As early as the 19th century, venous pressure was used in the diagnoses and assessment  of congestive heart failure. Leamon’s apparatus was introduced between the wars,  a time when the diagnostic importance of venous pressure was beginning to be more widely understood  and measured clinically. The presence of mimeographed rather than printed instructions  and a catalog cut might indicate that this was an early model  used within the company  by Pilling. 
 
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