KR101325581B1 - Integrated diagnosis and treatment device for urinary incontinence and sexual dysfunction through connection to smart phone - Google Patents

Abstract

The present invention relates to an integrated diagnosis and treatment device and, more particularly, to an integrated diagnosis and treatment device for diagnosis and treatment of urinary incontinence and sexual dysfunction capable of being linked with a smart phone, which integrates a main body and a probe sensor inserted into the coelom, and diagnoses the symptom of urinary incontinence and sexual dysfunction and dyschezia by measuring the systolic pressure and contraction duration of the anal sphincter and the muscles of perineum and pelvic floor muscle of a user by using an application installed in the smart phone after connecting the main body to the smart phone, and cures the symptom of the urinary incontinence and the sexual dysfunction and the dyschezia through bio feedback exercise and training, and provides U(Ubiquitous)-health care service enabling systematic home care by providing measurement data to a medical personnel.

Description

INTEGRATED DIAGNOSIS AND TREATMENT DEVICE FOR URINARY INCONTINENCE AND SEXUAL DYSFUNCTION THROUGH CONNECTION TO SMART PHONE}

The present invention relates to an integrated diagnostic treatment device, and in particular, the body and the probe sensor is inserted into the body cavity, the body is connected to the smart phone using the application installed on the smart phone user pelvic floor muscles, perineum muscles and anal sphincter Symptom of urinary incontinence, sexual dysfunction and defecation by measuring systolic pressure and duration of contraction, and through biofeedback exercise and training to treat symptom of urinary incontinence, sexual dysfunction and defecation disorder. Integral diagnostic treatment device for the diagnosis and treatment of urinary incontinence and sexual dysfunction that can be connected to a smartphone that can provide U-Health Care services to medical personnel to receive systematic home care It is about.

Urinary incontinence is an impaired control of the bladder and urethral sphincter, in which the pressure in the bladder exceeds the maximum urinary resistance and involuntary urinary outflow. Symptoms of urinary abnormalities in which involuntary urination is objectively revealed to cause social activities or hygiene problems. It can be defined as a group.

Urinary incontinence can be categorized into Urge Incontinence, Stress Incontinence, and Mixed Incontinence.

Urgent urinary incontinence is due to instability of the detrusor muscle (근), and when urinating, there is no force to stop the flow of urine and it is unbearable and involuntary urination.

Stress urinary incontinence occurs when the pressure rises, the abdominal pressure rises suddenly in the state of loosening of the urethral ligament, the spongy sphincter, the perineal muscle, and the anal sphincter. There are many things to do, such as sneezing, laughing, lifting, running, blowing, intense exercise, impatience, excitement, rushing upstairs, and standing up suddenly.

Mixed urinary incontinence is an urinary incontinence in which the symptoms of urge incontinence and stress urinary incontinence are mixed.

In general, urinary incontinence is more common among women than men. In modern society, where women are increasingly entering the society and the elderly population is rapidly increasing, the psychosocial and economic impact of incontinence on women is very serious. First of all, in terms of economics, a report published in the United States in 1989 suggested that the amount paid to manage urinary incontinence was more than US $ 10 billion, more than the cost of AIDS treatment, which is a significant economic problem.

The physical damage is due to the constantly wetting of the vulva, which is susceptible to mold infections and contact dermatitis. In mental harm, anxiety, tension and numbness caused by unpleasant odors interfere with interpersonal and social activities. Negative influences may also cause emotional disturbances such as depression or alienation.

Moreover, excessive extension of the pelvic structure due to pregnancy and childbirth is known to weaken the contractile force of the pelvic floor muscles (vaginal muscle), which not only impairs sexual function but is also a factor of urinary incontinence. According to the survey, 90% of people have avoided marital relations more than once because of urinary incontinence, and 80% of women with severe symptoms avoid marital relations. Urinary incontinence is a negligible disease that interferes with marital life beyond the inconvenience of daily life.

Urinary incontinence tests include questionnaires, questionnaires, urinalysis, residual urinalysis, urethral dynamics tests, cystoscopy, radiation and ultrasound tests, urination diaries, pad tests, and vaginal contraction pressure gauges. Among these, the vaginal contraction pressure gauge is a foreign-made manual (pump) and electronic type, and hospitals and research institutes of each university mainly use this equipment to measure the pelvic floor muscle contraction pressure and pelvic floor muscle contraction pressure duration, and to identify the symptoms of urinary incontinence. Measure the effect of pelvic floor strengthening (Kegel). However, these measuring devices are difficult to use personally because they are professional and very difficult to operate.

Urinary incontinence treatment includes medication, surgery, and non-surgical therapy. Drugs used for drug treatment include anticholinergic, smooth muscle relaxant, tricyclic antidepressant, and the like. Sling surgery, birch surgery, tape TVT surgery, collagen injection, balloon therapy, and the like.

Non-surgical therapy can be divided into physiotherapy and behavioral therapy. Physiotherapy includes pressurization therapy, magnetic device treatment, cone cone, heat therapy, magnetic therapy, and vaginal contraction pressure feedback.

Among these, the electrical stimulation treatment is a method of inducing passive muscle strengthening by applying electrical stimulation to the pelvic floor muscles, and the magnetic device material is a method of passively contracting the pelvic floor muscles by forming a magnetic field. Behavioral therapies include bladder training, Kegel exercises, and biofeedback.

Bladder training is a method of urination training according to time, and Kegel exercise is a pelvic muscle exercise devised by Arnold Kegel in 1948. It helps to treat urinary incontinence and muscle by increasing the function and strength of muscle through contraction of pelvic floor muscles. It is widely applied as a giving exercise. Since pelvic floor muscles (vaginal muscles) are not usually used muscles, it is important to exercise using the correct muscles. This is because there are many concerns about using abdominal or buttocks muscles in addition to pelvic muscles during pelvic floor muscles movements, thereby increasing abdominal pressure. Rather, it results in worsening incontinence.

Biofeedback, which means physiological self-regulation, is a behavioral therapy based on the theory of learning through reinforcement proposed by BF Skinner, which detects the patient's biological response and displays the visual, auditory and sensory signals. It refers to learning by doing by converting the form into a patient to see, hear and feel.

Sexual dysfunction is divided into female and male individual symptoms, and the female sexual dysfunction is classified into symptom of sexual desire disorder, sexual excitement disorder, orgasm disorder, and dyspareunia.

In addition, male sexual dysfunction (erectile dysfunction) includes premature ejaculation, erectile dysfunction, ejaculation pain (射精 痛), prostate disease, decreased libido.

First, premature ejaculation of sexual dysfunction in men has no medically defined definition, but it is defined as "when ejaculation before sexual partner is satisfied because it is unable to control ejaculation on its own" and exceeds 50% of total sexual intercourse. " The most common symptom of male sexual dysfunction is 40% of adult males and 60-70% of patients who visit urology departments. Is high, and has recently increased rapidly among young people.

The cause of premature ejaculation is thought to be the main cause of psychological problems, but it is not yet clear. Psychological conflict, anxiety, early sexual experience, vaginal ejaculation due to pregnancy fear, masturbation, ideal sense of Glans The diagnosis is performed by self-approach, behavioral approach, and psychological approach to sexual function, such as questionnaire, physical examination, sensory nerve oscillation angle test, penile colorado ultrasonography, computer erection analyzer (Ridscan, Rigiscan). It can be diagnosed by means of assessment, sensitivity test, or the like.

Treatment of premature ejaculation includes behavioral therapy, drug therapy, topical application, vasodilator self-injection, penile dorsal nerve block, autologous dermis graft, internal and external magnetic device treatment, anal sphincter muscle biofeedback treatment, oriental herbal medicine, and herbal suppository.

Next, impotence is defined as "a condition in which sexual intercourse is impossible due to insufficient erection or erection, but it is impossible to maintain sexual intercourse." Causes, aging, disease, side effects of drugs, drinking, smoking, etc. are the cause.

Diagnosis includes medical history, questionnaire, erectile index (IIEF), physical (systemic) tests, hormonal tests, erectile provocation tests, transrectal prostate ultrasonography, penile caladoplography, penile cavernoscopy, penile cavernoscopy, penile angiography, It is diagnosed by cavernosal angiography, Rigiscan, Snap gauge, Audio-visual stimulation test, EMG test, and the treatment includes psychiatric treatment, medication, penile vascular surgery, penile artery reconstruction, and penile vein ligation. , Penis implant insertion, vasodilation self-injection, vacuum penis inhaler, internal / external magnetic equipment, anal sphincter biofeedback treatment, herbal medicine, herbal suppository.

The following are sexual intercourse disorders caused by male prostate disease.

"Prostate" is located in the lower bladder between the pubic bone and rectum, the bladder neck is upward, and the urogenital septum is downward. 밤) Anterior to the pelvic prostate ligament, anteriorly located in the pelvic cavity, deep in the pelvic cavity, about 20g of chestnut-shaped organs surrounding the posterior urethra with wheels. ), It is a sex adjunct organ that exists only in men. Urethra penetrates obliquely to the front of the prostate. In addition, both ejaculatory ducts penetrate the substantivity from the back of the urethra. The prostate parenchyma is divided into three lobes (glandular lobes). The middle lobes are located above the urethra and the urethra. (Glandular tissue) and epilepsy (stroma) are divided into (large). In addition, the prostate gland produces 30% of semen and nourish the sperm made from testicles, and improves sperm motility by liquefying the ejaculated semen. ) To help. The prostate fluid is alkaline and neutralizes the strong acid in the vagina, creating an environment in which sperm can survive and helping the uterus to reach the uterus for fertilization. It plays an important role in the sperm activity.

On the other hand, diseases related to the prostate can be categorized into "prostatitis," " enlarged prostate, "and" prostate cancer. In Korea, prostatitis is more common than Western men and prostate cancer is relatively low. However, the incidence of prostate hyperplasia and prostate cancer is increasing due to western lifestyle and aging population.

First, prostatitis is an inflammation of the prostate gland, which affects 30% of men in their 20s and 50s, 50% of men experience it once in their lives, and 25% of patients with urology visit It is a common disease that is assumed to be prostatitis. It is classified into acute and chronic bacterial prostatitis, chronic non-bacterial prostatitis, and prostate pain.

Symptoms of prostatitis include urinary disorders such as residual urine, frequency, nocturia, pyuria, and urine, and lower abdomen. Discomfort and pain in the lower and perineum, back pain, testicular pain, urination pain, systemic muscle pain and ejaculation pain, premature ejaculation, It appears as male sexual dysfunction (ED), such as erectile dysfunction (나타난다 不全).

In addition, the diagnosis of prostatitis includes palpation test, inflammatory cell test, bacterial culture test, urinary flow rate test, cystoscope test, rectal ultrasound test, and color. Doppler complex ultrasonography, polymerase chain reaction (PCR) test, etc.The treatment of prostatitis includes special antibiotics, anticholinergic agents, alpha blockers, hormones, muscle relaxants, prostate drug injection, neurosuppression therapy, microwave Thermotherapy, neural stimulation therapy, high frequency acupuncture (TUNA), herbal medicine (Suppository), herbal suppository, anti-inflammatory analgesic, prostate massage, hot water bath, thermal bath Low frequency electrical stimulation, magnetic stimulation, biofeedback exercise, pelvic gymnastics, exercise, and diet.

However, the prostatitis is often unable to find the causative organism and cause identification, and because the prostate itself is composed of special cells, the drug does not penetrate well, so there is a limit to drug treatment (about 60% treatment). Recurrences often occur after symptoms are alleviated, and many patients suffer from chronic "chronic diseases" (잘 性 疾患). Accordingly, while many patients seek treatment in many ways, physical and economic losses and mental devastation reduce their efficiency of living and significantly reduce their quality of life.

Next, prostatic hypertrophy occurs most often in men's prostate gland after middle age, and histologically, epithelial, smooth muscle and connective tissue 증식) proliferates, functionally enlarges the prostate gland, compresses the urinary tract and increases urinary tract resistance, causing urination disorders and male sexual dysfunction (ED). As a disease, 50% in the 50's, 60-80% in the 60's and 70's are prostate hypertrophy patients are the representative diseases of older men. Genetic enlargement, constitution, nutrition, arteriosclerosis, and racial differences are mentioned as causes of prostatic hyperplasia, but they are not known precisely. In view of what is happening, it is closely related to male hormones.

Diagnosis of prostatic hyperplasia can include medical history, symptom score (I-PSS) test, balance test, urinary tract test, residual urinalysis, ileal prostate ultrasound test, and prostate specific antigen: PSA) test, bladder test, urine test, cytology, renal function test, etc. The symptoms of prostatic hyperplasia include urine, nocturia, delayed urine, tax, residual urine, and urinary tract. (尿 閉) such as urination disorders (排尿 障碍) and lower abdominal and perineal discomfort, pain, etc. may be accompanied by symptoms such as premature ejaculation and erectile dysfunction (ED). The treatment of enlarged prostate includes conservative waiting therapy, medical treatment, physical therapy, and low-invasive therapy. Minimaly invasive therapy, surgical treatment, and other medical treatments include alpha-sympathetic blockers, alpha-reducing enzyme inhibitors, anti-male hormones, herbal medicines, and herbal suppositories. And physical therapy, such as biofeedback therapy, low-frequency electric stimulation therapy, internal and external magnetic treatment materials, and low-invasive therapy, prostate urethral balloon dilatation, prostate urethral stent. , Microwave therapy (TUMT), laser therapy (TULIP, VLAP, TUEP, KTP), High intensity focused ultrasound (HIFU), Transurethral needle ablation (TUNA), laser prostatectomy (Laser prostatectomy), biography Electro vaporization, thermotherapy, etc. Surgical treatments include Transurethral resection of prostate (TURP), Transurethral incision of prostate (TUIP), Open prostatectomy. Etc.

Next, prostatic carcinoma is a malignant tumor starting from the periphery of the prostate, and the incidence increases with age, mainly in men over 50 years old. Is most common among men in the United States, with the highest mortality rate after lung cancer. The incidence of prostate cancer among Korean men is lower than that of Westerners, but the elderly population is on the rise, and it is rapidly increasing due to westernized eating habits, air pollution, and environmental pollution.

The cause of prostate cancer is unclear, but genetic factors, age, and male hormone (Androgen) have been reported to be associated as trigger factors, and symptoms of prostate cancer usually progress slowly. As a result, there is no clear subjective symptoms, and at first, the degree of discomfort or pressure in the perineum and rectum occurs, but as urination progresses, urination disorders, hematuria, pneumonia, renal dysfunction, and metastasis are present. It is unique to bones and is often found by chance during regular health screening or prostatic hyperplasia, rather than due to the patient's or doctor's attention and symptoms.

Diagnosis of prostate cancer includes: DRE, transrectal ultrasonography, histology, Prostate Specific Antigen (PSA), Perineal punch biopsy, bone isotope It is diagnosed by elemental examination, lymphangiography, etc., and the treatment of prostate cancer is surgical therapy that involves anti-male hormone or female hormone therapy (Hormonal Therapy) and radical prostatectomy. (Surgical Therapy), Radiotherapy to irradiate the prostate gland in vitro, Chemotherapy to administer two or more anticancer drugs when hormonal therapy is ineffective or ineffective There is this. The prognosis of prostate cancer depends on the general condition, age, and the nature of the cancer cells (differentiation) .In general, prostate cancer has a slower progression, so the 5-year survival rate is limited to 70%. 90%, 50-70% of cases spread around the prostate, 30-50% of cases with lymph node metastasis, 20-30% of cases of distant metastasis to bones or lungs, When the radical prostatectomy is performed, the 5-year survival rate is 85-95%.

On the other hand, if you briefly describe the "symptoms" and "constipation" that is a typical symptom of defecation disorder (排 便 障碍 hemorrhoids) and "fecal incontinence",

First, hemorrhoids, which most adult populations experience, are diseases of the lower rectum, anus, and perianal tissue. Hemorrhoids, anal fistula, and dentition , Anal fissure), anal inflammation, anal pruritus, rectal prolapse.

Haemorrhoids, which account for 50% of the time and are commonly recognized as hemorrhoids, are caused by abnormal enlargement or enlargement of the anal mucous membrane that covers the blood vessels of the anal vasculature due to some cause, protruding out of the anus 40-50% of adult males and females suffer from the disease and are classified into internal hemorrhoids (dark hemorrhoids, 20%), external hemorrhoids (medium hemorrhoids, 10%), and mixed hemorrhoids (70%) according to their shape and location. The causes are caused by factors such as aging, genetic factors, abnormal bowel habits such as constipation and diarrhea, wrong eating habits such as meat and alcohol, overwork, physical fatigue, cirrhosis, intraperitoneal tumor, and pregnancy. , Medical Examination, Inspection, DRE, Proctoscope, Sigmoidoscopy, Rectal Ultrasonography, Rectal Anal Pressure Anorectal manometry, anal sphincter electromyography (Anal EMG).

Treatments include diet, exercise, bathing, massage, ointment, suppositories, thermotherapy, herbal medicine, herbal suppositories, biofeedback, injection therapy, rubber ring ligation therapy, infrared thermal coagulation therapy, cryotherapy, laser therapy, surgery therapy, etc. have.

Next, fecal incontinence is a phenomenon in which gas or liquid stools are discharged without knowing one's own will, and this is a symptom rather than a disease. Causes disability. Causes of injury include damage to the pelvic and anal sphincter, damage to the central and genital nerves, hypoesthesia of the rectum, hypofunction of the anal sphincter, congenital malformations, labor and long-term use of constipation. Anorectal manometry, anal EMG, defecography, and anal ultrasonography can be used. Treatment of fecal incontinence includes diet, medication, gastrointestinal reflexes, biofeedback training of rectal and anal sphincter, anal sphincter restoration, and posterior anal corrective surgery.

Next, constipation is the main symptom of defecation disorder, and if the number of bowel movements is less than twice a week or if the weight of the bowel movement is less than 35g per day, it is difficult for more than 25% of the bowel movements. And when there is a firm bowel movement or residual feeling, it is defined as "constipation" when two or more symptoms of the above items persist for three months or more. The incidence rate is about 10% of the total population, and the frequency of incidence is about three times higher than in males and young people, especially among young women and the elderly. Causes are caused by factors such as mental or environmental factors (stresses), poor diet and lifestyle, endocrine and metabolic disorders, neurological disorders, drug abuse, and structural abnormalities in the large intestine or anus. Tests include colonoscopy, colonic transit time, large bowel study, anal sonography, anal sphincter electromyography, and rectal analgesia. Treatments for constipation include training for bowel movements, taking dietary fiber and lactic acid bacteria, lifestyle modifications, medications, herbal medicines, herbal suppositories, biofeedback therapy for rectal and anal sphincter muscles, low-frequency electric stimulation therapy, internal and external magnetic devices, and surgery. Therapy and the like. Among these treatments, "Biofeedback Therapy" is a contraction / relaxation therapy that has recently been very effective in treating constipation and constipation. The probe, the LCD display and the headphone are used. Through self-training and seeing and listening to information on their rectal and anal sphincter contraction and relaxation movements to maximize the capacity of the body, autonomic and sensory motor nerves to improve the reduced rectal sensation and the function of the sphincter to treat symptoms This is the most fundamental and effective treatment for constipation and constipation.

As described above, the causes, symptoms, and treatments of urinary incontinence, sexual dysfunction, prostate-related diseases and bowel movements were explained, and biofeedback training (exercise) and application examples are as follows.

Anorectal physiology examination is a means of diagnosing urinary incontinence, sexual dysfunction, prostate-related disorders and defecation disorders. Anorectal manometry and balloon discharge testing (Balloon expulsion test), balloon proctography, defecography, colonic transit time study, anal electromyography, transrectal ultrasonography, anal rectum Anorectal angle, Saline continence test.

Among the types of physiological tests, rectal analgesic instrument is a device having a physiological test function and a biofeedback therapy function of the rectum and anal sphincter, and handles colon and anal diseases. It is widely used in hospitals.

In addition, biofeedback is a compound word of bioology and feedback, which means physiological self-regulation, and it can be learned through reinforcement suggested by BF Skinner. It is a kind of behavioral therapy based on theoretical learning based on learning through reinforcement. It detects the patient's biological response and transforms it into the form of visual, auditory, and sensory signals so that the patient can see, hear, and feel. It means learning by yourself. Recently, it has been accepted as a part of institutional medicine (orthodox medicine) beyond the categories of alternative medicine and complementary medicine. It is becoming wide enough to be used for the treatment of symptoms. Representatively, biofeedback training is used for pelvic floor muscle biofeedback training and urinary dysfunction (FSD, ED), which is used to treat incontinence. Vagina muscle and anal sphincter biofeedback training, irritable bowel syndrome (ICS), rectal and sphincter biofeedback training for the treatment of constipation and faecal incontinence Frontal muscle EMG biofeedback training, electrocardiogram biofeedback training for high blood pressure and arrhythmia, bady temperature biofeedback training, galvanic skin response It is applied to biofeedback training.

As described above, in addition to the means for diagnosing and treating urinary incontinence, sexual dysfunction, prostate-related diseases and bowel disorders, commercially available or patented devices include ultra-long wave (VLF), ultrasound (Super Sound Wave, Therapeutic device of anal insertion rod type using ultrasound, infrared ray, near infrared ray (NIR), laser, heat, hot water, vibration, vacuum, etc. There are urethral catheters using stimulation and ultrasound, and there are perineum massage devices using vibration, heat, low frequency, and LF, and warm baths using medicinal herbs such as wormwood. And left baths, mugwort tube and the like.

However, such a therapeutic device only temporarily reduces pain or discomfort, and the effect of the treatment is short-term, and the efficacy of the treatment is not sufficient for the user.

In addition, oral medications used as therapeutic drugs include problems such as drug resistance caused by long-term administration, side effects such as deterioration of organ function, and damage, and drug treatment (치료 治療). ) Alone is difficult to cure, and in most cases, there is a disadvantage in that the surgery must be performed in parallel, and bilateral and oriental medicine suppository (洋 方 坐 藥), the drug does not last long, because it is put into the rectum and anus with fingers Not only very unsanitary, there is an inconvenience to live for a long time, and nevertheless there was a disadvantage that the used drugs are not sufficiently absorbed by the human body.

In addition, physiological examination and biofeedback treatment of anal diseases, bowel movements, and sexual dysfunctions take up a large amount. Anorectal manometry, which is used in most hospitals and clinics, visits the hospital every time during treatment. There is a problem that the cost of inspection and treatment is very high as it is expensive equipment that is difficult to understand and difficult to understand due to complicated operation and complicated functions and operations.

In addition, low frequency electric stimulation therapy (LFES) and internal and external magnetic device (MS), which are widely used for the treatment of urinary incontinence and defecation disorders, utilize currents and magnetic fields to prevent muscle contraction and relaxation. As a therapeutic device of exercise function, there is a problem that the therapeutic effect is short, the possibility of relapse is high, and the scientific reproducibility is insufficient.

Antibiotics, which are widely applied to prostate-related and anal-related diseases, are used in over-the-counter and over-prescription in developed countries, and in small doses in the developing countries. Due to the side effects caused by the resistance, the emergence of strong resistant bacteria (耐性 菌) that has not been treated with the antibiotics that have been treated in the past, is currently facing a serious level worldwide. In fact, in the United States, the cost of treatment for antibiotic resistance is about $ 30 billion per year, and in Korea, the frequency of antibiotic use is 33.2 people per 1,000 people per day, which is an average of 21.3 people, an average of 21.3 OECD countries. The rate at which hospitals prescribe antibiotics to patients is more than two to three times higher, at 58.9 percent, well above the World Health Organization's 22.7 percent recommendation, and the frequency of injecting prescriptions at the World Health Organization (WHO) It is 56.6% which is 3 times higher than recommended by 17.2%. In particular, the penicillin resistance rate to Staphylococcus is 95%, and Korea's antibiotic abuse rate is the highest in the world, and the number of antibiotic resistant patients continues to increase, but efforts to block it are only temporary measures. Lo has a problem with no pointed solution.

And a personal diagnostic treatment device (Domestic Patent Publication Nos. 10-0710908, 10-0727783) using a silicone air probe filed and registered by the present applicant has been developed.

However, such a conventional personal diagnostic treatment device is separated into a main body and a probe sensor, and there is an air hose that connects and operates the device. When the separate type of air hose is connected to the main body and the probe sensor, and the measurement and movement function is performed, the air hose connected like a wire impairs use and convenience, and there is a problem in product storage.

In addition, such a conventional personal diagnostic treatment device has a structure in which electricity is introduced by embedding a vibration motor in the frame of the probe sensor for the problem that some air leaks from the connection part of the air hose and the vibration function, and thus, wires are connected to the air hose and the connection connector. There is a problem in that a significant increase in manufacturing costs, such as need to be installed separately.

In addition, such a conventional personal diagnostic treatment device is provided with a display for various outputs on the main body, a button and a circuit unit for various control must be configured, and various programs are built in, thereby increasing the volume of the main body, which is inconvenient to carry and store. There is a problem.

In addition, the conventional personal diagnostic treatment device has a problem that can not receive the ubiquitous healthcare (U-Health Care) service that can receive a systematic home care can not transmit the measurement data to the outside.

(Advanced technology 1) Domestic Patent Publication No. 10-0710908 (Prior art 2) Korean Patent Publication No. 10-0727783

The present invention is to solve the above problems, by integrating the probe sensor inserting into the body and body cavity to operate the function by reducing the parts of the air hose and the connection connector that interconnects them integrally coupled directly to the body and probe sensor The smart design allows the user to easily use and store the structure by selecting the structure and to solve the shortcomings of reduction of manufacturing cost and partial product defect by mounting the vibration motor on the main body which serves as the handle of the probe sensor. The purpose of the present invention is to provide an integrated diagnostic treatment device for diagnosing and treating urinary incontinence and sexual dysfunction.

In addition, the present invention implements an App-based service used as a means of outputting the measurement data and the operation of the diagnostic and treatment function using the application installed on the smartphone in conjunction with the smart phone and analyze the stored measurement data in the management program Provides useful data to the user on a regular basis, and provides the data to related medical personnel to link with smartphones to provide ubiquitous U-Health Care services to receive systematic home care. Another object is to provide an integrated diagnostic treatment device for the diagnosis and treatment of urinary incontinence and sexual dysfunction.

In addition, the present invention provides a quick diagnosis of the symptoms of urinary incontinence and vaginal laxity by directly measuring the exact contraction pressure and contraction duration of the pelvic floor muscles directly, and the biofeedback exercise and vibration massage of the pelvic floor muscles as a medical behavior therapy Another purpose is to provide an integrated diagnostic treatment device for diagnosing and treating urinary incontinence and sexual dysfunction, which can be linked to a smartphone, which enables the short-term treatment of the symptoms of urinary incontinence, sexual dysfunction, and vaginal relaxation.

According to an aspect of the present invention,

Is formed in the shape of a handle is formed in the interior space, fasteners are formed on the front, the space provided with an air pump, a vibration motor, a control module and a power module, and a wired and wireless communication module to be connected to the smart phone A main body; It is fastened to the fastener of the main body to be integrated and inflated by the air supplied from the air pump of the main body to measure the contraction pressure and duration of the pelvic floor muscles (vaginal muscles) and anal sphincter of the user and induces contraction relaxation movement. It characterized in that it comprises a probe sensor.

Here, the main body is provided with a PCB on which the control module and various circuits are mounted, and various buttons, a display panel and a speaker are mounted on the PCB and are exposed to the outer surface.

Here, the main body also includes a distribution terminal, one end of which is connected to the air pump to distribute air generated in the air pump; A solenoid valve connected to one side of the distribution terminal; It further includes a pressure sensor connected to one side of the distribution terminal.

Here, the other end of the distribution terminal is coupled to the probe sensor is located inside the fastener of the main body.

Here, the power supply module is provided in the space of the main body, the battery for supplying power to each component; It is provided with a charging jack installed on one side of the main body is supplied with commercial power through the charging jack is made of a charging circuit for charging the battery.

The control module may further include a memory for storing a program and various data for operating the system; When a control command is input through various buttons of the main body or a control command is input from the smart phone through the wired / wireless communication module, the operation of each component is controlled, and the state of the system is expressed through the display panel and the speaker. Data is stored in the memory, and the central processing unit for transmitting various data to the smart phone through the wired or wireless communication module.

Here, the wire / wireless communication module is provided with a communication port on one side of the main body to perform serial communication or USB communication.

Here, the wire / wireless communication module communicates with the smart phone by any one of a near field communication (NFC) method, a WIFI communication method, and a Bluetooth communication method.

Here, the probe sensor is formed in a cylindrical shape, the case having a binding protrusion formed in the "V" shape on the front; Formed in the form of a streamlined rod, the lower end penetrates the case is inserted and fastened to the fastener of the main body, the end is formed with a fastening protrusion is inserted and coupled to the distribution terminal, the probe support is formed with an air hole on one side Wow; A soft cover surrounding the probe support and fixedly coupled to the binding protrusion of the case; And an air passage extending from the center of the fastener of the probe support to the probe support and communicating with the air hole to expand the soft cover.

Here, the probe sensor is provided with a plurality of different lengths.

Here, the smart phone is installed with an application for controlling each component of the body to perform the diagnosis and treatment of urinary incontinence, sexual dysfunction, defecation disorder.

Here, the smart phone remotely provides measurement data stored in the application or stored in the memory to a medical person to provide a ubiquitous health care (U-Health Care) service.

According to the integrated diagnostic treatment apparatus for diagnosing and treating urinary incontinence and sexual dysfunction that can be linked to the smart phone of the present invention configured as described above, an air hose for integrating them by integrating a probe sensor inserted into a body and a body cavity operating a function By adopting an integrated structure that directly connects the main body and the probe sensor by reducing the parts of the connector and the connection connector, the user can use and store it with a smart design in appearance, and the vibration motor is mounted on the main body that serves as the handle of the probe sensor. The reduction of manufacturing cost and partial defect of product can be solved.

In addition, according to the present invention in conjunction with a smart phone to operate the diagnostic and treatment function using the application installed on the smart phone and to implement the App (App) service that is used as a means of outputting the measured data and analyze the stored measurement data in the management program By providing data useful to treatment to users on a regular basis, they can also provide data to related medical personnel to provide ubiquitous healthcare services that can receive systematic home care.

In addition, according to the present invention, by directly measuring the contraction pressure and contraction duration of the pelvic floor muscles directly, the user quickly diagnoses the symptoms of urinary incontinence and vaginal relaxation. Through urinary incontinence, sexual dysfunction and vaginal relaxation symptoms can be treated in a short period of time.

1 and 2 is a schematic view showing the configuration of an integrated diagnostic treatment device for the diagnosis and treatment of urinary incontinence and sexual dysfunction that can be linked to a smart phone according to the present invention.
Figure 3 is a perspective view showing the configuration of the integrated diagnostic treatment device for the diagnosis and treatment of urinary incontinence and sexual dysfunction that can be linked to a smart phone according to the present invention.
Fig. 4 is a plan view of Fig. 3. Fig.
5 is a side cross-sectional view of FIG. 3.
6 and 7 are block diagrams showing the configuration of the integrated diagnostic treatment device for the diagnosis and treatment of urinary incontinence and sexual dysfunction that can be linked to a smart phone according to the present invention.
8 and 9 are explanatory views for explaining the operation of the integrated diagnostic treatment device for the diagnosis and treatment of urinary incontinence and sexual dysfunction that can be linked to the smart phone according to the present invention.

Hereinafter, with reference to the accompanying drawings the configuration of the integrated diagnostic treatment device for the diagnosis and treatment of urinary incontinence and sexual dysfunction that can be linked to the smart phone according to the present invention will be described in detail.

In the following description of the present invention, detailed description of known functions and configurations incorporated herein will be omitted when it may make the subject matter of the present invention rather unclear. The following terms are defined in consideration of the functions of the present invention, and may be changed according to the intentions or customs of the user, the operator, and the like. Therefore, the definition should be based on the contents throughout this specification.

1 and 2 is a schematic view showing the configuration of an integrated diagnostic treatment device for the diagnosis and treatment of urinary incontinence and sexual dysfunction that can be associated with a smartphone according to the present invention, Figure 3 is associated with a smartphone according to the present invention Figure 4 is a perspective view showing the configuration of the integrated diagnostic treatment device for the diagnosis and treatment of possible urinary incontinence and sexual dysfunction, Figure 4 is a plan view of Figure 3, Figure 5 is a side cross-sectional view of Figure 3, Figures 6 and 7 according to the present invention A block diagram showing the configuration of an integrated diagnostic treatment device for diagnosing and treating urinary incontinence and sexual dysfunction that can be linked to a smartphone.

1 to 6, the integrated diagnostic treatment apparatus 1 for diagnosing and treating urinary incontinence and sexual dysfunction that can be linked with a smart phone according to the present invention includes a main body 10, a probe sensor 20, and a smart device. It consists of the phone 30.

First, the main body 10 is formed of a synthetic resin material in the form of a handle, the space portion 11 is formed inside each component is formed, the fastener 13 of the screw type is formed on the front.

The main body 10 includes an air pump 30, a vibration motor 40, a control module 50, a power supply module 60, and a wired / wireless communication module 70 in the space 11. .

In addition, the main body 10 includes a control module 50 and a PCB (A) on which various circuits are mounted, and various buttons (15), a display panel (17), and a speaker (LCD) on the PCB (A). 19) is mounted and exposed on the outer surface.

In addition, the main body 10 has a dispensing terminal 31 having one end connected to the air pump 30 to distribute air generated by the air pump 30, and a solenoid valve 33 connected to one side of the dispensing terminal 31. And a pressure sensor 35 connected to one side of the dispensing terminal 31. At this time, the other end of the distribution terminal 31 is coupled to the probe sensor 20 is located inside the fastener 13 of the main body 10. In addition, the air pump 30 is preferably composed of a general air pump for outputting a pressure of at least 800mmHg or more, or a vibrator air pump for generating vibration. In addition, the solenoid valve 33 discharges or blocks air to the outside to expand, contract, lift and lower the probe sensor 20, and direct current (DC) -normal-close type or direct current (DC). DC) -Normal-Open Type solenoid valves are applied. In addition, the pressure sensor 35 is electrically connected to the control module 50 to measure the pressure and output a pressure value to the control module 50, the pressure measurement range by a digital pressure sensor or a mechanical (bellows type) pressure sensor It is preferable that it is comprised with the sensor of 1-500 mmHg or more.

On the other hand, the vibration motor 40 is preferably installed at a position adjacent to the probe sensor 20 in the space portion 11 of the main body 10 to transmit the generated vibration to the probe sensor 20.

In addition, the control module 50 may input a control command or control the wired / wireless communication module 70 through a memory 51 for storing a program and various data for operating the system, and various buttons 15 of the main body 10. When the control command is input from the smart phone 30 through the control of the operation of each component, express the situation of the system through the display panel 17 and the speaker 19, and stores various data in the memory 51, It consists of a central processing unit 53 for transmitting various data to the smart phone 30 through the wired or wireless communication module 70.

In addition, the power supply module 60 is installed in the space portion 11 of the main body 10, the battery 61 for supplying power to each component, and the charging jack 63 is provided on one side of the main body 10. It is provided with a charging circuit (65) for charging the battery 61 is supplied with commercial power through the charging jack (63). In this case, the battery 61 is preferably a lithium-ion battery that can be repeatedly charged, but a disposable battery may be used.

In addition, the wired / wireless communication module 70 has a communication port 71 provided at one side of the main body 10 to perform serial communication or USB communication as shown in FIG. 6, or short-range wireless communication as shown in FIG. 7. (NFC: Near Field Communication), the Wi-Fi (WIFI) communication method, Bluetooth (BLUE TOOTH) communication method of any one of the smart phone 30 to perform the communication.

On the other hand, the probe sensor 20 is integrally fastened to the fastener 13 of the main body, is expanded by the air supplied from the air pump 30 of the main body 10 to expand the pelvic floor muscles (vaginal muscle) and anal sphincter of the user Measure contraction pressure and duration and induce contraction relaxation movement. At this time, the probe sensor 20 is preferably provided with a plurality of different lengths.

In this case, the probe sensor 20 includes a case 21, a probe support 23, a soft cover 25, and an air passage 27.

The case 21 is formed in the same material as the body 10 and made of a synthetic resin material in a cylindrical shape, and the binding protrusion 21a is formed in a “V” shape on the front surface.

Probe support 23 is formed of a metal or PVC, PC, rubber, etc. in the form of a streamlined rod, penetrated through the case 21 at the bottom and inserted into the fastener 13 of the main body 10, the end A fastening protrusion 23a is inserted and coupled to the distribution terminal 31, and an air hole 23b is formed at one side surface.

The soft cover 25 is made of rubber or medical silicone, urethane, and the like to surround the probe support 23 and is fixedly coupled to the binding protrusion 21a of the case 21.

The air passage 27 extends from the center of the fastener 13 of the probe support 23 to the probe support 23 to communicate with the air hole 23b to expand the soft cover 25.

In addition, the smart phone 30 is provided with an application 31 which controls each component of the main body and performs diagnosis and treatment of urinary incontinence, sexual dysfunction, and defecation disorder as a normal configuration. Here, the smart phone 30 is provided to the medical person by remotely providing the measurement data stored in the internal memory or stored in the memory 51 of the control module 50 by the application 31 to the ubiquitous healthcare (U-Health Care) Provide service. In this case, a tablet PC capable of wired or wireless communication may be used instead of the smart phone 30.

Hereinafter, the operation of the integrated diagnostic treatment apparatus for diagnosing and treating urinary incontinence and sexual dysfunction that can be linked to a smart phone according to the present invention will be described in detail with reference to the accompanying drawings.

8 and 9 are explanatory views for explaining the operation of the integrated diagnostic treatment device for the diagnosis and treatment of urinary incontinence and sexual dysfunction that can be linked to the smart phone according to the present invention.

`` Measurement of contractor pressure and contraction duration / diagnosis of urinary incontinence and vaginal relaxation ''

First, when the diagnostic button of the various buttons 15 of the main body 10 is pressed while the probe sensor 20 is inserted into the body cavity of the human body, the air generated by the air pump 30 is discharged from the distribution terminal 31 and the air passage. It is discharged to the air hole 23b of the probe support 23 through the 27 to inflate the soft cover 25.

At this time, the pressure sensor 35 detects a predetermined amount of air to be injected into the probe sensor 20 according to the control of the control module 50, and when the appropriate amount of air is injected, the central processing unit of the control module 50 ( 53 stops the operation of the air pump 30 and closes the solenoid valve 33 to prevent the outflow of air.

Subsequently, when the user contracts the pelvic floor and vaginal muscle as much as possible, and the state lasts for the longest time, the pressure sensor 35 measures the maximum contraction pressure (mmHg) and the average contraction pressure (mmHg) of the pelvic floor and vaginal muscle. The central processing unit 53 of the control module 50 measures the time from the maximum peak value to a predetermined value or less through the internal timer to measure the contraction duration (sec). Subsequently, when the user relaxes the pelvic floor and vaginal muscles, the pressure sensor 35 measures the resting pressure (mmHg) of the pelvic floor and vaginal muscles while the force is not applied to the pelvic floor and vaginal muscles. Measure

Subsequently, the central processing unit 53 of the control module 50 outputs the maximum, minimum and average data measured by repeatedly measuring these values through the pressure sensor 35 through the display panel 17 and the speaker 19. The memory 51 is stored.

《Feedback Exercise (Kegel-Exerciser / Urinary Incontinence and Vaginal Relaxation Functions》

First, when the movement button of the various buttons 15 of the main body 10 is pressed while the probe sensor 20 is inserted into the body cavity of the human body, the air generated by the air pump 30 is discharged from the distribution terminal 31 and the air passage. It is discharged to the air hole 23b of the probe support 23 through the 27 to inflate the soft cover 25.

At this time, the pressure sensor 35 detects the appropriate amount of air to be injected into the probe sensor 20 according to the treatment pattern (exercise level) of the user according to the control of the control module 50, and controls if the appropriate amount of air is injected. The central processing unit 53 of the module 50 stops the operation of the air pump 30 and closes the solenoid valve 33 to prevent the outflow of air.

In addition, the central processing unit 53 of the control module 50 outputs the user's instructions through the display panel 17 and the speaker 19. In this case, the central processing unit 53 of the control module 50 may display the exercise value, the instruction or the guidance on the display panel 17 by a bar graph, a number, or an animation.

On the other hand, if the user repeats the contraction and relaxation of the pelvic floor muscles and vaginal muscles according to the instructions, the pressure sensor 35 is the systolic pressure (mmHg), contraction duration (sec) and resting pressure (mmHg) of the pelvic floor and vaginal muscles Measure

Subsequently, the central processing unit 53 of the control module 50 outputs the maximum, minimum and average data measured by repeatedly measuring these values through the pressure sensor 35 through the display panel 17 and the speaker 19. And store it in the memory 51.

Vibration / Sexual Disorder Treatment

First, when the vibration sensor of the various buttons 15 of the main body 10 is pressed while the probe sensor 20 is inserted into the body cavity of the human body, the air generated by the air pump 30 is discharged from the distribution terminal 31 and the air passage. It is discharged to the air hole 23b of the probe support 23 through the 27 to inflate the soft cover 25.

At this time, the pressure sensor 35 detects the appropriate amount of air to be injected into the probe sensor 20 according to the treatment pattern (vibration level) of the user according to the control of the control module 50, and controls if the appropriate amount of air is injected. The central processing unit 53 of the module 50 stops the operation of the air pump 30 and closes the solenoid valve 33 to prevent the outflow of air.

At the same time, the central processing unit 53 of the control module 50 operates the vibration motor 40 to adjust the vibration intensity (RPM) according to the step-by-step treatment (vibration) pattern to perform the treatment of sexual dysfunction of the user.

<< smartphone interlocking >>

In addition, the smartphone 30 controls each component of the main body 10 to download and install an application 31 for performing diagnosis and treatment of urinary incontinence, sexual dysfunction, and bowel movement.

In this state, the smartphone 30 may be connected to the main body 10 through the wired / wireless communication module 70.

Then, as illustrated in FIG. 8, the above-mentioned &quot; shrinkage pressure &quot; is described using various function buttons provided by the application 31 with the main body 10 turned on and the probe sensor 20 inserted into the body cavity of the human body. And measurement of contraction duration / diagnosis of urinary incontinence and vaginal dysfunction >>, &quot; feedback exercise (Kegel-Exerciser / urea incontinence and vaginal relaxation treatment function &quot;

The application 31 of the smart phone 30 stores measurement data.

In addition, as shown in FIG. 9, by accessing the wireless Internet through the smart phone 30, the measurement data may be remotely provided to a medical person to receive a ubiquitous healthcare service. At this time, by controlling the smart phone 30 from a remote location can also directly control the main body 10.

While the present invention has been particularly shown and described with reference to exemplary embodiments thereof, it is to be understood that the invention is not limited to the disclosed exemplary embodiments. It is to be understood, however, that the invention is not to be limited to the specific forms thereof, which are to be considered as being limited to the specific embodiments, but on the contrary, the intention is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the invention as defined by the appended claims. .

10: main body 20: probe sensor
30: smartphone 30: air pump
40: vibration motor 50: control module
60: power supply module 70: wired and wireless communication module

Claims (12)

It is formed in the shape of a handle, a space portion is formed inside, a fastener is formed on the front side, the air pump, a vibration motor, a memory and a central processing unit for storing programs and various data for operating the system A control module, a power supply module, a wired / wireless communication module, a distribution terminal having one end connected to the air pump to distribute air generated from the air pump, a solenoid valve connected to one side of the distribution terminal, and the distribution It is provided with a pressure sensor connected to one side of the terminal, the control module and a circuit board is equipped with a PCB, various buttons, a display panel and a speaker mounted on the PCB is exposed on the outer surface, the distribution terminal A main body having the other end located inside the fastener;
It is combined with the distribution terminal by the fastener and the fastening of the main body to be integrated and inflated by the air supplied from the air pump of the main body to measure the contraction pressure and duration of the pelvic floor muscle (vaginal muscle) and anal sphincter of the user. Induces contraction and relaxation movement, is formed in a cylindrical shape to vibrate by the vibration generated by the vibration motor of the main body, the case is formed in the form of a streamlined rod and a case in which the binding projection is formed in the "V" shape on the front; The bottom of the case is inserted into and fastened to the fastener of the main body, and an end is formed with a fastening protrusion to be inserted and coupled to the dispensing terminal, and a probe support having an air hole formed on one side, and surrounding the probe support. And a soft cover coupled to and fixed to the binding protrusion of the case and the probe at the center of the fastener of the probe support. Extends toward the zone is in communication with the air holes to the sensor probe having an air passage for expanding the soft cover; And
An application is installed to perform diagnosis and treatment of urinary incontinence, sexual dysfunction, and bowel movements by controlling each component of the main body, and provide measurement data stored in the application or stored in the memory of the control module to a medical person remotely. Includes a smartphone that provides U-Health Care services,
The central processing unit of the control module,
When a control command is input through various buttons of the main body or a control command is input from the smart phone through the wired / wireless communication module, the operation of each component is controlled, and the state of the system is expressed through the display panel and the speaker. The data is stored in the memory, and various data are transmitted to the smart phone through the wired / wireless communication module, and when the user presses the diagnostic button among various buttons of the main body while the probe sensor is inserted into the body cavity of the human body, the pressure Inject a predetermined amount of air into the probe sensor according to the measured value of the sensor, measure the maximum contraction pressure (mmHg) and average contraction pressure (mmHg) of the pelvic floor and vaginal muscle through the pressure sensor, and the internal timer Measured by repeatedly measuring contraction duration (sec) and resting pressure (mmHg) of pelvic floor and vaginal muscle The maximum, minimum and average values are output through the display panel and the speaker, stored in the memory, and the user presses the exercise button among various buttons of the main body while the user inserts the probe sensor into the body cavity of the human body. Inject a predetermined amount of air according to the measurement value of the probe sensor according to the step-by-step treatment pattern (exercise level), and display the exercise value or instruction or guidance on the display panel in a bar graph, number, or animation, Output through the speaker, and measure the maximum contraction pressure (mmHg) and average contraction pressure (mmHg) of the pelvic floor and vaginal muscles through the pressure sensor, and contraction duration (sec), pelvic floor and The display panel and the maximum, minimum, and average data measured by repeatedly measuring the resting pressure of the vaginal muscle (mmHg) Output through the picker, stored in the memory, and when the user presses the vibration button of the various buttons of the main body while the probe sensor is inserted into the body cavity of the human body, a predetermined amount of air is set according to the measured value of the pressure sensor The urinary incontinence can be linked to a smart phone, characterized in that it is injected into the probe sensor according to the treatment pattern (movement level) by step, and the vibration motor is operated to adjust the vibration intensity (RPM) according to the treatment step (vibration) pattern. Integrated diagnostic treatment device for diagnosis and treatment of sexual dysfunction. delete delete delete The method of claim 1,
The power module,
A battery installed in the space part of the main body and supplying power to each component part;
It is provided with a charging jack installed on one side of the main body is supplied with commercial power through the charging jack for charging the battery, characterized in that it consists of a charging circuit for incontinence and sexual dysfunction for smartphones Integrated diagnostic treatment device. delete The method of claim 1,
The wired and wireless communication module,
An integrated diagnostic treatment apparatus for diagnosing and treating urinary incontinence and sexual dysfunction, which can be linked to a smartphone, characterized in that a communication port is provided at one side of the main body to perform serial communication or USB communication. The method of claim 1,
The wired and wireless communication module,
Near field communication (NFC), Wi-Fi (WIFI), Bluetooth (BLUE TOOTH) of any one of the methods of communication with the smart phone, characterized in that the communication with the smart phone is possible Integrated diagnostic treatment device for the diagnosis and treatment of urinary incontinence and sexual dysfunction. delete The method of claim 1,
The probe sensor,
Integrated diagnostic and treatment device for diagnosing and treating urinary incontinence and sexual dysfunction that can be linked to a smartphone, characterized in that a plurality of different lengths are provided. delete delete

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