ted from the list as unnecessary. The infant
diagnostic laryngoscope (C) is not for introducing bronchoscopes,
and is not absolutely necessary, as the larynx of any infant can be
inspected with the child's size laryngoscope (B).
A Adult's size; B, child's size; C, infant's diagnostic size; D,
anterior commissure laryngoscope; E, with drainage canal; 17,
intubating laryngoscope, large lumen. All the laryngoscopes are
preferred without drainage canals.]
[FIG. 2.--The author's bronchoscopes of the sizes regularly used.
Various other lengths and diameters are on hand for occasional use
for special purposes. With the exception of a 6 mm. X 35 cm. size
for older children, these special bronchoscopes are very rarely
used and none of them can be regarded as necessary. For special
purposes, however, special shapes of tube-mouth are useful, as,
for instance, the oval end to facilitate the getting of both
points of a staple into the tube-mouth The illustrated instruments
are as follows:
A, Infant's size, 4 mm. X 30 cm.; B, child's size, 5 mm. X 30 cm.;
C, adolescent's size, 7 mm. X 40 cm.; D, adult's size, 9 mm. X 40 cm.;
E, aspirating bronchoscope made in all the foregoing sizes, and in a
special size, 5 mm. X 45 cm.]
[FIG. 3.--The author's esophagoscopes of the sizes he has standardized
for all ordinary requirements. He uses various other lengths and sizes
for special purposes, but none of them are really necessary. A
gastroscope, 10 mm. X 70 cm., is useful for adults, especially in
cases of gastroptosis. Drainage canals are placed at the top or at the
side of the tube, next to the light-carrier canal.
A, Adult's size, 10 mm. X 53 cm.; B, child's size, 7 mm. X 45 cm.; C
and D, full lumen, with both light canal and drainage canal outside
the wall of the tube, to be used for passing very large bougies. This
instrument is made in adult, child, and adolescent (8 mm. by 45 cm.)
sizes. Gastroscopes and esophagoscopes of the sizes given above (A)
and (B), can be used also as gastroscopes. A small form of C, 5 mm. X
30 cm. is used in infants, and also as a retrograde esophagoscope in
patients of any age. E, window plug for ballooning gastroscope, F.]
[FIG. 4.--Author's short esophagoscopes and esophageal specula
A, Esophageal speculum and hypopharyngoscope, adult's size; B,
esophageal speculum and hypopharyngoscope, child's size; C, heavy
handled short esophagoscope; D, heavy handled short esophagoscope with
drainage.]
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