US2568566A - Surgical therapeutic appliance - Google Patents

Description

p 8, 1951 E.SOKOLIK 2,568,566

SURGICAL THERAPEUTIC APPLIANCE Filed May 6, 1946 F1 E l 2 Sheets-Sheet 1 IE 4 lNVENTOR device whereby processed air can be used Patented Sept. 18, 1951 UNITED STATES PATENT OFFICE 2,568,566 SURGICAL THERAPEUTIC APPLIANCE Edward Sokolik, New Brighton, Minn. Application May 6, 1946, Serial No. 667,515

1 My present invention relates to improvements in therapeutic appliances and more particularly to those appliances that are used in treating diseased body lesions or cavities. It is employed to withdraw hemorrhages, suppurations, fetid air orgas out of body lesions or cavities, such as vaginal, prostatic, rectal, abdominal and the like, and then flush, disinfect and aerate such lesions or cavities of the body.

It is a principal object of this inv ntion to provide a therapeutic appliance whereby therapy of diseased lesions or cavities is accomplished by .first withdrawing hemorrhages, suppurations,

fetid gas and the like, if any, and then bathing the lesions or cavities with therapeutic solutions and therapeutically processed air;

It is an important object of the invention to withdraw fluids from body lesions or cavities provide in a therapeutic device means whereby the incoming and outgoing fluids used in the device for treating body lesions or cavities may be .observed by the operator of the device;

It is a further object of this invention to provide in a therapeutic device means for supplying filtered, deodorized, sterilized and medicated air to the lesions or cavities of the body;

It is one object of this invention to provide a under atmospheric or generated air pressure;

Other objects of the invention are simplicity and economy of construction, ease and efficiency of operation, and adaptability to various uses.

Other objects and advantages will be apparent as the following specification progresses.

My invention is fully described in the following specification, of which the drawings accompanying same form a part, in which like characters with aflix a in modifications refer to like parts in each of the views, and in which:

Fig. l is a schematic view of one embodiment of my invention showing the duplex receptacle for the therapeutic fluid medium and for suction inducing fluid medium in transverse perspective re- 29 Claims. (01. 128-240) spectively, the fluid feeding syringe with its crosshead fitting and the fluid suctioning and discharging artific in vertical section, respectively.

Fig. 2 is an elevational view of the syringe showing the longitudinally corrugated surface thereof.

Fig. 3 is anelevational view of a modified form of the syringe in Figure 2 showing, partly in section, a plurality of superposed webs between each two adjacent corrugations, forming pockets for collecting fluids.

Fig. 4 is an elevation of an intermediate portion at one-eighth turn of the syringe shown in Figure 3.

Fig. 5 is a cross-section on line 5-5 of Fig. 4.

Fig. 6 is a cross-section on line 6'- 6 of Fig. '4.

Fig. 7 is a cross-section on line 1-1 of Fig.4.

Fig. 8 is a cross-section on line 83 of Fig. 4.

Fig. 9 is a cross-section on line 9-9 of Fig. 2.

Fig. 10 is a schematic view of a modified embodiment of the invention.

Fig. 11 is a cross-section on line l|-ll of Fig. 10. Fig. 12 is a plan view, partly in section, ofthe air processor, the section being taken on the line l2-I2 of Fig. 10.

Fig. 13 is a transverse view of the air processor on the line I 3|3 of Figure 10.

Fig. 14 is a view of the air bulb with symbols for air checks, this structure to be interposed in the air supply conduit 62.

Referring to the drawings:

The numeral l6 designates in general the twoway syringe or nozzle l1 and two-way crosshead fitting 18 connected together. The syringe l! and fitting l8 are made in two parts to permit quick disconnection for cleaning and sterilizing thereof, and for interchanging syringes adapted for specific uses. The fitting I8 is simple and streamlined to facilitat cleaning thereof. There are no parts which for obvious reasons are objectionable. The nipple I9 is the only appendix, and that can be molded integrally in the fitting.

The syringe l1 may be flexible or rigid, slender or broad, and of various shapes and lengths, depending on the anatomy of the organ or nature of the lesion to which therapy is to be applied. The connecting or open end thereof is transversely plane and the free end tapered to facilitate inserting thereof.

The generally adapted form of the syringe If! is elongated and cylindrical, the surface thereof consisting of 1ongitudinally extending corrugations or ridges 2| and channels or depressions 3|, in alternate radial arrangement. While four corrugations 2| and four channels 3| are shown, five of each might be preferable because five corrugations 2| could hold the tissues out of the channels 3| more effectively. Variations from two to six may be resorted to.

Formed in each of the corrugations 2| is a small fluid feeding inlet conduit 28, the top end of which is open and the bottom end closed. A large fluid withdrawing or outlet-conduit 25 is axially formed in the syringe the-top end of which is open and the bottom end of which preferably has a small withdrawing or outlet orifice formed therein, to effectively withdraw all the fluid in the bottom of'a cavity.

The object of the corrugations 2-|-and channels 3| is to contrive a novel arrangement adapted to feeding fluids into, and simultaneouslywithdrawing fluids from, lesions or cavities without injuring the tissues by the function of suction ing. The corrugations 2| are designed to form deepchannels .31 there-between, and to afford stock'in which to form fluid-feeding conduits '28, -an'd'vvhich prevents tissues from bulging into the channels- 3| V Theobject of the channels 3| is to-collect fluids in'lesion's 'orcavities and vacate 'same, and to receive "flushing "fluids and simultaneously vacate same.

Each'o f the corrugations 2| has a plurality of spaced inlet orifices 30 in each of the opposed si'des2'9 thereof, communicating each inlet 'condui't '2'8' with the adjacent channel 3|. The inlet orifices 3|] are preferably angled to spray the flushing fluid into each channel 3| upwardly and outwardly to flush off'th'e diseased tissues, which "bear against the-corrugations 2| and are exposed to' the sprayingsolution.

From'theapex-ofeach of thechannels 3| leads aplurality-ofspaced outlet orifices 2B, which are formed in the body of the'syringe'll communicating each channel 3| with the fiuidwithdrawing. conduit 25. It will be observedthat both the finlet'orificesfifi' and'outletorifices 2'fi are ineach *channel 3| ,"which arrangement is novel, whereby 7 the fluids are vacated by sucti'oning; while the tis'suesareheld back by the corrugations 2 The force of suction is satisfied 'by liquid, or air if 'thereis no liquid, and not by'the tissue. This "principle could not'prevail if the inlet orifices'tfl and the outlet orifices 26 were "in'alternat'earrangement in the channels 3|. Inletan'doutlet orifices 30 and 26, "respectively, are disposed on theffree end-portion of syringe l1 *for obvious "outlet tube 33. The tube 32 is provided with "internalscrew-threads 24 in the ends thereof engaging the screw-threads of the nipple H! in the intake end and screw-"threads '22 of'the nozfz'le T1. The tube 33'enters'the tube32 through the' wall. 'Itis integral'with the tube 32but-does "not need to be, and is projected out normally horizo ntally -in the form-of a short handle 34. "Thie -intake or internal end of the tube33 is disposed axially in the tube 32 and is adapted to connect with the outlet conduit 25 in the syringe H by abutting same. The tube 32 is in screwthreaded engagement with the screw-threaded intake end of the syringe l1, and is in communication with all the inlet conduits 28, whichextend longitudinally in said nozzle ll. Surplus screw-threads 22 are provided on the intake end of the syringe H to insure a tight joint between the'tube 33.and the outlet conduit 25 This joint could be of the telescopic type. 'The main body *of the fitting i8'is made preferably of transparent material, such as glass or other material adapted to withstand sterilizing heat. The transparence of this-fitting It with the transparent fluid conduit extension 34 isa novelty. It affords a means,

whereby th'e' inc'oming solution and outgoing fluid are observed to ascertain, when all the fluid has been withdrawn, what {the pathological peculiarities thereof are, and also to aid in the focalizing of --the syringeinthe lesion, as tlie ch'ai acter 'of the outgoing fluid, if any, may indicate whether the'syringe is correctly focalizedin the lesion 'orcavity. The extension 34-serves thedua'l function of "focalizing thesyringe H and of providing a transparent facility for visual observationof the outgoing fluidsth'erethrough. o

The modified syringe -shown;in Figs.3,-4, 596, 7 and 3 of the drawings is provided with a -plu'- ralityof Webs 31b spaced apart'in-each channel 3 l, and integral -with 'the' surface of" the "syringe -i'|, .each forming a pocket. Each-of-fthe'webs 31.2) has an edge "correspondingto an arcto afford an edge more effectively to hold back, together With'the corrugations 2|, the tissues; andprevent same frombulging'into'the web pockets. Fig.7

ofthe corrugations 2|. These webs 3 I b are 'sagge'd toform fluid collecting pockets. Adjacent-each pocket, Ipr'ov'ide' an inletorifice 3|)"from at least one" o'fthe inlet conduits 28in the corrugations 2| and 'fromthe apex of each pocket into the outlet conduit .25; an outlet orifice 2t. Thetincoming'fluid from inlet orifices 3i? spraysthe tissue facing each pocket and flushes off the "tissue, the flushbeing trapped .in each pocket to prevent spreading of infection and withdrawn through the outlet 26 'as'fastas .thelfiushing 'fiuid is fed thereinto. Eachindividualpocket has the cycle of therapy.performedtherein,andif a suppurating tissue is in contact with a particular .pocket, the-therapy 'is confined to thatjone pocket.

Fig. lO is a-modiflcationof the apparatuscomprising a simple receptacle 35 for therapeutic fluid medium, in communication with the in- 'jecting artifice 61, which includes'th .sy'ringej.52

7 tion with the airprocessor-3 ib andlthe artificeit'l.

The air processoniltb should also .beiass'ociated with the apparatus showniinlFi'gure 1. A conipres'si'blepneumatic bulbshown in Figurerl' l is interpos'edin an air inlet co'nduit '621which vcom- Inunicates withthe fluid conduits 40,4211, ,or directly with the"fitting"| 8 or5| to cooperate with the processor 3412, [which provides processed air under atmospheric pressure only, while the bulb shown in Figure 14 provides generated processed air by manual compression'thereof to bathe under'inflation the abdominal cavity through surgical opening, with therapeutic or processed air,

after the fetid air or gaseshave been evacuated.

This manner of therapy is beneficial to, and predischargeend thereof. When the bulb is compressed the valve 62a checks the air from re-- turning into the air processor 34 and is forced out thru the valve 62b and connections into the cavity being treated, and when the bulb is released the valve 622) checks the return into the bulb of the air from thecavity, and the valve 62a admits processed air into the bulb from the air processor 34 under atmospheric pressure.

The air processor 34b is used cooperatively with the reservoir 38 or 35 for therapeutic solutions to be fed into the lesions or cavities, and is in tubular communication with the cross-head fitting 51, and is interposed somewhere between the nipple l9 and the valve 31.

The essentials of the air processor are: a case 53 of suitable material which, of my preferred design, is cylindrical. A screw-threaded foraminous air-intake cover or cap 64, provided with a suspension eye 65, engages the top of the case 63. A conical air discharge chamber or funnel 66, provided with an air outlet spout, is formed integrally with the bottom of the case 63, but this funnel could also be in screw-threaded engagement with the case 63. Immediately subjacent to the cover 64 is a disk air-filtering member 61, and immediately above the funnel chamber 66 is a medically impregnated fumigating and filtering disk member 68 to medicate and sterilize and postfilter the outgoing air. Intermediate the members 61 and 58 are arranged a plurality, generally five, but three are shown as indicated by B9, of preferably cylindrical layers or sections of different odor or gas absorb or adsorb chemical agents. Each chemical agent is adapted to permit the air to pass or flow therethrough and to absorb and adsorb certain odors or gases, therefrom more effectively, so that a combination of five agents 69 will absorb all odors or gases apt to be in the nonprocessed air.

Obviously the chemical agents 69 are readily removable from the case 63 for replacement and for re-activation thereof, such as charcoal, but in a small therapeutic air processor it is more expedient to replace the agents when more or less foully saturated.

The steps of processing the air are arranged in logical sequence. First, the air is filtered of all such impurities as dust, smoke, smoke grease, and the like by the air filtering member 61, through which it is forced by atmospheric pressure, then it is forced through the series of deodorizing agents 69. It will be observed that the air, now being filtered, will not plug the porous agents; the pores or foramen are always open and effectively permit the flowing of the filtered air therethrough. Finally, the filtered and deodorized air is forced through the medically impregnated member 68 to sterilize, and m-edicate the air as desired and to filter out oxides of the chemical agents. We now have a thoroughly therapeutic processed air.

the same channel or channels.

The modified syringe combination artifice 5! includes a two-way syringe 52 and a transparent two-way cross-head fitting 51. The syringe 52 generally is adapted for deep canal service, such as prostatic therapy. It includes a pair of two- Way conduits, an inlet conduit 53, with a plurality of'inlet'orifices 54, and an outlet conduit 55 with "a plurality of outlet orifices 56. These conduits 53 and 55 are parallelly adjacent and separated 'bya wall extending longitudinally therebetween and defining longitudinally along each side of its ridge, recessed in between the said conduits 53 and 55, preferably a pair of deep channels 31a, one on each sideof the wall. The inlet conduit 53 has at the lower end-portion a plurality of inlet orifices 54 on each side thereof in communication with the channels 3 la. The outlet conduit has, at the lower end-portion thereof a plurality of outlet orifices 56 on each side thereof also in communication with the channels am. The inlet conduit 53 and the outlet conduit 55 may communicate with a common pocket in the end of the syringe 52 irrespective of whether they are also in communication with thechannel or channels 3m The principle or mode of operation is the same through the pocket as thru the channel or channels, since the inlet and outlet conduits communicate with the same pocket or The principle of feeding and withdrawing fluids is identical to that of the syringe assembly I6. The upper or open end of the syringe 52 may be oval in which case, it is connected by a slip-joint to the crosshead fitting 51, but if the top end is round it may be connected screw-threadedly. The cross-head fitting 51 has an inlet conduit 58 passing therethrough and registering with the conduit 53. This fitting 51 is in the form of a T, to provide a horizontal transparent shank 34, affording a means to focalize. the syringe in a cavity or lesion and a .means for visual observation of the withdrawing fluids passing therethrough. An outlet conduit 59 extends through the shank 34 and the connecting portion of the fitting 51 and registers with the outlet conduit 55 of the syringe 52.

The fluid feeding system 10, as shown in Figure In, comprises the receptacle 35 in Figure In and .areservoir 38 in Figure l, for therapeutic feeding solutions. The reservoir 38 is here shown combined with the reservoir 39 for suction inducing hydrant liquid in the double receptacle 35. The reservoirs thereof 38 and 39 are orificial in the top thereof (not shown). The feeding reservoirs 38 in Figure 1, and 35 in Figure 10 are respectively provided with an outlet 40 and 42a at the bottom thereof. In the Figures 1 and 10,

a hose conduit 42 or 42a connects the outlets 40 -or 40a with the inlet conduits of the fittings i8 and 51 respectively. A valve 31 or 31a associated with the conduit 42 or 42a controls respectively .the flow of the solution therethrough.

In the fluid withdrawing system 1|, in the Figure 10, is a centrifugal suction pump 60, commuat the connecting end 50, and the conduit 41, is

connected to the suction handle 34a. The valve 46 is closed when it is desired to inflate the abdomen through, a surgical opening therein and fll' enedrto :release; the inflation, tithe ihyd an .illQsfiwgQllduit 43-,cornmunicates the suction :procin mttifice with the hydrant-reserroircfis zait the ,outlet di. The valve :45 controls the flow .of the hydrant-fimd-threugh the those con uit 43.

iliithe' operation of the appliance, j-the fluid 'iIhe'fiuidwithdrawing or suctioning system- 1|, 7

,shownin Figures 1 and 10, is disposed below the horizontal plane of the artifice I6, that is, the

horizontal plane of the .lesion or cavitytreated, .to'peffectively suction, with the aid of gravity,

. the outcoming fluids. 7

- .Eirslt, all, the valves 31'-.4546 .areiclosed, then the therapeutic solution is .pouredinto reservoir filinFigure 1 or 35 in Figure 10. InFigure' 1, which shows a receptacle hydrant, the suction producing liquid is poured into reservoir .39.

The apparatus is now ready to function, and it shall be operated according to what it is ito -do.

ifithe'treatment is to becompound, that is, :if'

:reservoir'39, through the hose conduit 43, the

tube conduit .48,. and out to drain 44. As the hy- .drant fluid. flows eccentrically around the-Venturi'end 5| of the suction tube 49, a vacuum is created there, inducing a syphonic flow-of-the hemorrhage from the cavity, the hemorrhage collecting in the channels 3!, suctionally entering the=outlet orifices 26, the outlet conduit 2 5, the outlet tube 33, the outlet'hose conduit 41, the outlet'tube conduit 49, and from the Venturi end of tube 49 carried away to drain 44 by the hydrant fluid :fiowing through tube '48. When the outcoming flow of the withdrawal fluid through the transparent handle 34 or 3450 indicates that the hemorrhage has all been withdrawn and that only processed air is coming through the trans- ,p'arent handle 34 or 34a, forced by atmospheric pressure through the air processor 34, the bulb and connections 62, hose conduit 42, conduit tube 32, conduits 28, inlet orifices 30 and channels 3| or--3id, from which it follows the same-course as did the outcoming hemorrhage, then the process'of' flushing, disinfecting, and aerating is 'be- 'gun by the opening of additional valve 3T3'Ia in either Figure 1 or 10, and starting the flow of the th'erapeutic solution from either reservoir 38 or '35 respectively, through hose conduit 42..-or 42a tube conduit32 or 58 inlet conduits'28, or 53, inlet orifices '30 or 54 channels 3|, or 3 la wherein the flushing, disinfecting and aerating of the ztissues facing the channels 3! or 3; is performed and the flush withdrawn in the same sequence :as-the processed air'aforedescribed. "If infiation 10f the cavity with processed air is "desired, th e valve '31 or 31a'isclosed after all the fluids shall haveibeenlwithdrawn and the bulbat 6-2 comnress blraeetfuated aiter 'va v 4. s r-4.6a :isehseri- Hhfi ifllllflfflfil5 11 31955 one a ubstitut. f the ravitationel hyd ant fluid s ste sho e. Fi ure 1.1, a reservoir, condu t Y 3 a d uct er fittingil iihut a :iau t hydra is en r l y more convenient and satisfactory th n. ither hi the aiorementioned systems. The .faiwet hydran sub titutes the reservoir-'39 an ope 0.0.0.1 ieratively with the suc i n fittm 1.5-

It might be stated that the function of the valve tfirlorr lfia' :is to clo e the conduit 41 cr 41@i0n1y when the apparatuses used to perform -the rune- :tionuof {inflation by :zmanuallyf actuatingath 'rbnlb at';62, .and-,-again opened toreleaseatheainflati n.

it :to :be understood that preferred formspi imyainvention are herein -shown and described;

shirt that zyarious changes .in' shape, size a d arrangement of parts may .be resorted to without departing-from the spirit of my invention tor-the .scope :of the appended claims.

Whatl .claim :is

1:. iln'aatherapeutic apparatus of the class described, wherein" afiuidieeding 'means, cooperates with the =fiuid feeding conduit of a two-way cross-head fitting provided with a two-way syringethe combination. of an .airiprocessin means-communicating with the feeding conduit of the cross-head fitting, providing processed air under atmospheric. pressure, and comprising :the combination and arrangement of: a case having anuair-intake'end and a processed. air-discharge end, which is providedzwitha chamber having an airoutlet, to receive and to discharge the processed air; anairfiltering means in the intake end of the case; at least three different odor ior gas absorb and adsorb chemical agents arranged in series subjacent 'to the air filtering .means to deodorize the filteredair, each of said chemical agents-beingadapted to permit the passing -of 1 air therethrough and to absorb and adsor-b specific gases or odors moreefiectively; a means disposed subjacent to the chemical agents and adapted to be impregnated with'therapeutical ingredients to fumigate the filtered and deodorized air andadapted to postfilter the oxides of the chemical agents, therefrom.

2. In-a therapeutic apparatus of the class described, wherein a fluid feeding means cooperates with the fiuidfeeding conduit of a two-way crosshead-fitting provided with'a two-way syringe, the

combination of an air processing means associated with an air compression means including .a resilient air bulb having a separate air ch'eck' in the airintake and air-discharge ends thereof, "and together therewithal communicating with the-fluid feeding conduit of the two-way cross- 'head fitting provided with a two-way-syringe, and normally providing processed air under atmospheric pressure, or by manipulation of the bulb of the compression means into a bodily lesion or cavity thru the feeding conduits of said cross-head fitting and syringe, said airchecks-openin-g in the direction of the flow -oi the air, and closing, it the flow be reversed, the aircheck inthe air-intake end closing-and the-aircheck inthe air-discharge andthereof opening, when the'bulb .is manually compressed, said air processing means comprising the combination andarrangement of: "a case'having an air-intake end-and a processed air-discharge end,which is provided with a chamber having an air outlet, to

receive and to discharge the processed air; an

jacent to the air filtering means to deodorize the filtered air, each-of said chemical agents being adapted to permit the passing of air therethrough and to absorb, and adsorb specific gases or odors more effectively; a means disposed subjacent to the chemical agents and impregnated with therapeutical ingredients to fumigate the filtered and deodorizedair and adapted to postfilter the oxides of the chemical agents, therefrom.

3. In a therapeutic apparatus of the class described, wherein a fluid feeding means cooperates with the fluid feeding conduit of a two-way crosshead fitting provided with a two-way syringe,

the combination of an air processing means communicating with the feeding conduit of the cross-head fitting, providing processed air under,

atmospheric pressure, and comprising the combination and arrangement of: a case having an air-intake end and a processed air-discharge end, which is provided with a chamber having an air outlet, to, receive and to discharge the processed air; an air filtering means in the intake end of the case; at least five different odor or gas absorb and adsorb chemical agents arranged in series subjacent to the air filtering means to deodorize the filtered air, each of said chemical agents being adapted to permit the passing of air therethrough and to absorb and adsorb specific gases orodors more effectively; a means disposed subjacent to the chemical agents and adapted to be impregnated with therapeutical ingredients to fumigate the filtered and deodorized air and adapted to postfilter the oxides of the chemical agents, therefrom.

4. In a therapeutic apparatus of the class described, wherein a fluid feeding means cooperates with the fluid feeding conduit of a two-way crosshead fitting provided with a two-way syringe, the combination of an air processing means associated with an air compression means including a resilient air bulb having a separate air-check in the air-intake and air-discharge ends thereof, and together therewithal communicating with the fluid feeding conduitof, the two-way crosshead fitting provided with a two-way syringe, and normally providing processed air under atmospheric pressure, or by manipulation of the bulb of the compression means into a bodily lesion or cavity thru the feeding conduits of said cross-head fitting and syringe, said airchecks opening in the direction of the flow of the air, and closing, if the flow be reversed, the aircheck in the air-intake end closing and the aircheck in the air-discharge end thereof opening, when the bulb is manually compressed, said air processing means comprising the combination and arrangement of: a case having an air-intake end and a processedair-discharge end, which is provided with a chamber having an air outlet, to receive and to discharge the processed air; an air filtering means in the intake end of the case; at least five different odor absorb and adsorbing chemical agents arranged in series subjacent to the air filtering means to deodorize the filtered air, each of said chemical agents being adapted to permit the passing of air therethrough and to absorb and adsorb specific gases or odors more effectively; a means disposed subjacent to the chemical agents and impregnated with therapeutical ingredients to fumigate the filtered and deodorized air and adapted to postfilter the oxides of the chemical agents, therefrom.

5. A therapeutic apparatus for treating diseased bodylesions or cavities by feeding fluids from such lesions or cavities, comprising the combination and arrangement of a two-way fluid feeding and fluid withdrawing syringe; a twoway fluid feeding and fluid withdrawing crosshead fitting, detachably connected to said syringe; fluid feeding system means in communication with the fluid feeding conduit of the crosshead fitting and the syringe; fluid withdrawing system means in communication with the fluid withdrawing conduit of the cross-head fitting and the syringe; an air processing means in communication with the feeding conduit of the cross-head fitting and the syringe and providing processed air under atmospheric pressure.

6. A therapeutic apparatus of the class described comprising the combination and arrangement of a two-way fluid feeding and fluid withdrawing syringe; a two-way fluid feeding and fluid withdrawing cross-head fitting, detachably connected to said syringe; fluid feedingsystem means in communication with the fluid feeding conduit of the cross-head fitting and the syringe;

essing means in communication with the feeding conduit of the cross-head fitting and thesyringe; an air compression means associated with said air processing means and including a resilient air bulb having a separate air-check in the airintake and air-discharge ends thereof, and together therewithal communicating with the fluid feeding conduit of the two-way cross-head fitting provided with a two-way syringe and normally providing processed air under atmospheric pressure, or by manipulation of the bulb of the compression means into a bodily lesion or cavity thru the feeding conduits of said cross-head fitting and syringe, said air-checks opening in the direction of the flow of the air, and closing if the flow be reversed, the air-check in the air-intake end closing and the air-check in the air-disway fluid feeding and fluid withdrawing crosshead fitting, detachably connected to said syringe; fluid feeding system means in communicae tion with the fluid feeding conduitof the crosshead fitting and the syringe; fluid withdrawing system means in communication with the fluid withdrawing conduit of the cross-head fitting and the syringe; an air processing means in communication with the feeding conduit of the crosshead fitting and the syringe and providing processed air under atmospheric pressure; said air processing means comprising the combination and arrangement of a case having an air-intake end and a processed air-discharge end, which is provided with a chamber having an air outlet, to receive and to discharge the processed air; an air filtering means in the intake end of the case; at least three diiferent odor or gas absorb and adsorb chemical agents arranged in series subjacent to the air filtering means to deodorize the filtered air, each of said chemical agents being adapted to permit the passing of air therethrough and to absorb and adsorb specified gases or odors more effectively; a means disposed sub- J'acent to the chemical agents and impregnated accesses with therapeuticalingredients to iii-migate the filterthe oxides of'the'chemicalagents, therefrom;

8. A therapeutic apparatus-"for treating diseased-body lesions-or cavities byfe'e'ding fluidsinto, and/or simultan'eously withdrawing fluids from such lesions or cavities, comprisingthecombination and arrangement of a two-way fluid feeding and fiuid withdrawing"syringe;a two-' way. fluid-feedingarid fluid withdrawing cross-- different odor or gas absorbar-id adsorbing chemi' cal agents arranged series subiacent to: theair" filtering means to deodorize the filtered'aineaeh of said chemical agents being adapted-to permit- -the passing" of air therethrough and to absorb" and adsorb specific gases or odors more-encotively; a meansdisposed subjacentto the chemi cal agents and adapted to be impregnated-with therapeutical ingredients to fumigate the filtered le -and deodorized air and adapted'td postfilter the head fitting,detachably connected tosaid syringe flui'd feeding: system" means in communication with'the'fiui'd' feeding" conduit or the crosshead fitting and the syringe; fluid withdrawing system means in communication 'with'the fluid withdrawing conduitof the cross-head fitting and-the syringe; "arr'air pro'cessingmeans i-n communicationgwith" the feeding conduitof the cross head fitting and the syringe and providing:- processed air under atmospheric" pressure; said air processing means comprising the combination and arrangement ofa casehavingana-irintake end-and aprocessed air 'dischargeend,

which is" provided with a chamber having v an air outlet; to "receiveand" to discha-rge the proc essed air; an air fiitering means in the intake end ".of the case; at" least three-"different odor 7 or gas absorb"and"adsorb chemical-agents arrangedinxseries"subiacent to the air filtering meansto deodorizethe filtered air; each of said chemical agents being adapted topermit the' passing of air therethrough and" to" absorb and adsorb specified gases' or' -odors' more effectively;

a "means" disposed subja'cent to "thechemicalagents and-impregnated with'therapeutical i-ngredients to i'umig'ate the' filtered-- and deodorized air and adapted to postfilter -theoxides ofthe chemical agents therefrom.

" 9': A 1therapeuticiapparatus :of the class de oxides of the chemicalagents, therefrom.

101 In a therapeuticapparatusof the class dew scribed, wherein a fluid feeding'me'ans'cooperates with the fiuid feeding conduit of atwo'way"crosshead fittingprovidedwith a two'sway syringe the combination of an: air'processingmea-ns com:- municating with thefeed-in g conduit of the cross'-- head fitting, providing processed air undertat mospheric pressure, and comprising the combinaf -"tion and arrangement of acase having an :air

intake end and a processed air-discharge end," which is provided "w-ith achamber having an air" outlet, to receive andto-discharge the processed: air; an air filtering means in the intake-end of the case; at most two different: odor abs'orbiarid' adsorb chemical agents arranged in series subjacentto the air filtering means to. deodorize the: filtered air, each of said chemical agentsb'eing' adaptedto permit the passing or air therethrough *and. to absorb and adsorb specific: gases or: odors:

I more eiiectively; a me'ans:disposed'subjac'ent'to scribedicomprising thercombinationand arr'angefluid withdrawing cross-headfitting; detachably 1 connected tosaid syringe fluid" feeding-- system means in communication with the-fluid feeding conduit of'thecross hea'd fitting-and the syringe;

fiuidtwithdrawing system means in communicationwith the fiu-idwithdrawing conduit of-th'e cross-head fitting and'thesyringe; an-airproc essi'ngmeans in communication with the feeding conduit of the cross-head fittingand thesyringe;

an air compression means associated with said air processing means and including a-resilient air bulb having a separate air-check in the air-intake and air dischargeends thereof, and together therewitharcommunicating withthefluid feedingcondnit of the two=WaY cross-head 1 fitting pro vided with a two=way syringe *and--norma1-1yproviding processed air undenatmo'sphericpressure, which may be compressed into a bodily lesion or cavity thru the feeding nonduits of said crosshea'd' fitting "and syringe, byrepeated manual compression-of the bulb; said air-checks opening in" the direction of the fiow ofthe' air, and closthe chemical agents and adapted toi be impregnated with therapeutical ingredients tov nimigatethe filtered and deodorized airiandeadapte'd' to "postfilter' the oxidesfof the chemical agents,

therefrom. 11.In a therapeutic. apparatus oftthenlass described, wherein a fluid-"feeding meansrooopen ates withthe fluid feeding-conduit ofsa two-way cross-head fitting provided-with: a two-waysyr ing'e, the combinationof air processing meansassociated with an air-compression. means in cluding a resilient airbulb' having a separate aircheck in the air-intake-and air-discharge ends thereof, and together 'therewithali communicat ing with the fluid feeding. conduit of the two:-

way cross-head "fitting provided with a two-way: syringe and normally providing. processed air under atmosphericpressure=,- or by" manipulatkm of the bulb of the compressionmeansintoabodily lesion or cavity thru the feeding conduits of said cross-head fitting andv syringe,- said air-checks opening in the direction ofitheifiow 'of' theuain'.

and closing if the flow be reversed; the air-check in the air-intakeend closing-and the: air-check in the air-dischargeend thereof opening, when! the bulb is manually compressed; said: air proc essing means comprising the combination and arrangement of a case havinganair-intake end and- 5 a processed air-discharge end', whichis provided with a chamber having an air outlet,'to receive and to discharge the-processed air; an air filtering means in the intake end of'fihe case; at most two difierent odor or gas absorb and adsorb chemical agents arranged in series subjacent to" the air filtering 'means to deodorizethefiltered in each of said chemical agents being adapted'to' permit the passing of air therethrough andto absorb and adsorb specific gases or odorsmore effectively; a means" disposed subja-cent to the chemical agents and adapted to be impregnated with therapeutical ingredients to fumigate the filtered and deod'ori'zed'air and adapted to post filter the oxides of the chemical agents, therefrom.

abscissa" 12. A therapeutic apparatus for treating diseased body lesions or cavities by feeding fluids into, and/or simultaneously withdrawing fluids from such lesions or cavities, comprising the combination and arrangement of a two-way fluid feeding and fluid withdrawing syringe; a two-way fluid feeding and fluid withdrawing cross-head fitting, detachably connected to said syringe; fluid feeding system means in communication with the fluid feeding conduit of the cross-head fitting and the syringe; fluid withdrawing system means in communication with the fluid withdrawing conduit of the cross-head fitting and the syringe; an air processing means in communication with the feeding conduit of the cross-head fitting and the syringe and providing processed air under atmospheric pressure; said air processing means com prising the combination and arrangement of a case having an air-intake end and a processed airdischarge end, which is provided with a chamber having an air outlet, to receive and to discharge the processed air; and air filtering means in the intake end of the case; at least five different odor or gas absorb and adsorb chemical agents arranged in series subjacent to the air filtering means to deodorize the filtered air, each of said chemical agents being adapted to permit the passing of air therethrough and to absorb and adsorb specified gases or odors more effectively; a means disposed subjacent to the chemical agents and impregnated with therapeutical ingredients to fumigate the filtered and deodorized air and adapted to postfilter the oxides of the chemical agents therefrom.

13. A therapeutic apparatus for treating diseased body lesions or cavities by feeding fluids into, and/or simultaneously withdrawing fluids from such lesions or cavities, comprising the combination and arrangement of a two-way fluid feeding and fluid withdrawing syringe; a two-way fluid feeding and fluid withdrawing cross-head fitting, detachably connected to said syringe; fluid feeding system means in communication with the fluid feeding conduit of the cross-head fitting and the syringe; fluid withdrawing system means in communication with the fluid withdrawing conduit of the cross-head fitting and the syringe; an air processing means in communication with the feeding conduit of the cross-head fitting and the syringe and providing processed air under atmospheric pressure; said air processing means comprising the combination and arrangement of a case having an air-intake end and a processed air-discharge end, which is provided with a chamber having an air outlet, to receive and to discharge the processed air; an air filtering means in the intake end of the case; at most two different odor or gas absorb and adsorb chemical agents arranged in series subjacent to the air filtering means to deodorize the filtered air, each of said chemical agents being adapted to permit the passing of air therethrough and to absorb and adsorb specified gases or odors more effectively; a means disposed subjacent to the chemical agents and impregnated with therapeutical ingredients to fumigate the filtered and. deodorized air and adapted to postfilter the oxides of the chemical agents therefrom.

14. A therapeutic apparatus of the class described comprising the combination and arrangement of a two-Way fluid feeding and fluid withdrawing syringe; a two-way fluid feeding and fluid withdrawing cross-head fitting, detachably connected to said syringe; fluid feeding system means in communication with the fluid feeding ing means in communication with the feeding conduit of the cross-head fitting and the syringe; an air compression means associated with said air processing means and including a resilient air' bulb having a separate air-check in the air-intake and air-discharge ends thereof, and together L therewithal communicating with the fluid feeding conduit of the two-way cross-head fitting provided with a two-way syringe and normally providing processed air under atmospheric pressure, or by manipulation of the bulb of the compression means into a bodily lesion or cavity thru the feeding conduits of said cross-head fitting and syringe, said air-checks opening in the direction of the flow of the air, and closing, if the flow be reversed, the air-check in the air-intake end closing and the air-check in the air-discharge end thereof opening, when the bulb is manually compressed; said air processing means comprising the combination and arrangement of a case having an air-intake end and a processed air-discharge end, which is provided with a chamber having an air outlet, to receive and to discharge the processed air; an air filtering means .in the intake end of the case; at least five different odor or gas absorb and adsorbing chemical agents arranged in series subjacent to the air filtering means to deodorize the filtered air, each of said chemical agents being adapted to permit the passing of air therethrough and to absorb and adsorb specific gases or odors more efiectivelm a means disposed subjacent to the chemical agents and adapted to be impregnated with therapeutical ingredients to fumigate the filtered and deodorized air and adapted to postfilter the oxides of the chemical agents, therefrom.

15. A therapeutic apparatus of the class described comprising the combination and arrange ment of a two-way fluid feeding and fluid withdrawing syringe; a tWo-way fluid feeding and fluid withdrawing cross-head fitting, detachably connected to said syringe; fluid feeding system means in communication With the fluid feeding conduit of the cross-head fitting and the syringe; fluid withdrawing system means in com- 1 munication with the fluid withdrawing conduitof the cross-head fitting and the syringe; an air processing means in communication with the feeding conduit of the cross-head fitting and the syringe; an air compression means associated with said air processing means and including a resilient air bulb having a separate air-check in'* the air-intake and air-discharge ends thereof, and together therewithal communicating with the fluid feeding conduit of the two-Way cross-head fitting provided with a two-Way syringe and normally providing processed air under atmospheric pressure, or by manipulation of the bulb of the compression means into a bodily lesion or cavity thru the feeding conduits of said cross-head fitting and syringe, said air-checks opening in the direction of the flow of the air, and closing if the flow be reversed, the air-check in the air-intake end closing and the air-check in the air-discharge end thereof opening, when the bulb is manually compressed; said air processing means comprising the combination and arrangement of a case having an air-intake end and a processed airdischarge end, which is provided with a chamber having an air outlet, to receive and to discharge the processed air; an air filtering means in the intakesend of the. case; @at' mosttwo-difierent odor;

OEfEHsSJSJhSOTh and.{adsorbing-chemical agents 1am ranged. in series subjacent to the 1 air filtering;- means. to deodorizethe filtered; air;.-: eachlofnsaid chemical agents being 7 adapted to: permit; the passing of. air therethroughandtoabsorb and adsorb5specific gases-or odors more-.efiectiyely; a.

means-disposed subj acent to the chemical agents.- andadapted to be impregnated --with-.-. therapeutiealeingredientsto.fumigate the filtered and de: odorized air and adapted to. postfilter the. oxides on thechemical agents, therefrom-..

16-. In; a syringeof. the classdescribed, zanelongatedcylindrical body; having aplurality o-tlongitudinallyextending and alternating parallel channels-andridges; arr inlet: conduit. extending, longitudinally in each ridge, each inlet. conduit having an. open: top end; atv least. one. separate.

groupaof pluralityof outlets-in each ridge communicating. each inlet. conduit with at--. leastv one adjoining; channel; an outlet conduit inthelbody parallelto andsurrounded by the. channels; and. ridges,.said outlet conduit having. an-opentop. end; a. separate plurality of inlets. in the.v body communicating. .said outlet conduit. .with each .channeL.

.1.7. Inna therapeutic appliance. ofthe class. dc.-

scribed, a two-way syringe comprising an elongated cylinder-like body-portionhaving, a .con-

necting.,.endand separate. pluraliti'eseof, radially alternating corrugations. and. channels. extend.- ing.paralle1ly and longitudinally therein, .a-nddefiningthe. surface. thereof .a. tubular. inletv con duit extending longitudinally in:.-each:corruga.-

tion emerging. in, the connecting end. andv having.

aclosed lower end; a. tubular outlet.conduit.dis.- posed longitudinallyand.axially. in the bOdYePOI. tion emerging invthe connectingend thereof .,and

havingaclosed. lower end; a-plurality of orifices communicating eachv inlet. conduit with-at. least one of the twochannels astride each corrugation; and a separate plurality or orifices com municating the outlet. conduit witheach channel. 18. The structure defined in claim 17 inwhichthe'body-portion has, in addition, an orifice inthe lower end thereof communicating with the outlet conduit.

19. The structure defined in claim 17 in which the body-portion is provided with apluralityof webs spaced apart in each channel and integralv withthe surface of the body-portion, each. formdetachably attached to the syringe, said syringe comprising an elongated cylinder-like body-portion havinga. connecting end-and separate. pluralities of radially alternating, corrugationsand channels extending parallelly and longitudinally therein and defining the surface thereof; a tubular' inlet conduit extending longitudinally. in each corrugation emerging in. the connecting end-and having a closedlower. end; a tubular outlet con-.

duit disposed. longitudinally and axially in the body portion emerging in the connecting: end thereof and having a closed lower end; a plurality of orifices communicating each inletco-nduit with atleast one of the two channels astride each corrugation; a separate plurality of orifices com' municating the outlet conduitwitheach channel;

1 6 andesaid; eross.-head.- fitting. comprising :a .bodyportion including an inlet tubular: conduit; communicatingwith. allthe. inlet conduits in the.

body-portion, saidinlet conduit. hayingan en.-

- trant outlet conduit communicating with the.

outlet conduit in the body-portion and said-entrant outlet conduit havinga transparent ,shank adapted to be held in the palm of'the hand;

whereby maneuverably to apply to, and focalize the. syringe: of the. combination ina bodily lesion or cavity,- andwhereby to observe'the-pathologicalpeculiarities of the bodily secretions. or same flow therethrough in the.withdrawalthereof. 7

21. In; a. therapeutic-appliance of the .classdescribed for use incombination-witha suction.

means anda fluid. supply means,. a detachably combined two-way nozzle and a two-way crosshead fitting;.said two-way nozzle comprisingl ai. slender. bodyportion having an end adapted-ion detachable connection to said" twowaycross head fitting, an inlet conduit and'anoutlet-con.- duitextend-ing parallel from the detachableend throughout the major part of the body portion,

eachoonduit having. anorifice insaid detachable end-,.a-channe1 formed longitudinally in the outer. surface of the body-portion, on one side *thereof m'edially" between the conduits, a pluralityof orifices-leading fromthe. inletconduit to the. channel-,,.anda plurality of orifices leading from-said? channel-to the outlet conduit; and; said two-way. cross-head'fitting havingseparate inlet and outlet: conduits extending. therethrough. and communicating with the COIIESDOI'lCliHgg-T-GOHdHitS 0f. thenozzle, said-outlet conduit emerginggfrom the fitting in the form of a transparent tubular.-

shank adapted to communicate.- with the; suction means, and serving as a handle whereby tovapply' the nozzle; to a bodily 1esion,;or cavity, and,;.a-s

means for. observing-the fluids as same-are being." withdrawn through saidtransparent-shank", and said, inlet. conduit being adapted to communicate with the; fluid: supply means.

"22-. The structure defined. in cl'aim:-2.l,-. inwhich the body-portion, has a channel formediiongi tudina-lly in.- the" surface of said body-portion on both sidesthereof. medially between the-conduits.

. 23. Ina therapeutic; appliance of theclass-fie scribed,.-a two-way nozzle comprising anelongatedslender body-portion; aninlet conduit and;

anvoutlet-conduit extending in, parallel relationashipwith the bodyfrom one end throughoutthemajor. partv of the-.body portion, oneor more pockets formed inthe outer'surface of the bodyportion, a separateorifice leading through the body'portion from'the inletconduit to a point on-said surfaceadjacent to each: of said one or;

more pockets, anda separate orificeleading from. each; ofsaid one or more: pockets tothe. outlet conduit.

24. Inatherapeutic appliance of the class. de-

scribed for use in. conjunction with a, suction means-rand a fluid supply means; a detachabld combined. two-way nozzle and a two-waycrosshead *fitting, said two-way nozzle, comprisinga...

slender body-portion having. amend adapted; for

detachable. connection tov said two-way crosshead fitting, an inlet conduit and-anv outlet con-- duit extending adjacently in. the body-portion from the-lower endthereof, each-conduit having;

anorifice in the. detachable end, .one .or more,.

pockets formed in: the. outer surface of the body portion, .a. separate orifice, leading-throughsaid body portion from the inlet'cond-uit to a, point omthe: bod-y 'portion outer, surface. adjacent toya 1A7 separate orifice leadingfrom each of said one or more pockets to the outlet conduit; said two-way cross-head fitting having separate inlet and outlet conduits extending therethrough and communicating with the corresponding conduits of the nozzle, said outlet conduit emerging in the conduit being adapted to communicate with the fluid supply means.

25, In a device of the class described for use in combination with a suction means having a suction conduit and a fluid supply means, a detachably combined elongated two-way nozzle and a two-way cross-head fitting, said nozzle having inlet conduit means and outlet conduit means extending within the nozzle and in parallel relation with each other throughout the major portion thereof, said fitting being detachably connected to one end of said nozzle, said inlet conduit means and said outlet conduit means having orifices in said detachable end, depression means in the surface of the nozzle; orificial means leading from the inlet conduit means to the depression means; and orificial means leading from the depression means to the outlet conduit means; and said two-way cross-head fitting including inlet conduit communicating with the inlet conduit means of the nozzle, outlet conduit communicating with the outlet conduit means of the nozzle, said outlet conduit of the fitting emerging in the form of a transparent tubular shank, adapted to communicate with the suction conduit of a suction means, and adapted to be held in the palm of the hand to apply the nozzle to bodily lesions, or cavities, and to focalize said nozzle therein, and adapted for visually observing the bodily secretions for pathological peculiarities as same are being suctioned through said transparent shank while said shank is being held in the hand, and said inlet conduit being adapted to communicate with a fluid supply means.

26. In a therapeutic appliance of the class described, the combination and arrangement of a two-way-syringe and a two-way cross-head fitting detachably attached to the syringe, said syringe comprising an elongated cylinder-like body-portion having a connecting end and separate pluralities of radially alternating corrugations and channels extending parallelly and longitudinally therein and defining the surface thereof; a tubular inlet conduit extending longitudinally in each corrugation emerging in the connecting end and having a closed lower end; a tubular outlet conduit disposed longitudinally and axially in the body portion emerging in the connecting end thereof and having a closed lower end; a plurality of orifices communicating each inlet conduit with at least one of the two channels astride each corrugation; a separate plurality of orifices communicating the outlet conduit with each channel; and said cross-head fitting comprising a body-portion including an inlet tubular conduit communicating with all the inlet conduits in the body-portion, said inlet conduit having an entrant outlet conduit communicating with the outlet conduit in the body portion and said entrant outlet conduit having a transparent shank adapted to be held in the palm of the hand; whereby maneuverably to apply to, and fooalize the syringe of the combination in a bodily lesion or cavity, and whereby to observe the pathological peculiarities of the bodily secretions or fiuids'as same flow therethrough in the withdrawal thereof, each said channel having a plurality of spaced apart webs therein integral with the surface of the body-portion and forming pockets; at least one orifice communicating each pocket with at least one of the two inlet conduits provided astride each pocket and a separate orifice communicating the outlet conduit with each pocket.

27. In a device of the class described for use in conjunction with asuction means and a fluid supply means, a detachably combined elongated two-way nozzle and a two-way cross-head fitting, said nozzle shaving a plurality of angularly spaced longitudinally extending inlet conduits and longitudinally extending channels extending in the outer surface of the nozzle between each two adjacent inlet conduits; an axially concentric outlet conduit, each inlet conduit and said outlet conduit extending from. end to end of the nozzle, one end of said nozzle being detachably combined with the cross-head fitting; a plurality of orifices leading from at least one of each two inlet conduits adjacent each channel; a separate plurality of orifices leading from each channel to the outlet conduit; and said twoway cross-head fitting having an inlet conduit adapted to communicate with all the inlet conduits of the nozzle and with the fluid supply means at the upper end thereof, and an entrant outlet conduit adapted to communicate with the outlet conduit of the nozzle, said entrant outlet conduit emerging from the fitting in the form of a transparent tubular shank adapted to communicate with the suction conduit of the suction means, said shank being adapted to be held in the palm of the hand to apply the nozzle to bodily lesions, or cavities, and to focalize said nozzle therein, and adapted for visually observing the bodily secretions for pathological peculiarities as same are being suctioned through said transparent shank, while said shank is being held in the hand.

28. In a device of the class described, in combination, a two-way cross head fitting containing an inlet passage which at one end is adapted for connection to a fluid supply and an outlet passage which at one end is adapted for connection to a source of fluid suction, both. of said passages terminating in a common outlet end of the fitting, and a two-way nozzle consisting of a slender linear body containing inlet and outlet passages extending parallel throughout the major portion of the body, means on one end of the nozzle cooperable with the outlet end of the cross head fitting for detachably connecting the same to the cross head fitting whereby the inlet and outlet passages in the nozzle are in communication with the inlet and outlet passages in the cross head fitting, said nozzle having a first orifice extending transversely through a portion of the nozzle into the inlet passage to permit egress of fiuid from the inlet passage to a body cavity, a recess formed in the outer surface of the nozzle for collecting fluid from the body cavity, and a second orifice extending through a portion of the nozzle and connecting the interior of the recess with the outlet passage for conducting fluid from the recess to the outlet passage.

29. In a device of the class described, a twoway nozzle consisting of a slender linear body of substantially uniform diameter throughout

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