IL86078A - Urinary incontinence device - Google Patents

Description

URINARY INCONTINENCE DEVICE ABSTRACT An device to aid in controlling urinary device includes a central portion of arcuate configuration within the vagina an convex a pair of rearward projections which engage posterior vaginal a of forward which engage the vaginal wall adjacent the bladder neck to lift the bladder hladder neck cradle to the bladder with the device being formed of resilient material so as to flex into engagement with the vaginal wall to Be Female is a common problem particularly prevalent where damage to the bladder neck bladder has occurred during child elderly female incontinence is wide In normal continent in the erect there is no of the bladder below the pelvic floor thereby distribution of pressure to the bladder and bladder and pelvic urethra and continence in stress this lost due to descent of the bladder the pelvic fin or or physical when strain is put the an involuntary spurt of urine is released the involuntary urine release and The released urine may Irritate the groin region and result in an offensive and prolapse are quite common conditions in particularly those who have vaginally delivered one or more These conditions may be and sexual may be impaired by occlusion of the It is a generally accepted view treatment most appropriate cure of stress Incontinence and vaginal rectal in elderly or patients the of surgery too that often these conditions go Previously proposed devices to and avoid to surgery have generally P are difficult to need to be replaced are of permanent often to prevent involuntary urinary A previously known device for controlling urinary females disclosed in US Patent This previously known has Us object the deflection of More particularly ft has the object of displacing a surface of the superior wall of and an section of the urethra adjacent toward to pubic to reduce the angle to re3torc the natural control over of urine through the urethra from the bladder to the urethral The device has a pair of forward projections lie on either of the urethra intermediate portion and apply a force thereto to deflect the intermediate portion of the urethra toward the pubic One aspect of the present invention has as its object to pr an device to aid in controlling vaginal and rectal According to the invention there is provided an entirely intra vaginal comprising a forward and a rearward portion connected by a base central the forward portion being adapted to lie use adjacent and along the anterior vaginal wall and including projecting means to lift the bladder base and bladder lying behind the vaginal without closing the the bladder neck being received by a structure of the forward the rearward portion being adapted to lie adjacent and along the posterior vaginal and wherein said device is resiliently deformable enabling resilient deformation into an arcuate configuration so that within the vagina it resiliently deflects into engagement with the vagina The base portion is preferably arch and is preferably comprised of a resilient material or has resilient material embedded within the the which lifts the bladder base and bladder is formed by two protrusions extending from the free end of the lies adjacent the anterior vaginal These protrusions have a depression This depression accommodates the anterior vaginal wall and the neck and base of the Tn the portion biases the limbs outwardly to aid in retention of the device in the The adjacent the posterior vaginal wall preferably has two legs at its free These legs are preferably curved and splayed in order to fit over the perineal body for supporting the device in the opposing inner surfaces of the two are covered by a spongy deformable material bearing complementary grooves and ridges imitates vaginal Sexual intercourse therefore not effected by the device as the spongy material cannot Be distinguished the male the grooves and ridges aid in channelling menstrual blood and vaginal secretions the further aspect of the present invention has the object of providing an vaginal device to aid in urinary There disclosed herein an device to aid in controlling urinary in said device having a central portion of an shaped to within the vagina of a an upwardly convex a rearward portion extending rearwardly from said central portion to engage the posterior vaginal a forward portion extending upwardly central portion to engage the anterior vaginal wall adjacent the bladder and to the located adjacent a bladder neck cradle provided by forward portion positioned to cradle the bladder and wherein device of deformabie material so as to flex engagement the posterior and anterior 10 wall Lu Llie device in i Ls upwardly convex position forward portion lifting the bladder cradli g the bladder Still preferred that the above described ring would be adjustable The present invention will now be described by way of example only reference to the following Figure 1 1s a perspective view of the Fiqure 2 a of the Figure 3 is an end view of the Figure 4 is a schematic view of a saggital section of the female 0 pelvic organs showing the device in Figure 5 a schematic perspective of an device n 1 i y 1 in ι i IIMIII Figure 6 is a schematic of a saggital section of the pelvic organs showing the device of Figure 5 in 7 device to aid 1n controlling urinary Figure 8 is a schematic sectioned side elevation of Llie device of Figure 7 sectioned along the line and Figure i schematic elevation of of 30 The device shown in Figure 1 constructed of a flexible for example a icone The device comprises a base portion 10 which 1s of an arcuate In the base portion an arch 12 of generally The base portion 10 may be inherently resilient or may a resilient The arch 12 contains an aperture which use adjacent the cervix of the arch 12 Interconnects two opposing 14 and The 14 adjacent the anterior vaginal wall use and has at two opposed rounded projections having depression 20 to form Ike 5 f ϊ construction and has at forward end a of splayed legs The flexible and resilient nature of the arch 12 enables the device 5 vagina and its arch 12 the 14 and 16 them to press against the anterior and posterior walls of the vagina this holding the device in As shown in Figure when the device is inserted into the 10 the limb 14 lies adjacent to and supports the anterior vaginal wall 24 preventing prolapse of the anterior vaginal wall and prolapse caused by the bladder pressing against the anterior vaginal wall 24 The outward bias of the limb 14 causes the projections 18 to cradle the anterior wall 24 lift t e and 15 base of the bladder above the pelvic floor muscle thereby causing a or achieved as is a reduction of the included angle between the urethra and These features again arch 12 supports the cardinal and uterosacaral ligaments 20 and helps to Mft the uterus the pelvic cavity thereby preventing uterine The aperture 13 in the arch 12 lies adjacent the cervix of the limb 16 the vaginal wall thereby preventing prolapse of the posterior vaginal 2G 25 and rectal prolapse The legs 22 of the limb 14 rest on the posterior vaginal wall 26 the region of the fossa The splayed nature of the legs enables them to fit over the perineal this aiding in retention of the device in the The may be of different sizes to accommodate different vaginal 30 those portions of the device contacting the vaginal wall are smeared with and Sultril cream in order to minimize vaginal In a further embodiment of the present invention as shown in 5 a small 35 balloon be inflated Lo the bladder neck the public symphisis thus closing off the urethra resulting in The balloon may be by virtue of a small to the which passes out of the vagina where it can be manipulated by the 6 Figures 7 to 9 15 schematically an The 30 of resilient material so that use resiliency deformed within the vagina so to be biased outward contact the posterior and S device about 8 The device 31 configuration having an aperture 32 to allow for the discharge of menstrual blood and vaginal rearwardly from the central portion 31 a rear portion 33 10 which this particular embodiment a pair of rearwardly extending projections Also extending from the central a portion 35 rojects upwardly and both forward and upwardly to engage the anterior vaginal wall adjacent the bladder 15 The forward portion 35 a of upwardly extending projections 36 which engage anterior vaginal wall to lift the bladder adjacent bladder The projections 3G are about 2 cm Defined between the portions 36 1s a cradle 37 within which the bladder neck lies to be cradled It should be appreciated that the pressures applied to the 20 bladder neck are minimized by the Cradle Preferably the device 37 would be integrally formed of moulded material s that upon being deformed and inserted the rear portion 33 and forward portion 35 are resiliency biased into contact with 25 anterior of the central portions 31 have sides 38 which also engage the sides of the vaginal wall to aid retaining the device 30 1n position that is concaved upwardly so that the forward portion 36 engages the anterior vaginal wall adjacent the 30 the above embodiment the device 30 preformed so as to the central portion 31 could be of a more planar so that position within the vagina 1t deformed an arcuate or shaped 35 discussed preferred embodiments of the present invention have the advantage that they may by a medical practitioner without with results 7 insufficientOCRQuality

Claims (20)

1. 86078/

2. CLAIMS: i ■ ■ · '. j 1 An entirely Intra-vaglnal device, coinprlslnd a forward- nd a ! rearward portion lijterconiiected by a base Central portion, he forward, :| portion^ being adapted to He In use adjacent arid alo g the interior · :f vaginal; wall and Including projecting means to ,11ft the bladder base and' I ' l l bladder. necK, lying behind the vaginal wall, without closing the urethfa, the blajlder neck be(1ng received by a cradle-like structure ofj the forward portion^ the rearward portion being adapted to lie adjacent and along the posterior vaginal wall, and wherein said device Is resiliency deformable enabling resilient deforma ion Into an arcuate confi uration !so that within the vagina It reslllently deflects Into engagement with the vaginal wall. 2., The device of claim 1 wherein the device Is a resilient material or has resilient material embedded within, and said base Is arcuate or ''U-shaped" In con iguration when viewed In side elevation and Is upwardly convex In use.

3. The devlqe of claim 2 wherein said cradle-like structure comprises two protrusions between which a hollow Is located for receiving the bladder neck. .

4. The device of claim 3 wherein the protrusions are upwardly extending and are about 2 cm high.

5. The device of claim 4 wherein the base portion biases the forward and rearward portions outwardly to aid In retaining th'e device within the vagina. C.

6. The devlcp of claim 1 wherein the rearward portion ias two legs with the legs being curved and splayed 1n order to fit over the perineal body for supporting the device In the vagina.

7. The device of claim 1 wherein the forv/ard portion is provided with an expandable member to at least partly close the bladder neck. Θ.

8. The device; of claim 1 further Including an expandable member positioned within sa!(d hollow to apply pressure to the bladder neck to at least partly close tlje neck.

9. The device; of claim 1 wherein said base portion Is pVovlded with an aperture there throug . which, in use, Is adjacent the dervlx of the uterus. · ' 86078/2 ίθ.

10. Λη entirely Intra-vag I al device aving an anterior portion! io erigage the anterio vaginal wall and a posterior portion to engage the; posterior vaginal wall, said device being of a generally arcuate ' . conflyuYaUon so as to be upwardly convex and being formed or a, resilient material so that In use I may be reslllently deformed and therefore bias the anterior a d posterior portions Into contact with the vaginal wall to retain the device 1,n position v/ 1 thin the vagina, and wherein said anterior portion has a cradle which In use lifts the bladder and bladder neck, without closlny the urethra, lying behind the an erior paginal wall. ;

11. The device of claim 10 having a central body portion extending between the anterior and posterior portions, which central body portion has an aperture to be positioned adjacent the cervix.

12. The device οΓ claim 10 wherein said cradle fs provided by a pair of transversely spaced projections between which there Is defined a depression through which, In use, the bladder neck passes to the cradle by the projections . , 1

13. The devlcje of claim 12 wherein said posterior portion has a pair of rearwardly projecting leys which in use fit over the perineal body for support ng,, the device In the vagina.

14. Ail intra "Pagi al device to aid In controlling Incontinence In females, said device, having a central portion of an arcuate cupped configuration and shaped to be retained, within the vagina of a user, In an upwardly convex orientation, a rearward portion extending rearwardly from said, central pojiion to engage the posterior vaginal wall,, a forward' portion extending upwardly from said central portion to engage1 the anterior vaginal wal) adjacent the bladder neck and to lift the bladder portion located adjacent thereto, a bladder neck cradle provided by said forward portion positioned to cradle the bladder neck, and wherein said device Is formed of reslllently duformable material so as to flex Into, engagement with the posterior and anterior vaginal wall to retain the" device In its upwardly convex posi ion with the forward portion lifting the bladder and cradl,lng the bladder neck.

15. The device or claim 14 wherein said rear portion Is a pair of rearwardly extending projections, and said forward portion Is a pair of upwardly extending projections, .between which said cradle is located. 86078/2

16. The device of claim 15 wherein said central portion has an aperture to provide for the discharge of menstrual blood and vaginal secretions.

17. The device of claim 16 wherein said device is integrally moulded from elastomeric material.

18. An entirely intra-vaginal urinary incontinence device, comprising a resilient body defining an arcuate configuration, the said body having integrally formed on respective portions thereof two projections that project, at least in part, correspondingly transversely to the arcuate configuration of the said body, the projections defining therebetween a cradle for engaging the anterior vaginal wall and lifting the bladder adjacent the bladder neck .

19. The device of claim 18 wherein the annulus is planar .

20. The device of either claim 18 or claim 19 wherein the two projections extend exteriorly beyond the exterior periphery of the annular body.