Higginson's Enema This is a Higginson’s enema, composed of a red gum tube with a bulb valve in the middle portion, a metal tip on one end, and a black vulcanite rectal nozzle on the other. Designed by English doctor Alfred Higginson in the mid-19th century, this enema is used by placing the metal-tipped end in a bowl of liquid, which is then pumped through the nozzle. Some stains are visible. This device is still used for colonic irrigation and douching. 1900-1949