The country doctor is often handicapped by lack of instruments. I was called to remove a nickel from the esophagus of a 2-year-old child and I had nothing in my armamentarium. nor could I find anything in those of my neighbors, with which I could remove the nickel.
The simple device that I thought of is to be had in any town. With an awl two small holes are made opposite each other about an inch from the end of a silk urethral bougie about Size 16 A. Some No. 30 brass spring wire is threaded into the holes, and the ends brought out at the open end of the bougie and drawn till a loop of about half an inch is left extending from the holes. With a pair of pliers the loop is now bent into a hook. The hook should extend just far enough to catch the