semi- anchylosis. These cases, even when of several months' duration, can be treated with complete success with these splints. They are also admirably adapted to treating Barton's fracture, fulfilling every indication as well as Bond's Splint, requiring no pads or compresses, and being less likely to be fol- lowed by stiffness of the joint. They may be used either in combination or alone. As the radius and ulna are more liable to fracture than any other bones, ready-made splints are very convenient. Adults'size, each, 75c. Children's size, each, 50c, 780 SHARP & SMITH, CHICAGO. SPLINTS-AHL'S FELT. Elbow Splint (Fig. 4789.) This is for fractures and dislocations of the radius, ulna and humerus, at or near the elbow joint. In combination with the Inferior and Superior forearm splints, it is adapted to all fractures of the ulna and radius at the middle or upper third, or compound comminuted fractures of the same bones. Where both radius and ulna are fractured, bring the parts into contact, then apply splints, Figs. 4787, 4788 and 4789, and bandage over all from the hand to the shoulder. If the fracture is comminuted, cut a part or parts out of the splints, corresponding to the points of comminution, and band- age around them. The wounds can easily be dressed without disturbing the splints or bandages.' As the swelling is reduced, tighten the bandages as the splints accommodate themselves to the reduction. The Elbow Splint is at an obtuse angle, to prevent the lapping of soft parts, and as being most natural to sling. Adults' size, 75c. Children's size, 50c. Anterior Tibia Splint (Fig. 4790). This splint is intended for fractures of the tibia proper, and especially for fractures, either simple or compound, in the vicinity of the ankle-joint. It reaches from the knee-joint to the instep, and embraces the ankle-joint perfectly. Fractures of the malleoli will be readily treated by combination of this and the following pieces. There are two splints of this kind to each set. Posterior Fibula Splint (Fig. 4791.) This splint is suited to treating fractures of the fibula proper, and also in the vicinity of the ankle joints, either simple, compound or comminuted. Figs. 4790 and 4791 are combined for a complete apparatus for treating bad compound fractures of the tibia and fibula, either of the upper, middle or lower third, and at the ankle joints. There are two splints to each set, one for the left and one for the right limb. Adults' size, $1.00. Children's size, 75c. Shoulder Splint (Fig. 4792.) Any fracture of the humerus can be suc- cessfully treated by a combination of the shoulder and elbow splints. The shoulder splint fits over the exterior face of the shoulder, and it is to be used with the short, slightly curved piece to be applied to the opposite surface. Adults' size, 75c. Children's size, 50c. 4793 4794 SHARP & SMITH, CHICAGO. 781 SPLINTS-AHL'S FELT.-Continued. Anterior Knee-Joint Splint (Fig. 4793).-This splint is adapted to treat fractures of the tibia, fibula and femur near the joint, and also in con- nection with the anterior and posterior tibia and fibula splints, to treat all fractures of those bones. There are two splints to each set, one for the right and one for the left knee-joint. Posterior Knee-Joint Splint (Fig. 4794).-This splint, in connection with the anterior knee-joint splint, treats fractures of the tibia, fibula and femur near the knee-joint, and also the upper third of the fibula and tibia, and the lower third of the femur; and also in connection with the anterior and posterior tibia splints, treats all fractures of those bones. There are two splints to each set, one for the right, and one for the left limb. These splints can be used for the tibia and fibula also, when fractured about the middle of the shaft. Figs. 4793 and 4794 are used also for fracture of the patella, and are admirably adapted to keep it in position. Adults' size, Figs. 4793 and 4794, $1.00. Children's sizes, 75c. Club-Foot Splint for Children (Fig. 4795).-This splint is intended for treating the club-foot of children, after operation, or without operation, which it does very successfully. There are two club-foot splints for each set. If the application of these splints be commenced soon after birth, where this deformity is present, and so adapted (by the foot being bent sidewise at an angle to the leg portion) that they exert a constant yet moderate pressure toward the normal line of the limb, the deformity may, in some instances, be remedied without an operation. Fig. 4795 Splint, 75c. Mention age of child. Fig. 4796 Splint, adult size, 75c. Children's size, 50c. Femoral Splints (Fig. 4796).-These splints are intended to treat frac- ure of the lower third and middle of the femur, and upper third, in combi- nation with anterior and posterior knee-joint splints, as represented in Figs. 4793 and 4794. They encase the fractured limb perfectly. Price of a complete set, embracing fifty pieces, put up in a neat box, with handle on top$26 36 4795 4796 F'g- 4797- Palmar and Dorsal Splint (in position) Obviates the necessity of compresses or pads, and insures extension and position. Adults' and children's size, each piece, 75c. 782 SHARP & SMITH, CHICAGO. SPLINTS-AHL'S FELT. Fig. No. Name and Character of Splints not Incorporated in a Regular Set-Right or Left. Adult, per Piece. Child's per Piece. 479s I5-' Levis-Johnstone, Palmar .R. $ 0 75 $ 0 75 Levis-Johnstone, Palmar L. 0 75 0 75 4799 16- Levis-Johnstone, Dorsal R. 0 75 0 75 Levis-Johnstone, Dorsal • L. 0 75 0 75 4800 17- Combined Arm and Forearm, Anterior Rt. Angle R. 2 00 1 Combined Arm and Forearm, Anterior Rt. Angle .L. 2 00 C/i 4801 18 Combined-Arm and Forearm, Posterior, Rt. Angle R. 2 00 CD N Combined Arm and Forearm, Posterior, Rt. Angle . L. 2 00 c75 Combined Arm and Forearm, Anterior, Obt. Angle R. 2 OO J/) x9 Combined Arm and Forearm, Anterior, Obt. Angle.... .L. 2 00 s 4803 Combined Arm and Forearm, Posterior, Obt. Angle Combined Arm and Forearm, Posterior, Obt. Angle R. 2 00 73 ■ L. 2 00 4804 21- Forearm Condyle, Anterior R. 0 75 O Forearm Condyle, Anterior . 0 75 C 4805 Forearm Condyle, Posterior R. I 00 CD Forearm Condyle, Posterior .L. I co rt 4806 Straight Splint for Elbow and Lower Third of Humerus, Anterior, R. I 50 E 23 Straight Splint for Elbow and Lower Third of Humerus, Anterior, L. I 5° 0 4807 Straight Splint for Elbow and Lower Third of Humerus, Posterior, R. I 5° a 24 Straight Splint for Elbow and Lower Third of Humerus, Posterior, L. I 50 CD 4808 25-• Right Angle Elbow, Anterior R. I 00 rt Right Angle Elbow, Anterior .L. I 00 4S09 Right Angle Elbow, Posterior R, I 00 Right Angle Elbow, Posterior .L. I co 4810 27- Obtuse Angle Elbow, Anterior R. I OO <D Obtuse Angle Elbow, Anterior . L. I co 4811 Obtuse Angle Elbow, Posterior R. I 00 r-< Obtuse Angle Elbow, Posterior L. I co J 4812 29-• Metacarpal, Index and Middle Fingers Metacarpal, Index and Middle Fingers R. L. 0 0 5° 50 0 0 JO SO 4813 Metacarpal, Little and Ring Fingers R. 0 50 0 50 3 Metacarpal, Little and Ring F ingers .L. 0 50 0 50 Metacarpal Thumb . R 0 50 0 50 Metacarpal Ihumb L. 0 50 0 50 4si5 Malleolus, Internal R. I 00 I co Malleolus, Internal L. I 00 I 00 4816 33-' Malleolus, External R. I 00 I co Malleolus, External L. I 00 I 00 Fixation Splint, Hip Joint, Anterior R. 5 CX) . • • . Fixation Splint, Hip Joint, Anterior L. 5 (.0 . • . . 4818 Fixation Splint, Hip Joint, Posterior R. 5 00 . • • . J D Fixation Splint, Hip Joint, Posterior .L 5 00 . • • . 4819 36- 1 Femur Perineal and Hip Support R. 3 03 . • • . 3 i Femur Perineal and Hip Support ' L. 3 OO . • • • 4820 Hinged Pelvis and Splint (Male) 7 50 □ / Hinged Pelvis and Splint (Female) . 7 50 • . . 4821 38- Johnstone's Laced Splint for Knee (any size) IO OO • • • • 4822 39- Johnstone's Felt Jacket for Spinal Curvature 25 OO • • • • When no prices are given, the numbers referred to are made in one size only. Nos. 34, 35, 37, 38 and 39, are made to order only, and in any size desired. Orders for No. 39 MUST be accompanied by plaster cast of subject. SHARP & SMITH, CHICAGO. 783 SPLINTS-DAY'S OR PRATT'S CARVED WOOD DOUBLE INCLINE PLANE. Small .$3 00 Medium 3 74 Large 4 50 EXTENSION BAR. Small , $5 00 Large 00 No. o $0 60 No. 1 o 70 RIGHT ANKLE SPLINT. No. 2 |o 80 No. 3 o 95 LEFT ANKLE SPLINT. Sizes and prices of Left Ankle Splints are the same as those of Right Ankle. Jointed Patella Splint.-With Screw. Patella Splint. No. 1 $1 50 No. 2 1 70 No. 3 80 No. 4 2 00 No. 1 $0 60 No. 2 o 70 No. 3 $0 80 No. 4 o 95 4829 Joint Arm Splint.-With Screw. No. 1 $1 50 No. 2 1 70 No. 3 1 85 4830 Condyle and Humerus Splint. No. 1 $0 60 No. 2 o 80 No. 3 o 95 784 SHARP & SMITH, CHICAGO. SPLINTS. DAY'S OR PRATT'S CARVED WOOD. Dressing Splints. Per set of five $ 40 Squire's Forearm Splint. No. 1 $1 00 No. 2... ... 1 10 No. 3 1 20 No. 4 1 30 No. 5 1 40 No. 6 1 50 Jointed Condyle and Humerus Splint. No. 1 $ 60 No. 2 75 No. 4 95 The Squire's Jointed Forearm Splint, the Jointed Condyle and Humerus Splint, and the Jointed Patella Splint, are not in the regular set of Splints. The following comprise the Complete Set of Splints: I Extension Bar, small. 1 " " large. 1 Double Incline Plane, small. 1 " " " medium. 1 " " " large. 8 Radius or Crooked Hands, set. 6 Forearm or Straight Hands, set. 5 Interosseous, set. 3 Jointed Arms, set. 8 Ankles (new), set. 4 Patella, set. 3 Condyle and Humerus, set. 5 Dressing Splints. Pratt's Splints, complete, per set, $35 00. No. 1 $0 30 No. 2 35 No. 3 40 Forearm Splint. No. 4 $0 50 No. 5 65 No. 6 75 No. 1 $0 30 No. 2 40 No. 3 50 Interosseous Splint. No. 4 $0 55 No. 5 60 Right and Left Radius Splints. No. $<' 35 No. 3 $° 50 No. 2 40 No. 4 00 *4838 Coover's Forearm Splint for fingers, flexed 00 *4839 Coover's Forearm Splint for fingers, straight 1 00 SHARP & SMITH, CHICAGO. 785 SPLINTS. Fig. 4840-Bryant's Splint for Extension of Elbow at any angle, price $18 75 Fig. 4841.-Dr. Nathan R. Smith's Anterior Splint and Suspending Apparatus for Fractures of the Leg and Thigh. This splint is simply a frame composed of stout wire, which, being suspended, allows the limb, fastened to it by rollers, to be suspended in turn, the rollers passing around both limb and splint, from the foot to the groin. The splint should ex- tend from above the anterior superior spinous process of the ilium to a point beyond the toes. The lateral bars of the splint are separated about three inches. One of the spring double hooks fastened to the short cord for suspension ought to be nearly over the seat of fracture, the other a little above the middle of the leg. Price$2 50 786 SHARP & SMITH, CHICAGO. Fig. 4842-Dr. Verity's Splint complete .. $12 00 Fig- 4843-Staples' Fracture Apparatus .. $40 00 787 SHARP & SMITH, CHICAGO. SPLINTS AND SPLINT MATERIAL. Fig. 4844-Staples' Clavicle Apparatus. $15 00. Fig. 4844-Staples' Apparatus for Frac tured Clavicle, Applied. 4845 Plain Fracture Boxes each, $3 00 4846 Gutta Percha Splint Material per lb., 2 00 4847 Binders'Board per sheet, 10 4848 Koehler's Adaptable Splint Material " 1 50 4849 Russian Felt Splint Material .per sheet, $1 50 to 4 00 4850 Gilbert's Patent Set Splints 1 00 4851 " " " Flannel Lined 1 25 Fig. 4875-McCurdy's Fracture Bed-See next page. 788 SHARP & SMITH, CHICAGO FRACTURE BED. Fig. 4875.-McCURDY'S FRACTURE BED-See Preceding Page. In presenting this page giving a brief description of the McCurdy Fracture Bed to the medical profession, we feel that we have shown something well worthy the attention of all interested surgeons trying to contrive a method by which fractures, amputations, injuries of the spine, pelvis, large joints and severe wounds, may be treated scientifically without shifting or moving the patient about when undesirable, besides preserving the invalid in any decubitus required, thereby aiding instead of retarding nature in her process of repair. Every medical man who has had any experience in surgery, knows that the difficulty in the successful treatment of grave injuries arises from being unable, at will, to place the patient in a desirable position. This dreaded hin- drance can be overcome in every respect by the features found in our bed, which the accompanying illustration will partly explain. Before entering into a separate description of the applicability of each part, it will be well to state concisely that the outside or basic frame measures 6% feet long, 3 feet wide, 4 inches deep, and contains several adjustable frames operated with ratchet work (see cut) upholstered with the best of canvas material, strengthened at intervals of a few inches with webbing. In the center opposite the point where the nates rest is a circular opening in the canvas, subject to the use of drop trap. FIG. *4875 No. 1. Bedstead made of Poplar Frame, Ash or Oak, uphol- stering of good material$30 00 *4875 No. 2. Bedstead, Walnut or Cherry, with Panels same, or Ash or Chestnut, Frame, Oak or Ash, upholstering of best material.. . 35 00 *4875 No. 3. Same as No. 2, with Bedstead highly ornamental 45 00 *4875 No. 4. Frame made adjustable to any Bedstead, of best material throughout 20 00 *4875 No. 5. Bedstead and Frame same as No. 2, made without the lower extremity inclines, for Paralytics, Fevers, etc 32 00 *4875 No. 6. Frame without Bedstead or adjustable lower extremity inclines 18 00 The frame in all cases is made of the best material throughout, the dif- ference in price being based upon the material and style of Bedstead. The above prices are for Bed packed for shipping, and placed on board cars. SHARP & SMITH, CHICAGO. 789 CRUTCHES. 4901-No. i 4902-No. 2. 4903-No. 3. 4904-No. 4. 4905-No. 5. 4906-No. 6. 4907-No. 7. ' 4908-No. 8. ' 4909-No. 9 FIG. 4900 Malacca, Full Nickel Plated Trimmings per pair, $15 00 *4901 No. 1. Rosewood, Elastic Top, full Nickel Plated Trimmings " 10 00 4901- No. 1. Rock Maple, " " " " " 8 00 Genuine Russia Tops will add $1 50 per pair net to either of above. *4902 No. 2. Rock Maple, Rosewood Tops, Nickel Trimmings " 10 00 4902- No. 2. Rock Maple, Cherry Tops, Nickel Trimmings " 7 00 *4903 No. 3. Maple, Two Sticks, with Nickel Plated Bottoms, (Fig. 4907) 4 00 *4904 No. 4. " " " ". Ferrules 2 50 *4905 No. 5. ' " Bottoms (Fig. 4907) 3 50 4905-A No. 5. " " " " Ferrules 2 00 *4906 No. 6. Plain Split Maple or Ash 1 5° *4907 No. 7. S. & S. Bottom, Nickel Plated, large perpair, 1 50 4907-A No. 7. " " " small " 1 5° 4907-B Large Rubbers for above " 40 4907-C Small " " " " 40 *4908 No. 8. Slide Rubbers " 25 *4909 No. 9. Patent Bottoms, Nickel Plated small, $2 00; medium, $2 50; large. . 3 00 4910 Large Rubbers for above perpair, 40 4911 Small " " " " 25 In ordering Nos. 1 and 2 state the kind of wood desired, as well as number of crutch. Order by numbers, and avoid mistakes. To get desired length, measure from armpit to floor. The above are prices to patients. Special prices to physicians and the trade. 790 SHARP & SMITH, CHICAGO. CRUTCH APPLIANCES. FIG. 4912 Long Extension for Crutches, small, per pair $1 75 *4913 " " " medium " 2 00 4914 " " " large " 2 25 4915 Adjustable Ice Spur per pair 50 4916 Conical " " " 15 4917 Plain Steel Point Ice Spur, per pair to THE ADJUSTABLE CRUTCH. Pluche Patent of June 12, 1888. Made of Polished Hardwood Rods, with an Adjustable Handpiece. ■ THE HANDPIECE Is fastened with Fine Brass, Nickel-plated Clasps, and by losening one screw it can be raised or lowered, as desired, which is of much import- ance. THE CONSTRUCTION Is the best possible for this purpose. There be- ing four pieces coming together at the bottom, there is no danger of breakage. When the hand-' piece is fastened, it forms the strongest brace known, and cannot well get out of shape. LIGHT OR HEAVY. We can adjust the weight of the Crutch for the smallest child or the largest man by increasing the size of the rods, and every pair fully war- ranted. PATIENTS' PRICES. No. 41 Fig. 4913. FIG. *4918 No. i. Natural Wood Finish, with Mahogany Handpiece and Saddle, per pair.. .$5 00 *4918 No. 2. Dark Rosewood, with " " " " ... 5 00 *4918 No. 3. Ebony Finish, per pair 5 00 *4918 No. 4. Natural Wood Finish with Morocco Leather Spring Saddle, per pair 6 co *4918 No. 5. Dark Rosewood with ' " '* " 6 00 *4918 No. 6. Ebony with " " " " " 6 00 *4918 No. 7. Nickel-plated Bottom-piece for holding Rubber, per pair ... 1 00 *4918 No. 8. " " " and Spur, per pair 1 50 SHARP & SMITH, CHICAGO. 791 INVALID RECLINING AND SELF-PROPELLING CHAIRS. Fig. 4925 Invalid Wheel Chair, No. 1$25 00 " 4925A " " " No. 1A 27 00 (No. iA Chair same as No. 1, but with "rims" on outside of wheel for Patient's use in wheeling Chair about.) FIG. 4926 Invalid's Wheel Chair, No. 2$40 00 4927 " Chair, No. 3 25 00 4928 " Chair for Children 12 00 792 SHARP & SMITH, CHICAGO. INVALID CHAIRS. CANE SEAT INVALID SELF-PROPELLER. Is the same in construction as No. 7, with exception of seat, which is of cane with a roomy rattan back and comfortable arm rests, thus making it a very cool and at the same time a strong and substantial chair. We make this chair in two sizes. FIG. *4929 No. 4. Full size Self-Propelling Chair, size and construction same as No. 5; 28-inch front and 14-inch hind wheels, made of steel spokes, hollow steel rims, and round rubber tires$50 00 4930 No. 5. Full size Self-Propelling Chair as represented in above cut. Front wheels 28 inches, hind wheels 14 inches; seat and back roomy enough for a large person. Will pass through a door- way not less than 28 inches 35 00 4931 No. 6. Child's Self-Propelling Chair, general appearance same as above cut, wheels same as No. 8. Axles and seat in same pro- portion. Will pass through a doorway not less than 26 inches. 30 00 SHARP & SMITH, CHICAGO. 793 INVALID CHAIRS- SELF-PROPELLING INVALID CHAIR This chair will prove a most valuable companion to invalids, not only on the street, but far more so in the house. The foot rest can be swung up so as to facilitate easy access to the seat. The motion of the cranks being trans- mitted by its sprocket wheels of but three inches in diameter to those on the front wheels of six inches in diameter, the working power is doubled, so that weak persons can propel it with ease. The machine will work comparatively well on a rough or sandy road, when ascending a moderate inclination; its speed is that of an ordinary walk. FIG. *4932 No. 7. Full size Self-Propelling Invalid Chair. Also con- structed in the manner as represented in above cut. The seat is similar to a roomy office chair. The front wheels are 28 inches in diameter, hind wheels 14 inches, and are made of the very best material. All connections are of malleable iron, the axles of steel, sufficiently strong enough to carry a weight of 500 lbs. Will pass through a 28-inch doorway$25 00 4933 No. 8. Child's Self-Propelling Invalid Chair, has 24-inch front and 12-inch hind wheel; the seat frame measures 16x15, sub- stantially made of oak, with perforated veneer seat. The back is 20 inches high, and has comfortable arm rests. The connec- tions are of malleable iron, the axles of steel, and wheels have welded oval tires. Will pass through a 26-inch doorway$21 00 Patented June 29, 1880 794 SHARP & SMITH, CHICAGO. INVALID CHAIRS. 'rhe above represents the old style of Invalid Chair, set up on strong, sub- stantial wheels, propelled by means of an outside rim to save hands from con- tact with dirt; the occupant can thereby propel himself easily from place to place at pleasure. The wheels are made of the very best material, and have heavy welded tires. The axles of steel, connections of malleable iron, well braced and bolted together. *Fig. 4934 No. 9. Full size Invalid Rolling Chair, constructed in the manner as represented in above cut; the seat is similar to a roomy office chair. Has 28-inch front wheels and 14-inch hind wheel, made of the very best material. All connec- tions are of malleable iron, the axles of steel, quite strong enough to carry a weight of 500 lbs. Will pass through a 28-inch doorway. Price$20 00 Pig- 4935 No. 10. Child's Rolling Chair, designed for children up to 14 years of age; has 24-inch front and 12-inch hind wheels. Seat frame measures 16x15, substantially made of oak, with perforated veneer seat; back is 20 inches high, and is supplied with comfortable arm-rests. The connections are of malleable iron, the axles of steel, and wheelshave welded oval tires. Will pass through a 26-inch doorway. Price,' $16 00 N. B.-We make Nos. 4, 5, 6, 7, 8, 9, 10 with three styles of wheels- Wooden Wheels, Steel Suspension Wheels, and Rubber Tire Suspension Wheels. Unless specially mentioned by purchaser that Wooden Wheels are preferred, will send Steel Suspension Wheels, the price being the same. Rubber Tire Suspension Wheels to fit above style of chair, $15 extra. INVALID ROLLING CHAIR. SHARP & SMITH, CHICAGO. 795 TRUSSES-HERNIA (See pages 802 and 803 for Net Prices of Trusses.) The term Hernia, when used simply, is considered equivalent to the Eng- lish word Rupture, and as applied to the abdomen only. Rupture, according to the common acceptation of the term, is a disease consisting in the passage of any part or parts naturally contained in the abdomen, out of that cavity. Hernia has been divided into true and false, or spurious. The former are those protrusions of the abdominal contents in which the parts carry before them a portion of the serous membrane lining the cavity. The latter are the cases where the parts pass into a neighboring serous cavity, as in Congenital Diaphragmatic Rupture. Various affections of the testes, their coats and vessels, have been denominated false in contradistinction to those above defined as True Hernia. The former diseases are attended with swell- ings in the groin and scrotum, the seat of the most frequent kind of Hernia. Hernial difficulties have also been divided into external and internal. The former is a protrusion of the abdominal contents with an obvious tumor. The latter are instances of strangulation, caused by certain internal changes not indicated by external swellings, as when the bowels pass through an opening in the diaphragm, or into a preternatural cavity formed in either of the" peritoneal duplicatures, or when they are confined by preternatural cords or adhesions. Since the protruded parts may become strangulated in these various cases, as in common Ruptures, they have been regarded as a species of Hernia. When the protruded parts remain in the opening without showing themselves exter- nally, the Hernia is called incomplete. If they come through entirely, and form an external swelling, it is called complete. Although visible external tumors exist in most instances it is not a universal symptom. Inguinal, Femoral or Umbilical Ruptures may be so small, and so deeply seated, as not to be recog- nizable externally, especially in fat persons. Fig. 4950 represents a patent truss that we were one of the first to adopt. It is adjustable right to left, and to any desired angle. It is made in three styles, consisting of the French, hard (oval) and soft (oval) shaped pads, and combines all of the advantages of the "French," "Chase" and "Imperial" Trusses. We have very satisfactory results in the application of these trusses, and we recommend them highly to parties who cannot come to us to be fitted. Fig. 4950 We pay personal attention to the careful fitting of Trusses. 796 SHARP & SMITH, CHICAGO. TRUSSES. Fig. 4957-Child's or Youth's Single Truss, Fine French. $i 50 to 2 50. Fig. 4954-Double Imperial Truss $6 00 Fig. 4958-Child's or Youth's Double Truss Fine French. $3 50. Fig. 4953-Ball and Socket Lock Pad $5 00 See pages 802 and 803 for additional Prices and Trusses. Fig. 4960 -Improved French Truss $4 50 Fig. 4955-Single French Truss... ....$3 °° Fig. 4956-Best Double French Truss . $5 00 Fig. 4959-Extra Fine French Truss $5 °° SHARP & SMITH, CHICAGO. 797 TRUSSES. Fig. 4969-Child's Truss, Single, Ebony Pad... $1 50 Fig. 4961-Self-Adjusting Truss, Single$4 00 Fig. 4963-Infant's Self-Ad- justing $2 50 Fig. 4962-Self-Adjusting Truss, Double....$6 00 Fig. 497°-Child's or Youth's Truss, Double Ebony Pad $3 00 Fig. 4967-Chase's Extension Cedar Pad... .$3 50 Fig. 4972-Ratchet Truss, Single ... $5 00 Fig. 5004-Soft Rubber Um- bilical Child's Truss, $1 50 to 2 00 Fig. 5005-The Empire Um- bilical Truss is made of the same material, and possesses the same merits as the Empire Elastic Bandage and Empire Abdominal Supporter, and is pro- nounced by all who have seen it to be the best ... $1 00 Fig. 4974-German Truss, with Under Strap, $4 00 See pages 802-803 for additional prices and trusses, 798 SHARP & SMITH, CHICAGO. TRUSSES AND ABDOMINAL SUPPORTERS Fig. 4999-Child's Bow Um- bilical Truss....$2 00 to 2 50 Fig. 4998-Bow (spring) Umbilical Truss $4 00 Fig. 5010-Gray & Foster's Abdominal Supporters, $2 50 Fig. 4975-New York Elastic, Enamel Pad Truss, $4 00 Fig. 5018-Noeggerath's Ab- dominal Supporter $5 00 Fig. 4970-New York Elastic Enamel Pad, Double Truss $5 00 SHARP & SMITH. Fig. 5017-Improved Spring Supporter, $5 00 and 6 00 Fig. 5019-Thomas' Abdomi- nal Supporter $6 00 See pages 802 and 803 for additional Prices and Trusses. SHARP & SMITH, CHICAGO. 799 ABDOMINAL SUPPORTERS Fig. 5011.-Mrs. Betts' Supporter$5 00 Fig. 5020.-Spring Self-Adjusting Supporter. .$4 00 Fig. 5015.-Fitch's Supporter$4 00 Fig. 5013.-THE EMPIRE ABDOMINAL SUPPORTER Is Superior to all others for the following Reasons : rst. It adapts itself to every movement of the body, giving strong and even support. 2d. It produces warmth without irritation or sweating, as it is perfectly ventilated. 3d. In pregnancy, corpulency, tumors, or other cases of enlargement of abdomen, it supports weight of body from the back-bone, relieving the sinews of their overwork. 4th. Its easy appliance (lace and draw on over the head or feet). 5th. It is cheap, durable. It can be washed when soiled, proper care be- ing taken to cleanse in lukewarm water, and dry in the shade. In ordering, give the measure of the abdomen. The Supporter should be from four to ten inches larger, according to the degree of support required. See page 803 for additional Prices and Supporters. 800 SHARP & SMITH, CHICAGO. ABDOMINAL SUPPORTERS Fig. 5009.-London Supporter$3 00 to 6 00 Fig. 5007.-Silk Front Sup- porter-Applied.$5 00 to 6 00 Fig. 5007.-Fine French Supporter, Silk Front. $5 00 to 6 00 Fig. 5021.-Doily Belt for Menstrual Period .. $0 75 Fig. £006.-All Silk Elastic Abdominal Supporter.. .$10 co Cotton 8 00 Directions for ordering and meas- uring Abdominal. Supporters, see page 274. We keep on hand, and make to order, other styles of Abdominal Supporters. Fig. 5022.-SanitaryPads for Menstrual Period, per doz$1 00 See page 803 for additional Prices and Supporters. SHARP & SMITH, CHICAGO. 801 SUSPENSORY BANDAGES. Fig. 5026.-Howe's Scrotal Com- pressor $3 25 Fig. 5027.-Carroll's Scrotal Compressor $1 25 Fig. 5025.-Miliano's Scrotal Compressor $2 00 Fig. 5028. Rawson's Patent Elastic Self-Ad- justing Suspensory. Fig. 5028.-Price List (Patients'). Sizes-Large, Medium Small. No. 1. Ordinary quality of Elastic, no buckles $1 50 No. 1 " with buckles at each side of Sack 1 75 No. 2. Fine quality of Elastic, no buckles 2 00 No. 3. " " " with buckles at each side of Sack...... . 2 50 No. 4. Fine quality of Elastic, with buckles at each side of Sack, at each end of Strap 3 00 No. 5. Silk Sack, Elastic, with buckles at each side of Sack, and at end of each Strap 3 50 No. 6. Silk Sack, Elastic, and Silk Elastic Straps, with buckles at each side of Sack, and at end of each Strap 4 00 Explanation of the Cuts.-Fig. 1.-a, Sack of silk, linen or cotton net, which will not in- terrupt the action of the respiratory organs of the skin ; b, An opening with an elastic ring, or band c, which keeps the material of the sack closed around the penis and exterior portions of the testicles ; d, An elastic band which encircles the body and passes around the hips downward to- ward the penis, is made either with or without buckles, as in Fig. 2, or permanently, as in Fig. 1 > SS> Elastic straps, passing over the buttocks and attached to sack, a, beneath, which keeps the sack, a, in position, so as not to pinch the testes ; and in whatever position the person may put himself, the sack will remain in place-the straps only yielding, and accommodating them- selves to the movements. See page 803 for additional Prices and Bandages. 802 NET PRICES OF TRUSSES, SUPPORTERS, Etc. FIG. PHYSICIANS. *4950 Patent Adjustable Truss, Single French Pad, Adults $ 3 5° 4950 " " " " Enamel " " 3 5° 4950 " " " " Soft Oval Pad " 3 5° 4951 " " " Double (any of above style) Pad, Adults 5 oo 4952 " " " Single " " " Children's.. .. . 2 00 4952 " " " " " " " Patient's Price for Children's . 3 50 *4953 Imperial Adjustable (Ball and Socket) Truss, Single, Adults 2 00 *4954 " " " " " Double, " 3 50 *4955 Fine French Truss, Single, Adults. 1 75 *4956 " " " Double, " 2 75 *4957 " " " Single, Infants 1 00 *4957 " " " " Youth's 1 00 *4958 " " " Double, Infants 1 5° *4958 " " " " Youths 1 75 *4959 Extra Fine French Truss, Single, Adults 2 75 *4960 Improved Fine French Truss, Single, Adults 2 25 *4961 Self Adjusting Cross Body, Ball and Socket Truss, Single, Adults 2 00 *4962 " " " " Double, " 2 50 *4963 " " " " Single, Infants 1 5° ( 4964 " " " " Double, " 2 25 (4964 " " " " " (Patients) $3 50 ( 4965 " " " " Single, Youths 2 co ) 4965 " " " " " "(Patients) $3 00 j 4966 " " " " Double, " 2 50 ( 4966 " " " " " "(Patients) $4 00 *4967 Chase's Extension Cedar Pad Truss, Single, Adults 1 50 ( 4968 " " " Double, " 2 00 ( 4968 " " " " " (Patients) $5 00 *4969 " Enamel Pad " Single, Infants 1 25 *4970 " " " Double, " 2 25 *4970 " " " " Youths 2 25 j 4971 " " " Single, " 1 5° ) 4971 " " " " " (Patients) $2 50 *4972 Foster's Ratchet Adjustable Enamel Pad Truss, Single, Adults. 2 00 ( 4973 " " " " Double, " 4 00 } 4973 " " " " " " (Patients) $8 00 *4974 German Truss, Single, Adults, with under strap 2 00 *4975 Elastic Band Enamel Pad Truss, Single, Adults,. 1 50 *4976 " " " Double, " 2 00 (4977 " " " Single, Youths 2 00 ( 4977 " " (Patients) $3 00 j 4978 " " " Double, " 2 50 ( 4978 " " " " " (Patients) $4 00 j 4979 " " " Single, Infants 2 00 / 4979 " " " " " (Patients) $3 00 j 4980 " " " Double, " 2 50 ( 4980 " " " " " (Patients) $3 50 *4981 Best Common Chamois Pad Truss, Single 1 00 j 4982 " " Double 1 50 (4982 ' " ...(Patients) $3 00 PATIENTS. PHYSICIANS. 4983 Hard Rubber Truss, any style Pad, Single, Adults, $ 4 00 $2« 50 4984 " " " " Double, " - 6 00 4 50 4985 " " " " Single, Infants 2 50 1 50 4986 " " " " Double, " 3 00 2 00 4987 " " " " Single, Youths 2 50 1 50 4988 " " " " Double, " 3 00 2 00 4989 Celluloid Truss, any style Pad, Single, Adults 5 00 3 50 4990 " " " Double, " 8 00 5 00 4991 " " " Single, Infants 2 50 1 75 4992 " " " Double, " 3 50 2 50 4993 " " " Single, Youths 3 00 2 25 4994 " " " Double, " 4 00 3 00 4905 Fry's Patent Truss, Single, Adults 5 00 3 75 4996 S. & S. Radical Cure Truss, Single, Adults 600 400 4997 " " " Double, " 10 00 7 5° (Illustrated on pages 796 to 801.) NET PRICES OF TRUSSES, SUPPORTERS, Etc. (Illustrated on pages 796 to 801.) 803 UMBILICAL TRUSSES. fig. PATIENTS. PHYSICIANS. *4998 Bow (spring) Umbilical Truss, Enamel Pad, Adults $4 co $2 50 *4999 " " " " " Youths 3 00 2 00 *4999 " " " " " Infants 2 00 1 00 5000 Elastic Umbilical Truss, Celluloid Pad, Adults 4 00 3 00 5001 " " (extra large) Celluloid Pad, Adults.. 5 00 3 75 5002 " " Celluloid Pad, Youths 300 200 5003 " " " Infants 2 50 1 75 *5004 Soft Rubber Umbilical Truss, 10 to 18 inches, Infants 1 00 . 75 *5004 " " " Youths 1 00 75 5005 Empire Umbilical Truss 1 00 75 ABDOMINAL SUPPORTERS. PHYSICIANS. *5006 All Silk and Rubber Abdominal Supporters Silk, $7 50 Cotton, $600 *5007 Fine French (Silk Front) " " 2 50 j 5008 " (Linen Front) " " 2 00 ( 5008 " " " " (Patients) $4 00 *5009 London Abdominal Supporter 1 50 *5010 Gray & Foster's Abdominal Supporter 1 50 *5011 Mrs. Bett's " " 3 50 j 5012 Linguist's " " 2 00 'i 5012 " " " (Patients) $3 00 *5013 Empire " " 1 13 J 5014 Livingston's " " 2 50 ( 5°I4 " " " (Patients) $4 00 *5015 Fitch's " " 2 50 5016 Frictional " '• 1 85 *5017 Improved Spring " " 3 75 *5018 Noeggerath's " " 3 50 *5019 Thomas' " " 4 00 *5020 Spring Self Adjusting Abdominal Supporter 3 00 *5021 Doily Belt (for Menstrual Period) Abdominal Supporter 50 *5022 Sanitary Pads " " " " per doz. 60 SUSPENSORY BANDAGES. *5025 Miliano's Scrotal Compressor $ 1 25 *5026 Howe's " " 2 40 *5027 Carroll's " " 1 00 *5028 Rawson's No. 1 Suspensory Bandage 1 10 *5029 " No. 1% " " 1 30 *5029 " No. 2 " " 1 50 *5029 " No. 3 " " 1 85 *5029 " No. 4 " " 225 *5029 " No. 5 " " 2 65 *5029 " No. 6 " " 3 75 5030 Schnoter's Silk " " 1 10 5031 " Linen '' " 75 5032 " Cotton " " 60 *5°33 Syracuse No. 10 " " 30 *5033 " No. 16 " " 40 *5033 " No. 21 " " 60 *5033 " No 26 " " 75 *5033 " No. 31 '• " 95 *5033 " No 36 " " 2 25 5034 Sharp & Smith's Hand Made Silk Suspensory No. 1 75 5°35 " " " " No. 2 60 5036 " " Cotton " No. 5 38 5037 " " Silk, Extra Small Suspensory 60 5038 " " Silk, Extra Large Suspensory 1 15 SHOULDER BRACES. *5040 Laced Back Shoulder Brace, Ladies 1 00 *5041 Steel " " " " 1 00 5042 Fancy Laced Back Shoulder Brace, Ladies . 2 00 *5043 G. & F. " " " (4 sizes) 1 50 *5044 " " " Mens 2 00 *5044 " " " Youths 1 75 *5044 " " " Boys 1 50 *5045 London Shoulder Brace, all sizes 75 804 SHARP & SMITH, CHICAGO. SHOULDER BRACES. Fig. 5041.-Steel Back Fig. <043.-G and F Ladies' Laced Back Shoulder Brace $2 00 Shoulder Braces $1 50 Fig. 5040.-Steel Lace Back Shoulder Brace... .$2 50 Fig. 5044.-G and F Laced Back Brace. Men's $2 50. Youth's $2 25. Boys' $2 00 Front view. Back view. SHARP & SMITH, CHICAGO. 805 Fig. 5045-London Shoulder Brace, $1.25. MISCELLANEOUS RUBBER GOODS. Pure Gum Bandages, for Varicose Veins and Swellings. Fig. 5°5O Fig- 5051 Fig. 5051-Physicians' Net Prices. 2 inch x 6 feet $0 50 2 " x 9 " 65 2 " x 10% " 75 2 " X 12 " 85 2 " X 15 " . . I OO 2% " x 6 " 65 2% " x 9 " 75 2% " X IO% " 85 2% inch x i2 feet $i oo 2% " x 15 " 1 25 3 " x 6 " 75 3 " x 9 " 9° 3 " X " I OO 3 " x 12 " 1 25 3 " x 15 " 1 50 All of our Bandages are of Pure Gum, and the Prices quoted are on the medium weight bandage, which is generally used. Fig- 5o5o represents the " plain bandage " without the tapes that are shown in Fig. 5051. 806 SHARP & SMITH, CHICAGO. MISCELLANEOUS RUBBER GOODS-BANDAGES Fig. 5051-Genuine Martin's Bandages. No. Length. Width. Thickness, Stub's Wire Gauge. Price. I io% feet. 3 in. 22 $2 OO IA IO% " 3 " 24 i 75 IB IO1£ " 3 " 28 1 50 2 21 " 3% " 22 4 50 2A 21 " 3% " 24 4 00 2B 21 " 3X " 28 3 00 3 6 2M " 22 75 3* 6 " 24 60 4 1.5 3% " 20 4 00 5 5 3% " 20 1 30 6 7l/2 " 3% " 20 2 00 7 14 3 " 24 2 00 8 14 3 " 28 1 75 9 21 " 3 " 22 4 00 9a 21 " 3 " 24 3 co 9B 21 " 3 " 28 2 50 o 12 " 2 " 22 1 75 I 15 " 22 2 25 12 2 " 2>4 " 22 5o 13 2 " 3 " 22 60 SIZES AND PRICES. Sole Agents for Chicago. SHARP & SMITH, The Empire Elastic Bandage, Specially Adapted for Varicose Veins. Fig. 5052. THE ADVANTAGES OF THIS BANDAGE ARE: 1st. Its Porosity-It never causes itching, rash, or ulceration under the bandage. 2d. Its Elasticity, which will enable the surgeon or nurse to put it on at any required tension, and which will follow a swelling up or down, as the case may be, a feature unknown to any other bandage. 3d. Its Absorbent Properties. 4th. Its Easy Application to any part of the body, not being necessary to fold it over, as with other bandages, as it follows itself with equal uniformity around any part of the anatomy. 5th. Its Self-holding Qualities. No bother with pins, needles and thread, or strings, so tiresome to surgeons, as simply tucking the end under the last fold insures its permanent stay, until its removal for purpose of cleanliness. 6th. The only bandage that is Superior to the Elastic Stocking for varicose veins. 2 in. x 3 yds. (stretched) $0 30 in. x 3 yds. " 4° 3 in. x 3 yds. " 45 PRICE LIST OF EMPIRE ELASTIC BANDAGES. 2 in. x 5 yds. (stretched) $0 50 in. X5 yds. " 55 3 in. x 5 yds. " 75 SHARP & SMITH, CHICAGO. 807 MISCELLANEOUS RUBBER GOODS. SITWELL'S WATER BANDAGES.-Hot or Cold. No.l. No. 2. Head Handage. Abdomen. No. 3. No. 4. Spine. Throat A. Feed Tube. B. Discharge Tube. C. Circulating Tubes. Fig. 5053 No. 1, for the Head $ 7 50 " 5054 No. 2, for the Abdomen. 10x7 in. $5 50 10x12 in. 6 00 " 5055 No. 3, forthe Spine 4 00 " 5056 No. 4, forthe Throat 3 00 The above bandages will be found invaluable in the treatment of Brain Fever,. Concussion of the Brain, Sun Stroke, Typhoid Fever, Puerperal Fever, Diphtheria, and any ailments where the temperature requires to be diminished, sustained, or heightened. DWIGHT ROBERTS' PATENT HOT WATER BAGS. These bags are made of fine white rubber, vulcanized under the Goodyear Process, have nickel-plated stoppers, and are warranted perfect. The face bag (see Fig. 5057) is oval shaped, to use around the nose or face. The Throat Bag (see Fig. 5058) for Hot Water is curved to fit the neck, with a rubber band and buckle that holds the heat closely to the throat, opening the pores, and softening the skin. Fig. 5057 Roberts' Face Bag $075 . Fig. 5058 Roberts'Throat Bag.... $110 5059 Ice Bags, either of the above patterns each 1 10 808 SHARP & SMITH, CHICAGO. WATER COILS. Diameter 5 inch $ 1 15 " 7 " 1 50 " 9 " 1 85 " 11 " 2 25 13 " 2 65 " 15 " 3 00 Fig. 5060-Round Water Coils 5x3 inches $ I 15 7x4 " 15° 9X5 " 1 85 10x6 " 2 25 11x7 " 2 65 Hx8 " 3 00 Fig. 5061-Oblong Water Coils Fig. 5062-Square Water Coils 7 in. diameter, 4 in. deep $ 2 25 7 " " 5 " " 2 65 These coils (Fig. 5063) are made of extra heavy tubing, which will stand a reasonable amount of pressure without stopping the flow of water. Fig. 5063-Head Coils. 6x 6 inches $ 1 85 8x 8 " 2 25 ioxio " 3 00 12X12 " 3 75 14x14 " 4 50 Fig. 5063-A-Throat Coils. 9 in. X3 in ; $ 1 25 10 " X3 " 1 50 11 in. x3 in $ 1 80 12 " X3 " 2 10 These coils (Fig. 5063 A) are finished with rings at each end, and can be easily adjusted by means of a tape or string. These Ventilated Water Coils are for increasing, sustaining or reducing the temperature as may be desired. They are made (with the exception of the head coil. Fig. 5063) of light pure gum, steam cured tubing which gives water enough to produce the desired effect, reduces the weight and at the same time makes a coil which has a free passage through it, and is not liable to get clogged or stopped up. By leaving a space between each coil of the tubing, a free circulation of air is insured, the weight of the coil is reduced, and they will affect the temperature quicker than coils made without the air space. In addition to the cement used in putting the coils together, they are stitched with silk which increases the strength, and adds greatly to their durability. Coils of any shape or size made to order, of light or heavy tubing. MISCELLANEOUS RUBBER GOODS. *5065 Rubber Ice Cap, double $2 50 to $ 3 00 *5068 Spinal Ice Bags 1 50 to 2 00 *5069 No. 1, Spinal Ice Bag 50 *5070 No. 2, " " 50 *5071 No. 3, Head " 75 *5072 No. 4, " " 75 *5°73 Oval Gas Bags $ 3 00 to 8 00 *5076 Air Beds, with or without Pillow 25 00 to 50 00 CONTINUED ON NEXT PAGE. 809 SHARP & SMITH, CHICAGO. MISCELLANEOUS RUBBER GOODS. 5065 5071 5072 5069 5070 5o8o FIG. *5077 Water Bed$15 00 to 50 00 *5078 Air Pillow 2 00 to 3 50 *5080 Water Bags 4 co to 6 00 *5081 Water Bottles, from 1 quart to 1 gallon 1 50 to 3 00 *5082 Flannel Covered Water Bottles, from 1 quart to I gallon 1 75 to 3 50 *5083 Alpha Water Bottle 1 50 to 3 00 See pages 812 and 813 for further Prices and Description. 5073 5082 5083 5081 810 SHARP & SMITH, CHICAGO. MISCELLANEOUS RUBBER GOODS Fig. 5092-Half Round Chair Cushion$5 00 Fig. 5089-Chair Cushion, $400 to 6 00. Fig. 5086-Invalid Cushion $2 00 to 4 00. Fig- 5090-Square Reeded Chair Cushion$2 50 to 4 00 Fig. 5093 - Hospital Cushion, $5 00. Fig. 5084 - Goodyear Crown Water Bottle, $1 75 to 3 00. Fig. 5087-Chair Cushion, $3 50 to 4 00. Fig. 5091-Center Reeded Chair Cushion$2 50 to 4 00 *Fig. 5094 Alpha Triangular Invalid Cushion$2 00 to 3 50 Fig. 5095 Alpha Ventilated Invalid Ring 2 00 to 4 50 gee Page 813 for further Prices and Descriptions. SHARP & SMITH, CHICAGO. 811 MISCELLANEOUS RUBBER GOODS, 5098-No. 1. 5099-No. 2. 5100-No. 3. 5101-No. 4. 5113-No. 6, FIG. 5098- No. 1-Combination Bed Pan, with Funnel $5 00 5099- No. 2-Combination Bed Pan with Funnel and Inflating Tube 5 03 5100- No. 3-Combination Bed Pan with Funnel and Outlet Tube 6 00 5101- No. 4-Combination Bed Pan with Inflating and Outlet Tube 6 00 5113-No. 6 -Female Day Urinal 2 50 51O9-No. 4. 5106-No. i-A. 5110-No. 5. SHARP & SMITH. Fig. 5114-A. Hard Rubber Urinal . $5 00 Fig. 5108-No. 3. 5"4-B 5109- No. 4-Male Urinal (French Style) $3 50 5106-No. i-A-Male Urinal (large size) 1 75 5110- No. 5-Male Urinal. Day and Night 4 50 5108-No. 3-Long Male Urinal 2 00 5114-B-Instrument for Extrophy of the Bladder Fig. 5112-Long Female Urinal $2 50 Fig- 5105-No. 1-Male Urinal $1 50 Sharp Smith. Fig. 5096-Bed Pan.. $4 00 See page 814 for further Prices and Descriptions. 812 SHARP & SMITH, CHICAGO. MISCELLANEOUS RUBBER GOODS.-Net Prices. ICE CAPS. FIG. *5065 White Helmet Shape Ice Cap, No. 1 $ 1 50 *5065 " " " " " No. 2 1 75 *5065 " " " " " No. 3 2 00 5066 Pure Gum Flat Shape Ice Cap, No. 4 1 50 ICE BAGS. 5067 Pure Gum Throat Ice Bags, No. 1, 7 inches long $ 75 5067 " " " " " No. 2, 8 " " 75 5067 " " " " " No. 3, 9 " " 90 5067 " " " " " No. 4, 10 " " 90 5067 " " " " " No. 5, 11 " " 1 00 *5068 White Spinal Ice Bags, No. Il, 12 inches long 1 00 *5<"68 " " " " No. 12, 14 " " 1 00 *5068 " " " " No. 13, 16 " " 1 00 *5068 " " " " No! 14, 18 " " 1 25 *5068 " " " " No. 15, 20 " " 1 25 *5068 Pure Gum Spinal Ice Bags, No. 21, 12 inches long 1 25 *5068 " " *• " " No. 22, 14 " " 1 25 *5068 " " " " " No. 23, 16 " " 1 25 *5068 " " " " " No. 24, 18 " " 1 50 *5068 " " " " " No. 25, 20 " " 1 50 *5069 " No. 1 35 *5070 " " " " " No. 2. 35 *5071 " " Head " " No. 3 50 *5072 " " " " " No. 4 50 GAS BAGS. *5°73 Pure Gum or Slate Color Oval Gas Bags, 3 gallon $ 2 00 *SC»73 " " " " " " 5 " 250 *5°73 " " " " " " 8 " 325 *5073 " " " Jo " 5 25 5074 Slate Color Oblong Gas Bags 18x24 15 gallon 7 5° 5074 " " " " 20x30, 25 " 8 50 5074 " " " " 24x30, 35 " 11 25 5074 " " 30x40,55 " 1400 5075 Brass Stop Cocks for Gas Bags each-fo 75 to 1 00 AIR BEDS. *5076 Air Beds, No. 1, 32x80-with Pillow, $25.00 ; without Pillow $20 00 *5076 " No. 2, 42x80- " " 30.00; " " 26 50 *5076 " No. 3, 52x80- " " 38.00, " " 35 00 *5077 Water Beds, No. 1, 24x36 12 75 *5°77 " No. 2, 32x80 20 00 *5077 " No. 3, 42x80 26 50 *5°77 " No. 4, 52x80 35 co AIR PILLOWS. *5078 Air Pillows, No. 1, 9x13 $ 1 50 *5078 " No. 2, 10x16 2 co *5078 " No. 3, 12x18 2 25 *5078 " No. 4, 14x23 2 50 5079 (for Neck) 3 co WATER BAGS. *5080 Water Bags, No. 1, 13x15 $ 3 00 *5080 " No. 2, 14x14 3 00 *5080 " No. 3, 14x18 3 50 *5080 " No. 4, 16x16 3 50 *5080 " No. 5, 17x19 3 75 *5080 " No. 6, 18x18 3 75 SHARP & SMITH, CHICAGO. 813 MISCELLANEOUS RUBBER GOODS.-Net Prices. WATER BOTTLES. FIG. *5081 Rubber Cloth-Lined Water Bottle, No. 1, 1 quart $ 1 00 *5081 " " " No. 2, 2 " 1 25 *5081 " " " No. 3, 3 " ............................ 1 50 *5081 " " No. 4, 4 " 1 75 *5081 " " " No. 5, 5 " 2 00 *5081 " " " No. 6, 6 " 2 25 *5082 Rubber Cloth-Lined Flannel Covered Water Bottle, No. 1, 1 quart 1 25 *5082 " " " " No. 2, 2 *• 1 50 *5°82 " " " " No. 3, 3 " 1 75 *5082 " " " " No. 4, 4 " 2 oa *5082 " " " " No. 5, 5 " 2 25 *5082 " " " " No. 6, 6 " 2 50 *5083 The Alpha Rubber Water Bottle, 1 quart 1 10 *5083 " " " 2 " 1 35 *5083 " " " 3 " 1 65 *5083 " " " 4 " 1 95 *5083 " " " 5 " 2 25 *5084 The Goodyear Crown Rubber Water Bottle, 2 quart 1 25 *5084 " " " " 3 " 1 50 *5084 " " " " 4 " 1 75 5085 Fountain Syringe Attachment for Water Bottle set 75 INVALID CUSHIONS. *5086 Invalid Cushion, White or Slate Color, No. 1, Diameter, pinch .$ 1 25 *5086 " " " " " No. 2 " 10 " 1 50 *5086 " " " " " No. 3 " 11 " 1 75 *5086 " " " " " No, 4 " 12 " 1 75 *5086 " " " " " No. 5 " 13 " 2 00 *5086 " " " " " No. 6 " 14 " 2 00 *5086 " " " " " No. 7 " 15 " 2 25 *5086 " " !* " " No. 8 " io " 2 25 *5086 " " " " " No. 9 " 17 " ;.. 2 50 *5°86 " " " " " No. 10 " 18 " 2 75 CHAIR CUSHIONS. *5087 Round Chair Cushion, Rubber and Cloth, No. 1, Diameter, 15 inch $ 2 25 5088 " " " " No. 2, " 17 " 2 75 *5089 Invalid " " " No. 1, with Back and Seat, 16x16 each 5 co *5089 " " " " No. 2, " " (16x16) " 16x18. " 5 50 *5089 " " " " No. 3, " " (16x18) " 18x18. " 6 00 *5089 " " " " No. 4, " " (18x18) " 18x20. " 6 25 *5090 Chair Cushion, Square Reeded, No. 1, 12x16 1 75 *5090 " " " No. 2, 14x16 2 00 *5090 " " " No. 3, 16x16 2 25 *5090 " " " No. 4, 16x18 2 50 *5091 " " Center Reeded, No. 5, 12x16 1 75 *5091 " " " No. 6, 14x16 2 00 *509! " " " No. 7, 16x16 2 25 *5091 " " " No. 8, 15x18 2 50 *5092 " " Half Round 3 50 *5093 Hospital Cushion 3 00 *5094 Alpha Invalid Cushion, No. I, 13 inch 1 50 *5°94 " " " No. 2, 15 *• 1 75 *5094 " " " No 3, 17 " 2 00 5095 Alpha Ventilated Invalid Cushion, No. 1, 9 inch diameter 1 25 5°95 " " " " No. 2, 10 " " 1 40 5C95 " " " " No. 3, 11 " " 1 50 5°9S " " " " No. 4, 12 " " 1 60 5C95 " " *' " No. 5, 13 " " 1 75 5°95 " " " " No. 6, 14 " " 1 85 5095 " " " " No. 7, 15 " " ... 1 95 5°95 " " " " No. 8, 16 " " 2 00 S^1) " " " " No. 9, 17 " " 2 10 5095 " " " " No. 10, 18 " " 2 25 814 SHARP & SMITH, CHICAGO. MISCELLANEOUS RUBBER GOODS-Net Prices FIG. BED PANS. *5096 Plain Round Bed Pan $ 2 75 5097 " " " " with Discharge Tube 3 50 *5098 Combination Bed Pan, No. 1, with Funnel, old style 3 50 *5°99 " " " No. 2, Inflating Tube, new style 3 5° *5100 " " ' No. 3, with Funnel and Outlet Tube 4 00 *5101 " " " No. 4, with Inflating and Outlet Tube 4 00 5102 Emmet's Bed Pan 3 75 5103 Drakely's Bed Pan 3 75 5104 " " " and Douche 5 00 5104-A Earthen Bed Pan 1 00 Jones' Bed Pan and Douche, see page 644. URINALS. *5105 Pure Gum Male Urinal, No. I, for day use. $ 1 00 *5106 " " " No. 1-A, for day use (large size); 1 15 *5107 " " " No. 11, for day use (child's) 1 00 *5108 " " " No. 3, for day and night use 1 25 *5109 " " " No. 4, for day use 2 25 *5110 " " " No. 5, for day and night use 3 00 5111 " " " No. 15, for day and night use. Style of No. 5 (child's size) 2 50 *5112 Pure Gum Female Urinal, No. 2, for day use 1 50 *5113 " " " No. 6, for dayuse 2 25 5114 " " " No. 16, for day use 2 00 *5114-A Hard Rubber Urinal 3 75 5114-B Instrument for Extrophy of the Bladder RUBBER TUBING 5115 Pure Gum Black Rubber Tubing, 3 inch per foot $0 18 5116 " " " " " 15 5117 " " " | " " 12 5118 " " " A ' " 10 5119 " 8 " " 08 5120 White Rubber Tubing, 1 inch " 25 5121 " " " J " " 20 5122 " " " | " ... " 18 5123 " " " I " " 14 5124 " " " tbs " 12 5125 " " " | " " n 5126 " " " T36 " " 8 5127 " " " J " •_ (( 5 Rubber Drainage Tubes and Tubing, see " Miscellaneous and General Surgical Necessities, and " Index." Fig. 5128.-Fairbanks' Improved Fountain Syringe. This Syringe, like all of our Fountain Syringes, has all Hard Rubber Tubes. The Tubes fit in a "rack " in top of case, and include a Vaginal Irrigator Tube in addition to the other tubes which go with all Fountain Syringes. These Syringes are put up in fine Polished Wood Cases. Price $1 25 to 2 25 SHARP & SMITH, CHICAGO. 815 FOUNTAIN SYRINGES. Fig. 5133-Household Fount- ain Syringes, $1 25 to 2 25. Fig. 5134-Mattson's Irriga- tor Fountain Syringe, $2 00 to 3 00 Fig. 5135-Mattson's Combina- tion Fountain Syringe, show- ing Water Bag ready for use. > Fig. 5135-Mattson's Com- i bination Syringe, Syphon Shape. Fig. 5136-The Home Fountain Syringe$2 00 to to 3 50 Fig. 5135-Mattson's Combination Fountain Syringe. Bag detached from Syringe, to be used as a water bottle. Fig- 5T35-Mattson's Combination Fountain Syringe. Bag on shelf ready for use. Fig. 5135-Mattson's Combination Syringe $2 50 Fig. 5149-Goodyear Crown Fountain Syringe $1 75 to 2 50 816 SHARP & SMITH, CHICAGO. FOUNTAIN AND BULB SYRINGES Fig. 5157.-Magnum Syringe, No. 2, 75c. Fig- 5168. - Davidson Syringe, No. 1, $2 50 Fig. 5137.-Alpha Fountain Syringe$1 50 to 2 50 ALPHA ALPHA "E" CONTINUOUS FLOW Fig 5T53--Alpha "E", continuous flow Syringe $1 50 Syringe. SYRINGE. Fig. 5152.-Alpha "D", continuous flow Syringe $2 00 CONTINUOUS FLOW. Fig. 5170.-Large Bag Rectum Syringe.. $2 50 OMEGA No. 3. See page 818 for other prices and descriptions. Fig. 5155.-Omega "No. 3", con- tinuous flow Syringe $1 50 SHARP & SMITH, CHICAGO. 817 BULB SYRINGES 5166 FIG. *5166 Mattson's No. 1, Family Bulb Syringe$2 50 *5169 Goodyear Crown Bulb Syringe, No. 513 1 25 Fig. 5163. Mattson's No. 1, Irrgator Bulb Syringe $2 50 Fig 5167. Physicians' Compan- ion Syringe $2 50 Fig. 5161.-Mattson's No. 1, Royal Bulb Syringe $1 50 Fig. 51?1 • Grenoble Syringe, No. 4 $2 00 See Page 819 for other Prices and Descriptions. 818 SHARP & SMITH, CHICAGO. SYRINGES AND BULBS. 5173 5172 5174 5I9I 5175 5176 5177 5188 5189 FIG. *5172 Pure Gum Ulcer and Ear Syringe $ 75 *5173 Eye and Ear Syringe 1 00 *5174 Bulb Urethral Syringe, Glass Tip 1 00 *5175 Bulb Ear Syringe, Glass Tip, 85 *5176 Single Neck Atomizer Bulb 25 *5177 Double Neck Atomizer Bulb .. 25 *5188 Single Neck Syringe Bulb 25 *5189 Double Neck Syringe Bulb 25 *5191 Dissecting Gloves, perpair $1 25 to 1 50 FOUNTAIN SYRINGES *5128 Fairbanks Fountain Syringe, No. i, I pint . •. $1 oo *5128 " " " " 2, 1 quart I 25 *5128 " " " " 3, 2 " 1 50 *5128 " " " " 4, 3 " 2 00 5129 Climax " " " 1, 1 pint 1 00 5130 " " " " 2, 1 quart 1 20 5C31 " " " " 3, 2 " 1 55 5'32 " " " " 4, 3 " 1 70 *5133 Household " " " n, 1 pint 1 50 *5133 " " " " 12> 1 quart 1 25 *5133 " " " " 13, 2 " 1 35 *5133 " " " " 14. 3 " 1 50 *5133 " " 15, 4 " 1 75 *5134 Mattson's Irrigator Fountain Syringe, No. 1, 2 quart 1 50 *5134 " " " " " 2, 3 " 1 75 *5134 " " " " " 3,4 " 200 *5135 " Combination " " 3 " 1 50 SHARP & SMITH, CHICAGO. 819 FIG. *5136 The "Home" Fountain Syringe, No. 2, 1 quart $1 50 *5136 " " " " " 3. 2 " 1 75 *5*36 " " " " " 5> 3 " 2 00 *5137 The "Alpha" " " " 2, .... 1 25 *5'38 " " " " " 3. 1 75 *5139 " " " " " 4, 2 00 *5140 Goodyear Crown " " " 2, 1 quart 1 25 *514° " " " " " 3, 2 " 1 50 *5140 " " " " " 4. 3 " 1 75 5141 Fountain Syringe Attachment for Water Bottle Set 75 5142 Glass Vaginal Syringe Tubes • each, 15 5143 Hard Rubber Vaginal Syringe Tubes . " 25 5144 Glass Rectal Syringe Tubes " 10 5145 Hard Rubber Rectal Syringe Tubes " 15 BULB SYRINGES. 5146 The "Lady's" Syringe $2 50 5147 Molesworth's Vaginal Syringe No. 1 1 25 5U7 " " " " 2 1 25 5147 " " " " 3. 1 25 5148 "Atlas" Hard Rubber Vaginal Syringe 1 50 5149 "Alpha" "A" continuous flow " ,, I 50 5*50 " "B" " " " 1 50 5*51 " "C" " " " 1 75 *5*52 " "D ' " 1 35 *5*53 " "E" " " " 1 25 5*54 " "I" " " " 1 00 *5155 "Omega" No. 3 " " " I 00 5156 Indispensable Cup Vaginal Syringe 300 5157 Hawley's Vaginal Syringe 2 50 5158 Magnum, No. 1, Bulb Syringe . 60 *5*59 " " 2, " " 50 5160 Chamberlain's Vaginal " 1 75 *5161 Mattson's No. 1 Royal " 1 00 5162 " " 2 " " 1 25 *5:63 " " 1 Irrigator " I 75 5164 " " 2 " " 1 25 5165 " " 3 " " 1 00 *5166 " " 1 Family " 1 25 *5167 The Physician's Companion Syringe 2 50 *5168 " Davidson Bulb Syringe No. 1 1 50 *5169 " Goodyear Crown Syringe No. 513 75 *5170 Large Bag Syringe for Rectum Injections. 1 75 *5171 Grenoble No. 4 Bulb Syringe 1 50 MISCELLANEOUS SYRINGES AND TUBES. *5172 Pure Gum Ulcer and Ear Syringe $0 40 *5173 Eye and Ear Syringe, Metal Pipes 50 *5174 Bulb Urethral Syringe Glass Tips .' 75 *5175 " Ear " " " .... 6o BULBS. *5176 Single Neck Atomizer Bulb $0 25 *5177 Double " " " 25 *5188 Single " Syringe " 25 *5189 Double " " " 25 5190 Dissecting Sleeves, per pair 1 24 *5*9* " Gloves, Gents', per pair .. 1 50 *5191 " " Ladies', " 1 25 RUBBER SHEETING. 5192 % yard wide Rubber Sheeting, per yard $0 60 5'93 1 " " " " ' " 75 5194 " " " " " 1 00 5195 1% " " " " " ... 1 25 820 HARD RUBBER SYRINGES. No. Each. 112 $2 OO 113 2 OO 114 3 00 20 75 No. Each. 30 $1 OO 20 Shield 1 00 30 " 1 50 3 Extra Long Pipe... 1 25 No. Each. 4-A Extra Long Pipe. ..$2 00 Dental 75 Ear 1 00 Catarrhal 1 25 No. Each. 97 $ 75 98 50 gg 60 100 50 101 60 60 No. Each. 103 $ 75 104 I co 105 I 25 106 I 75 107 2 50 No. Each. 108 $i 75 log 2 50 110 1 50 no Shield 1 75 in 2 00 SHARP & SMITH, CHICAGO. 821 ELECTRIC BATTERIES AND APPARATUS. McINTOSH BATTERIES-Discount 20 per cent. Fig. 5250.-McIntosh Family Faradic Battery . ...$1000 There is a constant demand for a low priced Faradic Battery, not a mere toy, such as is offered to the public, but one made of good material, in a substantial mauner, and that will give a smooth, even current, suitable for family use. This -has induced us to make the above battery, which we be- lieve will meet this want. It is made on the same principle as our higher priced Faradic Batteries, and is portable. It is not iniended to take the place of the physician's bat- tery, but for domestic use. It is put up in a neat black-walnut case 6| inches long, 6 inches high, and 5 inches wide, with lock and han- dle, and furnished with electrodes and conducting cords, all the metal is finely nickel plated. Fig. 5251.-McIntosh Physicians' Faradic Battery. It has a hard rubber cell and drip-cup. First-class induction coil, with polished hard rub- ber ends and cover. The coil, binding posts and rheotome are placed on the upper surface of a polished hard rubber plate, the under surface of which is covered with soft rubber, and also holds the zinc and carbons. When the elements are removed from the cells and placed in the drip- cup, this plate is securely clamped over them, and makes them water tight. The connections of the coil with the zinc and carbons are permanent. To use this battery, it is only necessary to loosen the thumb-screws and raise the elements from the drip cup and place in the cell, and the battery will commence to work at once; connect one end of the conducting cords with the binding posts, and the others with the sponge elec- trodes, and it is ready to use. It is very convenient for a physician's visiting battery, or family use, as it is light and per- fectly portable, and gives sufficient strength to treat any case where the Faradic or induced cur- rent is needed. Price of battery with first-class sponge electrodes, and our new cable conducting cords... .$18 oo 822 SHARP & SMITH, CHICAGO. ELECTRIC BATTERIES AND APPARATUS, McINTOSH BATTERIES-Discount 20 per cent. In a polished black-walnut case, 10% inches long, 8% inches wide, 7% inches high, metal work all nickel-plated, lock and handle, sponge electrodes, cable conducting cords, and hard rubber electrode box. This is a very con- venient visiting Battery, as it only weighs eleven pounds, and gives a galvanic current of sufficient intensity to treat any case where it is indicated. Price $30 00 Fig. 5252.-Twelve-Cell Galvanic Battery. Fig. 5253.-Twelve-Cell Combined Galvanic and Faradic Battery. Same style of case and finish as the above, 13% inches long, 8% inches wide, inches high, with first-class Faradic Coil, polished hard rubber ends and cover, extra large cell to run the coil, electrodes, our new cable conducting cords and hard rubber electrode box. This Battery gives a galvanic current same as above described, and a Faradic current of sufficient strength to treat any case. Price $40 00. SHARP & SMITH, CHICAGO. 823 ELECTRIC BATTERIES AND APPARATUS. McINTOSH BATTERIES-Discount 20 per cent. Ina polished black walnut case, 14% inches long, inches wide, inches high, with lock and handle, metal work all nickel plated, first class sponge electrodes, cable conducting cordsand hard rubber electrode box. This is the most convenient size for a physician's use, as it gives a powerful current, and weighs but little over 15 pounds. Price $40 00. Fig. 5254.-Eighteen-Cell Galvanic Battery. Fig. 5255.-Eighteen-Cell Combined Galvanic and Faradic Battery. Same style of case and finish as the above, 17 inches long, 8J4 inches wide, 7% inches high, with first class Faradic Coil, polished hard rubber ends and cover, extra large cell to run the coil, sponge electrodes, cable conducting cords, and hard rubber electrode box. This is the most con- venient Battery for a physician's use, as it gives a very intense galvanic current, and a Faradic current of sufficient strength to treat any case, and is perfectly portable. Price $52 50. 824 SHARP & SMITH, CHICAGO. ELECTRIC BATTERIES AND APPARATUS. McINTOSH BATTERIES-Discount 20 per cent. Fig. 5256.-Twenty-Four-Cell Galvanic Battery. Same style case, finish, electrodes and cords as the eighteen-cell battery. Case is 18 inches long, inches wide, and 7X inches high, with lock and handle and hard rubber electrode case; weighs less than 20 pounds. This battery gives a galvanic current of great intensity, sufficient to treat any case where it is indicated. Price $55 00. Same style of case and finish as the above, inches long, 8J inches wide, 7% inches high, with first-class Faradic Coil, polished hard rubber ends and cover, extra large cell to run the coil, sponge electrodes, cable conducting cords, and hard rubber electrode box. This battery gives same intensity of galvanic current as the above, and a Faradic current of sufficient strength to treat any case. It weighs only 24 pounds, and is perfectly portable. Price$67 50 Fig. 5257.-Twenty-Four-Cell Combined Galvanic and Faradic Battery. SHARP & SMITH. CHICAGO. 825 ELECTRIC BATTERIES AND APPARATUS. McINTOSH BATTERIES-Discount 20 per cent Fig. 5258.-McIntosh table battery. This was designed by Dr. McIntosh to meet the wants of physicians who desire a compact and complete office battery. This arrangement is a beautiful piece of work. The following accessories, finely nickel plated, are tastefully arranged on a board of polished hard rubber, 12x16 inches: A Galvanic Switch for thirty-two to sixty cells; an Automatic Rheotome, giving fast or slow inter- ruptions; Galvanometer; Pole Changer; Current Indicator; Binding Posts; large Faradic Coil, with polished hard rubber ends and cover; a Coil Rheostat of twenty-five coils of one hundred ohms' resistance each, whereby from one hun- dred to two thousand five hundred ohms' resistance can be brought into either the Galvanic or Faradic circuit, by simply moving the circular switch. This can be furnished in black-walnut case, on an office table or cabinet case. This is a very perfect and elegant piece of work, and receives the approval of physi- cians at sight. Each instrument is furnished with a thirty-two cell Gravity Battery and connections. This battery can be placed in a closet or a cellar, out of the way, as it requires but very little attention. Price, as above described, in polished black-walnut case, with Gravity Battery$150 00 Any kind of battery cell furnished with the cost of the change added to the above price. 826 SHARP & SMITH, CHICAGO. DESCRIPTION OF THE McINTOSH COMBINED GAL- VANIC AND FARADIC BATTERY. Fig- 5259> No. 1, shows the hard rubber plate of a section (on the under surface of which is cemented a sheet of soft vulcanized rubber) and binding posts which project through the hard and soft rubber, and screw into the brass piece holding the zinc and carbon couples. The rubber plate on which the couplesare clamped project over one side enough to cover the cells when the zinc and carbon plates are placed in the drip-cups. When the cells are not in use, and the lid of the Bat- tery box is closed, it presses on the spring handle of the section (5259, No. 1) and holds the soft rubber firmly over the cells and drip-cup. By this arrangement the hydrostat is made water-tight. Fig. 5260, No. 2, shows a section of six cells and a drip-cup, made of one piece of hard vul- canized rubber. The drip cup is to receive the zinc and carbon couples when not in use. Fig. 5259, No. 1. Fig. 5260. No. 2. Fig. 5261, No. 3. Fig. 5262, No. 4. An extra cell of large size is added to the combined Battery for the purpose of running the Faradic Coil (Fig. 5261, No. 3). This renders the Battery more perfect than any yet offered to the profession. This extra cell gives sufficient power for the Faradic current, and the operator is not obliged to connect and exhaust the current from the galvanic cells. If greater strength is ever needed in an emergency than the extra cell gives, the galvanic cells can be connected with the coil. (See directions). The Faradic Coil (Fig. 5262, No. 4) is securely fastened on a plate of polished hard rubber, which serves for a cover to the large cell and drip cup, and to hold the elements. Soft rubber is cemented on the under side of this plate, which is securely clamped over the cell and drip-cup, when the lid of the Battery box is closed, by means of pressure on the spring fastened on the coil. Each Battery is furnished with a hard rubber Electrode box, which is placed in the cover of the Battery. This Combined Battery gives greater quantity and intensity than any ever offered to the profession. It weighs less, occupies less space, and is perfectly portable. SHARP & SMITH, CHICAGO. 827 LEE'S IMPROVED GAIFFE POCKET BATTERY With either Closed or Open Cell. Generating Four Currents 1st. Posts 2 and 3 the Primary. 2d. Posts 1 and 2 the Secondary. 3d. Posts 1 and 3 the Combined. 4th. Shocks or Shocking Current. Explanation of Electrodes and Accessories which go with this Battery. A. Positive Pole. B. Negative Pole. C. Springs to hold Cell. D. GaifTe Cell. E. Nickeled Cylinder Handles. F. Sponge Electrode. G. Tinsel Brush Electrode. H. Olive Pointed Electrode. I. Bottle Bisulphate Mercury. J. Universal Celluloid Handles. K. Current Regulator. L. Rheotome. M. Rheotome Regulator. N. Current Switch. O. Cord Tips. [Cords. P. R. Doubly Insulated Silk S. Insulators for Tips. T. Circular Exciter Electrode. The Battery is sold with either the GaifTe (open cell), or with the improved closed cell, whichever is wanted by the purchaser. Price complete, with all Electrodes, $10 00. Discount 25 per cent. U. Lee's Improved Closed Cell. 828 SHARP & SMITH, CHICAGO. ELECTRIC BATTERIES AND APPARATUS. Flemming's Batteries Discount 20 per cent. THE CLIMAX. A Portable Faradic Battery. Pat. July 4, 1871. Pat. Aug. 13, 1885. This battery is encased in a neatly fin- ished box, polished cover. Its construction is very simple, yet the manufacturer has retained many improvements that have here- tofore been employed only on more expen- sive machines. One very essential feature of this battery is, that it can be carried about without spilling any of the fluid, the cell being closed by means of a soft rubber stopper of the best quality. Into this stopper are fitted acid proof stoppers, to which are attached the elements; these can easily be removed, as wel-l as the soft rubber stopper, the latter being re- moved only when the jar is to be filled. Price $3 5° net. Fig. 5266. No. o. Fig. 5267. No. 1. Fig. 5268. No. 2. No. o FARADIC BATTERY. Nickel plated, polished case with carrying handle, cotton covered cords, one regular sponge electrode, and one tubular tin handle. Price $12 oo No. i FARADIC BATTERY. Very complete and highly finished; specially adapted for applications in muscular paralysis. Price $15 00 No. 2 FARADIC BATTERY. Finished as well as the No. 1 Battery, but coil one inch longer, and therefore more power- ful, with the addition of a Commutator. Price $20 00 SHARP & SMITH, CHICAGO. 829 FLEMMING'S BATTERIES.-Discount 20 per cent No. 3-FARADIC BATTERY. This Battery is the finest and most complete of its kind ever manufactured. It is provided with a slow and a rapid Rheotome, or current interrupter; a Commutator, or polarity changer; Scales, by which the primary and secondary cur- rents may be graduated to the utmost delicacy or the greatest power; and with our new patent Galvanic Cell. This cell, which is charged with a solution of bi-chromate of potassium, is so made that when not in action, the zinc is taken out of it altogether, and placed in a vulcanite cell provided for the purpose. The aperture through which it passes is covered by a rubber hydrostat, making the cell perfectly fluid-tight, and saving both the fluid and the zinc from the effect of splashing in transportation, or of immersion in case of upset- ting. By this plan also, the cell can be filled nearly to the top and the zinc be made twice the usual length; it will thus produce a stronger ; current, and last a longer time. This Battery is inclosed in a handsome walnut case, 7Xx7^x8/4 inches, has all its metallic parts finely nickel plated, and weighs, when charged, only ten pounds. 5269 Fig. 5269.-No. 3 Flemming's Faradic Battery, $30 00 5270 Cell for Faradic Battery, $3 co 527* Flemming's Table Battery, $200 00 to $250 00 830 SHARP & SMITH, CHICAGO. ELECTRIC BATTERIES AND APPARATUS. Flemming's Batteries Discount 20 per cent. Fig. 5272--Flemming's Cabinet Battery $30000 SHARP & SMITH, CHICAGO. 831 ELECTRIC BATTERIES AND APPARATUS. FLEMMING'S NEW IMPROVED PORTABLE CONSTANT GALVANIC CURRENT BATTERY Discount 20 per cent. Price, 10 Cell Battery $25 00 " 20 " " 45 00 " 30 " " 65 00 " 40 " " 80 00 Price, 60 Cell Battery$10000 Galvanoscope 5 00 Automatic Rheotome 10 00 Fig. 5274.-AUTOMATIC RHEOTOME. For interrupting the constant current once, twice, four, and eight times a second. It can be attached to any form of Galvanic Battery. Price $12 00 832 SHARP & SMITH, CHICAGO. ELECTRIC BATTERIES AND APPARATUS. FLEMMING'S BATTERIES-Discount 20 per cent. Fig. 5275.-Flemming's Constant Battery, $90 00. Fig. 5276.-ELECTROLYTIC NEEDLE. Case containing six Electrolytic Needles, gilt points, straight and curved, with conducting cords. Price $7 00. Single Needle $1 25. Fig. 5277.-Electrodes. Case containing 20 Electrodes and Conducting Cords$20 00 833 SHARP & SMITH, CHICAGO. ELECTRIC BATTERIES AND APPARATUS. KIDDER'S BATTERIES-Discount 2O«per cent. 5278 5279 *5278 Kidder's Physicians' Visiting Battery, No. 2 $27 00. Nickel-Plated $3° 00 » „ << •< " ' a 27 00. " ...... 30 00 *5279 J ' Fig. 5280.-Kidder's Office Battery $2° 00 834 SHARP & SMITH, CHICAGO. ELECTRIC BATTERIES AND APPARATUS. KIDDER'S BATTERIES-Discount 20 per cent. Fig. 5281.-Kidder's No. 1, Physicians' Office Apparatus, large size, $50 00. Sharp & Smith, Western Agents, 73 RANDOLPH STREET, CHICAGO, ILL. SHARP & SMITH, CHICAGO. 835 ELECTRIC BATTERIES AND APPARATUS KIDDER'S BATTERIES-Discount 20 per cent. DR. KIDDER'S MPROVEU TIT* BATTERY, TEN CURRENT ELECTRO-MEDICAL APPARATUS. NEW YORK. The Batten is charged or uncharged by merely tipping it I one way or'the other, and is a perfect hydrostat, to be I carried without spilling the fluid. Medal of Special Award, by the American Institute, to I Jerome Kidder, M.D., for the best Electro-Medical Ap- I paratus yet invented. Fig. 5282.-Kidder's Improved Tip Battery$27 00 SHARP & SMITH, Western Agents, 73 Randolph St., Chicago, Ill. 836 SHARP & SMITH, CHICAGO. ELECTRIC BATTERIES AND APPARATUS. Fig. 5283.-Kidder's Family Six-Current Elec- tro Medical Apparatus, in more compact form, for family use. Price, with Handles and Sponge Holder, $14 40, net. 5284 Fig. 5284.-FLORENCE FARADIC BATTERY. Hinged Rod, patented Feb. 1, 1870; Hydrostat, patented July 18, 1871; Perforated Spring Connection, patented Aug. 18, 1885. This battery is manufactured with the special view of producing a machine adapted to family use. It has been the object of the manufactu- rers to simplify as much as possible, retaining at the same time all the latest improvements which make our Electric Apparatus so famous. All metal parts nickel-plated, with "Drescher's" pat- ent Hard Rubber Hydrostat, silk covered con- ducting cords, etc., it represents a battery of at least three times its cost. The object of the manufacturers has been to keep the price within such limits that the machine is within the reach of all. $6 00, net. Fig. 5285.-Smith & Shaw Battery, 1 cell, $7 50; 2 cells, $10 00, net. Acid-tight Cell, for Smith & Shaw Battery. Fig. 5286.-Electric Dumb Bell, $9 oo, net, pair.-5286. In use. SHARP & SMITH, CHICAGO. 837 ELECTRIC BATTERIES AND APPARATUS. Fig. 5287.-Sharp & Smith Pocket Battery, $6 00, net. Fig. 5288.-Davis & Kidder's Crank Battery, $8 00, net. Fig. 5289.-Gaiffe's Battery, $7 50, net. Fig. 5290.-Drescher's Pocket Battery, No. 3, $9 00, net. Fig. 5291.-Drescher's Pocket Battery, No. 2, $7 50, net. Fig. 5292.-Drescher's Pocket Battery, No. 1, $5 00, net. 838 SHARP & SMITH, CHICAGO. McINTOSH'S BATTERY ELECTRODES. Discount 20 per cent. Fig- 5300-Wheel Electrode of Hard Rubber, set with metallic points for muscular Faradization; universal hard rubber handle, with current interrupter $ 5 00 Handle, without wheel 3 00 Fig- 5301-Universal Handles, with Sponge- covered Disks,.......per pair $1 50 Fig. 5302A - Sponge-covered Electrode, Insulated with Soft Rubber, for general application with hand, $1 50. Fig- 53O2-Sponge-covered Foot Plate, Insulated on one side with Soft Rubber, to prevent wetting carpet $5 00 Fig. 5304-Holder for large Sponge, with Universal Handle, $1 50; without, $1 00. Fig. 5303-Sponge Cup, with Universal handle, $1 00 without 50 Fig. 5305-Sponge-covered Electrode, with long handle, to be used under the clothing, $1 50 SHARP & SMITH, CHICAGO. 839 McIntosh battery electrodes. Discount 20 per cent. Fig. 5306.-Ball Rectal Electrode, Insulated, $1 25 6 -1- Fig. 5307.-Rectal Electrode, Nickel Plated, $1 25 Fig. 53°8.-Rectal Electrode, Insulated with Polished Hard Rubber, $2 00 Fig. 5309.-Rectal Electrode, large, Nickel Plated, $1 40 Fig. 5310.-Vaginal Electrode, Nickel Plated, $1 5° Fig. 53M Tonsil Elec- trode, Nickel Plated, $i oo Fig. 5311.-Vaginal Electrode, Insulated with Polished Hard Rubber, $2 50 Fig. 5312.-Nasal Electrode, Nickel Plated, $1 00 Fig. 5313.-Small Aural and Nasal Electrode, 75c. Fig. 5316.-Comb Electrode, Nickel Plated, $1 50 Fig. 5315 Tongue Plate Electrode, In- sulated, $1 00 Fig- 53tS.-Metallic Brush, $r oo 840 SHARP & SMITH, CHICAGO. McIntosh battery electrodes. Discount 20 per cent. 18-19 5319-5320 5317 Cup Shape Electrode for Uterus. Three Sizes. FIG. *5319 and 5320 Olives, different sizes, which may be attached to Nos. 20, 21, 22, for Uterus or Urethra each $ o 20 *5321 (cut 20) Spiral Flexible Uterine or Urethral Electrode 1 25 *5322 (cut2i) " " " " " Insulated 1 25 *5323 (cut 22) Elastic Electrode, for conveying both currents to the Uterus or Urethra, 3 00 *5324 (cut 23) Metallic Catheter, Silver 2 50 *5325 (cut 24) Metallic Catheter, Silver 2 50 *5326 (cut 25) Laryngeal Electrode, Nickel Plated 1 00 *5327 (cut 26) Duchenne's Metallic Points, for Muscular Faradization, Gold Plated per pair, 2 50 *5328 (cut 27) Small Sponge Electrode, for external application to the larynx 1 50 *5329 (cut 28) Laryngeal Electrode, with Sponge Tip 50 SHARP & .SMITH, CHICAGO. 841 McINTOSH BATTERY ELECTRODES. Discount 20 per cent. FIG. *533° (cuts 29 and 30) Neck and Arm Electrode $ 2 00 *5331 (cut 31) Ear Electrode 2 75 *5332 (cut 32) Ball Electrode 75 *5333 (cut 33) Disk Electrodes, three sizes each, 50 *5334 (cut 34) Eye Cup Electrode, new style 2 00 *5335 (cut 35) Hair Brush Electrode 2 50 *5336 (cut 36) Metallic Scourge, Nickel Plated 75 *5337 (cut 37) Small Eye Electrode . 75 *5338 (cut 38) Metallic Points for Faradizatkm 1 00 *5339 (cut 39) Dental Electrode too 842 SHARP & SMITH, CHICAGO. McINTOSH'S BATTERY ELECTRODES Discount 20 per cent. FIG. *5340 (cut 40) Metallic Handles per pair, $ 1 50 *5341 (cut 41) Pole Changer, Handle of Hard Rubber 5 00 *5342 (cut 42) Vaginal Electrode, for both currents, Insulated in the center, Nickel Plated 4 00 *5343 (cut 43) Vaginal Electrode, for both currents, Insulated in halves 4 00 *4344 (cut 44) Sponge Holder and Current Breaker, Handle Hard Rubber 4 00 " without Handle 1 00 *5345 (cut 45) Sponge Cup,'Nickel Plated each, 50 *5346 (cut 46) Disk Electrode, with Insulated Points.. - 1 00 *5347 (cut 47) Needles for Electrolysis. Straight, half-curved, full-curved, flattened needles (shown in cut full size). Extra heavy triple Gold Plated (Insulated), Price of Nos. 1/2, 3, 4, 5, each, $1 00. Platinum Needles, each from $2 00 to 4 00 SHARP & SMITH, CHICAGO. 843 McIntosh battery electrodes. Discount 20 per cent. Fig. 5348 (cut 48)-Double Ear Electrode, Insulated $2 00 Fig. 5349 (cut 49)-Needle Holders, with Cord and Tips to hold 1, 2, 3, 4, 5 or 6 Needles of any size. Price without Needles, 60c., $1.00, $1.25, $1.50, $1.75 and $2.00 Fig. 5350-Metallic Sound Nickel Plated 75c. Fig. 5351 (cut 51)-Uterine Electrode, with Cup and Stem, Insulated $2 50 844 SHARP & SMITH, CHICAGO. McINTOSH'S and FLEMMING'S BATTERY ELECTRODES. Fig- 5353 (Cut 53).-New Style of Rectal Electrode, Insulated. Price $2 50 (Discount-20 per cent.) Fig. 5352 (Cut 52).-Metallic Foot Plate. Price $1 co (Discount-20 per cent.) FLEMMING'S ELECTRODES.-Discount 20 percent. Physicians selecting and ordering Fdectrodes from our list can have them fitted in velvet-lined morocco cases, at a cost of from $2.00 to $5.00 each. We can furnish Electrodes in cases to order, from $15.00 to $50.00, and we also keep the following described cases in stock. The selections are made so as to give as complete a set for the price as possible. Fig. 5354.-Electrode Case, No. 1-Containing: 1 Wheel Electrode with Universal Handle of Polished Rubber, Wheel of the same material, set with Metallic Points, for Muscular Faradization. 1 Holder for large Sponge, Nickel-Plated. 1 Rectal Electrode, Insulated with Polished Hard Rubber. 1 Vaginal Electrode. 1 Tongue Electrode. 1 Cup-Shaped Uterine Electrode. 1 Metallic Brush. 1 Uterine or Urethral Electrode, Insulated with Polished Hard Rubber. 1 Spiral Flexible Uterine or Urethral Electrode, Insulated. 1 Laryngeal Electrode, with Sponge Tip, insulated with Polished Hard Rubber. 1 Ear Electrode, Insulated with polished Hard Rubber. 1 Eye Cup Electrode, new style. 1 Hair Brush Electrode. 1 Needle Holder for Electrolysis, with two needles. Price $30 00 Fig- 5355--Case No. 2-Containing : 1 Universal Sponge Holder, Nickel-Plated. 1 Rectal Electrode, Nickel-Plated. 1 Vaginal Electrode, Nickel-Plated. 1 Nasal Electrode, Insulated with polished Hard Rubber. 1 Cup Shaped Uterine Electrode, Insulated with polished Hard Rubber. 1 Spiral Flexible Uterine or Urethral Electrode, Insulated. 2 Duchenne's Points, Nickel-Plated. 1 Ball Electrode, Nickel-plated. 1 Metallic Brush. 1 Disk Electrode. 1 Needle Holder for Electrolysis, with one Needle. Price $15 00 SHARP & SMITH, CHICAGO. 845 KIDDER'S EXTRA APPLIANCES FOR ELECTRO- THERAPEUTIC USES The following are a part, comprehending the more useftd Electrodes manu> factured by Dr. Kidder, Newr York:- SPONGE'HOLDING ELECTRODES. Fig. 5356 Sponge Holder. $1.25 Fig 5357 Small Sponge-holder, rosewood handle, with sponge- clasp. $1.50. Fjo- 5356 Side-sponge to use under a loose gown. $1.75. Fig. 5357 Long Side Sponge-holder (length 14 inches), without Sponge. $2.00. Fig. 5358 Side Sponge-holder, with handle 14 inches long, shown with sponge attached. Fig. 5359 Sponge-holder, with Inter- rupter. $3.00. Fig. 5360 The same. Small size. $2.00. Sponge Clasps to attach to Sponge holder. The last four to be used only with Handles No. 2 and 6. A 2| and 3 meh, $1.00 D | inch, 50c. E Small pointed, 50c. B 1J and 2 inch, 75c. C 1 inch, 60c. F Small conical, 50c. Fig. 5361 Ear-Electrode to clasp small sponge. Now made with holes at point to se'" on small sponge. $1.50. No. ?. The Above Prices are Net. 846 SHARP & SMITH," CHICAGO.'"' KIDDER'S EXTRA ELECTRIC APPLIANCES. Fig. 5362 Another fo'-m of Ear-Electrode. $3.00. Fig. 5363 Glass Eye-cup, to be filled with water only, or with sponge. $1.75. Fig. 5364 Metallic IIollow Ball Electrode. 75 cts. ADJUSTABLE ELECTRODE TO RE USED WITH SPONGE UN» DERN.EATII, WHICH MAY RE SEWED TO THE PLATE. Fig. 5365 Silver plated Universal Adjustable Electrode Plate, round 4£ ins. diameter.$1.25 " Oblong, If x2f 75 " " " l|x41 75 " " 2|x3i 75 Strap for Adjustable Electrode, 19 inches long 35 " 29 incites long 40 " 37 " " 45 " 47 " " 50 Ilinged Copper Foot-Plate 1.25 Case of instruments, comprising Nos. 1, 7, 9, 11, 14, 15, 16 and 18, with Universal Handle, in neat velvet-lined case 15.00 Metallic Brush for Anaesthesia. $1.50. ELECTRODES USED WITHOUT SPONGE. Fig. 5366 The same, shown with brush pushed within its cylinder for protection when not in use. Fig. 5367 Scourge, with fine tinsel brush for Anaesthesia. $1.50. Fig. 5368 Fig. 5369, Insulated Throat Electrode. $1.50. rig. 5370' Silver-plated Tongue Electrode $1 ™ The Above Prices are Net. SHARP & SMITH, CHICAGO. 847 KIDDER'S ELECTRIC APPLIANCES. Fig. 5371 Silver-plated Recta) Electrode. $1.50. Fig. 53721 trode. $1.50. Fig. 5373 Bell-shaped Uterine Electrode. $2.00. Silver Plated Vaginal Elec- trode. $1.75. Fig. 5374 Silver-plated Urethral Electrode, not insulated. $1.50. Fig. 5375 Urethral insulated silver-plated Tip. $1.75. Fig. 5376 Duchenne's Double Vesical Electrode for paralysis of the bladder, and incontinence of urine. Open and closed to apply one or both poles. $2.50. NEEDLES FOR ELECTROLYSIS TO DISCUSS TUMORS, ETC Fig. 5377 PRICE OF Steel Needle, gold-plated, not insulated, 2 inches long $1.00 Platina " not insulated, 2J inches long 1.50 Steel " insulated and gold-plated, If inch long. 1.50 " " " " " 15- " " 1.50 " " " long point, 2| inches long 1.50 - " " " " 31 " " 1.75 Platina Pointed Needle, insulated, 21 " " 1.75 " " " " 3f " " 2.00 " " " " long point, 6 inches long 2.50 These needles have a rounded head to be inserted by the thumb, and an eye to receive small metallic cord which accompanies each one, to be secured in a screw cup attached to a large metallic cord. Price of the large metallic cord, 6 feet long $1.00 " same, covered with pure rubber 2.50 The Above Prices are Net. 848 SHARP & SMITH, CHICAGO. GALVANO CAUTERY BATTERIES. FLEMMING'S-Discount 20 per cent. DOUBLE CELL CAUTERY BATTERY FOR OFFICE USE, Consisting of two systems of io pairs zinc carbon plates each, with treadle, two rubber cells and conducting cords. F>g- 538°- Price $50 00 The same, provided with two Commutators for converting the Cautery into a 20 cell continuous Galvanic Current Battery. Fig- 5381. Price $95 00 SHARP & SMITH, CHICAGO. 849 GALVANO-CAUTERY BATTERIES AND ELECTRODES. FLEMMING'S-Discount 20 per cent. Fig. 5382.-SINGLE CELL CAUTERY BATTERY. For office use, consisting of one system of to pairs zinc-carbon plates, and a treadle ar- rangement, by means of which the rubber cell (containing 3 quarts of bi-chromate solution), is raised or lowered. Price of Single Cell Cautery Battery, in- cluding Conducting Cords$30 00 The same, provided with a Commutator for converting the Cautery into a 10 Cell Continuous Galvanic Current Battery 50 00 Fig- 5383.-CAUTERY INSTRUMENTS FOR NASO-PHARYNGEAL OPERATIONS. Price, Complete in Morocco Case. $25 00 CONSISTING OF The Universal Hard Rubber Handle with Circuit Closer, to which any of the instruments below may be attached 5 00 The short, straight Electrode or Knife, for use in the anterior part of nares 2 00 The Post-Nasal Electrode, for introduction behind the soft palate 2 00 The long Knife Electrodes for introduction through the nares to posterior ends of turbin- ated bones and pharynx. 2 00 The Spiral or Moxa Electrode 2 00 The Sharp pointed Electrode 2 00 Dr. J. Solis-Cohen's Pharyngeal Electrode, to protect the vault of the pharynx 3 50 One set of 3 Rubber Nasal Specula 1 50 Universal Rubber Handle, with platinum wire loop and windlass (Ecraseur) 10 00 850 SHARP & SMITH, CHICAGO. ELECTRIC BATTERIES AND APPARATUS McINTOSH-Discount 20 per cent. Fig. 5384-N0. 2-OFFICE CABINET BATTERY. In this Battery we use the celebrated Diamond Carbon Cell, the fluid of which is a solution of muriate of ammonia; the elements are zinc and carbon rods. The cell is perfectly sealed, so that evapora- tion is impossible, a feature that in itself highly recommends any cell for office purposes. The cell has the following advantages : 1. Perfect cleanliness. 2. High electromotive force-175 volts. 3. Sealed internal resistance. 4. Great power of recuperation. 5. It is a cell that will run for medical purposes many months without the slightest attention. The switch board has first-class Fara- dic coil, 25 button double galvanic switch and pole changer. Price complete, with 30 Diamond Carbon Cells$100 00 It is now conceded that the Milliampere-Meter is one of the most import- ant factors in the treatment of disease by electricity, as with it the exact amount of " dosage " of the current that passes through the patient is determined. This instru- ment is absolutely correct, as it is graduated by standard measurements, and the great- est care is taken in the man- ufacture. There are two separate scales : the upper one is graduated from % to 20, and the lower one from i to 1,000 milliamperes, so any range of current can be obtained. Price$25 00 SHARP & SMITH, CHICAGO. 851 GALVANO-CAUTERY BATTERIES AND ELECTRODES McINTOSH-Discount 20 per cent. Fig. 5886-McIntosh Portable Cautery Battery $75 00 This represents the Galvano-Cautery Handle arranged for the loop or ecraseur. Price complete $io oo GALVANO-CAUTERY HANDLE WITH ECRASEUR ATTACHMENT. Figs. 5388.105399-McIntosh's Electrodes each $2 00 852 SHARP & SMITH, CHICAGO. KIDDER'S GALVANO CAUTERY ELECTRODES, Fig. 5400-Handlo for Platinum Knife, Loop and Coil Burners, with Knob and Spring for closing and interrupting the circuit. Burners and Cutting Loops for Galvano-Cautery. $4.00. Fig. 5401-Handle for Cutting Loop where only one hand is at liberty; the other hand may be employed in holding some instrument, as the laryngeal or aural mirror. Vulcanized Rubber Handle, with Slide, for drawing incandescent Platina Loop for excising Tumors without bleeding. $7.00. Fig. 5402 Another form of Handle with Platina Cutting Loop. $4.00. Cutting Loop for Larynx to be used with Handle No. 23. $2.00. Fig. 5403 Burner for Larynx, to be used with No. 22. Fig. 5404 Fig. 5405-Handles to each. Burners of various shapes to be used with the Han- dles. 22 or 23. C D E The Above Prices are Net. SHARP & SMITH, CHICAGO. 853 GALVANO CAUTERY BATTERIES, Etc. This Battery, Fig. 5406, has been before the profession now for several years, and the recent improvements have made it the best and strongest Cautery Battery in the market. There are two large cells, and the elements consist of large zinc and carbon plates, which are de- pressed by a screw to any desired depth, regulating the strength of the current per- fectly. The cells hold a large amount of fluid which re- quires less frequent chang- ing. The Battery needs very little care. Some of them have been in constant use a number of years. The Battery is inclosed in a neat Black Walnut case, 12x15x22 inches high. For Electrodes for "In- gals' " Cautery Battery, see page 445. Fig. 5406.-Ingals' Cautery BatteryNet, $50 00 Fig. 5408.-Beach's Electric Sponge Belt. patients' prices. No. 1$ 3 00 No. 2 5 00 No. 3 8 00 No. 4, Head Band 5 00 No. 5, with Suspensory, 10 00 Fig. 5407.-Drescher's Cautery Battery Net, $20 00 854 SHARP & SMITH, CHICAGO. BARRETT'S DRY CELL BATTERIES. Note.-In ordering any of the batteries listed below it might be noted that the Nos. i and 2 are intended for general medical use, and are capable of treating every case, no matter what its nature-from those requiring the mildest to the strongest galvanic current; the No. 2, of course, having the additional advantage of the induction coil. The No. 3 batteries, however, con- taining a small number of cells, are adapted to treatment of cases needing a mild current, and to the electrolyses of small growths. They have full power for the work for which they are intended, but of course will not embrace so wide a field as the others. The Two-Cell Faradic No. 5 needs only a passing notice, as its power is equal to any case, and will create the most delicate as well as a most intense current. Each and every metal part of the following apparatus and electrodes is most carefully polished and nickel-plated, and each will be found even in the smallest detail, made and finished in the very best manner, and second to none in respect to every quality that goes to make up a first-class instrument. No. 1.-GALVANIC BATTERY. This is a constant-current Battery, designed especially for physicians' use. It is put up in a very handsome, light, hardwood box, 6x7x10 inches. Metal parts are all finely finished and nickel-plated, and each is provided with a hard rubber switch-board for making and breaking the current and changing the poles; a water rheostat, one plain and one interrupting handle, conducting cords and best quality sponge electrodes. FIG. 5409 24-CellPrice, $38 00 Net. 5410 32 " " 45 00 " *54n 5° " " 65 00 " 5412 60 " " 75 00 " 5413 84 " " 95 00 " Batteries of same style, with fewer or more cells, made to order at short notice. Fig. 5411.-50-Cell (No. 1) Galvanic Battery.-Case open, ready for work. The capacity of these Batteries is 720 hours of actual work. The cost of operating the 50-Cell is 2% cents per hour. The others proportionately more or less, according to number of cells. Charge for Renewing and Restoring, per cell, 30 cents. SHARP & SMITH, CHICAGO. 855 BARRETT'S DRY CELL BATTERIES. Fig. 5416.-No. 2.-COMBINATION BATTERY. This Combination Battery, so far as the galvanic part is concerned, is pre- cisely the same in every particular as the No. 1 preceding, but it contains in same box a Compact Faradic Coil and Cell, capable of producing the most del- icate as well as the most intense and powerful induction current. FIG. 5414 24 Cell$58 00 Net. 5415 32 " 65 00 " *54i6 50 " 85 00 " Fig. 5416-No. 2. The galvanic part of these Combination Batteries will work 720 hours con tinuously. The Faradic Cells have a capacity of 100 hours. Fig. 5418.-No. 3.-GALVANIC BATTERY. This is a smaller and less complete con- stant-current Battery than the No. 1, and is intended for family as well as physicians' use, for electrolysis of small growths, hairs, etc.; in general, for the treatment of cases which do not need, or could not stand, a very powerful current. Put up in strong, well-finished wal- nut boxes, with conducting cords and sponge electrodes. FIG. 5417 6 Cell-size 4%x4%x5 . .$10 00 Net. *54i8 12 " - " 5%x5%x5.. 1500 ' 5419 16 " - " 5%x5%x5-- 20 00 " Fig. 5418-No. 3. 856 SHARP & SMITH, CHICAGO. BARRETT'S DRY CELL BATTERIES. Fig. 5420.-No. 7.-POCKET FARADIC BATTERY. This instrument is designed for the use of families as well as physicians, and is extremely handy, compact, durable and simple, in its mechanism. It is put up in a handsome hardwood box-inches long by inches wide, and two inches deep-and furnished with a pairof con- ducting cords, one pair ebonite handles, and one pair hollow metal electrodes. The induction coil, giving three currents,-primary, secondary and combined,-is of superior make and finish, and has no equal anywhere in the uniformity and smoothness of its current. The cells of this Battery will work 100 hours continuously, and cost cents per hour to operate. Each cell is secured in position on floor of its box by a vertical pin passing through it, and held there by the large set screw shown in cut. Price of Battery complete .$10 00 Net. Charge for renewing and restoring cell-block 1 50 " In this Battery we have met the want which every physician recognizes-an instrument of the type commonly known as the Pocket Battery-of beautiful finish, and low price, with every quality satisfactory to the user, and with all the trouble and nastiness of the wet cell entirely banished. This Battery is a genuine triumph in this direction, combining perfection in every detail, together with a permanently closed Dry Cell, which, in the use of the Battery, does not have to be touched or treated in any way. To set the Battery in operation, open the cover and turn the switch ; closing the cover breaks the circuit. We are sure these points will appeal to the experience of every one who has used, or desires to use, a Pocket Battery. SHARP & SMITH, CHICAGO. 857 MICROSCOPES. (Cut one-third of actual size.) Fig- 5450.-No. 505-A.-BAUSCH & LOMB'S STUDENT MICROSCOPE. This Microscope is the result of an effort to reach the utmost efficiency and simplicity at an exceedingly low price. Everything pertaining to it is well made and finished, and we feel sure will fill a popular demand. In order to make up a complete low-priced outfit, we have given special attention to the optical parts, and as a result have devised two " Special " objectives, i inch 150 and % inch 65°, which, although low priced, may be relied upon as giving as good results as can be obtained with such angular aperture. They are perfectly achromatic, with penetration and good resolving power, the X showing the lines on P. Angulatum, while it has very long working distance. Where price, however, is not the principal consideration, we would invariably recommend the selection of our higher grade objectives. The stage has spring clips ; on its lower surface is attached a revolving diaphragm, and it is also provided with a screw, to which a sub-stage may be attached. The mirror is concave and is attached to a bar, the axis of which lies in the plane of the stage, so that illumination may be brought on the object from any point below or above the stage. The mirror-bar is also provided with sliding adjustment for mirror, so that proper illumination of the object may be obtained. In No. 505-A the coarse adjustment is by sliding tube in cloth-lined sleeve. No. 505-B has a well made and delicate rack and pinion for coarse adjustment. The fine adjustment in both in- struments is by delicate micrometer screw acting on our patent fine adjustment. The main tube has cloth lining, and is provided with draw tube, by which means standard optical tube-length may be used. See following page for prices of above. 858 SHARP & SMITH, CHICAGO. MICROSCOPES. FIG. NET. *5451 No. 505 A, Stand with one eye-piece, in cherry case$16 00 *5451 No. 505 B, Stand as above with rack and pinion for coarse adjustment 23 00 *5451 No. 506 A, No. 505 A with 1 inch and % inch "Special" objec- tives; magnifying power 80 to 375 diameters 30 00 *5451 No. 506 B, No. 505 B with 1 inch and % inch " Special" objec- . tives, magnifying power, 80 to 375 diameters 37 00 *5451 No. 507 A, with No. 505 A with 1 inch (No. 604) and % inch (No. 608 or 609) magnifying power, 80 to 375 diameters 38 00 *5451 No. 507 B, No. 505 B with 1 inch (No. 604) and % inch (No. 608 or 609) magnifying power, 80 to 375 diameters 43 00 5452 Sub-stage ring, to receive any sub-stage accessories, extra 1 00 5453 Sub-stage with revolving diaphragm, extra 2 00 5454 Glass stage and slide carrier, extra 5 00 No. 5455.-MODEL MICROSCOPE We have constructed this micro- scope in compliance with a generally expressed demand for a simple, low- priced and well-made instrument, which is adapted to every grade of work, and claim that in it we have a model which possesses, in an eminent degree, these qualities. It is of chaste design, its parts are all calculated to bear the strain of every day work, and on this account, and because of its simplicity, it may be used by inexper- ienced hands without detriment or injury to it. This microscope especially rec- ommends itself by requiring a small- er pecuniary outlay than any of sim- ilar construction, and may be supplied with valuable additions, such as our revolving and glass stages, mirror bar with adjustable mirror and sub-stage, all of which greatly increase the effi- ciency, and add but little to the price of the instrument. The tripod base, pillars and arm, are neatly japanned ; the axis is ar- ranged with strong bearings to allow inclination of the body to any angle. Coarse adjustment is by perfect rack and pinion, provided with tightening screws ; fine adjustment by a delicate micrometer screw, acting on our pat- ent movement. (Cut one-third actual size). Fig- 5455-No. 520.-Bausch & Lomb's Model Microscope. SHARP & SMITH, CHICAGO. 859 MICROSCOPES The stage is of brass, circular in form, very thin to allow great obliquity, but of sufficient strength to be firm under manipulation, with detachable spring clips. Attached to its lower side is a sub-stage ring and revolving diaphragm, both of which may be removed. The main tube has a draw tube, which is provided with the society screw to receive low power objectives, amplifier or analyzer of polariscope. Plane and concave mirrors are adjustable on the mirror bar, which is a feature possessed by few low-priced instruments, although it is of considerable importance, from the fact that a change in the distance of the light requires a corresponding ad- justment of the mirrors. The mirror bar swings on a large bearing (the axis of which lies in the plane of the stage) to any obliquity below and above the stage, the latter for the illumination of opaque objects. Fig. 5455, No. 520. Stand, with any of our Huyghenian eye-pieces, in upright polished case,with handle and lock, drawer for accessories, and receptacles for eye-pieces and objectives $25 00 net. Fig. 5455, No. 521. The above with two objectives, 1 inch, (No. 604), and % inch (No. 608 or 609), and camera lucida, pliers, slides and covers 45 00 Revolving stage, with removable spring clips, extra 5 00- " Improved glass stage with slide carrier, which slips over either plain or revolving stages, extra 5 00 " Graduated mirror bar, with mirror and sub-stage (both adjustable) same as that used on Investigator, in place of that ac- companying stand, extra 5 00 " Fig. 5456-No. 530.-PHYSICIANS' MICROSCOPE. This instrument has enjoyed a popularity since its first introduction. It has from time to time been improved, and within a year has been entirely remodeled, although its original features are all retained. Under all these improvements it has remained at the same price, and even now, although con- siderably more valuable than formerly, we have decided to make no change. We believe that we are therefore in a position to claim that no instrument of equal efficiency is offered for the price. It is firm, compact, and will give the various adjustments, and will permit the use of such accessories as modern ex- aminations require. The base is japanned and of neat design. Pillar and arm of bronze, con- nected by a well fitting joint, for inclination of the body to any angle. Coarse adjustment is by rack and pinion, giving a long range; fine adjustment by mi- crometer screw acting on our patent movement; main tube has drawn tube provided with society screw. The stage consists of our square glass stage and slide carrier attached to a firm projecting fork, to which is also attached the sub-stage. The latter may be centered or entirely removed, and receives the revolving diaphragm and accessories. The plane and concave mirrors are adjustable on the mirror bar, and this swings to any obliquity below the stage and above it for the illumination of opaque objects, on a center in the plane of the slide carrier. We furnish with this instrument, at the choice of the purchaser, either the base described above or the brass base of the Harvard microscope; unless espe- cially mentioned however, we always send the japanned base. 860 SHARP & SMITH, CHICAGO. MICROSCOPES. PHYSICIAN'S MICROSCOPE. FIG. 5456 No. 530-Stand with any of our Huyghenian eye-pieces, in upright polished case, with handle and lock, drawer for accessories, and receptacles for eye- pieces and objectives$40 00 Net, ' The above with eye-pieces A (No. 700) and C (No. 702), the latter arranged with slot for micrometer. Objectives f inch (No. 605), and | inch (No. 610 or 611). Camera lucida, eye-piece micrometer, pliers, slides and covers. Magnifying powers, with tube at full length, 50 to 485 diameters 65 00 " 5456 No. 531 The above, when double nose-piece is ordered with it, extra 5 00 " (Cut one-third actual size). Fig. 5456-No. 530-Bausch & Lomb's Physician's Microscope. SHARP & SMITH, CHICAGO. 861 MICROSCOPES Fig. 5457--No. 540.-INVES- TIGATOR MICROSCOPE. In this stand we confidently claim to have reached a higher degree of perfection than is possessed by any other approx- imating it in price. It com- bines, in a moderate-priced in- strument, the features of a first class and high priced stand, at no sacrifice of its working qual- ities. The different parts are ingeniously combined, are firm and strong, and in the parts subject to friction we have in- troduced, as much as possible new compensating bearings, which enable the instrument to endure any amount of work and still retain smooth and re- liable movements. Working microscopists will understand the value of this quality. When contracted, it stands but eleven inches high, but can be extend- ed to eighteen inches. The base is'of brass, and has the tripod form; pillar and arm (cut one-third actual size). of brass> connected by a solid Fig. 5457.-No. 540.-Bausch & Lomb Investigator joint, which allows inclination Microscope. of tpe pody to any ang]ej rack and pinion for coarse adjustment, fine adjustment by our patent frictionless motion; main tube with two draw-tubes, which is an entirely new feature in mi- croscopes and is an unquestionable improvement. It permits the use of standard length of tube for quick adjustment in outside tube, same as in instruments without rack and pinion adjustment; the same for any low power objective and the use of amplifier in either combination. The outside tube has a broad gauge screw, and adapter with society screw. The stage lies in the same plane as center of movement for mirror, is of brass and has concentric, revolving mo- tion with removable clips. It is thin to allow great obliquity, and as it rests upon a strong projecting arm, is perfectly firm under any manipulation. CONTINUED ON FOLLOWING PAGE. • 862 SHARP & SMITH, CHICAGO. MICROSCOPES. The mirror bar swings with a perfectly easy but firm motion, upon one bearing to any obliquity below, and above the stage for the illumination of opaque objects, and has affixed to it a secondary bar, to which the mirror is attached, and which allows the separate use of the latter in any position of the sub-stage. It is provided with a sliding arrangement, whereby the mirror may be moved to and from the object. The mirrors are plane and concave, and of large size. The sub-stage is adjustable along the mirror bar and entirely remov- able. It contains a diaphragm which may be brought directly under the stage. The ring is of standard size, and is easily centered by a set screw. Steel pin for centering stage and sub-stage accompanies the instrument. Fig- 5457 No. 540-Stand, with any of our Huyghenian eye-pieces, in upright polished case with handle and lock, drawer for accessories, and receptacles for eye- pieces and objectives $45 00 net. 'The above with eye-pieces A (No. 700) and C (No. 702) the latter arranged with slot for micrometer. Objectives % inch (No. 605) and | inch (No. 610 or 611). Camera lucida, eye piece, micrometer, pliers, slides and covers Magnifying powers 35 to 600 diameters 70 00 net. 5457 N0.541. The above with improved glass stage and slide carrier, extra 5 00 " The above when double nose piece is ordered with it, extra 5 00 " Fig- 5458. No. 545.-UNIVERSAL MICROSCOPE. In this instrument we have followed the general construction of the Inves- tigator, as this has proved exceedingly popular. It is however larger and heavier, with a number of new features which are enumerated in the description. The various compensating bearings which obviate friction and retain smooth movements under the most severe usage, have also been applied to it. It was made in answer to a popular demand, is elegant in design, and of the best pos- sible work and finish. It is, as its name implies, an instrument which is uni- versal in its application to all microscopic work. The base is of a tripod form, and made of brass; it has on its lower sur- face three soft rubber pads, and is sufficiently heavy to sustain the instrument firmly at any inclination of the body. The brass pillar is large and heavy, and connected by joint for inclination of the arm. The coarse adjustment is by rack and pinion and of sufficient range to admit of the use of the lowest power objectives; the fine adjustment is by micrometer screw acting on our patent frictionless motion. The main tube has two draw tubes, by which a consider- able range in length may be attained; they may be contracted to less than the standard, to decrease the height of the instrument when used in an upright position, and may be extended beyond it to increase the magnifying power; both draw tubes have society screw, and the main tube has broad gauge screw and adapter for society screw. The stage has concentric revolving motion with removable spring clips, and its upper surface lies in the same plane as center of mirror bar movement and joint for inclination; it is thin to allow the greatest obliquity, but firm under any manipulation. SHARP & SMITH, CHICAGO. 863 MICROSCOPES. The mirror and sub-stage bars move independent of one another or to- gether, nnd while the mirror bar swings to allow the use of the mirror at any possible angle below or above the stage, the sub-stage bar revolves completely around it and may be placed between the stage and the arm, where various illuminating accessories may be used; in this position the sub-stage may also be entirely removed, which leaves the mirror alone in its relative position to the stage; the mirrors are of large size, and both these and the sub-stage are adjust- able on their respective bars; the circular bearings of these are large, and are graduated to degrees and silvered. A steel pin for centering stage and sub- stage accompanies the instrument. Fig. 5458-No. 545. Stand, with any of our Huy- ghenian eye-pieces, in polished case, with handle and lock, drawer for accessories and re- ceptacles for eye-pieces and objectives, net, $55 00. Fig. 5458-No. 546. The above with eye-pieces A (No. 700), and C (No. 702), the latter with slot for micro- meter. Objectives | inch (No. 605), and | (No. 610 or 611). Camera lucida, eye-pieces, micrometer, pliers, slides and covers. Magnifying powers, 35 to 600 diameters, net, $80 00. The above with improved glass stage and slide carrier, which fastens to the brass stage extra, net, $5 00. The above with rack and pinion adjustment to the sub- stage, extra, net, $15 00. The above with centering- adjustments by micrometer screws to either stage or sub- stage, extra for each, net, $15 00. (cut one-third actual size.) Fig. 5458. No. 545.-Bausch & Lomb Universal Microscope. 864 SHARP & SMITH, CHICAGO. MICROSCOPES. (Cut one-third actual size.) Fig. 5459.-No. 560. Bausch & Lomb Professional Microscope. SHARP & SMITH, CHICAGO. 865 MICROSCOPES. Fig- 5459--No. 560.-PROFESSIONAL MICROSCOPE. The design of this instrument is the result of studies covering a long period, and possesses all the features which our experience and knowledge of the wants of the public have been able to suggest. It is chaste and elaborate in all its details, and possesses a number of new features which enhance its value and which we believe entitle us to the claim that it is superior to any instrument designed for the same purpose. It is constructed entirely of brass and stands about 18 inches high, when ordinarily in use. The upper part of one pillar is graduated and forms a val- uable index for the point of illumination, when the body must be brought to the upright position, in changing immersion objectives. The coarse adjust- ment is by rack and pinion, the latter having specially large milled heads; the fine adjustment, by our patent frictionless motion; the milled head of the micrometer screw is graduated. The main tube has draw-tube and is pro- vided with adapter having society screw; it has the same diameter as the sub- stage, and thus permits the use of eye-pieces as condensers. The mirror and sub-stage bar are separate and move independent of one another. Their axis, as well as the axis for inclination, are in the plane of the stage, so that when the body is inclined to the horizontal position, the center of the stage is in the axis of all the revolving parts. Both bars move freely in a circle around the stage and above it as far as the arm, and are provided with large graduated circles reading to degrees. They are arranged with stops which act when they are in line with the body, and move simultaneously when the arm on the mirror is placed in a recess in the sub-stage bar provided for it. The mirrors are plane and concave, of large size, and are adjustable along the mirror-bar, two milled heads being provided for convenience. The mirror frame may be replaced by a candle holder, for measuring the angular aperture of objectives. The sub-stage is of standard size, and is supplied with our patent Iris diaphragm; its distance from the object may be varied by rack and pinion movement, and may be entirely removed. It is provided with new center- ing adjustment. The stage is 4% inches in diameter and is graduated to degrees on its bev- eled edge. It revolves upon a strong ring, which in turn is firmly held by a projecting arm. Three steel springs give it tension and insure its durability. These springs are arranged with slots, by which, after they are withdrawn from their recess, the stage may be removed. It is as thin as is consistent with firm- ness to allow great obliquity. The glass stage and slide-carrier is attached by a bayonet catch after removing the stage-plate. The centering adjustment of the stage as well as the sub-stage is effected by a new device which overcomes the difficulties of the methods hitherto use*d. Two screws, acted upon by two milled heads, promptly carry the stage to any point, where it is firm without requiring the use of binding screws. This instrument is furnished in polished case, with drawer, receptacles for eye-pieces and objectives, handle, lock and key. NET. Fig. 5459, No. 560 Stand, with any two of our Huyghenian eye-pieces$i35 00 Stand, with eye-pieces A (No. 700), B (No. 701), C (No. 702), D (No. 703) either of the latter two with slot for micrometer. Objectives 2 inch (No. 602), (No. 605), j (No. 610 or 611), yk (No. 612). Camera Lucida, eye-piece micrometer, pliers, slides and covers 185 00 Fig. 5459, No. 561 866 SHARP & SMITH, CHICAGO. MICROSCOPES. BINOCULAR MICROSCOPES. (PATENTED FEB. 12, 1884) The purpose of the binocular microscope is to give a stereoscopic vision of objects whereby their form, relative distance and position of the various parts are most plainly seen. The effect is strik- ing and is so totally different from the image in the monocular, that itcanonlybe fully appreciated after it has been observed. Different methods for accomplishing the same purpose have been used, but the one in most general use is that devised by Mr. Wenham;by this plan the rays coming from the objective are equally divided, one-half of them passing through the vertical tube without altera- tion, while the other half is reflected by the inter- posing prism, thus giving almost equally illumi- nated field in both eye-pieces. The prism is mounted in a sliding box which is fitted to the nose-piece, and by which it may be put in its proper position or partially withdrawn. The great advantage of this system is that the instru- ment may be used as a monocular by withdraw- ing the prism; but in this respect it is open to serious criticism, especially of late years, in that the size of the prism and its mountings are limited by the internal diameter of the nose-piece and so decreases the opening for the passage of rays, that many of the advantages of good ob- jectives have been lost. Provision has lately been made to remove the nose-piece altogether when used as a monocular, and replace it with one which is free from obstruction; this however consumes time, and is not always practical. For some time it has been our purpose to ob- viate these difficulties, and we have succeeded in devising a number of improvements of which we have adopted the one described below; it is at once the most simple and effective. It is contained in the nose-piece which is attached to the tube; the prism, instead of being mounted in a sliding box, is fixed in a swing carriage, b of which the axis is in c. The carriage b is fixed to the steel spindle r, which in turn passes through a sleeve in the nose-piece, and is provided with a milled head, SHARP & SMITH, CHICAGO. 867 by which it is turned; the spindle and sleeve are arranged with stop-pin to limit the motion of the prism; e is the vertical, and f the oblique tube. As the posterior system of any objective with society screw does not exceed 15 m. m., we have made the opening d in the nosepiece of this size. When the prism a is in position for binocular vision, as shown in full lines, all the rays coming from the objective will be utilized, whereas when the instrument is used as a monocular and the prism is swung to the side of the tube, as shown in dotted lines, the opening d is left without obstruction. In addition to this advantage, the fittings are all close, so that there is no opportunity for the dust to enter, and being cylindrical, there is practically no wear. The draw-tubes are provid- ed with adjustment which works them simultaneously, and accommodates eyes different distances apart. A tightening screw is also provided, whereby the tubes may be fixed at any point at which they are set. Beside the above advantages, this form of binocular and the arrangements of the prism permit the use of higher power objectives than is the case in others. Thus a % inch objective gives an excellent stereoscopic effect, while a J may be made to do so, with some practice. This is of considerable importance in all cases where the above powers are required. FIG. NET. 5455 No. 520 B Model Stand, with binocular body, one pair of eye- pieces$45 00 5455 " 521 E Model Microscope complete, with binocular body, one pair of eyepieces 65 00 5456 " 53° E Physician's Stand, with binocular body, one pair of eyepieces 60 00 5456 " 531 B Physician's Microscope complete, with binocular body, two pairs of eyepieces 90 00 5457 " 540 B Investigator Stand, with binocular body, one pair of eyepieces 65 00 5457 " 541 E Investigator Microscope complete, with binocular body, two pairs of eyepieces 95 00 5458 " 545 B Universal Stand, with binocular body, one pair of eyepieces 75 00 5458 " 546 B Universal Microscope complete, with binocular body, two pairs of eyepieces105 00 550 B American Concentric Stand, with binocular body, one pair of eyepieces.115 00 551 B American Concentric Microscope complete, with binocular body, two pairs of eyepieces145 00 5459 " 56° B Professional Stand, with binocular body, adjust- ment by rack and pinion, one pair of eyepieces. .175 00 5459 " 561 E Professional Microscope complete, with binocular body, adjustment by rack and pinion, two pairs of eyepieces, and extra C. and I)., one arranged with micrometer,225 00 Send for our Pamphlet describing Objectives and Eyepieces, and Micro- scopes in general. 868 SHARP & SMITH, CHICAGO. MICROSCOPIC DISSECTING INSTRUMENTS. (Pat. September 8, 1885.) Fig. 5460.-No. 1243.-LABORATORY MICROTOME. No. 1243 Laboratory Microtome, small, without knife, as described.. .$32 50 " 1244 Knife for same, in morocco case 8 00 " 1245 Both, when taken together 40 00 ' 1246 Laboratory Microtome, large, without knife, as described... 38 00 " 1247 Knife for same, in morocco case 10 00 " 1248 Both, when taken together 47 50 Polished Case, with lock and key, strap for carrying, and removable cover, for either size, extra. 2 50 Improvements in the methods of cutting accurate and reliable sections have, for a long time, engaged the attention of workers and manufacturers, and of late a fresh impetus has been given the subject in the new principles which are involved in those recently constructed at several prominent seats of learning in Europe. They have been made of various forms, and great ingenuity and skill have been shown in their construction. Our first endeavor in this direction was the independent construction of an instrument which has now been generally adopted, and which forms the basis of our present form. At an early date it was, however, noticed that it was open to a number of serious objections. Since then we have given the subject considerable study, and with the assistance of several prominent histologists, we have succeeded in perfecting an instrument which combines the approved advantages of the various styles, and possesses new and important improvements not contained in others. A large number are now in use. SHARP & SMITH, CHICAGO. 869 MICROSCOPIC DISSECTING INSTRUMENTS. FIG. *5461 Dissecting Knives, each $0 75 5462 " Needles, straight or bent 15 5463 " Needle-holder, with clamp 50 5464 5469 547o FIG. *5464 Dissecting Scissors $1 50 *5469 Dissecting Forceps, Fine Steel each 1 00 *5470 " " " " " 1 00 870 SHARP & SMITH, CHICAGO. MICROSCOPIC DISSECTING INSTRUMENTS FIG. *5466 Sharp Pointed Microscopic Knife, ivory handle $ 1 00 *5467 Blunt " " " " " 1 00 *5468 Microscopic Needle Holder " " 1 00 *5469 See preceding page. *5470 Valentine's Section Knife 6 00 *5471 Section Knife, ebony handle, in Morocco case 3 25 *5472 Microscopic Section Razors $1 50 to 3 00 *5473 Nickel Plated Trowel or Lifter 75 *5474 Very Fine Microscopic Scissors 1 10 SLIDES AND COVER GLASSES. 5475 Glass Slides, ground edges, 3x1, per gross 1 75 5476 " Covers No. 2 (circles), inch, per oz 1 25 5477 " " " " % " " 1 5° 5478 " " No. 3 " y% " " 1 25 5479 Boxes for holding 25 glass slides each 10 5468 5470 5471 5473 5474 5466 5467 5472 SHARP & SMITH, CHICAGO. 871 HAND AND POCKET LENSES 5484 5485 5483 5482 5490 FIG. *5480 Hand Lens, Metal Rimmed$0 75 to $ 1 75 *5481 Single Hard Rubber Pocket Lens, inch diameter 35 *5481 " " " " 1 " 50 *5481 " " " " " 60 *5481 " " " " " 75 *5481 " " " " " I 00 *5482 Double " " " $ " 75 *5482 " " " " 1 " 75 872 SHARP & SMITH, CHICAGO. HAND AND POCKET LENSES FIG. *5482 Double Hard Rubber Pocket Lens, inch diameter $ 1 00 *5482 " " " " 1% " 1 25 *5482 " " " " 1% " 1 50 *5483 Single " " " same size as Fig. 5481... from $0 50 to 1 00 *5484 Double " " " " " 5482 " 60 to 1 25 *5485 Triple " " 1 co to 1 50 *5486 Round Metal Frame Lens 1 50 to 2 25 *5487 Metal Frame and Handle Lens 75 to 1 00 *5488 Lens with Stand.... 50 *5489 Coddington Lens, inch Focus, Metal Mounted 1 50 *5490 " . " 1 " " " 2 00 PHYSICIANS' POCKET MEDICINE CASES. FIG. . rfh 5528 contains 20 2 dram vials, Morocco strap$ 1 50 5529 " 4 2% " " for the vest pocket 60 5536 " 182% " " two rows of vials, upright 1 50 5537 " 20 2 " " wooden frame, covered with Morocco. 1 50 5544 " 16 2 " " russet leather, strap 75 *5549 " 16 " portmonnaie strap 1 30 *5589 " 20 4 " " Morocco, gilt, strap 1 85 5591 " 181% " " portmonnaie style 1 50 5594 " 24 2 " " " " 2 60 *5600 " 24 2 " " gilt numbers 1 85 *5601 " 12 2% " " and 8 4-dr. vials, best Turkey Morocco 2 60 5602 " 20 2 " " wrapper case 1 50 5603 " 122 " " and 8 4-dr. vials, wrapper case 1 85 5604 " 10 2 " " and 7 4-dr. vials, and 2 1 ounce glass top bottles, upright case 2 25 5605 " 83" " on one side, and 2 pockets for powders the other side, best Russia leather.. 2 60 3606 " 163 " " of best Russia leather 3 00 5609 " 63 " " wrapper case, red 1 15 5610 " 20 2 " • " sewed, red 1 50 5611 " 10 3 " " wrapper case, red 1 30 3612 " 123 " " wrapper ends, covered 1 50 3612 " 123 " " Russia leather 2 25 5613 " 103 "• " and 14 vials, red 2 25 5614 " 183 " " red Morocco 1 85 All Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 873 PHYSICIANS' POCKET MEDICINE CASES. FIG. 5615 contains 24 3 dram vials, and 16 vials, 3-fold, 2 pockets. $2 25 5616 " 24 2 " "2 pockets, and places for powders 2 25 5617 " 104 " " and 18 vials, all upright 2 00 5619 " 10 4 " " and 28 2-dr. vials, 3-fold, imitation Russia » 3 00 5621 " 82 " " on one side 95 *5622 " 104 " " and 14 2-dr. vials, imitation Russia.... 2 25 5625 " 201*4 " " amber, book style, Morocco 2 25 5627 " 24 2 " " calfskin clasp 2 00 5629 " 10 2 " " amber, stiff ends 1 15 5630 " 61 " " Morocco 60 5633 " 84 " " glass stopper, and 12 2-dr. amber stiff end 2 60 5634 " 16 4 " " glass stopper, with pocket and clasp... 3 00 5635 " 20 1 " " wrapper case, metallic ends, red soft Morocco 1 85 5636 " 24 2 " " wrapper case, metallic ends, red soft Morocco 2 25 5638 " 10 3 " " and 14 i%-dr. vials, wrapper case, me- tallic ends, red soft Morocco 2 60 5639 " 30 2 " " long 2 60 5640 " 152 " " long, and 30 i-dr. short vials, wrapper case, metallic ends 2 60 5641 " 122 " " glass stopper vials, metallic ends, soft red Morocco 2 25 5642 " 122 " " glass stoppers and 10 3-dr. cork stopper vials, metallic ends, soft red Morocco 2 60 5644 202 " " russet leather, strap 95 5645 " 10 2 " G. S. vials, with memorandum slate, Morocco 2 25 5646 " 10 2 " G. S., 12 2-dr. C. S., and 15 1% dr. vials, Morocco 3 35 5647 " 10 3 " G. S., and 15 2-dr. C. S. vials, stiff ends, dark Morocco 2 60 5648 " 83 " G. S. bottles, Morocco 2 25 5652 " 12 2 " vials 2 60 5653 " 102 " " soft red Morocco 1 85 5654 " 24 2 " " " " ................... 3 00 *5655 " 12 2 " " " " " 2 25 5656 " 15 2 " " " " " 2 60 5657 Peacock's Patent Case, 18 2-dr. vials 1 85 5658 " " " 20 " " .' 2 25 For illustrations, see next page 874 SHARP & SMITH, CHICAGO. PHYSICIANS' POCKET MEDICINE CASES. SHARP & SMITH, CHICAGO. 875 PHYSICIANS' HAND CASES. FIG. 5659 A Sharp & Smith-Morocco-Contains 12 4-dram vials and 24 2-dram vials, including pockets for powders, etc.; length, 9 inches; width, inches; height, 5 inches. Price, $4.50 net. 5660 B Sharp & Smith-Morocco-Contains 24 4-dram vials and 24 2-dram vials, including pockets for powders, etc.; length 9 inches; width, 3 inches; height, 5 inches. Price, $5.25 net. 5661 C Sharp & Smith-Morocco-Contains 6 i% oz. G. S. bottles, 12 1- dram vials and 6 3-dram vials, including pockets for powders, etc.; length, 9% inches; width, inches; height, 5 inches. Price, $4.50 net. 5662 I) Sharp & Smith-Russet-Contains 6 i%-oz. G. S. bottles, 12 i-dram vials and 6 3-dram vials, including pockets for powders, etc.; length, 9% inches; width, inches; height, 5 inches. Price, $5.25 net. *5663 E Sharp & Smith-Russet-Contains 6 i%-oz. G. S. bottles, 18 3-dram vials and 12 i-dram vials, including pockets for powders, etc.; length, 9% inches; width, inches; height, 5 inches. Price, $6.00 net. *5664 F Sharp & Smith-Russet-Contains 12 i%-oz. G. S. bottles, 6 3-dram vials and 12 i-dram vials, including pockets for powders, etc.; length, 9% inches; width, 4 inches; height, 5 inches. Price, $6.35 net. 5665 G Sharp & Smith-Red Horse-hide-Contains 8 i%-oz. G. S. bottles, 10 i-oz. C. S. bottles, 8 4-dram vials and 14 2-dram vials; also space for instruments; length, inches; width, 5% inches; height, 5% inches. Price, $7.85 net. *5666 G (Special). Sharp & Smith-Red Horse-hide-Contains 8 i%-oz. G. S. bottles, 11 i-oz. C. S. round vials, 8 4-dram C. S. round vials and 16 2-dram C. S. round vials; also space for instruments, pock- ets for powders, etc.; length, 13 inches; width, inches; height, 5% inches, with flaps on lid. Price, $9.00 net. *5667 H Sharp & Smith-Red Horse-hide, N. P. Trimmings-Contains 8 i%- oz. G. S. bottles, 10 i-oz. C. S. round bottles, 12 24'oz- C. S. round bottles, 8 4-dram C. S. vials and 10 2-dram C. S. vials, including pockets for powders, etc.; length, 11*4 inches; width, 5 inches; height, 5% inches. Price, $9.00 net. 5668 I Sharp & Smith-Russet-Contains 16 i%-oz. G. S. bottles, 10 i-oz. C. S. round bottles, 8 4-dram C. S. vials and 14 2-dram C. S. vials, including pockets for powders, etc.; length, 12% inches; width, 524 inches; height, inches. Price, $9.75 net. *5669 J Sharp & Smith-Russet, buckle fastening-Contains 16 G. S. bottles, 10 i-oz. C. S. round bottles, 8 4-dram C. S. vials and 14 2- dram C. S. vials, including pockets for powders, etc.; length, 12 24 inches; width, 6 inches; height, 6 inches. Price, $10.50 net. *5670 K Sharp & Smith-Morocco, N. P. Trimmings-Contains 12 i-oz. C. S. round vials, 8 6-dram C. S. round vials and 16 2-dram C. S. round vials on one side; space, with loop for instruments on the other; length, inches; width, 4 inches; height, 6% inches. Price, $11.25 net. 5671 L Sharp & Smith-Dark Morocco-Contains 8 i-oz., 12 4-dram, 15 i%- dram and 15 i-dram corked vials, and elastic loops for surgical instruments; length, 9% inches; width, 2% inches; height, 5% inches. Price, $6.75 net. 876 SHARP & SMITH, CHICAGO. PHYSICIANS' HAND CASES. FIG. 5672 M Sharp & Smith-Seal Skin-Contains 2 2-oz. G. S. vials, 6 x-oz., 8 4-dram and 18 2-dram corked vials, and elastic loops for surgical instruments; length, n inches; width, 3 inches; height, inches. Price, $9.00 net. *5673 N Sharp & Smith-Dark Morocco-Contains 8 i-oz., 12 4-dram and 24 2-dram corked vials, and space for sundries; length, 9 inches; width, 4% inches; height, 4% inches. Price, $6.35 net. *5674 O (Homoeopathic). Sharp & Smith-Dark Morocco, N. P. Trimmings- Contains 12 i-oz. C. S. round vials, 45 2-dram C. S. round vials and 60 1-dram C. S. round vials, including pockets for powders, etc.; length, 11 inches; width, inches; height, 6% inches. Price, $12.00 net. 5675 P (Shinn's). Sharp & Smith-Dark Morocco, N. P. Trimmings-Con- tains 10 i-oz. C. S. round salt-mouth powder vials, 10 % oz. C. S. salt-mouth powder vials, 10 i-oz. rubber-stoppered tincture vials, and 10 4-dram rubber-stoppered tincture vials, including pockets for powders, etc.; length, 10 inches; width, 4 inches; height, 7 inches. Price, $10.50 net. 5676 Q Sharp & Smith-Dark Morocco, N. P. Trimmings-Contains 26 3- dram, 26 i-oz. and 4 3-oz cork stoppered vials, and space for pow- ders, etc.; length, 12 inches; width, inches; height, 7% inches. Price, $10.00 net. 5677 R Sharp & Smith-Dark Morocco, N. P. Trimmings-Contains 20 i-oz. cork stoppered vials, 13 %-oz. cork stoppered vials; 2 spaces, inches wide, 5% inches long, and 1% inches deep, for instruments; also space inch deep under vials for powders, etc. Length, 10 inches; width, inches; height, 6% inches. Price, $11.25 net- FOR RAILROADS AND STEAMBOATS. Dark Morocco, N. P. Trimmings. Contains: Fig. 5678.-Sharp & Smith's Emergency Case. 2 4-0Z G. S. Bottles. 7 i-oz. G. S. Bottles. 2 2-dram G. S. vials. i pair Bone Forceps, with spring. i Metacarpal Saw, lifting back. i shell slide-catch Probe and sharp curved Bistoury. i shell slide-catch Scalpel and Tenotome. i coil Silver Wire. i English Lens Thermometer. i No. 3 X Hypodermic Syringe. i Combined Male and Female Catheter. i pair Scissors. i pair Dressing Forceps. 3 Field Tourniquets. i pair Probes. Needles, Silk, space for Sponges, Roller Bandages, etc. Length, 10% inches; width, 5 inches; height, 6% inches. Price, $45.00. Fig. 5670-K Case. Fig- 5674-O Case. SHARP & SMITH, CHICAGO. 877 PHYSICIANS' HAND CASES. (The back row of bottles in this case are all glass stoppers). 5664-F 5666 G-Special. 5666-Closed. 878 SHARP & SMITH, CHICAGO. PHYSICIANS' HAND CASES. 5673-N 5663-E 5669-J WE MANUFACTURE BUGGY, HAND, AND POCKET MEDICINE GASES TO ORDER, TO THE PECULIAR WA]\1T0 OF EACH SHARP & SMITH, CHICAGO. 879 MARSHALL'S PATENT CONVERTIBLE SADDLEBAGS HAND CASE. Fig. 2. Fig. I is Fig. 2 in Saddlebags Form. Fig. 2 is Fig. i in Hand Case Form. Original and Only Perfectly Convertible Hand Case Saddlebags in the World. Has two trays, one on either side, 7% in. long, 2% in. deep, by 2% wide, 12 oz. G. S. Bottles, 16 6-dram and 8 2-dram cork stoppered vials. Total, 36 bottles. Spaces between round and square bottles for papers. Sent prepaid, to your nearest express office on receipt of price. Nos. 36 or 59 A Grade or Russet Leather $16 00 " " " B " Black " '5 5° A and B Grades are exactly alike in every respect except color of Leather. Size of case, 6x8 wide x8 high. No. 36. Price of the Pat. Top or Coverlid $12 50 The size of the regular make, either A Grade-Russet; B Grade-Black, or "The Leader" Casebags is 6x8x8. They all convert equally well, joining perfectly by a hinge device, thus swal- lowing up the piece that crosses the saddle when it is desired to use it as a Buggy case. Fine maroon colored leather lining. (No tin to rust.) They are perfect, and excel all other cases in the market, either as a first class Buggy Case, or Saddlebags, and shift instantly to either form or article as needed. The " Leader" is as fine in appearance as either A or B Grades, having same internal arrangement, and has same silver trimmings, but patent leather instead of leather flap or cover lid, and the lid projects (at ends ) instead of bow-cap. When case is open the whole interior is in full view, and any article can be removed, as wanted, without disturbing another. Every case warranted. In ordering please designate by grade-A, B, or Leader-as desired. Fig. i. ONE ARTICLE IN TWO FORMS. Cut No. 33 converts by same hinge device as Nos. 36 and 59. Here bags are shown arched over the respective Buggy-case into which they convert. Contents : 1 sundries space, 11 i-oz. screw top ; 11 6-dr. 11 5-dr. cork stoppers. The No. of case indicates the bottles and vials contained. When ordering do not allow any dealer to put you off with, or substitute any other case. See that each Case-bag is branded with registered number, and bears the name Marshall, with date of patent. Box Pattern, No. 33. $10.00. BUGGY-CASE-SADDLE-BAGS 880 SHARP & SMITH, CHICAGO. MEDICAL SADDLE BAGS. MEDICAL SADDLE BAGS. MADE OF BEST RUSSET BRIDLE LEATHER PATENT LEATHER COVERS. Space under Covers for Instruments, etc. Pattern Mahogany Drawers in the end of lower part. Solid Leather Drawers one Dollar extra. No. 1, containing 20 1 oz., 4 1% oz. bottles, ground 10 60 Ex. No. 2, " 20 1 oz., 4 1% oz. " and pockets ... 11 50 No. 3, " 16 1 oz., 4 1% oz. " " " .... 9 75 No. 4, " 16 1 oz., bottles, glass stoppers 8 75 No. 5, " 16 1 oz., " cork " ..... 7 65 Fig. 5679 MEDICAL SADDLE BAGS. MADE of BEST RUSSET BRIDLE LEATHER, PATENT LEATHER COVERS. Drawers of Polished Mahogany, Velvet Lined. No. 6, containing 12 1% oz., 12 oz., 24 bottles $10 20 No. 7, " 10 % oz., 10 X oz-> 20 " 9 35 No. 8, " 81 oz., 8 oz., " 8 50 Flat Pattern-Two Flaps. X No. 9, containing 10 1% oz., 10 % oz., 20 bottles $ 9 75 No. 10 " 12 1% oz., 12 % oz., 24 " 10 60 Fig. 5680 SHARP & SMITH, CHICAGO. 881 MEDICAL SADDLE BAGS. Box Pattern. No. ii, containing 20 ground stop- pered bottles$9 35 No. 12. Plain Saddle Bags, contain- ing 20 cork stoppered vials. 7 25 No. 13. Plain Saddle Bags, contain- ing 24 cork stoppered vials. 7 90 Fig. 5681. MEDICINE CHESTS FOR PHYSICIANS, MADE OF BEST RUSSET LEATHER Containing the following Square Glass stoppered Bottles: IN MAHOGANY TRAYS, MORTARS, GRADUATED MEASURE Four Jars, Tray for Scales, and Space for Instruments under Bottles. THE SIZE IS BY INCHES. No. oz. oz. oz. oz. Bottles. Price. Length. Width. Height. 1, containing 4. .4 16.. 2 18..1 6. 44 $17 85 14 9% 2, " 1.4 16. .2 19..1 37 15 75 8i< 9J4 3, (see above cut) 2. .4 14. .2 16. .1 32 1600 11 8% 9J4 4, containing 2..4 12..2 13.. 1 .... 27 13 25 9% 9% The following without Mortars, Measures or Jars: 5, containing I5--I $8 50 8% Tray in front of Bottles: 6, containing 10. .2 4..1 14 $8 10 9 6)4 5M 7, " 5--4 7--2 6..1 ... 18 975 10 7% 5% 8, " 4..4 9..2 12..1 6..J£ 31 11 90 13 (all the above with locks). Fig. 5682. 882 SHARP & SMITH, CHICAGO. CLASTIC ANATOMICAL MODELS OF DR. AUZOUX. FIG. 5700 Complete model of a male human body, 5 feet 10 inches high, composed of 92 parts that may be detached, and exhibiting over 2,000 details of the viscera, muscles, nerves, blood- vessels, etc.; that is all that may be embraced in a complete treatise of anatomy... .$1200 00 Model of a man feet high, consisting of the same pieces and exhibit- ing the same details as the large model 600 00 Female pelvis, with inter- nal and external organs of generation, lumbar vertebrse, diaphragm, muscles, aponeuroses of the perineum, vessels and nerves 150 og Eight uteri, containing the product of concep- tion at the 1st, 2d, 3d, 4th, 8th and 9th months, with examples of tubular and ovarian pregnancy. 150 00 Dura mater, with a por- tion of the basis of the cranium, half again as large as life, exhibiting its folds, venous sinuses, Pacchionian glands, etc. 40 00 Adult heart, separable into two parts, showing the right and left cav- ities, muscular fibers, vessels, nerves, orifices and valves . 25 00 Heart of foetus, large size, separable into two parts, showing the right and left cavities, the foramen ovalis, the Eustachian valve, the arterial canal, etc 25 00 Eye, complete, greatly enlarged. Improved model, on which is ex- hibited- not only the muscles, vessels, nerves, membranes, vitreous body and crystal lens, in separable parts; but also the different micro- scopic strata of the re Dr. Auzoux' Models, Male or Female, (Manikin) Mounted on Stand (imported to order only). SHARP & SMITH, CHICAGO. 883 fig. tina, choroid and iris, as they are described by modern anatomists I 35 00 5706 Eye, divided by a vertical section, and representing its inner half with all the foregoing details and the disposition of the anterior and posterior chambers; and in addition, a portion of the orbit, the conjunctiva, the structure of the eyelids, the Meibomian glands, the lachrymal canals and points; the muscles of Horner, etc 35 00 Temporal Bone, 2 feet long, showing the internal, middle and external ear, in their most minute details; the expansion of the auditory nerve, the fenestra ovalis, fenestra rotunda, mem- branous canals, endolymph, perilymph, double spiral of the cochlea, infundibulum, etc. All parts of this model are sep- arable, and by its means the mechanism of audition may be clearly explained and understood 60 00 5708 Temporal Bone, half the size of the preceding, showing the ear in the same manner 40 00 5709 Gigantic Larynx, 12 inches long. On this preparation each muscle and cartilage may be separately removed, and its action demonstrated; also the action of the vocal chords and the mechanism of the voice 75 00 COLLECTION OF ANATOMICAL MODELS OF PLASTER PARIS. THEY APPEAR IN THEIR NATURAL COLORS AND ARE NOW RECOMMENDED BY A NUMBER OF PROMINENT COLLEGES. fig. (A.) MAGNIFIED MODELS. 5710 No. 1.-Human heart, front part to be taken off, showing the four chambers of the heart, together with their respective openings and valves .$ 8 50 5711 No. 2.-Human eye, the upper part of the pupil (with a micro- scopic illustration of the retina) to be taken off, so as to show the cornea, iris, the vitreous body and crys- talline lens 7 00 5712 No. 3.-Human ear, showing the drum and membrana tympani, the ossicles, labyrinth, and the cochlea half open... 8 50 5713 No. 4.-Human skin, vertical section, showing the sudoriferous glands, the organism of the hair, the pigment granules, and the organs of feeling 4 50 5714 No. 5.-Human teeth, showing a section of left lower jaw, development and structure of the teeth 4 50 (B.) MODELS, NATURAL SIZE. 5715 No. 6.-Human brain: a. Upper view $ 4 00 b. Under view 4 00 c. Vertical section from front to back 4 00. d. Horizontal section, showing the cavities 4 00 e. Skull, the brains to be taken into sections 14 00 5716 No. 7.-Human head, with part of the neck, various sections: a. Outer view, showing the muscles, bloodvessels and nerves 7 25 b. Inner view, showing the cavity partially opened, position of the eye, the upper and lower jaw.. 7 25 c. Sections showing the brain and the cavity of the nose, mouth, larynx and pharynx 7 25 884 SHARP & SMITH, CHICAGO. 5717 No. 8.-Human Lungs, Heart and Larynx: a. Anterior view of the lungs and heart, the pericar- dium being laid open; the anterior portion of the left lung is removed in order to show the bron- chial ramifications $ 4 50 b. Posterior view of the lungs and heart with a repre- sentation of the bronchial ramifications, air cells and bloodvessels 4 50 5718 No. 9.-The organs of respiration. Air passages, lungsand heart: The anterior part of both lungs, with the heart, can be taken off, laying open the ramifications of the windpipe within the lungs, the connections of the pulmonary bloodvessels with the heart 14 00 5719 No. 10.-Human Larynx: a. Larynx, front view, with hyoidean bone and thy- roid gland 3 50 b. Back view, showing the glottis and its ligaments.. 3 50 c. Larynx, in connection with the lungs and pharynx, open behind 4 50 5720 No. 11.-Human joints, laid open with their bonesand ligaments: a. Shoulder $3 00 e. Hip, open 3 50 b. Elbow, front view 3 00 f. Knee, open 3 50 c. Elbow, side view. 3 00 g. Foot 4 50 d. Wrist and hand.. 4 00 5721 No. 12.-Human Trunk (torso), with the viscera of the thorax and abdomen (lungs, liver and stomach to be removed) 35 00 Charts. Cutter's (set of 10) 12 00 HUMAN OSTEOLOGY. The cause in the difference in price of these preparations will be found to exist in the quality of the same, whether the bones contain in their extremity more or less grease, or none at all. FIG. *5722 No. 1. Articulated Skeleton (Male or Female), $40 00 to $75 00 5723 No. 2. Disarticulated Skeleton.... ... 30 00 to 40 00 5724 No. 3. Skeleton, articulated according to Beauchene, with support 300 00 *5725 No. 4. Disarticulated Skull (in box with com- partments) 12 00 to 18 00 *5726 No. 5. Skull, with teeth, lower jaw fastened by elastic wire 6 50 to 9 00 *5727 No. 6. Skull, with one horizontal cut 9 50 *5728 No. 7. Skull with one horizontal cut, and one vertical cut. 13 00 *5729 No. 8. Skull, sawed into seven sections, exhibiting the sinues-the bones can be disarticulated, so as to show the middle and interior ear 30 00 5730 No. 9. Internal and Median Ear, with bloodvessels and nerves 32 00 *573T No. 10. Hands or feet, each 3 5° 5732 No. 11. Arm, mounted according to Dr. Duchesne, for the demonstration of the action of the muscles, 55 00 5733 No. 12. Leg, the same 55 00 5734 No. 13. Male and female pelvis, with ligaments, each, 14 00 without ligaments 7 5° 5735 No. 14. Foetal Skulls 2 50 5736 No. 15. Foetal and Embryo Skeletons (under glass shades) 18 00 *5737 No. 16. Skull and Cross Bones 6 50 *5738 No. 17. Spinal Column 6 00 5739 No. 18. Femurs I 85 5722 French Skele- ton, Articulated, and Disarticulated. SHARP & SMITH, CHICAGO- 885 Fig- 5731-Hand, Strung on Catgut Fig. 5734-Female Pelvis, without Liga- ments. Fig. 5731-Foot, Strung on Catgut Figs. 5725 to 5729-Skulls. Figs. 5725 to 5729-Separated Skulls, on Stands or in Boxes, divided into Compartments. Fig. 5737-Skull and Cross Bones Fig- 5738-Spinal Column. Fig- 5739-Femurs. 886 SHARP & SMITH, CHICAGO. PHYSICIAN'S CABINET. We desire to call attention to our new styles of Physician's Cabinet, as shown in cuts. It is a very tasty and conven- ient piece of furniture for office use, specially manufactured for the use of the gynecologist, surgeon, oculist, den- tist, and the general practitioner. It comprises a desk top, five drawers, four revolving shelves, a towel rack, and a sliding table. The revolving shelves are so arranged when open, the oper- ator has his instruments conveniently within reach. (See cut). Trimmings are in silver or brass (stylish patterns) mounted on boxwood casters. We make them in antique oak and solid walnut. Height of cabinet, including desk top, to railing, 63 inches. Height of cabinet, without desk top, to railing, 40 inches. Width of cabinet, 28 inches. Depth of cabinet, 16 inches. See next page for illustration of cab- inet with desk top open ; also prices of cabinets. Fig. 575°-Cabinet, with desk top closed. SHARP & SMITH, CHICAGO. 887 Fig. 5750-Cabinet with Desk Top-Open. 5752 Fig- 5752-DR. JOHN EDWIN RHODES' IMPROVED OFFICE CABINET. This is a handsome and convenient cabinet designed especially for laryn- gologist's use. It is finished in cherry, quarter-sawed oak, or black walnut. There are six drawers, the upper three being divided by partitions for mirrors, applicators, laryngoscope, and other necessary instruments used in treatment of diseases of the throat and nose. The swinging half of the cabinet has three shelves and is a convenient receptacle for instruments of any kind. The upper portion has been arranged for bottles and atomizers, and is furnished with the Davidson No. 66 Atomizer for office use. These, in connection with the Davidson " cut-off," are all that can be desired for spray producers. They are used with compressed air apparatus to advantage. FIG. *575° Cabinet in Antique Oak or Solid Walnut, including desk top.. .$25 00 *575J " " " " " " " 15 °o *5752 Dr. John Edwin Rhodes' Cabinet in Antique Oak or Solid Wal- nut without bottles or tubes 25 00 5752-A Same as above (5752) with 9 Davidson's No. 66 sprays, each held by nickel-plated clasp 36 50 5752-B Same as above (5752-A) with 17 1 oz. Tincture bottles and 12 2 oz. Salt mouth bottles 38 00 888 SHARP & SMITH, CHICAGO. NON-HUMANIZED VACCINE VIRUS. Ten Ivory Points. heavily charged.$i oo SHARP & SMITH, CHICAGO. 889 FIG. *5775 Assorted, 3 sizes Carbolized (6 per cent.) White Braided Silk per bottle $ 75 *5776 " 3 " " " Iron Dyed Braided Silk.... " " 75 *5777 " 3 " " " White Twisted Silk " " 50 *5778 " 3 " " " Iron Dyed Twisted Silk.... " " 50 *5779 " 3 " " " White Braided Silk, (17 yds., " " 2 00 5780 " 4 " Turner's Silk, White Braided per reel 50 5781 " 4 " S. & S. " " " " " 50 " 4 ". '' " Iron Dyed " " 50 *5783 " 4 " " " White Twisted " " 25 5784 4 " " " Iron Dyed " " 25 5785 Sharp & Smith's one Size White Braided Silk Tablets 30 5785 " " " " Iron Dyed Braided Silk Tablets 30 5786 Turner's " " White " " " 30 5787 Sharp & Smith's " " Braided Silk, White or Iron Dyed, in skeins, per skein 15 5788 Morgan's (6 sizes) Assorted White Braided Silk on ivory Pins per set I 25 *5789 White Twisted Silk, single reels 10 5790 Iron Dyed Twisted Silk, single reels 10 5791 Cable Twist, in skeins per skein 25 5792 Carbolized Kangaroo Tendons, in bottle 25 5793 Chinese Beaded Silk (very fine) for eye operations : per skein 25 5794 Knoll's Glass Reels for winding on silk, to be thrown into a solution, 15 5795 Solid " Spools " " " " " " " " 05 5796 Hollow " " " " '• " " " " " 05 5797 Hard Rubber Reels in Glass Tube, for silk or catgut, 3 reels, small 60 579s " " " " " " 3 " med 75 5799 " ; " '' " 3 " large 1 00 5800 S. & S.'s. Hard Rubber Reels in Glass Tube for silk or catgut, 3 reels 1 25 5801 Hard Rubber Reels in Hard Rubber Tube, for silk or catgut, 6 reels, small 60 5802 " " " " " " " large 75 LIGATURE SILK. *5803 Sharp & Smith's 3 sizes assorted Catgut in 6 per cent, carbolized solution, per bottle.$ 60 5804 S. & J.'s Catgut Ligature (in any solution) Nos. o and 1 " " 30 5805 " " • " *• " 2, 3, 4 " " 35 5806 " " " " " 3 Assorted sizes " " 50 5807 J. & J.'s " " (8 feet, in any solution) Nos. 1, 2, 3, and 4 " " 25 5808 Schorse's " " (10 feet), fine, med. and large " " 75 5809 Meyer's " " I yard, 2 spools in each Jjottle " " 25 5810 '' " " 3 spools ass'd sizes '' " " " 75 5811 " " " 1 dozen skeins ass'd " " " " too CATGUT LIGATURE. I'ig. 578;,-S. <x o. vVnite Twisted Silk, 4 sizes on card. SHARP & SMITH, CHICAGO. 890 F,G- 5812 Five yard Coils Raw Animal Ligature in 8 sizes per coil of each size from 10c. to $ 40 5813 Elastic Ligatureper string 25 RAW ANIMAL LIGATURE. Put up on Glass Spools, three spools (assorted sizes), in a neat bottle, with a nickel-plated screw cap. The spools are so arranged, on a metal frame in the bottle, that the liga- tures may be drawn out through the cork, as they are wanted for use. The cork, being elastic, closes tightly around the ligatures, thereby pressing all of the surplus solution out of them and back into the bottle. The metal frames are all coated or enameled, which fact renders them impervious to the solutions in which they are placed. This will be found a great improvement over the old way of putting up these goods. Three sizes in a bottle, on Glass Spools, with nickel-plated screw cap. Put up in plain or dry state, or in Carbolized 6 per cent. Chromatized, i to 2,000, preserved in 5 per cent, carbolized solution. Sublimatized, 1 to 2,000, preserved in 5 per cent, of carbolized solution. Juniper oil, or any special solution desired. SUPERIOR SURGICAL LIGATURES. 5775 to 5779 and 5803. THE FARNY SUTURE, FOR THE PAINLESS SEWING AND DRESSING OF WOUNDS, COMPRESSION OF SWELLINGS, TUMORS, Etc. Fig 5823-1 to 7-Farny Suture. SHARP & SMITH, CHICAGO. 891 THE FARNY SUTURE. It consists mainly of a handy, ready made contrivance, composed of two pieces of strong fabric (coated with a non-irritating adhesive substance of great tenacity) and reinforced (eyelets) non-adhesive edge. These pieces, with the reinforced parts toward the wounds, are placed on both sides of it on the healthy skin, to which they lastingly adhere. The reinforced edges prevent tearing or stretching of the suture and can be used in various ways, of which one of the best and easiest is illustrated in our sutures style No. i, viz.: about one-quarter inch of the adhesive side of the plaster is turned over a wire or cord, back on itself (by this process the edge is rendered non-adhesive), and into this edge eyelets are let in or other fasten- ing devices in different styles. The thread which in the ordinary suture was sewed through the flesh, will now be drawn through the eyelets and allows the operating surgeon to bring and keep the separated parts of the wound together with the utmost nicety, and with the additional advantages of Saving labor to the surgeon; Facilitating operations without causing pain to the patients, who for some reason or another cannot be brought under the influence of an anaesthetic; Doing away with pain and irritation of suture during the process of healing, etc., etc. The plaster itself is of the blandest, and without irritating properties, so that even after a prolonged application none, or only trifling inconvenience will be caused, which is far less than that caused by ordinary sutures. The plaster has such powerful adhesive properties that there is no danger of the suture becoming loose, provided a piece large enough to stand the strain is used. The sutures are made from either solid or perforated materials. The latter is preferred by many practitioners, as it allows a ready egress for per- spiration. STEDMAN'S SILVER AUTOMATIC IN-GROWING TOE-NAIL CURE PATENTED NOV. 5th, 1872, MARCH 25th, 1873. Price 25c. per pair. This instrument gently lifts the inverted parts of the nail out of the flesh, affording immediate relief. It may be applied to any case; is worn with the shoe with perfect ease; and is a reliable, permanent, speedy and painless cure. Sharp & Smith, Western Agents, 73 RANDOLPH STREET, CHICAGO, ILL. 892 SHARP & SMITH, CHICAGO. FIG. 5814 Pure Silver Wire, assorted sizes, from 18 to 32 Stubbs Gauge per coil $ 35 5815 Pure Silver Wire, 6 different sizes (1 yard each), on spools in case 1 50 5816 Pure Silver Wire, 6 different sizes (1 yard each), on spools in case per oz. 3 00 5817 Pure Copper Wire, silver plated per coil 25 5818 Iron Wire " 10 5819 Lead Wire " 20 5820 Silk Worm Gut, per doz. strings 20 5821 " " " " bunch 75 5822 Dr. Penny's Adjustable Elastic Adhesive Strips, 12 in each bdx each 50 *5823 Farny Suture, from 1 to 7 in box per box 1 50 *5823 " " in one yard lengths per yard 1 00 (See preceding page for illustration of Farny Sutures.) DRAINAGE TUBES AND TUBING. 5824 Decalcified Bone Drainage Tubes, assorted lengths.... per inch 10 5825 " " " " 2 inches long, in bottle 30 5826 " " " " 2V3 " " " 35 5827 " " ' "4 " " " 40 5828 " " " " 2 " " each 25 5829 " " " " 2% " " " 35 5830 " " " " 3 " " " 4o 5831 Andrews Suction Drainage Tubes 75 5832 Purified Rubber " " 9 inches long each 10 *5833 Maroon " " " 6 assorted sizes, in bottle 7 inches long per bottle 75 *5834 Pure Gum Rubber Drainage Tubing per yard 25 GROSS' GLASS ANTISEPTIC DRAINAGE TUBES. *5835 Gross' Glass Drainage Tube, No. 1, 4 holes each 10 *5835 " " " " " 2, 4 " " io *5835 " " " " " 3, 5 " " 12 *5835 " " " " " 4, 6 " " 12 *5831; " " " " " 5, 7 " " 15 *5835 " " " " " 6, 8 " " 18 *5835 " " " " " 7- 9 " " 20 *5836 Pure Silver " " in any length per inch 15 *5837 Lister's Forceps for introducing Drainage Tubes 2 25 Miscellaneous and General Surgical Necessities. ANTISEPTIC DRAINAGE TUBES.-Glass. These Tubes have large holes, one-half inch apart, arranged alternately on opposite sides. They are carefully finished, especial care being taken to make them smooth. In addition to the drainage holes, each tube has at one end two smaller holes for the insertion of Safety Pin, through which it is prevented slipping into the wound. For other Drainage Tubes see Index. Made after Patterns furnished by Prof. S. W. Gross. SHARP & SMITH, CHICAGO. 893 Miscellaneous and General Surgical Necessities. PAPIER MACHE INSTRUMENT TRAYS, FOR HOLDING ANTISEPTIC SOLUTION AND INSTRUMENTS. Papier Mache is well known as an exceedingly tough substance, and articles made of it are almost indestructible. This material is being used in Europe in the construction of photographic trays, and they are now offered for the first time in the United States as anti- septic trays for surgical operating instruments. The trays are most desirable on account of their durability, and being finished with a hard and polished black surface, are thoroughly adapted for sur- gical and chemical purposes. SIZE OF TRAYS. fig. (Inside Bottom). *5838 i2%xio% inches each $ 1 50 *5838 I4/2XI2% - " 2 OO *5838 I6%X2O% " " 3 50 *5838 19x24 " " 5 50 We also have these in "Agate" Ironware (seamless, Fig. 5839) which are also indestructible. The "Agate" trays have "handles" for convenience in carrying. *5839 14 inch $ 80 *5839 15 " 90 *5839 16 " . 1 00 *5839 17 " 1 10 *5839 18 " 1 25 PRICES. 894 SHARP & SMITH, CHICAGO. FIO. MEAD'S ADHESIVE PLASTER.-On Tin Spools. 5840 3 inch strips, 10 yards long, per spool, (S. & J's)$ 75 5841 " " 10 " " " " " 65 5842 2 " " 10 " " " " " 35 5843 1% " " 10 " " " " " 5o 5844 1 " " 10 " " " " " 40 5845 % " " 10 " " " " " 35 5846 7 " " 1 " " " yard " 35 5847 12 " " 5 " " " box " 1 25 5848 Mead's Dressing Paper, 24 inches and 25 yards per roll 75 ADHESIVE PLASTERS AND BANDAGES. 5849 Rubber adhesive plaster on cotton cloth, 7 in. wide, per yard. . $ 55 5850 Emp. " " " Swansdown 17 in. wide, per yard.. 65 5851 " " " " Moleskin 17 in. wide, per yard.... 75 5852 " " " " Shirting, per yard 25 5853 Belladona adhesive plaster, 7 inches wide per yard 60 ■5854 Camphorated blister plaster 7 inches wide per yard 60 5855 Isinglass plaster on fine silk, per yard 50 5856 " " " strong muslin, per yard 30 5857 10 yards adhesive bandage, % inch wide, in tin boxes.... each 30 5858 10 " " " 1 " " " " " " 35 5859 10 " " " 2 " " " " " " 50 5860 10 " " " 3 " " " " " " 70 COTTON. 5861 Absorbent, 1 lb. -packages each $ 40 5862 " % " " " 25 5862 " % " " " 20 5863 " 2 oz. " " .15 5864 " I " " " IO 5865 Borated 1 lb " " 45 5866 " y2 " " " 30 5867 " % " " " 25 5868 " ' 2 oz. " " 15 5869 " I " " " . IO 5870 Carbolated 1 lb " " 50 5871 " % " " " 35 5872 " % " " " 3° 5873 " 2 oz. " " 20 5874 " 1 " " " 15 5875 Sublimated 1 lb " " 45 5876 " % " " " 3° 5877 " % " " " 25 5878 " 2 oz. " " 15 5879 " I " " " IO 5880 Salicylated 1 lb " " 50 5881 " % " " " 35 5882 " % " " " 30 5883 " 2 oz. " " 20 5884 " 1 " " " 15 5885 Iodoform " in one ounce bottles " 25 5886 Styptic " " " " " " 20 SURGEONS' LINT. 5887 Lister's Mfg. Co.'s Surgeon's Lint, per lb $ 65 5888 Taylor's " " " " 75 5789 " Superior quality Surgeon's Lint per lb 1 50 5890 " " " " " " ounce package 25 SHARP & SMITH, CHICAGO. 895 FIG. PURE LAMB'S WOOL. 5891 Plain Antiseptic Lamb's Wool, pound pkgs $ 2 00 5892 " " " " % " " 1 00 5S93 " " " " X " " 50 5894 Binoidide of Mercury, 1-8000 Lamb's Wool, 1 pound pkgs 2 00 5895 " " " " " % " " 1 00 5896 Carbolated 1-8000 Lamb's Wool, % pound pkgs 65 5897 Iodoform " " " X " " 75 5898 Sublimated " " " % " " 65 JUTE. 5899 Carbolized Jute, in 1 lb. tin boxes $ 30 5900 Plain " per lb. 20 5901 Tarred " in 1 lb. tin boxes 35 5902 Oakum per lb. 25 PROTECTIVES. 5903 Oiled Muslin per yard# 50 5904 " Silk, 30 inches wide " 95 59°5 " " 28 " " " 70 5906 Green Silk Protective Cloth " 1 50 5907 Gutta Percha Tissue, best quality " 50 5908 McIntosh Black Rubber Cloth " 60 5909 " Pink " " " 1 5° RUBBER SHEETING. 5910 Rubber Sheeting, white, f yds per yard# 75 5911 " " " x " " 1 00 5912 " " " " " 1 25 5913 Unbleached Roller Bandages 5914 One lb. Boxes, assorted per lb. 1 00 5915 1 inch wide by 1 yard long, 5916 1% inches " 3 " " For fingers and toes, and hands and feet. 59G 2 " "3 " " 5918 2 " "8 " For forearms, arms, head and legs of children. 5919 2% " " 3 " " 5920 2% " " 8 " " For forearms, arms and head of adults. 5921 3 "4 " " 5922 3 " "8 " " 5923 3% " " 5 " " I oo For lower extremities, cla- vicle, etc., for adults. 5924 " " 8 " 5925 4 " " 6 " 5926 4 " " 8 " For the body or trunk. ANTISEPTIC GAUZE. 5927 S. & J.'s 10 per cent. Carbolized Gauze, 5 yard roll in can, per can# 65 5928 " 5 " Iodoform " 5 " " " " 1 50 5929 " 10 " "5 " " " " 1 75 5930 " 1-2000 Corrosive Sublimate " 5 " " " " 60 5931 " 5 per cent. Hydronaphthol " 5 " " " " 1 00 5932 " 5 " Naph. " 5 " " " " 75 5933 J- & J 's Carbolized " 5 " " " " 55 5934 " 10 per cent. Iodoform " 5 " " " " 1 10 5935 " Corrosive Sublimate " 5 " " " " 55 5936 Meyer's 10 per cent. Carbolized " 5 " " " " 55 5737 " 5 " " . "5 " " " " 5° 5938 " 1-2000 Corrosive Sublimate " 5 " " " " 50 5939 " 5 per cent. Iodoform " 5 " " " " 1 25 5940 " 10 " " " 5 " 1 25 896 SHARP & SMITH, CHICAGO. fig. ANTISEPTIC GAUZE-Continued. 5941 Schorse's 5 per cent. Carbolized Gauze, in 5 yd. rolls, per roll $ 50 5942 " 10 " " " " 5 " " " 55 5943 " 1-2000 Corrosive Sublimate " " 5 " " " 55 5944 " 5 per cent. Iodoform " " 5 " " " 1 25 5945 " 10 " " " " 5 " " " 1 25 5945 Lister's 1-1000 Corrosive Sublimate " " 5 " " " 60 5946 " Carbolized " " 5 " " " 60 5947 " Iodoform " " 5 " " " 1 10 5948 25 Yard Rolls Plain Absorbent " 1 25' 5949 25 " " Corrosive Sublimate " 1 50 5950 25 " " Carbolated " 1 50 BEST WHITE MUSLIN BANDAGES. 5951 in.xi yard Best White Muslin Bandages per doz $ 10 5952 1 in.x3 " " " " " " 35 5953 2 in.x3 " " " " " " 45 5954 2 in.x8 " " " " " " 1 00 5955 jn-x3 " " " " " " 65 5956 2% in.x8 " " " " " " 1 5° 5957 3 in-x4 " " " " " " 9° 5958 3 in.x8 " " " " " " 1 30 5959 3% in-x5 " " " " " " 1 70 5960 3% in.x8 " " " " " " 1 80 5961 4 in.y6 " " " " " " 1 70 5962 4 in.x8 " " " " " " 2 25 WHITE OR RED FLANNEL BANDAGES. 5963 1 % in.X3 Yards White or Red Flannel Bandages per doz.$ 1 25 5964 2 in.x3 " " " " " " 1 50 5965 2 in.x8 " " " " " *• 3 75 5966 2% in.x3 " " " " " " 1 75 5967 in.x8 " " " " " " 4 45 5968 3 in.x4 " " " " " " 3 00 5969 3 in.x8 " " " " " " 5 00 5970 3% in.x5 " " " " " " 4 00 5971 3% jn-x8 " " " " " " 5 5° 5972 4 in.x6 " " " " " " 5 00 PLASTER PARIS BANDAGES. 5973 1 in.X3 Yards Best Plaster Paris Bandages per doz.$ 70 5974 1% in.X3 " " " " " " 75 5975 1% in x5 " " " " " " 1 00 5976 2 in.X3 " " " " " " 90 5977 2 in.x6 '' " " " " " 1 25 5978 2% in.x3 " " " " " " • 95 5979 2% in.x6 " " " " " " 1 40 5980 3 in.x3 " " " " " " 1 00 5981 3 in.x6 " " " " " " 1 5° PHYSICIAN'S SOAP. 5982 5 per cent. Boracic Acid Soap, in tin boxes ' each $ 25 5983 5 " Salicylic Acid " " " " 25 5984 1 " Hydronaphthol " " " " 25 5985 5 " " " " " " 25 ANTISEPTIC TABLETS. 5986 Corrosive Sublimate Tablets, 25 in bottle per bottle $ 25 5987 " " " 5° " " 40 5988 Hydronaphthol " 100 " " 35 SHARP & SMITH. CHICAGO. 897 ANTISEPTIC TABLETS-Continued. FIG. 5989 Sponges, Antiseptic small doz., $r 00 to 1 50 5990 " " med. " 3 00 to 3 50 5991 " " large " 4 00 to 7 50 5992 " '* flat for Ovarian Surgery.... " 1 00 to 2 50 5993 " " " " .... " 60 to 2 00 5994 " Antiseptic (% doz.) in jar per jar 05 5995 Spongio Pilene, 36 inches wide per yard 5 00 F>g. 5996-THE SEABURY ACCIDENT CASE-$4 00. The Seabury Ac- cident Case, one view of which is presented above, is designed largely as an accessory in ren- dering that " First Aid to the Injured," in which the medi- cal profession so willingly encourage laymen, as a means of relieving suffer- ing, and even saving lives imperiled by accident. At the same time, it con- tains a complete outfit for all ordi- nary surgical cases, sufficient, at least, to enable the surgeon who may be at hand to dress injuries promptly and safely, without incurring the dangers of delays necessary to procure these appliances from his office or from hospitals or drugstores, or in the removal of the injured to hospitals or elsewhere, before their wounds can be dressed. The contents of the case are: i yard Oil Paper; % dozen Cotton Roller Bandages, 3 inch; % dozen Cotton Roller Bandages, 2 inch; % dozen Cotton Roller Bandages, 1 Inch: 1 oz. Absorbent Cotton; 1 oz. Absorbent Lint; 1 Rub- ber Bandage, Esmarch; 1 Box Silk and Wax; 1 Sponge, Antiseptic; 1 Package Pins, pyramid; % inch Spool Mead's Adhesive Plaster; inch Salicy. Isin- glass Plaster; 1 oz. Hydronaphthol; 1 Bottle Catgut Ligature; 1 oz. Crystal Car- bolic Acid; 1 oz. Liquid Ammonia; 1 oz. Bi-Carb. Soda; 1 Pair Scissors; 1 Pair Forceps; 1 Needle Straight; 1 Needle half curved; 1 Needle full curved; i oz. Styptic Cotton; % doz. Safety Pins. Around the sides and ends, and inside the cover, are printed intelligent and simple directions, which can be understood by any one, as to the use of the contents in various emergencies. These will enable even those unfamiliar with the dressing of wounds, to promptly afford relief to injured persons and to pre- pare them for comfortable removal to the hospital or elsewhere, where they may be placed under the care of a surgeon, or to relieve their distress until a surgeon arrives. On the bottom of the case is a complete list of poisons and their antidotes, with directions for administering the latter. The antidotes are all chosen from those readily obtainable, and this feature of the case alone should be sufficient to commend it for use in every household. Size of Case closed 8% x x inches. Case Closed. 898 SHARP & SMITH, CHICAGO. FIG. *6000 Baunscheidt Instrument $ 1 85 6001 " Oil (per bottle) 1 35 6002 Minim Graduates each 25 6003 One and two drachm Graduates " 15 6003 " ounce " " 15 6003 Two " " " 20 6003 Four " " " 30 6003 Eight " " " 40 6004 Glass Mortars and Pestles, from 25c. to 1 00 *6005 Wedgewood Mortars and Pestles, from 40c. to 3 50 *6006 Specimen or Museum Jars, one pint 50 *6006 " " " one quart 75 *6006 " " " half gallons 1 00 *6006 " " " gallon 1 50 *6006 " " " two gallon 2 00 *6007 Screw Neck Tube Vials, with nickel plated tops, per doz., 25c. to 50 *6008 Papier Mache, in funnels, plain each 20c. to 95 *6009 " " " with ridges " 25c. to 1 00 6010 Glass Funnel " toc. to 35 6011 " Feeding Dishes per doz. 3 00 MISCELLANEOUS GOODS. 6008-Plain. 6009-With Ridges- 6000 6oc6 6007 6oo5 SHARP & SMITH, CHICAGO. 899 SUPPLEMENT. Prices in this whole Catalogue Strictly Net, except where otherwise stated. MISCELLANEOUS INSTRUMENTS-General Operating. Fig. 7000. Dr. Ap Morgan Vance's (Louisville, Ky.) Complete Emergency Operating Case, contains a more complete line of instruments, dressings, etc., than any one case yet put up. The lower half of the case contains the steel instruments, knives, forceps, etc., blocked in four wooden trays (see Figs. 7001, 7002, 7003 and 7004). These wooden trays fit snugly into hard rubber trays, which are used during an operation to hold solution and instruments (as shown in Fig. 7004). These trays are i6jk§ inches long, inches wide, and inches deep. These set of trays in case can be separated from the upper part of the case. The upper part of case contains the surgical dressings, medicines, and all nec- essaries of an " Emergency Case." See following pages for description. See pages 276 to 286 for other Operating Cases. 900 SHARP & SMITH, CHICAGO. MISCELLANEOUS INSTRUMENTS-General Operating. Fig. 7000.-Dr. Ap Morgan Vance's Emergency Case-Closed. Fig. 7001.-Tray for Dr. Vance's Case con- taining Capital Saw, Needles, Silk and Artery Instruments. Fig. 7002.-Tray for Dr. Vance's Case con- taining Trephining and Necroses Instru- ments. See pages 276 to 286 for other Operating Cases. SHARP & SMITH, CHICAGO. 901 MISCELLANEOUS INSTRUMENTS-General Operating. Fig. 7003.-Tray for Dr. Vance's case containing Bow saw and Haemostatic Forceps and Instruments. Fig. 7004.-Showing Wooden Tray, also Hard Rubber Tray, which holds the Wooden Trays, holding amputating Knives, Forceps, Scissors and a general assortment of Instruments. This case complete contains over 200 instruments. We do not furnish list of contents herewith because these cases are generally put up according to each doctor's selection, adding whatever instruments he may have on hand. Dr- Vance's capital idea is what we desire most to call attention to. All instru- ments are with smooth Metal Handles thereby aseptic, and are blocked in oiled "Hard Wood" which prevents the instruments from rusting. See pages 276 to 286 for other Operating Cases. 902 SHARP & SMITH, CHICAGO. MISCELLANEOUS INSTRUMENTS-General Operating. Fig. 7005. - Compact Operating Set (New). Contains: Amputating Saw, pair Bone Forceps with Spring, Spring Catch Artery For- ceps, Bulldog pattern, pair Plain Dress- ing Forceps, pair Curved Scissors, Es- march's Tourniquet, Med. Amputating Knife, two Amputating Scalpels, Straight Bistoury, Curved Sharp Bis- toury, Peters'Hernia Knife, Tenotomy Knife, Tenaculum, pair Silver Probes, Needles, Silver Wire, Aneurism Needle and Director. Put up in a velvet-lined Morocco covered case, Iix4%x2j<(. Fig. 7005-Compact Operating Set. Price$21 00 Fig. 7006-Esmarch's Tourniquet, with 3 yards Red Webbing. (See Fig. 1194, page 308, for manner of Application). Figs. 7007, 7008 and 7009-Allis' Haemostatic Forceps, with Scissor Handles. See pages 276 to 332 for other Genera) Operating Instruments. SHARP & SMITH, CHICAGO. 903 MISCELLANEOUS INSTRUMENTS-General Operating. FIG. *7005 Compact Operating Case$21 00 *7006 Esmarch's Tourniquet with 3 yards Webbing 2 60 *7007 Allis'Acupressure Forceps, curved 2 25 *7008 " " " straight 2 25 *7009 " Suture " curved 2 25 *7010 Dr. Henry Flood's Anaesthetic Inhaler 7 50 [Extract from the Medical Record, June 8, 1889.] NEW ANAESTHETIC INHALER, BY HENRY FLOOD, M. D., ELMIRA, N. Y- The inhaler consists of two parts, a cone and bottle to hold the anaesthetic. The cone is made of a soft rubber ring, five inches in diameter. The rub- ber ring is soft, and will not injure or be uncomfortable for the patient. It is pliable enough when slight pressure is used, to adapt itself to the contour of the face. To the rubber ring four steel wires are fastened, equal distances apart. The wires are five and one- half inches long. The other ends of these are sol- dered in a metal ring which is three-quarters of an inch in diameter. The metal ring makes the apex of the cone. This forms a spring frame, that always takes the form of a cone. If the cone is pressed to- gether, as if caught by a patient, as soon as the press- ure is removed the frame springs back into shape. It requires only a minute or two to pin a towel around the frame, which should be done with safety pins, or, what is more convenient, I have made a hood of tow- eling which fits the cone. The hood is easily pulled over the frame and pinned at the base of the cone. To prevent air passing through the meshes of the toweling there is a second hood made of soft rubber cloth. The rubber hood is pulled over the toweling. The rubber hood is longer than the cone, leaving a free border of an inch or more which lies on the face. During inspiration the rubber cloth acts as a valve and prevents air from rushing under the cone. When the cone and rubber hood are pressed tightly to the face, air can be entirely excluded from the cone. If air is wanted pull up the rubber hood, and it will pass through the meshes of the toweling. The ring at the apex of the cone has threads cut into it to screw the cork of the anaesthetic bottle into the cone. The metal cork also screws into the anaesthetic bottle. The metal cork has a stopcock to turn off or on the anaes- thetic. Through the cork are two holes which pass through the bottle-end and through the stopcock, where each of the two holes divides and turns so as to open at the lower edge of the cork, thus distributing the anaesthetic, which passes through the cork in four directions, and throws it inside of the cone against the toweling. A small piece of absorbent cotton pushed into the apex of the cone, will prevent the anaesthetic from dripping into the patient's face. The anaesthetic bottle holds four fluid ounces and is graduated so that at any time the amount of anaesthetic that has been used in the cone may be known. When the bottle becomes empty it is easily unscrewed, refilled and replaced without removing the cone from the face. 904 SHARP & SMITH, CHICAGO. MISCELLANEOUS GOODS-General Operating. A NEW ANAESTHETIC INHALER.-Continued from preceding page. The inhaler is easily taken apart and cleaned, the soiled towel or hood is to be thrown aside to be washed, and a clean one is to take its place; the frame and bottle should be washed, and each part of the inhaler can be treated with an antiseptic fluid. This a is very important feature when practising antiseptic surgery, especially in operations about the face and neck. The anaesthetic can be given as rapidly or as slowly as desired. The stop- cock gives absolute control over the quantity put into the cone, and prevents a large amount of waste, requiring one-fourth to one-half as much as is generally used. I have produced complete anaesthesia with chloroform in less than three minutes, and with ether in from four to seven minutes. I have kept patients anaesthetized undergoing capital operations, for nearly an hour, using less than a fluid ounce of chloroform; and in severe and painful operations for forty-five minutes with less than four fluid ounces of ether. [Extract from " The Medical Record," New York, May 11, 1889.] A MODIFIED ALLIS' ETHER INHALER. By Joseph W. Eddy, M. D., Oswego, N. Y. After using a number of kinds of ether inhalers, I have come to the con- clusion that the Allis inhaler is the best; there being no valves to get out of or- der, and the construction is simple; but I found that where it was needed for a number of patients, as in a railroad acci- dent, it generally became too dirty in a short time to use, owing to the presence of saliva and vomited matter, and taking it apart to clean and put in a new canton flannel bandage was very tedious and try- ing to the hands, especially in removing and putting on the rubber cap. In my modification the canton flannel is not threaded through between the bars, but 7011 slipped over as the top comes off, and then in place of the rubber cap over the bars, I use a black patent leather jacket, over one end of which is slipped a rubber face piece, which has the end going over the patent leather jacket distended by a metal ring or band so that there is no trouble in introducing it over the jacket. Surgeons will find that this inhaler can be taken apart, and the bandage changed in few moments. See pages 276 to 332 for other General Operating Instruments. SHARP & SMITH, CHICAGO. 905 MISCELLANEOUS INSTRUMENTS. FIG. *7011 Dr. Jos. W. Eddy's Modified Allis Ether Inhaler $ 9 00 *7012 Dr. J. Suydam Knox's Perineum Needle 75 *7013 Single Reversible all metal Trocar for pocket 75 *7014 Dr. J. Frank's Cross Action Artery Clamp 2 00 *7015 Piffard's Skin Grafting Scissors 7 50 *7016 Long Embalming Needles (10% in.) 1 25 *7017 Dr. M. Spicker's Scissors for cutting bandages of any kind from the body 2 50 906 SHARP & SMITH, CHICAGO. MISCELLANEOUS INSTRUMENTS-Ear and Nasal O' O a cn tT in m a c, n m a o o o o o o o See pages 391 to 411 for other Ear Instruments. See pages 412 to 476 for other Nasal Instruments. SHARP & SMITH, CHICAGO. 907 MISCELLANEOUS INSTRUMENTS-Ear and Nasal. FIG. *7018 Dr. F. C. Hotz' Curette Forceps for removing granulations from the Tympanic cavity (see page 905) § 4 50 *7019 Dr. F. C. Hotz' Ear Spoon, long, metal handle 50 *7020 " " Curette " " 50 7021 " " Cotton Carrier 50 *7O22 " " Probe, flexible, pure silver 75 *7023 " " Tenaculum 60 *7O24 " Knife for operations on membrana tympani.... 1 10 *7025 " " " " " " " .... 1 10 *7026 Durham's Fenestrated Ear Forceps 4 50 NASAL. *7027 Smith's Nasal Speculum $ 1 25 *7028 Dr. P. Norman Bridges'Nasal Douche 1 50 *7029 Dr. Moreau R. Brown's " Ecchondrotome 10 00 See pages 391 to 411 for other Ear instruments, and pages 41210 446 for other Nasal instruments. Fig. 7029-A-Brown's Cautery Snare Handle, Send for description. Fig. 7029.-DR. MOREAU R. BROWN'S NASAL ECCHONDROTOME. This instrument, intended to take the place of the saw, the chisel and the knife in many of the operations on the nasal septum, particularly for the re- moval of the various forms of the ecchondroses and the cancellous exostoses, consists of two blades, one of which is made fast to a handle by a set screw, while the other slides along the former, somewhat after the same manner of the blades of a Mackenzie tonsilotome. The cutting edges of the two blades may be made to approximate each other rapidly by pushing the second or sliding blade with the thumb, or slowly by means of a screw; experience having demonstrated that to be a very advan- tageous arrangement. The blades can be turned on their long axis so as to operate in either the left or right nasal cavity. These instruments are made by Sharp & Smith. 908 SHARP & SMITH, CHICAGO. MISCELLANEOUS INSTRUMENTS-Mouth and Throat. See pages 447 to 523 for other Mouth and Throat Instruments, SHARP & SMITH, CHICAGO. 909 MISCELLANEOUS INSTRUMENTS-Mouth and Throat FIG. *7030 Allingham's Mouth Gag (Annandale's) $ 5 25 *7031 Henrotin's " " . 2 00 *7032 Faenger's " " 4 50 *7033 Dr. F. C. Hotz' Curved Tonsil Forceps 3 oo *7034 Worrell's Head Band Metal Spring to go over the Head. Price, without mirror 1 50 *7035 McCoy's Spiral Flexible Applicator 2 00 *7036 Bishop's Folding Handle Tonsilotome 7 co *7037 Gerster's long Trachea Retractor 1 50 *7038 " short, sharp Trachea Retractor 1 50 *7039 " " blunt " " 1 5° *7040 Pilcher's Suprasternal Retractor 2 00 *7041 Hindes'Palate Retractor 75 7042 Esmarch's Tongue Holding Forceps 4 50 7043 House's " " " 4 50 Seepages 447 to 523 for other Mouth and Throat Instruments. 910 SHARP & SMITH, CHICAGO. FIG. 7044 Dr. A. E. Hoadley's Intubation Set $25 00 Comprising: 1 O'Dwyer's Tube Introducer (2731, Fig. 2) Page 510. 1 " " Extractor (2734, " 4) " 1 " Scale (2733, Fig. 3) Page 510. 1 " , Gag (2730, " 1) 5 Hoadley's Intubation Tubes with Epiglottis. 7045 1 and 3. Hoadley's Intubation Tubes with Epiglottis, Gold Plated each 2 50 DEEP TUBING OF THE LARNYX AS A SUBSTITUTE FOR INTUBATION, With a Report of Nine Cases, and Presentation of New Instruments. Read before the Chicago Medical Society, March 7, 1887, by Dr. A. E. Hoadley, M. D., Pro- fessor of Anatomy, Chicago College of Physicians and Surgeons, Professor of Surgery in the Chicago Policlinic, Etc. In April, 1S86, I became convinced that intubation of the larynx was a justifiable surgical procedure, and a valuable substitute for tracheotomy in selected cases. I therefore procured a set of the O'Dwyer instruments and tubes. Although I had handled the tubes, and seen them introduced, and a year previous had introduced them myself on the cadaver, I did not until this time give serious consideration to the position of the tube after the introduction. I had no diffi- culty in coming to a conclusion in this matter. From my knowledge of the larynx, and the con- tour of the head of the tube, I decided the head of the tube was designed to rest within the larynx, with its projecting flange resting upon the false vocal cords, with the straight part of the tube behind, resting against the posterior straight wall of the larynx (Fig. 1). It is not until I had in this manner tubed five cases that I was informed that it was not the design of the inventor, Dr. O'Dwyer, to have the head of the tube rest within the larynx, but on the contrary to have the flange project laterally and posteriorly above the opening into the larynx, resting upon the arytenoid cartilages behind, and the aryteno-epiglottidian folds on each side, with the head of the tube in such a position that when the epiglottis is closed, it would come in direct contact with the tube, closing its orifice, but allowing its flange to project beneath it (Fig. 2). It now became necessary for me to either acknowledge my error and turn the tube around, or justify the position, and claim an improvement. I examined the five cases and was fully con- vinced that the deep position was at least worthy of further trial. I can now present a summary of nine cases which I have thus treated. Seven of the operations were performed for other physicians : for Drs. R. N. Hall, G. M. Emrick, E. E. Holroyd, W. Rittenhouse, and Caldwell. Two had been performed where t(iere had been no physician in attendance until I was called, and found it necessary to tube immediately. I have not as yet had an opportunity of watching the patients as closely as I could desire, and from the main facts relative to the subsequent behavior of the patients I am indebted to the physician in attendance. Of the two cases above referred to, I saw one six hours after the operation. She was perfectly comfortable as far as breathing and wearing the tube were concerned. The other died twelve hours after the operation, before I saw her a second time. The ages of the patients ranged from two to six years. All had diphtheritic laryngeal stenosis. They were all bad cases, and all died in from twenty-four hours to four days after the operation. The stenosis was promptly relieved in all. Eight out of the nine were able to drink several consecutive swallows immediately after the operation, and continue t6 do so as long as they could swallow. The eight suffered little or no pain from the presence of the tube, nor was the cough particularly troublesome. Four coughed but very little. In one, the pres- ence of the tube in the larnyx did not excite cough ; on the con- trary, there was less coughing than before the tube was in- troduced. In one case the tube was coughed out, and a larger tube was introduced, which remained until the child died from extension of the exudate below the tube. In no case was there subsequent obstruction above the tube. In one case the ob- struction seemed to be in the fauces and pharynx, and I feared that tracheotomy would be necessary, but " deep tubing" gave prompt relief. In two cases, while pressing the tube down deep into the larynx, it was felt to slip by an obstruction and pass beyond reach. In these two cases I believe the head of the tube was lodged in the ventricle of the larynx, resting upon the true vocal cords. (Seepages 510 to 516 for other Intubation Apparatus.) INTUBATION. 7045-Fig. I. Deep Tubing. 7°45-Fig. 2. Intubation. SHARP & SMITH, CHICAGO. 911 There was no unusual inconvenience from the presence of the tube in this situation. I re- moved the tube in one of these cases, and I had as little difficulty as in any, which I think wouid be equally true had the child been living. I might state while giving this opinion, however, that I have never extracted a tube from the living subject. One case suffered severe and continual pain from the presence of the tube, and could not drink one drop without strangling, and having a violent fit of coughing following the attempt. She was fed by means of a tube in the (esophagus. She died on the fourth day from pneumonia, the development of which was probably favored by the irritation of the tube. This was Olga L., a girl five years of age, a patient of Dr. Emrick's. About two years previous, she swallowed, by mistake, some concentrated lye, causing extensive destruction of the tissue, followed by violent inflammation. After a long and desperate struggle she recovered her general health ; but there remained two almost impervious strictures of the oesophagus. She had been under my care six months for the surgical treatment of the strictures when she contracted diphtheria, for relief of which the " deep tubing" was practiced. It was to these changes in the pharynx and oesopha- gus caused by the lye that I attributed her intolerance of the laryngeal tube. In comparing the two methods of introducing the tube, I would call attention to what I re- gard as the most objectionable feature of the O'Dwyer method. It is the projection of the head of the tube over the top of the larynx in such a manner that it prevents the glottis from folding down and adapting itself to the top of the larynx in the usual manner. This leaves a margin of laryngeal mucous membrane exposed which has been in the habit of being covered at every act of deglutition. The projections of the tube do not cover it perfectly, so that in every act of swal- lowing the food is allowed to come in contact with this surface, which is excessively sensitive to everything but air, and must necessarily excite coughing. I have no doubt but what the glottis will close the orifice of the tube perfectly, thus preventing any food from getting into the tube, but it cannot close the larynx by the side of the tube, and food, fluids especially, are forced into the larynx, thus causing the most distressing paroxysms of coughing at every attempt at swallow- ing. All this is obviated by the method that I have adopted, as the head of the tube is within the larynx and well below the opening, so that the glottis does not touch the tube, and can there- fore petfectly guard the larynx. In reference to the removal of the tube, it is my opinion that the tube can be more quickly engaged by the extractor while it rests within the larynx, than while the head of the tube rests above the larynx. The head of the tube being surrounded by the upper extremity of the larynx, greatly facilitates the operation, as it is not easy to get the extractor down by the side of the tube which is the source of the greatest annoyance with the tube in the high position. With reference to the danger of introducing the tube into the trachea, I would state that it is certainly a remote danger, as any one will admit that attempts to push the head of a well-fitting tube beyond the chink. The modifications in the tube that have suggested themselves for the better ad- aptation of this mode of intubation, and which have been constructed for me by Sharp & Smith, of Chicago, are: Shortening the tube to the length of the larynx, or perhaps a trifle longer. (Figs, i and 3). Making the head of the tube conform more nearly to the shape of the interior of the unner part of the larynx. Making the upper surface of the head of the tube slightly cup-shaped for the purpose of favoring the introduction of the extractor. Having that portion of the posterior border of the tube, which corres- ponds to the arytenoid cartilages, stand on a plane anterior to that of the rest of the tube, so that the pressure at this point may be slight. As the aryte- noids are supported by muscles, we should avoid putting them on the stretch, constructing the obturator so that it will project three-eighths of an inch from the lower end. My tube, being a little shorter than the most conven- ient length for introduction, the longer tip of the obturator enables one to pass the tip to the proper position below the chink, when the tube should be detached, and pressed heme with finger before the obturator is withdrawn. The greatest objection to using the tubes of the present construction for " deep tubing " is their length. The O'Dwyer tubes (Fig. 4) when placed deep in the larynx will reach to the seventh ring of the trachea, as shown by an autopsy. This, owing to the mobility of the lower end of the tube in the trachea in the varying positions of the neck, is a source of irritation exciting cough, and inducing pain. One of my patients would invariably point to that locality when asked to locate the tube. I am now, however, having my tubes made a trifle longer than shown in cut. Finally, I would recommend "deep tubing" of the larynx as being preferable to " intuba- tion," even though the long tubes are used, holding that long tubes are preferable only in very ex- ceptional cases. No. 683 Washington Boulevard, Chicago, III. 7°45 Fig. 3- 7045 Fig- 4- 912 SHARP & SMITH, CHICAGO. MISCELLANEOUS INSTRUMENTS-Mouth and Throat. FIG. *7046 Powell's Modification of Camman's Stethoscope $2 25 *7047 Burrows' Trachea Dilator 2 00 *7048 Faenger's Tongue Holding Forceps 4 00 POWELL-CAMMAN'S STETHOSCOPE. I A simple, useful and dur- able combination of Powell's and Camman's Stethoscope has been attained, and will no doubt be found serviceable by the medical profession. The price is such that it is within the reach of all. The suction bulb is placed centrally, and forms a permanent part of the instrument. In applying the stetho- scope, the bulb is slightly compressed, the hard rubber part is placed wherever de- sired; when the bulb is al- lowed to assume its normal shape, the hard rubber bell will adhere to the skin, a vacuum being formed by the bulb exhausting the air from the circular chamber. The metal part is nickel plated and well finished; the elastic parts are made of best quality rubber. Every instrument warranted perfect. Prices in this entire Catalogue are strictly net, except where otherwise stated SHARP & SMITH, CHICAGO. 913 MISCELLANEOUS INSTRUMENTS-Hernia. FIG. *7049 Guarded Herniatome $13 50 *7050 Warren's Double Edge Hernia Scalpel 1 5° *7051 Grimala's Hernia Knife 3 75 *7052 Cooper's " " 1 50 *7053 Belmay's " " 1 50 *7054 Thompson's " " 1 50 *7055 Tesse's " " 1 75 7050 7°5i 7052 7053 7054 7055 For other Hernia Instruments see Index, 914 SHARP & SMITH, CHICAGO. MISCELLANEOUS INSTRUMENTS-Gynaecological, For other Gynaecological Instruments see Index. SHARP & SMITH, CHICAGO. 915 MISCELLANEOUS INSTRUMENTS-Gynaecological FIG. *7056 Skene s Compression Forceps $4 50 *7057 Byford's Uterine Elevator (for use with finger) *7058 Borck's Cyst Elevator 1 15 *7059 Cushing's Pelvic Abscess Dilating Forceps and Trocar 4 00 *7060 Ludlam's New Perineum Needle 1 15 *7061 Vagrometer 3 00 *7062 Harris' Counter Pressure Instrument 1 50 *7063 Mathieu's Intra Uterine Speculum 7 50 *7064 Pean's Wide Haemostatic Forceps 3 00 *7065 Maur's Polypotome 6 00 *7066 Dudley's Silver Uterine Applicator 85 *7067 • " " " Probe 85 7064 7o6s 7066 7067 For other Gynaecological Instruments see Index 916 SHARP & SMITH, CHICAGO. MISCELLANEOUS INSTRUMENTS-Gynaecological. STERILITY: INTRODUCING A NEW INSTRUMENT FOR ITS CURE. By P. E. Outerbridge, M. D., Assistant Surgeon to the Woman's and New York Cancer Hos- pitals; Attending Gynaecologist to the Demilt Dispensary. An apology may seem inorder for drawing the attention of the reader to a subject which is touched upon in most of the gynaecological textbooks of the present day, and with which every gynaecologist is supposed to be familiar. But at the present time there is a decided tendency to study with care only those things that are entirely new. I am aware that in taking up this topic I shall have to go over some old ground, but I trust, nevertheless, to be able to throw ,a little light on this rather old and threadbare subject. My connection with two of the largest clinics for diseases of women in this city has brought before me the frequency of the existence of sterility and its unhappy consequences, a condition, the amelioration of which must be apparent to all; moreover, I have found it to be the fact that by a large majority of the patients at the clinics sterility is often regarded with shame, not unmixed with a feeling of dis- grace, ideas quite contrary to those entertained by patients among the better educated class, in whom superior training has lessened these ancient convic- tions, for we know that among the old Romans a barren wife was considered a cause for separation. The patients, therefore, who come to consult for this condition, often fail to mention the subject directly, in the hope that some- thing may be done to bring about the possibility of conception. It is only, therefore, by close and careful questioning that we elicit from them the real ob- ject of their visit. In cases that give this history some other reason is always found, but it is nevertheless possible that it may be due to some constitutional trouble which im- pairs the general condition, or from lack of food or exercise the parenchyma of the uterus and appendages is weakened and so rendered incapable of developing and sustaining a healthy ovum; but I believe this to be of rare occurrence. In my opinion the absence of proper conjugal feeling will almost invariably be found to be of local origin, and if diagnosed correctly and treatment be car- ried out intelligently, at least in seventy per cent, of the cases our efforts to cure will prove successful. It must be remembered that sterility may exist in the male as well as the female, even though the sexual relation appears normal, and after a careful ex- amination of the female, and no cause can be found for the existing condition, an examination of the male should not be omitted. I will not at present enter into detail as to how this should be conducted, but will simply state that with the microscope and other modern appliances a diagnosis can very easily be made. The reader can readily understand, if such a condition exist, it would be a great injustice to subject the female tto prolonged treatment, even if she have some slight trouble. Recognizing the many difficulties to be overcome, first, in obtaining the his- tory, and next, in following out any of the lines of treatment suggested in the textbooks, which in many instances, are extremely difficult and in the end perhaps futile, I thought if some very simple means could be devised by which the two vital elements could at least be brought together, the probability of the desired result occurring (viz., pregnancy) would be increased fully fifty per cent., and so solve this difficult problem. It is unnecessary at present to mention the various operations and surgical appliances devised to accomplish this simple thing, for the reader is doubtless perfectly familiar with them, and knows or be- lieves that, in a large majority of cases, a successful result is not obtained. SHARP & SMITH, CHICAGO. 917 DR. OUTERBRIDGE'S INSTRUMENT-Continued. The instrument I introduce in the following cuts is a very simple affair, consisting of a continuous steel wire made so as to form an anterior and poste- rior blade, with a slight eversion at one end, and at the other is bent at right angles. This shape adapts it admirably for the position it is to occupy in the Cervical canal. The instrument is entirely self-retaining, and in consequence of its form, is not liable to change position. If, however, this should occur, it Shows that it is not adapted to this special canal, and the operator can, with a Fig. 7069-Outerbridge's Introducer, showing apparatus ready for introduction. Fig. 7070-Outerbridge's Introducer, showing Dilator inserted, and Introducer being withdrawn. Fig. 7068-Outerbridge's Di- lators. small forceps, bend it to meet requirements. The dilator varies in length from one to three inches. The wire should be bent as desired, then tempered to give sufficient power, and heavily silver or gold-plated. This makes it perfectly clean-in other words, renders it safe. The first instrument I made by simply taking a hair pin and bending it into the required shape ; this was used shortly afterward, being scraped and cleansed thoroughly with soap and water, and in- troduced with a plain dressing forceps, the uterus being steadied by a tenaculum. This primitive instrument, of course is very much less effective, and apt to be even dangerous on account of its non-elasticity and possible accumulation of rust, whereas the present instrument is both yielding and aseptic. The patient was allowed to go home with this instrument in situ, with the effect of relieving the dysmenorrhcea from which she suffered, and inducing conception immediately after the next menstrual period. For introduction, the patient may rest either in Sims' position or on the back, if using a bivalve speculum. The dilator is then put in the grasp of an instrument made especially for this purpose, such as is seen in the accompany- ing cuts. It is about ten inches long, and consists of two small steel blades, crescentic in shape, slightly curved and about half an inch in length, which at the end fall together, making it similar to a slightly flexible blunt probe. There is a small place between these two blades, which gradually increases in size for two-eighths of an inch, then grows smaller and coalesces in a slightly flexible rod which is about an inch long, smooth and round; on this there is a movable ball; the blades are shaped to hold and compress the smaller or inner end of the dilator, and being movable, can be adjusted to any sized instrument that may be required. I claim for this instrument that it dilates the cervical canal, making it pos- sible in every instance, after copulation, for the semen to gain admission to the uterine cavity, thus bringing the male and female vital principles together with certainty. For further description of these instruments, see "Medical Record," April 20, 1889. 918 SHARP & SMITH, CHICAGO. MISCELLANEOUS INSTRUMENTS-Gynaecological. [Extract from the New York "Medical Journal,'' May 18, 1889.] By W. W. Van Arsdale, M. D., Instructor in Surgery N. Y. Polyclinic ; Attending Surgeon Eastern Dispensary. A NEW NEEDLE HOLDER FOR ALL KINDS OF NEEDLES. Presented before the Section in Surgery of the New York Academy of Medicine, April, 1889. The jaws of the needle-holder represented in the accompanying cut work on the principle of Dr. G. R. Fowler's instrument, of Brooklyn. They are made smaller, however, so as to facilitate the application of buried sutures in small wounds, and the joint being a French lock, straight needlescan be re- tained in proper position by being placed behind the transverse portion of the jaws against the longitudinal surfaces of the shafts. While the needle-holder, therefore, is especially intended for use with the Hagedorn needles, which are every day becoming more popular, it can be used equally well for straight nee- dles, for needles partly or wholly curved on the flat, and for perfectly round needles. In placing the flat Hagedorn needles in position the same precaution should be taken as in the Hagedorn needle-holder proper-namely, that of placing the portion of the needle which bears the eye in contact with the right side of the shaft of the instrument. (In the cut the needle is figured placed somewhat similarly on the left side.) The point of the needle should emerge at the point of the beak of the instrument. This position allows of greater free- dom of scope, and of easier rotation of the handles. The present instrument holds even the smallest flat needles so firmly, however, that this point of posi- tion need not be insisted upon, as is the case with Prof. Hagedorn's holder, which is frequently too weak in its action. The shafts are sufficiently long to permit of placing sutures inside of cav- ities, though not too long to preclude delicate work in plastic operations. The instrument can be used for ophthalmic work, as small needles curved on the flat and held between the transverse portions of the jaws can be closely approximated to the organ. The whole instrument is about seven inches in length in the present model. For use with the very largest flat needles made, it should be one or two sizes larger, the present one being intended for gen- eral use. The handles are made of vulcanized rubber conveniently fashioned to fit the hand, and can be made of any desired size to suit the operator. The poste- rior one is smaller than the anterior one, in order to facilitate rotation in sutur- ing with curved needles ; moreover it is flattened on the surface, so that one can tell the position of the holder in the hand by the feel of it alone. The catch consists of a tongue provided with three angular ratchet teeth, which fit into two retaining side-bars in the opposite handle. When the first tooth is caught, the needle placed between the jaws is held moderately firm, and very firmly indeed when the second tooth operates; the third tooth, however, releases the catch by allowing the tongue to pass between the bars, and the in- strument opens, releasing the needle. The action of the catch is in some sort automatic. By closing the handles of the instrument after placing the needle For other Gynaecological Instruments, see Index. SHARP & SMITH, CHICAGO. 919 in position, the blades become locked and remain so until the needle is passed, when simple further pressure upon the handles releases the needle, thus doing away with all difficult thumb movements necessary to release the needles in most other holders. In many holders, the needle can only be released if the catch happens to be opposite the thumb of the operator; the present instrument can be readily opened in every position, even when held upside down. The instrument is a so-called antiseptic one. It can be instantly taken apart for cleaning. The blades readily come apart by means of the French lock. The two springs which open the blades and work the ratchet tongue res- pectively, are made in one piece and can be slid laterally out of the pivot-head which retains them. The tongue is moored in cannon bearings provided with side slots, from which it is easily disengaged after removal of the spring. The hard rubber handles are vulcanized on while the steel is hot, and the whole is afterward finished in one piece, presenting perfectly smooth surfaces. Even the name of the maker does not cause any unevenness of the surface, being made of metal and sunk into the handle so as to permit of a perfect finish while remaining visible to the eye. FIG. *7068 Dr. P. E. Outerbridge's Dilators for Sterility, Heavily Gold Plated each$ 50 *7069 Dr. P. E. Outerbridge's Introducer for Dilators " 5 00 *7070 " " " " " " " 5 00 *7071 Dr. W. W. Van Arsdale's Universal Needle Holder 6 75 f.g. RECTAL INSTRUMENTS. *7080 Dr. E. H. Pratt's new Rectal Speculum $ 3 50 *7081 Dr. E. H. Pratt's " " Dilator 1 50 *7082 Dr. C. S. Eldridge's modification of Dr. E. H. Pratt's Rectal Dilator 2 00 *7083 Breshet and Marx' Syringotome 3 00 Fig. 7080.-DR. E. H. PRATT'S NEW RECTAL SPECULUM. The new bivalve Rectal Speculum is intended for the examination of cases of fissure and other irritable conditions too sensitive to tolerate the use of the larger bivalve. Its cone shape expands the ex- ternal more than the internal sphincter and brings the haemorrhoidal inch nicely into view. It is not useful in all cases, but very much so in some. The new Rectal Dilators are intended as an improved shape of what have been called ' The Eggs' (see page 694) ; they are much easier handled and do better work. Nature flushes her capillaries daily by a daily dilatation of the sphincter ani. In cases of chronic constipation or chronic diarrhoea, where she.fails to do so, the new dilators make a very satisfactory substitute and have a tendency to re-establish natural habits. The dilators can be used Fig. 7081.-DR. E. H. PRATT'S NEW RECTAL DILATORS, 920 SHARP & SMITH, CHICAGO. by the patients themselves, and are great adjuvants in the treatment of chronic diseases." For other Instruments of Dr. Pratt's, see Index. Fig. 7082-DR. C. S. ELDRIDGE'S MODIFICATION OF PRATT'S RECTAL DILATOR. As may be seen by accompanying cut, this Dilator is in two parts. It answers all the purposes of a Dilator, and in addition is made hollow, so that it can be filled with hot water or ice and salt, thereby making it an efficient means of treating the prostate and bladder when heat or cold is deemed necessary. It screws together so as to be absolutely water tight. URETHRAL [Extract from the Journal of the American Medical Association.] OPERATIONS FOR STONE IN THE BLADDER. PROFESSOR OF CLINICAL SURGERY IN CHICAGO MEDICAL COLLEGE, AND SENIOR SURGEON OF MERCY HOSPITAL. EDMUND ANDREWS, M. D., LL D. The new instruments and modified methods introduced by Bigelow, of Boston, for crushing and evacuating vesical calculi seemed at first dangerously severe. In litholapaxy one must often work with his instruments in the bladder for more than an hour, and it naturally impressed surgeons as a rash and perilous procedure. I confess to having felt strong fears in this direction, and many other surgeons were even more timid in the matter than myself. Prof. Paul F. Eve seems to have avoided the new plan almost entirely, and Prof. James R. Wood, of New York, shortly before his death, showed me his collec- tion of vesical calculi, and informed me that he had just cut for stone the ninetieth time, and had never crushed in a single instance. However, experience soon showed that the bladder is far more tolerant of even a whole hour or more of careful instrumentation, which thoroughly clears it of debris, than of incision, or of repeated brief crushings which leave a mass of sharp-angled fragments in the cavity for days together. In short, the danger SHARP & SMITH, CHICAGO. 921 of litholapaxy has proved, in my practice, decidedly less than that of the old style of lithotrity, or of lithotomy. All hesitation has vanished. I have now operated for stone one hundred times; fifty-five times by cutting, with seven deaths; six times by the old style of lithotrity of Civiale and of Sir Henry Thompson, with one death; and forty times by Bigelow's litholapaxy, with one death. (See Journal referred to, for a summary of the cases.) Careful mathematical calculations, verified by experiments, showed me three years ago that, by having a reservoir of warm carbolated water 42 inches above the pubis of the patient, and a peculiarly constructed double tube, the inflow channel can be reduced to a small size, and still supply a current forcible enough to sweep all fragments rapidly out of the bladder. The following cuts illustrate the apparatus: Fig. 7100 represents a bucket or other reservoir filled with warm carbolated water and suspended 42 inches above the patient's pubis, while a syphon of rubber tubing descends from the bucket to the inflow branch of the evacuating tube. A strainer shaped as in Fig. 7101 is attached to the upper end of the tube and dropped into the bucket. The evacuating tube is double, and the inflow part is smaller than the outflow, and lapped half way around it as shown in en- larged cross sections in Fig. 7102, where the cylindrical tube A B is the outflow channel and the lunate space B C is the inflow portion. Fig. 7103 gives a side view of the evacuator. Z is the inflow tube which attaches to the rubber syphon shown in Fig. 7100. The inflow tube passes by the curved outflow tube J O without infringing on its caliber, and laps itself around the under half o the outflow tube as shown at B C, Fig. 7103. Near the end X, it discharges into the bladder by about thirty small openings.- CONTINUED ON FOLLOWING PAGE. 922 SHARP & SMITH, CHICAGO. This sends a copious current into the bladder, which rushes into the fenes- trum X of the outflow tube X J O, and sweeps out the crushed fragments with great velocity. It will be observed that the outflow tube is prolonged a little by a piece of rubber tubing J O, the use of which requires a word of explanation. Both in Bigelow's instrument and in my own, the fenestrum X is often blocked by several fragments rushing to the orifice at once, and locking themselves together in a sort of arch, obstructing the outflow and causing a sudden diminu- tion of the stream of water. When this occurs, the surgeon closes the lower end of the short rubber tube J O by seizing it with the thumb and finger of one hand, and then with the corresponding digits of the other hand suddenly com- pressing the rubber just above. This sends a quick, forcible jet back into the bladder, driving back the fragments lodged across the fenestrum X, and per- mitting the outward current to resume its course. I devised this apparatus three years ago, and have reason to be highly pleased with its use. In respect to the new term, litholapaxy, some object that it designates only an improved form of lithotrity, and consequently that Bigelow is not really entitled to inflict it upon an art already overburdened with technicalities, and some European authors decline to use it. However, there are good reasons for adopting it. Lithotrity is a harsh, rough word, and has the inconvenience of sounding so much like lithotomy when carelessly spoken, that surgical teachers and pupils dislike it. Litholapaxy, on the contrary, is smooth and easily distinguished. Moreover, it etymologically means "stone evacuation," and hence is appropriate to include both cases of actual crushing, and also those frequent ones in which the great tubes of Bigelow evacuate stones of some little size without the necessity of crushing. The ability to do this is an important merit. It is probable, therefore, that the word litholapaxy will re- main in use, and lithotrity disappear. * No. 6 Sixteenth St., Chicago. FIG. 7104 Sage's Urethral Powder Blower$10 00 *7105 The Improved Diamond Carbon Battery Cell.. 1 00 For other Urethral Instruments see Index SHARP & SMITH, CHICAGO. 923 MISCELLANEOUS INSTRUMENTS-Electrodes. i-A Long Spatula Burner, for hyper- trophy of turbinated bones. 1- Short Spatula Burner, for anterior hypertrophy of turbinated bones. 2- Lateral " S " Burner, for growths on post-nasal walls. 2- " S " Burner, for growths on post- nasal roof. 3- Lateral Burner, for right nostril, for hypertrophy of turbinated bones. 3- The same, for left nostril. 4- Scythe Burner, for right nostril, for posterior hypertrophies of tur- binated bones. 4- The same, for left nostril. 5- Post-Nasal Scythe Burner, for growths in post-nasal space. 5-B The same, of smaller size, for children. 6 Pointed Burner, for puncturing an- terior hypertrophies. DR. F. B. EATON'S NASO-PHARYNGEAL CAUTERY ELECTRODES. (The above cut represents natural sizes.) FIG. *7106 One Complete Set (11 Burners) in case$20 00 Each Single Burner 1 75 Heavy Conducting CordK complete 2 00 Clamp Attachment, to fasten to any suitable Cord 75 20 per cent. Discount. For other Electrodes, see Index. 924 SHARP & SMITH, CHICAGO. MISCELLANEOUS INSTRUMENTS-Splints. NEW SPLINTS.-LEE'S METALLIC SPLINTS.-ANTISEPTIC, PER- FORATED AND NICKEL-PLATED. Patented October 30TH, 1888. Having numerous inquiries from time to time for Anterior Splints, to match our Posterior ones, we have decided to manufacture the four following new and useful forms: Fig- 7I5°-No. 14-Anterior Tibia Splint. Two in each set. Adults and Children. Can be used separately or in combination with No. 9 (Fig. 4579) Splinteach $r 00. Fig. 7151-No. 15-Anterior Patella Splint. Two in each set. Adults and Children. Can be used separately or in combination with No. 8, (Fig. 4578) Levis' Splint... .each $1 00. Fig. 7152-No. 16-External Ankle Splint. Four in each set. Rights and Lefts. Adultsand Children. This is designed to replace the old fashioned wooden Splint... .each $1 00. 7153-No. 17-Internal Ankle Splint. Four in each set. Rights and Lefts. Adults and Children. This is designed to replace the old fashioned wooden Splint... .each $1 00. For other Splints, see Index. ADVERTISEMENTS. 925 WM. H. WIGMORE, Manufacturer of Gold, Silver, and Plated SURGICAL AND DENTAL INSTRUMENTS, Catheters, Syringes, Small Wares, Etc. FOR THZ TRADE EXCLUSIVELY. 107 S0HTH EIGHTH STREET, T311 il£LcLelp>13-iet. SEND STAMP FOR CATALOGUE TO V. H. WIGMORE. POULTRY and CATTLE SPECIALTIES. 1OV S. Eighth Street, rixilstdelplxisi, Fa. Cow Milking Tubes, Teat Slitters, Cattle and Sheep Labels, and Windy Dropsy Trocars, French Poultry Killing Knives, Caponizing Tools of every Description, with full instructions; Adjustable Bands, Rings, Markers, Roop Syringes, Anti-Feather Pullers, Gapes Exterminator, and How to Make Poultry Pay. FOR SALE BY SHARP & SMITH. 926 ADVERTISEMENTS. Immischs Clinical Avitreous Thermometer, IN SILVER OR GOLD. Will last a Lifetime, and never vary with age like the Glass Thermometers. REGISTERING. Awarded Three Silver Medals, 1885. Highest Award, Liverpool) 1886. THE STANDARD FOR ACCURACY. Used by prominent physicians and scientists throughout the world, and unquestionably the most durable and accurate instrument for recording temperatures. Write for testimonials and detailed information.. Sold by SHARP & SMITH, and all Surgical Instrument Dealers, Opticians and Druggists throughout the United States and Canada. At Wholesale by SARDY, COLES & CO., Patentees, 96 & 98 Maiden Lane, New York. Belfast Linen Catheters and Bougies- FLEXIBLE, DURABLE AND INEXPENSIVE. Made of Pure Belfast Linen Thread, and Stronger than any other Flexible Catheter or Bougie in the World. The Genuine all bear the Registered Trade Mark, Belfast Linen, 8. C. & Co. Sold by SHARP & SMITH. and all Surgical Instrument Houses and Druggists throughout the United States and Canada. Exclusively at Wholesale by SARDY, COLES & CO. Sole Importers 9G :m<l OS Maiden Lane, New York. ADVERTISEMENTS. 927 ©ZUzsorlaeiyf . • • for • • • Deptal, apd 1- ABSORBENT COTTON. Our Absorbent Cotton, being made of the longest and finest fiber, and perfectly sterilized, we warrant it to be perfectly free from any acid reaction. By means of a new process just in- troduced in our laboratory, we are able to avoid that harshness which is so irritating to the wound. We especially request Surgeons and Physicians to send for a sample " Gratis." This Cotton is put up in neatly decorated paper boxes, from % to 16-ozs.; also large quan- tities in paper packages of 16-ozs., rolled in a continuous layer. Special price will be quoted to Hospitals on application. MEDICATED COTTON. Borated, Carbolated, Salicylated, Sublimated, Iodoform, Iodized, Styptic, Cocaine, or at any formula desired. ABSORBENT LINT. Having just been granted a patent on a new machine, we claim to make Lint far superior to any in the market. Our material is made of a fine fabric, being woven especially for our own use, thus enabling us to give more superficial feet to the pound than other manufacturers. We also medicate it to order in any formula. The above we put up in i and 16-oz. packages. GAUZE. Sublimated, Carbolated, Iodoform, Eucalyptol, Thymol, Naphth- aline, Hygroscopic, and various other Medications. In the above medications we use only Hygroscopic Gauze, which we prepare ourselves. ROLLER BANDAGES. All our Bandages are 5 yards long, and the following widths : 2, 3, 4 inches. Any other length or width desired can be made to order at short notice. Bleached Cotton, Unbleached Cotton, Linen, White Flannel, Red Flannel, Gauze, Gauzaline; also Plaster Paris Bandages in Decorated Tin Boxes. We also medicate any of the above to order. Plain Jute, Sublimated Jute, Carbolated Jute, Tarred Jute and Oakum, Gutta Percha Tissue, Light and Heavy, in 1 and 5 Yards, Decorated Tin Boxes. Bone Drainage Tubes, Rubber Drainage Tubes, Crystal Tubes, Oiled Silk, Oiled Muslin, Mackintosh Cloth, Waxed Manilla Paper, Surgeon's Antiseptic Wool, Rubber Adhesive Plaster, Mustard Plaster, Silk Worm Gut Liga- tures, Silk Braided Ligatures, Rubber Bandages, with or without Tapes. CATGUT. Our Standard Catgut Ligatures we claim to be 'superior to any in the market for smooth- ness and tenacity. This we put up in bottles containing 2 strings each ; also in bottles contain- ing 4 strings each, assorted sizes. We put up for Hospital purpose 12 strings in a bottle. All the above are medicated as follows • Carbolated, Chromized, Sublimated, and Juniper, or any formula desired. The above are furnished dry-one dozen in envelope. SEND FOR AN ILLUSTRATED CATALOGUE- The Lister Manufacturing Company, Ltd. Walter R. Williams, Prest. & Secy. Theo J. Dieuzet, Treas. & Man. The full Line sold by Sharp & Smith, 73 Randolph St., Chicago, III. 928 ADVERTISEMENTS. Price List of Soluble Compressed HYPODERMIC TABLETS I With New Combinations. We claim for our Hypodermic Tablets-Absolute accuracy of dose. Ready and entire solubility. Perfect preservation of the drug. Their convenience and utility will at once be apparent on examination. Price Per Tube of 20 Tablets. Cents. No. I Morphinae Sulphas 1-2 grain, 25 " 2 Morphinae Sulphas 1-3 grain, 20 " 3 Morphinae Sulphas 1-4 grain, 20 " 4 Morphinae Sulphas 1-6 grain, 20 " 5 Morphinae Sulphas 1-8 grain, 20 " 6 Morphinae Sulphas 1-12 grain, 20 " 7 Morphinae Sulphas 1-2 grain, Atropinae Sulphas 1-100 grain, 25 " 8 Morphinae Sulphas 1-3 grain, Atropinae Sulphas 1-120 grain, 20 *! 9 Morphinae Sulphas 1-4 grain, Atropinae Sulphas 1-150 grain, 20 " 10 Morphinae Sulphas 1-6 grain, Atropinae Sulphas 1-180 grain, 20 " 11 Morphinae Sulphas 1-8 grain. Atropinae Sulphas 1-200 grain, 20 " 12 Morphinae Sulphas 1-12 grain, Atropinae Sulphas 1-250 grain, 20 " 13 Atropinae Sulphas 1-60 grain, 15 " 14 Atropinae Sulphas 1-100 grain, 15 " 15 Atropinae Sulphas 1-150 grain, 15 " 16 Strychninae Sulphas 1-60 grain, 15 " 17 Strychninae Sulphas i-ico grain; 15 " 18 Strychninae Sulphas 1-150 grain, 15 " 19 Apomorph. Mur. 1-10 grain, 30 " 20 Apomorph, Mur. 1-20 grain, 20 " 21 Pilocarpinae Mur. 1-4 grain, 50 " 22 Pilocarpinae Mur. 1-8 grain, 30 " 23 Pilocarpinae Mur. 1-20 grain, 20 " 24 Pilocarpinae Mur. 1-2 grain, 90 " 25 Pilocarpinae Mur. 1-3 grain, 65 " 26 Pilocarpinae Mur. i-io grain, 25 " 27 Aconitinae 1 60 grain, 30 " 28 Aconitinae 1-130 grain, 20 " 29 Aconitinae 1-260 grain, 15 " 30 Morph. Bi-Meconas 1-3 grain, 30 " 31 Morph. Bi-Meconas 1-4 grain, 25 •* 32 Morph. Bi-Meconas 1-6 grain, 20 " 33 Morph. Bi-Meconas 1-8 grain, 20 " 34 Hydrarg, Chlor Corros. 1-30 gr'n, 15 " 35 Hydrarg. Chlor. Corros. 1-60 gr'n, 15 " 36 Digitalini 1-100 grain, 15 Cents. No. 37 Atropinae Sulphas 1-200 grain, 15 " 38 Cocainse Hydrochlor. 1-6 grain, 35 " 39 Cocainae Hydrochlor. 1-8 grain, 30 40 Cocainae Hydrochlor. 1-10 grain, 25 41 Duboisinae Hydrochlor. i-6ogr'n,i5 42 Duboisinae Hydrochlor. i-ioog'n,i5 43 Duboisinae Hydrochlor. 1-60 gr'n, Morphinae Sulph. 1-4 grain, 20 " 44 Duboisinae Hydrochlor, i-ioog'n, Morphinae Sulph. 1-8 grain, 15 " 45 Hyoscyaminae Sulph. 1-60 grain, 15 46 Hyoscyaminae Sulph. 1-100 grain, 15 " 47 Hyoscyaminae Sulph. 1-60 grain, Morphinae Sulph. 1-4 grain, 20 " 48 Picrotoxini 1-40 grain, 15 " 49 Picrotoxini 1-60 grain, 15 " 50 Picrotoxini 1-80 grain, Strych. Sulph. 1-80 grain, 15 " 51 Coninae Hydrobrom. 1-80 grain, 15 52 Coninae Hydrobrom. 1-100 grain, 15 53 Coninae Hydrobrom. 1-100 grain, Morphine Sulph. 1-6 grain, 15 " 54 Curarinae Sulph. 1-60 grain, 15 " 55 Curarinae Sulph. 1-80 grain, 15 " 56 Curarinae Sulph. 1-100 grain, 15 " 57 Eserinae Sulph. 1-60 grain, 15 " 58 Eserinae Sulph. 1-80 grain, 15 " 59 Eserinae Sulph. 1-100 grain, 15 " 60 Eserinae Sulph. 1-100 grain, Morphinae Sulph. 1-6 grain, 15 " 6l Physostygminae Salicylas 1-40 g, 15 " 62 Physostygminae Salicylas i-6og, 15 " 63 Caffeinae 1-2 grain, 20 " 64 Caffeinae 1 grain, 25 " 65 Quin Carbarn. Mur. 1 grain, 25 " 66 Quin. Carbarn. Mur., 2 grains, 40 " 67 Quin. Carbarn, Mur. 3 grains, 60 " 68 Hyoscin. Hydrobrofn. 1-100 gr'n 40 69 Hyoscin. Hydrobrom. 1-50 grain, 60 " 70 Spartein Sulphas 1-30 grain, 15 " 71 Spartein Sulphas 1-60 grain. 15 They are pnt up in Cylindrical Tubes, convenient for carrying in Hypodermic or Pocket Case, ten tubes in a box, with twenty tablets in each Tube. Note.-It will only be necessary in ordering, to specify the Numbers as above. These Tablets will be sent by mail, on receipt of the proper amount. JOHN WYETH & BROTHER, - PHILADELPHIA. Specify Wyeth's when ordering. For sale by all the leading druggists. advertisements. 929 1843 64 PAGES EACH ISSUE. Jggg The St. Louis Medical and Surgical Journal. PUBLISHED MONTHLY. - $2.00 PER ANNUM. DEPARTMENTS: Original Contributions ; Clinical Reports ; Correspond- ence ; Editorials ; Microscopy ; Dermatology and Genito-Urinary Diseases; Eye and Ear; Diseases of Children; Translations from the Russian, Polish, Roumanian and Bohemian Journals; Therapeutics; Physiological and Pathological Notes ; Surgery ; Diseases of Women; Book Reviews; Melange, Etc. This is the oldest Medical Monthly in the United States, and the oldest Medical Journal in the West. All its contents are original, or original translations from the primary article. It is thoroughly illustrated, and contains nothing but the latest news gathered from all the Medical Centers of the world. Address THE ST. LOUIS MEDICAL AND SURGICAL JOURNAL CO., P. O. BOX 626. ST. LOUIS, MO. ELEMENTARY MICROSCOPICAL TECHNOLOGY. By FRANK L. JAMES, Ph. D., M. D. THE TECHNICAL HISTORY OF A TYPICAL SLIDE. You can learn to be a Microscopist without a teacher. In- dorsed by the leading Microscopists of the United States, and adopted as the Textbook in most of the Universities. PAPER, 5Oc. FLEXIBLE BINDING, 75c. CLOTH, $1.00. Address, THE ST. LOUIS MEDICAL AND SURGICAL JOURNAL CO., P. O. BOX 626. ST. LOUIS, MO. ADVERTISEMENTS. 930 SCHORSE & CO., aXa.fi ■ctfa.etia.rers of Antiseptic Materials and Bandages, MILWAUKEE, Wis., OFFER TO THE MEDICAL PROFESSION A COMPLETE LINE OF ABSORBENT AND ANTISEPTIC GAUZE. CeirTooleitecL, Iodo- form, CoxrosiTre SviTolirrtsite, Etc. ABSORBENT AND ANTISEPTIC COTTONS, VIZ: CaxToolated., Borated., tecL, lodofcim, Coxrosi-ve SiXb- limate, Stszptic, Etc. Catgut Ligatures, Czerny's Silk, Silkworm Gut, Bone Bins, Bone Blates, Elastic Bandages, Jute, Lint (woodwool), Antiseptic Moss, Oakum, Drain- age Tubes, Syringes, Blaster Baris Bandages. FOR SALE BY SHARP & SMITH. ADVERTISEMENTS. 931 DR. L. E. NILES & 00., MHNUFHCTUReRS OF= NILES' RECTAL SPECULUM, 27 <£ 29 South Market St. Springfield, - Oiiio. Fig. I Shows the instrument ready for use. Fig. 2 Shows the slides withdrawn and illustrates the character of the milled edges which fit in the grooves of the slots. Sharp Smith. FOR S75L-E BY 932 ADVERTISEMENTS. Magnetic Garments and Appliances. Fig. 6. Fig- 5- Fig. 1. Fig. 10. MIIINESOTA tyagpetic tyjagufacturipg Company, Manufacturers and Dealers in all kinds of Jjagnatis ani £gjliaws, CONSISTING OF Vests, Lung Protectors, Belts, Braces, Sup- porters, Spinal Shields, Head Caps, Insoles, Friction Mittens, Sus- pensories, Bandages, Etc. All kinds of Magnetic Appliances for Invalids made to order, and special orders from Physicians promptly at- tended to. Send for Descriptive Price List and Circular. office: NO. 5 SCHUTTE BUILDING. St. Paul, Minn. Fig. 9- Fig. a. Fig. 3- Fig. 11. Fig. 7. Fig. 8. Fig. 4. Fig. 13. Fig. 12. F0R SAI2E BY SHARP & SMITH, Chicago. ADVERTISEMENTS. 933 Fig. 16. Fig- 14- WE INVITE SPECIAL ATTENTION TO OUR magnetic swfflsom as a specific cure IN OASES or WEAKNESS, EXHAUSTION AND DEBILITY* It is Worn with Comfort and Indorsed by Highest Medical Authority. ALSO OUR MAGNETIC BELTS, In all Cases of Rheumatism, Lumbago, Kidney Trouble, and WEAKNESS OF THE BACK OR SPINE. Fig. 17 SEND FOR SPECIAL CIRCULARS. Minnesota Magnetic Manufacturing Co., No. 5 Schutte Building, St. Paul, Minn. No. I Ladies'Magnetic Vest, price in Silesia $25 00 " 1 " " " " Silk 35 00 " 2 Gents' " " " Opera Flannel t... 25 00 " 2 " " " " Silk 35 00 " 3 Lung Protector, Ladies' or Gents' 10 00 " 4 Throat Appliance ... 300 " 5 Shoulder Appliance 5 00 " 6 Ladies' Abdominal Belt - 10 00 " 7 Magnetic Head Caps, Silk 5 00 " 8 " " Band 3 00 " 9 Upper Leggin or Sciatica Bandage 7 00 " 10 Knee Bandage 3 00 " 11 Lower Leggin 7 00 " 12 Ankle Bandage 3 00 " 13 Magnetic Insoles per pair, 1 00 " 14 Gentlemen's Compound Belt 8 00 " 15 " Wide Magnetic Belt 10 00 " 16 Magnetic Suspensory 5 00 " 17 " Mitten 2 00 " 18 " Wristlets each, .... For Sale by SHARP & SMITH, Chicago. Fig. 18. Fig. 15. Fig. 18. 934 ADVERTISEMENTS. Myron E, Meyer Meg. Co.. MANUFACTURERS OF ANTISEPTIC MATERIALS, Plaster Paris Bandages, Etc., TRADE HZC LABEL MARK. MILWAUKEE, Wis. ORIGINATORS OF THE Sterilized, Bleached, Moist, and Absorbent Antiseptic Gauze. RECOMMENDED BY ALL THE Leading Surgeons and Hospitals in the Country. CORRESPONDENCE SOLICITED. A Full Line of these Goods constantly on Hand at SHARP & SMITH'S. ADVERTISEMENTS. 935 Thg Hastings Truss Co. SUCCESSOR TO Abdominal and Uterine SUPPORTERS, Shoulder Braces, AND Elastic Hosiery. 224 South Ninth Street. - Philadelphia, Pa. Factory 901 Locust Street. HASTINGS & GARSON, Manufacturers of a full line of Leather Coverefl anil Hard Rote Trusses, FOR HOME AND EXPORT TRADE, OF A QUALITY UNSURPASSED. For Sale by SHARP & SMITH, 73 Randolph Street, Chicago. 936 ADVERTISEMENTS. SYRACUSE Suspensory Bandage, WITH Self-Adjusting Sliding Loop HT BRCK OF POUCH. The Pouch (A) is supported by two bands, the large band (B) passing around the body, and the small band (C) passing around the buttocks and through the sliding loop (D). The loop (D) slides freely on the small band (C) and thereby allows the pouch to adjust itself just as the movements of the per- son or clothing require; consequently the Suspensory will fit, no matter what position the body may assume. The Sliding Loop (D) makes the Suspensory Self-Adjusting and gives Freedom of Movement, Prevents Pulling, Cording and Chafing, Gives Support without Restraint of Motion, renders Dis- placement Impossible, Makes our Suspensory Perfect Fitting, and affords Comfort and Relief to Wearer. QUALITY. PATIENT S PRICE. No. No. 16 2 T . . . . - - $ 5° 7C No. 26 I OO No. 2 T . . T 2 C No. 2A OO No. 36 OO GUARANTEE. We guarantee every Syracuse Suspensory Bandage to give satisfaction to Wearer. We will replace every one returned to dealer by the wearer as unsat- isfactory. Dealer will please return Suspensory direct to us by mail, and we will mail another in place of same. SIZES. We keep in stock three sizes, viz.: Large, Medium and Small. Any size made to order. page 806 for additional Prices and Bandages. ADVERTISEMENTS. 937 Best in tlie World, THE HOUSEHOLD SYRINGE Patented Sept. 17, 1878; March 4, 1879. Trade Mark-"HOUSEHOLD"-.Registered RECOMMENDED BY THE MEDICAL FRATERNITY. Made from Pure Rubber, with French Jet Tubes, are conceded to be the best, cleanest, and most perfect Syringes on the market, as they have no screw threads or washers to get out of order, and thus become defective, nor any metal fittings to become corroded, and which are so dangerous in use. The Jet Injection Tubes are non- conductors of heat, and do not chill the injured parts, but are soothing and agreeable in use. The valves are secured, and cannot be lost, thereby insuring efficiency at all times. THE CELEBRATED MAGIC ATOMIZERS. . (CONTINUOUS SPRAY.) Pat. May I, 1883. Pat. May 26, 1885. For Toilet, Throat and Nasal applications, and Employment in the Arts. Are unequaled for Quality, Efficiency and Durability, great care being taken in their manufacture to have a tirst-class instrument in every respect. Mould Work at Short Notice, and of every Description SPECIAL GOODS TO ORDER. Fine Rnfcr Goods for Hie Drosts', Surgical. ani Stationery Trade. DAVOL RUBBER COMPANY, - PROVIDENCE, R.I. FOB S-A.LZE -BY SHARP & SMITH. 938 ADVERTISEMENTS. RAWSON'S U. S. HR MV Patent Blastic Self-Adjusting S USPENSORY EB A N ZD A S H2. A Marvel of Support, Relief, Comfort aadi Durability. IT IS RECOMMENDED BY THE X£ost XTotecL Surgeons & Physicirms In the United States. IT IS ORDERED BY THE U. S. ARMY SURGEONS For the Regular Army. Automatically Adjustable, Rendering Displacement Impossible- BTTHE ONLY PERFECT ARTICLE EVER OFFERED TO THE PUBLIC. Tt is cut in the exact form of the testicle, in different sizes, and fits as perfectly as any other article of gentleman's attire. In quality of material, manner of construe tion and style of Manufacture, it is far superior to any testicle supporter in the world. rZSCHIFTIVE -A.XTID fsice list. The Different Numbers are made Regularly In 3 Sizes, Large (L.) Medium (M.) Small (S.) and Specially in any Desired Size and Shape. Every Bandage, in the Several Styles, is Trimmed and Finished with SilK. STYLES. RETAIL PRICE. No. 1 -Frilled Elastic Waistband and Buttock Straps, made whole (without buckles.) Bags of Ger- man or American material, soft and durable, trimmed and finished in silk S 1 50 No. 1% -Frilled Elastic Waistband and Buttock Straps, with 2 adjusting buckles at abdomen. Bags of German or American material, soft and durable, trimmed and finished in silk.... 1 75 No. 2 -Fine plain Elastic Waistband and Buttock Straps, made whole, without buckles. Bags of extra fine quality German or American material, soft and durable, trimmed and finished in silk... 2 00 No. 3-Superfine plain Elastic Waistband and Buttock Straps, with two adjusting buckles at abdomen. Bags of French material, very soft and durable. Extra quality silk trimmingsand beauti- fully finished 2 50 No. 4- Superfine plain Elastic Waistband and Buttock Straps, with two adjusting buckles at abdomen, and two Buttock Strap adjusting buckles. Bags of finest French material, very soft and dur- able. Extra quality silk trimmings, and beautifully finished 3 00 No. 5 -Silk Bag. Superfine Elastic Waistband and Buttock Straps, with two adjusting buckles at ab- domen, and 2 Buttock Strap adjusting Buckles. Bags of fine English Silk netting in white or flesh color. Superfine quality Silk trimmings, beautifully finished 3 50 No. 6 -All Silk-Superfine Silk Elastic Waistband and Buttock Strap, with 2 adjusting buckles at ab- domen, and 2 Buttock Strap adjusting buckles. Bags of fine English or French silk netting in white or flesh colors. Superior quality Silk trimming and artistically finished 5 OO Each Bandage is put up in a Tinted Box, and 1 doz. of these Boxes are packed in a Carton, Labeled with No. and Size, making them the Neatest and Most Satisfactory Stock among Druggist's Sundries. IMPORTANT TO THE TRADE. Dealers will confer a favor by returning to us any of Rawson's U. S. Army Suspensory Bandages in which the Elastic has deteriorated or the Bandage has in any way become imperfect while in stock, and we will replace them with new goods. We make this request as it is our aim to keep only first-class goods, perfect and superior in every particular, on the market of our manufacture. S. E. G. RAWSON. CAUTION. -Be sure that "Rawson's Patent Elastic Self-Adjusting U. S. Army Sus- pensory Bandage," together with the No. and Size of the Bandage are printed on the Waistband; also on the label of the box which contains it. For Sale by all the Leading Wholesale Drug and Surgical Instrument Houses in the U. S. Orders received and promptly executed by the Patentee arid Sole Mfr., S E.G- RAWSON, Saratoga Springs,N.Y. TRADE SUPPLIED BY SEND IN YOUR ORDERS. ADVERTISEMENTS. 939 SfpB Supporter The Empire Manufacturing Co., . LOCKPORT, 1ST. MANUFACTURED BY Is Superior to all others for the following Reasons: ist. It adapts itself to every movement of the body, giving strong and even sup- port. 2d. It produces warmth without irritation or sweating, as it is perfectly ventilated. 3d. In pregnancy, corpulency, tumois, or other cases of enlargement of abdomen, it supports weight of body from the back- bone, relieving the sinews of their over- work. 4th. Its easy appliance. (Lace and draw on over the head or feet.) 5th. It is cheap, durable. It can be washed when soiled, proper care being taken to cleanse in lukewarm water, and dry in the shade. In ordering give the Measure of the AMomcn. The Supporter should be from four to ten inches larger, according to the degree of support required. PHYSICIANS' PRICES. Common Size, 8 inches wide, $2.50; Extra Size, 11 inches wide, $3.00 ; All Silk, 8 inches wide. THE EMPIRE UMBILICAL TRUSS Is made of the same material, and possesses the same merits as the Empire Elastic Bandage and Empire Abdominal Supporter, and is pronounced by all who have seen it to be the best. All of our goods are sent free by mail on receipt of price, and money refunded if not satisfactory. Infant, 3 inch Supporter, $1.00; Children, 5 inch Supporter, $2.50; Adult, 11 inch Supporter, $4.00. FOR SALE BY SFT7LFLP3 & SMITH- 940 ADVERTISEMENTS. Dr. Gray's Back-Supporting Shoulder Brace. "As the twig is bent, so is the tree inclined." The truth of this old adage is forcibly brought to mind when one sees a man or woman disfigured by a crooked spine or stooping shoulders, and one mentally exclaims, If that person had only had propel care when young, that awkward figure might have been avoided. For the purpose of correcting this evil, the Back-Supporting Shoulder Brace has been devised, and so effectual is it in accomplish- ing its purpose, that it is rapidly growing in favor with all who have worn it, and it is spoken of in the highest terms of praise by all physicians who have seen and examined it. Attention is called to the general construction, by which a per- fect strengthening support is given to the back, at the same time drawing the shoulders back so as to expand the chest and throw the body into an erect, graceful position. All tendency to round shoulders is thus avoided, and this to the young, at the period when the bones and muscles are growing and hardening, is a most impor- tant item. Provision is made for attaching skirts and stocking supporters, thus relieving the hips entirely from the drag of both. PRICE Si 50. Sold by Druggists and Dry Goods trade, or sent by mail, postage prepaid, on receipt of price. In ordering, give waist measure outside dress. Tlxe CeixiToixia-tioza. AKD SUSPENDER FOR MEN AND BOYS. PATENTED AUGUST 16, 1881. This Brace provides a firm yet flexible support for the back from the hips to the shoulders, to which is attached at the waist a yielding belt, which helps to keep the back support in place. At the upper part are connected carefully-constructed adjustable pads, so arranged as to draw the shoulders gently back without cutting or chafing under the arms, thus inclining the body to a graceful, erect position, expanding the chest and correcting all tendency to stooping or round shoulders. Suspender attachments are also added for the pantaloons, which render other suspenders un- necessary. For youths at the growing age, when bones and muscles are forming and hardening, it will be found especially desirable, and for men who from sickness or sedentary occupations are afflicted with weak backs, it will be found a grateful support and possibly a positive cure. Made in Will fit any Waist p - 3 sizes. person. measure. Boys' 4 ft. 8 in. to 5 ft. 2 in. tall....26 to 29 in $2 00 Young Men's 5 ft 2 in. to 5 ft. 8 in. tall... .27 to 32 in 2 25 Men's 5 ft. 8 in. to 6 ft. tall 28 to 34 in 2 50 Sold by the Druggists and Gent's Furnishing trade, or sent by mail, postage prepaid, to any part of the United States on receipt of price. Address as below. PATENTED FEB. 24, 1880. Sole Manufacturers, 287 Devonshire Street, Boston, Mass. For Sale by SHARP & SMITH, Chicago, III. 941 ADVERTISEMENTS. WAITE & BARTLETT'S No. 2 Physician's Faradic Battery. ----- Price, $20 00 Plug and Socket Galvanic Battery. ■ - 20 Celled, $30.00. 30 Celled, $38.00 143 EAST 23d STREET, NEW YORK. 942 ADVERTISEMENTS. COMPLETE OFFICE CABINET. $260 00 (PATENTED MAY 12th, 1887. OTHER PATENTS PENDING.) WAITE & BARTLETT, - 143 East 23d St, New York. ADVERTISEMENTS. 943 Chas. BESELER, 218 CENTER STREET, ■ NEW YORK, MANUFACTURER OF COMPRESSED AIR ATOMIZERS, INHALERS, AIR AND GAS PUMPS, GAS RECEIVERS= AND THE MOST IMPROVED Outfits for Preparing and Inhaling Oxygen INHALING APPARATUS. For administering Vaporized Medicine in the treatment of Throat and Lung difficulties, as designed by Dr. N. L. MacBride, N. Y., shown in con- nection with the celebrated Novelty Air Pump and No. 5 Air Receiver. Ten by thirty-two inch. Each Inhaler is provided with the necessary Rubber Tubing (three and a-half feet), and one Hard Rubber Mouthpiece. Glass tube D to contain the liquid to be vaporized ; glass jar F to be half filled with clear water. F0R SALE BY SHARP & SMITH. 944 ADVERTISEMENTS. Curtiss' Gynaecological Chain MANUFACTURED BY J. S. FORD, JOHNSON & CO., CHICAGO. Indorsed and used by A. Reeves Jackson, M. D.; E. M. Hale, M. D.; N. B Delamater, M. D., J. S. Mitchell, M. D., and other prominent members of the profession. AUTOMATIC IN ACTION. SIMPLE IN CONSTRUCTION. Made of Black Walnut. Stirrups Nickel Plated, HAS SLIDING SHELF FOR INSTRUMENTS 535.00 NET. For sale by SHARP & SMITH, and all prominent dealers throughout the United States. ADVERTISEMENTS. 945 Clinical Thermometers. A NEW FORM OF CLINICAL THERMOMETER FOR TAKING TEMPER- ATURES UNDER THE TONGUE. Clinical Thermometers, as they are usually made, have their stem joined at the end of the Cylinder Bulb, which is mostly X to 1 inch long. Thus, when pushed under the tongue so as to put the bulb far enough back in order to get at the true temperature of the patienj: in that part, the end of the bulb will slide either side. Otherwise the pointed Cylinder is liable to smart, if not hurt. The improvement is in the stem, or graduated part, being brought parallel with the center of the cylinder, and having the bulb partly curvative, so that it will come in contact with all the necessary parts under the tongue, and at the same time will rest securely, and not slide either way. By this means, as well as by the fact that the bulb is surrounded by the flesh, either with the mouth shut or open, the heat being evenly distributed, a more uniform and satisfactory result may be obtained. The instrument may be used for surface temperatures, and its crutch shape also adapts it to the Axilla. They cannot roll, are strongly made, and with ordinary care will last for years. JOHN BARRY, Patentee and Maker, New York. SHARP & SMITH, Principal Agents, 73 Randolph St., Chicago. CUSHMAN'S Soft HOTAN Gelatine MENTHOL SUPPOSITORIES With Cocaine, Powdered Boracic Acid, Sub-Niitrate of Bismuth and Sulphate of Morphia. IN offering the Menthol Suppository to the medical profession we claim many advantages over suppositories made from Cocoa Butter, which forms a coating and imposes an oily substance between the membrane and the medicine. It prevents in many instances the best action of the rem- edy. The Menthol Suppository is a dry powder in a Soft Gelatine Capsule. Moisture and normal heat of the body will dissolve this capsule in two or three minutes, leaving the dry powder in direct contact with the parts affected, securing the full and best effects of the remedy. CURATIVE PROPERTIES OF MENTHOL. By its action upon the vaso-motor nerves it causes a contraction of the arterioles of the parts, thereby diminishing their caliber and regulating the amount of blood passing through the parts; by its power to diminish the caliber of the arterioles it has a tendency to arrest active congestion and acute inflammation, and by its action on the venuos plexuses will prevent congestion and chronic inflammation. Menthol Suppositories are free from any medicine that will coagulate the secretions of the affected parts, thereby forming false membranes to weaken the patient, and they can be used with the least possible inconvenience. ENDORSED BY LEADING PHYSICIANS. Cleanly, Easily Applied, Safe and Sure to Give Relief. Price to Physicians $6.00 per dozen Boxes. Each box contains 1% dozen Capsules. Write for samples. Manufactured by \fi/o H. SHEPARD CO., For Sale by all Instrument Dealers. Three Rivers, Michigan* ADVERTISEMENTS. 946 THE NEW PATENTED Clinical Thermometer. these Thermometers must be marked Bayer's Patent, May 29/88, otherwise they are an infringement, and are worthless. The invention consists in a Clinical Thermometer having a bulb of glass colored in its body. The advantage of a colored bulb is that the Thermometer is rendered thereby more sensitive to changes in heat, which is especially valuable in Clinical Ther- mometers, as these are brought into contact with the person, and should indicate any slight change in temperature quickly. The glass used for the bulb may be of any color, varying in shades from opaque white to black, or two or more colors may be combined in one bulb. The colored bulb also improves the appearance of the Thermometer, and causes the mercury in the bore of the tube to be seen plainer. The most expert workmen of the art are employed in their manufacture, as it is our inten- tion to introduce first quality instruments. SALE BY Hazard, Hazard & Co., Ph. H. Schmidt & Co., George Tiemann & Co., J. Reynders & Co., F. G. Otto & Sons, Sharp & Smith, Chicago AND OTHER FIRST-CLASS INSTRUMENT HOUSES. Physicians wishing an Accurate Instrument ash for BAYER'S PATENT CLINICAL THERMOMETER. BAYER A FLETCHER, 63 Fulton Street, NEW YORK. For Sale by SHARP & SMITH, Chicago. ADVERTISEMENTS. 947 Dr. L. A. Babcock's Pure Silver Uterine Supporter Is the best Instrument now in use for any displacement of the womb, because it is per- fectly simple in its structure, and made to fit the parts exactly. It has no straps or strings to hold it in its place, and does not have to be taken off every time there is a movement of the bowels or micturition. It has no rubber to bend by the natural heat of the body, or to chafe and irritate the parts, producing Leucor- rhoeal discharge and weakness. It is made of pure coin silver, cup and stem, which makes it flexible, and can be changed in shape to suit any form. The solid pure silver is an absolute necessity if a radical cure is sought for, because no other metal can be used with any degree of success, if you wish to produce a current of electricity: if the aim is to cure the patient, then the best and purest instrument should be used. With fair usage, this instrument will last for years, and after a cure is effected, and it is no longer required for that purpose, there is still value remaining in it. We claim and believe that Dr. Babcock's Silver Uterine Supporter will work a radical cure in most cases of displacement of the womb, if used thirty or sixty consecutive days as direct- ed, because its direct action is to contract and tone the relaxed muscles and ligaments of the womb, overcoming the worst cases of Retro and Ante-version, and Flexions in a few days, and reducing the womb to a normal condition. Over 1,000 testimonials from the most eminent Physicians have been voluntarily given, in proof of the above stated facts, that The Silver Uterine Supporter has proved a radical cure to thousands of ladies who have been confined to their rooms and beds for years, and who are now zvell and happy. Full proof will be furnished to all who wish to test the truth of the matter here stated. Price to Physicians, - - - $1O 50. F. (Successor to Dr. L. A. Babcock in the Manufacture and Sale of the Silver Uterine Supporter.) 658 TREMONT STREET, - - - BOSTON, Mass. For Sals "by SFiar-p & Smith. PRICES REDUCED ON THE SHANNON SCJPP2RTER SELF-ADJUSTING SILVER SUPPORTER, - $6 oo ELASTIC SUPPORTER, $3 75. THE SHANNON SUPPORTER IS THE MOST NATURAL UTERINE SUPPORTER EVER MADE FOR PROLAPSUS, RETROVERSION AND ANTEVERSION Halsey's Zv£od.ifxcation for Cystocele, $1O OO. HALSEY BROS. Homoeopathic Pharmacy. CHICAGO. 948 ADVERTISEMENTS MEDICINAL TOILET SOAPS ARE UNEQUALED. Indorsed by the ]\dedica! Profession. CARBOLICL-(Enveloped). No. 1 29-Boxes of 3 Cakes (Paper), per gross, $ 1 5 00 JUNIPER TAR OIL.-(Enveloped). No. 1 28-Boxes of 3 Cakes (Paper), per gross,$ 1 5 OO SAPO-CUTL-(Medicinal). No. 1 73-Boxes of 3 Cakes (Paper), per gross, $ 1 8 00 SULPHUR^-(Enveloped). No. 1 40-Boxes of 3 Cakes (Paper), per gross, $ 1 5 OO TAR OIL AND GLYCERINE. No. 1 47-Boxes of 3 Cakes (Paper), per gross, $9 50 JAS. *=>. KIRK & CZCD., Chicago. SOHP MAKERS, PERFUMERS, CHEMISTS. REFINERS OF GLYCERINE. ADVERTISEMENTS 949 Stye Jofpp ft. Barrett Battery Qp/npapy, Of Baltimore, MANUFACTURERS OF THE Chloride of Silver Dry Cell Batteries. (Pat. Feb. 23, 1886. Pat Dec. 13, 1887. Pat. May 7, 1889. Pat. May 14, 1889. Pat. June 11, 1889.) . . . . COMBINATION, GALVANIC AND FARADIC BATTERY . . . . THE CHLORIDE OF SILVER DRY CELL BATTERIES Have distanced all Competition ; hence the days of antiquated Acid Batteries for the use of Physicians and Families are numbered. Our Batteries have proved to be Original, Compact, Portable, Constant, and Economical. THEY NEED NO REPAIRS. THEY ARE ALWAYS READY. In fact. It is tlx© Battery of Batteries. SEND FOR CATALOGUE. READ INDORSEMENTS. FARADIC BATTERY. F'till Line for Sale by Siiarp & Smitii. MILAM-METEH. 950 ADVERTISEMENTS. JOHNSON & JOHNSON'S IMPROVED PIASTER OF PARIS DAMAGES. (PATENT APPLIED FOB.) THE OLE METHOD Of preparing Plaster of Paris Bandages, namely, rolling up the loose plaster with the cloth, produces a slovenly combination, which is difficult, inconvenient, and untidy to use. Of preparing Plaster Paris Bandages, invented by our Mr. R. W. Johnson, en- tirely does away with the above objections. It consists of mixing the Plaster with an adhesive substance, dissolved in a volatile solvent, hav- ing no effect upon the Plaster, then spreading the mixture upon cloth with especially devised machinery. The evaporation of the solvent leaves the plaster firmly and smoothly adher- ing to the cloth, and the result is a bandage, neat, convenient, and as easily applicable as an ordi- nary cloth bandage. THE NEW METHOD Spread Poultices or Water Dressings. SOMETHING INThw. Among the new products recently added to our list are Prepared Poultices, Starch, Flaxseed, Slippery Elm, and Iceland Moss. They are made after the manner of Prepared Mustard Plasters, and are made ready for use by dipping in water. They possess the same relative advantages over ordinary Poultices as are offered by Prepared Mustard Plaster overthe ancient home made Mustard Plaster. They will be found of great service as an emollient dressing for an in- flamed skin, and in extreme cases of eczema, erysipelas, etc. ABSORBENT COTTON (J. & J.) IN EVEN SHEETS WITH TISSUE PAPER ROLLED BETWEEN TO PRE- VENT FELTING. JOHNSON Se JOHNSON, Ch.emistSj 92 WILLIAM STREET, - - - NEW YORK, Manufacturers of Meiicalei aui Surgical Plasters and Antiseptic Dressings of all Kinds A FULL LINE CONSTANTLY ON HAND AT SHARP & SMITH'S. ADVERTISEMENTS. 951 FLEMMING'S Faradic Current Batteries. No. 00 Faradic Battery. Brass finish, shellacked case, cotton-covered cords, and two tubular tin handles. $10 oo. No. 0 Faradic Battery. Nickel plated polished case with carrying handle, cotton-covered cords, one regular sponge electrode, and one tubular tin handle. $12 00. No. 1 Faradic Battery. No. I Faradic Battery. Very much more complete than the former, and highly finished. ' $15 00. With rapid and slow inter- rupter. $2 2 50. No. 2 Faradic Battery. No- 3 Faradic Battery. Finished as well as the No. 1 Battery, but coil one inch longer, and therefore more powerful, with the addition of a Commutator. Price, $20 00. This Battery is the finest and most complete of its kind ever manufactured. It is provided with a slow and a rapid Rheotome, or current interrupter, a Commutator, or polarity changer, etc. $30 00. FLEMMING'S CIRCUIT-CLOSING NEEDLE HOLDER. With one-half dor.en very fine Electrolytic Needles. For use in depilation, or removal of superfluous hair by Electrolysis. Price, $3 50. The apparatus required for this operation consists of a galvanic battery of from ten to twelve cells, a sponge electrode, an exceedingly fine neeflle, 'nd the above needle holder. 952 ADVERTISEMENTS. FLEMMING'S Improved Portable CONSTANTCURRENT BATTERIES. GALVANIC BATTERY. (PHYSICIAN'S STYLE.) Cells Divided into Sections of 10. io Cell Galvanic Battery, $25 00 20 Cell Galvanic Battery, $45 00 30 Cell Galvanic Battery, $65 00 40 Cell Galvanic Battery. $80 00 GALVANIC BATTERY (PHYSICIAN'S STYLE.) CELLS DIVIDED INTO SECTIONS OF 6 OR 12. 6 Cell Galvanic Battery ... .$20 00 12" " " .... 30 00 18 " " " ..,. 40 00 24 Cell Galvanic Battery .... $55 00 30 " " " .... 65 00 36 " " " .... 75 00 THE SAME STYLE OF BATTERY, COMBINED WITH FARADIC COIL. RAPID INTERRUPTIONS. 6 Cell Comb. Battery $30 00 12 " " " 40 00 18 " " " 5° 00 24 Cell Comb. Battery $67 00 3° " " " 77 00 36 " " " 87 00 THE SAME STYLE OF COMBINATION BATTERY, FARADIC COIL. 6 Cells $38 00 12 " 48 00 18 " 58 00 PROVIDED WITH RAPID AND SLOW INTERRUPTIONS 24 Cells $75 oo 3° " 85 00 36 " 95 00 This is a cheap Battery, made up of light material and designed for Physicians to put them into the hands of their patients. The absence of a hydrostat-board for preventing fluid spilling in carriage, does not make it so portable as the Physician's Battery ; but their elements being composed of zinc-carbon, the same as in the former, their working capacity compares very fav- orably with them. GALVANIC BATTERY (FAMILY STYLE.) 6 Cell Battery $ 7 00 8 " " 9 00 10 " " 11 50 16 Cell Battery $17 50 20 " " 22 00 30 " " 32 00 Portable Cautery Battery (Single Cell) for use in Minor Surgery $15 00 Portable Double Cell Cautery Battery, for use in Minor Surgery 30 00 Single Cell Cautery Battery, for office use, and for use in Minor Surgery 30 00 Double Cell Cautery Battery, for office use 50 00 Cautery Instruments for Naso-Pharyngeal Operations-Complete Case 25 00 Milliampere Meters, Current Controllers, Stationary Cells and Electrodes for Gynae- cological Purposes. Also, Battery Cabinets, Stationary Wall Cabinets, Etc. ELECTRODES, for use in electro-therapeutics, in all their variety. OTTO FLEMMING, Philadelphia, Pa. For Sale by Sliarp cfc Sxxxltli. ADVERTISEMENTS. 953 Bacsgh & Lome Optical Ge., MANUFACTURERS OF <\nc) RAPID UNIVGRSAL And Wide Angle PHOT0GRAPH lenses. DIAPHRAGM SHUTTER, TIME AND INSTANTANEOUS. FACTORY BM<OFFICE 531-543 !(. ST. PAUL ST. ROCHESTER, H. T., 5. O. I)nawei[ Branch Office, 48-50 tylaiden Lane, New York, P. 0. Box 432. 954 ADVERTISEMENTS. Maihtaiited Superiority. DR. JEROME KIDDER'S ELECTRO-MEDICAL APPARATUSES RECEIVED THE GOLD MEDAL From American Institute in 1375, and the Highest Awards from 1872 to 1888, in- clusive, for 'THE BEST APPARATUS EITHER HERE OR ABROAD." BRONZE MEDAL and First Premium at Centennial Exhibition, 1876 HIGHEST AWARD, SILVER MEDAL From Charleston, (J. FALL OF 18812. Froni Industrial Cxpomition, FALL OF 1881, 188», AMD 1883. Medal from Southern Exposition at Louisville, Ky., Fall of 1883, AND HIGHEST AWARDS WHEREVER EXHIBITED IN COMPETITION. O'?" Beware of all Infringements upon our Goods. We are sole proprietors. All purchasers of Batteries infringing upon our patents, are held liable for royalty (or cost of goods.) To distinguish the genuine from the spurious send for Illustrated Catalogue. Address, JEROME KIDDER MFG. CO., Sao Broadway, New York. 955 ADVERTISEMENTS. OFFICE and FAMILY APPARATUS. Our Apparatus are superior to all others, owing to the physiological qualities of Electricity they produce, the simplicity of operation, and durable construction. I Improved No. I-Physician's Office Electro-Medical Apparatus. Improved No. 2-Physician's Visiting Machine. Turn down Helix. Improved No. 3-Physician's Visiting Machine, (another form). Improved No. 4-Office and Family Machine. Improved No. 5-Tip Battery Machine, a most perfect and con- venient apparatus. We Manufacture a Complete Line of Office Farad.ic Apparatus, Cabinet, Wall Bracket, Galvanic, Galvano-Cautery, and. Combined. Galvanic and. Faradic Apparatus. f7 n I TTTM\T I We are s°le proprietors of the "Patent Tip Battery", and all pur- I . 11 I I I 11 I |\| I chasers of infringements are held liable for royalty (or cost of goods) V1A U 1 1V It • to the Jerome Kidder Manufacturing Co., New York City, N. Y. 956 ADVERTISEMENTS. GALVANIC BATTERIES. PRIMARY CELL BATTERY. (SHOWN WITHOUT THE COVER.) The construction of our Galvanic Apparatus is such as to possess all the desired advantages necessary for the proper manipulation of the current. INTERRUPTING, REVERSING DIRECTION, INCREASING THE CURRENT By Single Cells. Cutting out of circuit cells without stopping the operation of the Battery. The Jars are of Hard Rubber, and the elements are so constructed as to be interchangeable ; also re. moved and replaced without any mechanical tools whatever, thus making the Battery as near per- fection as possible. Electrodes for Galvano-Cautery and Electrolytic uses. Also-A Com- plete Line of Appliances for various forms of application. JEROME KIDDER MFG. CO., NEW YORK, N.Y. ADVERTISEMENTS. 957 MEDICAL BOOKS MAIL OR EXPRESS.--©. O. B. W. T. Keener invites the attention of the Medical Profession and Students to his stock of Medical, Cental, Chemical, Pharmaceutical KND VETERINARY BOOKS, WHICH CONTAINS THE MOST COMPLETE ASSORTMENT IN AMERICA. COMPRISING A FULL LINE OF THE MEDICAL PUBLICATIONS OF WM. WOOD & CO., New York. G. P. PUTNAM'S SONS, New York. D. APPLETON & CO., New York. J. IL VAIL & CO., New York. MACMILLAN & CO., New York. LONGMAN & CO. New York, N. Y. LEA BROS. & CO., Philadelphia. P. BLAKISTON, SON & CO., " J. B. LIPPINCOTT & CO., " GEO S. DAVIS, Detroit. HENRI C. LEONARD, Detroit. THE HOMOEOPATHIC PUBLICATIONS OF BOERICKE & TAFEL. - - - GROSS & DELBRIDGE. AND THE ENGLISH HOMCEOPATHIC PUBLISHERS. ECLECTIC PUBLICATIONS OF WILSTACH, BALDWIN & CO. VETERINARY WORKS-AMERICAN and FOREIGN. English, French, and German Books Imported to Order at Reasonable Rates. THE PRINCIPAL NEW FOREIGN BOOKS RECEIVED AS ISSUED. Any Obtainable Medical Book, American or Foreign, Sup- plied at the Lowest Price. . CATALOGUES WHEN YOU WANT ANY MEDICAL BOOK, OR INFORMATION CONCERN- ING THEM, CALL ON OR WRITE TO ~T, KEENER, EXCLUSIVELY MEDICAL BOOKSELLER, 96 WASHINGTON STREET, CHICAGO. Office • Furniture. DESKS, TABLES, BOOK and SPECIAL CASES, OFFICE and LIBRARY CHAIRS. CURTAIN DESKS.-Especially designed for Physicians' use. These may be made with special internal arrangement of drawers or Case above writing bed- No. 82.-34 in. wide, 5 ft. long, Cherry and Antique Oak, - - 880 00 " 142.-34 " 5 " " " " and Walnut, 70 00 " 144.-34 " " " " " " 50 00 This last Desk is shown in above cut, are making special offer. " 187.-34 in. wide, 4 ft. long, Cherry, Antique Oak and Walnut, - 35 00 SEND FOR OUR CATALOGUE. Drug Store Fittings. This is a Special Line with us, and we are prepared to furnish designs and make estimates on short notice. Give as full Specification as possible. + SAFES + FIRE AND BURGLAR - PROOF. A STANDARD MAKE, AND EVERY SAFE "WARRANTED FIRE-PROOF." NO *Inside Measure. Weight. Price. 100 14x12x10 550 $37.50 1 01 17 x12x1 1 950 45.00 104 20 x14x12 1250 67.50 105 22x15x12 1350 80.00 107 28x18x14 1880 100.00 109 32 x22 x15 2300 135.00 •Height, width and depth inside. These Safes are made with PATEN! STEEL DOOR FRAME and dAMB. THOS. KANE & CO. 137 & 139 Wabash Ave., CHICAGO, ILL. Goods in our line may be ordered through SHHRP St SMITH, To whom we refer. Correspondence Solicited. C2Z"Mention this Catalogue, as prices are Special. 11ST ZZD EZ ZX. A PAGE. Abdominal Supporters 274, 79810 803 Abscess Lancets 356 Acupressure Pins and Needles 307 Acid Applicators 455 Acou Otoscope 399 Acoumeter 402 Accident Cases 897 Advertisements. 924 to 958 Ady's New Instruments 553, 564 Adams' Ether Inhaler 309 Saws 291, 293 Adhesion Fcreeps ,. 379 Aesthesiometers 528 Agnew's Hernia Inst's 335 Air Pillows 809 to 812 Bed 808 to 812 Bags 396 Receivers 497 Pumps 5O1 Tampon for Haemorrhage 735 Alcohol Lamps 531 Alum Pencils 386 Amputating Inst's 275 to 286 Knives 291 Anklets, Silk and Cotton Elastic 274 Ankle Braces 741 Extension Apparatus 758 Aneurism Needles 291 Anderson's Vaginal Capsules 561 Anal Fissure Knives 684 Fistula Directors 685 " Probes 685 Ani Truss 686 Antiseptic Goods, Schorse's 930 Meyer's 934 Johnson & Johnson's 950 Lister Man'f'g Co.'s 927 Cotton 894 Gauze 895, 896 Tablets 896, 897 Anchylosis Apparatus 752, 753, 760 Anatomical Pumps 340 Models 882, 883, 884 Angle Forceps 580 Animal Ligature 890 Andrews' Urethral Instruments. .920 to 922 Apparatus for Hip Joint 743, 744, 745 Extension 742, 746, 755, 758, 778 Anchylosis 752> 753, _ Fractured Patella 754 r l Gehu-Valgnm 756 Bow Legs . 757 Anterior Curvature of Tibia 757 Weak Limbs 759 Over-riding Toes 759 Flat Foot 756 Spinal Curvature.762, 763, 764, 766, 767 Wry Neck 764 Potts' Disease 765 Torticollis 765 PAGE. Apparatus for Suspension 768 Staple's Fracture 786 " Clavicle 787 Hemiplegia 749 Paraplegia 749 Partial Paralysis of the Thigh 750 Bunions 741 Talipes Varus or Valgus 737 to 739 " Equinus 739 " Calcaneus 740 Lavage 474 Compressed Air 494, 495, 496, 497 Gas 690 Waldenberg's Pneumatic 530 Evacuating 727 Applicators 455, 457, 573, 723, 909, Aprons, Rubber 288 Applicating Forceps 580 Syringes 647 Artificial Limbs 770 Eyes 387 Anus 690 Leech . 551 Artery Clamp, Frank's 905 Aspirators 545, 547 and Trocars 548, 549 " Getz's 734 Needles 548 Stomach Pump and Enema Syringe. 472 Tracheal 455 Attachment for Stomach Pump 472 Atomizers, Ointment 489 Vaseline 489, 499 Bulb 489, 492 Tips 493 Steam 488 Antiseptic. 288 Auscultator, Inter Costal 528 Automatic Suture Inst's 576 B Babcock's Supporter 947 Bags, Obstetrical 663 Air 396 Van Buren & Keys 707 Face 807 Throat 807 Spinal, Ice 8o8, 812 Head, " 808, 812 Gas 808, 812 Water 809 Saddle 879, 880, 881 Balloon for Marsh Spirometer 529 Bandages, Rubber 805, 806 Suspensory 801, 803 Water 807 Assorted 896 Bandage Clamps 290 Rollers 290 Shears 1 290 960 INDEX PAGE. Brushes, Camel's Hair. 386 Breeches, Wire 747 Brass Forceps 531 Burettes, Mohr's 531 Bullet Instruments 335 Bumstead's Lamp 735 Bunion Apparatus 741 Bulbs Atomizer 488, 492 C Canulas, Polypus 399, 420, 568 Canula Forceps 471' Carriers, Cotton 405 Ligature 684 Catheter Douches 423 Cases, Staphyloraphy 452 Eye 388, 389 Catheter 711 for Sounds 712, 714 S. & S. Companion .. 537 Obstetrical 664 Amputating 275 to 286 Lancet 356 Eye Test 367 Diagnostic 406 Dissecting 338 Post Mortem 3|2 Pocket 343 Pocket Medicine 872, 873, 874 Hand 875 to 878 Emergency 899 to 901 Operating 902 Carrier's Tampon 576 Caustic, Carriers or Holders.. 386, 471, 620, 735 Syringes 647 Probes 471, 573 Catheter Holder 735 Rectal 686 Holding Forceps 579 Catheter Cases 711 Syringes 707 Scales 735 Adjusters 603 Catheters, Self Retaining 603 Reflux 603 Sigmoid 603 Lachrymal 385 Eustachian 397 Male Urethra 700 to 706 Pocket Case 362 Female 362, 603 Cache Bistoury 721 Cartilage Scissors 731 Knives 338 Cuirass, Wire 747 Camel's Hair Brushes 386 Cautery Irons 386, 688 Handles (Eye) 390 Iron Lamps 688 Electrodes 849 Pacquelins 698 Points 699 Scissors 698 Clamps 593 Batteries 848, 849, 853 Cardiometers 330 Capsules, Vaginal 561 PAGE. Barrett's Batteries 854 to 856, 949 Basins, Pus 405 Baths, Eye 386 Hot Air 488 Batteries 821 to 837 Barrett's 854 to 856, 949 Cautery 848, 849, 853 Fleming 951, 952 Kidder 954 to 056 McIntosh 821 to 826 Cells, McIntosh 826 Waite & Bartlett 941, 942 Baumscheidt, Instruments 898 Beaker, Glasses 531 Beds, Air 808, 812 Water 809 Bed, McCurdy's Fracture 787, 788 Bedpans 811, 814, 644 Belts, Beach's t 853 Bernay's Utero Tractor 556 Bishop's Tonsillotome 909 Bistouries, Cache 375, 684, 721 Bistouries 291 Eye 375 Buck's 401 Lithotomy 721 Bisector, Wood's 721 Blackman's General Operating Set..275, 284 Bladder Forceps 725 Stop Cocks 734 Curette 735 Syringe 707 Inst, for Extrophy 811 Blowpipes 531, 338 Blowers, Powder 425, 485, 486, 487 Blue Vitriol Pencils 386 Blunt Hooks 574, 661 and Crotchets 661 Bone Exsecting Sets 275 Staff's 291 Cutting Forceps 300, 360 Holding " 301 Scraping " 303 Bosworth's Curette 471 Bougies, Nasal 427 (Esophageal 460 Ointment. 573 Urethral 711 to 7*3 . Abould 711 Rectal 678 Bow Saws 292 Leg Apparatus 757 Boxes, Fracture 7§7 Bottles, Water 809 to 813 Feeding 488 Books, Medical 957 Brace for Weak Ankle 741 Paralysis and Shortening of Limb.. 751 Dislocated Septum 427 Shoulders 803 to 805 Brush Holders 455, 690 and Caustic Holder 455 Bristle Probangs 471 Brackets with Laryngoscope 482 for Light Condenser 483 for Gas Adjuster 484 Brown's Ecchondrotome 907 Brain Knives 291, 338 INDEX. 961 PAGE. Caps-Ice 808-812 Catlins 291 Canulas, Lachrymal 369, 385 Cataract Instruments 368, 371, 374 Needles 374 Scissors 376 Canaliculous Knives 370, 371 Scissors 376 Conjunctiva Scissors 376 Cabinets 886, 887 Cat Gut Ligature 889 Cephalotrites 658 Cervical Specula 633 Cervical Protector 573 Cervix Needles 614 Cells, Diamond Carbon 922 Chain and Hooks, Dissecting 338 Chisels, Dissecting 303, 338, 427 Chamois Covers for Pocket Cases 343 Chests, Medicine 8S i Chair Cushion 810 to 813 Chairs, Operating 669, 671, 672, 944 Invalid 791 to 794 Chain Saws 293 Cheek Retractors 452 Circumcision Knives 723 Probe and Spatula 723 Spatula.... 735 Scissors 731 Cilia Forceps 380 Clavicle Apparatus 787 Clamps, Bandage 290 Skull. 340 Haemorrhoidal 682 Ovariotomy 590 to 593 Funis » 662 Varicocele 731 Scrotal 731 Masturbation 731 Clamp Forceps 588 Constrictors Uterine ... 564 Conversation Tubes 407 Condensers, Light 483, 484 Cooling Sounds 715 Counter Pressure Hooks 574 " Instrument.. 915 Compression Forceps 588,914, 915 Cotton, all kinds 894 Costetome Chisels 338 Cover Glasses and Slides 868 Cotton Holder, Ear 401 Cotton Elastic Stockings 274 Cocaine Needles 731 Compressed Air Apparatus 494 to 496 Compressors, Eye Lid 369 Scrotal 731 Vaginal 593 Coils, Water 808 Congestor, Penis 735 Crutches 789. 790 Wheel 760 Crutch Rubbers 789 Extensions 79° Spurs 790 Perineal 633 Cranium Perforators 661 Craniotomy Forceps 65S Crotchets and Blunt Hook 6b i PAGE. Crushing Forceps 725 Croup Kettles 488 Cupping Instruments 550, 551 Cupped Sounds 570 Cups-Platina 690 Eye 386 Curettes, Placenta 662 Nasal 422 Rectal 685 Eye 37° Gynaecological 562 Ear 402 Bladder 735 Curette Forceps 905, 907 Cushions, Invalid 810 to 813 Chair 810 to 813 Operating 287 Hospital 810 to 813 Cutters, Stricture 721 Curvilinear Forceps 683 Cystotomes 37° Cyst Elevators 915 Cystitis Buttons 576 D Day's Splints Deformity Apparatus 736 to 769 Depressors, Tongue 461 to 465 Vaginal 576 Debris Tube and Obdurator 735 Depression Needles 374 Decision " 374 Depilating Forceps 380 Declat's Hypodermic Syringe 542 Dilators, Uterine 553 to 561 Eye 385 Rectal 678, 694, 918, 920 For Prostatic Gland 715 Urethral 715 Lithotomy 722 Trachea 453, 912 and Tracheotome 454 Diamond Carbon Cell 522 Diagnostic Instruments 524 Ear Cases 406 Tubes 387 Dissecting and Post Mortem Cases 343 Instruments 338 Microscopic 868 to 870 Directors for Anal Fistula 685 Lithotomy 722 Lachrymal 385 Hernia 335 and Tongue Tie 357 Pocket Case 357 Divulsor Prostatic 735 Dieulafoy's Aspirator 548 Dixon's Ointment Bougies 573 Dishes, Evaporating 531 Douches, Wire 633 Vaginal 644 Tubes 601 Eye 386 Nasal 423, 907 Double Blade Pocket Case Knives 352 Saw (Rachitome) 342 Drills. 297 Mastoid 401 962 INDEX. PAGE. Drainage Tubes and Tubing, 600, 601, 602 892, 893 Droppers, Medicine 531 Duke's Uterine Curette 563 Dudley's Applicator573, 915 Probe 915 Dudgeon's Sphygmograph 529 Duster, Iodoform 288 Dupuytren's Enterotome678 Dynamometers 529 E Ear Instruments399 to 411, 907 Trumpets407 to 411 Cases 406 Specula 391 Mirrors 394 Syringes394 Douches 394 Spouts 396 Spoon 356 Spud 356 Spouts 396 Nozzles 396 Eaton's Electrodes 923 Ecraseur for Hysterectomy 564 Gynaecological565 to 568 Penn's Cat-Gut414 Laryngeal449, 481 Ecchondrotome, Brown's907 Elastic Stockings, Supporters, etc 274 Electrodes;838 to 848 Cautery..849,851, 852 Electric Batteries821 to 837 Elevator and Raspatory 303 Elevators, Uterine568, 569, 915 Cyst 915 Elbow Splints, Bryant's 785 Eldridge's Rectal Dilator920 Ovariotomy Clamp. 594 Pile " S94 Elm Tents559, 560 Plugs or Tampons 560 Bougies 711 Embryotomy Forceps 659 Embalming Needles 905 Embalming Syringes 340 Pumps 340 Embalmometer, Ingals' 528 Empire Bandages 939 Engleman's Uterine Curette 563 Enterotomes340, 678 Entropium Forceps 380 Endoscope 686, 717 English Web Bougies 711 Filiform " 711 Enema Syringe and Aspirator combined, 472 Epiglottis Forceps 470 Equinus, Talipus app 739 Esmarch's Chloroform Inhaler 309 " Dropper 309 Bandage Clamp 290 ' ' Shears 290 Tourniquet 3°8 Ether Inhalers309. 9°3> 9°4 Eustachian Catheters. 397 Tubes421 Evaporating Dishes 531 PAGE. Evacuating Lithotrite 726 Apparatus 727 Tubes 727 Explorer, Wales' Rectal 685 Exploring Sounds " 685 Extracting Forceps, Stone 725 Extension Apparatus, Knee 742 " 746 Shoe, for leg 750 _ " 778 Crutch 790 Exploring Needles 291 Extras for Globe Inhaler505 Extosis Saws429 Epistaxis Canula 42c Tampon420 Eye Instruments363 to 390 Test Cases. 367 Lid Retractors 369 " Compressors 369 Spud 370 Curettes 370 Spatulas 370 Needles 374 Sprays 380 Lid Clamp Forceps 380 Specula 383 Probes 385 Baths 386 Cups 386 Douches 386 Shades 386 Cases388, 389 Eyes, Artificial 387 F Farny Hypodermic Syringes 543 Face Bags 807 Felt Splints779, 782 Feeding Dishes 898 Bottles, 488 Finger Knives 291 Fixation Forceps. 379 Fixators 578 Fistula Scissors and Director 683 Lachrymalis Knife 375 Flannel Bandages 896 Flexible Metal Sounds 715 Fountain Syringes 815, 816 Fowler's Mod. Allis' Inhaler 311 Four Bladed Pocket Case Knives.354 Foreign Body Gouges 370 Hooks373 Fossil Sounds 712 Forceps, Angle 580 Applicating580, 582 Artery314, 358, 359, 360 Adhesion379 Bladder 725 Brass 531 Bone Holding 301 " Cutting 300, 360 Bullet 338 Canula471 Canulated 581 " Eye 375 Caustic 579 Clamp ,,, 588 INDEX. 963 PAGE. Forceps, Compression 588, 914, 915 Craniotomy 658 Curvilinear 683 Conjunctiva 379 Cilia 380 Depilating 380 Dressing 360 Dissecting 340 Epiglottis 470 Embryotomy 659 Eye Lid Clamp 380 Entropium 380 Extirpation 380 Eyelet 401 Fixation 379 Foreign Body 380 Gnawing 301 Haemostatic 314, 588, 915 Iris 379 Lithotomy 725 Laryngeal 467 Ligature 314 Mackenzie's and Scissors 449 Needle Holding Eye 382 Pocket Case 358 604 to 609, 918 Needle Cutting 300 Nasal 415 Obstetrical 652 to 657 Ovariotomy 585 to 589 Placenta 659 Pedical 586 Pelvic Abscess 915 Polypus 360, 403, 404, 412 Prepuce 725 Phimosis 727 Post Nasal 412 Pharyngeal 414 Pile Clamp 683 Rongeur 300, 401 Rectal 688 Rattis Trichiasis 380 Rectal Vaginal Fistula 684 Sac 586 Splinter 360 Sequestrum 301 Strabismus 379 Seizing 470, 582 Speculum 585 Shot Compressing 585 Shouldering 582 Sponge Holding 470, 582 Septum 415 Tracheotomy 471 Tenaculum 298, 471,581, 688 Throat 468 Tongue Holding 466, 909, 912 Tooth Extracting 519 to 523 Tissue 583 Tumor . 585 Torsion 314, 358, 360, 588 Trephining 301 Toe Nail 301 Tonsil 909 Uterine Tent 560 " Dressing 579, 582 " Polypus 580 Urethral 725 PAGE. Forceps, Vulsellum 470, 584 Wire Pressing 583 " Twisting 470, 583 French Bougiesand Catheters 711, 713 Manikins .. 663 Fryer's Transfusion Apparatus 551 Frank's Artery Clamp 905 Fracture Apparatus 786, 787 Bed 787, 788 Funis Clamps 662 G Garter Stockings 274 Gas Apparatus 690 Brackets 484 Bags S08, 812 Gauze, Antiseptic 895, 896 Gags, Mouth 459, 909 German Spring Lancets 551 Genu-Valgum Apparatus 756 Gerster's Retractors 298 General Operating Cases 275 to 286 Girdner's Telephonic Bullet Probes.... 335 Globe Inhaler 505 Glasses, Blaker 531 Gnawing Forceps 301 Gouges 303 Foreign Body 370 Hand 401 Gorgets 389, 722 Gonorrhoea Tubes 709 Graduates 898 Gum Lancets 291 Guide, Lithotomy 725 Gynaecological Inst's 553 to 672 Sets 650, 651 H Haemostatic Forceps 588, 914, 915 Hammer's Percussion 528 Haemarheumoscope 530 Haemorrhage Tampons 735 Harelip Pins and Needles 307 Inst's. 577, 578 Hagedorn's Needles 305, 307 Hard Rubber Syringes 820 Hand Cases 875 to 878 Hearing Horns 407 Head Mirrors 476 Bands 477, 909 Helical Needles 615 Herniatomes 335, 913 Hernia Instruments 335, 913 Knives ... 913 Head Ice Bags 808 Rest Tripod 340 Hemiplegia Apparatus 749 Haemorrhoidal Clamps. 682 Syringes 685 Needles 685 Pins 686 Tampons 735 Hip Apparatus 744 Joint Apparatus 744, 745 Hooks, Angular Ear 402 Palate 421, 452 Staph yloraphy 451 Tonsil , 452 964 INDEX. PAGE. Hooks, Trachea 452 Strabismus 372 Foreign Body 373 Operating 357 Counter-Pressure 374 Vulsellum 298, 585 'lacenta. 662 Blunt 661 Gouley's Sharp 735 Holders, Caustic.. .357, 386,471,620, 735 Pharyngeal Cotton 422 Staphyloraphy 451 Brush and Caustic 357. 455 Sponge '.. 457 Uterine Needles .-.604 to 609, 918 Hotz's Curette Forceps 905 Ear Inst's 905 Tonsil Forceps 908, 909 Cautery Handle... 390 Ear Speculum 391 Hoadley's Intubation Apparatus.. .910, 911 Hollow Sounds 7*5 Hosmer's "T." 7°7 Hospital Minor Operating Set...... .. 286 Cushions 810 to 813 Hunter's Wedges 711 Hydrocele Trocar 734 Hypodermic Syringes 53$ to 544 Bottles 544 Needles 544 Trocar . 544 Tablets (Wyeth's) 928 Hysterotomes 620 I Ice Caps 808 to 812 Bags, Spinal 808 to 812 Head 808 to 812 " Throat 807 to 812 Invalid Cushions 810 to 813 Intubation Apparatus 51010513, 910 Ingal's Instruments 437 to 446 Embalmometer 528 Inhalers, Globe 5°5 McBride's 5O2 Evans' 5°6 Inhalers 5°6. 5°7 Anaesthetic 9°3. 9°4 Chloroform 309, 903, 904 Ether 3°9. 903. 9°4 Iodine. 399 Pomeroy's Glass 399 Instrument Trays 893 See Trays Insufflators, Rectal 685 Urethral 734 Inflator for Eustachian Canal 421 Injector-Rumbold's 399 Iodoform Dusters 288 Irons-Cautery .... 688 Iris Needles 373 Knives 374 Scissors 375 Forceps 379 Iridectomy Instruments 370, 371, 376 Irrigators. Vaginal 647 Rectal.... 678, 683 PAGE. J Jars, Museum or Specimen 898 Jacket, Straight 768 Jones, Antiseptic Scissors 312 Jury Mast 767 Jute 895 Junker's Ether Inhaler . 309 Judkins' Plaster Paris Bandage Roller.. 290 K Katharaphors 709 Keratome Scissors 376 Keratomes 371 Kettles, Croup 488 Kidder's Electrodes 847, 852 Knee Hose, Silk and Cotton 274 Knapp's Cupping Cups 551 Knee Extension Apparatus 742. 755 Knives, Amputating 291 Brain 291, 338 Canaliculous 370, 371 Circumcision 723 Cornea 375 Cartilage 338 Fistula Lachrymalis 375 Finnel's.... 340 Fistula in Ano 684 Gum 450 Hoe 450 Hernia 291,335, 913 Iris 374 Iridectomy 371 Lithotomy 723 Lenticular 291 Mastoid 401 Operating 291 Pocket Case 352 Periosteal 422 Paring 45° Septum 422 Secondary 374 Subcutaneous 291 Section. 291 Uterine 619, 620 Wright's Folding 291 Wood's Circular 291 Knot Tiers 687 Koeberle's Ecraseur 568 L Lachrymal Directors 385 Dilators, Canulas, Catheters 385 Syringes.... . 368 Styles and Canulas 369 Lamp, Ear 394 Cautery Iron 688 Bumstead's 735 Alcohol 531 Laryngoscopic 481 Lamp 484 Lancets, Abscess and Thumb 356 Vaccinating ....356, 552 Spring 551 Laryngeal 451 Tonsil 451 Lamb's Wool 895 Laryngoscopes 478. 482 INDEX. 965 PAGE. Microscopic Razors 870 Microtomes 868 Milliampere 850 Mirrors, Pharyngeal 427 Head 476, 477 Throat 478 Mouth Speculum 459 Gag 459 and Throat Instruments... 447 to 523 and Nose Respirators 428, 5°9 Gags 9°9 Movable Back Saws 292, 338 Models, Anatomical 882 to 884 Mortars and Pestles 898 Muslin Bandages 896 Museum Jars 898 N "Notice," on first page. Nasal Instruments, Ingal's 437 to 446 Applicators 422 Bougies. 427 Curettes 422 Douches 423, 9°7 Needles 431 Probes 422 Plow 427 Powder Blower 425 Scissors 429 Saws 429 Specula 418 to 420, 907 Needles, Acupressure 3°7 Acupuncture 307 Cervix 614 Cataract 374 Canulated 374, 617, 618 Cocaine 731 Decision 374 Depression . 374 Eye (Ordinary) 374 Exploring 356 Embalming 905 Helical - • • 615 Hagedorn's 3°7 Haemorrhoidal 685 Hare Lip 3°7 Iris 373' Knife 373 Ligating 684 Ordinary Surgeon's 3°7 Paracentisis 373 Pile 684 Perineum 61410617, 904, 915 Pedicle 589 Silver Wire .452,614, 688 Staphyloraphy 452 Suture, Rectal 688 Stop 373 Tattooing 373 Transfixion 427 and Spud. 373 Varicocele 731 Needle-Cutting Forceps 300 Holding " see Forceps.... Nebulizers 508 Nitrate of Silver Pencils 386 Noyes' Ether Inhaler 309 Nozzles, Ear PAGE. Laryngoscopes, Sets 1 479 Laryngeal Instruments 447 to 516 Scissors 431 Lavage Apparatus 474 Leg Extension Shoes 75° Lead Mallets 3°3 Lens Scoops 374 Levis' New Splints 924 Hernia Director 335 Lead Bullet Probe 335 Long Silver Bullet Probe 335 Lenses 871, 872 Leeches, Artificial 55L 561 Lenticular Knives 291 Leg and Thigh Splints 785 Light Condensers 484 Ligatures of all kinds 889 to 892 Forceps 3J4 Carriers 684 Needles 684 Ligators 685 Lint • 894 Introducer and Bullet Probe 335 Lid Holder 387 Litmus Paper 531 Lid Retractors, Eye 369 Limbs, Artificial 77° Lithotomy Knives 72t Lithotomes 721 Lithotomy Directors .. 722 Staffs' 723 Forceps 725 Guide 725 Dilators 735 Lithoclasts 725 Lithotrites 726 Evacuating 735 Luer's Scoops 722 M Mallets, Dissecting and Postmortem.... 340 Lead 331 Marshall's Saddle Bags 879 Magnetic Goods 934 Masturbation Clamps 731 Manikins, French 663 Mastoid Drills 4or Maryngotomes 4O1 Manometers 4O2 Maxilla Saws 294 McIntosh Batteries 821, 826 McBride's Inhaling Apparatus 5°2 Meatus Knives 4ot Meatotomes .... 717. 722 Meatometers 712, 722 Metallic Splints.. .767, 773 to 778, 787, 924 Medicine Cases 872, 873 Chests 881 Droppers 386, 531 Medical Books 957 Metacarpal Saws 294, 295 Measures. Tape 53° Milne's Compressor 3°7 Minor Operating Cases 286 Microscopes, Bausch & Lomb... -857 to 867 Bausch & Lomb 953 Microscopic Dissecting Instruments.... 868 Knives 870 966 INDEX. page' o Obstetrical Instruments 652 to 664 Forceps 652 to 657 Bags 663 Pouches 663 Cases 664 Obdurator and Tube, Debris 735 (Esophageal Bougies 460 Ointment Syringes (Rectal) 690 Pile 680 Atomizers 489 Omega Embalming Syringe 340 Operating Tables and Chairs 665 to 672 Cushions 287 Knives.... 291 Hooks 356 t Ear Cases 406 Ophthalmo, Phantome's 386 Optometers. 386 Ophthalmostats 372 Ophthalmoscopes 363 Operating Cases.... 275 to 286 Oral Screw 459 Specula 459 Saw 466 Osteotrites 303 Osteophor 301 Osteotomes 3°3 Otoscopes 392 Ovariotomy Pins 589 Clamps 590 to 593 T rocars 595 to 597 Over-riding Toe Apparatus 759 P Pans, Bed 644, 811 to 814 Palate Retractors 465, 909 Hook 452 Paralysis and Shortening Apparatus.... 751 Patella Splint 753 Fracture Apparatus. 754 Paraplegia " 749 Partial Paralysis of the Thigh Apparatus 750 Parts of Compressed Air Apparatus.... 497 Pacquelin's Cautery 698 Pathfinders 711 Patent Pocket Case Knives 354, 355 " Knife Cases 344, 345 Paracentisis Needles 373 Paper, Litmus 531 Parke, Davis & Co.'s Hypo. Syringe... 544 Perforators, Tympanum 4O1 Periosteal Knife 422 Pencils, Alum 386 Blue Vitriol 386 Nitrate of Silver 386 Perineal Stays Crutch 633 Perforated Shot 578 Perineum Pins 578 Needles. See Needles Pedicle Forceps 586 Needles 589 Penis Congestors 735 Perforator, Holder and Crusher, Stone.. 727 Cranium 660, 661 Pessaries 635 to 642 PAGE. Pelvimeters 662 Pelyic Abscess Dilating Forceps 915 Pharyngeal Cotton Holder 422 Mirror 427 Scissors 431 Physical Diagnosis Inst's 524 to 537 Physicians' Cabinets 88t>, 887 Soap 896 Phimosis Forceps 727 Pillows, Air . • • • .809 to 812 Pile Plugs 678 Pipes 680 Ointment 680 Clamp Forceps 683 Needles 684 Pins, Haemorrhoidal 686 Perineum 57$ Hare-Lip 307 Plastic 3°7 Acupressure 3°7 Ovariotomy 589 Pipettes 531 Pin Carriers 3°7 Plow, Nasal 427 Plaster Paris Bandages 896 Plasters, all kinds 894 Platina Cups 690 Pleximeters 5 28 Pledget Speculum 633 Placenta Forceps 659 Hooks '• 662 Curette 662 Scissors . 662 Pneumatic Apparatus 53° Pocket Case Instruments... .343, 352 to 362 Knives 352, 353 Cases 343 to 351 Pouches, Obstetrical 663 Polypotomes 568, 915 Pond's Sphygmograph 529 Potts' Disease Apparatus 765 Powder Blowers, Urethral 922 Poultry and Cattle Specialties 925 PolypusSnares • •• • 4J7 Canula 42° Ear Forceps 4°3 Throat Forceps 451 Post Nasal Speculum 465 Syringe 423 Forceps 4I2> 468 Polypus Snare 4°° Forceps, Uterine 580 * * Rectal 688 Pomeroy's Glass Inhalers 399 Powder Blowers 485 to 487 Pocket Medicine Cases 872 to 874 Porte Caustic 686, 7T7 Post Mortem Needles 34° Cases 342 Instruments 34° Probes, Uterine... 573, 9r5 Nasal 422 Caustic 47* Rectal • 685 Ear 402 Bullet 335 Pocket Case 35& Eye 383 967 INDEX. PAGE. Probe and Spatula, Circumcision 723 Pratt's Rectal Instruments.. .691, 697, 919 Probangs, Throat 471 Protectives 895 Prostatic Gland Dilator 715 Sound and Tube 715 Divulsor 735 Prepuce Forceps 725 Prolapsus Ani Truss 686 Pratt's and Day's Splints 783, 784 Pterigum Scissors 377 Pus Basins 398, 405 Punch, Septum 415 Pump, Embalming 340 Anatomical 340 Stomach 472 Q Quain's Stethometer 530 Quill Sutures 576 R Rattis Trichiasis Instrument 380 Rachitome Chisels 338 Retractors, Staphyloraphy 451 Cheek 452 Uvula 453 Trachea 454, 909 Palate 421, 465, 909 Supra-Sternal 909 Eye Lid 369 Minor Operating 298 Vaginal 634 Rectal Instruments... .673 to 686, 919, 920 Specula 67310677, 919 Forceps 684, 688 Dilators 678, 694, 695, 919, 920 Irrigators 678, 683 Bougies 678, 679 Plugs 679 Curette 685 Scarifier 685 Insufflators 685 Tubes and Sounds 685 Trocars 686 Porte Caustic 686 Replacers, Uterine 568 Reamers for Cleaning out Needles 544 Respirators 428, 509, 530 Resonators 530 Receivers, Air 497 Rhinoplastic Chisels.... 427 Rhinoscopes 418, 466 Rhinoplastos 415 Rings, Spermatorrhoea 734 Ring Lid Elevator. 380 Rib Shears 340 Roberts' Test Case 531 Roller Bandages 290 Rongeur Forceps 300 Rumbold's Ear Spout 396 Injector 399 Acou-Otoscope 399 Rubber Sheeting... 819, 895 Syringes (H.R.) S20 for Crutches 789 Bandage 805, 806 Tubing 814 PAGE. Rubber Goods 807 to 820 S Scissors, Ear * 405 Nasal 429, 431 Pharyngeal 431 Laryngeal 431 Uvula 449 Tonsil 449 Gynaecological 610 to 614 Tracheorraphy 614 Skin Grafting 905 Bandage 289, 905 Operating 312 Pocket Case 361 Conjunctiva 376 Canaliculus 376 Cataract 376 Iridectomy 376 Keratome 376 Pterigum 377 Subconjunctiva 377 Strabismus 376 Iris 375 Cautery 698 Rectal 396 Dissecting 338 Placenta 662 Circumcision 731 Cartilage 731 Sharp & Smith's Operating Cases.275 to 286 Shoes, Leg Extension 750 Shears, Rib 340 Bandage 289, 290 Shades, Eye 386 Shot, Perforated 578 Punching Forceps 578 Compressing Forceps 585 Sheeting, Rubber 819, 895 Shoulder Braces 803 to 805, 940 Caps 274 Silk Ligatures 889 Stockings, etc 274 Silver Wire Needles 307 " 892 Skull Clamps 340 Skulls 885 and Cross Bones 885 Skeletons and Parts of 885 Slides and Cover Glasses 870 Snare, Polypus 400, 401 Nasal 415 to 417 Soap, Physicians 948 Sounds, Rectal Exploring 685 Uterine 569, 571 Urethral 713 to 715 Exploring 711 Spurs, Crutch....«. 790 Sprays, Nasal 424 Sponge Holders 457, 578, 691 " and Cotton Applicator.. 457 Holding Forceps 470 Speculum Oris 459 Mouth 459 Nasal 418 to 420, 465, 907 Eye 383 Ear 391 Urethral 633, 634, 717 968 INDEX. PAGE. Speculum, Vaginal 623 to 631 Cervical 633 Pledget 633 Rectal 673 to 677 IntraUterine 9r5 Forceps 585 Saws 34° Double (Rachitome) 340 Dissecting 338 Finger 357 Folding 294 Plastic 294 Metacarpal 294 Maxilla 294 Capital 292, 293 Subcutaneous .... 294 Chain 293 Skull 293 Oral 293 Interosseous 293 Exsecting 293 Nasal 429 Saddle Bags 879, 880, 881 Sac Forceps 5 Scarificators, Eye 374 Scarificators 55° Scarifiers, Rectal 685 Uterine 620 Concealed 45° Scales, Catheter 735 Scrotal Compressors 731 Clamps 731 Scoops, Bullet *. 335 Lithotomy 722, 723 Eye 370, 374 Ear 402 Throat .. 471 Rectal 685 Scalpels, Dissecting 338 Eye 371 Lithotomy 721 Operating 291 Trachea 454 Screws, Oral 459 Devilbiss 4O2 Bullet 335 Seizing Forceps 47° Septum Punch 4*5 Forceps 4T5 Knife. 422 Brace 427 Section Knives 291 Self Retaining Catheters 603 Sequestrum Forceps 3°i Serresfines 3°7 Secondary Knives 374 Sea Tangle Tents 5 6° Searchers for Stone • 7*5 Spoon and Hook, Ear 4°2 and Spud " 4O2 Sprays, Eye Spuds, Eye 37° Specimen Jars 89S Splints, Patella 753 Metallic. 773 to 77s, 924 Ahl's Felt 779 to 782 Day's or Pratt's 783. 784 Bryant's Elbow 785 PAGE. Splints, Smith's Leg and Thigh Verity's Splint Material Spouts, Ear 39° Spatulas• • •••357, 37° Spatula and Probe, Circumcision723 Spatula, Circumcision 735 Spermatorrhea Rings 734 Sponge Tents Sphygmograph529 Sprinkler, Iodoform Spirometers 529 Sprays, Vaseline 499 Spinal Ice Bags 808 Steam Atomizers Stomach Tubes 475 Pumps472 " and Aspirator Combined 472 Sterility Instruments 9T7 Stethoscopes524 to 526, 912 Stethometers 53° Staff's Bone 29T Stedeman's Toe Nail Cure891 Strabismus Hooks 372 Forceps 379 Strabometers Straight Jacket StopCocks55°> 7°7 Stone Searchers 7!5 Stays, Perineal Stricture Cutter 721 Staffs' Lithotomy 723 Stone Crushing Forceps725 Extracting " 725 Staphyloraphy Instruments450 to 452 Stockings, Elastic, etc274 Styles, Lachrymal Suspension Apparatus Suggestions to our Patrons, front pages. Supporters, Uterine643 Abdominal7$9 to 799, 800 to 803 Babcock's947 Shannon's 947 S. & S. Patent Knife Pocket Case 343 Supplement Pages899 to 924 Suppositories 647, 690, 945 Subcutaneous Knives 29T Sutures 57& Supra Sternal Retractor 9°9 Suspensory Bandages801 to 803 Syracuse Syringes, Ointment 690 U rethral 7°7 Bag 707 Post Nasal... 423 Haemorrhoidal685 Uterine645, 646 Vaginal621, 622, 646, 647 Caustic 647 Applicating647, 648 Subpaberal Lachrymal. Hernia335 Embalming34® Fountain814, 815, 816 Hard Rubber. 820 Hypodermic53& to 544 INDEX. 969 PAGE. Tracheotome 452 and Dilator 454 Tracheal Aspirator 455 Applicator 455 Guide 459 Trusses 795 to 8°2, Hastings & Garson 935 Prolapsus Ani 686 Trumpets, Ear 4°7 Trocars, Sajous' 422 Paracentesis 37° Vaccinating 552 Aspirating 54& Rectal 686 Bladder 734 Hydrocele 734 and Aspirator 734 Pocket Case 357, 9°4 Ovariotomy 595, 596, 597 Transfusion Apparatus 551 Tractors 556 Transfixion Needles 427 Trays for Instruments 893 Trachealorraphy Scissors 614 Tripod Head Rest 34° Trephining Elevator 303 Forceps 3O1 Sets 275, 284 Trephines 3°$ Tucker's Wire Cutter 307 Tubes, Diagnostic 397 Gonorrhoea 7°9 Drainage 600, 601, 602, 892 Douche 601 for Steam Atomizers 488 for Throat 471 Evacuating 727 and Obdurator 735 Vaginal 647 Conversation 407 Tube and Stem for Intra-Uterine Medi- cation 633 Tunneled Sounds 7!5 Tuning Forks 397 Tubing Rubber. 814 Tumor Forceps 585, 586 Tympanum Perforator 400, 401 Artificial 4°7, 4U Tiers, Knot 576, 6S7 U Umbilical Belts 274 Trusses 796, 797, 798 Urinals 811 to 814 Urethral Instruments, Andrews' 920 Powder Blowers 734, 922 Instruments 700,71910 735 Syringes 7°7 Dilators 7L5 Speculum 633, 634, 717 Applicators 723 Forceps 725 Tourniquet 735 Urethrotomes 7*9, 72° Urethrometers 720 Urethroscope 7J7 PAGE. Syringes, S. & S. Companion 537 Bulbs 817, 818, 819 Tampons 420, 560, 576 Air 735 Tampon Carrier 576 Screw 576 Tattooing Needles 373 Tables, Operating S. & S. 665 Talipes Varus Apparatus 737 to 739 Equinus " 739 Calcaneus " 74° Tape Measures 53° Taolets, Antiseptic 896, 897, 928 Tenaculum Forceps 298, 471, 581, 688 Tenaculum, Staphyloraphy 451 Operating 291 Dissecting Uterine 574, 575 Tenotomy Knives 291 Tent Expellers 560 Test Cases, Eye 367 " 530, 531 Tubes ... 530 Tube Holder 530 " Racks 531 Throat Forceps 468 Probangs 471 Drop Tube 471 Mirror 478 and Mouth Instruments 447 to 523 Bags 807 Scoop 471 Thermometers, Barry's 945 Bayer & Fletcher's 946 Thermometers 534 to 537 and Urinometer Combined 530 Thermo Cautery 698 Thermo Cautery Points 698 Thigh Stockings 274 Tirefond or Bone Screws 3°8 Tips for Atomizers ... 493 Tibia Apparatus 757 Tissue Forceps 583 Tongue Holding Forceps 466, 909, 912 Depressors 461 to 465 Tooth Extracting Forceps 519 to 523 Toe Nail Cure 891 Forceps 3O1 Tonsillotomes 447, 448, 909 Tonsil Lancet 451 Hooks 452 Instrument 45° Tourniquets '....308, 909 Urethral 735 Uterine 564, 567 Tongue Tie Instruments 357 Torsion Forceps 588 Tobold's Pneumatic Apparatus 530 Torticollis Braces 765 Trachea Scalpel 454 Retractor 454, 909 Tubes 455 Dilator 453, 912 Hooks 452 Forceps 471 Urinometers 530 970 INDEX. PAGE. Uterine Knives....619, 620 Scarifiers620 Caustic Holders 620 Tenaculum574, 575 Fixators 578 Dressing Forceps 579 Caustic " 579 Polypus " 58° Scissors610 to 614 Supporters 643 Syringes645, 646 Elevators568, 569 Sounds569, 571 Utero-Vesico Urethral Support602 Uterotomes626 Uvulatomes449 Uvula Scissors449 Retractors453 V Vaccinating Lancets356, 552 Vaginal Depressors 576 Specula621 to 631 Retractors634 Douches 644 Syringes646, 647 Tubes 647 Irrigators647 Vaginometer Cutters647 Vagrometer 7J4 Varicocele Clamps 731 Needles 731 Varus Talipes Brace737 to 7.39 Vaccine Virus 888 Vaseline Atomizers489, 499 Sprays489, 499 Verity's Splint 786 Vectis662 Vesico Tumor Forceps 586 Vials898 Vulsellum Forceps47°. 584 Hooks298, 585 W Water Bandages807 Coils 808 Bags809 to 812 Bottles809 to 813 Wales' Rectal Explorer 685 Waterford's Ether Inhaler 311 Web Bougies711 to 713 Weak Limb Braces 759 PAGE. Weak Ankle Braces74i Whalebone Bougies 711 Wheel Crutch.... 76° Wire Cuirass 747 Breeches 748 Snare417 Douche633 Twisting Forceps 470 to 583 Pressing " 583 Needles452 for Hypo. Needles 544 Aluminum614 Lead614 Silver 892 Wool, Lamb's 895 Wood's Bisector 721 Wry Neck Apparatus 764 Young's Combined Can and Inhaler. - 309 ADVERTISEMENTS. Wm. H. Wigmore925 Sardy, Coles & Co 926 Lister Manf'g Co927 John Wyeth & Bro928 St. Louis Medical and Surgical Journal.. 929 Schorse & Co 930 Dr. L. E. Niles & Co 931 Minnesota Magnetic Mf'g Co 932, 933 Myron E. Meyer Mf'g Co 934 Hastings & Garson 935 Syracuse Susp. Bandage 936 Davol Rubber Co 937 S. E. G. Rawson938 Empire Manufacturing Co939 Geo. Frost & Co 940 Waite & Bartlett941, 942 Chas. Beseler 943 J. S. Ford, Johnson & Co 944 John Barry945 W. H. Shepard & Co945 Bayer & Fletcher946 N. F. Taylor 947 Halsey Bros 947 Kirk, Jas. S. & Co 948 Barrett Battery Co 949 Johnson & Johnson950 Otto Flemming ...951, 952 Bausch & Lornb 953 Jerome Kidder954, 955. 95b W. F. Keener 957 Thos. Kane & Co958 McIntosh Battery Co972, 973 ADVERTISEMENTS. 971 Received the Only Gold Medal Awarded at New Orleans Centennial Cotton Exposition, and North, Central and South American Exposition, A. D. 1885-6, Against all Competitors. R. BOERIGKE & GO., MANUFACTURERS OF The Depew Convertible Operating Chair, Physicians* Cabinets, Sanitary Arm Commodes, Railing chairs, New Patent Crutches, Carrying Chairs, Nursery Chairs, Comfortable Back Rests, Folding Bed Trays, Invalid Self-Prop ©Hing chairs, And All Kinds of Mechanical Appliances for the Alleviation of the Suffering. FACTORY AND WAREROOMS : 495, 497, 499, 501 and 503 Wells Street, - CHICAGO, ILL. SE1-TD FCH, DESCRIPTIVE For Sale toy SHARE & SMITH. 972 ADVERTISEMENTS. [latol Uterine Supporter Co., 141 and 143 WABASH AVENUE, CHICHGO, - ILLINOIS. Tills Supporter gives Better Satisfaction tiian any Instrument ever placed "before tiie Medical Profession. A few of the reasons why this instrument is used in preference to all others, are : It is an Abdominal and Uterine Supporter Combined. It is Simple in Construction. Convenient to Apply and Wear. Is easily kept Clean ; will not Corrode. It can be adjusted by the Patient herself. The Patient may walk, run, lift, sit, or take any position of '■he body without pain or inconvenience. It is everything that its name implies: A Natural Uterine Supporter. THE BEST IS THE CHEAPEST ! We Wish to Call Your Attention to Our ftezedljgzezld f=»i=?icse: list -OF THE- Dr. McIntosh Natural Uterine Supporter. INSTRUMENT, COMPLETE, TO PHYSICIANS', $5 00 each. ABDOMINAL, SEPARATE, " " 3 00 " CUPS, " " " 2 00 " RUBBER TUBES, " " " 25 per pair. Positively no reduction from these prices, which allow a fair margin to all, and it is hoped that those interested will not cut them. CAUTION I We wish to caution the trade against buying or selling any imitations of our Supporters, or substituting them as our instrument. Each of our Supporters has the name "Dr. McIntosh N. U. Supporter Co., Chicago, Ill.," stamped on the belt in gilt letters, and the directions have the fac-simile signature of ADVERTISEMENTS. 973 THE McINTOSH BATTERY AND OPTICAL GO. IN THEIR NEW QUARTERS, UNDER NEW MANAGEMENT, With an Entirely New Stock of Merchandise, ARE NOW IN POSITION TO TURN OUT Better1 Iipminjentg and Apparatus THAN EVER BEFORE. By the fire in which they were burned out a year ago, all patterns, the ac- cumulation of years, were destroyed. All apparatus now manufactured by them, is therefore, entirely new ; made from improved designs and patterns, and each article shows for itself that it is a direct product of the highest grade of inventive genius and mechanical ability. They are Direct Importers, Dealers and Manufacturers of Spectacles, Eye-glasses, Opera, Field, and Marine Glasses, Spy Glasses, Telescopes, Thermometers, Barometers, Hy- drometers, Lactometers, Urinometers, Etc. Batteries and Electrodes Made to Order a Specialty. The Fitting up cf Electric Institutes and Sanitariums carefully and promptly attended to. MICROSCOPES For Students and Professionals. From the lowest grade of Microscopes, for the elementary study of Botany, to the highest grade Microscope manufactured for the skilled Scientist in pursuing his deeper Histological and Biological researches. Write for Illustrated Descriptive Catalogues and Price Lists, free. LIBERAL DISCOUNTS TO PHYSICIANS. McINTOSH BATTERY AND OPTICAL CO, Laboratory, Designing Room, Repair Shop, Factory, Show and Salesrooms, and Counting House are all at the same Numbers, viz.: new clinical microscope Nos. 141 and. 143 Wabash Ave., CHICAGO, ILL., U. S. A. Ever Offered to the Profession.