U.S. patent number 3,834,393 [Application Number 05/377,301] was granted by the patent office on 1974-09-10 for veterinary surgical tool for enlarging the pelvic girdle of a heifer during parturition.
Invention is credited to Robert B. Goggins.
United States Patent |
3,834,393 |
Goggins |
September 10, 1974 |
VETERINARY SURGICAL TOOL FOR ENLARGING THE PELVIC GIRDLE OF A
HEIFER DURING PARTURITION
Abstract
A veterinary tool facilitating sectioning of the pelvic floor of
a heifer to remedy dystacia in parturition of a heifer comprises an
elongated shank having a hook-shaped section at a forward end and
an abutment flange at a rearward end. A slidably impact weight is
mounted to the shaft forward of the abutment flange. The
hook-shaped section includes a rearwardly facing, angularly
projecting knife edge and a forwardly projecting blunt point. A
portion of the shank is polygonal in cross-section and extends
through a complementary opening within the impact weight. This
relationship provides for longitudinal movement of the impact
weight along the shank but prevents angular movement of the shank
and weight relative to one another facilitating manual angular
alignment of the knife edge by turning the weight about the shank
axis. The impact weight may be forcibly moved longitudinally along
the shank to strike the abutment flange creating a reaction force
sufficient to pull the knife edge rearwardly to section the pelvic
floor of the heifer and thereby allowing enlargement of the
transverse diameter of the pelvic girdle.
Inventors: |
Goggins; Robert B. (Ennis,
MT) |
Family
ID: |
23488552 |
Appl.
No.: |
05/377,301 |
Filed: |
July 9, 1973 |
Current U.S.
Class: |
606/84; 30/277;
606/100; 606/79 |
Current CPC
Class: |
A61B
17/1604 (20130101); A61B 17/42 (20130101); A61D
1/08 (20130101); A61B 2017/922 (20130101) |
Current International
Class: |
A61B
17/16 (20060101); A61D 1/00 (20060101); A61B
17/42 (20060101); A61D 1/08 (20060101); A61B
17/92 (20060101); A61B 17/88 (20060101); A61b
017/32 (); A61b 017/42 (); A61d 001/08 () |
Field of
Search: |
;30/277
;128/305,361 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Pace; Channing L.
Attorney, Agent or Firm: Wells, St. John & Roberts
Claims
What I claim is:
1. A veterinary surgical tool for performing a sagittal section
through the pelvic floor of a heifer to allow enlargement of the
pelvic girdle during parturition, comprising:
an elongated shank having a sufficient length between a forward end
and a rearward end to allow insertion of the forward end through
the pelvic girdle with the rearward end extending rearwardly clear
of the heifer;
a hook-shaped section of the shank located at the forward end
having a rearwardly facing surface formed thereon for engaging an
anterior portion of the pelvic floor along a sagittal plane;
a knife edge formed along the rearwardly facing surface protruding
radially outwardly from the shank a distance substantially equal to
the vertical thickness of the pelvic floor;
an abutment flange fixed to the shank adjacent the rearward
end;
impact means operatively connected to the shank for manual
longitudinal movement along a longitudinal shank axis and for
forcible impaction against the abutment flange to create a reaction
force against the shank directed rearwardly along the shank axis
sufficient to draw the knife edge rearwardly through the pelvic
floor, thereby effecting a sagittal section of the pelvic floor and
allowing enlargement of the pelvic girdle; and
aligning means operatively interconnecting the shank and the impact
means for maintaining the impact means and shank in angular
alignment with each other to enable an operator to manipulate the
knife edge angularly about the longitudinal shank axis by angularly
rotating the impact means about the longitudinal shank axis, and to
maintain the knife edge in a fixed angular orientation when the
impact means is held angularly stationary thereby enabling the
operator to accurately position the knife edge against the pelvic
floor and to hold that position during the sectioning
operation.
2. The tool set out in claim 1 wherein the impact means comprise an
elongated weight slidably mounted to the shank forward of the
abutment flange, and wherein the aligning means comprises a
continuous polygonal shank periphery formed along the shank and
extending through a complementary polygonal opening formed
longitudinally through the weight, the polygonal opening of the
weight being of sufficient size to prevent the shank and weight
from rotating angularly relative to each other about the
longitudinal shank axis.
3. The tool set out in claim 1 wherein the knife edge forms an
acute angle with a portion of the longitudinal shank axis extending
rearwardly from the forward end.
4. the tool set out in claim 1 wherein the hook-shaped section
includes a forwardly blunt projecting point for pushing tissues
aside without cutting or puncturing the urethra and urinary bladder
as the forward end is inserted and directed along the pelvic floor.
Description
BACKGROUND OF THE INVENTION
The present invention relates basically to the field of veterinary
surgical tools for use in assisting parturition in cattle and more
particularly to such tools utilized for sectioning the pelvic floor
to allow the pelvic girdle to be enlarged transversely.
Although normal parturition without complications in mature cattle
is common, dystocia or difficult birth is more frequent among
younger heifers. Further, larger calves are being produced due to
improved breeding techniques such as artificial insemination. The
difficult delivery must be effected either by way of Caesarean
section or by enlarging the pelvic girdle. Obviously, the Caesarean
section involves a certain degree of danger to the dam as well as
expense to the rancher since he must utilize the services of a
veterinarian.
The other method of enlarging the pelvic girdle commonly involves
the severing of the pelvic floor by use of an ordinary hammer and
chisel. A veterinarian usually inserts the chisel along the vaginal
tract of the dam, positioning it with the edge against the ischium,
which is the anterior bone of the pelvic floor. As assistant,
usually the rancher, then pounds the sharp edge of the chisel
through the pelvic floor to separate the lateral sides of the
pelvic girdle to thereby enable the pelvic girdle to be enlarged
transversely and allow passage of the calf therethrough. Obviously
the use of the hammer and chisel presents several difficulties, the
first being discomfort to the dam. Further, inaccurate positioning
of the chisel against the pelvic floor can result in damage to the
nervous system of the dam by accidently severing nerves adjacent
the area. For these reasons such a technique is seldom used.
It is therefore a first object of my invention to provide a
surgical tool for effecting a sagittal section of the pelvic floor
without danger of unnecessarily wounding the dam or fetus.
Another object is to provide such a surgical tool that can be
operated by one man.
An additional object is to provide such a surgical tool that
includes a blunted point which, upon insertion, pushes tissues
aside rather than cuts through, thereby decreasing danger of
infection due to damaged tissues.
A further object of my invention is to provide such a tool which
will quickly and relatively painlessly section the pubic floor to
facilitate transverse enlargement of the pelvic girdle.
Another object is to provide such a tool that is simple in
construction and easy to manufacture.
These and other objects and advantages will become apparent upon
reading the following description, which taken with the
accompanying drawings describe a preferred form of my
invention.
A BRIEF DESCRIPTION OF THE DRAWINGS
A preferred form of the invention is illustrated in the
accompanying drawings in which:
FIG. 1 is an isometric view of the tool;
FIG. 2 is a cross sectional view taken along line 2--2 in FIG.
1;
FIG. 3 is a sectioned view taken along line 3--3 in FIG. 1;
FIG. 4 is a bottom plan view of the forward end of the tool;
FIG. 5 is an elevational view of the forward end as seen from the
top in FIG. 4;
FIG. 6 is a view of the pelvic bones of a heifer as seen from the
front and somewhat from below;
FIG. 7 is a lateral sectional view of the pelvic bones shown in
FIG. 6 illustrating the operation of the tool; and
FIG. 8 is a schematic operational view of the tool illustrating a
lateral anterior section through a heifer during parturition.
DETAILED DESCRIPTION OF A PREFERRED EMBODIMENT
The apparatus of the present invention is illustrated in the
accompanying drawings as generally designated by the reference
numeral 10. The tool comprises an elongated shank 11 having a
forward end 12 and a rearward end 13. The forward end of the shank
includes a hook shaped section 14. Section 14, as shown in FIGS. 4
and 5, includes a forwardly projecting point 17 and a
rearwardly-facing knife edge 18. The knife edge 18 extends radially
outward and rearward from the forward end 12 at an acute angle to
the shank 11. The knife edge 18 extends outwardly a predetermined
distance which will be discussed in greater detail below.
The rearward end 13 includes a radially projecting abutment flange
23 rigidly fixed to the shank 11. The abutment flange 23 is
operatively associated with an impact means 26 which generally
comprises a longitudinally slidable weight 27 mounted to the shank
11. As shown in FIG. 2, the weight 27 includes a polygonal axial
opening 31 extending longitudinally therethrough and slidably
receiving a complementary polygonal periphery 32 of the shank 11.
The complementary shapes of the opening 31 and the cross sectional
periphery 32 of the shank 11 defines an aligning means 28 which is
utilized to provide accurate control of the angular position of the
knife edge about a longitudinal axis passing through the shank 11.
This feature is evident in FIG. 2 wherein the opening 31 is
illustrated as being slightly larger than the polygonal cross
section 32 of the shank 11. Such a relationship allows free
longitudinal movement of the shank and weight relative to one
another but prevents relative angular rotation of the shank and
weight about the longitudinal axis of the shank. Therefore, by
turning the weight 27 about the longitudinal axis, the shank and
knife edge will be turned accordingly.
Referring now to FIGS. 6 and 7, the pelvic bones of a heifer are
illustrated in detail. The pelvis is generally designated by the
reference numeral 33 and comprises a series of bones forming a
longitudinal opening or pelvic girdle 36. The bones forming the
pelvic girdle are the ilium 37, the ischium 41, and the pubis 42.
The three bones unite at the acetabulum 38 to form the socket for
the hip joint. The pubis 42 and ischium 41 are firmly joined
together along the symphysis pubis 43 to form the pelvic floor 47.
The ischium 41 and pubis 42 also define the obturator foramen 46
through which various arteries and nerves pass into the hind legs
of the heifer.
The most desirable location to effect a section through the pelvic
floor is along the symphysis pubis or closely adjacent thereto.
This location is desirable since various arteries and nerves pass
through the obturator foramen on either lateral side of the
symphysis pubis.
Insertion and relative positioning of the forward end 12 of the
tool 10 is illustrated in FIG. 8 to effect a sagittal resection
closely adjacent the symphysis pubis 43. Insertion of the tool 10
is initiated through the soft tissues of the vulva 51 where,
because of the external position, the puncture wound will heal
rather quickly. After insertion through the vulva 51, the tool is
directed forwardly with the vagina 52 and urethra 56 on the dorsal
side of the shank, and the dorsal side 53 of the pelvic floor 47 on
the ventral side of the shank 11. The knife edge 18 is held
substantially horizontally as the forward end 12 is inserted over
the pelvic floor 47.
The blunt point 17 and a corresponding forwardly facing dull edge
20 of the knife edge 18 are important features of the present
invention in that they serve to push surrounding tissue aside
rather than cut, thereby greatly reducing any chance of damaging
any surrounding tissues, especially that of the urethra 56 and
urinary bladder 57.
Once the forward end 12 has reached the point adjacent the anterior
side of the pubis 42, the blunt point 17 serves to push the bladder
57 slightly forwardly. The knife edge may then be rotated
downwardly and aligned with the symphysis pubis by turning the
weight 27 about the longitudinal axis of the shank 11. When the
knife edge reaches the desired angle, the user holds the knife edge
in that particular angular orientation simply by holding the weight
27 angularly stationary about the longitudinal axis of the shank
11. He then moves the weight 27 quickly and forcefully from a
position toward the front end 12 of the shank 11 rearwardly toward
the abutment flange 23.
A substantial reaction force is created as the weight 27 strikes
the abutment surface 23. The force has a rearward direction coaxial
with the longitudinal axis of the shaft 11 and is sufficient to
pull the knife edge 18 rearwardly through the pelvic floor 47 to
quickly and evenly section the ischium 41 and pubis 42 along a
sagittal plane through or closely adjacent the symphysis pubis
43.
As noted in the drawings, the knife edge 18 extends outwardly from
the shaft 11 a distance substantially equal to the vertical
thickness of the pelvic floor 47. This feature is very important in
that during the sectioning operation, the knife edge 18 is
positioned so that it is drawn only through the bones forming the
pelvic floor 47. The shaft section rearwardly adjacent the knife
edge is also important during this operation in that it slides over
the dorsal side 53 of the pelvic floor 47 to prevent the knife edge
18 from moving downwardly past the ventral side 50 as it passes
through the pelvic floor 47.
The primary advantage of the present invention over the prior use
of a hammer and chisel is that the section is completed in an
outward movement of the knife edge 18 with virtually no possibility
of injuring the fetus, where the process utilizing a hammer and
chisel involves severing the pelvic floor inwardly from a posterior
position. Once the chisel has passed through the bone, it is a
distinct possibility that it could continue forwardly with
sufficient force to pierce the urinary bladder 57 and wound the
fetus 58.
It may become obvious from the above description and attached
drawings that various changes and modifications may be made therein
without departing from the scope of this invention. Therefore, only
the following claims are intended to define this invention.
* * * * *