Year: 1885

page_text: I ALFRED JULIUS BOULT of 323 High Holborn in the County of Middlesex,
Engineer, do hereby declare the nature of this invention (a communication from
Horace R Allen of Indianapolis United States of America Physician and Surgeon)
and in what manner the same is to be performed, to be particularly described
and ascertained in and by the following statement :-
This invention relates to syringe-attacliments.
The objects are to produce an attachment, that may readily be applied to a
syringe or to any suitable pipe, and that shall be efficient and convenient in use
for the treatment of vaginal and uterine diseases; also to produce a support,
whereby a syringe may be used without having to hold the nozzle thereof in place,
and whereby, when a syringe is used in the treatment of vaginal and uterine
diseases, the external parts may receive a steady upward pressure while the
immediate escape of the fluid from the vagina will be prevented or retarded, thus
distending the vagina and elevating the uterus by pressure of the fluid, and
insuring penetration thereof, to all parts necessary; also to inject fluids, particularly
liquid, into openings in the body, such as deep ulcers, fistulas, sinuses, but especially
the rectum, without the insertion of any instrument, such as the nozzle of a
syringe, whereby all unpleasant sensation, irritation, and pain consequent upon such
insertion are avoided, and in the case of injections into the rectum, where the
external parts are sensitive, as from flux, hemorrhoids, ulceration, fissure or other
cause, the tenesmus and severe pain, so often following the introduction of a
syringe nozzle, are obviated, also to deaden the sound and prevent the unpleasant
noise caused by the striking of the lower end of the induction pipe of metal or
other hard substance against the vessel; also to prevent lint or other foreign
substances from passing into and obstructing the valves of the syringe; and finally
to supply a weight which shall constantly be in proper situation to hold the end of
the intriduction pipe below the surface of any liquid used, and thus prevent
entrance of air into the syringe.
In the accompanying drawings:
Ficusa 1 manzesents the nad in the form of a bulb annlied upon the nozzle of

page_text: figure 3, a perspective view of the upper side of a supporting frame; figure 4, the
under side thereof; figure 5, a vertical sectional view of one form of cushion_or
pad; figure 6, the under side of the same; figure 7, a vertical sectional view of a
cushion in position on supporting frame with a syringe attached ready for use;
figure 8, a view of a modification of the pad showing a part of the lower end of
its central tube adapted to hold the syringe nozzle, while the upper end is either
open, as shown to the left of the figure, for the purpose of allowing the fluid to be
discharged through the tube and by a pipe connected therewith below, or closed at
the top excepting to a pipe passing through the tube, and constricted by pressure
of a part of the syringe nozzle against it, but capable of being enlarged to its
fullest extent, by a lateral pull in the proper direction, upon the eduction pipe of
the syringe, as shown to the right of the figure; figure 9, a plan view of the under
side of this modification; figures 10 and 11, perspective views of forms of the
complete device in position for operation; figure 12, a plan view of a modification
of the supporting frame; figure 13, a view of a modification of the frame and pad,
the pad being in the form of a cup; figure 14, another modification, the pad being
cup-shaped and there being, as in figure 8, capability of constriction of the
discharge pipe; figure 15, a modification of the supporting frame shown in
figure 13; figure 16, an elevation of perhaps the most primitive form of contact
syringe-nozzle; figure 17, a flexible nozzle pipe having flaring eduction end;
figure 18, a longitudinal sectional view of a syringe having the eduction end
conformed to fit upon or against an opening; figure 19, a vertical sectional view
showing the application to a syringe reversibly, whereby either the small or
expanded end may be brought into use; figure 20, a longitudinal sectional view
showing a convenient and readily operative instrument or form of use; figure 21,
a similar view with attachment reversible; figure 21a, an elevation of the outer
end of the shank of figure 21, showing where reversible attachment is applied and
how openings register; figure 22, a perspective view of an instrument embodying
the invention and applied to a suitable syringe; figure 23, a perspective view of
the noiseless strainer attachment to be applied to the induction end of the syringe;
figure 24, a similar view of the weight and strainer separate from each other, and
with the covering of rubber or other soft material removed; figure 25, the sound
deadening attachment applied to the inducting pipe of a syringe, and provided
with weight and strainer.
In figuro 1 and 2, A represents the pad or bulb which may be of any desired
shape or material but is preferably of spheroidal form nearest the discharge end,
or cono shaped, and of soft rubber. The pad may be solid or hollow and is
provided with an opening which passes through it from end to end, and in this
opening there is a tube B, which may be either passed into the opening or be
integral with the pad. C represents the nozzle and D the syringe, the pad being
simply slipped upon the nozzle. When the attachment is applied to a douche, the
opening through the bulb may be connected to the pipe by a section of metallic
or other tubing, o. When the pad is applied upon the nozzle of a syringe, it should
fit closely or water tight around the same at some part, preferably at the top, and
may have one or more holes around the top communicating with the tube or
interior and a discharge below. There is no necessity for a central tube when the
pad is hollow, since the syringe-nozzle will itself supply the place of such tube.
When no syringe with the nozzle is used but the bulb is to be applied at the pipe
of a syringe, it is well to have a separate tube project somewhat to form a nozzle.
In this case the separate tube need not extend through continuously, though where
the pad permits discharge from the vagina as above, it is preferable to have the
tube continuous. It is obvious that the pad may be attached to any appropriate
conduit leading from the source of supply of a suitable fluid. In use, the bulb or
pad having being applied upon the nozzle of a syringe or to a suitable pipe, is
inserted partially into the vagina where it acts as a stopper complete, or partial to
retard, and so, when liquid is forced into the vagina, it is enabled to penetrate to
all parts by reason of dilation and also tends to elevate the uterus.

page_text: In figures 3 to 15, A marks the supporting frame which consist of a central
plate, a, of suitable size and shape, and with one or more perforations, the plate
heing provided with folding arms, a¹ longitudinally extensible, and against springs
which may be hinged to the plate so that the frame may be folded for packing as
shown by dotted lines in figure 4, or fixed rigidly thereto, to shut in or close under,
like the blade of a jack-knife. The plate may have an upward-projecting rim,
and through a central hole passes the syringe-nozzle or pipe. The arms, a¹ are.
designed to rest upon a vessel, or upon a closet seat, and support the nozzle of a
syringe without aid from the hands, and either by itself or with a pad which is
thus held firmly against the parts. The pressure of the pad against the body may.
be increased or diminished by bending the arms up or down. If bent down, the
buttocks will take the weight of the body off the pad. The outer ends of the
arms are preferably covered with rubber to keep them from sliding.
The modification shown in figure 12 consists of a hoop having the arms_crossed.
within its circumference and bearing centrally the plate a. In operation the hoop
is dropped upon or over the vessel or closet-seat, the nozzle projecting through the.
plate, and the plate when desirable also supporting the pad.
In the modification shown in figure 13, a clamp, y, secures two of the arms
against the side of the vessel, there being if desirable a rod passing across.
B marks the cushion or pad provided with a central tube and consisting prefer-
ably of a hollow piece of rubber, the base or bottom, b, thereof, being designed to
rest upon the plate a, and being usually provided with downward projecting lugs, b¹,
designed to pass through slots, a², in the plate, a. When made of wood or metal
the pad may be fastened to the plate with screws; but whether of rubber or other
material it is not absolutely necessary that the pad should be secured to the plate,
nor be upon any support. The top of the pad is preferably conical and may be
provided with holes for drainage which may be close around the nozzle of the
syringe when inserted or around its own projecting nozzle, the shell of rubber or
other material being thick enough to resist the pressure of the vagina. The openings
near the top may pass directly into the bulb cavity, and a pipe connected therewith
carry off the liquid, and the conical bulb so formed may be attached to the eduction
pipe of a syringe. Under this construction the central tube is small at the top to fit
closely around a syringe-nozzle or pipe there; but instead of holes which will be at
the top around the syringe-nozzle when inserted, the contral tube may be greater
in diameter than the syringe nozzle or inserted or attached pipe, this being held
closely at the bottom, and there being beside it a drainage pipe.
pass from the center of the base of the pad through the top of the same, and forms
preferably a liquid tight connection with the pad.
When the pad is fastened by passing the lugs, 61, through the slots, a³, in the
plate, a, the nozzle is held erect, and the device forms a soft and solf adjusting
cushion when the user is sitting upon it with the soft rubber nozzle inserted. The
cushion adjusts itself to the labia and external parts and prevents the escape of
liquid from the vagina until a sufficient quantity has been injected thoroughly to
distend the same, lifting the uterus, correcting misplacement of the same, and
thoroughly washing the mucous membrane with or without the frame.
Instead of being convex or cone-shaped at the top, the pad may be concave or
cup-shaped, as shown in figures 13 and 14.
Outflow of liquid may be retarded, or stopped, by having the holes at the top of
the pad so small as not to carry off at once the entire quantity injected, or, by the
device shown in figure 7, or that shown in figure 8. In figure 7, the eduction pipe d,
of a syringe D has connected with it at, x, a pipe, e, which is provided with a
clamp. The requisite quantity of liquid is injected into the vagina, and when
desired the clamp is opened more or less and the liquid allowed to drain off. In
figure 8, as shown to the left thereof, the tube is as large at the top as at the bottom,
and the lower end is made to hold the nozzle or pipe. The lower end of the tube
is covered over and provided with two holes. The nozzle or pipe is inserted
-

page_text: through the one hole, while to the other is connected a discharge pipe which may
either only connect with the central tube, or pass up through it to the upper part
thereof, as shown to the right of the figure. In this case the lower portion of
the nozzle is of metal or hard rubber and bears against that portion of the
bottom of the pad which intervenes between the discharge tube, marked, e, con-
stricting such discharge tube by pressing it against a metal plate a³, which may be
a flange projecting from the plate, a, of the frame. The piece around the lower
part of the nozzle, and which bears against the discharge tube, e, may be in the
form of a ring inserted into the enlarged bottom of the tube through the pad. The
ring then presses the discharge tube, e, against the plate, flange, or lip, a³, and either
partly or entirely shuts off the discharge of liquid. It is held against the discharge
tube, e, by the elasticity of the pad B. When it is desired to discharge the liquid
moro or less freely from the vagina, the eduction pipe, d, is pulled in a direction
away from the discharge pipe, e. The ring may be slightly widened at its lower
edge, so that the farther it is forced upon the nozzle, the more completely will it
constrict the discharge pipe. The constriction may be such that there will be a
constant discharge from the vagina. Before the pressure in the vagina will become
too great, the discharge pipe will be opened by such pressure itself.
The constriction of the discharge pipe may be applied to the device shown in
figure 15.
The cushion pressing firmly against the body, fits the part closely preventing
escape of liquid until the vagina is throughly distended, thus washing all
objectionable matter from it or subjecting it or the os and the neck of the uterus
to a longer action, of any medicate fluid, while at the same time it helps to correct
displacement of the uterus.
With the pipe, e, attached and without the frame by firmly pressing or pulling
the pad against the parts as by a rod attached to the plate a, bent up at right
angles to lie against the abdomen, and provided with a handle; and jointed
for convenience in packing, the syringe may be used while the patient is lying
in bed.
In purging a cavity or canal, it is frequently desirable to effect the purpose
without insertion theroin of any part of the instrument employed. This may be
the case as well where an injection is to be made, as with water or any medicated
or antiseptic substance in liquid or gaseous form, as where a cavity with collapsible
walls, such as sinus in the soft parts is to be deplted. It is especially desirable
however, when injections are to be made, per anus, and the parts are in an
irritated or sensitive condition.
In figuros 10 to 23, A. indicates the part to be applied. This part may be of
hard or soft rubber or other suitable material, and, as shown in figure 16 may be
either the widened opening, a, at the end A, of a pipe, E of sufficient firmness to
retain its shape when pressed into an operative position, as against the anus; or,
as shown in figure 17, a tubular head A, separable from or integral with the pipe,
and having a cup-shaped or flaring mouth, a; or, as shown in figure 18, an
appropriately shaped mouth in a syringe.
When in any of the forms of embodiment, the flaring orifice is applied to the
anus, and pressed against the edges of the same, and has connection with a douche,
faucet, or syringe, from which liquid passes under sufficient static pressure, or is
forced, the liquid will readily pass up into the rectum without escaping laterally,
gently finding its way through the natural channel without undue and forcible
distension of the saune, and, at the same time, supplying a gentle bath to the
external parts and to the region of the sphincter muscle.
Sometimes it is desirable to apply the orifice against the verge of the rectum
just outside of the sphincter muscle. In such case it is well to have the end of the
head somewhat conical; and the form of the device shown in figure 19, in which
the attachment A is shown as removable, and reversible, and with a conical end, a¹,
as well as a flaring end a, may be employed. Here the attachment is shown as
applied, upon the nozzle C of any ordinary syringe by passing either end of the

page_text: tube of the head, over the same. The tube may be lined with soft rubber, a³;
to form an elastic socket and tight joint, though this is not necessary where the
attachment itself is of soft rubber.
In figures 20 and 21, the part A, is applied upon a suitably bent or straight
shank C, which may be hollow and serve as a conduit for the liquid and be
provided with a handle D. As shown here the shank extends through the handle
and beyond it, forming an end, b, to be inserted into an eduction pipe of a syringe.
Instead of the projecting end, the handle itself may be constructed to fit over the
eduction tube. To make the part A, soft where it is to be applied, and the better
to prevent lateral escape of liquid, it is well to provide it with a covering of rubber
or other suitable material, as shown at a. The hollow shank C may be employed
as a handle to sustain a cone, or other shaped pad, or bulb with or without a
discharge tube, which pad will then be a head A, the end of the handle entering
the pad or bulb below, where it is suitably shaped or enlarged to receive it. When
it is desired to have a conical as well as flaring mouth, the form of attachment
shown in figure 21, may be employed. Here the attachment is placed upon the
end of the pipe C which is closed at the end, supplied laterally with a hole, as
shown in figure 21a, and provided with a collar b₁, against which the attachment
rests, being held in place by a suitable nut on the end of the pipe. The tube
through the attachment A, is over that portion of the pipe in which is the hole, so
that when it is desired to use either the end a, or the end a¹, it is only necessary
to turn the head on the pipe, until the respective part of the tube registers with
the hole, when the liquid or other substance employed will flow from that end.
In figures 23 to 25, A is a soft tube of rubber of other suitable material adapted
to be passed over the induction end of an appropriate syringe. B is a weight
made tapering to faciliate its insertion into the tube and having a central
perforation, b. The tube and weight may be employed alone upon a suitable
syringe, and the weight may encircle the tube. C is a strainer, preferably of wire
cloth, which fits into the lower end of the tube A, and may be used with the tube
alone. The lower end of the weight is preferably concave, as at 61 and in the
construction of the entire device it is well to solder the lower end of the weight at
its rim upon the rim of the strainer, this strainer being preferably convex exteriorly
and concave toward the weight. The normal diameter of the tube is slightly less
than that of either weight or strainer, so upon either one of these or both of them
being pushed into the tube the tube serves as a retaining device without additional
fastening.
By passing the tube alone over the metallic induction end of the ordinary
syringe, the usual unpleasant sound that results from the striking of this end
against the vessel and which is so hard to avoid, is obviated, since the covering
deadens the sound; the weight will hold the end down preventing the admission
of air, and the strainer will exclude sediment, lint, etc.
Having now described the nature of this invention and in what manner
the same is to be performed as communicated to me by my foreign correspondent
I declare that what I claim is
1. A syringe attachment consisting of a pad or bulb and a tube integral or
combined therewith, and projecting therefrom in use, the pad or bulb being
adapted by itself to slip upon a syringe nozzle or be attached to a syringe, as
set forth.
2. The combination with a syringe nozzle, pipe, or douche, of a frame adapted to
rest upon a vessel or a closet seat, to support such nozzle, pipe, or douche,
substantially as described.
3. In a syringe-attachment, the combination with a supporting frame adapted to
rest on the top of an open vessel or closet sent, of a pad, cone, cushion, cup or shield
supported thereon, and a syringe nozzle or pipe, substantially as and for the purpose
specified.

page_text: 4. A pad adapted to fit the vagina, provided with an induction tube and with a
discharge conduit adapted to stop, check, or retard the outflow of liquid from the
vagina, and combined with a frame, substantially as described.
5. A syringe, syringe attachment or douche, having an orifice or a conduit
adapted to fit the outer portion of an opening such as the lower end of the rectum,
or the anus, substantially as described and for the purpose specified.
6. In combination with a suitable pipe, conduit, sbank or nozzle, the head
provided with one or more discharge orifices, adopted to fit the lower or outer
portion of the anus, substantially as and for the purpose described.
7. In combination with the head A, a tube or shank B, and a handle C,
substantially as and for the purpose described.
8. A tube of rubber or other suitable soft material in combination with, and
adapted to fit upon and enclose the metallic or other bard induction end of an
appropriate syringe, whereby the noise incident to the striking of the induction
end of the syringe against the vessel is obviated, as set forth.
9. The combination of a suitable tube adapted to be fitted upon the induction
end of a syringe and a weight as set forth.
10. The combination of a suitable tube adapted to be fitted upon the usual
induction end of the ordinary syringe and a strainer carried by such tube, as and
for the purpose set forth.
11. The combination of a tube of rubber or other suitable soft material to be
fitted upon the induction tube, of a syringe, of a strainer held by such tube and a
weight carried by it to keep the end of the tube, below the surface of the
liquid, substantially as described.
Dated this 10th dow of No 100K