. Journal - American Medical Association. mach in certain gall bladder and other cases, moreespecially in subjects having much adipose and muscular tis-sue. At the same time I desired a strong needle holder forpurposes of general utility and one in which the closed handon the handle would not in any way obscure the operatorsfield of vision. The usual holder often fails to secure the needle firmly wncntissues of any degree of resistance are encountered. More par-ticularly does this obtain should the needle be a trifie types of holder break the needle if too firmly closed. Bearing t
. Journal - American Medical Association. mach in certain gall bladder and other cases, moreespecially in subjects having much adipose and muscular tis-sue. At the same time I desired a strong needle holder forpurposes of general utility and one in which the closed handon the handle would not in any way obscure the operatorsfield of vision. The usual holder often fails to secure the needle firmly wncntissues of any degree of resistance are encountered. More par-ticularly does this obtain should the needle be a trifie types of holder break the needle if too firmly closed. Bearing the above in mind, I have had grip or angu-lar needle holder made which consists of four parts, an upperjaw branch, a lower jaw branch, which is continuous with theupper handle; a separate lower handle, which is connectedwith upper jaw branch by a lock, and a spring with ratchetcatch. The upper jaw slides on the lower one by means of arunner dovetailed into a slot in the lower jaw. The partsholding the needle are finely The dimensions of the instrument are as follows: Fromback at angle of holder to jaw, 4% inches; from back to bot-tom of handle, 4% inches. This I find to be a suitable length for work in most of thedeep cavities of the body. Surgically speaking, a shorterholder would be better suited for work on exterior parts of thebody. The holder can easily be taken apart or assembled. Bybringing the lower handle forward it can be unlocked, and theupper jaw can then be drawn out of the slot. The advantages are: It renders areas comparatively diffi-cult to reach more accessible; the hand is kept out of the lineof vision; the needle is held firmly without breaking it; anykind of surgical needle is held perfectly, be it long, short,curved, straight, round, Hagedorn, flat, large or small. AMiileit is easily taken apart for cleaning and is readily assembled,this instrument will not fall apart if handled with the ratchetopen, as do some others. The arrangement of
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Keywords: ., bookcentury1800, bookdecade188, booksubjectmedicine, bookyear1883
