CLOSE
Original image

6 Remarkable Medical Gadgets

Original image

Martha Mason of Lattimore, North Carolina, recently passed away at the age of 71. What makes her obituary different than the thousands of others that appear in newspapers each day? It's the fact that she spent 60 of those 71 years in an iron lung, after a 1948 polio attack left her paralyzed from the neck down. Mason, who graduated from Wake Forest University in 1960, used a voice-recognition computer to chronicle her life story in the 1994 autobiography Breath: Life in the Rhythm of an Iron Lung. Technology gave her the option to use a portable ventilator many years ago, but Mason preferred the protection of the metal cylinder that had been home to her for so many years. She didn't like the idea of tubes in her throat, incisions into her body, or the frequent hospital visits that would accompany the "improvement." mental_floss invites you to peek into the history of the iron lung and five other medical gadgets and gizmos which have aided both doctors and patients over the last century.

1. The Iron Lung

Dr. Philip Drinker of the Harvard School of Public Health developed the first "thoracic cage" that used vacuum cleaner blowers to alternate between atmospheric and sub-atmospheric pressure to force a patient to breathe. The machine, known as a Drinker Respirator, was originally intended as a pediatric-ward device to assist premature babies born with under-developed lungs. But when the dreaded disease known as polio began to spread in the United States, doctors found a second use for the device. Polio frequently paralyzed patients' diaphragms, rendering them unable to breathe on their own. The Drinker Respirator was first used on a polio patient in 1928. Following its initial success, and with the disease affecting tens of thousands of Americans, demand quickly grew. The Warren Collins Corporation fine-tuned Drinker's design and mass-produced a similar device at a more affordable price; it was dubbed the Iron Lung. Cost and availability became pertinent factors in the early 1950s, when every American neighborhood seemed to have at least one polio patient in residence.

2. The Stethoscope

medinv2.jpgAs a young medical-school student in 19th-century Paris, Rene Theophile Hyacinthe Laennec developed a knack for hearing and interpreting the different sounds made by the heart and lungs when he placed his ear on patients' chests. This method only worked if the patient was sufficiently slender, of course. One afternoon, Laennec saw some children playing with wooden boards. One tyke would scratch or tap softly on one end, while another put his ear on the other end of the board to hear the sound. Laennec went back to his office - presumably after removing a splinter from the tyke's ear - and constructed a long tube out of several pieces of rolled-up paper. By placing the end of the cylinder directly on a patient's chest or back, he discovered that he could hear sounds much more clearly than before. After experimenting with different materials and designs, he came up with the stethoscope. In 1819, the medical community began to recognize the use of the gadget as a valuable diagnostic tool.

3. The Blood Pressure Cuff

medinv3.jpgHuman blood pressure was first recorded in 1847 by Dr. Carl Ludwig. Unfortunately, his method required the insertion of a catheter into an artery; not the most convenient procedure. Eight years later, Karl Vierordt discovered that the arterial pulse could be measured non-invasively by wrapping an inflatable cuff tightly around the upper arm and slowly releasing the pressure. The device was subject to regular improvements over the years, and in 1896, Scipione Riva-Rocci devised the first modern sphygmomanometer. He attached the inflatable cuff to a mercury-filled manometer (a device that measures liquid pressure), which provided an accurate account of the force of the blood as the heart tried to pump it past the restricting cuff and into the arm.

4. The Internal Thermometer

medinv4.jpgDaniel Gabriel Fahrenheit developed the first mercury thermometer back in 1720. Before his invention, thermometers relied on a mixture of alcohol and water. Unfortunately, these were too susceptible to air pressure to be of much use. Fahrenheit discovered that not only did mercury expand at a more constant rate than alcohol (providing more accurate results), but it also allowed for readings at much higher and lower temperature extremes. When first used for medical purposes, the typical thermometer was over a foot long and had to be held in place for 20 minutes to accurately determine a patient's temperature. In 1866, British physician Sir Thomas Allbut invented a six-inch bulb thermometer that could record a temperature in only five minutes.

5. The X-Ray Machine

medinv5.jpgGerman physics professor Wilhelm Conrad Roentgen was experimenting with cathode rays in his laboratory in November 1895 when he noticed that certain objects in the room began to glow. The humble scientist wasn't quite sure what his findings meant, and his only comment at the time was "I have discovered something interesting, but I do not know whether or not my observations are correct." Roentgen continued his experiments, and a month later, he presented an X-ray of his wife's hand to the Wurzburg Physical-Medical Society. (He'd named his new technology with an X, a variable scientists use to represent an unknown factor.) Roentgen won a Nobel Prize for his discovery, and "X-ray-mania" became a fad, Doctors and scientists joined in to take endless "pictures" of human bone structure. Department stores even took X-rays of customers' feet to fit them with the best possible shoes. The dangers of the technology weren't discovered and addressed until the one-two punch of serious X-ray burns and widespread cancer began to affect Thomas Edison's assistant, Clarence Dally.

6. The Pacemaker

medinv6.jpgToronto surgeon Dr. Wilfred Bigelow spent years conducting extensive studies on the treatment of frostbite. In 1949, using techniques he had culled from his research, Bigelow demonstrated that "controlled hypothermia" could be used to slow down the rhythm of the human heart. This tactic would reduce blood flow in the human body, making certain procedures (like open-heart surgery) possible. The main problem with his technique was discovering a way to jump-start the heart if it slowed down too far or came to a complete stop. Luckily, doctor-cum-electrical-engineer John Hopps was in the midst of his own research, hoping to use radio frequencies to restore body temperature in hypothermia patients. During Hopps' experiments, he had discovered that the application of a gentle electrical charge could restart the heart without damaging its muscle tissue. Using Bigelow's technique to operate on the heart, in 1950, he implanted the first pacemaker into a human being.

Naturally, there are dozens of medical devices and procedures that we didn't cover in this article. Which ones have you always wondered about? Like who invented that torturous tongue depressor? Or the name of that shiny round thing that old-time TV doctors always wore on headbands? Or even why, despite a 1 p.m. appointment, you have to wait until 2:30 to see your GP? Please drop a comment, and perhaps we'll revisit this topic again. Thanks!

Original image
Gary Stone/Getty Images
arrow
History
The Doctor Who Modernized Royal Births—in the 1970s
Original image
Gary Stone/Getty Images

When Prince William eventually ascends to the English throne, he’ll be the first British monarch ever born in a hospital. And he has a man named George Pinker to thank for that.

Royal births have always been fraught affairs due to the thorny issues of birthright and succession. Throughout history, English royal women were expected to give birth in rooms filled with spectators and witnesses—in part to avoid a pretender to the throne being switched with the royal baby at birth.

That made childbirth a grueling ceremony for queens, many of whom had to give birth to stillborn or dying children in the company of scores of strangers. In 1688, after 11 tragic attempts to produce an heir to James II’s throne, Mary of Modena gave birth in front of an audience of 67 people. (It was even worse for Marie Antoinette, who gave birth in 1778 in front of so many people the onlookers nearly crushed her.) And even after births became more private affairs, archbishops and officials attended them as late as 1936.

Of course, doctors have long been part of that crowd. The royal household—the group of support staff that helps royals at their various residences—has included physicians for hundreds of years, who have often been called upon to perform various gynecological duties for royal women. They have frequently been dispatched to serve other family members, too, especially those giving birth to important heirs.

Even when hospitals became popular places for childbirth at the turn of the last century, English royals continued having kids at home in their palaces, castles, and houses. Elizabeth II was delivered via Caesarean section in 1926 at her grandmother’s house in London. When she became queen, her royal surgeon gynecologists recommended she deliver her children at home, bringing in equipment to turn the space into a maternity ward.

Yet it was one of her gynecologists, John Peel, who ended up changing his tune on delivering children in hospitals, and in the 1970s he published an influential report that recommended all women do so. When he stepped down in 1973, the queen’s new royal gynecologist, George Pinker, insisted the royals get in line, too.

Pinker was different from his predecessors. For one, he skipped out on a potential career in opera to practice medicine. He had been offered a contract with an opera company, but when asked to choose between music and medicine, the choice was clear. Instead, he stayed involved with music—becoming assistant concert director at the Reading Symphony Orchestra and vice president of the London Choral Society—while maintaining his medical career.

He was also the youngest doctor ever to practice as royal surgeon gynecologist—just 48 when he was appointed. He supported controversial medical advances like in vitro fertilization. And he insisted that his patients’ welfare—not tradition—dictate royal births.

“It is very important for mothers to accept modern medical assistance and not to feel guilty if they need epidural or a Caesarean,” he told an interviewer. Pinker recommended that pregnant women lead as normal a life as possible—no easy task for royals whose every move was spied on and picked apart by the public. In fact, the doctor being anywhere near the queen or her family, even when he was not there to treat a pregnant woman, was seen as a sign that a royal was pregnant.

When Princess Diana delivered her first son, it was at a royal room in a hospital. “Most people marveled at the decision to have the royal baby in such surroundings rather than Buckingham Palace,” wrote The Guardian’s Penny Chorlton. Turns out the surroundings were pretty plush anyway: Diana delivered in her very own wing of the hospital.

Pinker served as the queen’s royal gynecologist for 17 years, delivering nine royal babies in all, including Prince William and Prince Harry. All were born at hospitals. So were William’s two children—under supervision of the royal gynecologist, of course.

Original image
iStock
arrow
Big Questions
What Is the Difference Between Generic and Name Brand Ibuprofen?
Original image
iStock

What is the difference between generic ibuprofen vs. name brands?

Yali Friedman:

I just published a paper that answers this question: Are Generic Drugs Less Safe than their Branded Equivalents?

Here’s the tl;dr version:

Generic drugs are versions of drugs made by companies other than the company which originally developed the drug.

To gain FDA approval, a generic drug must:

  • Contain the same active ingredients as the innovator drug (inactive ingredients may vary)
  • Be identical in strength, dosage form, and route of administration
  • Have the same use indications
  • Be bioequivalent
  • Meet the same batch requirements for identity, strength, purity, and quality
  • Be manufactured under the same strict standards of FDA's good manufacturing practice regulations required for innovator products

I hope you found this answer useful. Feel free to reach out at www.thinkbiotech.com. For more on generic drugs, you can see our resources and whitepapers at Pharmaceutical strategic guidance and whitepapers

This post originally appeared on Quora. Click here to view.

SECTIONS

arrow
LIVE SMARTER
More from mental floss studios