FR2601254A1 - Device for recording vaginal electromyographic potentials or stimulating the vaginal muscles - Google Patents

Device for recording vaginal electromyographic potentials or stimulating the vaginal muscles Download PDF

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Publication number
FR2601254A1
FR2601254A1 FR8610305A FR8610305A FR2601254A1 FR 2601254 A1 FR2601254 A1 FR 2601254A1 FR 8610305 A FR8610305 A FR 8610305A FR 8610305 A FR8610305 A FR 8610305A FR 2601254 A1 FR2601254 A1 FR 2601254A1
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Prior art keywords
probe
vaginal
bars
muscles
stimulate
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FR8610305A
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French (fr)
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MAMBERTI DIAS CAVARONI ANDRE
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MAMBERTI DIAS CAVARONI ANDRE
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Priority to FR8610305A priority Critical patent/FR2601254A1/en
Publication of FR2601254A1 publication Critical patent/FR2601254A1/en
Withdrawn legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/486—Bio-feedback
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/389—Electromyography [EMG]
    • A61B5/391—Electromyography [EMG] of genito-urinary organs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0521—Genital electrodes
    • A61N1/0524—Vaginal electrodes

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Urology & Nephrology (AREA)
  • Cardiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biodiversity & Conservation Biology (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Electrotherapy Devices (AREA)

Abstract

The invention relates to a device making it possible, by means of an endovaginal probe fitted with 4 metal bars on its lower face, selectively to record the electromyographic potentials in microvolts and to display them on a biofeedback type apparatus, or selectively or generally to stimulate the muscles of the vaginal wall of the female. It consists of a long probe S, having at its distal part 2 inputs A, B for electrical supply, at its intermediate part a bulge R for blocking it in the vulvar constrictor muscle, at its middle part 4 bars T1, T2, T3, T4 which are symmetrical in pairs with respect to the sagittal axis of the probe S. The device according to the invention is intended in particular for uro-gynaeco-sexology therapies, for electrical stimulation of the muscles by biofeedback techniques.

Description

1 - DESCRIPTION
La présente invention concerne un dispositif par sonde endo-vaginale pour, d'une part enregistrer les potentiels electromyographiques de surface de la musculature vaginale sur deux canaux séparés (technique du biofeedback), et d'autre part, stimuler cette même musculature globalement ou sélectivement.1 - DESCRIPTION
The present invention relates to an endovaginal probe device for, on the one hand recording the electromyographic potentials of the surface of the vaginal musculature on two separate channels (biofeedback technique), and on the other hand, stimulating this same musculature globally or selectively. .

Cette sonde est conçue pour être employée dans le domaine médical, lorsqu'il existe une agnosie de la fonction périnéale. Traditionnellement les sondes existantes qui permettent un enregistrement identique ou une stimulation musculaire, telles qu'elles sont prévues par les fabricants, usent de bagues circulaires, qui ne peuvent stimuler ou enregistrer que d'une façon globale, et non sélective, les muscles du plancher vaginal. This probe is designed to be used in the medical field, when there is an agnosia of the perineal function. Traditionally, existing probes that allow identical recording or muscle stimulation, as provided by the manufacturers, use circular rings, which can only stimulate or record the overall muscles, and not selective, of the floor muscles vaginal.

Le dispositif selon l'invention permet de remédier à cet inconvénient. The device according to the invention overcomes this drawback.

Il comporte en effet un réceptacle en forme de sonde présentant deux orifices d'entrée - A et B - pour des fils gainés, et sur la face inférieure du boitier-sonde 4 canaux à barettes dans le sens longitudinal antero-postérieur, répartis 2 à 2 de part et d'autre de la ligne médiane. It in fact comprises a receptacle in the form of a probe having two inlet orifices - A and B - for sheathed wires, and on the underside of the 4-channel probe housing with bars in the antero-posterior longitudinal direction, distributed 2 to 2 on either side of the center line.

Chaque ensemble de 2 barettes de chaque coté permet, avec un système d'inverseur, indépendant du boitier-sonde, de stimuler ou d'enregistrer sélectivement, la musculature des releveurs de l'anus, positionnés anatomiquement de chaque coté. Each set of 2 bars on each side allows, with an inverter system, independent of the probe box, to stimulate or selectively record, the muscles of the levators of the anus, anatomically positioned on each side.

La forme de la sonde peut-être soit cylindrique, soit anatomiquement référencée sur l'appareil génital masculin, selon que l'application dans le domaine médical sera à visée rééducative sexologique ou non. The shape of the probe may be either cylindrical or anatomically referenced on the male genitalia, depending on whether the application in the medical field will be for sexological rehabilitation or not.

Les dessins annexes illustrent l'invention. La figure 1 représente la sonde sexologique. La figure 2 représente la variante gynécologique. The accompanying drawings illustrate the invention. Figure 1 shows the sex probe. Figure 2 shows the gynecological variant.

Le diamètre général de la sonde peut-être de lcm, 2,5cm, ou 3 cm. Le diamètre du renflement correspondant au muscle constricteur de la vulve, peut-être de 3,1 cm ou 3,6 cm. La longueur totale de la sonde peut-être comprise entre 13 et 15 cm. The general diameter of the probe may be 1cm, 2.5cm, or 3cm. The diameter of the bulge corresponding to the constrictor muscle of the vulva, perhaps 3.1 cm or 3.6 cm. The total length of the probe can be between 13 and 15 cm.

Les barettes qui servent à l'enregistrement ou à la stimulation, sont situées sur une demi-face par rapport au plan sagittal de la sonde. ELles sont en outre positionnées 2 par 2 par rapport à un axe médian antero-posterieur, et symétriquement par rapport à cet axe. The bars used for recording or stimulation are located on a half-face with respect to the sagittal plane of the probe. They are also positioned 2 by 2 with respect to an antero-posterior median axis, and symmetrically with respect to this axis.

Leur longueur est de 3,5 cm. Leur extrémité distale est à 2 cm du renflement et leur extrémité proximale est à 5,5 cm du tout de la sonde. Their length is 3.5 cm. Their distal end is 2 cm from the bulge and their proximal end is 5.5 cm from the probe at all.

Leur épaisseur est de 0,1 cm.Their thickness is 0.1 cm.

Elles sont faites dans un métal recouvert d'argent ou tout autre matériau qui garantisse une parfaite inocuite, sur le plan des oxydations et des brulûres, pourles muqueuses vaginales des patientes.  They are made of a metal covered with silver or any other material which guarantees a perfect inocuit, in terms of oxidations and burns, for the vaginal mucous membranes of the patients.

Les conducteurs électriques qui vont de l'appareil enregistreur ou fournisseur de courants à la sonde, sont totalement isolés dans des gaines adéquates. The electrical conductors which go from the recording device or supplier of current to the probe, are completely insulated in suitable sheaths.

L'entrée de ces fils dans la sonde, par l'extrémité distale, est elle aussi isolée de tout agent liquide, permettant ainsi une désinfection totale en milieu aqueux de la sonde et des fils conducteurs, sur une longueur de 15 cm au minimum. The entry of these wires into the probe, through the distal end, is also isolated from any liquid agent, thus allowing total disinfection in an aqueous medium of the probe and the conducting wires, over a length of at least 15 cm.

Le matériau dans lequel la sonde est- fabriquée > doit être inerte de type nylon ou téflon, excluant toute matière métallique ou conductrice de courants électriques. The material from which the probe is made must be inert, nylon or Teflon type, excluding any metallic material or conductive of electric currents.

Seules les barettes, ainsi que décrites précedemment, sont en matière conductrice, avec les précautions d'usage. Only the bars, as described above, are made of conductive material, with the usual precautions.

Une telle sonde doit être reliée à un appareil fournisseur de courants électriques adaptés à la thérapie endo-vaginale, c'est-à-dire ne présentant dans leurs formes aucun risque de brûlures. Un tel appareillage doit pouvoir sélectionner 2 à 2 les barettes droites et gauches, ou les 4 barettes en même temps, selon la thérapie visée. Such a probe must be connected to a device supplying electric currents suitable for endovaginal therapy, that is to say presenting in their forms no risk of burns. Such an apparatus must be able to select 2 to 2 the right and left bars, or the 4 bars at the same time, depending on the targeted therapy.

Quant aux enregistrements possibles avec ce type d'invention, ils ne peuvent se réaliser qu'avec un appareillage spécifique de type "biofeedback"f à deux canaux visuels, correspondants à la paire de barettes de chaque coté, qui fournissent les données enregistrées au niveau de chaque groupe de muscles releveurs de l'héri-plancher vaginal. As for the recordings possible with this type of invention, they can only be carried out with specific "biofeedback" type equipment f with two visual channels, corresponding to the pair of bars on each side, which provide the data recorded at the level of each group of muscles of the vaginal heiris.

En outre un enregistrement électromyographique en microvolts doit s'afficher séparément pour chaque paire de barettes enregistreuses, afin que la patiente puisse visualiser-la potentialité dynamique et numérique de sa musculature périnéale droite et gauche. In addition, an electromyographic recording in microvolts must be displayed separately for each pair of recording strips, so that the patient can visualize the dynamic and digital potential of her right and left perineal musculature.

Une telle invention apporte, dans le domaine de la rééducation gynécosexologique, un avantage évident, à savoir :
enregistrement précis de chaque groupe musculaire du plancher périnéal, stimulation sélective de ces mêmes groupes musculaires, et ceci sans avoir à manipuler deux sondes différentes come cela se pratique actuellement. Il est évident, qu'outre l'intérêt d'un enregistrement et d'une stimulation sélective, cette invention présente un intérêt psychologique pour les patientes, auxquelles on évite de faire subir des manipulations de sondes endo-vaginales.Such an invention brings, in the field of gynecosexological rehabilitation, an obvious advantage, namely:
precise recording of each muscle group in the perineal floor, selective stimulation of these same muscle groups, without having to manipulate two different probes as is currently the case. It is obvious that, in addition to the interest of recording and selective stimulation, this invention is of psychological interest for the patients, who are avoided to subject to manipulation of endovaginal probes.

Le dispositif selon l'invention est particulièrement destiné aux thérapeutes médicaux qui rééduquent les dysfonctions gynécologiques et sexologiques de la femme.  The device according to the invention is particularly intended for medical therapists who rehabilitate gynecological and sexological dysfunctions of women.

Claims (8)

REVENDICATIONS 1) Dispositif par sonde endo-vaginale pour enregistrer les potentiels electromyographiques de la musculature du plancher vaginal féminin, et stimuler cette musculature, globalement ou sélectivement, caractérisé en ce qu'il comporte un réceptacle (S) en forme de sonde (2 variantes) présentant deux orifices d'entrée (A et B) pour fils électriques gainés et 4 barettes métalliques (T1,T2 > T3,T4) sur la face inférieure dudit boitier-sonde (S) réparties 2 å 2 symétriquement par rapport a l'axe médian de la sonde, servant a enregistrer ou stimuler la musculature vaginale du plancher. 1) Device by endovaginal probe to record the electromyographic potentials of the musculature of the female vaginal floor, and stimulate this musculature, globally or selectively, characterized in that it comprises a receptacle (S) in the form of a probe (2 variants) having two inlet ports (A and B) for sheathed electrical wires and 4 metal bars (T1, T2> T3, T4) on the underside of said probe box (S) distributed 2 to 2 symmetrically with respect to the axis median of the probe, used to record or stimulate the vaginal muscles of the floor. 2) Dispositif selon la revendication 1 caractérisé par un boitier-sonde de forme cylindrique pour la thérapie uro-gynécologique.  2) Device according to claim 1 characterized by a probe housing of cylindrical shape for urogynecological therapy. 3) Dispositif selon la revendication 1 caractérisé par un boitier-sonde de forme anatomiquement référencée sur l'appareil génital masculin pour la thérapie sexologique.  3) Device according to claim 1 characterized by a probe housing of anatomically referenced shape on the male genitalia for sexological therapy. 4) Dispositif selon l'une queloncque des revendications précédentes caractérisé en ce que le diamètre de la sonde est de 1 cm, 2,5 cm ou 3 cm. 4) Device according to any one of the preceding claims characterized in that the diameter of the probe is 1 cm, 2.5 cm or 3 cm. Caractérisé en ce que le diamètre de renflement (R) est de 3,1 ou 3,6 cm.Characterized in that the bulge diameter (R) is 3.1 or 3.6 cm. 5) Dispositif selon l'une quelconque des revendications précédentes 5) Device according to any one of the preceding claims 6) Dispositif selon l'une quelconque des revendications précédentes caractérisé en ce que la longueur hors tout du boitier-sonde est comprise entre 13 et 15 cm. 6) Device according to any one of the preceding claims, characterized in that the overall length of the probe housing is between 13 and 15 cm. 7) Dispositif selon l'une quelconque des revendications précédentes caractérisé en ce que les 4 barettes ont une longueur de 3,5 cm, une épaisseur de 0,1 cm. 7) Device according to any one of the preceding claims, characterized in that the 4 bars have a length of 3.5 cm, a thickness of 0.1 cm. 8) Dispositif selon l'une quelconque des renvendications précédentes caractérisé en ce que les barettes peuvent servir à enregistrer un potentiel électromyographique ou a stimuler une musculature périnéo-vaginale, globalement ou sélectivement, à droite et à gauche, au moyen d'un inverseur de commande independant tu dispositif boitier-sonde.  8) Device according to any one of the preceding claims, characterized in that the bars can be used to record an electromyographic potential or to stimulate a perineovaginal musculature, globally or selectively, to the right and to the left, by means of an inverter of independent control of the probe-box device.
FR8610305A 1986-07-10 1986-07-10 Device for recording vaginal electromyographic potentials or stimulating the vaginal muscles Withdrawn FR2601254A1 (en)

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FR8610305A FR2601254A1 (en) 1986-07-10 1986-07-10 Device for recording vaginal electromyographic potentials or stimulating the vaginal muscles

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FR8610305A FR2601254A1 (en) 1986-07-10 1986-07-10 Device for recording vaginal electromyographic potentials or stimulating the vaginal muscles

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Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5154177A (en) * 1991-04-12 1992-10-13 Eugene Eisman Myographic electrode
US5259388A (en) * 1991-07-23 1993-11-09 Eugene Eisman Multiple electrode myographic probe
US5452719A (en) * 1991-07-23 1995-09-26 Eisman; Eugene Multiple electrode myographic probe and method
WO1995031932A1 (en) * 1994-05-19 1995-11-30 Board Of Regents, The University Of Texas System Method and apparatus for analysing uterine activity
WO1997048446A1 (en) * 1996-06-18 1997-12-24 Inmedico Aps A method and a probe for treatment of incontinence
US5776073A (en) * 1994-05-19 1998-07-07 Board Of Regents, University Of Texas System Method and apparatus for analyzing uterine electrical activity from surface measurements for obstetrical diagnosis
FR2762983A1 (en) * 1997-05-09 1998-11-13 Pascal Blondelle Vaginal or anal endo=cavity probe
FR2767481A1 (en) * 1997-08-25 1999-02-26 Dias Andre Mamberti Vaginal or anal endo-cavity probe
WO2003089071A3 (en) * 2002-04-22 2004-03-04 Blueprint Innovation Limted Improvements in and relating to pelvic floor muscle exercisers & indicators
US8439845B2 (en) 2007-09-25 2013-05-14 Uroval, Inc. Obtaining measurements of muscle reflexes for diagnosis of patient symptoms
US8444571B2 (en) 2007-09-25 2013-05-21 Uroval, Inc. Obtaining measurements of muscle reflexes for diagnosis of patient symptoms
US9730605B2 (en) 2007-09-25 2017-08-15 Uroval, Inc. Diagnosis of brain and spinal cord injury by bulbocavernosus reflex measurement

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3800800A (en) * 1968-09-20 1974-04-02 D Garbe Apparatus and method for incontinence control
FR2387049A1 (en) * 1977-04-12 1978-11-10 Svenska Utvecklings Ab TEST DEVICE TO DETERMINE THE OPTIMAL ELECTRODES POSITION OF A PACEMAKER USED IN CASE OF URINARY INCONTINENCE
FR2507076A1 (en) * 1981-06-08 1982-12-10 Perry Jr John VAGINAL MYOGRAPHY METHOD AND APPARATUS

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3800800A (en) * 1968-09-20 1974-04-02 D Garbe Apparatus and method for incontinence control
FR2387049A1 (en) * 1977-04-12 1978-11-10 Svenska Utvecklings Ab TEST DEVICE TO DETERMINE THE OPTIMAL ELECTRODES POSITION OF A PACEMAKER USED IN CASE OF URINARY INCONTINENCE
FR2507076A1 (en) * 1981-06-08 1982-12-10 Perry Jr John VAGINAL MYOGRAPHY METHOD AND APPARATUS

Cited By (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5154177A (en) * 1991-04-12 1992-10-13 Eugene Eisman Myographic electrode
US5259388A (en) * 1991-07-23 1993-11-09 Eugene Eisman Multiple electrode myographic probe
US5452719A (en) * 1991-07-23 1995-09-26 Eisman; Eugene Multiple electrode myographic probe and method
WO1995031932A1 (en) * 1994-05-19 1995-11-30 Board Of Regents, The University Of Texas System Method and apparatus for analysing uterine activity
US5546953A (en) * 1994-05-19 1996-08-20 Board Of Regents, The University Of Texas System Method and apparatus for the recording and analysis of uterine electrical activity from the abdominal surface
US5776073A (en) * 1994-05-19 1998-07-07 Board Of Regents, University Of Texas System Method and apparatus for analyzing uterine electrical activity from surface measurements for obstetrical diagnosis
WO1997048446A1 (en) * 1996-06-18 1997-12-24 Inmedico Aps A method and a probe for treatment of incontinence
FR2762983A1 (en) * 1997-05-09 1998-11-13 Pascal Blondelle Vaginal or anal endo=cavity probe
FR2767481A1 (en) * 1997-08-25 1999-02-26 Dias Andre Mamberti Vaginal or anal endo-cavity probe
GB2401066A (en) * 2002-04-22 2004-11-03 Cst Medical Ltd Improvements in and relating to pelvic floor muscle exercisers & indicators
WO2003089071A3 (en) * 2002-04-22 2004-03-04 Blueprint Innovation Limted Improvements in and relating to pelvic floor muscle exercisers & indicators
GB2401066B (en) * 2002-04-22 2005-05-11 Cst Medical Ltd Improvements in and relating to pelvic floor muscle exercisers & indicators
US8439845B2 (en) 2007-09-25 2013-05-14 Uroval, Inc. Obtaining measurements of muscle reflexes for diagnosis of patient symptoms
US8444571B2 (en) 2007-09-25 2013-05-21 Uroval, Inc. Obtaining measurements of muscle reflexes for diagnosis of patient symptoms
US8845545B2 (en) 2007-09-25 2014-09-30 Uroval, Inc. Probe for measuring a patient's bulbocavernosus muscle reflex
US9392955B2 (en) 2007-09-25 2016-07-19 Uroval, Inc. Method for measuring a bulbocavernosus reflex
US9730605B2 (en) 2007-09-25 2017-08-15 Uroval, Inc. Diagnosis of brain and spinal cord injury by bulbocavernosus reflex measurement
US9907483B2 (en) 2007-09-25 2018-03-06 Uroval, Inc. Probe for measuring a patient's bulbocavernosus muscle reflex
US11013450B2 (en) 2007-09-25 2021-05-25 Uroval, Inc. Diagnosis of brain and spinal cord injury by bulbocavernosus reflex measurement
US11185277B2 (en) 2007-09-25 2021-11-30 Uroval, Inc. Probe for measuring a patient's bulbocavernosus muscle reflex

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