Tourniquets: variations and methods
for dating
Dr. Doug Arbittier
Tourniquets are used to stop blood flow in
arteries and veins. They are mechanical
instruments for ligating a limb or artery to
stop bleeding prior to amputation or surgery.
Most amputation sets will have at least one and
sometimes more than one tourniquets, depending
the maker. In my experience, French amputation
sets are more likely to have multiple
tourniquets, whereas American or English sets
usually only have one.
During
the hundred years era of this collection (1800
to 1900) tourniquets were made of cast brass,
with brass or steel buckles and in the very late
part of the century, German silver or plated
with nickel. The earliest straps were generally
a colorless plain white cloth strap about 1 to 1
1/2 inches in diameter. During and after the
Civil War, it was not uncommon to see red stripe
or multi-colored straps, but toward the end of
the century, the predominate color was again
white. Noting the shapes of the turning ' T '
and the type of buckle are good indications of
the age. English and European source
tourniquets have multi-curved 'T's, whereas
most, but not all American makers typically used
rectangular 'T's. Earlier tourniquets have cast
buckles and brass prongs, while later models
during the Civil War used a steel buckle frame
and steel prongs.
Not
all tourniquets will have the maker name
imprinted on the brass frame. Most were marked,
but apparently many makers used a similar style
supplied by some unknown (to me anyway) supplier
of the time. The same is true with wood cases
in a given city, one or two suppliers made the
wood cases for multiple makers, who then dressed
out the interiors to suit their needs.
Not
all tourniquets are the same size. They tend to
be larger prior to 1865 and small afterwards.
The largest tend to be found in the earliest
sets, c. 1830's and before. French and English
origin tourniquets are much more ornate than the
ones used by American makers. I mention this
because there were many French instruments
imported into the states and colonies. Due to
the variations in the size, the fixed size of
the slot in the case will determine the 'fit'
and may help determine the originality of a
given tourniquet.
During this time frame, many makers imported
various parts of their sets, especially
something as universal as a tourniquet. That
said, as you will see below, the tourniquets can
be most unique to each maker and a resource for
dating the set and knowing if the item is a
replacement or original to the set.
As
you can imagine, since the space in a wood case
was pretty large to accommodate a tourniquet, it
would be easy to mix up items between sets
(intentionally or unintentionally).
Substitution of tourniquets is a major problem
with sets obtained from dealers or collectors
who want to 'fill' out a set with missing
items. If the tourniquet is exactly the same
time frame as the set (as determined by various
methods), then there is no problem. But, if
something was placed which just happen to 'fit',
then we have a substitution which is incorrect
and a detriment to the value and history of the
set. Since the majority of the sets on this
site were NOT obtained from a dealer, but rather
from only a known sources who would not
substitute, I think the majority of the sets
have tourniquets which are consistent with the
maker and date when the set was made. Field
sources are generally more reliable than
'dealer' sources due to the possibility of a
set having a replacement substituted in the set
by someone at a show or to increase the value of
a sale.
What
follows is meant to just be a sampling of
various kinds of tourniquets found in this
American maker collection. Examine each set in
the display section to compare tourniquets from
various eras. A link is provided to the various
maker sets.
See
similar articles on dating
tourniquets,
saws,
bone forceps,
forceps, or
amputation
knives.
Click on any image to enlarge it
c.1830
Tiemann set,
marked G.Tiemann/ N-YORK
Note: cast brass buckle with
articulated three cast prongs, and
solid white cloth strap |
|
c. 1829
Peter Rose,
unmarked
Note: strip in cloth, non-brass
buckle, hinged prongs |
|
c. 1830's Weigand & Snowden,
unmarked, note articulated two
prongs, solid white strap |
|
c.
1840 J. Gemrig,
unmarked
Note: non-brass buckle, solid white
cloth, straight, rectangular,
unmarked T. |
|
c. 1850
M. Wocher,
unmarked
Note the pressure pad, frame buckle
and prongs, stripped cloth belt,
curved T. |
|
c.
1850's Gemrig,
marked, note cast brass frame buckle |
|
c.
1861-65 Tiemann,
marked
Note the pressure pad |
|
c.
1867 Gemrig,
marked , note rounded 'T' |
|
c.
1846 Goulding,
U. S. Army Hospital Dept. marked |
|
c.
1855 Kuemerle,
note the ornate 'T', thick pad, very
unusual cast prongs into the side of
the frame. This same tourniquet is
shown in Edmonson's book, page 56,
Fig. 73,74. |
|
c.
1865 H. Hernstein
Civil War issue, U. S. Army Hosp.
Dept. note use of wire buckle and
shape of the 'T'. Marked. |
|
c. 1864-5 Civil War issue made by
Hernstein. This tourniquet came out
of a U. S. Army Hospital Dept. set,
screws in the lid, sliding latches
and mark. The 'T' is not maker
marked, but I firmly believe this is
the real thing for the Civil War
issued set.
Noted the buckle is blued with
articulated prongs. A much simpler
design and construction than the
earlier cast prongs.
(I wonder if there may have been a
supplier to the makers for cast
brass tourniquet frames given the
complexity of making the screw
mechanism.) |
|
Hernstein /
U. S. A. Hosp. Dep't
engraved field tourniquet
|
c.
1860 H. Hernstein,
marked with 393 address that
determines the date.
1855-57: 81 Duane and 393 Broadway
1858-81 Duane, 131 Mercer, and 393
Broadway |
|
c.
1861 H. Hernstein,
marked with
U.S.A Hosp. Dep't. field
tourniquet. This type does not have
the spiral brass frame to tighten
the strap and must be physically
pulled to lock the brass prongs of
the buckle and strap. |
|
c.
1870 Kern,
marked |
|
c.
1870's Gemrig, note ornate 'T',
marked |
|
c.
1880 Aloe-Hernstein,
German silver, not brass (which says
post 1880). |
|
|
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