KR20160065578A - Diagnosis and treatment equipment of semi automatic urinary incontinence and sexual dysfunction - Google Patents

Abstract

The present invention relates to an apparatus for semi-automatically diagnosing and treating urinary incontinence and sexual dysfunction, and more particularly to an apparatus for semi-automatically diagnosing and treating urinary incontinence and sexual dysfunction by which symptoms such as urinary incontinence, sexual dysfunction, atony of vagina, and bowel dysfunction can be conveniently diagnosed and treated while a probe is expanded or vibrations are applied to the probe through a controller in a state in which the probe is inserted into a body cavity (a vagina or an anus). The apparatus for semi-automatically diagnosing and treating urinary incontinence and sexual dysfunction according to the present invention is inserted into the interior of a body cavity (a vagina or an anus), and includes: a probe that is expanded as air is supplied; a controller that controls the probe to manually feed the air; and an air hose that connects the probe and the controller to supply the air feed by the controller to the probe.

Description

[0001] The present invention relates to a semi-automatic urinary incontinence and sexual dysfunction,

More particularly, the present invention relates to a device for diagnosing semi-automatic urinary incontinence and sexual dysfunction, and more particularly, to a device for diagnosing a urinary incontinence and sexual dysfunction, And urinary incontinence. The present invention relates to a semi-automatic urinary incontinence and sexual dysfunction diagnosis and treatment apparatus,

Urinary incontinence refers to a disorder in the control of bladder and urethral sphincter that causes the pressure in the bladder to exceed the maximum urethral resistance and has an involuntary urine discharge. The urinary incontinence, which is an objective manifestation of involuntary urination, It can be defined as a group.

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

First, urge incontinence is caused by instability of the detrusor muscle. When urination is attempted, there is no force to stop the flow of urine.

Next, stress urinary incontinence occurs when the urinary pressure increases, suddenly the abdominal pressure suddenly rises and the urine less than 50ml leaks out of the urethral ligament, the cavernosal muscle, the perineal transverse muscle, and the anal sphincter muscle. There are a variety of coughing, sneezing, laughing, lifting, running, nose-pulling, harshness, impatience, excitement, climbing the stairs and standing up suddenly.

Second, bladder incontinence is a combination of symptoms of urge incontinence and stress urinary incontinence, which is the cause of stress incontinence and decreased detrusor tension.

On the other hand, incontinence is more common among women than men, and the mental, social and economic consequences of urinary incontinence on women are very serious in modern society, where women are increasingly entering society and the elderly population is rapidly increasing.

First, on an economic point of view, a 1989 report in the United States suggested that the amount paid for incontinence management was more than US $ 10 billion, which was more than the amount spent on HIV / AIDS treatment.

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.

Furthermore, excessive height of the pelvic structure due to pregnancy and childbirth is known to weaken the contractility of the pelvic floor muscles (vaginal muscles), which not only impairs sexual function, but also contributes to urinary incontinence. According to the survey, 90% of women have experienced avoidance of marital relationship more than once because of incontinence, and more than 80% of women with severe symptoms avoid marital relationship. Incontinence is a disease that can not be ignored among the factors that interfere with the life of the couple beyond the inconvenience of daily life.

Urinary incontinence tests include questionnaires, questionnaires, urinalysis, urinary retention, urodynamics, cystoscopy, radiology and ultrasound, urination diary, padding, and vaginal pressure measurement. Of these, the vaginal contraction pressure gauge is a foreign-made manual (pump) and electronic type. In hospitals and research institutes, it is mainly used to measure pelvic floor muscle contraction pressure and pelvic floor muscle contraction pressure duration, Measure the effect of pelvic floor strengthening exercise (Kegel exercise). However, such a measuring instrument is specialized, so that it is difficult to use it personally and it is very difficult to operate it.

Treatment of urinary incontinence includes medication, surgery, and non-surgical treatment. Drugs include anticholinergic agents, smooth muscle relaxants, and tricyclic antidepressants. Surgical procedures include sling surgery, birch surgery, tape TVT surgery, collagen injection, and balloon therapy.

Non-operative therapy can be divided into physiotherapy and behavior therapy, and physiotherapy includes magnetic stimulation therapy, magnetic field therapy, vaginal cone, thermal therapy, magnetic therapy, and feedback using a vasoconstriction pressure gauge.

Electrical stimulation therapy is a method of inducing passive muscle strengthening by applying electrical stimulation to the pelvic floor muscle, and magnetic field treatment is a method of passively contracting the pelvic floor muscle by forming a magnetic field. Behavioral therapies include bladder training, Kegel exercise, and biofeedback.

The bladder training is a method of urination training according to time. The Kegel exercise is a pelvic muscle exercise designed by Arnold Kegel in 1948. It enhances muscle function and strength through the contraction of pelvic floor muscle, which is helpful for the treatment of urinary incontinence and muscles. As a result of this.

Because pelvic floor muscles (vaginal muscles) are muscles that are not used usually, it is important to exercise with accurate muscles, which is more likely to use abdominal muscles or buttocks muscles in addition to pelvic muscles during pelvic floor muscle exercise, This results in a worsening of urinary incontinence.

Biofeedback refers to physiological self-regulation, which is one of the behavioral therapies based on BF Skinner's learning through reinforcement. It detects the biological response of the patient and displays it in the visual, auditory, And to learn, learn, and feel by seeing, listening, and feeling to the patient.

Sexual dysfunctions are classified into individual symptoms of women and men. The categories of female sexual dysfunction include sexual desire disorder, sexual arousal disorder, orgasmic disorder, and dyspareunia. Male sexual dysfunction (Erectile Dysfunction) also includes premature ejaculation, erectile dysfunction, ejaculatory pain, prostate disease, and loss of libido.

First, premature ejaculation is defined as the time when sexual partners are unable to control themselves and their sexual partners are assessed before they reach 50% of the total number of sexual intercourse, although there is no definite medical definition. The most common symptom is male sexual dysfunction, which accounts for 60% to 70% of patients who visit the urology department. The higher the education level, the higher the frequency of occurrence is, It is a trend of increasing rapidly in the layer.

The cause of premature ejaculation was thought to be the main psychological problem but it is not clarified yet and it is not clear yet and the ideal sense of psychological conflict, anxiety, early experience, extrajudice by pregnancy fear, masturbation, glans, Diagnosis is based on self-approach to sexual function, behavioral approach, psychological approach, physical examination, sensory nerve vibration test, penile color Doppler ultrasonography, computer erection analyzer (Rigiscan) , Eosinophilic sensitivity test, and so on.

The treatment of premature ejaculation includes behavior therapy, pharmacotherapy, topical application, vasodilator self-injection, penile dorsiflexion, autologous dermal implantation, internal and external magnetic field therapy, anal sphincter biofeedback therapy, oriental medicine and oriental medicine.

Next, impotence is defined as a state in which sexual intercourse can not be maintained due to insufficient erection or erection, and 52% of adult males aged 40 and over are suffering from psychological causes And aging, illness, side effects of drugs, drinking, smoking and so on.

Diagnosis is based on history, history, erectile function index questionnaire (IIEF), body (systemic disease) test, hormone test, erectile dysfunction test, transrectal prostate ultrasonography, penile color Doppler ultrasonography, , Penile spondylolisthesis, rigiscan, snap gauge, audiovisual stimulation test, and electromyography test. The treatment includes psychiatric treatment, medication, penile vascular surgery, penile artery vascular reconstruction, Laryngectomy, penile implant implantation, vasodilator self-injection, vacuum penis inhaler, internal and external magnetic field therapy, anal sphincter biofeedback treatment, oriental medicine, herbal suppository.

Next, there is sexual intercourse due to men's prostate disease. The prostate is located between the pubis and the rectum and is located on the lower surface of the bladder, with the bladder neck on the upper side and the urogenital membrane on the lower side ), Anteriorly located in the pelvic prostate ligament, deeply located in the pelvic cavity, and surrounded by the back urethra (the urethra in the shape of a wheel), about 20 g long, It is a sex organs that exist only in men.

Near the front of the prostate, the urethra penetrates diagonally. 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 produces 30% of the semen (semen) and supplies the sperm produced in the testicles (Testicle), and liquefies the sperm to increase the motility of the sperm so that the fertility ).

The prostate gland is an alkaline solution that neutralizes the vagina and vagina to help the sperm survive and help to reach the uterus and oviduct for fertilization. It acts as an important mediator in sperm activity.

On the other hand, diseases related to the prostate gland include 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.

Prostatitis is an inflammation of the prostate, 30% of men in their 20s and 50s, 50% of men experience a lifetime, and 25% of urologists It is a common disease that is presumed to be a patient with prostatitis. It is classified into acute and chronic bacterial prostatitis, chronic nonbacterial prostatitis and prostatitis.

Symptoms of prostatitis include urinary problems such as urinary retention, frequency, nocturia, nocturia, pyuria, urine, and lower urinary tract (urine) (Pain in the lower abdomen) and perineum (perineum), pain, back pain, testicular pain, dysuria, systemic muscle pain and ejaculation pain, premature ejaculation, erection And male sexual dysfunction (ED) such as impotence (erectile dysfunction).

The diagnosis of prostatitis may include the following: clinical examination, inflammatory cytology, bacterial culture, urine flow, urine flow test, cystoscope examination, mirror-rectal ultrasound examination, color Doppler Ultrasound, Polymerase chain reaction (PCR), and the treatment of prostatitis includes special antibiotics, anticholinergics, alpha blockers, hormone preparations, muscle relaxants, intraprostatic drug infusion, nerve suppression therapies, , Tumor Nerve Stimulation Therapy, TUNA, Oriental Medicine, Suppository, Anti-inflammatory Analgesic, Prostate Massage, Hot Bathing, Hot Pads, Low Frequency Electricity Low Frequency Electrical Stimulation, Magnetic Stimulation, Biofeedback Exercise, Pelvic Gymnastics, Exercise, and Diet Therapy.

However, the cause of the cause of the prostate (causative bacteria) and cause can not be found often, and because the prostate itself is made of special cells, the drug has a structure that is not well penetrated, drug therapy is limited (about 60% ) Is a chronic chronic disease (chronic disease) that often recurs after symptoms are relieved and many patients do not recover well.

As a result, while many patients are seeking treatment in various ways, physical and economic loss and psychological devastation cause the loss of efficiency of life and the quality of life itself.

Next, prostatic hypertrophy occurs most commonly in the male prostate after middle age, and histologically refers to the epithelium, smooth muscle and connective tissue of the prostate gland The prostate is enlarged due to the enlargement of the prostate and the urinary tract is pressed and the resistance of urine flow is increased to cause urinary disorder and male sexual dysfunction (ED). The disease is a representative disease of elderly (aged) men as much as 50% of those in their 50s and 60 ~ 80% of those in their 60s and 70s.

The causes of enlargement of the prostate are genetic, constitutional, nutritional, arteriosclerotic and racial differences, but they have not been elucidated precisely and the elderly It is closely related to the male hormones in terms of the point of occurrence.

Diagnosis of enlarged prostate can be made by examining the history of disease, symptom score (I-PSS), hand exam, urinalysis, residual urine, prostate ultrasonography, prostate specific antigen The symptoms of hypertrophy of the prostate can be diagnosed as urinary frequency, nocturia, nocturia, delayed urination, urinary retention, urinary retention, urinary retention (Urinary obstruction) such as urinary incontinence (urinary obstruction), discomfort in the lower abdomen and perineal region, pain, and symptoms such as sexual dysfunction (ED) such as premature ejaculation and erectile dysfunction. Treatment of benign prostatic hyperplasia includes conservative atmospheric therapy (watchful waiting) and medical treatment (physical therapy), low-invasive therapy (minimally invasive treatment) Minimaly invasive therapy, and surgical treatment. The medical treatment includes alpha-sympathicotics, alpha-reductase inhibitors, antihistamines, herbal medicines, herbal suppositories, (漢 方 坐 药), and physical therapy methods include biofeedback therapy, low-frequency electric stimulation therapy, and internal and external magnetic field therapy. Low-invasive therapies include balloon dilatation, prostate urethral stent , High temperature focused ultrasound (HIFU), transurethral needle ablation (TUNA), laser prostatectomy (TUNA), laser therapy (TULIP, VLAP, TUEP, KTP) (Laser prostatectomy), electrical The surgical procedure is called transurethral resection of prostate (TURP), transurethral incision of prostate (TUIP), open prostatectomy (TUIP), electroproplasty and thermotherapy. .

Prostatic carcinoma is a malignant tumor originating from the periphery of the prostate gland. The incidence of malignant tumor increases with age, mainly in males aged 50 years or older, It is the most common cancer in men in the United States and the second highest mortality rate after lung cancer. The frequency of prostate cancer incidence in Korean men is lower than that of Westerners, but the elderly population is increasing recently, and is rapidly increasing due to westernized eating habits, air pollution, and environmental pollution.

Although the cause of prostate cancer is unclear, it has been reported that genetic factors, age and sex hormones (Androgen) are related as inducing factors, and symptoms of prostate cancer usually progress slowly There is no obvious subjective symptom. At first, the degree of discomfort or pressure of the perineum and the rectum is progressing, and as the progression, urinary disturbance, hematuria (hematuria), pyuria and renal dysfunction (renal dysfunction) The most common occurrence is that it is found incidentally during routine health screening or prostatic hyperplasia test rather than when it is found due to the patient's or physician's interest and symptoms.

Diagnosis of prostate cancer is based on the following criteria: DRE, Transrectal Ultrasonography, Histology, Prostate Specific Antigen (PSA), Perineal punch biopsy, (Eg, hormone therapy, Radical Prostatectomy, etc.) that are administered with anti-male hormone or female hormone, and the like. Surgical Therapy, Radio Therapy, Radiation Exposure to the External Prostate Gland, Chemotherapy with Two or More Anticancer Drugs When Hormone Therapy Is Ineffective .

The prognosis of prostate cancer depends on the general condition, age, and the nature (differentiation degree) of cancer cells. Overall, the progression of prostate cancer is delayed, so the 5-year survival rate is limited to 70 ~ (Limph node) metastasis is 30 ~ 50%, and bone and lung distant metastasis is 20 ~ 30%. In addition, When performing radical prostatectomy (radical prostatectomy), the 5-year survival rate reaches 85-95%.

The following are brief descriptions of constipation, which is a representative symptom of hemorrhoids and fecal incontinence and defecation disorder, which are representative symptoms of defecation disorder.

First, Hemorrhoids are caused by most adult populations and are caused by the lower extremities of the rectum (lower extremities), anal and perianal tissues, including hemorrhoids, anal fistulas, dental fissures, Anal fissure, anal saliva, anal anus, and rectal prolapse.

Hemorrhoids (Haemorrhoids), which account for 50% of the total number of hemorrhoids and are commonly recognized as hemorrhoids, are enlarged due to some cause of the anomalous blood vessels, and the anal mucosa covering the blood vessels is enlarged abnormally or enlarged. , 40 ~ 50% of adult males and females are categorized according to their shape and location, and they are classified as internal nucleus (catechism, 20%), chordae (10%) and mixed dentition (70%). Causes are caused by factors such as aging, genetic factors, abnormal bowel habits such as constipation and diarrhea, erroneous eating habits such as meat and alcohol, overwork, physical fatigue, cirrhosis, intraabdominal tumors, and pregnancy.

Examination methods of hemorrhoids include: an examination, a diagnosis, a DRE, an anoscope, a sigmoidoscopy, an anorectal examination, Ultrasonography, anorectal manometry, anal sphincter electromyography (Anal EMG).

Therapeutic hemorrhoids include diet, exercise, sedation, massage, ointment, suppository, hyperthermia treatment, herbal medicine, herbal suppository, biofeedback, injection therapy, rubber ring ligation therapy, infrared thermocoagulation, cryotherapy, laser therapy, .

Second, Fecal incontinence is a phenomenon in which gas or liquid is discharged regardless of whether or not it is self-aware. This is a symptom rather than a disease, which gives severe psychological distress to the patients, It causes disability. Causes include pelvic muscle and anal sphincter damage, central nervous and genital nerve damage, decreased sensory capacity of the rectum, decreased function of the anal sphincter, congenital anomaly, delivery, and long-term use of laxatives. Anorectal manometry, anal electromyography, defecography, and anal ultrasonography can be used to examine the aneurysm.

Treatment of fecal incontinence includes diet, medication, gastrointestinal reflexes, biofeedback training of rectum and anal sphincter, anal sphincter repair, posterior anal correction.

Next, constipation is the main symptom of defecation disorder. When the number of bowel movements is less than twice per week, or when the weight of bowel movements is 35 g or less per day, And constipation when there are two or more of the above-mentioned symptoms lasting more than 3 months, in the case of a hard bowel movement or sweating. The incidence is about 10% of the total population, and is about three times more frequent in young women and elderly people than in men and young people.

Constipation is caused by factors such as mental or environmental stress (stress), wrong eating and lifestyle, endocrine and metabolic disorders, neurological disorders, substance abuse, structural abnormalities of the large intestine or anus, Colonoscopy, Colonic transit time, Large bowel study, Anal ultrasonography, Anal sphincter electromyography, Rectal aneurysm test, and so on.

The treatment methods of constipation include bowel training, dietary fiber and lactic acid bacterial preparation, lifestyle correction, medication, herbal medicine, herbal suppository, biofeedback treatment of rectum and anal sphincter, low frequency electric stimulation therapy, And so on.

Biofeedback therapy is a contraction and relaxation therapy that has been shown to have a great effect on the treatment of constipation and fecal incontinence. It is used for self-training and self-training of self- It is the most basic and effective treatment for constipation and fecal incontinence, and it treats symptom by improving the function of rectum sensory ability and sphincter by maximizing the ability of nerve and sensory motor nerve.

As described above, the causes, symptoms and treatment of urinary incontinence, sexual dysfunction, prostate related diseases and bowel disorders were explained. The biofeedback training (exercise) and its use cases are described as follows.

The anorectal physiology examination of the pelvic floor, perineum muscle and anal sphincter is a means of diagnosing urinary incontinence, sexual dysfunction, prostate related diseases and bowel obstruction, including anorectal manometry, Balloon expulsion test, balloon proctography, defecography, colonic transit time study, anal electromyography, transrectal ultrasonography, anorectal rectal examination, Anorectal angle, and saline continence test.

Among the types of physiological examinations, the rectal anal pressure measuring device is a device having a physiological examination function of the rectum and anal sphincter and a biofeedback therapy function, It is widely used in medical clinics.

Biofeedback is a synonym for biology and feedback. It means physiological self-regulation. Biofeedback means learning through reinforcement proposed by BF Skinner. Learning through reinforcement is a kind of behavioral therapy that detects a patient's biological response and converts it into visual, auditory, and sensory signals to see, hear, and feel the patient It means learning by oneself.

Recently, it has been accepted as a part of Orthodox medicine beyond Alternative medicine and Complementary medicine, and the application range is about 150 It is getting wider enough to be used for the treatment of symptoms. Typically, biofeedback training is used to treat vaginal muscles (pelvic floor muscle) biofeedback training used for the treatment of incontinence (incontinence), vaginal muscles used for the treatment of sexual dysfunction (FSD, ED) Vagina muscle) and anal sphincter biofeedback training, irritable bowel syndrome (irritable bowel syndrome, ICS), constipation, and feces used in the treatment of rectal and anal sphincter biofeedback training, used to control EEG EMG Electro cardiogram biofeedback training used in the treatment of hypertension and arrhythmia, body temperature (Bady temperature) biofeedback training, Galvanic skin response (frontal muscle EMG), frontal muscle EMG) ) Biofeedback training and so on.

As described above, in addition to means for diagnosing and treating urinary incontinence, sexual dysfunction, prostate-related diseases and defecation disorders, devices registered on the market or registered as a patent (utility model) include ultrasound waves (VLF), ultrasound waves Ultrasound, Infrared Ray, Near Infrared (NIR), Laser, Thermal, Hot Water, Vibration, Vacuum, etc., There is catheter with urethra insertion using stimulation and ultrasound. There is a perineum massage device using vibration, heat, low frequency (LF), etc., and a warm bath using herbal medicine such as mugwort And a bathing machine and a moxa moxa.

However, such a therapeutic device has a disadvantage in that it only temporarily alleviates pain and discomfort, the effect of treatment is short-lived, and the therapeutic effect is not sufficient for the user.

In addition, the oral administration drug (经 口 投入 药)) used as a therapeutic drug is a drug that causes side effects such as resistance to drugs caused by long-term administration, deterioration of function of long-term drugs, (阳方 坐 药) and herbal suppositories (漢 方 坐 药), the drug does not last for a long time, fingers into the rectum and anus into the mouth It is not only unsanitary but also has the inconvenience of living in a state of being put in for a long time. Nevertheless, there is a disadvantage that the medicines used are not sufficiently absorbed by the human body.

And anorectal manometry, which is used for physiological examination and biofeedback treatment of anal-related diseases, bowel movements and sexual dysfunction, and which is used in most veterinary clinics, visits the hospital every time during the treatment period There is a problem that the cost required for the inspection and the treatment is very high as it is a high-priced equipment which is difficult to understand and difficult to be understood by the general public.

On the other hand, low - frequency electrical stimulation therapy (LFES) and internal and external magnetic field therapy (MS), widely used for the treatment of urinary incontinence and bowel obstruction, use muscle current (current) and magnetic field to relax muscle contraction and relaxation There is a problem that the treatment effect is short, the possibility of recurrence is high, and the scientific reproducibility is lacking.

Antibiotics (antibiotics), which are widely applied to prostate-related diseases and anal-related diseases, are used in the case of advanced countries, such as misuse (abuse) and excessive prescribing, and in the case of developing countries, And the emergence of resistant bacteria (resistant bacteria) that are not treated with the antibiotics that have been treated in the past.

Indeed, in the United States, the cost of antibiotic resistance is about $ 30 billion a year. In Korea, the frequency of antibiotics use is 33.2 per 1,000 people per day, 1.5 times the national average of 21.3 in the OECD The rate of prescribing antibiotics for patients in hospitals is two to three times higher than that of the World Health Organization (WHO), which is 22.7%, and the frequency of prescription of injections is also higher than that of the World Health Organization (WHO) %, Which is more than three times higher than the recommended rate of 56.6%.

In particular, the resistance rate of penicillin to Staphylococcus is 95%. In Korea, the abuse rate of antibiotics is the highest in the world, and the number of antibiotic resistant patients is continuously increasing. However, There is a problem in that there is no sharp point.

In order to diagnose and treat the urinary incontinence and sexual dysfunctions as described above, the urinary incontinence examination treatment and the device for biofeedback training of the lower and lower muscular muscles of Patent Document 1 have been patented and registered in advance.

However, the above-described Patent Document 1 has a problem that the inflation tube is configured to be irreplaceable, and thus it is not sanitarily clean and uncomfortable to the patient. In addition, there is a problem that it is inconvenient to connect a power cable for applying external power when using the probe because the probe body is not provided with a separate power source. In addition, since both ends of the expansion tube are not supported, they are expanded to a shape that is almost circular when inflated, resulting in poor accuracy and effectiveness in diagnosis and treatment.

Registered Patent Registration No. 10-0710908, 2007.04.17.

The present invention was invented to overcome the above-mentioned problems, and it is possible to replace the expansion tube so that accuracy and effect in diagnosis and treatment can be improved, and it is possible to use without external power without hygienic cleanliness, And the expansion tube is expanded into a streamlined shape. The object of the present invention is to provide a device for diagnosing semen incontinence and sexual dysfunction.

The objects of the present invention are not limited to the above-mentioned objects, and other objects not mentioned can be clearly understood from the following description.

According to an aspect of the present invention, there is provided a semi-automatic urinary incontinence and sexual function diagnosis apparatus comprising: a probe inserted into a body cavity (vagina or anus) and expanded according to supply of air; A controller for controlling the probe to manually transmit the air; And an air hose connecting the probe and the controller, the air hose supplying the probe with the air pressure-fed by the controller.

Wherein the probe comprises a probe main body in which a power module and a control module are installed; A vibration motor installed inside the probe body; An inner frame detachably installed on one side of the probe main body; And an expansion tube that is installed at an outer side of the inner frame and is expandable according to the supply of air.

Wherein the controller comprises: a controller body having a power module, a control module, a display module, and a speaker; An air inlet installed at one side of the controller body to allow air to flow from the outside; A manual pump installed at one side of the controller body for feeding air to be introduced into the air inlet; And a pressure sensor disposed inside the controller body and sensing a pressure of the expansion tube through air pumped by the manual pump.

Wherein the expansion tube has a connecting portion in which an insertion hole into which the inner frame is inserted is perforated, An expanding portion extending from the connection portion and being inflated by the air; And a supporting part protruding from the expanding part and having a convex curved surface and having a supporting recess formed inwardly and recessed therein.

The inflation tube is characterized in that the inflation tube is composed of at least two kinds of different shapes and sizes corresponding to the inside of the body cavity.

The inner frame being screwed to a rear surface of the probe main body; A support rod extending from the fastening bar and inserted into the support groove in a state of passing through the insertion hole; And a compression protrusion protruding outwardly between the clamping rod and the support rod to compress the connection portion to the probe body side to seal the inside of the expansion tube.

The power module includes a battery; A charging terminal for receiving external power; And a charging circuit that receives the external power and charges the battery.

And a check valve is installed inside the probe main body to prevent the air supplied through the air hose from flowing out.

A pump support extending from the controller main body and configured to shape the manual pump when an external force is applied to the manual pump is provided at one side of the manual pump.

The following effects can be expected from the present invention.

First, because the inflation tube is configured in a replaceable form and structure, it can be used while being replaced for each patient, so that it is hygienically clean and has no discomfort to the patient. Further, since the expansion tube is inflated in a state where both ends are supported by the inner frame, the inflation tube is inflated to a shape that is nearly streamlined, thereby improving accuracy and effectiveness in diagnosis and treatment.

In addition, since a battery functioning as a driving power source is built in, it is not necessary to connect a separate power cable to receive an external power source, thereby improving the usability. As the expansion tube is manually operated by the manual pump, the power consumption can be reduced and the pressure of the expansion tube can be adjusted easily.

Brief Description of the Drawings Fig. 1 is an exemplary diagram showing the entire configuration of a semiautomated type urinary incontinence and sexual function diagnosis apparatus according to a preferred embodiment of the present invention. Fig.
FIG. 2 is a sectional view showing a controller of a semi-automatic type urinary incontinence and sexual function diagnosis apparatus according to a preferred embodiment of the present invention. FIG.
3 is a sectional view showing a probe of a semi-automatic type urinary incontinence and sexual function diagnosis apparatus according to a preferred embodiment of the present invention.
FIG. 4 is an exploded view illustrating a probe of a semi-automatic urinary incontinence and sexual function diagnosis apparatus according to a preferred embodiment of the present invention. FIG.

The semiautomatic incontinence and sexual dysfunction diagnosis and treatment apparatus according to the present invention is a medical device for diagnosing and treating symptoms such as urinary incontinence, vaginal atrophy, sexual dysfunction and defecation disorder.

Particularly, the semiautomatic incontinence and sexual dysfunction diagnosis and treatment apparatus according to the present invention is hygienically clean, does not cause discomfort to the patient, gives no irritation, can be used without external power source, and has improved accuracy and effectiveness in diagnosis and treatment.

This feature is achieved by a probe inserted into a body cavity (vagina or anus) and expanded according to the supply of air, a controller for manually feeding air by controlling the probe, and a controller for connecting the probe and the controller, And an air hose for supplying air to the probe.

Hereinafter, a semiautomatic incontinence and sexual dysfunction diagnosis and treatment apparatus according to a preferred embodiment of the present invention will be described in detail with reference to the accompanying drawings.

FIG. 1 is a view illustrating an overall configuration of a semiautomated type urinary incontinence and sexual function diagnosis apparatus according to a preferred embodiment of the present invention. FIG. 2 is a side view of a semi- FIG. 3 is a cross-sectional view illustrating a probe of a semiautomatic type urinary incontinence and sexual function diagnosis apparatus according to a preferred embodiment of the present invention. FIG. 4 is a cross- An exploded view showing a probe of a urinary incontinence and sexual function diagnostic apparatus.

As shown in FIG. 1, the device for semiautomatic urinary incontinence and sexual dysfunction diagnosis according to a preferred embodiment of the present invention can be roughly composed of a probe 100, a controller 200, and an air hose 300.

First, the probe 100 is inserted into the body cavity (vagina or anus), and is expanded according to the supply of the air to be pressure-fed according to the operation of the controller 200, and vibrates according to the operation of the vibration means built therein Induced configuration.

3 and 4, the probe 100 may include a probe body 110, a vibration motor 120, an inner frame 130, and an expansion tube 140.

The probe main body 110 is formed as a handle and can be held by hand and includes a power module (not shown) and a control module (not shown).

In this case, the power module is for supplying driving power of the probe 100, and includes a battery 111, a charging terminal (not shown) for receiving an external power source, and an external power input through the charging terminal, And a charging circuit (not shown) that charges the battery 111 in accordance with the power source of the battery.

However, the power module may be a secondary battery, which is a rechargeable battery, and a battery, which is a primary battery to be replaced and used in place of the battery. At this time, the charging terminal and the charging circuit necessary for charging are not included.

The control module controls the intensity of the vibration motor 120, and may include a central processing unit (not shown), a memory (not shown), a control button 112, and the like. The control button 112 may be a touch panel type or a button-down type so as to be exposed on the front surface of the probe main body 110.

The vibration motor 120 vibrates the probe main body 110 to transmit vibration to the expansion tube 140 and may be electrically connected to the power module inside the probe main body 110.

The expansion tube 140 is expanded by the air compressed by the controller 200 and is replaceably installed in the probe main body 110 and includes a connection part 141, an expansion part 142, and a support part 143 .

At this time, the connection portion 141 is connected to the probe main body 110 to hold one end of the expanding portion 142, and the insertion hole 141a into which the inner frame 130 is inserted is punched. The expanding portion 142 is formed to extend from the connection portion 141 to expand in a streamlined manner by air between the connection portion 141 and the support portion 143. The supporting portion 143 is formed to protrude from the expanding portion 142 to support the other end of the expanding portion 142 and form a convex curved surface while a supporting protrusion 143b formed inside the supporting groove 143a is protruded.

That is, the expansion tube 140 is expanded by the air injected into the expansion tube 142 in a state where both ends of the expansion tube 142 are supported by the connection part 141 and the support part 143, .

Meanwhile, the inflation tube 140 is preferably composed of at least two types having different external shapes and sizes to correspond to the inside of the body cavity so as to be divided into male and female.

That is, in the case of a male, it may be formed into a cylindrical shape having a constant diameter from one end to the other end, if the length is relatively short so as to be inserted into the anus or the like and the diameter is relatively small.

In the case of a female, it can be formed into a streamlined shape having a relatively long length and a relatively large diameter so that it can be inserted into vagina or the like, and the diameter gradually increases from both ends to the middle.

In addition, the inflation tube 140 may be made of an inflatable material, and it is most preferable that the inflation tube 140 is made of a rubber or urethane material or a medical silicone material.

The inner frame 130 is installed on one side of the probe main body 110 and supports the expansion tube 140 therein. The inner frame 130 may include a coupling rod 131, a support rod 132, and a pressing projection 133.

At this time, the connecting rod 131 is screwed to the rear surface of the probe main body 110, and an air passage through which the air passes is defined. The support rod 132 is inserted into the support groove 143a while extending through the insertion hole 141a and extending from the end of the coupling rod 131. [ The pressing projection 133 protrudes outward between the connecting rod 131 and the supporting rod 132 and presses the connecting portion 141 toward the probe body 110 so that the inflation tube 140 is closed.

That is, the inner frame 130 holds the expansion tube 140 so that the expansion tube 140 can be expanded in a streamlined shape while maintaining the airtight state of the expansion tube 140 when the expansion tube 140 is inflated according to the infusion of air.

Next, the controller 200 controls the probe 100 to pressurize the air introduced from the outside by a manually operated manual pump to inflate the probe 100 and feed the compressed air through the built- And detects the pressure of the probe 100 from the air.

To this end, the controller 200 may include a controller body 210, an air inlet 220, and a manual pump 230, as shown in FIGS.

The controller main body 210 is configured to be held by hand and includes a power module (not shown), a control module (not shown), a display module 211, and a speaker (not shown). In this case, the power module is for supplying the driving power of the controller 200, and includes a battery 212, a charging terminal (not shown) for receiving an external power source, and an external power input through the charging terminal, And a charging circuit (not shown) that charges the battery 212 in accordance with the power source of the battery. On the other hand, the power supply module may be a rechargeable secondary battery, instead of a battery, a battery, which is a primary battery that can not be charged and is used for replacement.

However, at this time, the charging terminal and the charging circuit necessary for charging are not included. The control module receives the pressure of the expansion tube 140 sensed by the pressure sensing sensor 240 and controls the operation of the display module 211 and the speaker through the control button 213. The control module controls the central processing unit A memory (not shown), a control button 213, and the like.

The control button 213 may be a button-down type or a touch panel type so as to be exposed to the outside of the controller body 210. The display module 211 displays the pressure of the expansion tube 140 measured through the pressure sensor 240 by the control module and the support required for diagnosis and treatment. I can pour it. According to the control of the control module, the loudspeaker sends out instructions for diagnosis and treatment.

The air inlet 220 is installed at one side of the controller body 210 and is configured to communicate with the manual pump 230 to introduce air to be pressure-fed by the manual pump 230 from the outside.

The manual pump 230 is installed at one side of the controller body 210 to pressurize external air flowing from the air inlet 220. That is, the manual pump 230 is contracted by the pressure manually applied from the outside, sucks the outside air from the air inlet 220, and press-feeds the air.

For this purpose, the manual pump 230 may be configured in a shape and material that can be contracted by an external force. That is, the manual pump 230 is preferably made of rubber, urethane, or the like and formed into a rugby ball shape.

Meanwhile, a pump support 250 extending from the controller body 210 may be further installed on one side of the manual pump 230. The pump support 250 smoothly performs a pumping operation by shaping the manual pump 230 when the manual pump 230 is pumped with an external force applied to the expansion tube 140 in order to inflate the expansion tube 140.

The air hose 300 connects the probe 100 and the controller 200 so that air to be pressure-fed by the manual pump 230 of the controller 200 is supplied to the expansion tube 140 of the probe 100, .

To this end, the air hose 300 may be provided with a first connector 310 and a second connector 320 at one end and the other end as shown in FIG. That is, one end of the air hose 300 is connected to the probe main body 110 by the first connector 310 and the other end is connected to the controller main body 210 by the second connector 320.

A check valve 150 is further installed in the probe main body 110 to prevent the air injected into the expansion tube 140 from being discharged through the air hose 300. It is preferable that the check valve 150 is installed so that the air injected into the expansion tube 140 is discharged to the outside when the first connector 310 is separated from the probe main body 110.

Hereinafter, examples of use of the semi-automatic incontinence and sexual dysfunction diagnosis and treatment apparatus according to the preferred embodiment of the present invention will be described in detail.

<Use Example 1>

Diagnosis of incontinence and vaginal laxity by measuring systolic pressure and duration of contraction.

First, set the diagnostic mode through the controller with the expansion tube of the probe inserted inside the vagina. Then, the manual pump is pressurized to pressurize the inflation tube to pressurize the inflation tube, and then the air inlet is closed so that no more air is introduced and the pressure of the inflation tube is maintained.

In a state where the user contracts the pelvic floor muscles and vaginal muscles as much as possible and continues the state for the longest time in the above-mentioned state, the maximum contraction pressure, average contraction pressure, maximum contraction pressure of the pelvic floor muscle and vaginal muscle The shrinkage duration is measured.

In the relaxation of the pelvic floor muscles and vaginal muscles, the user measures the resting pressure of the pelvic floor muscles and vaginal muscles in a relaxed state in which the pelvic floor muscles and the vaginal muscles are not subjected to force.

Then, the controller displays the data of the maximum contraction pressure, the minimum contraction pressure and the average contraction pressure of the pelvic floor muscles and vaginal muscles on the screen and transmits them by voice to diagnose incontinence and vaginal laxity.

&Lt; Use Example 2 &

Treatment of urinary incontinence and vaginal laxity through biofeedback exercise (Kegel exercise).

First, the treatment tube is placed in the treatment mode through the controller with the expansion tube of the probe inserted into the female vagina. Then, the manual pump is pressurized to pressurize the inflation tube to pressurize the inflation tube, and then the air inlet is closed so that no more air is introduced and the pressure of the inflation tube is maintained.

In such a state, a guide for guiding the biofeedback motion of the display module and the speaker is displayed on the screen and transmitted by voice.

Then, the user repeats contraction and relaxation of pelvic floor muscles and vaginal muscles according to the instructions, and performs biofeedback exercise (Kegel exercise) to treat urinary incontinence and vaginal atrophy.

<Usage example 3>

Treatment of Sexual Dysfunction and Prostate Disease through Vibration Stimulation.

First, the inflating tube of the probe is inserted into the male's anus and set to the treatment mode through the controller. Then, the manual pump is pressurized to pressurize the inflation tube to pressurize the inflation tube, and then the air inlet is closed so that no more air is introduced and the pressure of the inflation tube is maintained.

When the user operates the vibration motor in the above state, vibration is generated in the probe main body and is transmitted to the expansion tube.

Then, the user adjusts the vibration intensity of the vibration motor in a stepwise manner corresponding to his treatment stage, and treats sexual dysfunction and prostate disease through vibration stimulation.

&Lt; Use Example 4 >

Treatment of urinary incontinence and vaginal atrophy and sexual dysfunction and bowel disorder by biofeedback exercise (Kegel exercise) and vibration stimulation.

First, the expansion tube of the probe is inserted into the female vagina or anus or inside the male's anus and set to the treatment mode through the controller. Then, the manual pump is pressurized to pressurize the inflation tube to pressurize the inflation tube, and then the air inlet is closed so that no more air is introduced and the pressure of the inflation tube is maintained.

In such a state, a guide for guiding the biofeedback motion of the display module and the speaker is displayed on the screen and transmitted by voice. At the same time, when the user operates the vibration motor, vibrations are generated in the probe body and transmitted to the expansion tube.

The user then repeats the contraction and relaxation of the pelvic floor muscles and vaginal muscles according to the instructions, performs a biofeedback exercise (Kegel exercise), adjusts the vibration intensity of the vibration motor in stages corresponding to his / (Kegel exercise) and vibration stimulation to urinary incontinence, vaginal atrophy, sexual dysfunction and bowel disorders.

The above-described embodiments are merely illustrative, and various modifications may be made by those skilled in the art without departing from the scope of the present invention.

Therefore, the true technical protection scope of the present invention should include not only the above embodiments but also various other modified embodiments according to the technical idea of the invention described in the following claims.

100: Probe
110: probe body
111: Battery
112: Control button
120: Vibration motor
130: inner frame
131:
132:
133:
140: Expansion tube
141: Connection
141a: insertion hole
142: Expansion part
143:
143a: Support groove
143b:
150: Check valve
200: controller
210: Controller body
211: Display module
212: Battery
213: Control button
220: Air inlet
230: Manual pump
240: Pressure sensor
250: Pump support
300: Air hose
310:
320:

Claims (9)

A probe which is inserted into a body cavity (vagina or anus) and expanded according to the supply of air;
A controller for controlling the probe to manually transmit the air; And
And an air hose connecting the probe and the controller to the probe to supply the air pressure-fed by the controller to the probe. The method according to claim 1,
The probe
A probe main body in which a power module and a control module are installed;
A vibration motor installed inside the probe body;
An inner frame detachably installed on one side of the probe main body; And
And an expansion tube installed at an outer side of the inner frame to be swollen according to the supply of air. 3. The method of claim 2,
The controller
A controller main body in which a power module, a control module, a display module and a speaker are installed;
An air inlet installed at one side of the controller body to allow air to flow from the outside;
A manual pump installed at one side of the controller body for feeding air to be introduced into the air inlet; And
And a pressure sensor disposed inside the controller body and sensing a pressure of the expansion tube through air pumped by the manual pump. 3. The method of claim 2,
The expansion tube
A connecting portion in which an inserting hole into which the inner frame is inserted is formed in a plane;
An expanding portion extending from the connection portion and being inflated by the air; And
And a supporting part protruding from the supporting part and having a convex curved surface formed on the expanding part and having a supporting groove recessed on the inside thereof. 3. The method of claim 2,
The expansion tube
Wherein the at least two kinds of semilunar incontinence and sexual dysfunction diagnostic treatment apparatuses are composed of at least two types having different external shapes and sizes corresponding to the inside of the body cavity. The method of claim 4, wherein
The inner frame
A fastening rod screwed to the rear surface of the probe main body;
A support rod extending from the fastening bar and inserted into the support groove in a state of passing through the insertion hole; And
And a compression protrusion protruding outwardly between the clamping rod and the support bar to compress the connection portion to the probe body side to seal the inside of the expansion tube. The method according to claim 2 or 3,
The power module
battery;
A charging terminal for receiving external power; And
And a charging circuit for receiving the external power and charging the battery. 3. The method of claim 2,
Inside the probe body
And a check valve is provided to prevent the air supplied through the air hose from flowing out. The method of claim 3,
On one side of the manual pump
And a pump support extending from the controller main body and configured to shape the manual pump when an external force is applied to the manual pump.

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