At n.36. Adde these to chirurgions Instruments, ca.11. 12.
Head saw
This is the forme of Dr. Salmons
Head saw: the use is sometyme to give
vent throw the Cranium, whereby the
use of the Trepan is happily forborn.
And some time a small rugged peece
of the skull may so hang, that this
instrument may be used to saw it away.
se C.11. n.46. and 12. 9.
Cautery
This Instrument is
termed a
Cautery for
a Ranula; which is a desease or Tumour
vnder the tongue which corrupts the
speech: if it be any otherwise abated
except by the burning Iron, it will grow
againe. c.11 n.45.
Directory
The Instrument called a Directory;
it is a siluer probe, which must be soe
bent, that its fissure or hallowness which
it hath in the middle, as far as the end
of it, may be on the back side, or Gibbous part thereof; it is thrust into the
Yard, and doth most exactly shew the
Neck of the Bladder; vpon which an
Incision is made to take out the stone.
Dilator
A Dilatory or a dilator: it is an
Instrument used to enlarge a wound,
when Arrow heads, Bullets, or the like,
are to be taken out of the fleshy or
Brawney parts. Se an other fashion of
them ca.10. n.9.
Wound hook
The Wound Hook: It is used in all
such wounds where there may be some
peeces of Link of a Chaine or Maile,
or other like matter lodged therein, to
pull them out. It is called the Hook
Probe, and is used also in wounds made
with Gun shot.
Terebellum
This is an other forme of the Terebellum and contrary to that mentioned
Cha.11 numb. 33. and is by some
authors called the Terebellum of Hildanus, or Hildanus Wimble. It consists of three parts, the Piercer which
hath a screw at the end to bring forth
Bullets, or such like, out of a wound;
which hath an handle at the other end
to turn it about in the Inner case. The
Inner case, which hath saw teeth at
the bottom, that being fixed on the
bullett holds it fast from turning
while the piercer is screwing into it,
and the outer case, which is smooth
at bottom to goe into the wound to
search forthe Bullet and not hurt the
patient.
Scalpra
The Scalpra or Scraping Toole; it is to scrape or shave bones with all,
where there is occasion: of these Instruments there are severall bignesses, and
of diverse fashions, and according to the use they are for, those
for the head of one fashion, those for other bones of an other:
now every Rasping Instrument is made of most pure steele, that it
may have an edge that will perfectly rasp or scrap away. The auncients did fit proper hafts for euery
scraping instrument but our Modern Artists provide one handle of Wood or Bone or Ivory,
which they fasten to the Instrument by a screw. See c.11.40
and 12.3
Head Scalpra
The Hooklike Scalpra, or Head
Scalpra, without an Handle.
File
A File, this is a flatt and thin Instrument, and is used commonly for the
cleansing smoothing and makeing euen
the teeth.
Plyers
The Plyers; it is an Instrument to
take hold of any small thing, it will take
out an Arrow head in a wound, or the
head of any weapon that is hollow, for
the shanks being diuided in that hollowness will hold the Arrow head firm and
fast and so draw it out.
Screw plyers
The Pliers with a screw. It is an
Instrument haueing a screw runing
through its handles, or cross its shanks,
the end are in some sharp, and others
like the crows bill, or a little flatter.
The screw doth open or close the beaks
or points as you please to take hold of
the head of the weapon, though it be
buried in the flesh.
Hooks
These are Hooks screwed and to be
screwed into Handles, which are made
of various fashions according to the use
and place of application: but are neuer
to be used unless the child be dead;
nor then if Nature be able to expell, as
many tymes she is. Se ch.12 n.30.
Instrument
An Instrument to be put into an
handle to press
down the Dura Mater; it is used after
Trepanning of the scull, as often as you
dress the wound: wherein pressing it
down to the Dura Mater, that so the
matter may more easily be evacuated.
This Instrument must haue the end
round, smooth and polished.
Cataract needle
The cataract needle,
or a needle for
couching cataracts;
they are often made
of siluer, but those
made of steel are
much better; they are commonly kept
in a box of siluer, and fixt in an Handle
of Siluer:
a. the siluer case.
b. the needle fast and case of siluer.
c. the needle as it is fitted for the cure of the cataract (see cha.9. 185. 192) or suffusion.
d. the capsula or cover of the same being put into the case.
Scraping levitory
The Hollow
scraping Levatorie. It is of
singular use
after Trepanning to take away the
splinters and take away the inward
edges of the scull, least the little bits or
splints should hurt or prick any of the
membranes; it is smooth on the out side
and hollow within, that it may receiue
and hold whatsoeuer it shaves off, from
falling vpon the membrane. se c.11.
n.33.
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