Plastic and cosmetic surgeryKolle, Frederick Strange
Science
Plastic and cosmetic surgery
Kolle, Frederick Strange
Surgery, Plastic
=Cell Selector.=—The physician may do without such a rheostat and use a
cell selector with the object of adding one or more cells to the circuit
at will. Such instrument is composed of a marble or wooden base with a
number of disks upon it, each disk representing a cell of the battery. A
metal arm is made to slide over these disks, and as it advances over each
disk the current from that cell is added to the circuit. It may have a
second arm which is used to cut out the current from the cell or cells at
the beginning of the circuit—in fact, will permit of the selection of any
cell in the circuit by proper manipulation. Such a selector is shown in
Fig. 505.
[Illustration: FIG. 505.—CELL SELECTOR.]
The connection of the cells of the battery when a selector is used
varies from that just mentioned. The proper wiring with the disks of the
Selector is shown in Fig. 506.
[Illustration: FIG. 506.—CELL SELECTOR AND BATTERY ARRANGEMENT.]
=Milliampèremeter.=—The fact that a proper resistance has been forced in
circuit is not alone sufficient to permit of the proper use of current
for electrolysis. A measuring device should be included, as has been
referred to and called the Milliampèremeter or Milliammeter. It is shown
in Fig. 507.
[Illustration: FIG. 507.—MILLIAMPÈREMETER.]
The method of connecting this instrument in series with the current from
the rheostat has been shown in Fig. 509.
=The Electric Current.=—Where the operating room of the physician is
provided with street current it will be found more economical and
cleaner to use that current for this purpose.
Usually the direct current is furnished of a voltage varying from 100
to 125 volts. To utilize such a current a wall plate is employed and
connected to the circuit, as shown in Fig. 508. The resistance of an
electric lamp is added to guard against injuring the patient if by any
accident or negligence the circuit has been improperly closed.
[Illustration: FIG. 508.—DIRECT CURRENT SWITCH BOARD OR WALL PLATE.]
Whether the street or battery current is used with such a plate makes no
difference except that with a battery circuit the lamp is not used. The
connections are given in Fig. 509.
[Illustration: FIG. 509.—WALL-PLATE CONNECTIONS.]
It will be observed that a current changing switch has been added to the
wall plate. This is included in the circuit to permit of changing the
poles to the patient without interfering or disconnecting the electrodes
if desired at any time during treatment.
=Portable Batteries.=—The above instruments and circuits refer to those
to be used in the operating room and are stationary. The physician may be
called upon to treat a patient at a distance and for this purpose must
have a portable battery.
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