US1709046A - Surgical appliance - Google Patents

Description

April 6 c. s. THROGMORTON 1,709,046

SURGICAL APPLIANCE Filed May 14, 1928 2 Sheets-Sheet l Inventor C S. ffirajmarfo m,

Attornqy April 1929. c. sqTHaoemoR-row 1,709,046

SURGICAL APPLIANCE File'd may 14,- 1928 2 Sheets-Sheet 2 v 71 water A'rzamey lltl rill

llatented "in... lti ltlitlli rarr orricni SURGICAL APPLIANCE.

Application filed May 14,

llic present invention relates to improvements in surgical appliances, and has re'ier" once more particularly to an appliance for attachment on the arm oi a patient for use in intruyenous injections into the Veins.

One of the important objects of the present invention is to provide a surgical appliance oi the above mentioned character, Which inchides means for supporting the arm of the patient in a steady manner, additional means being associated With the appliance to provide a rest for ti hypodermic needle used in injecting a serum into the veins A. further object of the invention is to provide a surgical appliance that includes a tourniquet member that encircles the arm at a point above where the iititravei'ious needle to beinserted into the shin, means being; provided for releasing the tourniquet member, upon the completion oil the injection op eration.

Still a further object is to provide a surgical appliance that includes a cradle or rest for the hypodermic needle or syringe used in inje ing the serum into the veins.

it, il urther object to provide a surgical appliance oi? the ahovo mentioned character, that can be readily and easily assembled or disassembled, the area being lurther capabio of adjustment to enable the same to fit paeperly on different sizes oi: arms.

it. tliurther object is to provide a surgical appliance oi the above mentioned character, which is simple in construction inexpensive, strong; and durable, and further Willi ad apted to the purpose tor which it is de ued.

Other objects of? the invention will become apparent as the nature of the invention pro ceeds and when taken in connection with the accompanying drawin In the accompanying: draw? as, forming a part of this application, and in which like numerals indicate like parts throughout the several views:

Figure 1 is a top plan View of the surgical appliance embodying); my invention, showin the manner in which the same is secured on the arm of a patient.

Figure 2 is a side elevation thereof.

Figure 3 is a bottom plan View of the appliance.

Figure 4; is a sectional View, taken approxi- 1928. Serial No. 277,694.

mainly on the line 41 d of Figure 2, looking in the direction oi the arrows. V

Figure 5 is a similar section taken on the line of Figure 2, looking in the opposite direction, and

Figure 6 is a tra sversc section tl'lrough the complementary curved plates that "coin stitute the arm support.

In the drawings, wherein for the purpose of illustration is shown the preferred "embodiment of my invention, the nunleral 1 designates generally the arm support of my improved surgical appliance, the same including a pair oi elongated plate like incur bore 2 and 3 respectively. Each of the plates tapers gradually from one end to the other and furthermore, each plate is curved transyersely throughout its entire length. The inner edge portions of these plates are adepted for disposition in overlapping relation as shown very clearly in Figures 5 and 6 of the drawings. A pair of spaced clips are secured on the under side of the inner edge portion of the plate 3, and the free ends of these clips are spaced with respect to the bottom edge portion of this plate 3, for receiving the inner edge portion of the co1nplementary transversely curved plate 2, as shown Very clearly in Figure 6.

These plates are adjustably secured together, so that said arm rest or support may be made Wider or narrower, depending upon the size of the arm of the patient on which the appliance is to be attached, and the attaching means including a pair of apertured.

lugs 5 depending from the side of the plate adjacent the respective ends thereof, and the apertures of these lugs are threaded. Formed on the bottom face of the plate 3, are the pairs of spaced apertured lugs 6 and 7 respectively, that depend downwardly, each pair of aperlru'ed lugs associated With the plate 3 being disposed in alignment With the respective apertured lugs that depend from the plate 2, as clearly indicated in Figure 3 oil the drawings. a

A. collar 8 is adapted for disposition between each pair of apertured lugs 7 and ex tending through these apertured lugs and the collar is an elongated bolt 5, the inner threaded end thereof being threaded through the threaded aperture of the adjacent lug 5 that depends from the bottom of the plate 2. A

thumb engaging member is formed on the outer end of each bolt to facilitate manual actuation-thereof. A pin or the like, shown at 11, extends radially through the collar for engagement with the respective bolt, so that when the thumb engaging portion 10 is turned, the threaded end of the bolt will eooperate with the threaded lug to effect a sliding movement of the plate members in opposite directions. This construction provides a means for adjusting the plates away from or toward each other as is obvious from the construction shownv in Figure 3.

.The outer edges of the plates 2 and 3 are rolled, and a rod 12 extends through the i rolled outer edge of the plate 3, and an additional rod 13 extends longitudinally in the V ends'of the arm support or rest 1.

clearlyin Figure 5.

rolled outer edge of the plate 2. As is shown more clearly in Figure 1, theintermediate portion of the outer edge of the plate 3 is cut away so that the'intermediate portion of the rod '12 is exposed and hingedly secured at one end on this rod 12 are the sheet metal for positively clamping theappliance on the arm of the patient. The intermediate or crown portion of each strap member is slight- 1y bent inwardly to form an arched rest piece 17-, for apurpose to be presently described.

' Forming a salientpart of the present in- I ventionisthe tourniquet member, designated generally by the number, 18. This member comprises aseg'ment-al band, comprising the upper and lower semi-circular sections 19 and 20respectively. These sections are secured together at one end by a hinge connection, shown at 21','thefree ends of the sections being detachably-secured together by a suitable fastening means that comprises a pin 22 projecting outwardly from the outer side of the lowersection 20, a spring strip 23 being 'fixedlyseeured at its upper end at the outer face of the adjacent section 19, and the lower end of this spring strip extends downwardly for disposition over the outer face of the ad jacent portion of the lower section 20 and this portion or the strip is formed with an opening to receive the pin 22, as shown very clearly in Figures 2 and 4 of the drawings.

A pair of retractile coil springs 24 extend across the hinged ends of the sections, the lower ends of the springs being secured to the lower sections, while the upper ends of these springs are connected to the upper sections and manifestly, when the sections are secured together at their tree ends, the springs are placed under tension. The manner in which these springs cooperate to force the segmental tourniquet band to an open position will hereinafter be more fully described.

This tourniquet member is supported, at the rear end of the arm rest or support 1, and the lower section 20 is formed in its inner edge with the elongated groove or slot 2:), to ac commodate the rear edges of the plates 2 and 3, as well as the rear ends of the rods 12 and 13 respectively so that the tourniquet member will be properly supported on the rear end of the arm rest. In Figures 3 and 4., the lower section is shown as consisting of a pair of segments which are formed at their adjacent ends with a tongue and slot, and a plate 2! extends over this tongue and slot arrangement, the plate being secured to the under side of one of the segments.

A padded arcuate shaped constrictor head 27 is supported in the segmental tourniquet member for vertical adjushnent, and an adjusting screw 28 is threaded through an opening provided therefor in the top of the upper section 19, the lower end of this thumb screw being swivclly connected to the head 27 as indicated in Figure 4. 4

To prevent rotation of the constrictor heads 2?, I provide the upwardly diverging arm 29 that are connected at their lower ends to [be upper-face of the head 27, adjacent the respective ends thereof, and. the upper ends of these arms project through the clongat ed slot s 30 formed in the upper section 19 on opposite sides of the thumb screw 28, as also shown very clearly in Figure 4.

Vhen the thumb screw 28 is turned in one direction, the head 27 moves down 'ardly to effect a congested condition of the blood vessel at a point above where the intravenous injection is to be made.

Also forming an important part of the present invention is the latch plate lrippin; means, and the same includes an elongated rod 31, that extends through suitable bearing portions 32, formed at the outer edge of the plate 3, at the ends thereof. This rod extends along the outer sides of the free end portions of the clamping straps 14 and 15. A thumb engagin member 33 is arranged on the forward end of this rod to facilitate turning thereof.

The rear end of the elongated rod 31. projects through a bearing 34, arrangedv on the outer face oi. the lower section 20, adj aeen t the free end thereof, am. clearly rlnvw in Figure 2, the rear end of the rod is formed with a. laterally disposed finger 35, that is disposed underneath the free end portion of the latch plate 23.

\Vhen the parts are arranged as shown in Figures 1 and 2 of the drawings, the surgical appliance is in position for use, so that an intravenous injection may be made into the lll till

veins. The cradle 17 formed in the top portion of the hand will provide a rest tor the hypodermic syringe, during the ad1ninistrati on or injection oi the serum, into the veins, and the arm support will tend to steady the arm at the patient and also the hand oi the operator will be steadied.

litter the intravenous injection operation. has been completed, the operator turns the thumb enp'agin portion 33 in one direction, so that the i ger 6:35 will force the free end o t the swing plate 23, outwardly, out of engagement with the pin 22, and the retractile coil sprin 2a will swing the upper section 19 ot the tourniquet nien'ibcr upwardly, thus opening this member. The free ends ot the arm encircling hand may then be disengagediroin the outer edge of the plate 2 to facilitate the removal of the appliance from the arm of the patient,

lit will thus be seen from the foregoing description that l have provided a surgical appli ance that is used to r intravenous eetions, and by reason of its simplicity, the a 'npliance can be readily and easily adjusted, in order to properly attach the same on the arm of the patient. Furthermore, an appliance oi? the above mentioned character will be positive and eiiicient in carrying out the purpose i'or which it is designed.

il hile l have shown the preferred einhodiment of my invention, it is to be understood that various changes in the size, shape and an rangenient of parts may he resorted to, witlrout departin 'lroin the spirit at tile inventimi or the scope c r. the appended claims. llll ring thus described my 'lHVQHl lOll, what l claim as new is:

.1. .ln a surgical appliance ot the class described, an arm support, a tourniquet member carried by the support, and a rest on said support tor an instrument used in an intravenous injection.

2. ln a siu'gical appliance oi the class described, an arm support, a-tourniquet n'1ein her carried by the support at the inner end portion thereot, said tourniquet member in eluding complementary sections hingedly secured together at one end, releasable latching means for connecting the free ends oi; said sections together, and means for auto natically swinging the sections apart to an open position when the latching means is released. In a surgical appliance ot' the class do scrihed, an arm support, a tourniquet incinher carried by the support at the inner end portion thereof, said tourniquet nieinher including compleinentary sections hingedly secured together at one end, releasable latching means for connecting the tree enc s of said sections together, means for automatically swinging the sections apart to an open posi tion when the latching means is released, said last mentioned means COnlpllS-illg a retraotile coil spring extending across the hinged ends of the sections and connected at its ends to the respective sections, the spring being expanded when the sections are secured together.

l. In a surgical appliance of the class described, an arm rest, a tourniquet member carried by the inner end portion of said support,

said tourniquet including pair of se1n1-e1rcular sections hin edly secured together at one end and adapted to encircle the arm ot a patient, a pin extending laterally from the free end portion of one section, a spring latch plate carried by the tree end oi the other section and provided with an opening to receive said pin to secure said sections together in a closed position, means arranged on the support for disengaging the latch plate from the pin, and additional means for swinging the sections apart to an open position simultaneously with the disengagement oi? the latch plate with the pin.

5. In a surgical appliance of the class de scribed, an arm rest, a tourniquet lneinher carried by the inner end portion of said support, said tourniquet including a pair of semicircular seetions hirigedly secured together at one end and adapted to encircle the arm of a patient, a pin extending laterally from the free end portion of one section, a spring latch plate carried by the free end of the other section and provided with an opening to receive said pin to secure said sections to gether in a closed position, means arrai'iged on the support tor disengaging the latch plate from the pin, an additional means for swinging the sections apart to an open position simultaneously with the disengagement oi the latch plate with the pin, said first mentioned means comprising a rod journaled for rotation on the arm support, the inner end 01 said rod being formed with the lat orally projecting finger that has engagement witl'r the tree end portion of the latch plate, and a member on the other end of the rod for turning the same to actuate said linger.

6. In a surgical appliance or the class described, an arm rest, a tourniquet nieinher carried by the inner end portion of said support, said tourniquet including a pair of semi-circular sections hingedly secured to gether at one end and adapted to encircle the arm oi a patient, a pin extending laterally from the tree end portion of one section, a spring latch plate carried by the tree end oi the other section and provided with an opening to receive said pin to secure said sections together in a closed position, means arranged on the support tor disengaging the latch plate from the pin, an additional means for swinging the sections apart to an open position simultaneously with the disengagement oi? the latch plate with the pin, said last mentioned means comprising a retractile coil spring disposed over the hinged ends of the sections, the ends of the spring being secured to the respective sections, said spring being expanded WllGIlthG sections are in a closed position. v I

7. Ina surgical appliance of the class described, an arm support comprising a pair of elongated transversely curved plates,

'means adjustably securing the plates together at Various Widths, bands extending across the. arm of the patient and secured to the outer edges of the plates, a tourniquetcarried by the rear end portion of the arm support, the rearwardmost band being provided as a rest for a surgical instrument.

CHARLES SCHOTTUS THROGMORTON.

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