DESCRIPTION OF APPARATUS FOR TREATMENT OF Diseases of the Throat and Lungs, MEANS OF ATOMIZED MEDICATED LIQUIDS. ALSO, OF APPARATUS FOR TREATING DISEASES OF THE NASAL PASSAGES, Bi' the Method of J. L. W. THUDICHUM, M.D., M.R.C.P., AND OF OTHER INSTRUMENTS OF RECENT INVENTION. MADE BY OOZDZMLAJST & SZHZTTT^TLZEIFZF1, IS & 15 TREMONT STREET, BOSTON. CIRCULAR. Since we commenced the manufacture of the Instruments described in this Circular, we have been almost daily in receipt of the most satisfactory testi- mony as to their value for the various uses for which they are intended. We have found little occasion to alter them in plan or construction, but have made several new forms of tubes, adapted to special uses, a description of which will be found on pages 7-9. Having had much experience in the manufacture of Apparatus of the kinds described, we can assure purchasers that they are made with the utmost care, with view to complete efficiency, convenience, and durability, and every one is warranted. The Steam Apparatus (Fig. 1) has been adopted into the " Supply Table," as the standard for the United-States Army. A Gold Medal has lately been awarded us by the Middlesex Mechanics' Association, for Atomizing and Surgical Instruments, as will be seen from the following report signed by a leading New-England Surgeon and Physician : - "1503. Codman <0 Shurtleff, Boston, Mass. One Case Surgical Instruments and Atomizers. " The Committee have no hesitation in awarding for this superb exhibition the highest premium. ***** The various other instruments for Inhalation of Atomized Liquids, and for Local Anaesthesia, were all apparently faultless, both in design and workmanship. The exhibitors are regarded as more especially deserving of the highest token of merit for having produced nothing except of their own manufacture. COLD MEDAL (Signed) GILMAN KIMBALL, M.D., Chairman." The parts of each kind being interchangeable, physicians at a distance requiring new tubes or other parts, can be sure that they wid be adapted to the apparatus previously purchased. In ordering, the cuts should be referred to, to prevent possibility of mis- understanding. To save collection expenses, funds should always be sent with the order, either in a post-office order, or registered letter, or if by mail, express or otherwise, carriage paid. For safety of funds addressed to us by either of the first two methods we will be responsible. If funds sent exceed the amount of the order, the excess will be returned with the goods. If no funds are sent, we shall forward the articles by express, with bill for collection, with collection expenses added, or we may decline to fill the order. A Pamphlet containing articles by distinguished medical authority, on the uses of Atomized Medicated Liquids, with formulas of those employed, including also a paper by Dr. J. L. W. Thudichum, M.R.C.P., on treatment of diseases of the Nasal Cavity, with his formulas, will be forwarded on application. Boston, June, 1868. CODMAN & SHUUTLEFF. DESCRIPTION OF APPARATUS FOR TREATMENT OF DISEASES OF THE THROAT AND LUNGS BY MEAN'S OF ATOMIZED MEDICATED LIQUIDS. Directions for thing accompany each of the Different Forms of Apparatus. Figure 1. Steam Atomizing Apparatus.-This consists of a boiler, in which steam is gene- rated by flame of lamp j. j, Lamp, provided with tube for graduating flame for much or little heat. k, Safety valve, graduating to high or low pres- sure. By unscrewing the valve tube from its position, the boiler may be supplied with water without disturbing the atomizing tubes, l, Milled button or top. Between this and a suitable projection or shelf within the neck of the boiler, is secured the packing of rubber through which the atomizing tube passes -air and steam-tight, m, Mahogany ring to protect the hand from heat in removing the boiler and tubes for the purpose of changing the medicament, n, The atomizing tubes, o, Cup in which the medicament is placed, p, Shield for protect- ing the patient's face from unpleasant contact with the medicated vapors. q, Joint allowing the shield to be moved to, and retained at, any necessary deviation from a horizontal position, n, Sliding staff for regulating the height of the shield. By means of the joint q and the sliding staff, the shield may be adjusted for use by adults or by children. The distance of the shield from the atomizing tubes may be varied by sliding upon the base, and it is fixed by a screw under the cup s. The whole is so secured to the black walnut base that it may be conveniently moved or used by a patient in bed, without danger that either of the cups or the spirit lamp will be detached, or the liquid spilled. This Steam Apparatus is constructed with the greatest care with refer- ence to its convenience, durability, and complete immunity from danger of accident. The joints are both screwed and soldered, and, unlike boilers of ordinary construction, which are frequently unsoldered and separated by accidental exhaustion of water, no injury can result to this from such a cause. Every boiler is tested in our steam factory to a much greater pressure than any attainable by the use of the lamp. Its advantages over all the Air Apparatus are : - 1st. That, being self-acting, it produces an even and continuous flow of spray without inconvenience or labor. 2d. The warmth of the spray produced by it is often an advantage. Price of Steam Apparatus, including Face Shield and two Glass Bergson Atom- izing Tubes, accompanied by directions for using, packed for transpor- tation, ®12.00; without Face Shield, $10.00; Price of Face Shield . . .$2.00 Atomizing Tubes alone, 50 cents each; Silver, $2.50; Silver and Platina . . . . 6.00 QOBMAN 1 SHUFTLEFF, BOSTON. if'ig. 1. This Steam Apparatus has been placed upon the Supply Table of the U. S. Army as the Standard. 4 Description of Apparatus. Fig. 15. The Complete Steam Atomizer. The name complete is used in con- nection with this apparatus with par- ticular reference to the quality of its performance, as under no circumstances does it throw out little jets of hot water to frighten or scald the patient. The word is also appropriate when used to describe the apparatus itself, as it is the result of much care in arrangement, and of expense in the machinery em- ployed for its construction. On account of its convenience, durability, portability, compactness, and cheapness (in the best sense of the word), we think it adapted to come into almost universal use by physicians for their patients, and by patients at their homes. It consists of the sphere-shaped brass boiler A, steam outlet tube B, with packing-box C formed to receive rubber packing through which the atomizing tube D passes, steam tight, and by means of which tubes of various sizes may be tightly held against any force of steam by screwing down its cover while the packing is warm; the safety-valve E, capable of graduation for high or low pressure by the spring or screw in its top, the non-conducting handle F, by which the boiler may be lifted while hot, the medicament-cup and cup-holder G, the support H, base I I, the glass face-shield J, with oval mouth-piece connected by the elastic band K with the cradle L, whose slotted staff passes into a slot in the shield-stand M M, where it may be fixed at any height or angle required by the milled screw N. The shield-stand is formed into a handle just above the waste-cup 0, and its base is formed to receive and hold this cup. It has also a sliding arrange- ment and set screw, by which it may be fixed any desired distance from the atomizing tubes. The boiler is supplied with water through the opening into which the safety-valve is screwed. All of its joints are hard soldered, and cannot be separated by heat short of redness or any pressure attainable with the lamp. Every one is carefully tested by very high steam pressure, and no accidents can happen to frighten the patient or injure the apparatus should the water in the boiler become entirely exhausted. The spirit-lamp P is of brass, and is provided with means of graduating the flame, and with an extinguisher. The waste-cup, medicament-cup, and lamp, are held in their places in such a manner that they cannot fall out when the apparatus is carried or used over a bed or otherwise. The apparatus is contained in a box x 4 x 8 inches; it can be unpacked and put in position for use in one minute, and repacked in the box in as short a time. COOMAN t SHURTLSFF, BOSTON. Fig. 15. Price of this Apparatus as represented in the cut, including two Glass Atom- izing Tubes, extra packings, and Shield Band, with directions for using, packed in box for transportation 86 00 In neatly made, strong, Black Walnut box, with handle, additional 2.50 Extra Face Shields, any size, including Elastic Band, each .50 Glass Atomizing Tubes, each, 50 cts.; Silver do., 82.00; Silver and Platinum, 5.00 Description of Apparatus. 5 Fig. 2 represents Dr. II. K. Oliver's Hand Instrument, as described in a paper on Atomiz- ation, contributed by him to the " Boston Med- ical and Surgical Journal" of March 8, 1866. a, Elastic Bulb with Valves, serving as a bellows to produce the spray within the jar. b, The Bergson Atomizing Tubes, the upright arm be- ing formed in part by a rubber tube, which dips into the medicament placed in the bottom of the jar. c, Opening for the admission of air. The advantages of Dr. Oliver's instrument over all other hand instruments, consist in this:- 1st. That the receptacle for the medicament and the shield for the pro tection of the face are united in one piece. 2d. That none but the finest of the particles of spray are inhaled. 3d. That the Bergson tubes being within the jar are protected from injury. Price, with two Atomizing Tubes, securely packed, accompanied with directions for using, $4.00. Price of Atomizing Tubes alone, 50 cents each. With Double Bulbs, instead of a Single one, $5.50. The Apparatus represented in Fig. 3 is essentially the same as that of Dr. Andrew Clarke, of England. It con- sists of the Elastic Bulb f, which, with its valves, serves to force air into the Elastic Chamber g, which, alternate- ly expanding and contracting, supplies a steady stream of air to the Atomizing Tubes i, one branch of which dips into the vial containing the medicament. The stopper is of elastic rubber (patented), and fits per- fectly the atomizing tubes and the vial. In addition to its other uses, this instrument constitutes a perfect Douche for bathing and making medicinal applications to burns, sensitive eyes, inflamed surfaces, painful sores, and for perfuming or disinfecting the sick-room. CODMAN li SHUNTLEFF, BOSTON. Price, with two Glass Atomizing Tubes, securely packed, $4.00. Price of Atomizing Tubes alone, 50 cents each. When of Silver, $2.00; when of Silver and Platina, $5.00. 6 Description of Apparatus. Fig. 4. Freezing Ap- paratus for producing Local Ancesthesia. This form of appar- atus - similar to that represented in Fig. 3, with exception of Atom- izing Tubes, which are of metal,- is all that is required for producing Local Anajsthesia by freezing with Ether, as employed by Dr. Rich- ardson, of London, or with Rhigolene, as de- scribed by Dr. H. J. Bigelow, of Boston, in the "Boston Medical and Surgical Journal " of April 19, 18CG. The Metallic Tubes which accompany this Apparatus are equally effi- cient for inhaling purposes, except for liquids liable to be vitiated by con- tact with metal, for which glass or silver, or silver and platinum tubes should be. used. Price of Apparatus, with Silver Plated Freezing Tubes, $5.00. Price, with two Glass Bergson Atomizing Tubes, and vial (fitted), thus com- bining in one the two apparatus for freezing and atomizing, represented in Figs. 3 and 4, $6.00. Price of Silver Plated Freezing Tubes alone, $2.00. QODMAN & SHURTLEFF BOSTON. Fig. 4- Fig. 5 represents Shurt- leff's Atomizing Apparatus, (patented). It is similar to Dr. Clarke's (_Fig. 3), but has the shield b in addition. When used for inhalation the end of the shield is taken into the mouth, and serves both to protect the face and to depress the tongue, so that a direct and powerful current of spray may reach the throat. For making external applications the shield may be used to direct the spray upon a small surface only, or it may be disconnected, and the appa- ratus used without it. As all superfluous spray is turned to liquid by striking the inner walls of the shield, and is returned again to the vial by a suitably-formed orifice through the rubber stopper, this apparatus is very economical of the medi- cament, - a matter of some importance, when expensive liquids are employed. Extra shields of uniform or of various sizes will be furnished, if required, and can be connected with the other part of the apparatus without loss of time by passing them into the elastic rubber band which secures them to the upright standard. At f is a joint controlled by a thumb screw on which the shield swings when the vial is filled or emptied. CODMAN L SHURTL1FF, BOSTON. Description of Apparatus. 7 Price, with two Glass Atomizing Tubes, securely packed, $4.50; price of Atomizing Tubes alone, 50 cts. When of Silver, §2.00. When of Silver and Platina, §5.00 Price of Glass Shield, including an Elastic Band, each 25 cents. (For other Tubes adapted to the Bulbs, see Figs. 8, 9, 10, 11, 12, 13 and 14.) The rubber of Apparatus, Figs. 3, 4 and 5, is white and of the best quality - The Air Chamber or Reservoir Bulb l is covered with a netting of silk to prevent undue expansion, and to give the Chamber such rigidity as to afford a powerful current of spray. The valves are of a material and form to render them uniform and perfect in action, and each one is carefully fitted and ground to its seat. Rhigolene, of best quality, in strong 12-ounce bottles, per bottle, §1.00 Ether, of suitable quality, at market price.* Tubes adapted ta Bulbs represented in Figures 3 and 4 o and f, (Figs, 8 and 9), conical end of air Tube for connecting with the rubber Tube of the Bulbs. R and G, (Figs. 8 and 9), Regulator (patented) for controlling the quantity and quality of the spray. Fig. 8. The Silver Plated Freezing Tube usually furnished with the Appa- ratus, Fig. 4. Price, with Regulator $2.00; when of Silver, $4.00; and when of Glass, without Regulator, $1.00. Fig. 9. Metal Tube, for throwing spray downwards into the larynx, or, when inverted, upwards into the posterior nares. It is also well adapted to freezing. Price, Silver Plated, with Regulator, $2.00; when of Silver, with Regu- lator, $5.00 ; when of Silver and Platina, with Regulator, $12.00. Fia. 9. Figure 13. Glass Tube, for throwing spray downwards into the larynx or, when inverted, upwards into the posterior nares. Fig. 13. Price, without regulator, $1. *Notb.- Experience during the time in which Rhigolene and Ether have both been used for Local Anaesthesia, seems to have decided that Rhigolene is preferable to Ether, as being much quicker in action and more economical on account of lesser first cost, and smaller quan- tity required. Fears entertained, at first, of danger from its supposed great inflammability, have not been, we believe, in any instance realized. 8 Description of Apparatus. Figure 14. Glass Tube, for throwing spray upwards through the posterior nares. CQDMAN !■ SHURTLSFF, BOSTON. Price, without regulator, $1.00. Fig. 14. Fig. 11 represents a very useful (patented) modification of the tube Fig. 9. By means of a nicely-made joint at b, the horizontal part may be turned to throw spray up or down, or in any direction at a right angle to the body of the tube, - the induc- tion end of the liquid-bearing tube being always downwards. It is particularly adapted to use in the throat, as the spray may be readily directed, either into the larynx or posterior nares. When Fig. 9 is used for the posterior nares, it is first charged with liquid and then inverted, and the operator is restricted to the use of as much liquid only as the tube will contain; while with that represented in Fig. 11 the current of spray may be continued as long as desirable in any direction. This quality renders it in some cases superior to other tubes for Local Anaesthesia. CODMAN 1 SHURTLfiFF, BOSTON. Fig. 11. Price, Silver Plated, with Regulator, $3.00; Silver, with Regulator, $6.00; Silver and Platina, with Regulator, $15.00. Fig. 10. Dental Tubes, w and z, the bifurcated portion of the Tubes (pat- ented), designed to deliver spray on both sides of the gum at the same moment, x and a, conical end of air Tube over which the rubber Tube of the bulbs is passed when used, y and b, Regulator (patented), to control amount of liquid. These Tubes are for uso for Teeth Extraction, for painless removal of Den- tal Pulp, and other operations in Dental Surgery. With the Bulbs (representedin Figs. 3 and 4) they form the most desir- able Apparatus yet devised for these uses For testimony in regard to the value of this Apparatus, see p. 29. Prices. - Either of those represented in Fig. 10 (one being for use for Superior and the other for Inferior Teeth), Silver Plated, with Regulator $3.00; the Fig. 10. Description of Apparatus. 9 two, $6.00; when of Silver, either, $6.00; the two, $12.00. One, Bifurcated Tube, for use for either jaw, having the bifurcated portion straight instead of curved, and therefore not as convenient,-Silver Plated, $3.00; Silver, $6.00. Reversible Bifurcated Tube, with joint as de- scribed in connexion with Fig. 11, answering the same purpose as the two in Fig. 10. CODMAN & BHURTLBFF, BOSTON. Price, Silver Plated, with Regulator, $5.00; Silver, with Regulator, $10,00. Fig. 12. To the Metal Tubes, for Local Anaesthesia, as suggested by Dr. Bigelow and others, we have attached a Regulator (patented), which, without mate- rially increasing the cost, adds greatly to their value, as it enables the operator to secure such an amount of liquid as will freeze in the least pos- sible time when the Tubes are used for Local Anaesthesia, and will afford the finest spray when used for inhalation. It is also very useful in pre- venting the passage of foreign substances into the Tubes. Many Silver and other Metallic Tubes are so made as to be nearly worthless on account of the manner in which the orifices are formed, and of the unsubstantial method of joining the two branches. Those of our manufacture have orifices formed in solid metal turned and drilled in a lathe, and the two branches are soldered firmly together in immediate contact, or connected by double braces for those formed on a right angle. Those described as Silver, or as Silver and Platinum, are made in the same manner ; the latter have both Nozzles and the liquid-bearing Tube of Platinum, and are there- fore not liable to be acted upon by any liquid. The price of the double Bulbs being $3.00, any of the Tubes before described may be selected to form such an Apparatus as may be desired, and the price readily ascertained. The Bulbs are also very useful as Inflators for Pessaries, Barnes' Dilators, and for other purposes. For extensive operations, we make a larger Freezing Apparatus with compound jets, which we will describe, if desired, by letter. Foot Bellows. We make a neat, substantial and durable Foot Bellows, with elastic air chamber, covered with netting, and supplied with six feet of tubing. It may be used with any of the atomizing tubes. Price, $8.00. 10 Codman tfe Shurtlcfl', 13 Tremont Street, Boston. DESCRIPTION OF APPARATUS FOR TREATING DISEASES OF NASAL PASSAGES, BY THE METHOD OF DR. THUDICHUM. Fig. 6. Nasal Douche, or Appara- tus for treating diseases of the Nasal Cavity, by the method of Professor Thudichlm. a. Reservoir, b, Lead- ing Tube, c, Nozzle, fitting the nos- tril in such a manner that liquid can- not pass outward, nor air into the nostril, d, Joint formed by inserting a short glass Tube within the rubber tubing, at which Nozzles of different sizes, or for different patients, may be connected without loss of time. Price, with two >Nozzles, securely packed, $2.50; extra Nozzles, each, 25 cents. Fig, 6. " Cheap Nasal Douche," similar to Fig. 6. Price, with two Nozzles, se- curely packed, $2 00; Extra Nozzles, each, 25 cents. Fig. 7. Dr. Oliver's form of Apparatus for Nasal Douche, designed for office use. A, Black- walnut Stand, n, Conical Reservoir, c, Lead- ing Tube. d, Nozzle. e, Joint, f, Ring, hinged to Stand, to support the Reservoir. Price, with two Nozzles, packed for transpor- tation, §3.50; extra Nozzles, any size, each, 25 cents. In using either kind of Douche described, the Reservoir is placed higher than the head, and the rubber Tube is grasped near the Nozzle, between the thumb and finger, so as to control the current. The Nozzle is then depressed enough to allow a little of the liquid to escape, thereby expelling air from the Tube. It is then pressed gently into the nostril, and the grasp slightly relaxed, when the current will enter and fill the whole cavity of the nose and escape by the opposite nostril, the head at this time being thrown slightly forward over a basin, and the mouth kept open. • Fia' 7' Allen's Nasal Douche. Instead of the reservoir furnished with other forms of Douche, this has a stopper, so made, that when inserted into a bottle of suitable size, such as can be found in every house, and the buttle inverted, the liquid will pass down the tube while air enters through another smaller tube in such a way as to form no inter- ruption to the egress of the liquid. On account of its cheapness and portability, it will be found a desirable form of the Douche. Fig. 18. Price, with 24-inch tube and one nozzle of best form, SI.20; with 36-inch tube, SI.50 Also, Traveller's Nasal Douche and Syphon Douche, . . 1.50 to 2.00 Opinions of Physicians and Surgeons. 11 We also make little Stop-cocks of hard rubber, which are thought by some to add to the value of the Douche. If required, they are inserted in the Tube at the joints d or e. Price, additional, $1.75. It will be noticed that the forms of Apparatus represented in Figs. 6 and 7, though different in detail from those described by Thudichum, are the same in principle. Though very simple, and comparatively inexpensive, we know, both from observation and report, that they answer perfectly the purpose intended. Directions for using accompany each of the different forms of Douche Apparatus. Boston, May 2, 1866. Gentlemen, -I have used the three kinds of Apparatus for Nebulizing, prepared by you, and 1 have found them perfectly safe in their arrangements, and useful for throat and lung complaints. Yours, respectfully, H. I. BOWDITCH. OPINIONS OF PHYSICIANS AND SURGEONS. Boston, May 3, 1866. Messrs. Codman & Shurtleff, - I have used your Steam Apparatus for the Atomization of Liquids, and find it to have been carefully and thoroughly constructed, and well adapted to its purpose. CHARLES E. BUCKINGHAM. 18, Arlington St., Boston, May 11, 1866. Messrs. Codman & Shurtleff: Gentlemen, -Your Steam Atomizing Appara- tus furnishes an easy and valuable method of making local application to the fauces, larynx, and lungs. EDW. H. CLARKE. The following is an extract from a note from Dr. Henry J. Bigelow: - "I have thus far found nothing better for freezing with Rhigolene than the tubes made by you after the pattern I gave you, and which I still use with your other apparatus." Boston, May 16, 1866. Messrs. Codman 8c Shurtleff: Gentlemen, - Your Apparatus for Atomization of Liquids seems to have been carefully made, and I think it an efficient one where required for treatment of diseases of the Throat and Lungs. The Apparatus for Local Anaesthesia which you made for me answers the purpose perfectly. I am, very truly, your obedient servant, J. MASON WARREN. " Excellent, safe, and durable Steam Atomizer." - Dr. J. M. Da Costa, in his new work on Inhalations, referring to our Steam Apparatus. I have just had occasion to use one of your Apparatus for Local Anaesthesia, and it acted like magic. It is just the thing for Minor Surgery. April 29, 1867. I have thoroughly tested the Narcotic Spray Apparatus you sent me on trial, and believe it to be the best of any I have seen. I have been using one of your Steam Apparatus for about a year, and find it per- fectly adapted for treating all diseases of the Throat and Lungs. Galveston, Texas, Sept. 27, 1867. Gentlemen, - I see that the impression prevails that Rigolene is not suited to a warm climate, because it is thought that it boils at a temperature of 70 degrees F. The article which you sent me in January, and of which I have a small quantity remaining, I know has been subjected to 90 degrees, and often more, this summer, yet it has not lost in the least any of its efficiency. It produces congelation of the tissues where applied, almost instantly, and with an exceedingly smallquantity. I am delighted with it, as well as with the excellent apparatus of Dr. Bigelow. It robs minor operations of all their terrors, entirely preventing pain ; and this is a great consideration in an operation. I have ventured to freeze parts where the vitality is low, and never yet have I experienced the slightest trouble as to any secondary effects. We also refer to an article " On the Inhalation of Atomized Liquids, and a descrip- tion of the Instruments employed,'' contributed to the Boston Medical and Surgical Journal, of March 8,1866, by Dr. Henry K. Oliver, of Boston. 12 Opinions of Dentists. - Postage. OPINIONS OF DENTISTS, Who have used the Freezing Apparatus for their branch of Surgery. The Apparatus for Dentists' use was referred to by Dr. Stellwagen, at a meeting of the Pennsylvania Odontographic Society, reported on p. 316 of Dental Cosmos, for January, 1867, as follows : - " Dr. Stellwagen then exhibited a Spray producer, of American Manufacture, having the tubes for the liquid and the air distinct and separate, which he thought made a more perfect Spray than the English Instrument, and with less Ether. "These Instruments have been employed with marked success in the Dental and Surgical Clinics of the Philadelphia Dental College." " I received the Instrument you sent, and it has proven all I could ask." Philadelphia, Jan. 24, 1867. "Messrs. Codman & Shurtleff,- I inform you with pleasure that the Spray Apparatus of American manufacture, mentioned in the Cosmos of January, as brought before the Odontographic Society of this city, is of your manufacture, and has, within my own observation, been used by many, with very happy results." " It is very satisfactory The Double Tube is much superior to one I saw from * * * I wish you would send me another." " The Apparatus for Local Anaesthesia, made by Codman & Shurtleff, is invalua- ble for dental operations, and should be in the office of every Dentist." The following are from one individual at the different dates: - May 24, 1866. "After sending the order yesterday. I extracted quite a number of teeth with per- fect satisfaction to myself and patients: for one lady seventeen firm teeth and roots: she declared that there was no pain, that she could feel only a drawing sensation; for another lady four teeth with the same success." September 26, 1866. " In regard to my experience and success in extracting teeth with the use of Local Anaesthesia, it has more than met my expectation. I think all Physicians and Den- tists should obtain the Instrument." November 14, 1866. " I have used the new tube with perfect success. I think the (regulating) Screw will add very muc'i to ts value." " This is a ' big thing on ice.' I have used it in twenty or more cases with perfect success." " As I think I have given it a.fair trial, I feel bound, in justice to its merits, and to my professional brethren, to add my testimony in its approval. The Tube which you let me have about two mouths ago (with regulating screw), I find to be an improve- ment." " Your Apparatus for Local Anaesthesia, which we ordered some time ago, answers the purpose to our perfect satisfaction." POSTAGE. The following will be sent by Mail, if so ordered, providing the amount necessary for prepayment of postage accompanies the order in addition to the price: - Postage-Cents. Apparatus, Fig. 3, complete .87 Apparatus, Fig. 4, complete Combined Apparatus, Figs. 3 and 4, complete .84 1.05 Apparatus, Fig. 5, complete . 1.00 Dentists' Apparatus, consisting of bulbs, vial, and the 2 tubes represented in Fig 10 .90 One G lass, Silver, or Silver and Platinum Tubes, for Apparatus Fig. 1 or for Fig. 15 .09 Two Glass Tubes for Fig. 1 or for Fig. 15 .12 One or Two Glass Tubes for Fig. 2 .06 One Glass, Silver, or Silver and Platinum Tubes, for Fig. 3, or Fig. 5 .06 Two Glass Tubes for Fig. 3, or Fig. 5 .09 Silver, Silver-Plated, or Silver and Platinum Tubes, for Fig. 4, (also shown in Fig. 8) .12 Silver, Silver-Plated, or Silver and Platinum Tubes, Figs. 9 and 11 .12 Dental Tubes, - either of those described in Figs. 10 and 12 .15 The two described in Fig. 10 .21 One or two Nozzles for either kind of Douche. Figs. 6 and 7 06 Three or four Nozzles for either kind of Douche, Figs. 6 and 7 .09 Codman fy Shurtleff, 13 Tremont Street, Boston. 13 THE AUTOMATIC VACCINATOR. FOR USING THE CRUST. [Whittemore's Patent.] MADE ONLY BY OURSELVES. A. Perforator having its end counter-sunk or hollowed to re- ceive a small quantity of the crust. In using the Instrument, the forefinger is passed into the Ring C, and the thumb pressed upon the Lever B, by which the perforator is raised, and after reaching a cer- tain height is disengaged by the proper mechanism, when it de- scends with the force of the spring, and, slightly puncturing the skin, deposits the virus. CODMAN & SHURTLEFF, BOSTON. A single, easy motion in one direction, is all that is required to operate the Instrument, - the skin being punctured and the matter deposited simultaneously. The pain attending its use is so slight as rarely to waken a sleeping child, while the operation is rendered much more certain than by other methods. sent (post-paid) on receipt or Price, $4.00. Every one Warranted. The -following, from sources that will be generally recognized and respected, is the only testimony we think it necessary here to present. I have examined and used the improved Vaccinator, which you were so kind as to lend me. With a very long and extended knowledge and experience of the various methods of Vaccination, and the instruments employed in the performance of that simple oper- ation, I do not hesitate to say, that your Vaccinator is the best, and that with it, any one, without special dexterity, can vaccinate with great rapidity and certainty, and, as is of great importance, do a great deal of work in a short time. Yours truly, HENRY A. MARTIN, M.D. Taunton Lunatic Hospital, June 30, 1867. I cannot speak too highly of your Vaccinator. I always charge it with a paste made of the powdered crust with Glycerine, which keeps perfectly well. Dr. NORTON FOLSOM. VACCINE VIRUS always on hand and sent by return train in answer to orders by mail or telegraph. We are able to supply Physicians and the Trade with Vaccine Virus of absolute purity and excellence. The Lymph we have furnished for the last four years has given such satisfaction, that we now offer it with the renewed and complete assurance, that no better service can be offered than that performed in this branch of our business. Vaccine Crusts, resulting from the dessication of perfect, unruptured vesicles, carefully selected and securely mounted in Gutta Percha, so as to be used without breakage or waste, $3.00 each. Quill Points, prepared so that the Lymph cannot chip off, well and carefully charged, in packages of ten points, $1.50 per package. Each package of Virus will be hermetically sealed, and packed very securely for fireservation and easy transmission by mail, or otherwise, to any distance, and is abso- utely warranted. Whenever its use fails to give perfect satisfaction, a frosh supply will be sent, on notification, within fifteen days. T E Tt 31 S . 14 Cod man c& Shurtleff, 13 Tremont Street, Boston. THE STOBEB SPECULUM. The accompanying cuts rep- resent an important improve- ment upon any form of Specu- lum hitherto in use, lately devised by Prof. Horatio R. Storer, and exhibited by him to the Suffolk District Medical Society, on September 26th. It will be seen that by a sim- ple spring attachment at the side of the Cusco bivalve, (rep- resented at A,) the blades may at once be disjointed, swung around back to back, and there fixed by a turn of the nut al- ready existing upon the screw traversing the handles, with the effect of giving a retractor equal in working facilities to that of Sims'. Dr. Storer's instrument is, in fact, a duplex one: as a specu- lum retaining the excellence of Cusco's instrument, and as a retractor better for ordinary purposes than the complicated and more expensive instru- ments of Emmet, Bozeman, I'allen, and Bryant. The history of the invention may be given in Dr. Storer's own language, when describing it to the Society. " A year ago I was discussing with my assistant, Dr. Stone, the features of Dr. Thomas' Telescopic Speculum, and re- marked to him that while I was averse to the unnecessary mul- tiplication of instruments, I thought it possible to improv* upon the best yet in use, which I considered Cusco's to be. Some six months afterwards I had occasion to remove stitches from the anterior vaginal wall, after an operation for vesical fistula, and happened to have no retractor with me. I therefore directed Dr. Stone to remove the screws connecting together the blades of Cusco's instrument, and by reversing their relative position I had at once the retractor that I desired. By subsequently attaching a moveable spring peg in place of one of the screws, and rendering the other one a fixed point, immediate change from the speculum to the retractor, and back again, became possible by a slight touch of the finger." This instrument, (many of which have already been sold,) is of our own manufacture; and from its combining the advantages of two separate and distinct mechanical principles, and thus making one instrument serve the purposes of two, will probably come into almost universal use. It has been styled by Dr. Storer the "Boston Speculum," but will doubtless be known by his own name. Price, $7-00. Dr. Storer's other instruments - his intra-uterine Scarificator, clamp-shield, of great value in ovariotomy and removal of the uterus by abdominal section, porte-caustique for intra-uterine applications, hollow needle with jointed handle, wire rope for ecraseur pessary for retroflexion, prolapsed ovary and tumors in Douglas's fossa, may also be obtained of us. BODMAN 8. SHURTU6FF, BOSTON. BODMAN li 1HURTLIFF, BOSTON. BODMAN 4 8HURTLSFR, BOSTON. ZOJR- jB_ CUTTER'S Fig. 1. PESSARY, FOR RETROVERSION OF THE UTERUS. The modification in this Pessary consists in the single posterior support, - the hooked termination and the joint. It operates as follows: - Extending the vagina in its long diameter, and in the direction of its antero-posterior curvature, it does not distend it transversely, nor interfere with the normal tonic contrac- tion of its transverse fibres; in which condition of the vagina there can be no retroverting of the uterus. Its fixed point, by means of the elastic suspension, is the sacrum, and not the vaginal or pelvis walls. The suspension imitates the natural elasticity of the normal uterine sup- ports, and permits a limited degree of motion. The suspension cord runs in the furrow between the buttocks, which prevents lateral motion of the Pessary. Motion upwards is prevented by the post-utero vaginal cul de sac ; downwards, by the suspension; forwards, by the cervix uteri, and backwards by the promontory of the sacrum. The joint in the crook obviates the necessity of removing the belt, - permitting the tubing to be turned aside during defecation, at the same time serving as a handle, by means of which the vagina may be kept at its normal length, and the uterus in situ naturalia during the bearing down efforts, which, under other circumstances, are likely to retrovert a replaced womb. There are three sizes of the Pessary,-4|, 5, and 6 inches in length. Price of either size, with directions for introducing . . .... $3.00 SODMAN 4 SRURTLEFF, BOSTON. SODMAN 4 SHURTLtFF, BOSTON. Fig. 2. Fig. 3. Figuret 2 and 3 represent, respectively, an Intra-Uterine, and a Prolapsus Pessary, which oombine, with the usual features ot such instruments, the advantages of convenient external support, and of the jointed hook, as in the other instrument. Price of either• • • $3.00 16 Codman & Shurtleff, 13 Tremont Street, Boston. Laryngoscopic Lantern, or Light Concentrator. Invented by Dr. II. K. OLIVER. This is, as far as we know, the only Laryngoscopic Lantern made in the United States, - those in use here being ail imported from Europe. To nearly ail of these instruments there is the objec- tion that they are adapted to a par- ticular kind of lamp or gas fixture. The invention of Dr. Oliver obviates this objection,- his Lantern being, by a number of very simple contrivances, easily fitted to any kind of lamp or fixture. The want of a portable Light Con- centrator, of universal adaptability, has been greatly felt by Laryngoscopists when called upon to examine cases away from their office, ft has also, as we know from personal experience, ob- structed the desirable extension of the study and practice of laryngoscopy, inasmuch as general practitioners and students have found it necessary, in order to provide themselves with a Light Concentrator, to purchase also the fixture or lamp to which it was at- tached. Dr. Oliver's Instrument is designed for direct light, - a method preferred by many Laryngoscopists to reflected light. The lens, however, is of sufficient diame- ter for use with the frontal reflector, if thought desirable. Auto-laryngoscopy being by general acknowledgment an important means of acquiring skill in the use of the laryn- goscope, there is attached to the Lan- tern a small mirror, which, by a very simple mechanism, has nearly all the movements usually afforded by the ball and socket joint. This Light Concentrator will be found useful not only in laryngoscopy, but in the examination of the external ear. In the same box in which the Lantern is packed, is a rack for three sizes of laryngeal mirrors, copied from London mirrors imported by Dr. Oliver, with which they bear favorable comparison. CODMAN & 8HURTLSFF, BOSTON. Description.-The Lantern is made up of three main portions, the front piece A, and two wings which hinge upon the front piece, and by which the diameter of the lantern may be increased beyond the diameter of any of the glass chimneys in ordinary use. These wings may be locked together at the desired point, as at a, a. The height of the flame from the part of the lamp suited for a support to the Lantern varies considerably, of course, in different lamps and gas stands; and inasmuch as the lens must be on a level with the flame, the tube containing it is attached to a slide B, which, moving in grooves in the front main piece, may be raised or lowered, as found necessary. The lens is also movable within the tube, in order to admit of its being retained at its focal distance from the flame, when the diameter of the Lantern is changed. The movement is made by the sliding of a knob on each side (&) in an elongated opening in the tube. The Lantern is made firm upon the lamp by passing a bit of cord back ana forth between the instrument itself and hooks (d), which are strung upon a cordltied around any suitable place in the lower part of the lamp. This arrangement is simple, extremely efficient, and universally practicable, - the latter point being difficult of attainment by any other mechanism. At c is seen the little mirror for use in auto-laryngoscopy. Price, - Laryngoscopic Lantern Auto-Laryngoscopic Mirror, additional Set of three Laryngoscopic Mirrors . . . . $4 00 .... 1.00 .... 4.50 All the above fitted in Case . . . .... 10.00 Laryngeal Mirrors, separately, any size .... 1.50 tiffed Concise rules for use furnished with each Instrument. For full description of the Lantern and method of its employment, see article con- tributed to the Boston Medical and Surgical Journal, of October 8th, 1868, by Dr. Oliver.