_Upper-lobe-bronchus Forceps_.--Foreign bodies rarely lodge in an
upper-lobe bronchus, yet with such a problem it is necessary to have
forceps that will reach around a corner. The upper-lobe-bronchus
forceps shown in Fig. 27 have curved jaws so made as to straighten out
while passing through the bronchoscope and to spring back into their
original shape on up from the lower jaw emerging from the distal end
of the bronchoscopic tube, the radius of curvature being regulated by
the extent of emergence permitted. They are made in extra-light
pattern, 40 cm. long, and the regular model 45 cm. long. The
full-curved model, giving 180 degrees and reaching up into the
ascending branches, is made in both light and heavy patterns. Forceps
with less curve, and without the spiral, are used when it is desired
to reach only a short distance "around the corner" anywhere in the
bronchi. These are also useful, as suggested by Willis F. Manges, in
dealing with safety pins in the esophagus or tracheobronchial tree.
[FIG. 21.--Tucker jaws for the author's forceps. The tiny lip
projecting down from the upper, and up from the lower jaw prevents
sidewise escape of the shaft of a pin, tack, nail or needle. The shaft
is automatically thrown parallel to the bronchoscopic axis. Drawing
about four times actual size.]
[36] _Tucker Forceps_--Gabriel Tucker modified the regular side-curved
forceps by adding a lip (Fig. 21) to the left hand side of both upper
and lower jaws. This prevents the shaft of a tack, nail, or pin, from
springing out of the grasp of the jaws, and is so efficient that it
has brought certainty of grasp never before obtainable. With it the
solution of the safety-pin problem devised by the author many years
ago has a facility and certainty of execution that makes it the method
of choice in safety-pin extraction.
[FIG. 22.--The author's down-jaw esophageal forceps. The dropping jaw
is useful for reaching backward below the cricopharyngeal fold when
using the esophageal speculum in the removal of foreign bodies.
Posterior forceps-spaces are often scanty in cases of foreign bodies
lodged just below the cricopharyngeus.]
[FIG. 23.--Expansile forceps for the endoscopic removal of hollow
foreign bodies such as intubation tubes, tracheal cannulae, caps, and
cartridge shells.]
_Screw forceps_.--For the secure grasp of screws the jaws devised by
Dr. Tucker for tacks and pins are excellent (Fig. 21).
_Expanding Forceps_.--Hollow objects may require expanding
forceps as shown in Fig. 23. In using them it is necessary to be
certain that the jaws are inside the hollow body before expanding them
and making traction. Otherwise severe, even fatal, trauma may be
inflicted.
[FIG. 24.--The author's fenestrated peanut forceps. The delicate
construction with long, springy and fenestrated jaws give in gentle
hands a maximum security with a minimum of crushing tendency.]
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