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US457787A - Rectal - Google Patents

Rectal
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US457787A
US457787AUS457787DAUS457787AUS 457787 AUS457787 AUS 457787AUS 457787D AUS457787D AUS 457787DAUS 457787 AUS457787 AUS 457787A
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slot
speculum
rim
rectal
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(No Model.)
H. G. LEISBNRING.
REGTAL SPEGULUM.
No. 457,787. Patented Aug. 18, 1891.
@Wina/.smo
UNITED STATES PATENT OFFICE.
HENRY G. LEISENRING, OF WAYNE, NEBRASKA.
RECTAL SPECULUM.
SPECIFICATION forming part of Letters Patent No. 457,787, dated August 18, 1891.
Application filed J' une 24, 1891. Serial No. 397,362. (No model.)
T all whom it may concern.-
Be it known that I, HENRY G. LEIsENRING,
l a citizen of the United States, residing at Wayne, in the county of Wayne and State of Nebraska, have invented certain new and useful Improvements in Rectal Speculums; and l do decla-re the following to be a full, clear, and exact description of the invention, such as will enable others skilled in the art to which it appertains to make and use the same, reference being had to the accompanying drawings, and to the letters of reference marked thereon, which forni a part of this specification. s Y
This invention relatesto certain new and useful improvements in speculums and it has more particular reference to that class of speculums which are specially adapted for the treatment of hemorrhoids and other diseases of the rectum.
The invention consists in the peculiar construction and in the novel combination, arrangement, and adaptation of parts, all as more fully hereinafter described, shown in the accompanying drawings, and then specifically defined in the appended claims.
The invention is clearly illustrated in the accompanying drawings, which, with the letters of reference marked thereon, form a part of this specification, like letters of reference indicating like part-s throughout the several views, in which- Figure 1 is a perspective View of a rectal speculum embodying my improvements. Fi g. 2 is a side view of the same, showing the side opposite to that shown in Fig. l. Fig. '3 is a longitudinal section. Fig. 4C is a transverse section upon the line .n @c of Fig. 3.
Reference now being had to the details of the drawings by letter, A designates the speculum, which is made of metal, and is platedin the usual manner to secure a bright interior and a smooth exterior surface. Preferably the shape of the body of the instrument is slightly conical, as shown in the accompanying drawings, though, if for any reasonv it should be preferred, it may be made straight. At its outer or open end a flaring or bellshaped rim B is provided, the outer edge of which it is attached, thus aording a hold or l bearing for the clamping-jaws C' of the retainer C, which jaws may be secured loosely to the edge of the flange by means of the setscrew C2, so as to retain its hold upon the rim and at the same time permit the specu-Y lum to be freely rotated; or, if desired,'it may be locked against rotation by simply tightening the said set-screw, as will be readily understood. The retainer C is provided with an extension C3, which is preferably in the form of teeth, which may be readily attached to the edge of an under-garment when it may be desired to hold the instrument in position.
The body of the speculum is provided with a series of longitudinal slots D, D', and D2, said slots being of a uniform width, but of varying lengths. As shown in the present instance, the slot D is represented as extending substantially the entire length of the instrument, the slot D extending from the entrance two-thirds of the length and the slot D2 one-third of the length of the same. These slots are each provided with a nicely-fitted cover or slide E, which is adapted to be moved freely, so as to open any desired portion of the slot which it covers. The outer ends of the said slides E are provided with suitable operating-handles E. The longer slide is divided iuto a series of three hinged sections, each section being one-third of the length of the slide. The slide next in length is divided into two hinged sections, while the slide which is fitted to the shorter slot is made inasingle piece, as shown. These hinged sections, when the slides are partly withdrawn, maybe readily folded back out of the way of the operator, thus permitting ready access to the diseased parts and permitting the treatment of the same with shorter needles or other operating instruments.
At the extreme inner end of the chamber of the speculum an inclined reflecting surface or mirror Gis provided, which will materially aid in the removal of the speculum from the rectum in case the intestine is forced within the slot, as will be understood.
It is well known that hemorrhoids more frequently develop near the entrance of the rectum, and in their treatment the use of the short slot D2 only will be required. In case TCO the disease should be more deeply seated either the slide D and D may be used, as occasion may require, but in cases in which it may be desired to inspect the Walls ot the rectum for a distance corresponding with the entire length of the speculum the longer slot D is opened but one-third of its length, the slot D one-half of its length, and the slot D2 its entire length, when by turning the speculum by means of its milled edge an inspection of the Walls for the entire length of the instrument is permitted, and as, instead of presenting a single open slot, several shorter slots are provided, there will be less'liability of injury to the patient due to the pressure of the intestine into the slot of the instrument.
By the use of the device Which I employ for holding the speculum in position it may be readily secured, so as to retain its position Without the aid of an assistant.
Having thus described my invention, what I claim to be new, and desire to secure by Letters Patent, is-
1. In a rectal speculum, the combination, with the body portion, of a Haring or bellshaped rim at the entrance, said rim being provided with a milled edge, substantially as and for the purpose described.
2. The combination, with the body portion of the speculum and the bell-shaped rim having a milled edge slightly Wider than the thickness of the rim, of the retainer C, having jaws C', adapted to engage the rim, and
with teeth C3, adapted to engage the edge of 3 5 a garment and retain the instrument in position, substantially as and for the purpose described.
In testimony Whereoflax my signature in presence of two Witnesses.
HENRY G. LEISENRING. NVitnesses:
A. L. HOUGH, FRANKLIN H. HOUGH.
US457787DRectalExpired - LifetimeUS457787A (en)

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Cited By (32)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
EP1183991A2 (en)*2000-09-012002-03-06Paolo FontanaSurgical/examination anoscope
US6428473B1 (en)*2000-02-182002-08-06Genzyme CorporationIlluminated rectal retractor
US7118528B1 (en)*2004-03-162006-10-10Gregory PiskunHemorrhoids treatment method and associated instrument assembly including anoscope and cofunctioning tissue occlusion device
US20060264706A1 (en)*2004-03-162006-11-23Gregory PiskunEndoluminal treatment method and associated surgical assembly including tissue occlusion device
WO2007116327A1 (en)*2006-04-112007-10-18Ali Dogan BozdagAnoscope
US20080275306A1 (en)*2005-10-262008-11-06Carlo RebuffatAnoscope for Ano-Rectal Diagnostic and Surgery
US20080319269A1 (en)*2005-08-092008-12-25Antonio LongoRectally Insertable Surgical System
US20090093821A1 (en)*2007-10-032009-04-09Cytyc CorporationSlide Guide Apparatus & Method
US20100145148A1 (en)*2008-12-092010-06-10Tyco Healthcare Group, LpAnoscope
EP2308367A1 (en)*2009-10-082011-04-13Tyco Healthcare Group LPAnoscope
US20110172491A1 (en)*2009-10-012011-07-14Macroplata, Inc.Detachable balloon catheter
CN102641546A (en)*2012-05-182012-08-22普瑞斯星(常州)医疗器械有限公司Adjustable anal dilation importer
ITVR20110074A1 (en)*2011-04-132012-10-14Stefano Alampi SURGICAL DEVICE, IN PARTICULAR FOR SURGICAL INTERVENTIONS OF TREATMENT OF HERMORIDARY DISEASE
AU2012244280B2 (en)*2005-08-052013-06-13Covidien LpAn endoscopic method and device for treatment of hemorrhoids without cutting of rectal tissue
US8506479B2 (en)2009-12-162013-08-13Macroplata, Inc.Substantially rigid and stable endoluminal surgical suite for treating a gastrointestinal lesion
US8632458B2 (en)2011-10-262014-01-21Macroplata Inc.Gentle hemorrhoid treatment offering a substantially painless healing
US20140088369A1 (en)*2010-07-082014-03-27Warsaw Orthopedic, Inc.Over dilation
US8932211B2 (en)2012-06-222015-01-13Macroplata, Inc.Floating, multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US8968275B2 (en)2010-04-262015-03-03Covidien LpApparatus and method for effecting at least one anatomical structure
US9186131B2 (en)2009-12-162015-11-17Macroplata, Inc.Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US9565998B2 (en)2009-12-162017-02-14Boston Scientific Scimed, Inc.Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US10531869B2 (en)2009-12-162020-01-14Boston Scientific Scimed, Inc.Tissue retractor for minimally invasive surgery
US10595711B2 (en)2009-12-162020-03-24Boston Scientific Scimed, Inc.System for a minimally-invasive, operative gastrointestinal treatment
US10758116B2 (en)2009-12-162020-09-01Boston Scientific Scimed, Inc.System for a minimally-invasive, operative gastrointestinal treatment
WO2020217223A1 (en)*2019-04-262020-10-29Odet EmmanuelDevice for the treatment of haemorrhoidal disease
US10966701B2 (en)2009-12-162021-04-06Boston Scientific Scimed, Inc.Tissue retractor for minimally invasive surgery
USRE48850E1 (en)2009-12-162021-12-14Boston Scientific Scimed, Inc.Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US11241560B2 (en)2017-03-182022-02-08Boston Scientific Scimed, Inc.System for a minimally-invasive treatment within a body lumen
US11832789B2 (en)2019-12-132023-12-05Boston Scientific Scimed, Inc.Devices, systems, and methods for minimally invasive surgery in a body lumen
US12089830B2 (en)2009-12-162024-09-17Boston Scientific Scimed, Inc.Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US12376737B1 (en)2009-12-162025-08-05Boston Scientific Scimed, Inc.Tissue retractor for minimally invasive surgery
US12440089B2 (en)2024-04-232025-10-14Boston Scientific Scimed, Inc.Endoluminal device with retractor system

Cited By (98)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
US6428473B1 (en)*2000-02-182002-08-06Genzyme CorporationIlluminated rectal retractor
EP1183991A2 (en)*2000-09-012002-03-06Paolo FontanaSurgical/examination anoscope
US8715166B2 (en)2004-03-162014-05-06Macroplata Inc.Gentle method of treating a hemorrhoid
US7118528B1 (en)*2004-03-162006-10-10Gregory PiskunHemorrhoids treatment method and associated instrument assembly including anoscope and cofunctioning tissue occlusion device
US9039601B2 (en)2004-03-162015-05-26Macroplata, Inc.Endoluminal treatment method and associated surgical assembly including tissue occlusion device
US9661984B2 (en)2004-03-162017-05-30Macroplata, Inc.Endoluminal treatment method and associated surgical assembly
US9867633B2 (en)*2004-03-162018-01-16Covidien LpEndoluminal treatment method and associated surgical assembly including tissue occlusion device
US10245061B2 (en)2004-03-162019-04-02Covidien LpTreatment method including tissue occlusion device
US10485567B2 (en)2004-03-162019-11-26Boston Scientific Scimed, Inc.Endoluminal treatment method and associated surgical assembly
US10492815B2 (en)2004-03-162019-12-03Boston Scientific Scimed, Inc.Endoluminal treatment method and associated surgical assembly
US8430808B2 (en)2004-03-162013-04-30Maeroplata, Inc.Endoscopic method and device for avoiding cutting of rectal tissue in the treatment of hemorrhoids
US20090318940A1 (en)*2004-03-162009-12-24Macroplata Systems, LlcEndoluminal treatment method and associated surgical assembly including tissue occlusion device
US20100010296A1 (en)*2004-03-162010-01-14Macroplata Systems, LlcEndoluminal treatment method and associated surgical assembly including tissue occlusion device
US20100010297A1 (en)*2004-03-162010-01-14Macroplata Systems, LlcEndoluminal treatment method and associated surgical assembly including tissue occlusion device
US20100056870A1 (en)*2004-03-162010-03-04Macroplata Systems, LlcEndoluminal treatment method and associated surgical assembly including tissue occlusion device
US8100822B2 (en)2004-03-162012-01-24Macroplata Systems, LlcAnoscope for treating hemorrhoids without the trauma of cutting or the use of an endoscope
US20060264706A1 (en)*2004-03-162006-11-23Gregory PiskunEndoluminal treatment method and associated surgical assembly including tissue occlusion device
AU2012244280B2 (en)*2005-08-052013-06-13Covidien LpAn endoscopic method and device for treatment of hemorrhoids without cutting of rectal tissue
AU2006278480B2 (en)*2005-08-052012-08-02Covidien LpEndoluminal treatment method and associated surgical assembly including tissue occlusion device
US12178463B2 (en)2005-08-052024-12-31Boston Scientific Scimed, Inc.Endoluminal treatment method and associated surgical assembly including tissue occlusion device
WO2007019321A3 (en)*2005-08-052007-08-16Gregory PiskunEndoluminal treatment method and associated surgical assembly including tissue occlusion device
JP4918549B2 (en)*2005-08-052012-04-18グレゴリー ピスクン, A therapeutic anoscope for treating hemorrhoids without resection trauma or the use of an endoscope
JP2009502440A (en)*2005-08-052009-01-29グレゴリー ピスクン, Related surgical assemblies including endoluminal treatment methods and tissue occlusion devices
US20080319269A1 (en)*2005-08-092008-12-25Antonio LongoRectally Insertable Surgical System
US8956282B2 (en)2005-10-262015-02-17Covidien AgAnoscope for ano-rectal diagnostic and surgery
US8337401B2 (en)2005-10-262012-12-25Covidien AgAnoscope for ano-rectal diagnostic and surgery
US9307896B2 (en)2005-10-262016-04-12Covidien AgAnoscope for ano-rectal diagnostic and surgery
US8740781B2 (en)2005-10-262014-06-03Covidien AgAnoscope for ano-rectal diagnostic and surgery
US20080275306A1 (en)*2005-10-262008-11-06Carlo RebuffatAnoscope for Ano-Rectal Diagnostic and Surgery
US8430814B2 (en)*2006-04-112013-04-30Ali Dogan BozdagAnoscope
US20090005647A1 (en)*2006-04-112009-01-01Ali Dogan BozdagAnoscope
WO2007116327A1 (en)*2006-04-112007-10-18Ali Dogan BozdagAnoscope
US20090093821A1 (en)*2007-10-032009-04-09Cytyc CorporationSlide Guide Apparatus & Method
US20100145148A1 (en)*2008-12-092010-06-10Tyco Healthcare Group, LpAnoscope
US9192291B2 (en)*2008-12-092015-11-24Covidien LpAnoscope
US8926505B2 (en)2008-12-092015-01-06Covidien LpAnoscope
US8348837B2 (en)2008-12-092013-01-08Covidien LpAnoscope
US20150080656A1 (en)*2008-12-092015-03-19Covidien LpAnoscope
US9636010B2 (en)*2008-12-092017-05-02Covidien LpAnoscope
US20160038015A1 (en)*2008-12-092016-02-11Covidien LpAnoscope
US20110172491A1 (en)*2009-10-012011-07-14Macroplata, Inc.Detachable balloon catheter
US20110087075A1 (en)*2009-10-082011-04-14Thomas WenchellAnoscope
EP2308367A1 (en)*2009-10-082011-04-13Tyco Healthcare Group LPAnoscope
EP2409636A1 (en)*2009-10-082012-01-25Tyco Healthcare Group LPAnoscope
US9204789B2 (en)2009-10-082015-12-08Covidien LpAsymmetrical anoscope
US10595841B2 (en)2009-12-162020-03-24Boston Scientific Scimed, Inc.Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
USRE48800E1 (en)2009-12-162021-11-02Boston Scientific Scimed, Inc.Endoluminal system for gastrointestinal treatment
US9186131B2 (en)2009-12-162015-11-17Macroplata, Inc.Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US9161746B2 (en)2009-12-162015-10-20Macroplata, Inc.Substaintially rigid and stable endoluminal surgical suite for treating a gastrointestinal lesion
US9125636B2 (en)2009-12-162015-09-08Macroplata, Inc.Endoluminal device with retractor system
US12376737B1 (en)2009-12-162025-08-05Boston Scientific Scimed, Inc.Tissue retractor for minimally invasive surgery
US9554690B2 (en)2009-12-162017-01-31Boston Scientific Scimed, Inc.Endoluminal device with retractor system
US9565998B2 (en)2009-12-162017-02-14Boston Scientific Scimed, Inc.Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US12089830B2 (en)2009-12-162024-09-17Boston Scientific Scimed, Inc.Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US9655506B2 (en)2009-12-162017-05-23Boston Scientific Scimed, Inc.Endoluminal device with retractor system
US12059138B2 (en)2009-12-162024-08-13Boston Scientific Scimed, Inc.System for a minimally-invasive, operative gastrointestinal treatment background
US9713416B2 (en)2009-12-162017-07-25Boston Scientific Scimed, Inc.Endoluminal system and method for gastrointestinal treatment
US9737194B2 (en)2009-12-162017-08-22Boston Scientific Scimed, Inc.Endoluminal system for gastrointestinal treatment
US11992194B2 (en)2009-12-162024-05-28Boston Scientific Scimed, Inc.Substantially rigid and stable endoluminal surgical suite for treating a gastrointestinal lesion
US11330976B2 (en)2009-12-162022-05-17Boston Scientific Scimed, Inc.Substantially rigid and stable endoluminal surgical suite for treating a gastrointestinal lesion
US11272836B2 (en)2009-12-162022-03-15Boston Scientific Scimed, Inc.Substantially rigid and stable endoluminal surgical suite for treating a gastrointestinal lesion
USRE48850E1 (en)2009-12-162021-12-14Boston Scientific Scimed, Inc.Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US9186130B2 (en)2009-12-162015-11-17Macroplata Inc.Endoluminal system for gastrointestinal treatment
USRE48750E1 (en)2009-12-162021-09-28Boston Scientific Scimed, Inc.Substaintially rigid and stable endoluminal surgical suite for treating a gastrointestinal lesion
US8506479B2 (en)2009-12-162013-08-13Macroplata, Inc.Substantially rigid and stable endoluminal surgical suite for treating a gastrointestinal lesion
US10517580B2 (en)2009-12-162019-12-31Boston Scientific Scimed, Inc.Multi-lumen-catheter retractor system for a minimally invasive, operative gastrointestinal treatment
US10531869B2 (en)2009-12-162020-01-14Boston Scientific Scimed, Inc.Tissue retractor for minimally invasive surgery
US10537315B2 (en)2009-12-162020-01-21Boston Scientific Scimed, Inc.Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US10537238B2 (en)2009-12-162020-01-21Boston Scientific Scimed, Inc.Substantially rigid and stable endoluminal surgical suite for treating a gastrointestinal lesion
US10548582B2 (en)2009-12-162020-02-04Boston Scientific Scimed, Inc.Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US10588504B2 (en)2009-12-162020-03-17Boston Scientific Scimed, Inc.Multi-lumen-catheter system for a minimally-invasive treatment
US10588489B2 (en)2009-12-162020-03-17Boston Scientific Scimed, Inc.Endoluminal system and method for gastrointestinal treatment
US11122970B2 (en)2009-12-162021-09-21Boston Scientific ScimedSubstantially rigid and stable endoluminal surgical suite for treating a gastrointestinal lesion
US10595711B2 (en)2009-12-162020-03-24Boston Scientific Scimed, Inc.System for a minimally-invasive, operative gastrointestinal treatment
US10716464B2 (en)2009-12-162020-07-21Boston Scientific Scimed, Inc.Endoluminal device with retractor system
US10758116B2 (en)2009-12-162020-09-01Boston Scientific Scimed, Inc.System for a minimally-invasive, operative gastrointestinal treatment
USRE48729E1 (en)2009-12-162021-09-14Boston Scientific Scimed, Inc.Endoluminal system for gastrointestinal treatment
USRE48684E1 (en)2009-12-162021-08-17Boston Scientific Scimed, Inc.Endoluminal device with retractor system
USRE48485E1 (en)2009-12-162021-03-30Boston Scientific Scimed, Inc.Endoluminal device with retractor system
US10966701B2 (en)2009-12-162021-04-06Boston Scientific Scimed, Inc.Tissue retractor for minimally invasive surgery
USRE48597E1 (en)2009-12-162021-06-22Boston Scientific Scimed, Inc.Endoluminal system and method for gastrointestinal treatment
US11992180B2 (en)2009-12-182024-05-28Boston Scientific Scimed, Inc.Endoluminal device with retractor system
US9883879B2 (en)2010-04-262018-02-06Covidien LpApparatus for treating hemorrhoids
US9011317B2 (en)2010-04-262015-04-21Covidien LpGentle hemorrhoid treatment offering a substantially painless healing
US8968275B2 (en)2010-04-262015-03-03Covidien LpApparatus and method for effecting at least one anatomical structure
US9833250B2 (en)2010-04-262017-12-05Covidien LpApparatus and method for effecting at least one anatomical structure
US9949631B2 (en)2010-04-262018-04-24Covidien LpGentle hemorrhoid treatment offering a substantially painless healing
US20140088369A1 (en)*2010-07-082014-03-27Warsaw Orthopedic, Inc.Over dilation
US9055936B2 (en)*2010-07-082015-06-16Warsaw Orthopedic, Inc.Over dilation
ITVR20110074A1 (en)*2011-04-132012-10-14Stefano Alampi SURGICAL DEVICE, IN PARTICULAR FOR SURGICAL INTERVENTIONS OF TREATMENT OF HERMORIDARY DISEASE
US8632458B2 (en)2011-10-262014-01-21Macroplata Inc.Gentle hemorrhoid treatment offering a substantially painless healing
CN102641546A (en)*2012-05-182012-08-22普瑞斯星(常州)医疗器械有限公司Adjustable anal dilation importer
US8932211B2 (en)2012-06-222015-01-13Macroplata, Inc.Floating, multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US11241560B2 (en)2017-03-182022-02-08Boston Scientific Scimed, Inc.System for a minimally-invasive treatment within a body lumen
FR3095349A1 (en)*2019-04-262020-10-30Emmanuel ODET DEVICE FOR THE TREATMENT OF HEMORROIDAL DISEASE
WO2020217223A1 (en)*2019-04-262020-10-29Odet EmmanuelDevice for the treatment of haemorrhoidal disease
US11832789B2 (en)2019-12-132023-12-05Boston Scientific Scimed, Inc.Devices, systems, and methods for minimally invasive surgery in a body lumen
US12440089B2 (en)2024-04-232025-10-14Boston Scientific Scimed, Inc.Endoluminal device with retractor system

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