|Publication number||US2514665 A|
|Publication date||Jul 11, 1950|
|Filing date||Jan 11, 1949|
|Priority date||Jan 11, 1949|
|Publication number||US 2514665 A, US 2514665A, US-A-2514665, US2514665 A, US2514665A|
|Original Assignee||Ernest Myller|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (5), Referenced by (74), Classifications (8)|
|External Links: USPTO, USPTO Assignment, Espacenet|
y 1950 E. MYLLER 2,514,665
MEDICAL INSTRUMENT Filed Jan. 11, 1949 firs. Z
INVENTOR. ERNEST MILLEE WW W41 A r TORA/Ey Patented July 11, 1950 UNITED STATES PATENT OFFICE MEDICAL INSTRUMENT Ernest Myller, New York, N. Y.
Application January 11, 1949, Serial No. 70,259
My invention relates to a medical instrument for diagnostical purposes and more particularly to an instrument for use inthe early detection of uterine cancer.
As known to those skilled in the medical art, exfoliated cancer cells have been detected by Papanicolaou in the vaginal smear of women with uterine cancer.
Ayre introduced the method of scraping the cervical canal in order to obtain more concentrated smears and especially more cells from the cervical epithelium. The important area to be investigated is the junctional region between the columnar cell epithelium since'a large majority of squamous cell cancer originates at that line. The detection of cancer of the cervix at the earliest moment will increase the possibility of curing this dreadful disease much more than has all the progress in treatment up to the present time. The well founded assumption that non-invasive carcinoma may be present intra-epithelially for many years without any symptoms and without progress, demands an examination of every woman of cancer age by the vaginal smear method, or, better, with cervical scraping.
It is an object of this invention to provide an instrument, a cervical scraper, adapted to obtain satisfactory scrapings with routine vaginal examination.
It is another object of the invention to provide an instrument of this kind which, when properly used, causes no trauma other than the scraping off of epithelium. This is performed by the special construction of the scraper of my invention.
Other objects of my invention will be in part obvious and in part hereafter pointed out.
The invention accordingly consists of the features of construction, combination of elements and arrangement of parts which will be exemplified in the embodiment of the invention hereinafter described, and of which the scope of the invention will be indicated in the claims.
In the accompanying drawing:
Figure 1 is a perspective view of the scraper in application.
Fig. 2 is a front view of the device.
Fig. 3 shows in larger scale the head of the device.
Fig. 4 is a top view of the head as shown in Fig. 3.
Referring to said drawing, the instrument comprises a stem I provided with a head 2 consisting of a small cone. A handle 4 is provided at the lower end of said stem.
Attached to the cone are means adapted to v scrape off epithelium.
The scraping means as shown in the drawing may consist of a blunt edged piece of material 3, a fin, on the median line of the cone and extending all over the surface of the same, i. e., the sides as well as the top.
The instrument is inserted into the cervical canal after the cervix has been exposed by a vaginal speculum.
The device is to be turned once or twice, with only slight pressure. No experience is necessary to obtain satisfactory smears. The epithelial cells adhere to the fin. The material so obtained is transferred to glass slides by wiping oil the fin. The slides are at once immersed into the fixative solution.
The conical form of the instrument stabilizes it in the longitudinal axis of the cervical canal and permits it to reach the epithelial junction whether the cervix is small or large. Only occasionally suspicious areas outside the canal should be scraped ofi separately with the top of the instrument where the fin forms a suitable means for scraping.
The foregoing description and drawing describe the instrument in what I consider a preferable form, but it will of course be understood that the instrument may be varied without altering the principle of the invention.
A medical scraper for diagnostical purposes causing no trauma other than the scraping off of epithelium when used in the cervical channel, said scraper comprising a stem provided with a handle and with a head consisting of a cone fitting in the cervical channel, and means provided on said. cone adapted to scrape off epithelium smoothly, said means consisting of a blunt edged fin provided on the median line of the cone, extending all over said cone, i. e., the sides as well as the top.
REFERENCES CITED The following references are of record in the file of this patent:
UNITED STATES PATENTS Advertisement of the Clay-Adams Co. Inc., 141
E. 25th Street, New York City 10, New York, in Surgery, Gynecology and Obstetrics for October, 1948; a copy of this advertisement is available in Div. of the U. S. Patent Ofiice.
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US839641 *||Dec 21, 1905||Dec 25, 1906||Ethelbert Reavley||Curette.|
|US2471088 *||Oct 1, 1947||May 24, 1949||Clay Adams Company Inc||Cervical scraper|
|DE362997C *||Apr 27, 1921||Nov 3, 1922||Paul Klaar Dr||Gegen Perforationen sichernde Cuerette|
|FR734439A *||Title not available|
|GB190828701A *||Title not available|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US2749909 *||Sep 21, 1954||Jun 12, 1956||Biopsy knife|
|US3485236 *||Dec 9, 1965||Dec 23, 1969||Becton Dickinson Co||Biopsy specimen collecting and spreading device|
|US3809093 *||Apr 14, 1972||May 7, 1974||Abraham S||Surgical tool|
|US3828765 *||Nov 24, 1971||Aug 13, 1974||Medical Testing Syst Inc||Genitourinary test instrument|
|US3881464 *||Dec 4, 1972||May 6, 1975||Levene Max Moses||Sampling device and method|
|US3923061 *||Nov 4, 1974||Dec 2, 1975||Rossignol Jacques||Tool for hygiene and care of the cavities of the body|
|US3938528 *||Aug 23, 1973||Feb 17, 1976||Investors In Ventures, Inc.||Implanting and splicing articles and methods for living beings|
|US4027658 *||Dec 1, 1975||Jun 7, 1977||Manly Ernest Marshall||Instrument for taking samples|
|US4327744 *||Jun 23, 1980||May 4, 1982||Smith Louise W||Apparatus for the self-collection of cervical cell specimens|
|US4396022 *||Jul 22, 1980||Aug 2, 1983||Marx Alvin J||Endometrial tissue sampling apparatus|
|US4448205 *||Jun 30, 1981||May 15, 1984||Stenkvist Bjoern G||Device for taking samples of cells from the cervix uteri|
|US4662884 *||Apr 25, 1984||May 5, 1987||University Of Utah Research Foundation||Prostheses and methods for promoting nerve regeneration|
|US4778467 *||Jul 10, 1986||Oct 18, 1988||The University Of Utah||Prostheses and methods for promoting nerve regeneration and for inhibiting the formation of neuromas|
|US4981143 *||Aug 13, 1987||Jan 1, 1991||Anne Company Limited||Cell sampler|
|US5462063 *||Feb 23, 1994||Oct 31, 1995||Futura Nova B.V.||Cell collecting device|
|US5741253 *||Oct 29, 1992||Apr 21, 1998||Michelson; Gary Karlin||Method for inserting spinal implants|
|US5772661 *||Feb 27, 1995||Jun 30, 1998||Michelson; Gary Karlin||Methods and instrumentation for the surgical correction of human thoracic and lumbar spinal disease from the antero-lateral aspect of the spine|
|US5797909 *||Jun 7, 1995||Aug 25, 1998||Michelson; Gary Karlin||Apparatus for inserting spinal implants|
|US5865765 *||Oct 16, 1995||Feb 2, 1999||Mohajer; Reza S.||Dilator/sampler for sampling materials and fluid from a body cavity|
|US5899907 *||Oct 17, 1996||May 4, 1999||Johnson; Lanny L.||Instrumentation for proximal femoral compaction broaching|
|US6036657 *||Oct 26, 1998||Mar 14, 2000||United States Surgical Corporation||Apparatus for removing tissue|
|US6096038 *||Jun 7, 1995||Aug 1, 2000||Michelson; Gary Karlin||Apparatus for inserting spinal implants|
|US6120502 *||May 27, 1994||Sep 19, 2000||Michelson; Gary Karlin||Apparatus and method for the delivery of electrical current for interbody spinal arthrodesis|
|US6123705 *||Oct 1, 1996||Sep 26, 2000||Sdgi Holdings, Inc.||Interbody spinal fusion implants|
|US6149650 *||May 8, 1998||Nov 21, 2000||Michelson; Gary Karlin||Threaded spinal implant|
|US6210412||Jun 7, 1995||Apr 3, 2001||Gary Karlin Michelson||Method for inserting frusto-conical interbody spinal fusion implants|
|US6224595||Apr 20, 1998||May 1, 2001||Sofamor Danek Holdings, Inc.||Method for inserting a spinal implant|
|US6264656||May 8, 1998||Jul 24, 2001||Gary Karlin Michelson||Threaded spinal implant|
|US6270498||Jun 7, 1995||Aug 7, 2001||Gary Karlin Michelson||Apparatus for inserting spinal implants|
|US6277122||Oct 15, 1999||Aug 21, 2001||Sdgi Holdings, Inc.||Distraction instrument with fins for maintaining insertion location|
|US6605089||Sep 23, 1999||Aug 12, 2003||Gary Karlin Michelson||Apparatus and method for the delivery of electrical current for interbody spinal arthrodesis|
|US6758849||Aug 18, 2000||Jul 6, 2004||Sdgi Holdings, Inc.||Interbody spinal fusion implants|
|US6770074||Nov 17, 2001||Aug 3, 2004||Gary Karlin Michelson||Apparatus for use in inserting spinal implants|
|US6875213||Feb 21, 2003||Apr 5, 2005||Sdgi Holdings, Inc.||Method of inserting spinal implants with the use of imaging|
|US6923810||Jun 7, 1995||Aug 2, 2005||Gary Karlin Michelson||Frusto-conical interbody spinal fusion implants|
|US7207991||Mar 18, 2002||Apr 24, 2007||Warsaw Orthopedic, Inc.||Method for the endoscopic correction of spinal disease|
|US7264622||Oct 24, 2003||Sep 4, 2007||Warsaw Orthopedic, Inc.||System for radial bone displacement|
|US7291149||Oct 4, 1999||Nov 6, 2007||Warsaw Orthopedic, Inc.||Method for inserting interbody spinal fusion implants|
|US7326214||Aug 9, 2003||Feb 5, 2008||Warsaw Orthopedic, Inc.||Bone cutting device having a cutting edge with a non-extending center|
|US7399303||Aug 20, 2002||Jul 15, 2008||Warsaw Orthopedic, Inc.||Bone cutting device and method for use thereof|
|US7431722||Jun 6, 2000||Oct 7, 2008||Warsaw Orthopedic, Inc.||Apparatus including a guard member having a passage with a non-circular cross section for providing protected access to the spine|
|US7452359||Jun 7, 1995||Nov 18, 2008||Warsaw Orthopedic, Inc.||Apparatus for inserting spinal implants|
|US7455672||Jul 31, 2003||Nov 25, 2008||Gary Karlin Michelson||Method for the delivery of electrical current to promote bone growth between adjacent bone masses|
|US7491205||Jun 7, 1995||Feb 17, 2009||Warsaw Orthopedic, Inc.||Instrumentation for the surgical correction of human thoracic and lumbar spinal disease from the lateral aspect of the spine|
|US7534254||Jun 7, 1995||May 19, 2009||Warsaw Orthopedic, Inc.||Threaded frusto-conical interbody spinal fusion implants|
|US7569054||Nov 8, 2005||Aug 4, 2009||Warsaw Orthopedic, Inc.||Tubular member having a passage and opposed bone contacting extensions|
|US7686805||Jul 1, 2004||Mar 30, 2010||Warsaw Orthopedic, Inc.||Methods for distraction of a disc space|
|US7691148||Mar 19, 2005||Apr 6, 2010||Warsaw Orthopedic, Inc.||Frusto-conical spinal implant|
|US7722619||Apr 25, 2006||May 25, 2010||Warsaw Orthopedic, Inc.||Method of maintaining distraction of a spinal disc space|
|US7828800||May 18, 2009||Nov 9, 2010||Warsaw Orthopedic, Inc.||Threaded frusto-conical interbody spinal fusion implants|
|US7887565||Feb 18, 2006||Feb 15, 2011||Warsaw Orthopedic, Inc.||Apparatus and method for sequential distraction|
|US7914530||Apr 25, 2006||Mar 29, 2011||Warsaw Orthopedic, Inc.||Tissue dilator and method for performing a spinal procedure|
|US7935116||Nov 25, 2008||May 3, 2011||Gary Karlin Michelson||Implant for the delivery of electrical current to promote bone growth between adjacent bone masses|
|US7942933||Apr 3, 2010||May 17, 2011||Warsaw Orthopedic, Inc.||Frusto-conical spinal implant|
|US7993347||Jul 27, 2000||Aug 9, 2011||Warsaw Orthopedic, Inc.||Guard for use in performing human interbody spinal surgery|
|US8057475||Nov 9, 2010||Nov 15, 2011||Warsaw Orthopedic, Inc.||Threaded interbody spinal fusion implant|
|US8066705||Feb 21, 2003||Nov 29, 2011||Warsaw Orthopedic, Inc.||Instrumentation for the endoscopic correction of spinal disease|
|US8206387||Apr 21, 2011||Jun 26, 2012||Michelson Gary K||Interbody spinal implant inductively coupled to an external power supply|
|US8226652||Nov 14, 2011||Jul 24, 2012||Warsaw Orthopedic, Inc.||Threaded frusto-conical spinal implants|
|US8251997||Nov 29, 2011||Aug 28, 2012||Warsaw Orthopedic, Inc.||Method for inserting an artificial implant between two adjacent vertebrae along a coronal plane|
|US8353909||Apr 25, 2006||Jan 15, 2013||Warsaw Orthopedic, Inc.||Surgical instrument for distracting a spinal disc space|
|US8409292||May 17, 2011||Apr 2, 2013||Warsaw Orthopedic, Inc.||Spinal fusion implant|
|US8679118||Jul 23, 2012||Mar 25, 2014||Warsaw Orthopedic, Inc.||Spinal implants|
|US8734447||Jun 27, 2000||May 27, 2014||Warsaw Orthopedic, Inc.||Apparatus and method of inserting spinal implants|
|US8758344||Aug 28, 2012||Jun 24, 2014||Warsaw Orthopedic, Inc.||Spinal implant and instruments|
|US8801628 *||Dec 29, 2011||Aug 12, 2014||Express Scripts, Inc.||Methods and systems for medical home testing|
|US9241720 *||Jul 12, 2010||Jan 26, 2016||Peter Forsell||Hip joint instrument and method|
|US20040024400 *||Jul 31, 2003||Feb 5, 2004||Michelson Gary Karlin||Method for the delivery of electrical current to promote bone growth between adjacent bone masses|
|US20040236247 *||May 24, 2003||Nov 25, 2004||Syed Rizvi||Endocervical Curette|
|US20090088857 *||Nov 25, 2008||Apr 2, 2009||Gary Karlin Michelson||Implant for the delivery of electrical current to promote bone growth between adjacent bone masses|
|US20120109229 *||Jul 12, 2010||May 3, 2012||Milux Holdind Sa||Hip joint instrument and method|
|US20130172778 *||Dec 29, 2011||Jul 4, 2013||Express Scripts, Inc.||Methods and systems for medical home testing|
|DE1160980B *||Jan 5, 1961||Jan 9, 1964||Wallace Beresford Shute||Chirurgisches Instrument|
|WO1982000090A1 *||Jun 30, 1981||Jan 21, 1982||B Stenkvist||Device for taking samples of cells from the cervix uteri|
|U.S. Classification||600/570, 606/80, D24/135|
|International Classification||A61M23/00, A61B10/02, A61B10/00|