IMPROVEMENTS IN "THE MANUFACTURE OF DOUBLE AND SINGLE PESSARIES
Year: 1884

page_text: PROVISIONAL SPECIFICATION.
I ELIZABETH BEVAN Wife of George William Bevan of 5 Croxted Road West
Dulwich in the County of Surrey do hereby declare the nature of my Invention
for IMPROVEMENTS IN "THE MANUFACTURE OF DOUBLE AND SINGLE PESSARIES to
be as follows:-
The object of my invention is to construct pessaries of an improved form or
shape, and capable of being placed and kept in position by the invalid.
I construct my improved pessaries of vulcanite or other suitable material.
The double pessaries are formed with a double stem, hinged together by means
of a sleeve attached to one of the stems, through which the other stem passes, and
in which it can revolve. Each stem has a ring at its inner end, suitably curved;
and the outer end of one of the stems has also a ring, to which a diaper band or
other external support is applied. The other stem passes through the sleeve
alongside the first mentioned stem, and is suitably formed for purposes of
adjustment by being partially revolved on its centre.
This double pessary forms à double support to the womb, to the right and left,
for cases in which the same is required.
•
The single pessaries have a suitably formed ring at each end, the internal ring
for the support of the womb can be placed by the patient herself in any required
position; and the external ring is made to receive a tape, band or other suitable
support for keeping the same in position.
The diapers or bands may be attached to shoulder straps, braces, belts, or to any
convenient part of the underclothing; and my improved pessaries are capable of
insertion, adjustment, and removal by the patient herself with rapidity and ease.
DIL 1001

page_text: I, ELIZABETH BEVAN, Wife of George William Bevan, of 5 Croxted Road, West
Dulwich, in the County of Surrey, do hereby declare the nature of my said
Invention for "IMPROVEMENTS IN THE MANUFACTURE OF DOUBLE AND SINGLE
PESSARIES" and in what manner the same is to be performed, to be particularly
described and ascertained in and by the following statement:-
The object of my invention is to construct_pessaries, both double and single, in
such a manner that they shall be free from all angles whatever and other inherent
defects of pessaries as hitherto constructed.
E
The painful nature of the disorders affecting that part of the body to which
pessaries are applicable, renders it necessary that the greatest perfection in the 1
material of which the instrument is constructed, as well as in the shape and
adaptation of the same, in order that the support of the uterus should be as natural
as possible, and be worn with ease, and without imparting pain or causing friction
or undue pressure or misplacement of the vagina or the rectum or other parts in
the vicinity of the uterus.
In carrying out my Invention I make use of any material which is capable of
being kept perfectly clean, and having a firm smooth surface, combined with the
necessary stiffness and the absence of brittleness, for which purpose I usually adopt
vulcanite as a suitable material.
My improved pessaries are capable of being inserted by the patient herself, with
ease and facility daily, and, when so placed in the required position, the permanence
of such position is secured; the perfect reliability of the appliance affording to the
patient.great confidence and freedom from nervousness which otherwise might arise
from fear of displacement while performing the ordinary duties of daily life.
1
And in order that my said Invention may be clearly understood, reference is'?
hereby made to the accompanying drawings, in which similar letters of reference
indicate corresponding parts.
Fig. 1 represents a double pessary closed. Fig. 2 shews the same open. Fig. 3
represents a single pessary for supporting the cavity on the right side, or in cases
where there is a tendency to retroversion of the uterus. Fig. 4 is for the support :
of the uterus, and which will be found available to relieve the patient in the
early stages of suffering. Fig. 5 is also a single pessary for a similar purpose on
the left side.
The double pessaries, shewn in Figs 1 and 2, have a double stem a and b, which
are hinged together by means of a twin sleeve or tube c c', which is firmly fixed
to the tube a The stem passes through the companion sleeve c', and is free to
revolve therein.
Each of the stems a and b has a ring a¹ 61 at its upper, of inner end, suitably
curved to afford the necessary support to the uterus in cases of total prolapsus.
The stem a has an external ring a³, which is supported by a diaper band, or other
suitable external support.
The small diameter of the stems, the direct and simple method of external
support, and the suitability of the upper rings a¹ 61 to the purpose of supporting
the uterus or cavity combine to prevent injury to the vagina walls, and also to
prevent injurious pressure to the rectum, and thus permit the free action of the
bowels in expelling the excreta, without causing difficulty.
An abdominal belt or a suspending appliance from the shoulders, with a sanitary
towel or diaper, or other suitable means is used to support the ring a³ and keep it
in position

page_text: The above description will equally apply to Figs 3 and 4, the difference being
that these have single stems instead of double stems as in Figs 1 and 2.
Having now particularly described and ascertained the nature of my said
Invention, and in what manner the same is to be performed, I declare that what
I claim is:-
1 The method, means and appliances for supporting the uterus and cavities and
thereby affording relief and preventing misplacement of the same, substantially as
herein before described and shewn on the drawings.
-
2 The manufacture formation and use of pessaries substantially as and for
the purposes herein before described and shewn on the drawings Figs 1, 2, 3,
4, and 5.
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1001