Tuffier Inhaler

WLMD ID: akxh
This all-metal inhaler was designed by French surgeon Theodore Tuffier (1857-1929) for the administration of chloroform. He believed that most inhalers, as well as the open drop method, caused significant fluctuations in the amount of chloroform administered during surgery, and that this increased the occurrence of side effects. His designed this inhaler so that he could administer chloroform in a more controlled and continuous manner. He worked with the instrument maker Collin and, after several months of testing and modifying, introduced it at a meeting of the Société de Chirurgie de Paris in May of 1905. Dr. Tuffier was a pioneer in many surgical specialties. In addition to work on chloroform, he was the first to administer intrathecal anesthesia. This is a type of regional anesthesia in which a local anesthetic is injected into the fluid surrounding the spinal cord. Tuffier also designed a small-gauge spinal needle and authored an influential book on spinal anesthesia for surgery, published in 1901. He pioneered techniques in military, heart, lung and kidney surgery. These include early experiments on artificial respiration using an endotracheal tube with an inflatable cuff, the first lung resection for tuberculosis, and the first successful heart valve repair.

Catalog Record: Tuffier Inhaler Access Key: akxh
Accession No.: 2004-11-04-3

Title: [Chloroformisateur du Dr. Tuffier.]

Author: Tuffier, Theodore, 1857–1929.

Title variation: Alt Title
Title: Tuffier inhaler.

Publisher: [Paris?] : Collin, [between 1905 and 1930].

Physical Descript: 1 inhaler : metal ; 10 x 8 x 12 cm.

Subject: Inhalers, Anesthesia – France.
Subject: Chloroform – administration & dosage.

Note Type: General
Notes: The early year in the date range for the possible year of manufacture is
based on the date of the publication in which Dr. Tuffier describes the
inhaler. The end date is a estimate based on the year that Collin & Cie was
taken over by Gentile. The date range could change if new documentation
indicates that it should be corrected.

Note Type: General
Notes: The title is based on the manufacturer’s name for the inhaler (as taken from
Collin catalogs).

Note Type: Citation
Notes: Ball C, Westhorpe RN. The early history of ventilation. Anaesth Intensive
Care. 2010;40(1):3-4.

Note Type: Citation
Notes: Boschung U. Joseph-Frédéric-Benoît Charrière (1803-1876): Paris surgical
instrument maker from Switzerland. Caduceus. Summer, 1988;4(2):34-46.
https://ia600603.us.archive.
org/31/items/caduceusmuse421988unse/caduceusmuse421988unse.pdf. Accessed
August 17, 2014. [History of company including when Collin was aquired by
Gentile (page 39).]

Note Type: Citation
Notes: Chaikhouni A. The magnificent century of cardiothoracic surgery. Heart Views.
2008;9(2):86-90. https://www.heartviews.org/showBackIssue.
asp?issn=1995-705X;year=2008;volume=9;issue=2;month=June-Aug. Accessed April
1, 2014.

Note Type: Citation
Notes: Collin & Cie. Chloroformisateur du Dr. Tuffier. Catalogue Général Illustré
d’Instruments de Chirurgie. Paris: Collin; [1914]:162. https://catalog.
hathitrust.org/Record/002087451. Accessed May 1, 2014.

Note Type: Citation
Notes: Collin & Cie. Chloroformisateur du Dr. Tuffier. Instruments de Chirurgie.
Paris: Collin; 1935:94. https://cnum.cnam.fr/CGI/fpage.
cgi?M9864/5/100/516/0083/0421. Accessed May 1, 2014.

Note Type: Citation
Notes: Cousin MT, Defalque RJ. Un anesthesiste d’avant garde, le chirurgien Theodore
Tuffier. Bul Anesth Hist. January, 2000;18(1):8.

Note Type: Citation
Notes: Kwasny LB, Bianco RW, Toledo-Pereyra LH. History of heart valve repair. In:
Iaizzo PA, Bianc RW, Hill AJ, St. Louis JD, eds. Heart Valves: From Design to
Clinical Implantation. New York: Springer; 2013: 87.

Note Type: Citation
Notes: Memoirs: Theodore Tuffier, 1857-1929. Ann Surg. April, 1930;91(4):636-637.

Note Type: Citation
Notes: Obituary: Theodore Tuffier, K.B.E., F.R.C.S. Br Med J. 1929;2(3592):879.

Note Type: Citation
Notes: Presentation d’appareil: appareil pour la chloroformisation. Bull Mem Soc
Chir Paris. May 31, 1905;31:544-546. https://books.google.
com/books?id=jj4sAQAAIAAJ&printsec=frontcover#v=onepage&q&f=false. Accessed
April 1, 2014.

Note Type: Citation
Notes: Yablonski P, Cordo I, Sokolovich E, Schönfeld N, Pfannschmidt J, Vasilyev I.
Surgical treatment of pulmonary tuberculosis. In: Rohde G, Subotic D, eds.
Complex Pleuropulmonary Infections. Sheffield: European Respiratory Society;
2013:21. European Respiratory Monograph 61.

Note Type: Physical Description
Notes: One compact, all-metal chloroform inhaler; The measurements are based on the
patient’s perspective (facing the mask); The height, width and depth are
approximately 9.8 x 7.7 x 11.9 cm. The rounded distal end of the inhaler
turns so that a pointer may be directed at positions between “O” and “F”; The
end-cap may be removed to remove or insert a material such as gauze or cotton
soaked with chloroform, or to add chloroform drops; A breathing valve is
located on the mask as well as on the end-cap; The manufacturers’ name,
“COLLIN” is stamped or engraved near the nasal end of the mask; The engraved
monogram, “H.M.” is located just below the dial on the cavity of the inhaler.

Note Type: Reproduction
Notes: Photographed by Mr. Steve Donisch, September 20, 2013.

Note Type: Historical
Notes: This all-metal inhaler was designed by French surgeon Theodore Tuffier for
the administration of chloroform. He believed that most inhalers, as well as
the open drop method, caused significant fluctuations in the amount of
chloroform administered during surgery, and that that this increased the
occurrence of side effects. His designed this inhaler so that he could
administer chloroform in a more controlled and continuous manner. He worked
with the instrument maker Collin and, after several months of testing and
modifying, introduced it at a meeting of the Société de Chirurgie de Paris in
May of 1905.

Note Type: Historical
Notes: Dr. Tuffier was a pioneer in many surgical specialties. In addition to work
on chloroform, he was the first to administer intrathecal anesthesia. This is
a type of regional anesthesia in which a local anesthetic is injected into
the fluid surrounding the spinal cord. Tuffier also designed a small-gauge
spinal needle and authored an influential book on spinal anesthesia for
surgery, published in 1901. He pioneered techniques in military, heart, lung
and kidney surgery. These include early experiments on artificial respiration
using an endotracheal tube with an inflatable cuff, the first lung resection
for tuberculosis, the first successful heart valve repair.

Note Type: Publication
Notes: Le Docteur Tuffier. Wellcome Images website. https://wellcomeimages.
org/indexplus/result.
html?*sform=wellcome-images&_IXACTION_=query&%24%3Dtoday=&_IXFIRST_=1&%3Did_r
f=M0020229EA&_IXSPFX_=templates/t&_IXFPFX_=templates/t&_IXMAXHITS_=1.
Accessed April 1, 2014. [This is a caricature of Theodore Tuffier created
around 1911.]

Note Type: Publication
Notes: Tuffier T. L’Analgésie Chirurgicale par Voie Rachidienne (Injections
Sous-Arachnoïdiennes de Cocaïne): Technique, Résultats, Indications. Paris:
Masson et Cie; 1901. https://www.histanestrea-france.
org/SITE/IMG/pdf/tuffier_rachicocainisation_1901.pdf. Accessed April 1, 2014.

Note Type: Publication
Notes: Tuffier T. La rachicocainisation: Analgesie Regionale par Injections
Sous-Arachnoidiennes de Chlorhydrate de Cocaine. Paris: Naud; 1904.

Note Type: Publication
Notes: Tuffeir, Hallion. Regulation de la pression intrabronchique et de la narcose.
C R Seances Soc Biol Fil. December 19, 1896;1087-1088.

Note Type: Publication
Notes: Tuffier, Hallion. Operations intrathoraciques avec respiration artificielle
par insufflation. C R Seances Soc Biol Fil. November 21,1896;third volume of
10th series:951-953.

Note Type: Publication
Notes: Tuffier T. L’analgesie cocainique par voie rachideinne. Semaine Med de Paris.
1900;30:423-425. https://books.google.
com/books?id=3WAhAQAAMAAJ&dq=editions:eQ6cWjyBt8kC&source=gbs_navlinks_s

Note Type: Publication
Notes: Catalogue illustre´ d’instruments de chirurgie. Paris : Collin Gentile,
1955-1966. https://www.worldcat.
org/title/catalogue-illustre-dinstruments-de-chirurgie/oclc/40438508&referer=
rief_results. [This cataloger has not been able to inquire as to whether the
Tuffier inhaler is listed in this catalog.]

Note Type: Exhibition
Notes: Selected for the WLM website.