Improvements in or relating to Trusses for Hernia.
Year: 1899

page_text: Date of Application, 3rd Aug., 1899-Accepted, 16th Sept., 1899
COMPLETE SPECIFICATION.
Improvements in or relating to Trusses for Hernia.
We, CHARLES EDWIN PAYNE and JoшN MARTIN, both of 134, New Walk,
Leicester, Boot Manufacturer's Managers, do hereby declare the nature of this
invention and in what manner the same is to be performed to be particularly
described and ascertained in and by the following statement:-
This invention has reference to an improvement in trusses in which either a
single or a double pad may be employed in the treatment of hernia or inguinal
rupture.
The invention has for its object to provide an improved truss having embodied
in its construction a degree of elasticity and adjustability which enables the truss
to be worn with a very much greater degree of comfort than those in which a
steel band is employed.
Further the elasticity of the truss allows free circulation of the blood while it
cnsures the requisite pressure on the pads to efficiently hold back the intestines
and completely cover the orifice in the abdomen through which the hernia
protrudes.
To this end the invention consists in the novel combination and arrangement of
parts the nature of which is hereinafter described.
The invention will be fully understood from the following further description
having reference to the accompanying drawings in which,
Figure 1 is a perspective view of a truss constructed in accordance with our
invention.
Figure 2 is a back elevation and,
Figure 3 is a plan of the same.
Figure 4 is an elevation of a loose pad per se for use with our improved
truss.
A A represents a belt or waist band which for the greater part of its length
consists of preferably non-extensible woven material provided with a facing A*
of chamois leather or equivalent soft material for wear next to the body of the
ndividual.
The said waist band is formed in two sections A A¹ one of which has connected
hereto buckles B, preferably two in number, through which are passed a similar
umber of straps Bi furnished with a series of pairs of perforations B2 which take
nto the pins of the buckles.
By means of these straps and buckles the waist band can be increased or
educed in length according to requirements.
The opposite ends of the belt, each has a piece of leather A2 or equivalent
ecured thereto by one or more vertical rows of stitches and each of the said leather
ections has similarly attached to its opposite side one or more superposed thick-
esses of elastic webbing A³ or equivalent fabric whose opposite sides are fastened
y rows of stitches to leather terminals A to which a metal plate C is attached by
strong waxen cord C being passed through perforations in the plate and through
o leather terminals A+.
One of the said metal plates has on its free edge hooks or turned un tans (†
A A' represents a belt or waist band which for the greater part of its length
consists of preferably non-extensible woven material provided with a facing A*
of chamois leather or equivalent soft material for wear next to the body of the
ndividual.
The said waist band is formed in two sections A A¹ one of which has connected
hereto buckles B, preferably two in number, through which are passed a similar
umber of straps Bi furnished with a series of pairs of perforations B² which take
into the pins of the buckles.
By means of these straps and buckles the waist band can be increased or
reduced in length according to requirements.
The opposite ends of the belt, each has a piece of leather A2 or equivalent
secured thereto by one or more vertical rows of stitches and each of the said leather
sections has similarly attached to its opposite side one or more superposed thick-
nesses of elastic webbing A3 or equivalent fabric whose opposite sides are fastened
by rows of stitches to leather terminals A to which a metal plate C is attached by
a strong waxen cord C being passed through perforations in the plate and through
the leather terminals A4.
One of the said metal plates has on its free edge hooks or turned up tang (†

page_text: which take into slots C³ formed in the other metal plate to fasten the truss around
the waist of the wearer.
Each of the metal plates is furnished with two or more hooks or lacing
studs arranged one above the other, over which are suspended rings D3 on the
ends of the straps D.
The lacing hooks may be clinched through and on the opposite side of the
metal plates, or hooks may be attached to the said plates or formed integrally
therewith in any suitable manner.
The leg straps D for such part of their length as passes between the fork of
the wearer's legs may be made of any warm material, Hannel for example, and in
the construction shown its upper end consists of two members D1 D2 each of
leather and perforated and passed through a buckle A by which it is engaged and
by means of which also it can be lengthened or shortened as may be desired.
When the truss is in wear the tension of the leg straps may be adjusted by
placing the ring 10 on one of the hooks or studs C above or below that
upon which
E represents a loose pad having a chamois covering stuffed with any suitable
material and which may be placed over the seat of the rupture and kept in
position by the waist band being passed thereover.
it is suspended.
From the foregoing description it will be observed that not only does the
truss possess a degree of elasticity, due to the presence of the elastic sections A³,
which will allow full freedom to the abdominal movements without any un-
comfortable restrictive pressure thereon, but such elasticity renders the truss self
adjusting to such movements and in addition to these important considerations
the straps and buckles B B enable the truss to be readily adjusted for varying
sizes of waists and the leg straps D) to be lengthened or shortened at the will of
the wearer to keep the truss from displacement.
It will also be noticed that the chamois facing of the belt is continued in the
form of a flap or extension A beyond the buckles B so as to prevent any
possible hurtful pressure of the latter against the wearer's back.
Having now particularly described and ascertained the nature of our said
invention and in what manner the same is to be performed we declare that what
we claim is:-
1. A truss comprising one or more loose pads, a waist band formed of a
combination of elastic and non-elastic materials, means for fastening the ends of
the waist band together, and leg straps and means for detachably connecting the
said straps to the waist band.
2. A truss comprising one or more loose pads, a waist band having one or more
sections of elastic material incorporated therewith, means for adjusting the length
of the waist band, means for fastening the ends of the waist band together and
leg straps and means for adjusting the same.
3. The improved truss consisting of the parts constructed and arranged sub-
stantially as described and illustrated in the accompanying drawings.
Dated this 31st day of July 1800
CHARLES EDWIN PAYNE.
JOHN MARTIN..
Boult & Wade,
Agents for the Applicants.