WO1997048446A1 - Procede et sonde servant a traiter l'incontinence - Google Patents

Procede et sonde servant a traiter l'incontinence Download PDF

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Publication number
WO1997048446A1
WO1997048446A1 PCT/DK1997/000265 DK9700265W WO9748446A1 WO 1997048446 A1 WO1997048446 A1 WO 1997048446A1 DK 9700265 W DK9700265 W DK 9700265W WO 9748446 A1 WO9748446 A1 WO 9748446A1
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WO
WIPO (PCT)
Prior art keywords
probe
electrode
handle
unit according
probe unit
Prior art date
Application number
PCT/DK1997/000265
Other languages
English (en)
Inventor
Lise Ebdrup
Original Assignee
Inmedico Aps
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 Inmedico Aps filed Critical Inmedico Aps
Priority to AU31663/97A priority Critical patent/AU3166397A/en
Publication of WO1997048446A1 publication Critical patent/WO1997048446A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0521—Genital electrodes
    • A61N1/0524—Vaginal electrodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0507—Electrodes for the digestive system
    • A61N1/0512—Anal electrodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36007—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of urogenital or gastrointestinal organs, e.g. for incontinence control

Definitions

  • the invention relates to a method of treating inconti ⁇ nence as stated in the introductory portion of claim 1, and to a probe unit as stated in the introductory portion of claim 6.
  • GB-A-2 284 991 discloses an example of a probe for the treatment of urinary and anal incontinence.
  • the probe is constructed in consideration of physiological parameters, so that the probe, when inserted in the vagina, assumes precisely one stationary position in accordance with physiological conditions.
  • Pelvic floor exercises have moreover been used for the treatment of incontinence in men and women, but not al- ways with the desired effect. Although the wish is there, it is not always possible to re-activate muscles which have not been trained sufficiently, or which have been damaged and subsequently have not been re-trained opti ⁇ mally.
  • the object of the invention is to provide a probe which may be used for selective stimulation of individual mus ⁇ cular areas.
  • the intrarectal or intravagi- nal measurement or stimulation of the probe electrode ar ⁇ rangement is adjusted by rotating the probe about its longitudinal axis in its intrarectal or intravaginal po ⁇ sition for the stimulation of selectively selected muscles or parts of muscles, it is ensured that intrarec ⁇ tal or intravaginal muscular activity may be treated or monitored selectively and precisely.
  • the arranged electrodes may thus be positioned with a relative reproducible orientation, thereby allowing mus ⁇ cular tissue to be stimulated and/or monitored selec ⁇ tively during the stimulation with relatively small elec- trical currents and voltages.
  • This identification may then form the basis for a specific stimulation of a determined weak muscular area.
  • a stimulation of a weak muscular area inter alia serves to "visualize" the physical position of the weak muscular area or areas (the position is sensed) , thereby enabling the patient himself to perform a selective re-training of the areas concerned.
  • the stimulation is formed by bursts applied to the electrode with a frequency which is preferably 30-55 Hz, each individual burst comprising a signal with an internal frequency which is greater than twice the burst frequency, an optimum contraction is achieved as a function of the stimulation, as the burst frequency substantially corresponds to the natural fre ⁇ quency of the nerves.
  • At least one additional elec ⁇ trode arranged externally with respect to the probe, de ⁇ fines an associated current path in muscular tissue be ⁇ tween the probe electrode arrangements and the externally arranged electrode or electrodes, a good and controllable current path is provided between the external electrode or electrodes and the probe electrode/electrodes.
  • a well-defined current path having a low contact impedance is provided, and a precise physiological effect is moreo ⁇ ver achieved.
  • the method of the invention can provide a strong and specific useful signal between the intrarectal or intravaginal electrodes and the exter ⁇ nally arranged electrode or electrodes. While the posi- tion and dimensioning of two external electrodes are usually critical and sensitive to very small irregulari ⁇ ties of position and contact, the method of the invention is thus more insensitive to irregularities of position and contact in the sense that a correct position of the internal electrode is easy to achieve according to the invention.
  • the combination enables very specific stimulation not only of a very weak muscular part, but also of e.g. the front part and the rear part of the pelvic floor, respec ⁇ tively.
  • the pelvic floor is difficult to "reach” partly because of location and partly because of function. It has a long extent, the only “carrying structure” being a muscle which is moreover subjected to the constant load of gravity.
  • the electrode may e.g. be positioned so that the current hits precisely a portion of or the entire anus, and the additional electrode is positioned exactly in the central line above the sacral roots 2-4. This results in a spe- cific training of the muscular part that is weakest, which is a requirement for the balance between the two parts of the levator muscle to be re-established.
  • the physical extent of the current path between the probe electrode arrangement and the external electrode or electrodes is adjusted by changing the intrarectal or intravaginal position of the probe in longitudinal direction of the probe, an addi ⁇ tional degree of flexibility is achieved, permitting a three-dimensional specific treatment or monitoring.
  • At least one of the external electrodes is positioned at the os sacrum or the os pu- bis, an effective method of the invention is achieved.
  • the probe handle comprises at least one visible marking to indicate the orientation of the probe electrode arrangement with respect to the probe handle
  • the probe for a very selec- tive intravaginal or intrarectal stimulation and measure ⁇ ment of muscular activity
  • a professional now has the possibility of determining the orientation of the elec ⁇ trode or electrodes of the probe unit and thereby of per ⁇ forming a very specific measurement or stimulation.
  • a professional or a pa ⁇ tient himself to perform this selective treatment of weak muscular areas without any risk that, by mistake, the probe electrodes touch the urinary tracts and thereby cause strong and non-desired pain to the patient.
  • the probe unit makes it possible to achieve very selec- tive and reproducible treatment results and monitoring signals, which are two very important factors in connec ⁇ tion with an effective and successful treatment of e.g. incontinence.
  • the electrode It is preferred most frequently to mark the actual posi ⁇ tion of the electrode or electrodes, but it should be noted that it is within the scope of the invention to construct the electrode with a single reference point which identifies the relative position of electrode or electrodes.
  • the marking or markings com ⁇ prise a visible depression or elevation in the probe handle
  • a likewise simple and advantageous embodiment of the invention is achieved.
  • Such a marking may thus be sensed by the hand, so that the specific position of electrodes may be indicated without required visual at ⁇ tention, thereby allowing a professional to devote more attention to the palpation itself.
  • Another advantage of making a direct physical marking is that this is relatively insensitive to cleaning in e.g. autoclave.
  • the probe nit comprises a de- pression which, as a minimum, extends from a starting point on the probe itself to a termination point on the probe handle, it is possible to use the probe for simul ⁇ taneous stimulation and palpation, as a finger may be placed in the depression so that the contraction level of the individual muscular parts may be sensed in response to a stimulation applied to the electrodes.
  • the simultaneous stimulation and palpation may thus be performed with minimum discomfort for the patient as the finger is placed in the depression.
  • Known probes have the drawback that a professional has no possibility of currently following the result of the treatment, primarily because they do not permit palpa ⁇ tion, which is the common method of examining the func ⁇ tion of the muscular tissue, irrespective of the posi ⁇ tions of the muscles. Nor does the use of known probes allow palpation during stimulation.
  • a weak pelvic floor may be regarded as a bone which has been in plaster for a long time; many muscular fibres have been inactive, i.e. atrophied. These may be re-acti ⁇ vated by means of electrical stimulation as they have a full nerve supply.
  • Vaginally it must be known with certainty that precisely the atrophied area is stimulated, as the muscle cannot be seen from the outside. This can only be done by simulta- neous palpation and stimulation. It is so that the area of most pronounced atrophy will give the smallest palpa ⁇ tion response, and the stimulation must therefore be pal ⁇ pated and directionally determined.
  • the probe handle comprises a completely or partly encircling flange which adjoins the probe, a particularly advantageous embodiment of the in ⁇ vention is achieved, since the flange permits exact and reproducible positioning of the probe in its longitudinal direction in its position of use.
  • the flange is considered to be part of the probe handle in the sense that a marking or drawing of the annular positions of the electrodes may also be made on the flange itself within the scope of the invention.
  • the probe additionally com ⁇ prises at least one EMG sensor which is connected to measurement or monitoring equipment via electrical con- nections, it will be possible to reproduce the current muscular response electronically.
  • Monitoring may be reproduced e.g. visually or with audio signals and/or video signals.
  • the electrodes on the probe are replaceable, it is possible to mount electrodes on the probe which are optimized for the contemplated use. Thus, with the same probe, it will be possible to perform an optimized treatment or monitoring with different sizes and shapes of the electrodes.
  • the probe comprises means for adjusting the length of the electrode area in the longitudinal direction of the probe, it is possible to perform a reproducible treatment and monitoring which is specific in the longitudinal direction of the probe.
  • These means might e.g. comprise an adjustable flange which is movable with respect to the handle of the probe and/or the probe itself.
  • the probe comprises means for adjusting the probe or electrode diameter, an addi- tional possibility of adjusting the probe in the longitu ⁇ dinal direction is achieved.
  • the flange of the probe is slidable in the longitudinal direction of the probe, a simple means for providing a distinct and reproducible position of the probe electrode arrangement in the longi ⁇ tudinal direction of the probe is achieved.
  • the electrode arrangement of the probe is asymmetrical with respect to the cross-sec ⁇ tion of the probe, a simple directionally oriented probe electrode arrangement is achieved.
  • the electrode arrangement is formed by precisely one longitudinal electrode, a par ⁇ ticularly advantageous embodiment of the invention is achieved, which may be used in a simple manner for a di ⁇ rectionally oriented muscular stimulation.
  • the embodiment is also economically advantageous and simple, since the probe electrode is relatively simple to manufacture rela ⁇ tive to more complicated probe electrode arrangements.
  • An additional advantage of such a simple embodiment is achieved in the sense that the necessary cleaning of the probe may take place on a simple and compact probe.
  • figs. 2a-c show a preferred embodiment according to the invention
  • figs. 3a-c show a probe unit with an EMG sensor ac ⁇ cording to the invention.
  • figs. 4a-c show a probe unit with two palpation de ⁇ pressions according to the invention.
  • Fig. la shows a probe unit according to the invention.
  • the probe unit comprises a probe 1 with a handle 4, said probe 1 being provided with an electrode 2.
  • the probe unit is provided with a flange 3 between the electrode 2 and the handle 4, and the probe is additionally provided with a longitudinal depression 6 with respect to the un ⁇ interrupted circumference, said depression 6 extending from the handle 4 through the flange 3 and into the probe 1 itself.
  • the depression extends from a start ⁇ ing point 6" on the probe itself 1 through the flange 3 to a termination point 6' in the probe handle 4.
  • the electrode 2 is electrically connected to at least one output terminal (not shown) .
  • Figs, lb and lc are end views of the probe unit seen from the handle side and the probe side, respectively.
  • the probe 1 has a transverse section which forms the depression 6.
  • the probe unit is provided with a visual colour marking 5 on the handle 4.
  • This colour marking might also be made as a colour marking which marks the entire annular extent and position of the electrode.
  • the probe unit is also provided with an electrical con- nection 8 on the handle 4.
  • the probe unit When the probe unit is provided with a visual marking 5, stimulation of delicate structures, such as the urinary tracts, may be avoided, and it is possible to perform a reproducible treatment of the individual weak muscular structures .
  • the "shallow" depression 6 also allows palpation during stimulation so that the treatment result may be opti- mized, as a professional can thereby ensure that stimula ⁇ tion is performed to a sufficient contraction level, and that specifically the weakest muscles are stimulated.
  • Fig. 2a shows a preferred embodiment of a probe unit ac- cording to the invention.
  • the probe unit comprises a probe handle 4 and a probe 1 with an electrode 2.
  • the probe unit is provided with a flange 5 between the electrode 2 and the handle 4, and the probe is additionally provided with a longitudinal downward depression 6 which extends from the handle 4 through the flange 3 and into the probe 1 itself.
  • the electrode 2 is electrically connected to at least one output terminal (not shown) .
  • the depression 6 extends from a staring point 6" on the probe 1 itself through the flange 3 to a termination point 6' in the probe handle 4.
  • Figs. 2b and 2c are end views of the probe 1 seen from the handle side and the electrode side, respectively.
  • the probe 1 has a transverse downwardly rounded section which forms the depression 6.
  • the probe unit is provided with a visual colour marking 5 on the handle 4.
  • the probe unit is also provided with an electrical con- nection 8 on the handle 4.
  • the probe has a depression 6 which gives the palpation advantages and possibilities corresponding to fig. 1 and, because of the shape, addi- tionally ensures minimum discomfort for the patient.
  • Fig. 3 shows a probe unit according to the invention.
  • the probe unit comprises a handle 4 with a probe 1, said probe being provided with an electrode 2.
  • the probe unit is provided with a flange 5 between the electrode 2 and the handle 4, and the probe unit is additionally provided with a longitudinal depression 6 relative to the uninter ⁇ rupted circumference, said depression 6 extending from the handle 4 through the flange 3 and into the probe 1 itself.
  • the depression 6 additionally contains an EMG sensor 7.
  • the depression may contain several EMG sensors at the same time.
  • the electrode 2 and the EMG sensor are electrically con ⁇ nected to at least one output terminal (not shown) .
  • the depression extends from a start- ing point 6" on the probe 1 itself through the flange 3 to a termination point 6' in the probe handle 4.
  • Figs. 3b and 3c are end views of the probe unit seen from the handle side and the electrode side, respectively.
  • the probe 1 has a transverse section which forms the depression 6.
  • the probe unit is provided with a visual colour marking 5 on the handle 4.
  • the probe unit is also provided with an electrical con ⁇ nection 8 on the handle 4.
  • the EMG sensor 7 makes it possible to take a monitoring signal for the intrarectal or intravaginal muscular ac ⁇ tivity according to various guidelines and for various possible purposes.
  • a typical sensor will convert a force on the sensor into a corresponding electrical signal, with automatic and se ⁇ lective determination of the muscular activity. This sig ⁇ nal may then be converted additionally into other target figures, if this should be desired.
  • An example of such a target figure may be latency period measurement.
  • Fig. 4a shows a probe unit according to the invention.
  • the probe unit is constructed as a probe 1 with a handle 4, said probe comprising an electrode 2.
  • the probe unit is provided with a flange 5 between the electrode 2 and the handle 4, and the probe unit is additionally provided with two longitudinal depressions 6 relative to the unin ⁇ terrupted circumference, said depressions extending from the handle 4 through the flange 3 and into the probe 1 itself.
  • the electrode 2 is electrically connected to at least one output terminal (not shown) .
  • depressions 6 extend from a starting point 6" on the probe 1 itself through the flange 3 to a termination point 6' in the probe handle 4.
  • Figs. 4b and 4c are end views of the probe unit 1 seen from the handle side and the electrode side, respec ⁇ tively.
  • the probe 1 has two transverse sections which form the depressions 6.
  • the probe unit is provided with a visual colour marking 5 on the handle 4.
  • the probe is also provided with an electrical connection 8 on the handle 4.
  • the longitudinal depressions 6 may be used for palpation pur ⁇ poses, as a professional may place a finger in the de- pression and thereby achieve a simultaneous stimulation and palpation.
  • the preferred embodiment is the structure shown in fig. 2, as the depression in this probe is shaped as a downwardly extending depression which allows the palpation finger to be placed ergonomically in the probe. It has thus been found that an ergonomical shape is particularly advantageous, as this results in minimum discomfort for the patient in use and provides an optimum palpation quality, since the palpation area, i.e. the touched tissue, is tensioned minimally by the palpation finger.
  • the invention thus makes it possible to use an electrode placed directly on the muscles which are to be stimulated
  • the external electrode In case of urge incontinence, the external electrode is placed over the os pubis corresponding to the position of the bladder; with the vaginal electrode placed on the le- vator ani, the afferent impulses will go directly through the bladder and then run through the sacral reflex arc.
  • Probe vaginally + sacrally With this stimulation the current may be directed toward possibly weak muscles rearwardly in the pelvic floor, the sacral electrode be ⁇ ing used as an indifferent electrode.
  • Probe vaginally + os pubis With this stimulation it is possible to stimulate weak areas forwardly in the pelvic floor (the front loop) . Cathode placed vaginally, anode over the os pubis.
  • Probe anally + sacrally Directionally determined par ⁇ ticularly in connection with anal incontinence.
  • Probe anally + os pubis If position in the vagina is compromised, or where the insufficiency is on the rear wall of the vagina.
  • Probe with two electrodes vaginally + os pubis + os sa ⁇ crum Here, each of the electrodes placed on the vaginal probe forms a circuit having an external electrode of its own. May be used if one of the above-mentioned combina ⁇ tions is not sufficient. This combination is particularly useful in case of very large vaginal/anal spaces.
  • a single probe may be placed vaginally and a single probe anally, thereby creating a larger circuit m the muscle than by using a vaginal position of both elec ⁇ trodes (cf. the stimulation physiology saying that the more the electrodes are spaced, the deeper the stimula- tion penetrates down into the tissue) .
  • the rationale of electrical stimulation inter alia for re-traming as old known technique is to provide an af ⁇ ferent impulse via surface electrodes which, via the lim- bic system, causes an efferent action on the organ/organs in whose vicinity the surface electrodes are positioned.
  • the action is to produce a physiologically supermaximum muscular contraction, which is achieved m that the pro ⁇ tein chains in the individual muscular fibres turn so that the contact points of ATP are visible. No matter whether the contraction is natural or produced electri- cally, this process is brought about in that the poten ⁇ tial over the muscular cell membrane changes upon activa ⁇ tion of the sodium/potassium pump.
  • the electrodes may be replaceable and thereby be opti ⁇ mized for the actual physical use relative to e.g. size and the desired measurement or stimulation.
  • the colour marking mentioned in the examples may alterna- tively be made as a visible or sensible recess or eleva ⁇ tion according to the invention.
  • the electrical stimulation is provided by bursts applied to the electrode with a frequency which is preferably 20- 60 Hz, each individual burst comprising a signal with an internal frequency which is greater than twice the burst frequency.
  • a typically used pulse train will be applied with a cur- rent of 40 to 70 mA and with a voltage of up to 100 volts, and the discomfort for the patient may therefore be minimized according to the invention.
  • the method and the probe of the invention may advantageously be used for the treat ⁇ ment and monitoring of anal incontinence.
  • Known probes have the drawback that a professional has no possibility of currently following the result of the treatment, primarily because they do not permit palpa ⁇ tion, which is the common method of examining the func- tion of the muscular tissue, irrespective of the posi ⁇ tions of the muscles. Not does the use of known probes allow palpation during stimulation.
  • a weak pelvic floor may be regarded as a bone which has been in plaster for a long time; many muscular fibres have been inactive, i.e. atrophied. These may be re-acti ⁇ vated by electrical stimulation as they have a full nerve supply.
  • Vaginally it must be known with certainty that precisely the atrophied area is stimulated, as the muscle cannot be seen from the outside. This can only be done by simul ⁇ taneous palpation and stimulation. It is so that the area of most pronounced atrophy will give the smallest palpa- tion response, and the stimulation must therefore be pal ⁇ pated and directionally determined.

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  • Health & Medical Sciences (AREA)
  • Radiology & Medical Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Electrotherapy Devices (AREA)

Abstract

L'invention concerne une sonde (1) servant à effectuer un traitement ou un contrôle à l'intérieur du rectum ou du vagin. Cette sonde (1) comprend des moyens servant à déterminer son orientation pendant qu'on l'utilise, et se présentant sous la forme d'un repère (5) situé sur sa poignée (4). Cette sonde (1) permet, de ce fait, d'effectuer un contrôle et un traitement très spécifiques de, par exemple, l'incontinence.
PCT/DK1997/000265 1996-06-18 1997-06-18 Procede et sonde servant a traiter l'incontinence WO1997048446A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU31663/97A AU3166397A (en) 1996-06-18 1997-06-18 A method and a probe for treatment of incontinence

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DK67896 1996-06-18
DK678/96 1996-06-18

Publications (1)

Publication Number Publication Date
WO1997048446A1 true WO1997048446A1 (fr) 1997-12-24

Family

ID=8096288

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/DK1997/000265 WO1997048446A1 (fr) 1996-06-18 1997-06-18 Procede et sonde servant a traiter l'incontinence

Country Status (2)

Country Link
AU (1) AU3166397A (fr)
WO (1) WO1997048446A1 (fr)

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2827520A1 (fr) * 2001-07-20 2003-01-24 Dias Andre Mamberti Sonde pince deformable vaginale ou anale a effet de ressort
EP1279413A1 (fr) * 2001-07-27 2003-01-29 Electroformage Medical Concept Thiers Sonde de rééducation périno-sphinctérienne à déformation élastique
US8439845B2 (en) 2007-09-25 2013-05-14 Uroval, Inc. Obtaining measurements of muscle reflexes for diagnosis of patient symptoms
US8444571B2 (en) 2007-09-25 2013-05-21 Uroval, Inc. Obtaining measurements of muscle reflexes for diagnosis of patient symptoms
US8509900B2 (en) 2005-11-24 2013-08-13 Femeda Limited Compressible device
US9358383B2 (en) 2005-11-24 2016-06-07 Femeda Limited Self contained device with treatment cycle for electrostimulation
US9381345B2 (en) 2005-11-24 2016-07-05 Femeda Limited Compressible electrodes
US9730605B2 (en) 2007-09-25 2017-08-15 Uroval, Inc. Diagnosis of brain and spinal cord injury by bulbocavernosus reflex measurement
US10105531B2 (en) 2015-09-07 2018-10-23 Femeda Ltd. Device for electrostimulation
US11110269B2 (en) 2014-08-19 2021-09-07 Femeda Ltd. Electrostimulation related devices and methods
US11896823B2 (en) 2017-04-04 2024-02-13 Btl Healthcare Technologies A.S. Method and device for pelvic floor tissue treatment

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3800800A (en) * 1968-09-20 1974-04-02 D Garbe Apparatus and method for incontinence control
FR2601254A1 (fr) * 1986-07-10 1988-01-15 Mamberti Dias Cavaroni Andre Dispositif pour enregistrer les potentiels electromyographiques vaginaux ou stimuler la musculature vaginale.
DE3919453A1 (de) * 1988-06-16 1989-12-21 Steindorf Susanne Ruth Elektrostimulationssonde
GB2284991A (en) * 1993-12-24 1995-06-28 Neen Design Limited Intravaginal or intrarectal electrode
US5513660A (en) * 1990-12-31 1996-05-07 Uromed Corporation Expandable urethral plug

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3800800A (en) * 1968-09-20 1974-04-02 D Garbe Apparatus and method for incontinence control
FR2601254A1 (fr) * 1986-07-10 1988-01-15 Mamberti Dias Cavaroni Andre Dispositif pour enregistrer les potentiels electromyographiques vaginaux ou stimuler la musculature vaginale.
DE3919453A1 (de) * 1988-06-16 1989-12-21 Steindorf Susanne Ruth Elektrostimulationssonde
US5513660A (en) * 1990-12-31 1996-05-07 Uromed Corporation Expandable urethral plug
GB2284991A (en) * 1993-12-24 1995-06-28 Neen Design Limited Intravaginal or intrarectal electrode

Cited By (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2827520A1 (fr) * 2001-07-20 2003-01-24 Dias Andre Mamberti Sonde pince deformable vaginale ou anale a effet de ressort
EP1279413A1 (fr) * 2001-07-27 2003-01-29 Electroformage Medical Concept Thiers Sonde de rééducation périno-sphinctérienne à déformation élastique
FR2827779A1 (fr) * 2001-07-27 2003-01-31 Emc Thiers Sonde de reeducation perineo-sphincterienne a deformation elastique
US9358383B2 (en) 2005-11-24 2016-06-07 Femeda Limited Self contained device with treatment cycle for electrostimulation
US9526903B2 (en) 2005-11-24 2016-12-27 Femeda Limited Compressible device
US8509900B2 (en) 2005-11-24 2013-08-13 Femeda Limited Compressible device
US9381345B2 (en) 2005-11-24 2016-07-05 Femeda Limited Compressible electrodes
US9042987B2 (en) 2005-11-24 2015-05-26 Femeda Limited Compressible device
US8444571B2 (en) 2007-09-25 2013-05-21 Uroval, Inc. Obtaining measurements of muscle reflexes for diagnosis of patient symptoms
US8845545B2 (en) 2007-09-25 2014-09-30 Uroval, Inc. Probe for measuring a patient's bulbocavernosus muscle reflex
US9392955B2 (en) 2007-09-25 2016-07-19 Uroval, Inc. Method for measuring a bulbocavernosus reflex
US8439845B2 (en) 2007-09-25 2013-05-14 Uroval, Inc. Obtaining measurements of muscle reflexes for diagnosis of patient symptoms
US9730605B2 (en) 2007-09-25 2017-08-15 Uroval, Inc. Diagnosis of brain and spinal cord injury by bulbocavernosus reflex measurement
US9907483B2 (en) 2007-09-25 2018-03-06 Uroval, Inc. Probe for measuring a patient's bulbocavernosus muscle reflex
US11013450B2 (en) 2007-09-25 2021-05-25 Uroval, Inc. Diagnosis of brain and spinal cord injury by bulbocavernosus reflex measurement
US11185277B2 (en) 2007-09-25 2021-11-30 Uroval, Inc. Probe for measuring a patient's bulbocavernosus muscle reflex
US11110269B2 (en) 2014-08-19 2021-09-07 Femeda Ltd. Electrostimulation related devices and methods
US10105531B2 (en) 2015-09-07 2018-10-23 Femeda Ltd. Device for electrostimulation
US11896823B2 (en) 2017-04-04 2024-02-13 Btl Healthcare Technologies A.S. Method and device for pelvic floor tissue treatment

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Publication number Publication date
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