=Brunetti Chisels.= (See Fig. 15.) These are of great service in
opening the spinal canal, but require some practice for their proper
use. When used with skill they are preferable to the rhachiotome.
The chisels are rights and lefts, and have a long, heavy, curved
blade, broadening toward the cutting end, which has on its right or
left side a small blunt projection that is introduced into the spinal
canal after the removal of a portion of one of the vertebræ. This
projection serves as a director and lever, while the cutting edge
of the chisel is driven through the lateral portions of the bony
covering of the canal by means of blows from a wooden mallet received
upon the heavy handles.
[Illustration: FIG. 6—Enterotome]
=Hammer.= (See Fig. 16.) The steel hammer of the amputation- or
bone-sets is often of great service in autopsy work. The hook at the
end of the handle may be used to lift up the skull-cap after the
sawing is completed.
=Mallet.= (See Fig. 17.) A wooden mallet is necessary for the use of
the Brunetti chisels. It may be loaded with lead or the end may be
covered with felt to deaden the sound of the blows.
=Forceps.= (See Figs. 18, 19, 20.) _Dissecting forceps_ of various
types are useful in the finer dissections. _Cover-glass forceps_
should be at hand for use in the taking of smears. A pair of strong
_bone-forceps_ may be of occasional service in cutting ribs or small
bones. When the spinal canal is opened by means of the Brunetti
chisels or rhachiotome the loosened fragments of the vertebræ should
be jerked off by means of lion-forceps, or a strong pair of ordinary
nippers may be used for the same purpose.
[Illustration: FIG. 7—Costotome]
[Illustration: FIG. 8—Large Autopsy Saw]
=Miscellaneous Instruments.= (See Figs. 21, 22, 23, 24, 25.) Probes
of various sizes, grooved and curved directors, retractors,
catheters, both metal and flexible, injection-syringe, blow-pipe
with valve, trocar, cannulas, hand-drill for wiring bones, an
iron-vise, etc., all find a place of usefulness in autopsy technique.
In institution work motor band-saws, trephining or dental engines,
drills, etc., may greatly facilitate the progress of autopsies when
the daily number of these is great and when special examinations of
the ear or nose are required. The needles for sewing up the incisions
should be large, strong and slightly curved. A strong linen thread
should be used for stitching and for ligatures.
[Illustration: FIG. 9—Small Autopsy Saw]
[Illustration: FIG. 10—Hey’s Saw]
[Illustration: FIG. 11—Luer’s Rhachiotome]
[Illustration: FIG. 12 T-Chisel or Skull-Opener]
[Illustration: FIG. 13 Hatchet-Chisel]
[Illustration: FIG. 14 Straight Bone-Chisel]
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