Abstract
This instrument is a modification of the simple device I described in 1907,<sup>1</sup>for the removal of varicose veins of the leg. The larger acorn tip of the instrument has been increased in size and its surface toward the shaft of the instrument so cupped as to catch the wall of the vein and prevent its inversion and slipping over the end of the instrument. In using the instru.nl the vein is exposed either at the upper or lower termination of the segment to be removed. With the internal saphenous vein, which is most frequently extirpated, the exposure is made either just below the saphenous opening in the thigh or on the inside of the calf of the leg. The vein is exposed, grasped with hemostatic forceps, incised and the smaller end of the instrument slipped into the lumen of the vein for the required distance or until some obstruction is
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