BERNARD LEVINE'S KNIFE LORE NUMBER 62 SEPTEMBER 1993 (c)1993 Bernard Levine, exclusive to the NKCA VETERINARY CUTLERY IN 1771 Nowadays most of the work of veterinarians can be divided into two broad categories: pets and livestock. If your dog is injured or your cows are sick, you call the vet. Of course when your transportation is on the blink nowadays, you don't go to see the veterinarian, you go to see a mechanic. Back in the old days, by contrast, when horsepower still came from horses, veterinarians were as much responsible for keeping transport moving as they were for the health of domestic animals and livestock. Indeed, throughout most of the history of veterinary medicine, its primary concern has been the health and fitness of riding animals, work animals, and draft animals -- horses, mules, and oxen. Indeed veterinary skills were so important in the old days that they were not left exclusively to the professionals. Just as most people today have at least some rudimentary mechanical skills (checking the oil, changing a tire, emptying the ashtray), most people in the old days had rudimentary veterinary skills -- although often their practices were not based on sound medical science. Without healthy animals, farmers could not plow their fields or bring their produce to market. Armies could not maneuver, they could not attack, and they could not move supplies and artillery. Contractors could not transport lumber and stone to their building sites. Noblemen could not supervise their domains, or travel to the royal court. Shopkeepers could not deliver merchandise to customers, or receive supplies from factories, docks, and warehouses. And just as most rural residents today own a kit of mechanical tools, to maintain and repair their cars, trucks, and tractors, most rural people in the past owned a kit of veterinary instruments, to help keep their four-legged prime movers moving. The craftsmen who made those veterinary instruments were the cutlers, the same people who made pocketknives, razors, kitchen knives, and scissors. Jean Jacques Perret of Paris, the most famous cutler of the 18th century, was no exception. In his remarkable 1771 treatise, The Art of the Cutler, he describes in detail how he made every type of cutlery, from tiny pen knives to stout damascus swords. He devotes one whole chapter of this three-volume work to the production of Les Instruments de Marechallerie. Here is an edited translation. CHAPTER 28 VETERINARY INSTRUMENTS Ever since the celebrated establishment of the [French] Veterinary Schools, veterinary medicine has been acquiring new knowledge day by day. It has already brought the study of the constitution of animals to a level that was never approached in classical antiquity. Veterinary students have been especially enterprising in our century, above all thanks to encouragement from learned and enthusiastic patrons. With their support, and with instruction from masters of the art, students are now seeking the causes of animals' good or bad health in the very nature of the animals themselves. It is by the scientific study of Anatomy in all its details that students develop knowledge of the varieties of animal illnesses, injuries, and developmental deformities. Now our veterinary students are carrying these studies so far forward that they are able to do many of the same operations on animals that surgeons do on human beings. In such cases, many of the same types of instruments which are used by surgeons can also be used by veterinarians. These instruments only need to be different in size and strength, in proportion to the shape and size of the animal parts on which they will be used to operate. In this chapter we shall detail those instruments ordinarily used only by veterinarians, as the making of human surgical instruments is covered in detail in Parts II and III of this work. [Perret himself had attended medical school in his youth, so as to improve the quality and utility of his surgical instruments. Many of the surgical instruments in common use today are little changed from the ones made by Perret 222 years ago. By contrast, most of the veterinary instruments described below are now obsolete, especially the ones connected to phlebotomy, or blood-letting.] PLATE LXI (61) GOES HERE CUTTING INSTRUMENTS USED BY VETERINARIANS Figure 1 shows curved scissors, and Figure 2 shows straight scissors. Now that we are advanced in our study of the cutler's art [this is Chapter 28], we will describe the illustrations without going into detail about the methods of forging, filing, etc., because these operations are done pretty much the same way as on the items we have already discussed. Figure 3 [bottom row, fourth drawing from left] shows an operating knife or a sort of bistoury. Its cutting edge needs to be a little on the stout side. This is to say that its edge should not be made so fine that it will flex under pressure from a fingernail. Its back is one third of an inch thick. Its handle is ebony riveted to a flat tang. Figure 4 [bottom row, the short knife sixth from left] is a true bistoury. Its edge must be of the same degree of flexibility as a fine pen knife used for cutting quills. Figure 5 [bottom row, fifth from left] shows a lancet with handles riveted to a flat tang. Its blade is sharp on both sides. These two cutting edges are separated by a median ridge that runs right out to the point. This instrument, too, should have flexible cutting edges like a fine pen knife. Figure 6 [bottom left] shows an instrument called a "sage leaf" because of its shape. It too has handles riveted on to a flat tang. It has two edges, separated by a median ridge. Its blade is curved [see the profile view]. Figure 7 [bottom row, third from left] shows another "sage leaf" that is longer in the blade. It is also straighter, being only slightly curved. Figure 8 [top] shows a surgical gouge. Figure 9 [bottom row, seventh from left] is a spatula on which the small end terminates in an "olive," so that it may function as a sound. [A sound is used to probe body orifices.] Figure 10 [under the scissors] shows a hollow sound [a probe and director]. It is used as a guide for the point of the bistoury in opening an abscess. The wide part b [right] is a tab for holding on to the instrument. Figure 11 [bottom right] shows a forceps with an errhine at the end. [An errhine is any instrument or substance used to induce sneezing. In this case it is a hook for tickling inside an animal's nose.] PLATE LXII (62) GOES HERE Figure 12 [Plate LXII, top right] shows a handle containing two hoof paring knives. They are sharp on the sides toward the handle, but only along the straight part. Since this instrument is used for scraping, the edge must be strong, like that of a straight-bladed knife. This handle is made of yellow copper. To make it one takes a strip of brass 9 inches long and bends it in the middle. To make the space for the hooked ends of the paring blades, all you need to do is take a round piece of iron about two thirds of an inch thick and fold the handle around this improvised mandrel. You won't have to do any soldering. Then you should fold the [head] end f over squarely on the inside, to constrain the blades in their rotation. Figure 16 [top center] shows the side view of a hoof knife, and it reveals how the blade nests in the handle. Note how the head end of the handle is closed, so that it will hold the blade rigidly while scraping hooves. Usually one needs a two-bladed hoof knife, with blades going opposite ways [right hand and left hand], such as the one shown in Figure 12. Figure 13 shows a multi-blade fleam set with seven blades [top row, second from left]. These blades include three different sized fleams, two hoof blades, a bistoury, and a lancet, all of them shutting up into one handle. To forge a fleam, one takes pure steel about three-fourths of an inch wide. In the first heat, one cuts out the shape shown in Figure 14 [bottom right]. After this one extends the center of the projection with several blows of the hammer, to elongate the point like a lancet blade. The way blood-letting is done with this instrument is as follows. The point is placed upon a major vessel. Then one strikes the tang with a stick, such as a hammer handle. For this reason it is important to temper a fleam carefully, and not to anneal the sharp part past the color of gold. However all the rest must be drawn to blue, the same color as water. Otherwise the fleam will shatter at the first bleeding. This instrument requires a good sharpening. However, it is small and awkwardly shaped. Therefore one must equip oneself with a small pair of wooden tongs. Put the fleam in these, fastening them to the tang with a wedge behind the pivot. See Figure 15 [bottom row, second from right]. With this assistance, one can do the sharpening readily. The fleam is sharpened on both sides, divided by a median ridge that blends into the point. The faces must be ground briskly, and the edges must flex under the fingernail. The wheel for grinding fleams must be 11 or 12 inches in diameter, well trued, a bit on the narrow side, and have sharp corners. The handle for this multi-blade instrument is made of yellow copper. If you don't want to order the whole thing cast in a mold by a brass-founder, here is how to make it. Cut out two identical pieces of brass with the aid of a steel pattern. Then join them together by soldering on a folded strip of brass which will serve as a guard [for the tips of the fleams], its size determined by the size the of fleams one wishes to include in the handle. See Figure 17 [top left]. Note that if you are going to include hoof knives, it is necessary to shape a space for their curved tips, prior to soldering on the fleam guard. Do this by giving a couple of extra hammer blows while holding the piece atop the vise, which is opened a fraction of an inch. This widening is shown in Figure 13 [top row, second from left]. Figure 18 [bottom left] shows a ring-handled forceps... [Here follows a lengthy explanation of how to forge this box-joint instrument, which I will skip over. Figures 19-23 show details of this construction, which is similar to that still used on some forceps and hemostats today.] PLATE LXIII (63) GOES HERE Figure 25 [Plate LXIII, bottom left] shows a completed multi-blade fleam set, opened so that all the implements are visible. Reading from right to left: 1 is a hoof knife; 2 is a large fleam; 3 is a middle-sized fleam; and 4 is a small fleam; 5 is the bistoury; 6 is the lancet; and 7 is the case [or handle], into which one closes up all the blades. Figure 26 [far right] shows a large Seton needle. Its point ends in a slightly curved "sage leaf," and there is a median ridge on the upper side. At the other end x is a hole, or "eye of the needle," for lodging the setaceum. This hole is formed hot. When forging the Seton needle, leave this end a bit thick. Then pierce it while hot with a flat punch. Finally finish it with a file. [Setaceum was an early form of inoculation. A string or rag was soaked in the blood of a sheep or cow that had died of blackleg, a deadly form of animal gangrene. The Seton needle was then used to thread this infected string through a fold of skin on a healthy animal. Some animals died of the procedure, but most developed immunity to the disease. Setaceum was also used on human beings, to induce the formation of pus. Pus formation was long thought to be a necessary step in the healing process. It was not until the 1870s that it was recognized as a sign of avoidable infection. A human Seton needle is shown on the bottom right of page 271 of Levine's Guide III.] Figure 27 [bottom, second from right] is another smaller Seton needle. Figure 28 [top, second from right] is a curved suturing (stitching) needle. [There is no Figure 29.] Figures 30, 31, and 32 are the parts of an instrument called a "ball-puller." It is used to extract a musket ball that has struck a horse. Often a musket ball can penetrate 14 or 15 inches deep in a horse's flesh, and this is the reason for the great length of the instrument. To attain this length, one forges out three thin segments, each one 7 inches long. This is called "breaking" an instrument, to make it more portable. The ball-puller attaches together with screw threads in two places. V on part 31 screws into Q on part 30, while S on part 32 screws into t on part 31. To form the scoop on the end of part 30, one should leave the end thick while forging out this segment. Then one should pierce that wide end halfway through with a thick round-ended punch. Finally one should bend the scoop and shape the tip like a strawberry. At the other end of the instrument, on part 32, is a hole. This can be used as a Seton needle, if you shape the end like a "sage leaf." This end can also be used for probing a wound, to locate the musket ball. Figure 33 [top center] shows a "German Style Fleam." With this instrument one can bleed an animal by spring action, rather than by use of a hammer handle or blood-stick. Its case is made out of copper. The blade I D is affixed by a screw at I, but it is held loosely, allowing it to pivot. The part n n is the main spring, which is retained by a pin at P, and by a screw at I. The case is closed by means of the grooved lid, Figure 34 [to left of Figure 33]. The bottom of the case is shown in Figure 37 [to right of Figure 33; there is no Figure 35]. This part holds the lever which serves to compress the spring, and to latch it in the cocked position by means of a stud at o, until one is ready to activate the fleam. This is done by pressing the lever at q [the scallop shell near the center of the handle] with one's fingertip. This will release the blade with as much force as the hammer of a rifle. Figure 36 [bottom, third from right] shows a side view of the lever removed from the case. One can see that it has a return spring, affixed by a rivet at B. One can also note the pivot [the blank section in the center]. The stud, which retains the spring, is shown here at a. * * *