WO2016062887A1 - Dilatateur vaginal et procédé de stimulation sexuelle de lumière génitale ou érogène d'une personne au moyen d'un dilatateur - Google Patents

Dilatateur vaginal et procédé de stimulation sexuelle de lumière génitale ou érogène d'une personne au moyen d'un dilatateur Download PDF

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Publication number
WO2016062887A1
WO2016062887A1 PCT/EP2015/074676 EP2015074676W WO2016062887A1 WO 2016062887 A1 WO2016062887 A1 WO 2016062887A1 EP 2015074676 W EP2015074676 W EP 2015074676W WO 2016062887 A1 WO2016062887 A1 WO 2016062887A1
Authority
WO
WIPO (PCT)
Prior art keywords
balloon
dilator
passage
abutment member
vaginal
Prior art date
Application number
PCT/EP2015/074676
Other languages
English (en)
Inventor
Reinhilde Johanna MELLES
Carolus Cornelis Wilhelmus BONNEMAYER
Original Assignee
Universiteit Maastricht
Academisch Ziekenhuis Maastricht
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 Universiteit Maastricht, Academisch Ziekenhuis Maastricht filed Critical Universiteit Maastricht
Publication of WO2016062887A1 publication Critical patent/WO2016062887A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02—Dilators made of swellable material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/20—Measuring for diagnostic purposes; Identification of persons for measuring urological functions restricted to the evaluation of the urinary system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/43—Detecting, measuring or recording for evaluating the reproductive systems
    • A61B5/4306—Detecting, measuring or recording for evaluating the reproductive systems for evaluating the female reproductive systems, e.g. gynaecological evaluations
    • A61B5/4318—Evaluation of the lower reproductive system
    • A61B5/4337—Evaluation of the lower reproductive system of the vagina
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H19/00—Massage for the genitals; Devices for improving sexual intercourse
    • A61H19/40—Devices insertable in the genitals
    • A61H19/44—Having substantially cylindrical shape, e.g. dildos
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H21/00—Massage devices for cavities of the body, e.g. nose, ears and anus ; Vibration or percussion related aspects A61H23/00
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01—Constructive details
    • A61H2201/0103—Constructive details inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01—Constructive details
    • A61H2201/0119—Support for the device
    • A61H2201/0153—Support for the device hand-held
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50—Control means thereof
    • A61H2201/5058—Sensors or detectors
    • A61H2201/5064—Position sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0097—Catheters; Hollow probes characterised by the hub

Definitions

  • the invention relates to a vaginal dilator comprising an inflatable balloon.
  • the invention also relates to a method for sexual stimulation of a genital or erogenous lumen of a person by means of a dilator comprising an inflatable balloon.
  • Such a vaginal dilator which is known from US8097014B2, comprises a catheter disposed within an inflatable balloon.
  • the catheter having a plurality of ports opening inside the balloon.
  • An end of the catheter is fixed to the balloon and to one end of a tubular member.
  • the other end of the tubular member is connected to a Luer Lock piston syringe or to a pump.
  • the balloon can be gradually filled with a fluid, like air or water.
  • the vaginal dilator is intended to be used by women suffering from dyspareunia.
  • Dyspareunia is one form of Female Sexual Dysfunction (FSD).
  • DSM-IV the diagnosis of dyspareunia is made when the patient complains of recurrent or persistent genital pain before, during, or after sexual intercourse that is not caused exclusively by lack of lubrication or by vaginismus.
  • the treatment according to US8097014B2 involves filling the balloon initially with air and later with water to a certain pressure.
  • the balloon's diameter, length and rigidity and the amount of holding time the expanded balloon is left in the vaginal canal should be such as to produce vaginal pressure with minimal pain, preferably no pain.
  • the depth of vaginal penetration and the level of vaginal pressure is patient controlled.
  • a disadvantage of the known vaginal dilator is that a woman does not know the depth of vaginal penetration which might reinforce fear and avoidance behaviour.
  • the object of the invention is to provide a vaginal dilator, by means of which the depth of vaginal penetration can easily be known.
  • the vaginal dilator comprises an abutment member, whereby the inflated balloon extends a predetermined distance from the abutment member, wherein in use the abutment member is in abutment with a part of the vulva and the inflated balloon extends into the vagina.
  • the amount of penetration is being limited by the predetermined distance the inflated balloon extends from the abutment member.
  • the maximum amount of penetration is similar to the predetermined distance the balloon extends from the abutment member.
  • the abutment member is located against the opening of the vagina, the full length of the balloon extending from the abutment will be located inside the vagina.
  • the labia majora and/or the labia minora may be located between the abutment member and the entrance of the vagina.
  • the part of the balloon between the abutment member and the entrance of the vagina will not be located inside the vagina.
  • the length of the balloon extending in the vagina will maintain the same.
  • An embodiment of the vaginal dilator according to the invention is characterized in that the deflated balloon extends over predetermined distance of between 20 and 60 millimeter.
  • Vaginismus is defined in DSM IV-TR as an involuntary contraction of the musculature of the outer third of the vagina interfering with intercourse, causing distress and interpersonal difficulty.
  • the pain is localized in the outer third part of the vagina. Driven by fear of pain and avoidance behaviour, most women try to avoid to be touched in this part.
  • the outer first part is for example a third of the length of the vagina. By having a predetermined distance between 20-60 millimeter, the balloon will be inserted into the first part of the vagina only
  • Such a length is sufficient to introduce the balloon into the vagina after which the balloon can be inflated to the desired predetermined diameter of for example 50 - 60 millimeter, as long as the woman is comfortable and does not feel pain or only a minimal pain
  • vaginal dilator Another embodiment of the vaginal dilator according to the invention is characterized in that the deflated balloon has a diameter between 15 and 20 millimeter.
  • Such a diameter is small enough, even for women suffering from dyspareunia or vaginismus, to introduce the deflated balloon into the vagina
  • vaginal dilator comprises a syringe or pump for inserting a fluid into the balloon.
  • a fluid like a gas or a liquid, can easily be inserted into a balloon via an open end thereof.
  • vaginal dilator Another embodiment of the vaginal dilator according to the invention is characterized in that the dilator comprises a sensor to determine the pressure inside the balloon.
  • the response of the vagina can easily be determined. If a woman contracts her pelvic floor muscles, which is elicited by fear, the pressure inside the balloon will increase.
  • the vaginal dilator comprises a holder provided with a passage extending from a first end to a second end of the holder, which holder further comprises the abutment member being located at the first end of the passage, wherein a first part of the balloon extends from the abutment member outside the passage whilst a second part of the balloon is located inside the passage.
  • Such a holder can easily be made and has a simply shape.
  • the balloon can be inserted into the passage, whereby the length of the first part of the balloon extending outside the passage, can easily be checked.
  • Via an opening or a tube connected to the opening in the second part a fluid can be inserted through the passage and into the balloon. Since only the first part of the balloon extending outside the passage is substantially being inflated, the amount of fluid needed is limited. If the fluid is a liquid also the weight of the dilator is limited.
  • vaginal dilator Another embodiment of the vaginal dilator according to the invention is characterized in that the abutment member comprises a flange extending perpendicular to the passage.
  • Such a flange provides a simple abutment member, whereby the size of the flange need to be so large that it cannot enter the vagina and be so small that it can be positioned between the legs of a woman on the vulva.
  • Another embodiment of the vaginal dilator according to the invention is characterized in that in use the second part of the balloon located inside the passage is maintained in the passage by friction between the balloon and a wall bounding the passage.
  • vaginal dilator comprises a coupling element, which coupling element is provided with a tubular part being slideable over the holder and a coupling part extending perpendicular to the passage.
  • the dilator can be connected to the body or garments of the woman to maintain the balloon inside the vagina.
  • vaginal dilator Another embodiment of the vaginal dilator according to the invention is characterized in that the coupling part is connected to the tubular part at an end remote of the abutment member.
  • the coupling part is kept at a distance from the abutment member, whereby easy access to the coupling part is maintained.
  • Another embodiment of the vaginal dilator according to the invention is characterized in that the coupling part is provided with a number of openings.
  • wires, cables, belts etc. can be inserted to be connected to the body or garments of the woman to maintain "hands free” the balloon inside the vagina.
  • the object of the invention is also to provide a method for sexual stimulation of a genital or erogenous lumen of a person by means of a dilator comprising an inflatable balloon, whereby the level of vaginal pressure and the depth of penetration into the lumen can easily be controlled.
  • the dilator comprises an abutment member, whereby the inflated balloon extends a predetermined distance from the abutment member, wherein the inflated balloon is inserted into the lumen until the abutment member is in abutment with a surface surrounding an entrance of the lumen.
  • the lumen can be the vagina or anus of a person, whereby the predetermined distance can be determined in practice, whereby for each person the predetermined distance to obtain sexual stimulation or desired pressure being different.
  • Figures 1A-1 D are different views of a part of a dilator according to the invention.
  • Figure 2 is a cross section of a dilator according to the invention, comprising the part as shown in figures 1 A-1 D,
  • Figure 3 is a cross section of a part of a woman, showing the vulva, vagina and the dilator as shown in figure 2.
  • FIGURES Figures 1A-1 D show a part of a vaginal dilator 1 according to the invention, comprising a holder 2 and a coupling element 3.
  • the holder 2 comprises a first tubular part 4 with a passage 5 extending from a first end 6 to a second end 7 of the holder 2.
  • the holder 2 further comprises an abutment member being located at the first end 6 of the passage 6.
  • the abutment member comprises a flange 8 extending perpendicular to the axis 9 of the passage 5.
  • the coupling element 3 is provided with a second tubular part 10 being slideable over the first tubular part 4 of the holder 2 and a coupling part 1 1 extending perpendicular to the axis 9 of the passage 5.
  • the coupling part 1 1 is connected to the second tubular part 10 at an end remote of the flange 8.
  • the coupling part 1 1 is provided with a number of openings 12.
  • the first tubular part 4 has a length TL1 of 70-80 millimeter, an outer diameter DO of 22 millimeter and an inner diameter Di of 17 millimeter;
  • the flange 8 has an outer diameter Df of 50 millimeter and a thickness Tf of 10 millimeter
  • the coupling part 1 1 has a rectangular shape with a width Wc of 42 millimeter and a length Wl of 60 millimeter
  • the second tubular part 10 has an inner diameter Dti slightly larger than the outer diameter Do of the first tubular part 4, an outer diameter Dto of 30 millimeter and a length TL2 of 10 millimeter, determining the distance between the flange 8 and the coupling element 1 1.
  • Other dimensions are also possible.
  • Figure 2 shows the vaginal dilator 1 comprising the holder 2, the coupling element 3 and a balloon 13 extending from the first end 6 of the passage 5.
  • the balloon 13 In the deflated position the balloon 13 has a tubular shape with an external diameter Db slightly smaller than the diameter Di of the passage 5 so that the balloon 13 can easily be slit into the passage 5.
  • a first end 14 of the balloon 13, extending outside the passage 5 is closed, whilst a second end 15 of the balloon 13 located inside the passage 5 is connected to a tube 16.
  • the tube 16 is connected with an end remote of the holder 2 to a syringe or pump 17.
  • the tube 16 may extend partly into the balloon 13,.
  • the part of the tube 16 located inside the balloon 13 can be more rigid than the part of the tube 16 located outside the balloon 13. By having a more rigid part of the tube 16 inside the balloon 13, the balloon 13 will be prevented from becoming bent.
  • a fluid can be inserted via the tube 16, the passage 5 and the open end 15 of the balloon 13 into the balloon 13.
  • the fluid is preferably a chemically inert, physiologically acceptable fluid, like air, carbon dioxide, saline solution, distilled or sterile water and the like. If desired the fluid can be preheated to body temperature.
  • the tube 16 can be closed by means of a clamp or closed by means of a valve to maintain the inserted fluid inside the tube 16 and the balloon 13.
  • the tube 16 is not expandable so that only the balloon 13 can inflate due to the pressure and/or volume of the fluid.
  • a small amount of fluid is inserted into the tube 16 and balloon 13, which amount being sufficient to press the part 19 of the balloon 13 located inside the passage 5 against the wall 20 bounding the passage 5. Due to the pressure between the balloon 13 and the wall 20, friction will occur between the balloon 13 and the wall 20 preventing the balloon 13 from being pulled out or pushed into the passage 5.
  • a part 18 of the balloon 13 extends outside the passage 5 from the flange 8 over a distance PD.
  • the distance PD can be controlled and checked when inserting the balloon 13 into the passage 5, for example by means of a ruler or other kind of measuring device.
  • the balloon 13 can be made of silicon or other suitable material. Such balloons are made by companies like Stericom under the brandname Bovingdon and by Pelvitec.
  • the balloon 13 will extend over a distance PD from the flange 8 in the deflated position between 20 and 60 millimeter.
  • the deflated balloon 13 has a diameter slightly smaller then the diameter Di of the passage 5 so that the balloon 13 can easily be slit into the passage 5.
  • the length of the balloon 13 is for example 70 millimeter.
  • the balloon 13 Before inserting the balloon 13 into the vagina, the balloon 13 will be filled with fluid and might be slightly inflated to press the part 19 against the wall 20 of the passage 5 so that the balloon 13 cannot slide inside the passage.
  • Figure 3 shows a cross section of a part 31 of a woman, showing the bladder
  • the vulva 34 comprises amongst others the labia majora 38 and the labia minora 39.
  • the part 18 of the balloon 13 will be inserted into the vagina 35 of a woman until the flange 8 will abut against the entrance 40 of the vagina 35 of said woman by separating the labia.
  • the labia minora 39 will be partly located between the flange 8 and the coupling part 1 1.
  • the part 18 of the balloon 13 extends only into a first part of the vagina 35, whereby a woman suffering from superficial dyspareunia cannot avoid the feeling of the balloon 13 in said first part of the vagina 35.
  • the balloon 13 is not inflated.
  • the balloon 13 will be filled with a fluid due to which the part 18 will inflate and the part 19 will be pressed stronger against the wall 20 of the first tubular part 4.
  • the amount of fluid inserted into the balloon 13 is being determined so that the diameter of part 18 of the inflated balloon 13 will be gradually enlarged to 50- 60 millimeter.
  • the length of the inflated balloon 13 will be slightly larger than the initional length. With an initial length between 20- - 60 millimeter and such diameter especially superficial dyspareunia can be treated.
  • the woman may control the amount of fluid to control the pressure inside the balloon 13 to get used to a certain pressure against the wall of her vagina and preferably does not feel pain or only a minimal pain.
  • the dilator can be used a number of times, for example till the woman starts appreciating the pressure in the first part of her vagina.
  • the balloon 13 has an initial diameter of 15,95 millimeter and an initial length PD of 50 millimeter.
  • the inflated part 18 of the balloon 13 can be squeezed by the muscles surrounding the vagina, resulting in a decrease of diameter of part 18 of the balloon 13. This will cause an increase of the pressure inside the balloon 13, which pressure can be measured by means of a sensor, for example located inside the tube 16. The measured pressure is an indication of the response of the woman to the dilator 1 .
  • a gas like air of carbon dioxide
  • a liquid like for example water
  • pressing on the inflated part 18 of the balloon 13 by the muscles surrounding the vagina will not result in a decrease of diameter of part 18 of the balloon 13.
  • it will cause an increase in pressure inside the ballon 13, which can be measured by means of a sensor, for example a sensor located inside the tube 16.
  • the measured flow is an indication of the response of the woman to the dilator 1.
  • the pressure inside the balloon 13 can be gradually increased during the treatment of the woman. This can be done manually by activating the syringe or the pump 17 or can be computer controlled following a certain predetermined program for activating the pump.
  • the dilator 1 can be connected to the woman for example by means of straps whereby a main strap is connected around the waist of a woman and other smaller straps are connected to the main strap with a first end and be guided through an openings 12 of the coupling part 1 1 with a second end.
  • the dilator 1 as shown in the figures 1A-1 D, 2 and 3 can also be used for a method for sexual stimulation of a genital or erogenous lumen of a person by means of a dilator comprising an inflatable balloon.
  • the lumen can be the vagina or for example the anus of a person, female or male.
  • the amount of fluid inserted into the balloon 13 as well as predetermined distance PD can be individually be determined to obtain the desired sexual stimulation.
  • the length PD can vary between a few centimeters and the length of the vagina.
  • abutment members can be used, like a grid, a number of rods extending perpendicular to the axis 9 of the passage 5.
  • the coupling part 1 1 can also have a fixed relation with respect to the holder.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Hematology (AREA)
  • Vascular Medicine (AREA)
  • Anesthesiology (AREA)
  • Physiology (AREA)
  • Urology & Nephrology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Surgical Instruments (AREA)

Abstract

L'invention concerne un dilatateur vaginal (1) comprenant un ballonnet gonflable (13). L'invention concerne également un procédé de stimulation sexuelle de lumière génitale ou érogène d'une personne au moyen d'un dilatateur comprenant le ballonnet gonflable. Dans un mode de réalisation particulier de l'invention, le dilatateur comprend un élément de butée, de sorte que le ballonnet gonflé s'étend sur une distance prédéterminée à partir de l'élément de butée, ce dernier lors de l'utilisation, venant en butée avec la vulve et le ballonnet gonflé s'étendant dans le vagin.
PCT/EP2015/074676 2014-10-24 2015-10-23 Dilatateur vaginal et procédé de stimulation sexuelle de lumière génitale ou érogène d'une personne au moyen d'un dilatateur WO2016062887A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
EP14190377 2014-10-24
EP14190377.3 2014-10-24

Publications (1)

Publication Number Publication Date
WO2016062887A1 true WO2016062887A1 (fr) 2016-04-28

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Application Number Title Priority Date Filing Date
PCT/EP2015/074676 WO2016062887A1 (fr) 2014-10-24 2015-10-23 Dilatateur vaginal et procédé de stimulation sexuelle de lumière génitale ou érogène d'une personne au moyen d'un dilatateur

Country Status (1)

Country Link
WO (1) WO2016062887A1 (fr)

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE19508735A1 (de) * 1994-03-03 1995-10-05 Reha Medi Ges Fuer Biomedizini Vorrichtung zum Biofeedback-Training
US5674238A (en) * 1994-05-16 1997-10-07 Research Foundation Of The State Univ. Of N.Y. Perineometer
US5733230A (en) * 1996-02-21 1998-03-31 Sawchuck; Diane J. Perineometer for domestic use in prevention of urinary incontinence and method of using the same
WO2001010493A1 (fr) * 1999-08-05 2001-02-15 Wilhelm Horkel Dispositif pour preparer une femme enceinte a l'accouchement et faciliter l'accouchement
EP1845851A1 (fr) * 2005-07-19 2007-10-24 Apimeds, Inc. Appareil permettant d examiner et de guérir l incontinence urinaire et d exercer une rétroaction biologique des muscles vaginaux féminins
US8062208B1 (en) * 2008-12-12 2011-11-22 Catherine Cannon Erogenic stimulator with loop end

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE19508735A1 (de) * 1994-03-03 1995-10-05 Reha Medi Ges Fuer Biomedizini Vorrichtung zum Biofeedback-Training
US5674238A (en) * 1994-05-16 1997-10-07 Research Foundation Of The State Univ. Of N.Y. Perineometer
US5733230A (en) * 1996-02-21 1998-03-31 Sawchuck; Diane J. Perineometer for domestic use in prevention of urinary incontinence and method of using the same
WO2001010493A1 (fr) * 1999-08-05 2001-02-15 Wilhelm Horkel Dispositif pour preparer une femme enceinte a l'accouchement et faciliter l'accouchement
EP1845851A1 (fr) * 2005-07-19 2007-10-24 Apimeds, Inc. Appareil permettant d examiner et de guérir l incontinence urinaire et d exercer une rétroaction biologique des muscles vaginaux féminins
US8062208B1 (en) * 2008-12-12 2011-11-22 Catherine Cannon Erogenic stimulator with loop end

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