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WOMEN’S HEALTH



                                  THE BATES




                              NUMBERING





                                     MACHINE





        By: Tom Crandall



               he Bates Numbering Machine, Bates Stamp-        1901. This new numbering machine had the ability
               er, Automatic Stamper or Bates Automatic        to select “Consecutive”, “Repeat” and “Duplicate”
        TNumber Machine is commonly used in the                making it much more useful for documentation

        legal industry for indexing large volumes of com-      purposes. This new model is pictured above and
        plex litigation documents which must be retrieved  below.
        easily for reference and inquiry.
                                                               Newer versions of the Bates Numbering Machines

        Bates Numbering Machine – History                      include the ability to use letters, numbers, a prefix
        The term Bates numbering machine comes from            and a suffix, depending on the application. For
        the various patents submitted by Edwin G. Bates        example, page 1 of a document about a woman                                                                     FDA approved prasterone (Intrarosa™) to treat women
        pertaining to the original Bates Consecutive Num-      named Jane Doe might be marked JD1. On the                             WOMEN’S                                  experiencing moderate to severe pain during sexual

        ber Machine. Edwin’s patents range from about          next page it might say JD2 and so on.                                                                           intercourse (dyspareunia), a symptom of vulvar and
        1892-1907. The actual number that is stamped                                                                                         HEALTH                            vaginal atrophy due to menopause. It is the first FDA-
        onto a page is often referred to as a Bates Stamp.     Bates Numbering Machine – Who Uses It                                                                           approved product containing the active ingredient
                                                               Bates Numbering Machines were used by the                                                                       dehydroepiandrosterone (DHEA).
                                                                                                                                        FDA Approves New Drug to
        One of the first patents approved was for the Con-     railroad, lawyers, accountants and a host of other
                                                                                                                                      Help Women who Experience
        secutive Number Machine in 1892. The number            industries where the identification of documenta-
                                                                                                                                     Pain during Sexual Intercourse            Efficacy of prasterone, a once-daily vaginal insert, was
        machine had the ability to auto-increment (rotate      tion was required. Each time the Bates Numbering                                                                established in two 12-week placebo-controlled clinical
        to the next number), which advanced to the next        Machine was used, a Bates number would be                                                                       trials of 406 healthy postmenopausal women, aged 40 to

        number every time the handle was depressed.            added to a page. Depending on the document                                                                      80 years, who identified moderate to severe pain during
                                                               or documents, different number sequences were                                                                   sexual intercourse as their most bothersome symptom
        This was a major improvement since no interven-        applied.                                                                                                        of vulvar and vaginal atrophy.  Women were randomly
        tion was required to adjust the numbers.                                                                                                                               assigned to receive prasterone or a placebo vaginal

                                                               Lawyers especially would use the Bates Stamps to                                                                insert. When compared with placebo, prasterone was
        There were a few drawbacks to this machine, so         identify and distinguish pages of legal documents.                                                              shown to reduce severity of pain experienced during
        Bates submitted a patent in 1896 for the Automat-      Many US law firms still use Bates Numbering Ma-                                                                 sexual intercourse.  The most common adverse reactions
        ic Number Machine. The patent was approved in          chines and Bates Stamps today.                                                                                  were vaginal discharge and abnormal Pap smear.



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