CN107049342B - Female pelvic floor function detection and treatment probe - Google Patents

Female pelvic floor function detection and treatment probe Download PDF

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CN107049342B
CN107049342B CN201710353042.7A CN201710353042A CN107049342B CN 107049342 B CN107049342 B CN 107049342B CN 201710353042 A CN201710353042 A CN 201710353042A CN 107049342 B CN107049342 B CN 107049342B
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pelvic floor
detection
control circuit
probe
main body
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CN107049342A (en
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孙大明
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    • A61B5/227Measuring muscular strength of constricting muscles, i.e. sphincters
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    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/14507Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue specially adapted for measuring characteristics of body fluids other than blood
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    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
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    • A61B1/05Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
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Abstract

The invention relates to a female pelvic floor function detection and treatment probe, which comprises a probe body and a control host; the probe body comprises a base, a functional main body and a flexible tip; a control circuit is arranged in the base, a cylindrical flexible core body of the functional main body can be bent along any direction, a plurality of detection electrodes and pressure sensors are arranged on the flexible core body, a wrapping saccule is arranged on the functional main body, the detection electrode sheet and the pressure sensors are wrapped, and a filling medium which can be filled with <100ml of liquid medium is arranged between the functional main body and the saccule; the physiological data acquisition and physiological stimulation device is provided with a miniature endoscope camera, a vibration motor and an electric stimulation electrode which are distributed in the probe and on the surface. The invention can complete the detection of the functions of parameters such as the elasticity of the female pelvic floor muscles, the vagina morphology, the pH change and the like, and can also be used for the rehabilitation of the pelvic floor.

Description

Female pelvic floor function detection and treatment probe
Technical Field
The invention relates to a probe system for detecting and treating pelvic floor function, belonging to the technical field of medical appliances.
Technical Field
The female pelvic floor structure is composed of multiple layers of muscles and fascia closing the pelvic outlet, with the urethra, vagina and rectum extending therethrough. The pelvic floor muscle group acts like a "sling net" and cooperates with fascia, ligaments and nerves to support and maintain the pelvic organs such as uterus, bladder and rectum in a normal anatomical position. Once the pelvic floor muscle group becomes less elastic, the insufficient tension can cause the internal organs of the pelvic cavity to fail to maintain normal physiological positions, thereby causing corresponding pelvic floor dysfunction diseases (Pelvic floor dysfunction, PFD), such as Pelvic Organ Prolapse (POP), stress Urinary Incontinence (SUI), female Sexual Dysfunction (FSD), and the like. Pelvic floor muscle function is the most important index for evaluating pelvic floor function, and is also the basis for formulating a pelvic floor rehabilitation therapy scheme. The vaginal probe is inserted into the vagina of a female, and the pelvic floor muscle function is tested by the sensor technology, so that the analysis of the pelvic floor dysfunctional disease can be effectively facilitated. Meanwhile, the probe can also assist the patient to finish the rehabilitation of the pelvic floor of biofeedback and bioelectric stimulation.
At present, the current vaginal probe mainly detects the pelvic floor muscle strength, fatigue degree and contraction coordination through the collected myoelectric signals and pressure signals, can only evaluate the pelvic floor muscle function on the mechanical signals, and is difficult to comprehensively diagnose the functions of the female pelvic floor (particularly the vaginal part) by combining with morphological information. In addition, because the size of the external communication cable and the number of the cable cores are limited, the conventional basin bottom diagnosis and treatment device is difficult to realize multi-technology integration under the condition of not having an internal processing system, so that the diagnosis and treatment mode is relatively single, and personalized diagnosis and treatment service cannot be formulated according to the illness state. Moreover, there is a lack of entertainment and daily health functions. As another example, CN 104127182A discloses a pelvic floor muscle detection treatment probe, including a probe and a probe base, the inner diameter of the probe is in a shrinkage trend from top to bottom, the probe surface is provided with a detection electrode plate, the probe includes an upper section and a lower section, the minimum inner diameter of the upper section is larger than the maximum inner diameter of the lower section, the detection electrode plate includes two groups of two upper detection electrode plates symmetrically arranged on two sides of the upper section and two lower detection electrode plates symmetrically arranged on two sides of the lower section, the upper section is in a backward bending structure, the backward elevation angle range is between 90 ° and 180 °, the probe base is connected with the probe base, the bottom of the probe base is provided with a wire through hole for guiding out a wire connected with the detection electrode plate, and the device can detect and treat pubic coccyx muscle or ilius coccyx muscle or left and right anal levator simultaneously. The therapeutic probe adopts low-frequency pulse electric stimulation therapy, which is passive therapy, and the principle is that nerve cells with function suspension parts are awakened by electric stimulation nerve fibers to promote the function recovery. The therapy is mainly aimed at patients with damaged muscular nervous system, but has no obvious effect on patients with pelvic floor dysfunction caused by damaged muscle elasticity and tension or aged tissues, and can exert the rehabilitation effect maximally only by active therapies such as biofeedback treatment, kegel exercise and the like.
Disclosure of Invention
Aiming at the defects existing in the prior art, the invention aims to provide a probe system for detecting and treating pelvic floor functions, which solves a plurality of problems existing in evaluating pelvic floor muscle functions on mechanical signals only and comprehensively diagnoses and treats female pelvic floor functions through mechanical and morphological characteristics.
The invention adopts the following technical scheme: a female pelvic floor function detection and treatment probe comprises a probe body and a control host; the probe is characterized in that the probe body comprises a base, a functional main body and a flexible tip;
the base is internally provided with a control circuit and a correction module, the control circuit comprises a control host and an internal control circuit, the control host finishes the analog calculation and the graph drawing functions to process data, and the internal control circuit is responsible for amplifying, correcting, integrating and communicating all acquired signals; the correction module comprises a reference gyroscope and a reference pressure sensor, and provides a reference initial value for system detection;
the diameter of the functional main body is smaller than that of the flexible tip of the base, and the diameters of the base, the functional main body and the flexible tip are respectively 3-4cm, 1-1.5cm and 2-2.5cm; the straight lengths of the base, the functional body and the flexible tip are 5cm, 9-14cm and 3-4cm respectively. A wrapping balloon is arranged outside the functional main body, and a liquid medium of which the volume is less than 100ml can be poured between the functional main body and the wrapping balloon; the functional main body is a cylindrical flexible core body which can be bent along any direction, and a plurality of detection electrode plates, a pressure sensor A and a gyroscope A are uniformly arranged on the flexible core body along the axial direction so as to finish the real-time detection of the resistance characteristics of the balloon perfusion medium with the corresponding section;
the flexible tip is provided with a miniature endoscope camera, a vibration motor, an electric stimulation electrode, a gyroscope B and a pressure sensor B, and is used for acquiring physiological data and physiological stimulation; the flexible tip is also provided with a flexible contact (diameter is 3-4 mm) with a built-in pH sensor, and the pH sensor is arranged inside the flexible contact. The reference gyroscope, the gyroscope A and the gyroscope B are arranged in parallel.
The flexible core body and the flexible tip are made of silica gel; the perfusion medium is normal saline.
Further, the detection electrode plate is an annular electrode plate or an annular film pressure sensor, so that multipoint pressure measurement is completed; the distance between two adjacent annular electrode plates is 8mm, and the adjacent annular electrode plates are connected with a control circuit through an FPC flat cable; and the connection strength of the connection part of the detection electrode plate and the FPC is increased through the reinforcing rib.
The wrapping balloon is wrapped by a cylindrical TPU balloon, the length is 8cm, and the maximum overflow diameter is 40mm; can be filled with <100ml of liquid medium.
The control host machine is used for completing the analog calculation and the graph drawing function to process data, and the internal control circuit is only responsible for amplifying, correcting, integrating and communicating all acquired signals.
The control host is provided with a touch display screen, a charging power supply, a data storage and analysis module and a wireless transmission module; the wireless transmission module can upload the detection result network and load the diagnosis and treatment program.
Compared with the prior art, the invention has the following beneficial effects:
1. the invention designs a unique probe and a control host, and completes the measurement of the resistance characteristics of medium solution in the saccule under different sectional areas through a plurality of detection electrodes arranged on the functional main body and the flexible tip; and by designing an independent internal control circuit and using hardware technologies such as I2C, FPC, an analog switch and the like, the combination transmission of a plurality of internal inspection data is completed, and the number of cable cores of an output cable is greatly reduced, so that the aim of multi-technology integration is fulfilled. The invention acquires the real-time change data of the shape of the vaginal cavity after the data acquisition and the calibration and calculation of the control host, and carries out analog simulation with the pressure data born by the saccule, thereby completing the more comprehensive evaluation of the functions of elasticity, tension, looseness and the like of the pelvic floor muscles.
2. The control circuit comprises an electrode gating circuit, a sensor signal amplifying, correcting and integrating internal control circuit; the internal control circuit includes first and second internal control circuits; the first internal control circuit comprises an MCU which can generate constant current square wave signals of more than 1k and 50-500 uA; the first control circuit has the function of integrating all sensors with real-time data of detection electrodes, uses an I2C bus to control all internal sensors (comprising the correction module) and cameras, and uses a JST flat cable of 0.8mm to be connected with the second internal control circuit; this simplifies the internal wiring arrangement while greatly reducing the number of the third signal transmission channel cores (4 cores).
The second internal control circuit is a double-sided patch PCB and comprises a signal amplifying circuit, an electrode gating circuit and a signal acquisition circuit; the electrode gating circuit comprises two 8-1 and one 4-1 multiplexers; the two 8-in-1 multiplexers collect potential difference signals of two adjacent measuring electrodes at the same time; the 4-to-1 multiplexer changes the incoming direction of the excitation signal at a frequency. The control circuit is used for detecting data, amplifying, correcting, integrating and communicating the sensing signals, the control host is used for completing analog calculation and graph drawing functions to process the data, and the internal control circuit is only responsible for amplifying, correcting, integrating and communicating all the acquired signals. And obtaining a stress-strain three-dimensional simulation diagram of the multi-section inner diameter of the cavity after calculation and calibration, and finally evaluating the muscle function according to the stress-strain result.
3. The invention has ingenious and unique design. By arranging the parallel gyroscope sensor A and the gyroscope sensor B, when the flexible core body bends along with the physiological structure, the physiological angle data of the pelvic floor and the vaginal morphology are obtained by calculating the relative angle change among gyroscopes for detection; a flexible tip pH sensor is also designed to detect pH change and other functional parameters.
4. The image acquisition circuit comprises a miniature speculum camera, and after video signals are transmitted to the MCU, the video signals and other data are integrated and output to the handheld host through a serial port. The control host is provided with a touch display screen, a charging power supply, a data storage and analysis module and a wireless transmission module; the wireless transmission module can upload the detection result network and load the diagnosis and treatment program. The design vibration motor causes the focus skew when rotatory, makes the probe take place vibrations to amazing sensitive position, reach amusement and relax the effect, and steerable vibration intensity of accessible control rotational speed can be used to pelvic floor rehabilitation.
Drawings
FIG. 1 is a schematic diagram of a probe structure for pelvic floor function detection and treatment in accordance with the present invention;
FIG. 2 is a cross-sectional view of a probe configuration for use with the pelvic floor function detection and treatment probe system of the present invention;
FIG. 3 is a schematic block diagram of the overall circuit of the probe system for pelvic floor function detection and treatment in accordance with the present invention;
FIG. 4 is a schematic view of a second embodiment of the probe of the present invention;
fig. 5-8 are schematic diagrams of the detection and treatment probe system of the present invention for pelvic floor function detection and treatment.
In the figure: firstly, controlling a host; 2. a control cable; 3. a base; 4. a balloon; 5. a functional main body; 6. a flexible tip; 7. a liquid infusion channel; 8. a valve; 9. a first internal control circuit; 10. a second internal control circuit B;11. amplifying the signal transmission channel; 12. detecting an electrode plate; FPC bus line; 14. a reinforcing structure; 15. a vibration motor; 16. a miniature speculum camera; a ph sensor; 18. a gyroscope B;19. a pressure sensor B;20. an electrical stimulation electrode sheet; 21. a pressure sensor A;22. a gyro sensor a;23. a calibration module; 24. an internal signal transmission channel; 25. a first signal transmission channel; 26. a second signal transmission channel; 27. a third signal transmission channel; 28. an annular thin film pressure sensor; 29. cervical long axis; 30. a vaginal long axis; 31. pre-uterine tilt; 32. uterus.
Detailed Description
Example 1: referring to fig. 1 and 2, a female pelvic floor function detection and treatment probe comprises a probe body and a control host; the probe body comprises a base 3, a functional main body 5 and a flexible tip 6;
the base 3 is internally provided with a control circuit 9 and a correction module 23, the control circuit 9 comprises a control host and an internal control circuit, the control host finishes the analog calculation and the graph drawing functions to process data, and the internal control circuit is responsible for amplifying, correcting, integrating and communicating all acquired signals; the correction module 23 comprises a reference gyroscope and a reference pressure sensor, and provides a reference initial value for system detection;
the diameter of the functional main body 5 is smaller than that of the flexible tip 6 of the base 3, the functional main body 5 is externally provided with a wrapping balloon 4, and <100ml of liquid medium can be poured between the functional main body 5 and the wrapping balloon 4; the functional main body 5 is a cylindrical flexible core body which can be bent along any direction, and a plurality of detection electrode plates 12, a pressure sensor A21 and a gyroscope A22 are uniformly arranged on the flexible core body along the axial direction so as to finish the real-time detection of the resistance characteristics of the balloon perfusion medium with the corresponding section;
the flexible tip 6 is provided with a miniature endoscope camera 16, a vibration motor 15, an electric stimulation electrode 20, a gyroscope B18 and a pressure sensor B19, and is used for acquiring physiological data and physiological stimulation;
the reference gyroscope, gyroscope a 22, and gyroscope B18 are arranged in parallel.
The device also comprises a handheld host 1, a control cable 2, a liquid filling channel 7 and a valve 8. The channel control cable 2 of the handheld host 1 is connected with the base 3, and the functional main body 5 which is adhered with the base 3 into a whole is made of silica gel and can be bent along any direction. The liquid filling channel 7 penetrates through the base 3 and extends to an opening in the coverage area of the balloon 4, and the valve 8 can close the liquid filling channel outside the probe so as to ensure that liquid in the balloon 4 cannot overflow.
Wherein the probe structure is seen in fig. 2: the first internal control circuit 9 and the second internal control circuit 10 are positioned in the base 3, the electric signal transmission work between the first internal control circuit 9 and the second internal control circuit 10 is completed by an amplified signal transmission channel 11, and the second internal control circuit 10 is connected with the detection electrode sheet 12 through an FPC flat cable 13 to complete the multiplexing and signal amplification of the detection electrode. The pH sensor 17, the miniature speculum camera 16, the pressure sensor and the gyroscopic sensor in the probe pass through the internal signal transmission channel 24 using a 0.8mm jst multi Pin connector with the first internal control circuit 9. Three different signal transmission channels are included in the control cable 2.
Referring to fig. 2 and 3, the MCU processor transmits a constant current square wave signal with a frequency of 50-100 ua and a frequency of 1 k-10 k to the excitation signal converter, the excitation signal converter respectively introduces the signal into the conductive ion solution from the head and tail detection electrode plates at a certain frequency, the output signal converter is composed of two 8-to-1 multiplexers, and the 9 detection electrode plate signals are sequentially input into the amplifier, filtered, a/D converted and then transmitted back to the MCU. The gyroscope, pressure, temperature and pH sensors are connected by an I2C bus and controlled by the MCU through an internal signal transmission channel 24. The image acquisition circuit comprises a miniature speculum camera 16, and after video signals are transmitted to the MCU, the video signals and other data are integrated and output to the handheld host 1 through a serial port. The control paths of the vibration motor 15 and the electric stimulation electrode slice 20 are independent from the internal MCU. The control host 1 transmits low-frequency pulse current to the electro-stimulation electrode pad 20 through the first signal transmission channel 25, and transmits PWM signals to the vibration motor 15 through the second signal transmission channel 26.
Referring to fig. 4, the probe electrode pad 12 may also be replaced with an annular membrane pressure sensor 28, while collecting basin bottom multipoint pressure data.
Normal female pelvic floor muscle function includes functions in the static and dynamic state of the human body. When pelvic floor tissue anatomy or function is impaired, such as pregnancy, labor, obesity, aging, pelvic surgery, radiation therapy, etc., abnormal pelvic organ position or function may result, eventually leading to PFD (flexible circuit board). Pelvic muscles belong to skeletal muscles, the skeletal muscle fiber components are fast muscle fibers, which also become class ii muscle fibers, and slow muscle fibers, which are also known as class i muscle fibers. In the resting state, the I-type muscle fiber is continuously contracted to maintain the pelvic floor organ at a normal position; the tension it produces is controlled by the pelvic floor nerve and is affected by the level of the hormone. The dynamic pelvic floor functions comprise urine control, feces control, sexual functions, pelvic floor tissue and pelvic organ coordination functions and the like. In the movement state, the abdominal cavity wants to transmit pressure to pelvic floor tissues to increase, and at the moment, II-type muscle fibers start to shrink, so that the perineum moves centripetally and the pelvic floor organs move upwards to resist the increased pressure of the abdominal cavity. This shrinkage includes two different types: optional constriction and reflex constriction, both of which not only maintain support to the pelvic floor organ, but also close the urethra, anus and vagina, avoiding spillage of urine or faeces. Pelvic floor muscle dynamic dysfunction is clinically manifested as urinary incontinence, sexual dysfunction and the like. Pelvic floor muscle function assessment is a method for knowing the functions of the pelvic floor and is also the basis for formulating a pelvic floor rehabilitation treatment scheme. Common pelvic floor muscle functional assessment types include muscle strength, myoelectricity, pressure, tension, and the like.
Referring to fig. 5, by placing a balloon containing a volume of ionic solution in the vagina, the pressure change experienced by the balloon is transmitted by pressure sensor technology, knowing the muscle function of the pelvic floor muscles in resting and contracted states. The normal value of the resting pressure of pelvic floor muscles is more than 10cm H2O, the pressure value generated when the pelvic floor muscles contract is the dynamic pressure of vagina, and the normal value range is 80-150 cm H2O. The difference between resting pressure and dynamic pressure is proportional to the force of pelvic floor muscle contraction. Pelvic floor muscle pressure reflects the work-doing capacity of the pelvic floor muscle and the dynamic coordination function between the pelvic floor muscle and the pelvic organs. The pressure profile generated by pelvic floor muscle contraction can also reflect the type of muscle fiber, muscle strength and fatigue. The pelvic floor muscle strength is calculated by adopting the muscle contraction time or times, the I-type muscle fiber is analyzed and graded by continuously reaching the time duration of 40% of the maximum value of the vaginal muscle contraction of a patient, and the II-type muscle fiber is analyzed and evaluated by analyzing and grading the times of reaching the specified maximum contraction force by the maximum force and the fastest contraction and relaxation of the vagina of the patient. In addition, the detection electrode acquires real-time geometrical shape data of vagina through collecting resistance characteristic changes in different sections of the ionic solution, and combines the real-time geometrical shape data with pressure data in a resting state and a movement state, so that tension function evaluation indexes such as pelvic floor muscle static tension, dynamic tension, muscle elasticity, muscle extensional tension reflection, pelvic floor muscle contraction closing force and the like are obtained.
Referring to fig. 6, the cervical outer opening determines the type of uterine displacement in the vagina, and the normal posture of the uterus of an adult female is a slight anteversion and anteversion. "tip" refers to the relationship of the angle between the major axis of the uterus and the major axis of the vagina; "flexion" refers to the relationship of the angle between the long axis of the uterus and the long axis of the cervix. Normal anteversion, i.e. the uterus and vagina form a forward open, approximately right angle inclination; normal anteversion, i.e., the uterus and cervix form Qu Jiao which opens approximately 170 ° anteriorly. The cervical outer opening and both lips are in contact with the posterior vaginal wall. The change of the included angles of the uterus "tilting" and "bending" can be caused by various physiological or pathological factors, so that different types of uterine displacement are formed: front deflection (forward leaning, forward bending, forward leaning and forward bending), back deflection (backward leaning, backward bending, backward leaning and backward bending and horizontal position), and side deflection (side leaning, side bending, side leaning and side bending), etc. When the probe tip is bent along with the cervical external orifice, the probe tip and the gyroscope sensors arranged in the base correspond to the cervical long axis and the vaginal long axis respectively, and the relative angle data and the forward uterine inclination angle data of the probe tip and the gyroscope sensors are respectively. For women, the change in vaginal pH is just like a reproductive health sunny rain watch, but is often ignored by most women. Some external factors and bad habits can cause subtle changes of pH values, and various gynecological diseases can be caused to influence the health of female reproductive systems. The imbalance of the pH value creates a multiplicative mechanism for pathogenic bacteria, and can induce bacterial, mycotic, trichomonas vaginitis and other colpitis. The pH sensor 17 at the tip of the probe can respond to the pH data at different positions of the vagina of the female in real time.
Referring to fig. 7, pelvic floor muscle bioelectric stimulation belongs to the category of neuromuscular, the electric stimulation electrode sheet 20 stimulates the perineal nerve reflex pathway with low-frequency pulse current, and by electrically stimulating nerve fibers, the original nerve reflex is intervened by means of synaptic connection between neurons, so that the functions of bladder sphincter and pelvic floor tissue are regulated, the effective contraction of pelvic floor muscle groups is promoted, the excitability of neuromuscular is increased, the excitation and inhibition functions of detrusor and urethral sphincter are balanced, nerve cells with partial function suspension are awakened, and the function recovery is promoted. When the eccentric motor (vibration motor 15) rotates, the gravity center is shifted, so that the probe vibrates, the sensitive part is stimulated, the entertainment relaxing effect is achieved, and the vibration intensity can be controlled by controlling the rotating speed. The image acquisition circuit comprises a miniature speculum camera 16, and after video signals are transmitted to the MCU, the video signals and other data are integrated and output to the handheld host 1 through a serial port. The control paths of the vibration motor 15 and the electric stimulation electrode slice 20 are independent from the internal MCU. The control host 1 transmits low-frequency pulse current to the electro-stimulation electrode pad 20 through the first signal transmission channel 25, and transmits PWM signals to the vibration motor 15 through the second signal transmission channel 26.
Referring to fig. 8, the balloon in the vagina is placed, the measurement of electromyography and the contraction pressure of the vagina and urethra is completed through the built-in pressure sensor, feedback is displayed as an electromyography or pressure curve, the pelvic floor muscle function state is more clearly known to a patient through controlling the main body simulation curve guide and the voice prompt, the patient is enabled to participate in treatment, the normal or abnormal pelvic floor muscle function state is deeply known, the patient is guided to exercise the pelvic floor muscle mainly contracting the levator ani muscle correctly and consciously, the movement, the feeling and the coordination function of the pelvic floor muscle are guided, and the curative effect is better obtained.
The invention is used for pelvic floor rehabilitation therapy and rehabilitation therapy, and can be divided into three modes:
(1) Kegel exercise: the patient has the purposes of enhancing pelvic floor muscle tension supporting urethra, bladder, uterus and rectum, increasing urethral resistance, recovering urethral relaxation, and preventing and treating female urinary incontinence and genital organ prolapse through autonomous and repeated contraction and relaxation of pelvic floor muscle groups. The main content is that the anus locking action is repeatedly performed, each time the anus is tightened for not less than 3 seconds, then loosened, and a group of exercises are continuously performed for 15 to 30 minutes, and 2 to 3 groups of exercises are performed every day; or the self-selected time period is 150-200 times per day without intentional grouping, and 6-8 weeks are a course of treatment.
(2) Pelvic floor muscle bioelectric stimulation: the pelvic floor muscle bioelectric stimulation belongs to the category of nerve muscles, the nerve reflex pathway of the perineum is stimulated by low-frequency pulse current, nerve fibers are stimulated by means of synapse connection among neurons, the original nerve reflex is interfered, the functions of regulating the functions of the bladder sphincter and pelvic floor tissues are achieved, the effective contraction of pelvic floor muscle groups is promoted, the excitability of the nerve muscles is increased, the excitation and inhibition functions of detrusor and urethral sphincter are balanced, nerve cells with partial function suspension are awakened, and the function recovery is promoted.
(3) Biofeedback therapy: the host provides voice and image prompts, so that the patient can complete corresponding rehabilitation training, the pelvic floor performance (such as pressure, morphology and the like) caused by the activities of the patient can be acquired and evaluated in real time, then the acquired pelvic floor performance is compared with normal signals, and electromyography or pressure curves are fed back and displayed, so that the patient can know the functional state of the pelvic floor muscles more clearly, the patient can participate in treatment actively, the normal or abnormal pelvic floor muscle functional state can be known deeply, the patient can be guided to exercise the pelvic floor muscles mainly with the levator ani contraction correctly and consciously, the movement, the feeling and the coordination function of the pelvic floor muscles can be guided, and the curative effect can be obtained more quickly and better.
The invention combines two rehabilitation modes, namely active and passive, and meets the personalized diagnosis and treatment requirements.
Finally, it is noted that the above embodiments are only for illustrating the technical solution of the present invention and not for limiting the same, and although the present invention has been described in detail with reference to the preferred embodiments, it should be understood by those skilled in the art that modifications and equivalents may be made thereto without departing from the spirit and scope of the technical solution of the present invention, which is intended to be covered by the scope of the claims of the present invention.

Claims (7)

1. A female pelvic floor function detection and treatment probe comprises a probe body and a control host; the probe is characterized in that the probe body comprises a base (3), a functional main body (5) and a flexible tip (6);
a control circuit (9) and a correction module (23) are arranged in the base (3), the control circuit (9) comprises a control host and an internal control circuit, the control host finishes the analog calculation and the graph drawing function to process data, and the internal control circuit is responsible for amplifying, correcting, integrating and communicating all acquired signals; the correction module (23) comprises a reference gyroscope and a reference pressure sensor, and provides a reference initial value for system detection;
the diameter of the functional main body (5) is smaller than that of the base (3) and the flexible tip (6), a wrapping balloon (4) is arranged outside the functional main body (5), and <100ml of liquid medium can be poured between the functional main body (5) and the wrapping balloon (4); the functional main body (5) is a cylindrical flexible core body which can be bent along any direction, and a plurality of detection electrode plates (12), a pressure sensor A (21) and a gyroscope A (22) are uniformly arranged on the flexible core body along the axial direction so as to finish the real-time detection of the resistance characteristics of the saccule perfusion medium with the corresponding section;
the flexible tip (6) is provided with a miniature endoscope camera (16), a vibration motor (15), an electric stimulation electrode (20), a gyroscope B (18) and a pressure sensor B (19) which are used for acquiring physiological data and physiological stimulation;
the reference gyroscope, the gyroscope A (22) and the gyroscope B (18) are arranged in parallel;
the detection electrode plate (12) is an annular electrode plate or an annular film pressure sensor (28) for completing multipoint pressure measurement; the distance between two adjacent detection electrode plates (12) is 8mm, and the detection electrode plates are connected with a control circuit through an FPC flat cable; the connection strength of the connection part of the detection electrode plate (12) and the FPC is increased through the reinforcing rib;
the control circuit comprises an electrode gating circuit, a sensor signal amplifying, correcting and integrating internal control circuit; the internal control circuit includes first and second internal control circuits; the first internal control circuit comprises an MCU which can generate constant current square wave signals of more than 1k and 50-500 uA; the first control circuit has the function of integrating real-time data of all sensors and detection electrodes, uses an I2C bus to control all internal sensors and cameras, and uses a JST flat cable of 0.8mm to be connected with the second internal control circuit; thus simplifying the internal circuit arrangement and greatly reducing the number of the wire cores of the third signal transmission channel;
the second internal control circuit is a double-sided patch PCB and comprises a signal amplifying circuit, an electrode gating circuit and a signal acquisition circuit; the electrode gating circuit comprises two 8-1 and one 4-1 multiplexers; the two 8-in-1 multiplexers collect potential difference signals of two adjacent measuring electrodes at the same time; the 4-to-1 multiplexer changes the incoming direction of the excitation signal at a frequency.
2. The female pelvic floor function detection and treatment probe according to claim 1, wherein the flexible tip (6) is further provided with a flexible contact with a built-in pH sensor (17), and the pH sensor is arranged inside the flexible contact.
3. The female pelvic floor function detection and treatment probe according to claim 1, wherein the wrapping balloon (4) is a cylindrical TPU balloon wrapping, the length is 8cm, and the maximum overflow diameter is 40mm.
4. The female pelvic floor function detection and treatment probe of claim 1, wherein the flexible core and flexible tip are made of silicone; the perfusion medium is normal saline.
5. The female pelvic floor function detection and treatment probe according to claim 1, wherein the control host is provided with a touch display screen, a charging power supply, a data storage and analysis module and a wireless transmission module thereof; the wireless transmission module can upload the detection result network and load the diagnosis and treatment program.
6. The female pelvic floor function detection and treatment probe according to claim 1, characterized in that the diameters of the base (3), the functional body (5) and the flexible tip (6) are 3-4cm, 1-1.5cm and 2-2.5cm, respectively; the lengths of the base (3), the functional main body (5) and the flexible tip (6) are 5cm, 9-14cm and 3-4cm respectively.
7. The female pelvic floor function detection and treatment probe of claim 1, wherein the frequency of the probe electrode pad is 100Hz.
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