Heurteloup's Percussion Lithotrite
Hit it with a hammer ...
Baron Heurteloup was the first person to practice lithotrity in England. In 1829, he set up practice with the support of Anthony White, surgeon to Westminster Hospital.
Whilst operating on a clergyman in Saunderstead, Heurteloup decided to strike the end of his lithotrite instead of drilling.
He described this "percuteur courbe a marteau" in 1832. To protect the bladder, the patient was positioned on a specially made table (above) and the lithotrite was stabilised in a vice connected to one end.
Once the instrument is in the bladder, the stone is grasped in the jaws (above) and the end of the instrument is hit with a hammer to fragment the stone. Despite the earlier-described crushing lithotrites, Heurteloup’s percussor was the most popular in these early years of lithotrity.
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