WO1992020283A1 - Perineometre - Google Patents

Perineometre Download PDF

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Publication number
WO1992020283A1
WO1992020283A1 PCT/AU1992/000228 AU9200228W WO9220283A1 WO 1992020283 A1 WO1992020283 A1 WO 1992020283A1 AU 9200228 W AU9200228 W AU 9200228W WO 9220283 A1 WO9220283 A1 WO 9220283A1
Authority
WO
WIPO (PCT)
Prior art keywords
perineometer
probe
pressure
diaphragm
flexible
Prior art date
Application number
PCT/AU1992/000228
Other languages
English (en)
Inventor
William Richards Rayner
Original Assignee
Cardio Design Pty Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Cardio Design Pty Ltd filed Critical Cardio Design Pty Ltd
Publication of WO1992020283A1 publication Critical patent/WO1992020283A1/fr

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/22Ergometry; Measuring muscular strength or the force of a muscular blow
    • A61B5/224Measuring muscular strength
    • A61B5/227Measuring muscular strength of constricting muscles, i.e. sphincters

Definitions

  • a PERINEOMETER The present invention relates to a perineometer for use by women for exercising the muscles of the pelvic floor.
  • the exerciser includes a longitudinally extending fluid filled deformable member adapted to be Inserted into the vaginal canal to facilitate voluntary exercise of the muscles of the pelvic floor.
  • the fluid Is connected 1n the device to an external Indicator means to provide visible Indication of muscular constriction.
  • the visual Indicator has a linear response.
  • a simple portable exercising device 1s disclosed for curing female incontinence comprising a fluid filled cylinder which 1s insertable into the vaginal canal.
  • the cylinder is connected by a narrow bore transparent tube to an air filled reservoir.
  • the tube has a scale mounted on 1t, and radial compression of the fluid filled cylinder forces the fluid Into the narrow bore transparent tube which indicates the strength of pelvic floor muscles when certain exercises are performed.
  • Both these commercially available perineometers have certain deficiencies in that a zero datum point is required when using the perineometers. It Is known that the prior art perineometers have inaccuracies due to the variations of the mechanical properties of the probe or other devices. There is also the disadvantage that these perineometers are bench-mounted or require two hands during operation. A perineometer able to be operated by one hand only would be advantageous.
  • a perineometer comprising a hollow probe having flexible side walls, being closed at Its leading end and connected to a flexible tube at the other end, said probe and tube being filled with air and being connected to a pressure transducing means having a variable non-linear response Indicated on a pressure indicating means connected with said transducing means.
  • Fig. 1 Is a longitudinal cross sectional view of a perineometer In accordance with a first embodiment of the present invention
  • Fig. 2 is a longitudinal cross sectional view of the probe of the perineometer of Fig. 1,
  • Fig. 3 1s a front end view of the perineometer of Fig. 1
  • Fig. 4 1s a side view of perineometer in accordance with a second embodiment of the present Invention.
  • the perineometer of the first embodiment comprises an indicator unit 1 and a probe 2.
  • the probe 2 is sized and shaped so as to fit into the vaginal canal of a woman.
  • the probe 2 is provided with a closed, dome shaped leading end 21.
  • the probe 2 has a cylindrical flexible cover 22 which fits over a frame 23.
  • the cover 22 is preferably made from a silicone rubber or elastomer.
  • the frame 23 has a idsection 24 where the cover 22 is spaced apart from the frame 23.
  • the cover 22 is able to be inwardly radially moved towards the midsection 24 and in doing so air located between the cover 22 and the midsection 24 is forced through a slot 25 located 1n the tubular midsection 24.
  • the frame 23 of the probe 2 includes an outlet port 3 which is connected to the indicator unit by a flexible tube 6.
  • the probe 2 and the Indicator unit 1 are connected together by a catch 4.
  • the catch 4 enables the probe 2 and the indicator unit 1 to be clipped together as Illustrated 1n Fig. 1.
  • an Insert 16 1s located at one end of the flexible tube 6.
  • the Insert 16 which has a probe slot 19 fits into the outlet port 3 of the probe 2 with an air-tight seal.
  • the Insert 16 1s located in the flexible tube 6 by means of a protruberence 17 on the insert 16 being captured between a group of four pins 18 which are moulded into the body of the Indicator unit 1.
  • the other end of the flexible tube 6 is connected in an air-tight seal to a diaphragm chamber 7 via a Inlet/outlet port 26.
  • a flexible diaphragm 8 1s located within the diaphragm chamber 7.
  • the diaphragm 8 1s moved by the air pressure within the diaphragm chamber 7 whereby the movement of the diaphragm 8 Is resisted by a spring 9 which 1s connected to the diaphragm 8 by means of links 10 and 11.
  • Link 11 is able to pivot about a pin 12 and the spring 9 is connected between the link 11 and another pin 27 connected to the body of the Indicator unit 1.
  • the working length of the spring 9 and hence its spring constant 1s determined by the position of a pivotable latch 15.
  • the latch In one position, the latch allows the full length of the spring line to be utilized. In its second position, the latch 15 immobilizes a portion of the spring therefore Increasing the spring constant of the remaining active portion. Thus the position of the latch 15 changes the reslstence to the displacement of the diaphragm 8.
  • the Indicator unit 1 has on its outside surface a scale 13 along which a pointer 14 Is able to be reciprocally moved. The pointer 14 is fixedly connected to link 10. As the diaphragm 8 is displaced and the links 10 and 11 pivot about pin 12, the pointer 14 moves along the scale 13.
  • the scale 13 has a contact 31 which when contacted by the pointer 14 completes an electric circuit having a visual or audible alarm 32 and battery 33.
  • the visual or audible alarm 32 which is connected to the pointer 14 gives an indication to the patient when a preset reading has been attained.
  • the perineometer of the second embodiment has the Indicator unit 1 connected to the probe 2 by a flexible tube 30.
  • the flexible tube 30 has a cap 31 which clips over the Indicator unit 1 and insert 16 in a similar manner to that of the probe 2 of the first embodiment as previously described.
  • the action of connecting the probe 2 to the Indicating unit 7 zeros the reading of the pointer 14 against the scale 13.
  • the probe 2 1s then Inserted Into the vagina. Contractions of the muscles of the pelvic floor of the woman that surround the vagina push air from the probe 2 to the diaphragm chamber 7 in the Indicator unit 1.
  • the diaphragm 8 1s pushed outwardly by the Incoming air.
  • the shape of the diaphragm 8 and the shape of the coacting end of link 10 Is designed so that the active diaphragm area decreases with Increasing stroke, so providing the required reducing indicator response with increasing pressure. Movement of the diaphragm 1s indicated by use of the pointer 14 on the scale 13 which has a non-linear relationship between vaginal pressure and the reading of the scale 13.
  • the perineometer is able to be used for different magnitudes of vaginal muscle contraction.
  • the perineometer is designed for a decreasing rate of response to increasing levels of Input. Consequently, some response on teh more sensitive range is recorded even with very weak muscles. As the patient Improves with exercise the response increases. Then the latch 15 is moved to the less sensitive position and further improvements in response can then be monitored. The act of connecting the probe 2 and the indicator unit 1 automatically establishes the datum or zero point for subsequent readings.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

Périnéomètre comprenant un indicateur (1) et une sonde (2). Les dimensions et le profil de la sonde sont tels qu'ils permettent à celle-ci de s'adapter au canal vaginal d'une femme. La sonde (2) comprend un couvercle cylindrique et souple (22) qui s'adapte au-dessus d'une structure (23) tout en étant espacé par rapport à celle-ci. Le couvercle (22) peut être déplacé vers l'intérieur, de manière radiale et en direction du centre, ce qui produit une poussée d'air hors de la sonde (2). L'air poussé hors de la sonde (2) est transféré par un tube souple (6) vers une chambre (7) à membrane. Une membrane (8) est déplacée à l'encontre de la résistance opposée par un ressort (9), un élément indicateur (14) indiquant l'ampleur du mouvement de la membrane sur une échelle (13). L'indication fournie par l'échelle est non linéaire, et deux plages de mesure peuvent être obtenues grâce à l'utilisation d'un élément d'arrêt (15).
PCT/AU1992/000228 1991-05-20 1992-05-20 Perineometre WO1992020283A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
AUPK620291 1991-05-20
AUPK6202 1991-05-20

Publications (1)

Publication Number Publication Date
WO1992020283A1 true WO1992020283A1 (fr) 1992-11-26

Family

ID=3775410

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/AU1992/000228 WO1992020283A1 (fr) 1991-05-20 1992-05-20 Perineometre

Country Status (1)

Country Link
WO (1) WO1992020283A1 (fr)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1995022378A1 (fr) * 1994-02-21 1995-08-24 Arto Remes Dispositif de traitement de l'incontinence
US5881731A (en) * 1994-02-21 1999-03-16 Remes; Arto Device for treatment of incontinence of urine
EP1621234A1 (fr) * 2003-05-07 2006-02-01 Rongde Li Dispositif d'exercice pour le muscle vaginal d'une femme
WO2012142646A1 (fr) 2011-04-19 2012-10-26 Analytica Limited Dispositif intra-vaginal d'aide au renforcement musculaire et à la détermination de la force musculaire
JP2014155543A (ja) * 2013-02-14 2014-08-28 Jms Co Ltd トレーニング器具
WO2016119002A1 (fr) 2015-01-29 2016-08-04 Analytica Limited Dispositif intra-vaginal pour aider l'entraînement et la détermination de force musculaire

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2839050A (en) * 1956-11-07 1958-06-17 Sokol Kurt Device for measuring the tonus of the muscular system of the floor of the vagina, pelvis and adjacent areas
GB1532360A (en) * 1976-09-28 1978-11-15 Remih H Apparatus for the controlled exercise of the vaginal muscles and for measuring the force exerted by them
AU5472480A (en) * 1980-01-18 1981-07-23 Kaiser, H. Muscle monitor
GB2075841A (en) * 1980-05-20 1981-11-25 Craig Med Prod Ltd Device for developing control of sphincter-type muscles
US5005586A (en) * 1986-03-06 1991-04-09 Lahr Christopher J Method for exercising a patient's anal canal

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2839050A (en) * 1956-11-07 1958-06-17 Sokol Kurt Device for measuring the tonus of the muscular system of the floor of the vagina, pelvis and adjacent areas
GB1532360A (en) * 1976-09-28 1978-11-15 Remih H Apparatus for the controlled exercise of the vaginal muscles and for measuring the force exerted by them
AU5472480A (en) * 1980-01-18 1981-07-23 Kaiser, H. Muscle monitor
GB2075841A (en) * 1980-05-20 1981-11-25 Craig Med Prod Ltd Device for developing control of sphincter-type muscles
US5005586A (en) * 1986-03-06 1991-04-09 Lahr Christopher J Method for exercising a patient's anal canal

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1995022378A1 (fr) * 1994-02-21 1995-08-24 Arto Remes Dispositif de traitement de l'incontinence
US5881731A (en) * 1994-02-21 1999-03-16 Remes; Arto Device for treatment of incontinence of urine
US6289894B1 (en) 1994-02-21 2001-09-18 Arto Remes Device for treatment of incontinence of urine
EP1621234A1 (fr) * 2003-05-07 2006-02-01 Rongde Li Dispositif d'exercice pour le muscle vaginal d'une femme
EP1621234A4 (fr) * 2003-05-07 2006-12-06 Rongde Li Dispositif d'exercice pour le muscle vaginal d'une femme
WO2012142646A1 (fr) 2011-04-19 2012-10-26 Analytica Limited Dispositif intra-vaginal d'aide au renforcement musculaire et à la détermination de la force musculaire
US11166661B2 (en) 2011-04-19 2021-11-09 Analytica Limited Intra vaginal device to aid in training and determining muscle strength
JP2014155543A (ja) * 2013-02-14 2014-08-28 Jms Co Ltd トレーニング器具
WO2016119002A1 (fr) 2015-01-29 2016-08-04 Analytica Limited Dispositif intra-vaginal pour aider l'entraînement et la détermination de force musculaire
US10966654B2 (en) 2015-01-29 2021-04-06 Analytica Limited Intra vaginal device to aid in training and determining muscle strength

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