WO2010083836A1 - Dispositif de mesure anatomique du prolapsus pelvien d'organe pelvien et utilisation dudit dispositif - Google Patents

Dispositif de mesure anatomique du prolapsus pelvien d'organe pelvien et utilisation dudit dispositif Download PDF

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Publication number
WO2010083836A1
WO2010083836A1 PCT/DK2010/000014 DK2010000014W WO2010083836A1 WO 2010083836 A1 WO2010083836 A1 WO 2010083836A1 DK 2010000014 W DK2010000014 W DK 2010000014W WO 2010083836 A1 WO2010083836 A1 WO 2010083836A1
Authority
WO
WIPO (PCT)
Prior art keywords
speculum
ruler
reference point
measurement base
measurement
Prior art date
Application number
PCT/DK2010/000014
Other languages
English (en)
Inventor
Thomas Heitmann
Original Assignee
Thomas Heitmann
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 Thomas Heitmann filed Critical Thomas Heitmann
Publication of WO2010083836A1 publication Critical patent/WO2010083836A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107—Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1072—Measuring physical dimensions, e.g. size of the entire body or parts thereof measuring distances on the body, e.g. measuring length, height or thickness
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107—Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1076—Measuring physical dimensions, e.g. size of the entire body or parts thereof for measuring dimensions inside body cavities, e.g. using catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network

Definitions

  • the invention relates to a device for anatomical measurements taken in relation to female pelvic organ prolapse comprising extensible measuring rods and a single- bladed speculum.
  • One type of single-bladed speculum is known as Sims' speculum or vaginal retractor, and it is the preferred speculum for the present invention.
  • Female pelvic organ prolapse is a complex of conditions related to dysfunction of the pelvic floor, and it may be diagnosed by evaluating the relative positions of various characteristic anatomical elements. The development in disease or treatment may be monitored by comparing changes in these relative positions. In order that this may be done in a systematic and unambiguous manner, terminology has been standardised5 and points in the anatomy have been identified that are practical "landmarks".
  • One type of measurement is a set of measurements of distances inside the vagina with a reference to the outside part of the body or a part close to the outside part.
  • the medical examiner's index or middle finger has been used for probing, for instance the tip of the finger is placed against the anatomical part whose5 location is to be measured, and the other end of the finger (the base) is placed against a pre-determined reference point (such as the pubis).
  • a finger on the other hand is placed against the inserted finger at the point of contact with the pubis to mark this point in order that when the fingers are withdrawn the desired measurement is represented by the distance between the finger tip and the other finger.
  • This may in0 turn be quantified by an assistant by means of a ruler or indexed callipers.
  • None of the above mentioned solutions provides a fast determination of a quantified measurement in a form that is useful for entering on a chart in order to classify it in combination with other measurements and to monitor the progress of the condition diagnosed.
  • the measurement base is releasable by means of a dove-tail joint to the edge of the speculum and that said measurement base is slid onto the end of said speculum. In this manner the parts of the now measuring speculum may be disassembled for sterilisation.
  • the measurement base is fixed to the inside of the hollow of said speculum by means of interactive elements placed on the measurement base and in the hollow of the speculum respectively. In this manner, the whole measuring device takes up much less space.
  • a further advantageous embodiment is particular in that said reference point slider is disposed longitudinally slideable inside said measurement base and that a detent mechanism is able to maintain a desired longitudinal position of said reference point slider with respect to said measurement base as a zero setting. This means that the reference point is not inclined to be shifted when the measurement ruler is moved.
  • a still further advantageous embodiment is particular in that said ruler is disposed slideably inside the reference point slider and that at the obtaining of the zero setting said ruler locks the detent mechanism to fix the desired longitudinal position of said reference point slider.
  • the reference point slider may be moved as required before measurement commences and held securely in its reference position when the ruler is moved into its measurement position.
  • the longitudinal axis of the ruler is angled towards the handle of the speculum with respect to the longitudinal axis of the speculum, at least near said handle.
  • This construction offers a clearer view of the figure on the ruler to be read off.
  • the angle of exit of the ruler at the front of the speculum should not deviate too much from being parallel to the longitudinal axis of the speculum, in order to ensure that correct measurements are taken, however a slightly flexible ruler may bend to provide the desired angle at the point opposite the reference point.
  • An advantageous embodiment of the invention is particular in that the reference point slider and the ruler form part of an electronic linear encoder, and that distances encoded are taken to a data logger for storing and monitoring. In this manner it is possible to dispense with reading of the ruler and to concentrate on zero-setting and the organ parts it is desired to measure.
  • said measurement base, said ruler, and said reference point slider are made in a disposable material. This will make the measuring part adaptable to single-use. This also means that the measuring part may be taken sterile out of a pack, fitted to the single-blade speculum and discarded after use.
  • the measurement device is used by performing an insertion of the speculum fitted with the measurement base and its reference point slider and its ruler into the vagina and by letting the reference point slider be placed at the hymenal ring that is used as a reference point for a series of the pelvic organ prolapse quantification measurements necessary for characterisation and classification. Once this point has been determined, the ruler is pushed forward, locking the reference point and permitting reading the necessary dimensions from the ruler.
  • Fig. 1 shows a simple one-bladed speculum suitable for use in the invention
  • Fig. 2 shows a measurement base fitted to the speculum
  • Fig. 3 shows an inverted image of the fitted measurement base
  • Fig. 4 shows the reference point slider locked in its position by the ruler
  • Fig. 5 shows an alternative embodiment of fitting the measurement base
  • Fig. 6 shows a cross section of the embodiment of Fig. 5, and
  • Fig. 7 shows a block diagram of the electrical connection from a linear encoder integral with the device according to the invention, to a data logger.
  • Fig. 1 shows a speculum of the Sims type, having one blade 1 and a handle 2.
  • the blade is outwards hollow and bounded by a plane defining an edge Ia. It is inserted into the vagina by the skilled physician and manipulated by means of the handle in order to afford the views desired for the examination.
  • Fig. 2 shows a speculum with blade 1 and a measurement base 3 fitted to the edge 1 a of the speculum.
  • a reference point slider 4 Inside the measurement base there is provided a reference point slider 4 and inside this there is provided a ruler 5.
  • Fig. 3 shows the speculum with fitted measurement device turned around with respect to Fig. 2. It is seen that the reference point slider 4 is longitudinally and freely slideable in the measurement base 3.
  • a serrated edge 6 in the measurement base for enabling locking of the reference point slider by click of a tooth 7 to the measurement base.
  • Fig. 5 is seen how the measurement base 3 looks very small from above and almost obscured by the reference slider 4 when fitted inside the hollow of the speculum 1 , and in Fig. 6 such an arrangement is shown in cross section. Furthermore, Fig. 5 shows how the ruler 5 protrudes from the tip of the speculum 1 to the organ part T, the distance of which from the zero point is to be measured.
  • Fig. 6 is shown how fastening means al, bl and a2, b2 hold the measurement base in place in the hollow of the speculum 1.
  • the means al, bl and a2, b2 are placed on the speculum 1 and the measurement base 3 respectively and are constituted according to the construction materials and also in dependence of whether the measurement base 3 is intended to be removable from the speculum after its use.
  • Fig. 6 also shows the detent/ratchet mechanism 6, 7 that locks the reference slider in place.
  • Fig. 7 is seen how a linear encoder (4a, 5 a) fitted to the combination reference slider 4 and ruler 5 provides an electronic signal that is stored in a data logger for combination with data, such as date, identity of person, etc.
  • the data transmission may be by cable or by means of an RFED-type data transmission, i.e. from a passive, externally energised variable device combined with the linear encoder (4a, 5a).
  • the invention concerns a device for measurement of pelvic organ prolapse that consists of a single-bladed speculum, to which is fitted a measurement base carrying a reference point slider that in itself carries a ruler.
  • the measurement base is lockable when a zero setting for measurement is obtained, and the measurement may be read off the ruler.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Dentistry (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Abstract

L'invention concerne un dispositif de mesure du prolapsus pelvien d'organe, qui est constitué d'un spéculum à lame unique sur lequel est fixée une base de mesure qui porte un coulisseau point de référence portant lui-même une règle. La base de mesure peut être verrouillée lorsque l'on obtient un réglage du zéro en vue de la mesure et de la classification, et la mesure peut être lue sur la règle.
PCT/DK2010/000014 2009-01-26 2010-01-26 Dispositif de mesure anatomique du prolapsus pelvien d'organe pelvien et utilisation dudit dispositif WO2010083836A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DKPA200900115 2009-01-26
DKPA200900115 2009-01-26

Publications (1)

Publication Number Publication Date
WO2010083836A1 true WO2010083836A1 (fr) 2010-07-29

Family

ID=42355566

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/DK2010/000014 WO2010083836A1 (fr) 2009-01-26 2010-01-26 Dispositif de mesure anatomique du prolapsus pelvien d'organe pelvien et utilisation dudit dispositif

Country Status (1)

Country Link
WO (1) WO2010083836A1 (fr)

Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8690893B2 (en) 2012-08-16 2014-04-08 Coloplast A/S Vaginal manipulator head with tissue index and head extender
US8734337B2 (en) 2012-04-12 2014-05-27 Coloplast A/S Surgical device for internally manipulating an organ
US8808175B2 (en) 2012-04-12 2014-08-19 Coloplast A/S Vaginal manipulator including light source
US8814789B2 (en) 2012-04-12 2014-08-26 Coloplast A/S Vaginal manipulator including expansion plate and door
CN104173055A (zh) * 2014-09-03 2014-12-03 北京大学第三医院 一种具有虚拟转心的关节内结构尺寸测量工具
USD745150S1 (en) 2014-03-28 2015-12-08 Coloplast A/S Vaginal manipulator
USD745148S1 (en) 2014-03-28 2015-12-08 Coloplast A/S Vaginal manipulator
USD745149S1 (en) 2014-03-28 2015-12-08 Coloplast A/S Vaginal manipulator
USD745674S1 (en) 2014-03-28 2015-12-15 Coloplast A/S Vaginal manipulator
USD753824S1 (en) 2014-03-28 2016-04-12 Coloplast A/S Vaginal manipulator
JP2018033924A (ja) * 2016-09-01 2018-03-08 佛教慈濟醫療財團法人花蓮慈濟醫院 女性骨盤臓器脱定量の計測器
CN108634956A (zh) * 2018-05-18 2018-10-12 浙江百安医疗科技有限公司 盆底器官脱垂评价装置及使用方法
CN112729045A (zh) * 2020-12-21 2021-04-30 兰州大学 一种采用量化转化方式的医用量具
CN112762784A (zh) * 2020-12-21 2021-05-07 兰州大学 一种医用量具

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0428793A1 (fr) * 1989-11-16 1991-05-29 Gabriel Antonio Santos Bellas Instrument pour mesurer la descente de l'uterus
GB2363199A (en) * 2000-06-08 2001-12-12 Rajiv Varma Device for the measurement of pelvic organ prolapse
US20020022771A1 (en) * 2000-05-04 2002-02-21 Ananias Diokno Disconnectable vaginal speculum with removeable blades
US6379299B1 (en) * 2000-05-04 2002-04-30 German Borodulin Vaginal speculum with adjustable blades
US6468232B1 (en) * 2000-07-13 2002-10-22 The Regents Of The University Of Michigan Method and apparatus for measuring properties of the pelvic floor muscles
US20050021069A1 (en) * 2003-07-24 2005-01-27 Gerald Feuer Inflatable apparatus for accessing body cavity and methods of making

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0428793A1 (fr) * 1989-11-16 1991-05-29 Gabriel Antonio Santos Bellas Instrument pour mesurer la descente de l'uterus
US20020022771A1 (en) * 2000-05-04 2002-02-21 Ananias Diokno Disconnectable vaginal speculum with removeable blades
US6379299B1 (en) * 2000-05-04 2002-04-30 German Borodulin Vaginal speculum with adjustable blades
GB2363199A (en) * 2000-06-08 2001-12-12 Rajiv Varma Device for the measurement of pelvic organ prolapse
US6468232B1 (en) * 2000-07-13 2002-10-22 The Regents Of The University Of Michigan Method and apparatus for measuring properties of the pelvic floor muscles
US20050021069A1 (en) * 2003-07-24 2005-01-27 Gerald Feuer Inflatable apparatus for accessing body cavity and methods of making

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
DIOKNO ET AL.: "A new vaginal speculum for pelvic organ prolapse quantification (POPQ)", INTERNATIONAL UROGYNECOLOGY JOURNAL, vol. 16, 2005, pages 384 - 388, XP019380663 *

Cited By (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8734337B2 (en) 2012-04-12 2014-05-27 Coloplast A/S Surgical device for internally manipulating an organ
US8808175B2 (en) 2012-04-12 2014-08-19 Coloplast A/S Vaginal manipulator including light source
US8814789B2 (en) 2012-04-12 2014-08-26 Coloplast A/S Vaginal manipulator including expansion plate and door
US8690893B2 (en) 2012-08-16 2014-04-08 Coloplast A/S Vaginal manipulator head with tissue index and head extender
USD745148S1 (en) 2014-03-28 2015-12-08 Coloplast A/S Vaginal manipulator
USD745150S1 (en) 2014-03-28 2015-12-08 Coloplast A/S Vaginal manipulator
USD745149S1 (en) 2014-03-28 2015-12-08 Coloplast A/S Vaginal manipulator
USD745674S1 (en) 2014-03-28 2015-12-15 Coloplast A/S Vaginal manipulator
USD753824S1 (en) 2014-03-28 2016-04-12 Coloplast A/S Vaginal manipulator
CN104173055A (zh) * 2014-09-03 2014-12-03 北京大学第三医院 一种具有虚拟转心的关节内结构尺寸测量工具
JP2018033924A (ja) * 2016-09-01 2018-03-08 佛教慈濟醫療財團法人花蓮慈濟醫院 女性骨盤臓器脱定量の計測器
CN108634956A (zh) * 2018-05-18 2018-10-12 浙江百安医疗科技有限公司 盆底器官脱垂评价装置及使用方法
CN112729045A (zh) * 2020-12-21 2021-04-30 兰州大学 一种采用量化转化方式的医用量具
CN112762784A (zh) * 2020-12-21 2021-05-07 兰州大学 一种医用量具
CN112762784B (zh) * 2020-12-21 2021-11-16 兰州大学 一种医用量具

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