Cialis Generico En Mexico | OVERNIGHT Delivery!







































"SV 1>l Cialis Generico En Mexico bone. show- with ifcrior Fic. 9. — Details of applicatioo, show- ing the mechanism of clamping, with the new cleclrooperatiTc instrument, from the stiperior surface of the bone. 9i6 BATES: IMAGES REFLECTED FROM CORXEA, IRIS, LEA'S, AND SCLERA. [New York Medical Journal. bone, thus obviating the necessity of the separation of the soft parts from the bone fragments (Fig. 8), which is most desirable. The clamp is so devised tliat free access to the superficial portion of the bone is afforded for the implantation of an inlay bone graft or fixation splint of whatever kind the sur- geon is using. Furthermore the gripping claws are so formed and placed that they do not interfere with tlie operation of the author's twin saw (Fig. lo). The deep curve of the long arms of the clamp allows Fin. 10. — The field of operation with the clamp applied seen from aliove, showing the twin saw at work. Note that the clamps do not interfere in the slightest degree with the cutting instrument. the motor and the overhanging portions of the in- strument to be depressed below the level of the field of operation, out of the surgeon's way (Fig. lo). The swivel ball joint by which the claws are con- nected with the apparatus permits adjustment in any direction and to any size and shape of bone (C. Figs. 2 and 3). The arms of the instrument are de- tachable and can be applied to each fragment sep- arately and Cialis Generico En Mexico the clamp then put together somewhat in the manner of an obstetric forceps. All hand screws for opening and closing the clamps and ad- justing their arms lie in the same plane and close together, and are readily accessible to the operator and are not in the way of the motor during its use (Fig. 2-6;. After the removable arm Cialis Generico En Mexico has been ap- plied to Cialis Generico En Mexico its appropriate bone fragment it is adjusted to the body of the instrument by a simple mechanism consisting of Cialis Generico En Mexico a receptive lock box in which it is re- tained by the hinged lid and held in place by Cialis Generico En Mexico a lock nut (Figs. 2-6). The instrument contains a reverse gear by which motive power can be instantaneously changed from right to left or the reverse, in order to widen or diminish the distance between the frag- ments (Fig. 3). The clamp is so constructed that it can also be operated by hand in case the surgeon docs not possess the Albee electro operative motor outfit. (The motor manufactured by Kny-Scherer Co. possesses the proper coupling device.) Tcchnic of application and use of the motor bone clamp. — (Fig. 2-6) After incision and superficial separation of the soft tissues have accomplished suf- ficient exposure of the fragments, the clamp is ap- plied directly to them from above as follows : Application. — The removable arm (OO) is de- tached from the instrument, Cialis Generico En Mexico or not, as seems best, and applied to either the proximal or the distal fragment, after which it is inserted in the lock box ( K) and fastened by turning the lock nut (N). By means of the lever lock (D) Cialis Generico En Mexico the ball and socket claw (I') is loosened so that it will adapt itself to the continir of the fragment to be grasped however irregularly shaped it may be. The fixed arm (O) attached to the clamp is then applied Cialis Generico En Mexico to the other fragment. After the rigid claws (c) of both arms are in proper position, the swivel ball joint claws (B) are made to grip the bone by the hand screws (P) and are then locked by moving the lever locks ( Dj. The motor is then attached to the instrument by means of its shaft (Fig. 5). Use. — The motor is now put in operation and when the desired amount of distraction has been se- ,