Whatever their mechanical perfection, artificial hands can, in fact,

possess but one useful quality, that of seizing objects like pincers.

In nearly every act performed by the natural fingers are combined

flexion, extension, prehension, and many other different movements; this

combination no mechanic has ever been able—and probably none ever will be

able—to successfully reproduce in an artificial hand. It is, therefore,

practically useless that the fingers should be movable, since a less

complicated, lighter and stronger hand can be made with fingers rigid,

in a half-closed, natural position, articulating the thumb only, which

results in a more powerful spring and consequently a greater degree of

firm grasping power. The fingers being strengthened with steel plates

running through them, reinforced with a covering of rawhide, and securely

fastened to the hand, heavy objects may be lifted without danger of the

fingers straightening out and the object dropping to the ground.

While we furnish the hand with movable fingers, and the rubber hand

with ductile rubber fingers, the wooden hand with rigid fingers and

movable thumb is recommended as giving the most practical, durable, and

satisfactory service.

_The Color_

Artificial hands are covered with a delicately tinted enamel, as nearly a

flesh color as it is possible to make; but in order that they may be less

conspicuous and the illusion more complete a glove should be worn at all

times. We furnish a pair of gloves with each hand.

_Tools and Implements_

Tools and implements in almost limitless variety can be used in an arm

in place of the hand. Those most frequently used are the plain hook,

double hook, ring, knife, fork, brush, and spoon. People who have never

worn arms hardly know what will be of service to them. Special tools

are required for special work, and these can be subsequently provided

when it has been determined what will be most useful. With all arms with

detachable hands, or rubber hands with the palm socket, we furnish a

plain hook, knife, fork, and brush, without extra charge, or the price

of any of these implements that are not wanted will be deducted from the

price of the arm.

_Finger Construction_

Usually the fingers for artificial hands are made of a single piece

of wood, and it is obvious if the finger is curved or flexed that at

some point the grain of the wood will be directly across the finger and

will quickly break if subjected to any considerable strain. To obviate

this difficulty we make the fingers for the wooden hands of two pieces

of wood; on one side the grain or fibre runs lengthwise, and on the

other crosswise, and between these two pieces of wood is placed a steel

plate, and all are firmly riveted together, the steel plate projecting

sufficiently to be securely riveted to the hand. The fingers are next

entirely covered with rawhide, which, together with the other precautions

taken against breakage, make them sufficiently strong to support the

weight of the wearer. See No. 300, page 64.

_Partial Amputation of Hand_

No. 301 (page 64) represents a stump after partial amputation of the

hand, leaving free use of thumb, but it is with difficulty that this

can be brought in contact with the remaining stump so as to be of

service. No. 302 represents, for stumps of this description, a wooden

sheath, terminating in immovable fingers partially closed, the hand

being attached to the wrist and forearm by means of a leather lacing

attachment. The sheath is covered with rawhide and enameled, and the

fingers made as shown in No. 300. Price $40.

Should there be amputation at the base of two or three fingers only,

with no impairment in the movements of the remaining one or two, so that

they can be brought in firm contact with the thumb, what is left of such

a mutilated hand is far more useful than anything that can possibly be

made to supplement it, but to conceal the loss and give the hand a more

perfect appearance, fingers can be made and applied as represented by No.

302, over which a glove should be worn.

Nos. 303 and 304 (page 64) show an apparatus useful in all kinds of labor

for persons who have undergone a partial amputation of the hand. It

consists of a leather sheath, laced to the forearm. Attached to the under

surface of this sheath is a steel plate, which extends downward under the

stump, turning up slightly at the end. At the end is an aperture through

which it is possible to slip the handles of tools and implements, passing

them beneath the stump, where they are securely held in place by pressure

of the stump. Price $20.

[Illustration: 300 301 302 303 304 305 306 307 308 309 310 311 312 313

314 316 317]

No. 305 represents a stump after an amputation of all the fingers and

thumb, and No. 306 an artificial wooden hand for same, with stationary

fingers and articulated thumb with a powerful spring to be opened with

the assistance of the sound hand. Price $40.

_Rubber Hand_

With the assistance of the other hand, or by pressing against some

resisting body, the ductile rubber fingers of the hand No. 307 may be

changed in position to suit the needs of the wearer as shown by the

dotted lines in the illustration. For those who prefer the rubber to the

wooden hand it will be furnished with any of the arms we make. It can

be attached permanently to the forearm, detachable at the wrist, with

provision for using a hook of other implement in place of the hand, or

furnished with a palm socket and lock for the use of hook, knife, fork,

etc., without removing the hand. See No. 308.

_Connections_

No. 309 represents a new method for connecting the hand and arm.

Heretofore the devices in use could not be absolutely relied upon to keep

the hand or tools in place. It mattered not how strongly the fingers were

made for lifting heavy weights, the customary spring or set-screw used

for locking this connection was liable to loosen or give way without

warning and cause much annoyance, if not injury. On the hand plate two

studs are riveted, the heads of which pass into keyholes in the arm

plate. With a slight turn of the hand the heads pass into the slots of

the keyholes, bringing the heads of the studs under the arm plate; they

are kept immovable with a spring that automatically slips into a slot in

the edge of the plate; the spring is released by a pressure of the thumb

of the sound hand in twisting the artificial hand off. The hook and other

tools have a lug at the end of the spindle or shank; after passing the

shank through the hole in the center of the arm plate, it is turned to

any desired position and held firmly in place with the wing nut, as shown

in No. 310.

[Illustration: 318 319 320 321 322 323 324 325]

_Some of the Implements_

Some of the implements that may be attached in the wrist plate when the

hand is removed are also shown in the illustration. All excepting the

brush are made of steel, or other suitable metal.

No. 310—Single Hook Price $1.00

No. 311—Brush ” 1.00

No. 312—Spoon ” 1.00

No. 313—Table Knife ” 1.00

No. 314—Table Fork ” 1.00

No. 316—Double Hook ” 3.00

No. 317—Ring ” 2.00

Special knife, fork, brush, and hook will be made for use in the palm of

rubber hand, No. 308, without additional charge. Other tools, such as

pincers, claw hook, clevis, etc., will be made to order when desired.

_Wrist Joint Amputations_

These usually leave a stump somewhat larger at the end than immediately

above (see No. 318, page 64), thus providing a means of securely applying

the arm and keeping it in place without the necessity of attachment above

the elbow, as shown in No. 319.

Attachments above the elbow may, however, be put on if thought best, and

for amputation at or a short distance above the wrist it is preferable

to make the connection at the elbow with leather straps, as shown in No.

320, rather than with steel joints.

The socket of any arm for amputation between wrist and elbow will be made

to lace if desired.

PRICES, NOS. 319 AND 320 (See page 66)

With wood or rubber hand, permanently attached to forearm,

no provision for tools, and without attachment above

the elbow $30.00

The same with attachment above the elbow 35.00

Rubber hand, not detachable at wrist, but with palm socket,

including knife, fork, hook, and brush, without attachment

above the elbow 35.00

The same with attachment above the elbow 40.00

With wood or rubber hand, detachable at the wrist, including

knife, fork, hook, and brush, without attachment above

the elbow 40.00

The same with attachment above the elbow 45.00

No. 321 represents arm for amputation below the elbow, leather socket

and leather lacer above the elbow, both reinforced with steel frame,

connected at elbow with steel joint straps.

No. 322 is a detachable wooden hand, with rigid fingers and movable

thumb. A traction rod for opening the thumb with motion of shoulder is

shown in the illustration; a web strap is buttoned to the upper end of

the traction rod and passes over opposite shoulder, as shown in No. 326,

page 70. Any motion of the shoulder that will draw on this rod will open

the thumb, and when the tension is released a strong spring in the thumb

brings it back in contact with the first finger. For single amputations

there is little or no advantage in having this attachment put on; it

necessarily requires more complicated and expensive mechanism, without

any practical gain to the wearer. For double amputations something

of this kind must be depended upon for assistance, and to obtain the

greatest benefit from artificial arms, means similar to this for

operating the movement of the thumb are absolutely required. One or more

movable fingers in conjunction with the thumb may be operated in the same

manner.

PRICES, NO. 321

Including Plain Hook, Knife, Fork, and Brush

Arm without hand, used as a peg arm; a hand may be

subsequently applied $25.00

Arm with wooden or rubber hand, detachable at wrist 50.00

Arm with wooden hand and traction rod for opening thumb from

shoulder 60.00

_Ball-and-Socket Wrist Joint_

No. 323 represents arm with ball-and-socket wrist joint for amputation

below the elbow, but not suitable for an amputation near the wrist for

the reason that the space in that locality is required for the mechanism

of the joint. In the various uses to which an artificial hand may be put,

a change in the position of the hand is often desirable; for example,

in keeping a book or paper in position while being written upon with

the sound hand, the artificial hand can be turned so that the tips of

the fingers will rest upon and hold the article securely in place. In

bringing the arm in front of the body the ball-and-socket joint admits

of the hand being brought near to the body in a very easy, lifelike

manner. In other positions desired the hand may be placed at the degree

of flexion most convenient and helpful and that giving the most natural

appearance. No. 332, on page 72, gives an illustration of the details

of the joint. The forearm and attachment above the elbow are leather,

supported with steel framework same as No. 321. Wooden hand with movable

thumb is furnished with or without traction rod for opening thumb with

shoulder movement, but no provision is made for the use of a hook or

other implement in place of the hand. A rubber hand with palm socket for

implements can be attached if preferred, but is somewhat heavier. For

persons not employed in laborious occupations and who have no occasion

to use a hook or similar implement, this style of arm is desirable; for

others we would recommend No. 321.

PRICES, NO. 323

Without traction rod for opening the thumb $50.00

With traction rod attachment for opening thumb by shoulder

movement 60.00

_For Deformed Arm_

No. 324, page 66, represents irregularly formed forearm and hand, the

forearm being considerably shorter than the opposite one. No. 325

represents artificial arm and hand made to supply the deficiency. The

hand may be wood or rubber and detachable or not at the wrist, and

provision made for the use of implements the same as in case of an

amputation. These malformations are treated mechanically the same as

amputations. Plaster moulds or casts of the deformed parts are required,

together with measurements of the opposite arm and hand.

PRICES, NO. 325

With wood or rubber hand $50.00

With wooden hand, thumb opened by movement of shoulder 60.00

_Manner of Attaching Arm and Straps_

No. 326 illustrates arm for amputation below the elbow, equipped with

shoulder cap, strap passing around body for holding it in place, and the

attachment for opening the thumb by movement of the opposite shoulder. If

thumb is to be opened with the assistance of the sound hand, this extra

strap and traction rod are omitted.

[Illustration: 326]

_Arm for Amputation above the Elbow_

No. 327 on the next page represents a wooden arm for amputation above

the elbow, fitted with cord for raising forearm and locking it at right

angles. This is operated as shown in No. 330, while the mechanism is the

same as shown in detailed drawing No. 332. Wooden or rubber hand No. 328

is furnished permanently attached or detachable, but this arm may be used

as a peg, without hand, hook No. 310 or other implement being used in

place of the hand. It can also be made as a peg without a joint at elbow,

straight or curved to any desired angle.

PRICES, NO. 327

Including Hook, Knife, Fork, and Brush

Without elbow joint or hand $30.00

Without hand, but with elbow joint without gearing for

raising forearm 35.00

Without hand, but with elbow joint with gearing for raising

forearm 40.00

With wooden or rubber hand permanently attached, without the

implements and without gearing for raising forearm 50.00

With gearing for raising forearm 60.00

With detachable wooden or rubber hand, including implements,

without gearing for raising forearm 60.00

With gearing for raising forearm 65.00

_Manner of Attaching_

No. 330 represents the corset that is used with arms for upper

amputation. The arm is laced or buckled to the corset, and draught cord

in the back is for raising the forearm by a shrug of the shoulders.

_Ball-and-Socket Wrist Joint for Amputation above the Elbow_

No. 331 represents wooden arm for amputation above the elbow, with

ball-and-socket wrist joint. An explanation of the ball-and-socket

wrist for amputation below the elbow is given on page 69 under No. 323.

The joint is universal and admits of placing the hand in any position,

as shown by dotted lines. This is kept in place by spring friction on

the ball. The wrist cannot be made quite the natural shape—that we are

able to produce without the ball-and-socket joint; but this must be,

necessarily, round. This part, however, is usually covered with the cuff

or sleeve and is not conspicuous.

[Illustration: 327 328 329 330 331 332 333 334 335]

No. 332 is a sectional view of the arm and hand. A forward impulse of

the shoulder and stump causes traction of the cord, moving the geared

segment wheels so as to raise the forearm to any degree of flexion, when

it is retained in position by means of a latch passing through a spring

post and locking automatically. The wearer is enabled to conveniently

carry a coat, shawl, basket, etc., on the artificial arm. A pressure on

the button underneath the arm releases the lock, and the forearm is again

under control of the stump and shoulders. The spring in the hand is for

keeping the thumb in position and is the same as we put in all hands with

movable thumb.

PRICE, NO. 331

With wood or rubber hand $70.00

_Combination Table Knife and Fork_

No. 333, page 72, represents one of these useful implements, designed and

made expressly for those who have been deprived of the use of one hand,

and no such person can afford to be without one for a day. The blade is

thin steel, ground to a sharp edge and terminating in a fork. A rolling

motion will cut the food, and a twist of the hand will bring the fork

into position for use. No. 334 represents a leather sheath into which the

knife can be inserted.

PRICES, NOS. 333 AND 334

Redwood handle $0.60

Ebony handle .75

Bone handle 1.00

Ivory handle 3.00

Pearl handle 4.00

Sheath, extra .25

_Pocket Knife for One-armed Persons_

No. 335, page 72, represents a simple, serviceable knife that can be

operated quickly and conveniently with one hand. A pull of the thumb

opens the blade slot, the blade drops down and out and is securely

locked; invert the knife, with the blade up, and a pull of the thumb

allows it to drop back into the handle.

PRICES, NO. 335

Five and one-half inches long when opened $0.50

Nine inches long when opened 1.00

SUNDRIES

TRUSSES made to order with guaranteed success; hard rubber, celluloid,

leather, wire and elastic. All desirable styles are carried in stock.

Mechanical treatment of difficult cases of hernia a specialty. Truss

supplies and repairs. Send for truss catalogue.

ELASTIC STOCKINGS for varicose veins and weak or swollen joints. Send for

prices and directions for measurements.

ABDOMINAL SUPPORTERS AND OBESITY BELTS. Large variety in elastic and

non-elastic. Special supporters, our own pattern, for use after abdominal

operations.

DEFORMITY APPLIANCES for paralyzed and weak limbs made to order.

RAWHIDE JACKETS for curvature of the spine. These are light, rigid and

porous and a great improvement over the plaster or leather jackets.

TRICYCLES FOR CRIPPLES. Hand and foot power, with ball bearings and

rubber-cushion or pneumatic tires. We are special agents for these

machines, as we are for invalid chairs. Send for tricycle catalogue.

SURGICAL BANDAGES, SUSPENSORIES, UTERINE SUPPORTERS, ETC.

_Crutches and Crutch Supplies_

We sell only the best quality of these goods and such as can be

absolutely relied upon. Sent on receipt of price, or C.O.D. if order is

accompanied with a deposit of one dollar to cover express charges if for

any reason the crutches are returned to us. Special crutches will be made

to order for such as desire something different from the regular line,

but advance payment is required. Our crutch catalogue gives more complete

descriptions than the brief ones given here and will be forwarded to any

who apply for it.

[Illustration: 1 2 4 5 6 17 21 29 32 35 44]

No. 1—Spring top, socket and jaw bottom. Prices, per pair:

Rosewood or lancewood, $9.50; extra heavy, $10; rock maple, $7;

extra heavy, $8.

No. 2—Cow-horn top. Rock maple, cherry tops and hand rests.

Prices, per pair: Quality A, plain ferrule bottom, $2.50; extra

heavy, $3. Quality C, with No. 35 bottom, No. 32 cushion,

$3.75; extra heavy, $4.50.

No. 4—Plain Split. Rock maple, cherry tops and hand rests, no

ferrule at bottom. Price, per pair, $1.50.

No. 5—Padded top. Rock maple, cherry tops and hand rests.

Prices, per pair: Quality A, plain ferrule at bottom, $2.50;

extra heavy, $3. Quality B, No. 35 socket, No. 32 cushion,

$3.75; extra heavy, $4.50.

No. 6—Hard top, socket and jaw bottom. Prices, per pair:

Rosewood or lancewood, $9.50; extra heavy, $10; rock maple,

rosewood tops and hand rests, $7; extra heavy, $8.

No. 21—Socket and jaw bottom. Medium size, $2 per pair; large

size, $2.50 per pair. No. 44 jaws with flange bottom used

without extra charge.

No. 35—Sockets. Two sizes, $1 per pair.

No. 29—Pure gum white rubber cushions. Medium size, 50 cents

per pair; large size, 75 cents per pair.

No. 17—Rubber tips to slip on over end of crutches or cane.

Various sizes. Prices, three-eighths to one inch, 20 cents per

pair.

In corresponding, if the following questions are answered it will give

us a very good idea of your condition and will better enable us to judge

what will be suitable for you in the way of an artificial limb. Give

the number as it appears before the question and then the answer to the

question.

1. Your name

2. Post office

3. County

4. State

5. Age

6. Weight

7. Height

8. Occupation

9. Leg or arm amputated

10. When amputated

11. Right or left

12. Above or below elbow or knee

13. If above, give length from body

14. If below, give length from knee pan or elbow joint

15. What is condition of stump

16. Can you take any pressure on end of stump

17. Cause of amputation

18. Ever use an artificial limb

19. If so, what style and make, and how long

20. Was it satisfactory

21. If not, why

22. Have you one of our new catalogues

23. Would it be an inducement for you to give us an order if we

sent a man to take your measurements

24. If we did so, would you stand a part of the expense

25. Do you wish to work for a free artificial limb premium? If

so, we will send you particulars

Is there any special information you would like on the subject of

artificial limbs? If so, let us know what it is, and we will do the best

we can to enlighten you.

Date

Chasmar-Winchell New York and Pittsburg

The Making of a Man: Being a Description of Artificial Limbs and How They May Be Adopted by Those Who Have Suffered Loss of Their Natural Limbs · 第 3 / 3 段