RU108967U1 - VIBROMASSAGER-ASPIRATOR - Google Patents

Abstract

 A vibrating massager-aspirator containing a tip, a pneumatic balloon, characterized in that the proximal end of the tip is rigidly connected to the flange of the distal end of the bellows, the flange of the proximal end of the bellows is rigidly connected by a latch with a vacuum hose that opens into the cavity of the bellows, fixed together with a baro-hose that opens in a closed cavity of a pneumatic balloon in a vertical diametrical plane related to the end face of the device holder housing, the vacuum hose being located above the baro hose at the end of the housing holder I, and the opposite ends of the air hermetically sealing cuffs attached to the flange of the distal end of the bellows and the housing of the holder.

Description

The utility model relates to medical equipment, namely, to an actuator for vibrating massage of body cavities together with aspiration in the treatment of organs located in the pelvic area, in particular, gynecological apparatuses of vaginal pulsed physiotherapy with vacuum drainage in chronic inflammatory diseases of female reproductive organs.

Chronic infectious and inflammatory diseases of the uterus, its appendages, currently dominate the structure of gynecological pathology and are an urgent medical and social problem [Schukina N.A. et al. Postoperative rehabilitation of patients with purulent inflammatory diseases of the pelvic organs. // Ross. Bulletin of the obstetrician-gynecologist. 2009, No5. - S.85-87]. These diseases increase the risk of complications such as an ectopic pregnancy, infertility and chronic pelvic pain syndrome, and are also the cause of unsuccessful attempts to implement assisted reproduction programs. Despite the large arsenal of methods for treating chronic inflammatory diseases of the pelvic organs (HVZOMT) - the cervix, body and uterus, a positive effect is achieved only in 40-50% of patients [Churakov A.A. et al. Combined sequential physiotherapy of chronic inflammatory diseases of the pelvic organs using the device AMUS-01-Intramag and attachments VAC-01. //Obstetrics and gynecology. 2008, No.6. - S. 57-59].

The reasons for the low effectiveness of standard treatment and the high frequency of relapses are the presence of non-draining and inaccessible to the therapeutic effect of “depot” infection, the development of infiltrative-sclerotic and dystrophic changes in the pelvic organs. This leads to impaired hemodynamics and reduced bioavailability of drugs in the focus of inflammation [Churakov A.A. et al. The use of aspirator-electric stimulator AE-01- “Sanos" in the complex treatment of chronic trichomodal cervicitis. // Clinical Dermatology and Venereology. 2004, No. 4. - P.34-35].

Vacuum drainage and vibration of the cervix in a pulsed mode with complex therapy of HVZOMT provides effective evacuation of the contents of crypts and superficial cystic formations of the endocervix, which are difficult to access foci of infection, and have an indirect antibacterial (antiprotozoal) effect. Vibro-vacuum therapy helps to open reserve capillaries, enhance microcirculation and lymphatic drainage, eliminate lymphostasis, positively affect tissue trophism and regenerative processes in the cervix and uterine body, and prevent endocervix fibrosis. In addition, the use of endocervical pulsed pressovibrotherapy leads to liquefaction of mucus, improves the secretion of crypts and elimination of inflammatory products, enhancing the draining effect [Churakov A.A. et al. The use of endocervical vibration massage with vacuum aspiration in the diagnosis and complex treatment of chronic endocervicitis. // Bulletin of dermatol. and venereol. 2003. No2. - S. 39-40].

A cervical vibro-respirator device improving microcirculation and lymphatic drainage [RU No. 21345 U1, A61H 23/00] containing a cervical tip and a T-adapter, one of the horizontal parts of which is connected to the cervical tip with a hose, the other with a vibrator, and the vertical part - with a vacuum pump, and the cervical tip is made cylindrical, with a smoothly rounded distal end and a central channel located along its axis with radial holes on the surface, communicating Xia with the central channel.

The disadvantages of the design of the analogue include: the penetration of the products of inflammation and pathogenic microflora of the cervical glands into the hose directly connecting the cervical tip of the device to the vacuum pump; the lack of a collection of aspirate with pathological contents from the cervical canal; transmission of vibrations of the vibrator to the cervical tip of the device by means of an elastic hose that reduces the amplitude of vibration and dampens the effects of vibration pulses during complex therapy of CVZOMT.

As a prototype, a vaginal tip device for gynecological pneumovibromassage was selected that does not contain rotating and rubbing surfaces that have a damaging effect on the mucous membrane of the vagina and cervix [RU No. 72854 U1, A61H 23/00], made in the form of a cylindrical rod with a central channel placed in a pneumatic balloon hermetically fixed to a fluoroplastic rod with a blanked distal end and radial openings connected to the central channel.

The disadvantages of the design of the prototype include:

- the need to use an additional external vibrator to transmit vibrations to the cylindrical rod of the tip;

- restrictions on the frequency range of pneumatic massage due to the use of only one central channel of the tip rod as a conductor of baropneumatic pulses generated by the apparatus;

- restriction of the massage in radial (transverse) directions with respect to the axis of the tip rod due to the tight tight fixation of both ends of the pneumatic balloon on the fluoroplastic rod with radial holes connected to the Central channel, allowing massage in the longitudinal direction;

- the inability to carry out vacuum drainage of the cervix simultaneously with vaginal pulsed pressovibrotherapy.

We first proposed a vibratory massager-aspirator (hereinafter referred to as the device), used, in particular, for vaginal pulsed press-vibration therapy containing a tip in the form of a segment of a hollow tube with a rounded distal end and radial holes on the side surface of the tube to select the contents of the cervical canal, the proximal end of which rigidly connected to the flange of the distal end of the bellows; a bellows, the proximal end of which is rigidly connected by a clamp to a vacuum hose that opens into the bellows cavity and fixed together with a baro hose that opens into a closed pneumatic balloon cavity, in the device holder housing, and the outlet from the vacuum hose device is located above the entrance to the bar hose in a diametrical vertical plane related to the end face of the device holder body, both hoses equipped with nipples marked with conformity indices and connected to a vacuum and compression odes pump-pulsed pressovibroterapii compressor unit, under the influence of which carried pnevmoimpulsov compression-tensile and vibratory bellows cervical movement longitudinally fixedly connected to the flange of the distal end tip of the bellows, and, also, the selection of the cervical canal contents; a pneumatic balloon in the form of a thin-walled elastic cylinder, the opposite edges of which are hermetically sealed with sealing cuffs on the distal flange of the bellows and the holder body, stretching the pneumatic balloon when filling the latter with compression pneumatic pulses and compression with air discharge pulses allows massage of body cavities located in the pelvic region (in particular , internal reproductive organs) not only radially with respect to the longitudinal axis of the tip, but also in the longitudinal directions.

All structural elements of the disposable device are made of synthetic materials of minimally aggressive modifications, elastic and supple, not causing or causing a minimal reaction to a foreign body in female reproductive organs [Victrup L., et all. Clinical urology guidelines for the initial assessment and treatment of women with urinary incontinence: a review. Eur. Urol. 2005; 4 (1); 38-45].

The proposed device is shown in figure 1, where:

1 - tip;

2 - flange of the distal end of the bellows;

3 - sealing cuff;

4 - bellows;

5 - a clamp;

6 - pneumocylinder;

7 - flange of the proximal end of the bellows;

8 - holder body;

9 - a vacuum hose;

10 - baro hose;

11 - nipple.

The device (Fig. 1) consists of a tip in the form of a segment of a hollow tube (1) with a diameter of 3-6 mm with a rounded distal end and a series of radial holes on the side surface to select the contents of the cervical canal, the proximal end of which is rigidly fixed to the distal flange (2) the end of the bellows (4), the flange (7) of the proximal end of the bellows (4), attached by a latch (5) to the vacuum hose (9), which opens into the cavity of the bellows (4); a pneumatic balloon (6) fixed by a sealing sleeve (3) on the flange of the distal end (2) of the bellows (4) on one side and a sealing sleeve (3) on the holder body (8), fixing the spatial location of the latter relative to the gynecological chair; in the holder (8) the baro hose (10) is tightly fixed, which opens into the closed cavity of the air balloon (6), and the vacuum hose (9) is structurally higher than the baro hose (10) in the diametrical plane relative to the end face of the holder (8) ) devices. To connect the device with elastic hoses with a vaginal pulsed physiotherapy apparatus, nipples (11) are installed at the ends of the vacuum hose (9) and baro hose (10) with the marking corresponding to the purpose of the hoses (9, 10).

The proposed device works as follows: in the patient’s position during the procedure - lying on the gynecological chair - the tip (1) with a diameter selected taking into account the size of the external pharynx of the cervix is inserted into the endocervix, while its outer part is in the lower third of the cervical canal, and fixing the spatial arrangement of the device is carried out by fixing the holder body (8) on the gynecological chair. After connecting the nipples (11) of the vacuum and baro-hoses (9) and (10) to the device with flexible hoses connected to the “Vacuum” and “Compression” fittings of the vaginal pulsed physiotherapy apparatus, setting the necessary pulse duration and frequency for ensuring the operation devices, through a baro-hose (10) to a pneumatic cylinder (6), the opposite ends of which are hermetically sealed with a sealing sleeve (3) on the flange of the distal end (2) of the bellows (4), the volume of which is selected by changing the linear dimensions and diameter it, on the one hand and the sealing sleeve (3) on the holder body (8) on the other hand, a pulse of a portion of air is supplied to the expansion zone, increasing the size of the air balloon (6) in radial directions relative to the axis of the tip (1), exerting pressure on the inner surface of the reproductive organs, and in the longitudinal direction exerts pressure on the flange (2) of the distal end of the bellows (4), moreover, the straightening and stretching of the bellows (4) drives the tip (1) of the device inside the cervical canal, and the flange (2) of the distal end of the bellows on (4) ensures the penetration of the tip (1) of the device into the internal pharynx of the cervix only to a predetermined depth. After the termination of the pulse of compression of the portion of air, through a vacuum hose (9) attached to the flange (7) of the proximal end of the bellows (4) located geometrically above the baro-hose (10) in the vertical plane of the holder body (8) of the device, a portion of the air is removed from the internal volume of the bellows (4) during the duration of the vacuum pulse, resulting in compression of the bellows (4), a decrease in pressure in the air cylinder (6), and, as a result, to narrow the walls of the air cylinder in the transverse directions at the same time the alternate return movement of the tip (1) of the device in the cervical canal and the selection of the inflammatory contents of the latter through radial holes on the lateral surface of the hollow tube of the tip (1), rigidly fixed to the flange (2) of the distal end of the bellows (4) entering the internal cavity of the bellows (4 ) (discharge zone). The longitudinal movements of the tip (1) carry out pulsed vibration massage of the tissues of the cervical canal with the elimination of the products of inflammation and pathogenic microflora of the cervical glands into the closed space of the bellows volume (4) with simultaneous press-vibration massage of the walls of the pneumocylinder (6) of the inner surface of the reproductive female organs.

The design of the proposed device eliminates the disadvantages of the prototype, because:

- the proposed device combines the functions of vibration massage with vacuum drainage of the cervical canal and vibration massage of the cervix in pulsed modes, which ensure the effective evacuation of the contents of crypts and superficial cyst-like formations of the endocervix, with the vibration action of the massage, which helps to open reserve capillaries, enhance the elimination of microcirculation, lymphocytic circulation and lymphatic circulation lymphostasis, positively affecting tissue trophism and regenerative processes in the cervix and uterus ; in addition, endocervical impulse vibration exposure leads to liquefaction of the mucus, improves crypt secretion and elimination of inflammatory products, enhancing the drainage effect;

- there is no need to use an additional external vibrator to transmit vibrations to the tip, which in the proposed design is connected directly to the flange of the distal end of the bellows, driven into oscillatory motion by a sequence of pump compression-discharge pulses with minimal injury to the vaginal tissues;

- the frequency range of pneumatic massage is not limited due to the use of a controlled two-channel air supply-pumping system in a pulsed mode, due to the apparatus of pulsed physiotherapy;

- hermetic fixation of the air balloon on the bellows flange and the holder body allows vaginal massage of the inner surface of the reproductive female organs both in radial (transverse axis of the tip) and in the longitudinal directions;

- fixing the vacuum hose that opens into the cavity of the bellows and the baro hose that opens into the closed cavity of the pneumatic balloon in the diametrical plane related to the end face of the housing of the device holder, provide a technical result with high reliability, reducing injuries during operations.

The proposed device is less traumatic in comparison with the analogue and prototype, since the time of complex vacuum drainage with gynecological pneumomassage is reduced by half in chronic inflammatory diseases of female reproductive organs and allows to achieve the desired result - to achieve high reliability, reduce injuries during operations and, as a result, improving the quality of treatment of patients. In addition, the proposed device extends the range of use of the actuating element in various designs of barophysiotherapeutic apparatuses.

Claims (1)

A vibrating massager-aspirator containing a tip, a pneumatic balloon, characterized in that the proximal end of the tip is rigidly connected to the flange of the distal end of the bellows, the flange of the proximal end of the bellows is rigidly connected with a clamp with a vacuum hose that opens into the cavity of the bellows, fixed together with a baro hose that opens in a closed cavity of a pneumatic balloon in a vertical diametrical plane related to the end face of the device holder housing, the vacuum hose being located above the baro hose at the end of the housing holder I, and the opposite ends of the air hermetically sealing cuffs attached to the flange of the distal end of the bellows and the housing of the holder.