EP0219410A1 - Für die Rehabilitation inkontinenter Patienten verwendbare Druckprobe und Rehabilitationsgerät für den Einsatz einer solchen Probe - Google Patents

Für die Rehabilitation inkontinenter Patienten verwendbare Druckprobe und Rehabilitationsgerät für den Einsatz einer solchen Probe Download PDF

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Publication number
EP0219410A1
EP0219410A1 EP86402154A EP86402154A EP0219410A1 EP 0219410 A1 EP0219410 A1 EP 0219410A1 EP 86402154 A EP86402154 A EP 86402154A EP 86402154 A EP86402154 A EP 86402154A EP 0219410 A1 EP0219410 A1 EP 0219410A1
Authority
EP
European Patent Office
Prior art keywords
probe
sleeve
approximately
intended
anal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP86402154A
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English (en)
French (fr)
Inventor
Michel Duhem
Philippe Denis
Jacques Weber
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of EP0219410A1 publication Critical patent/EP0219410A1/de
Withdrawn legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/00178—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices for active exercising, the apparatus being also usable for passive exercising
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
    • A63B23/20—Exercising apparatus specially adapted for particular parts of the body for vaginal muscles or other sphincter-type muscles
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/008—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using hydraulic or pneumatic force-resisters
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2213/00—Exercising combined with therapy
    • A63B2213/004—Exercising combined with therapy with electrotherapy
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2220/00—Measuring of physical parameters relating to sporting activity
    • A63B2220/50—Force related parameters
    • A63B2220/56—Pressure

Definitions

  • the invention relates to a manometric probe usable for the rehabilitation of urinary or anal incontinence patients and intended to be introduced into a body cavity (anus or vagina) to functionally cooperate with the muscle masses to be reeducated, comprising a tubular sleeve elongated in an elastically material deformable supported at its two ends by anterior and posterior distal parts made of a rigid or relatively rigid material, said sleeve defining with the distal parts a chamber which has an orifice for communication with an external medium and which is intended, in position functional, to be filled with a fluid constituting a pressure transmission medium, the probe being, in the functional position, arranged in the body cavity so that the elastically deformable sleeve is in close contact with the muscle masses to be reeducated.
  • the probe concerned by the invention is, in its most general definition, more particularly usable for active rehabilitation, but a particularly economical arrangement of this probe makes it usable for passive rehabilitation.
  • the invention relates to an active rehabilitation device using
  • One of the causes of urinary or faecal incontinence resides in an insufficient musculation of the sphincter apparatus, respectively urinary or anal, which is opposed to the involuntary flows respectively of urine or faeces.
  • an active mass re-education can be used to combat urinary or fecal incontinence of this type.
  • sphincter muscle designed to strengthen the muscles so that the sphincter apparatus can regain its effectiveness.
  • This active rehabilitation consists of appropriate gymnastics of the sphincter muscle mass which, until now, has been carried out under direct medical supervision (for example in a hospital environment), possibly with the help of relatively complex manipulation devices.
  • the size of the excess zone (s) of the elastic sleeve depends on the axial positioning of the probe in the natural duct (anus or vagina) and the reproducibility of the pressure measurements of the compressed fluid, which make it possible to follow the rehabilitation, s 'finds it greatly affected.
  • the invention therefore essentially aims to remedy the drawbacks of this known probe, and to offer an improved probe that gives better satisfaction; the invention also aims to provide simple means to implement and inexpensive, developed around this improved probe, allowing active rehabilitation can be performed by the patient alone at home.
  • a first aspect of the invention relates to a pressure probe which is characterized in that the length of the elastic sleeve is between approximately 20 and 30 mm in the case of a probe for anal use and between approximately 45 and 55 mm in the case of a vaginal probe.
  • the tubular sleeve has a diameter of between approximately 9 and 15 mm in the undeformed state and the useful volume inside the sleeve is between approximately 3 and 7 cm3.
  • the tubular sleeve has a diameter of between approximately 15 and 25 mm in the undeformed state and the useful volume inside the sleeve is between approximately 15 and 25 cm3.
  • a probe according to the invention is particularly advantageous for satisfying the requirements of an active rehabilitation insofar as, because of its shape, it adapts perfectly in the body cavity into which it is introduced and is well retained therein without risk of untimely expulsion under the action of the constraints to which she is subjected during this rehabilitation; this adaptation to the walls of the body cavity also results in a perfect and total transmission of the muscular effort of the probe, which makes it possible to measure both exact and reliable this muscular effort.
  • the probe according to the invention can receive at least two electrodes made of an electrically good conductive material which are fixed on the external surface of the elastically deformal sleeve.
  • a probe thus arranged, associated with a device with controlled electrical discharges, may be particularly advantageous for implementing passive reeducation of urinary or faecal incontinence.
  • a second aspect of the invention relates to an apparatus which includes a pressure probe such as that defined above, connected by a conduit to a pressure sensor, means for introducing a pressurized fluid into the probe and its connection conduit, means for processing the output signal from the pressure sensor, display means receiving said signal to display the true pressure exerted on the probe and detected by the pressure sensor, and calibration means making it possible to set the display zero according to the pressure of the fluid introduced into the probe.
  • the pressure sensor provides an electrical output signal
  • the signal processing means are electronic means
  • the means for 'display includes a ramp of light displays corresponding respectively to preset pressure thresholds.
  • the device of the invention may also include signaling means, in particular visual and / or audible, possibly adjustable, indicating the times of work and rest times.
  • signaling means in particular visual and / or audible, possibly adjustable, indicating the times of work and rest times.
  • a pressure probe 1 according to the invention is shown in diametrical longitudinal section.
  • This probe includes a support member 2 having a central region or core 3 of relatively reduced diameter supporting an anterior end portion 4 and a posterior end portion 5 having diameters relatively larger than that of the core 3.
  • the support member is made of a rigid or semi-rigid material suitable for ensuring the desired function. It can be produced in one-piece form, as shown, or else be made up by assembling three parts corresponding to the three parts indicated above, the core then being able to be produced by a tubular element.
  • the cap 6 covers the front end part 4 of the support and is tightly connected to the rear end part 5 of the support.
  • a tubular sleeve 7 made of an elastically deformable material extends between the posterior and anterior end portions of the support to form a chamber 8 capable of be filled with a fluid, preferably a gas, and advantageously air.
  • the chamber 8 is annular around the core 3.
  • an orifice 9 is provided for communicating the chamber 8 with an external environment.
  • a channel 10 is drilled axially in the rear terminal part 5 of the support 2 and opens at 9 into the chamber 8.
  • a thin and flexible tube 11 connected to a housing 12 containing the command and control electronics which will be described later.
  • connection sleeve 14 can receive any suitable end piece from a suitable fluid source (for example compressed air tank or bulb) intended for injecting a determined quantity of the pressurized fluid into the fluid circuit, including into chamber 8.
  • a suitable fluid source for example compressed air tank or bulb
  • FIG. 2 schematically illustrates the electronics associated with the probe 1 and contained, inter alia, in the housing 12.
  • a pressure sensor 16 which outputs an electrical signal representative of the pressure of the fluid in the tube 12.
  • the electrical signal representative of the pressure is applied to a display device 18 which, advantageously, comprises a threshold circuit 19 controlling a ramp of light displays 20 (for example light-emitting diodes or displays liquid crystal).
  • a zero adjustment circuit 21, for example connected to circuit 18, makes it possible to adjust the zero on the display 18 as a function of the pressure at rest in the tube 11.
  • FIG. 1 there is shown the housing 12 provided with its ramp of light emitting diodes 20 and a button 22 for acting on the circuit 21 for zero adjustment.
  • the manometric probe 1 While retaining the same general conformation, the manometric probe 1 is produced with a different dimensioning according to the body cavity in which it must be engaged.
  • the elastic sleeve 7 has a useful length (deformation length) of between 20 and 30 mm, typically around 25 mm and its diameter is around 9 to 15 mm. , typically about 12 mm.
  • the volume of the chamber 8 is approximately 3 to 7 cm3, typically 5 cm3.
  • the diameter of the distal ends is approximately 80 mm and the length of the probe is approximately 80 mm.
  • the elastic sleeve 7 has a useful length of between 45 and 55 mm, typically about 50 mm, and its diameter is about 15 to 25 mm, typically about 20 mm.
  • the volume of the chamber 8 is about 15 to 25 cm3, typically about 20 cm3.
  • the diameter of the distal ends is approximately 26 mm.
  • the length of the probe is approximately 125 to 130 mm.
  • the operation is carried out as follows.
  • the appropriate probe 1 is introduced into the body cavity so that the elastic sleeve 7 is at the height of the sphincter muscle mass to be rehabilitated.
  • Pressurized air is introduced through the nozzle 14 (tap 15 open); in a typical example the pressure in the chamber 8 is of the order of 2.104 Pa.
  • the valve 15 is then closed. In any case, this inflation pressure must be adapted as a function of the characteristics of the material constituting the sleeve 7.
  • the exercise is performed with a muscle contraction time (working time) equal to half the muscle relaxation time (rest time) and the working time is generally around 10 s, but can , at the end of rehabilitation, be increased to a longer duration (20 s, even 30 s).
  • the housing 12 also incorporates different circuits (the design of which remains conventional) displaying the working times and rest.
  • a flip-flop electronic circuit controls two light-emitting diodes: - a light-emitting diode marked T on the housing (for example of green color) remains lit during all the duration of the working time (for example (10 s); its lighting is accompanied by an audible signal emitted by a vibrator 23 controlled by the same scale circuit; - at the end of the working time, the diode T goes out, and the circuit lights up another diode marked R on the housing (for example of red color) which remains lit throughout the duration of the rest time (for example 20 s).
  • a selector 24 can be provided for choosing between two or more working time durations (for example 10 s and 30 s as shown on the housing 12 of FIG. 1).
  • Electric power is supplied by cells or batteries (not shown), the connection of which is effected using an ON-OFF switch 25.
  • manometric probe according to the invention was designed essentially for active rehabilitation, it is however likely to find an interesting application in passive rehabilitation with a simple and inexpensive adaptation.
  • FIG. 3 shows, in side external view, a pressure probe 1 'for passive rehabilitation, the elements identical to those of the probe 1 of Figure 1 being designated by the same reference numerals.
  • probe 1 Compared to probe 1, probe 1 'is distinguished by the presence of two (or more than two) electrodes 26, made of an electrically conductive material, fixed on the outside surface of the sleeve 7. Two electric wires 27, penetrating through the channel 10, provide the link between the electrodes 26 and an electrical excitation apparatus (not shown).
  • the sleeve 7 closely follows the shape of the body cavity and intimately applies the electrodes 26 against the mucous membranes lining said cavity, thus ensuring good contact electric required for the transmission to the muscular mass of the electric impulses delivered by the electric excitation device.

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  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Gynecology & Obstetrics (AREA)
  • Reproductive Health (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biophysics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
EP86402154A 1985-10-01 1986-10-01 Für die Rehabilitation inkontinenter Patienten verwendbare Druckprobe und Rehabilitationsgerät für den Einsatz einer solchen Probe Withdrawn EP0219410A1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR8514507 1985-10-01
FR8514507A FR2587899B1 (fr) 1985-10-01 1985-10-01 Sonde manometrique utilisable pour la reeducation de patients incontinents urinaires ou anaux et appareil de reeducation active mettant en oeuvre une telle sonde

Publications (1)

Publication Number Publication Date
EP0219410A1 true EP0219410A1 (de) 1987-04-22

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Family Applications (1)

Application Number Title Priority Date Filing Date
EP86402154A Withdrawn EP0219410A1 (de) 1985-10-01 1986-10-01 Für die Rehabilitation inkontinenter Patienten verwendbare Druckprobe und Rehabilitationsgerät für den Einsatz einer solchen Probe

Country Status (2)

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EP (1) EP0219410A1 (de)
FR (1) FR2587899B1 (de)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5464448A (en) * 1994-05-02 1995-11-07 Empi, Inc. Electrode and method of making neuromuscular stimulator
WO1999026699A1 (en) * 1997-11-19 1999-06-03 Sawchuck Diane J Perineometer for domestic use in prevention of urinary incontinence
CN100339139C (zh) * 1997-11-19 2007-09-26 黛安娜·J·索查克 用于防止小便失禁的家庭用会阴收缩力计
CN104644152A (zh) * 2015-03-02 2015-05-27 广州启骏生物科技有限公司 测量和治疗肛门失禁的装置
CN111905342A (zh) * 2020-07-28 2020-11-10 宁波卫生职业技术学院 阴道盆底肌肉锻炼器
WO2023105238A1 (en) 2021-12-08 2023-06-15 Lucid Group Limited Anorectal manometer

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB666348A (en) * 1949-07-08 1952-02-13 Arnold Henry Kegel Method and apparatus to indicate or observe progressive exercise of injured sphincter muscles
US3749100A (en) * 1968-08-13 1973-07-31 Bio Controls Corp Suppository electrode structure
FR2365327A1 (fr) * 1976-09-28 1978-04-21 Remih Harry Dispositif pour l'entrainement controle et la mesure de la tension des muscles vaginaux
DE2822616A1 (de) * 1978-05-24 1979-11-29 Wienert Volker Vorrichtung zum training der anorektalen schliessmuskeln und der beckenbodenmuskulatur bei menschlicher analinkontinenz
GB2076293A (en) * 1980-05-20 1981-12-02 Craig Med Prod Ltd A device for developing control of sphincter-type muscles

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB666348A (en) * 1949-07-08 1952-02-13 Arnold Henry Kegel Method and apparatus to indicate or observe progressive exercise of injured sphincter muscles
US3749100A (en) * 1968-08-13 1973-07-31 Bio Controls Corp Suppository electrode structure
FR2365327A1 (fr) * 1976-09-28 1978-04-21 Remih Harry Dispositif pour l'entrainement controle et la mesure de la tension des muscles vaginaux
DE2822616A1 (de) * 1978-05-24 1979-11-29 Wienert Volker Vorrichtung zum training der anorektalen schliessmuskeln und der beckenbodenmuskulatur bei menschlicher analinkontinenz
GB2076293A (en) * 1980-05-20 1981-12-02 Craig Med Prod Ltd A device for developing control of sphincter-type muscles

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5464448A (en) * 1994-05-02 1995-11-07 Empi, Inc. Electrode and method of making neuromuscular stimulator
US5649976A (en) * 1994-05-02 1997-07-22 Empi, Inc. Neuromuscular stimulator electrode
WO1999026699A1 (en) * 1997-11-19 1999-06-03 Sawchuck Diane J Perineometer for domestic use in prevention of urinary incontinence
AU739990B2 (en) * 1997-11-19 2001-10-25 Kenneth L. Pinder Perineometer for domestic use in prevention of urinary incontinence
CN100339139C (zh) * 1997-11-19 2007-09-26 黛安娜·J·索查克 用于防止小便失禁的家庭用会阴收缩力计
CN104644152A (zh) * 2015-03-02 2015-05-27 广州启骏生物科技有限公司 测量和治疗肛门失禁的装置
CN104644152B (zh) * 2015-03-02 2016-09-28 广州启骏生物科技有限公司 测量和治疗肛门失禁的装置
CN111905342A (zh) * 2020-07-28 2020-11-10 宁波卫生职业技术学院 阴道盆底肌肉锻炼器
CN111905342B (zh) * 2020-07-28 2024-03-08 宁波卫生职业技术学院 阴道盆底肌肉锻炼器
WO2023105238A1 (en) 2021-12-08 2023-06-15 Lucid Group Limited Anorectal manometer

Also Published As

Publication number Publication date
FR2587899A1 (fr) 1987-04-03
FR2587899B1 (fr) 1990-04-27

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