拍品专文
Shown in the 1891 S. Maw Son & Thompson catalogue on page 91.
A similar instrument was sold in Medical Instruments, 19 August 1993, lot 196.
Bladder stones are usually attributed to poor diet, however in 1874 Van Buren and Keyes wrote in Genito-Urinary Diseaes and Syphilis thus: "Besides the foreign bodies which find their way into the bladder through wounds, or come down the ureters (renal calcoli), a host of substances have been encountered in the bladder, introduced through the uretha. All imaginable articles, such as pins, beads, stones, pieces of straw, heads of rye, portions of glass, tubing, pipe stems, lead and slate pencils, portions of chalk, wax, &c., have been found in the male bladder, introduced there through the uretha under the influence of morbid erotic fancies. The patient's shame will often prevent him from seeking relief; a small smooth foriegn body in a healthy bladder may create no disturbance at first, and so the patient goes on, supposing that everything has arranged itself, until in after years, he gets bladder symptoms, is cut for the stone and the latter is found to have formed upon a nucleus introduced from without. Not unfrequently, however, a foriegn body comes legitmately, as it were, into the bladder; dermoid cysts, containing bones, teeth and hair may discharge into the cavity; the broken end of a metalic, or more commonly a gum elastic catheter, may constitute the foreign body. A catheter is most apt to break at the eye. The old-fashioned gutta percha instrument is particularly dangerous, on account of its liability to become brittle when old. Again substances of all sorts, bone, seeds, &c., may enter the bladder through ulceration into the rectum, while splinters, bullets and bone may be lodged there during injuries of the bladder.
"When the nature of the substance in the bladder has been learned, an attempt should be made to extract it, to prevent it from becoming a nucleus for stone. Anything which will go into the uretha would come out of it if it could be correctly seized, with its point turned backward, and be drawn upon in a correct line. Consequently an attempt should be made to reach all long bodies, by using a small lithotrite, or other forceps designed for this special purpose, of which there are several varieties. If the object be seized in a faulty diamater, it may be released and caught again. This rule applies to portions of metallic catheters as well. It is exceedingly difficult to catch them correctly; soft catheters, however, are very easy to extract; they should be doubled up, and may be withdrawn, however caught. Care must be exercised, of course, not to catch a fold of the bladder."
A similar instrument was sold in Medical Instruments, 19 August 1993, lot 196.
Bladder stones are usually attributed to poor diet, however in 1874 Van Buren and Keyes wrote in Genito-Urinary Diseaes and Syphilis thus: "Besides the foreign bodies which find their way into the bladder through wounds, or come down the ureters (renal calcoli), a host of substances have been encountered in the bladder, introduced through the uretha. All imaginable articles, such as pins, beads, stones, pieces of straw, heads of rye, portions of glass, tubing, pipe stems, lead and slate pencils, portions of chalk, wax, &c., have been found in the male bladder, introduced there through the uretha under the influence of morbid erotic fancies. The patient's shame will often prevent him from seeking relief; a small smooth foriegn body in a healthy bladder may create no disturbance at first, and so the patient goes on, supposing that everything has arranged itself, until in after years, he gets bladder symptoms, is cut for the stone and the latter is found to have formed upon a nucleus introduced from without. Not unfrequently, however, a foriegn body comes legitmately, as it were, into the bladder; dermoid cysts, containing bones, teeth and hair may discharge into the cavity; the broken end of a metalic, or more commonly a gum elastic catheter, may constitute the foreign body. A catheter is most apt to break at the eye. The old-fashioned gutta percha instrument is particularly dangerous, on account of its liability to become brittle when old. Again substances of all sorts, bone, seeds, &c., may enter the bladder through ulceration into the rectum, while splinters, bullets and bone may be lodged there during injuries of the bladder.
"When the nature of the substance in the bladder has been learned, an attempt should be made to extract it, to prevent it from becoming a nucleus for stone. Anything which will go into the uretha would come out of it if it could be correctly seized, with its point turned backward, and be drawn upon in a correct line. Consequently an attempt should be made to reach all long bodies, by using a small lithotrite, or other forceps designed for this special purpose, of which there are several varieties. If the object be seized in a faulty diamater, it may be released and caught again. This rule applies to portions of metallic catheters as well. It is exceedingly difficult to catch them correctly; soft catheters, however, are very easy to extract; they should be doubled up, and may be withdrawn, however caught. Care must be exercised, of course, not to catch a fold of the bladder."