RU113473U1 - PNEUMOELECTRIC STIMULATOR (PES) - Google Patents

Abstract

1. Pneumatic electrostimulator, consisting of an electrode made cylindrical with a through central channel with a smoothly rounded and plugged distal end, in the proximal part tightly connected to a dielectric tube with a conductive nipple at the proximal end and a retainer, while the electrode and the nipple are connected by a wire inside the tube, characterized in that a part of the electrode is located in the cavity of the pneumatic balloon, and along its length in the electrode radial holes are evenly spaced, communicating with the central channel, the pneumatic balloon is hermetically fixed to the electrode at least 10 mm distal to its proximal end. ! 2. Pneumatic electrostimulator according to claim 1, characterized in that the proximal edge of the pneumatic balloon is fixed to the distal end of the dielectric tube, and the distal - to the electrode, but at a distance of no less than 10 mm from the distal end of the electrode. ! 3. Pneumatic electrostimulator according to claim 1, characterized in that the pneumocylinder is fixed on both sides to the electrode at a distance of at least 10 mm from its ends.

Description

The utility model relates to medicine, namely to urology (andrology) and gynecology, and can be used in urological, gynecological, physiotherapeutic departments and offices of hospitals, clinics, sanatoriums, medical centers.

The product is intended for use in the complex treatment of chronic inflammatory diseases of the pelvic organs, hypogonadism, diseases of the rectum, bladder, pelvic pain syndrome, stress urinary incontinence in women, erectile dysfunction, sexual disorders in women, to improve the condition of the endometrium before assisted reproductive technology programs , for strengthening the pelvic floor muscles.

Currently, in the complex treatment of a number of urological and gynecological diseases, the physiotherapeutic method of rectal (vaginal) electrical stimulation is used.

The basis of the therapeutic effect of electrical stimulation is the “launch” and contraction of smooth muscle under the influence of electrical impulses, an increase in its tone and restoration of the activity of the neuromuscular apparatus of the stimulated organ.

In practice, a vaginal-rectal electrode is used, LLC ITC Electrotonus, Volgograd, ZhKT NPP - PB-Zn "Erectron-Zn" - an autonomous gastrointestinal rectal-vaginal electrical stimulator, manufactured at the NIIPP, OAO Tomsk, androgin apparatus " and etc.

In recent years, devices and methods for pulsed pneumovibromassage — rectal: “Patent No. 2098067” and vaginal: “Vaginal tip for gynecological massage” - Patent No. 72854, have been developed and introduced into clinical practice.

Pneumocompression therapy (pneumomassage) has hemodynamic, draining and metabolic effects on the pelvic organs.

The disadvantage of all of the above actuators is the inability to conduct pulsed barotherapy and electrical stimulation at the same time.

The author has developed a device that allows for rectal (vaginal) pneumomassage and electrical stimulation at the same time - pneumoelectrostimulation.

The proposed device is shown in figure 1, figure 2 and figure 3, where:

1. The electrode

2. The central channel

3. Dielectric tube

4. Lock

5. Conducting union

6. Wire

7. Air spring

8. Radial holes

It includes an electrode (1) 60-80 mm long, 14-16 mm in diameter, made cylindrical with a through central channel (2) with a smoothly rounded and plugged distal end. The proximal part of the electrode (1) is tightly connected to a dielectric tube (3) 100-180 mm long with a clamp (4) and a conductive fitting (5) at the proximal end. The fitting (5) is connected by a wire (6) located inside the tube to the electrode (1). Part of the electrode (1) is located in the cavity of the air spring with an elastic shell (7). At the same time, radial holes (8) communicating with the central channel (2) are uniformly located along the length of the pneumatic balloon in the electrode.

There may be 3 options for fixing and positioning the air spring:

1. Pneumocylinder (7) is hermetically fixed to the electrode (1) not less than 10 mm distal to its proximal end (Figure 1);

2. The proximal edge of the air balloon (7) is fixed to the distal end of the dielectric tube (2), and the distal to the electrode, but at a distance of not less than 10 mm from the distal end of the electrode (Figure 2);

3. The air balloon on both sides is fixed to the electrode at a distance of at least 10 mm from its ends (Figure 3).

The device is used as follows:

The position of the patient (patient) when performing the procedure of pneumoelectrostimulation - lying on the couch or gynecological chair. An external electrode lubricated with an electrically conductive gel is placed under the sacrum.

The distal part of the device is inserted into the rectum to a depth of 6-8 cm or into the vagina to the posterior fornix, the depth of administration is regulated by the fixative. A pneumatic hose from a pulsed periodic pressure apparatus is attached to the device fitting, for example, the apparatus “Pneumo-vacuum pulsed massager-aspirator” can be used (patent application filed No. 20111134236). The fitting is also connected by a crocodile clip to a cable connected to an electrical stimulation unit, for example, Amplipuls, Intrastim, Intraton, Olimp M, etc., and an external electrode. Then begin the procedure of endorectal (endovaginal) pneumoelectrostimulation of the pelvic organs. The amplitude of electrical stimulation is set individually in accordance with accepted methods used in clinical practice.

Air is supplied to the pneumatic balloon through the radial holes in the electrode from the air pump of the apparatus under pressure by pulses. Pneumocylinder under the action of the supplied air rhythmically uniformly and strictly dosed inflates and falls. The duration of pneumatic compression and pauses, as well as the amplitude of electrical stimulation is regulated by the electronic control unit of the device. It should be noted that the device can be used not only in combination, but also in isolation in air-pulse or electro-stimulating modes.

Using the proposed device is non-invasive, easy to implement and is fully compatible with other treatment methods.

Side effects and complications were not noted.

Claims (3)

1. Pneumoelectrostimulator, consisting of an electrode made cylindrical with a through central channel with a smoothly rounded and plugged distal end, in the proximal part tightly connected to the dielectric tube with a conductive fitting at the proximal end and a clamp, while the electrode and the fitting are connected by a wire inside the tube, characterized in that a part of the electrode is located in the cavity of the pneumatic balloon, and along its length in the electrode are evenly spaced radial holes communicating with the center lnym channel bellows is hermetically fixed to the electrode is not less than 10 mm distal to its proximal end. 2. Pneumoelectrostimulator according to claim 1, characterized in that the proximal edge of the pneumatic balloon is fixed to the distal end of the dielectric tube, and the distal to the electrode, but at a distance of not less than 10 mm from the distal end of the electrode. 3. Pneumoelectrostimulator according to claim 1, characterized in that the air bulb on both sides is fixed to the electrode at a distance of at least 10 mm from its ends.