CA2018466A1 - Expandable vaginal electrode - Google Patents

Expandable vaginal electrode

Info

Publication number
CA2018466A1
CA2018466A1 CA002018466A CA2018466A CA2018466A1 CA 2018466 A1 CA2018466 A1 CA 2018466A1 CA 002018466 A CA002018466 A CA 002018466A CA 2018466 A CA2018466 A CA 2018466A CA 2018466 A1 CA2018466 A1 CA 2018466A1
Authority
CA
Canada
Prior art keywords
electrode
sheet
elements
exterior surface
vagina
Prior art date
Legal status (The legal status 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 status listed.)
Abandoned
Application number
CA002018466A
Other languages
French (fr)
Inventor
Donald D. Maurer
Stacy Dean Mattson
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Empi Inc
Original Assignee
Empi Inc
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 Empi Inc filed Critical Empi Inc
Publication of CA2018466A1 publication Critical patent/CA2018466A1/en
Abandoned legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0521Genital electrodes
    • A61N1/0524Vaginal electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/32Devices for opening or enlarging the visual field, e.g. of a tube of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0004Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0031Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
    • A61F2/005Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra with pressure applied to urethra by an element placed in the vagina

Abstract

EXPANDABLE VAGINAL ELECTRODE
ABSTRACT OF THE DISCLOSURE
A vaginal electrode (22) adapted to be inserted into a woman's vagina (12) and used as part of a stimulation system (27) to stimulate and constrict muscles surrounding the vagina (12) to prevent the flow of urine through the urethra (18). The electrode (22) includes a nonconductive sheet of material (32) formed into a diametrically compressible spiral tending to unwind. An exterior surface of the sheet (32) contacts the interior vaginal wall after the electrode (22) is inserted into a vagina (12). Conductive electrode elements circumferentially oriented on the exterior surface of the sheet (22) are thereby forced into electrical contact with the vaginal wall. Leads (28) couple electrical stimulation signals to the electrode elements.

Description

2 ~ 6 EXPANDABLE VAGINAL E~EC~RODE
The present invention relates generally to electrical neuromuscular stimulators. In particular, the present invention is vaginal electrode for use as part of a neuromuscular stimulation system for controlling urinary incontinence in women.
Neuromuscular electrical stimulation, whereby motor nerve fibers are stimulated by means of transcutaneously applied pulses of electrical current to cause contraction of muscles the fibers innervate, is widely used to assist persons afflicted with motor dysfunctions in performing muscle contraction maneuvers.
This technique is also used to re-educate patients in the proper use of the dysfunctional muscles.
For cases in which female urinary incontinence is caused by the patient's inability to properly contract the external sphincter of the urethra, it has been shown that the use of a neuromuscular stimulation system can effectively prevent the unwanted flow of urine. Further-morel use of such a stimulation system can re-educate the patient to voluntarily or automatically impede the flow of urine. After a period of time during which the stimulation is used, a woman may be able to maintain herself dry without continued use of the device.
Known stimulation systems for controlling urinary incontinence usually utilize plug-type electrode carriers which are insertable into a vagina and made in a broad variety of sizes in an attempt to accommodate an individual patient's anatomy. Even with the broad variety of sizes of electrode carriers available, finding a size to make a proper fit within a vagina is not ensured. In addition, even when a proper fit is made, changes in the vagina size due to hormone level changes or changes in body position can result in the electrode/

. .

2 ~

carrier no longer properly fitting the vagina. As a consequence of the change in vagina size, the electrode/
carrier structure tends to slide out of the vagina, with the surface of the electrode loosing direct electrical contact with the vaginal wall.
Clearly, there is a continuing need for improved vaginal electrodes for use with incontinence stimulation systems. In addition to being effective when used as part of a stimulation system, the electrode must be convenient to use. The device must therefore be capable of accommodating a range of vagina sizes. The device must be easy to insert. The device must also maintain contact between the electrode surfaces and the vaginal walls during changes in body position and changes in hormone levels.
The present invention is a vaginal electrode insertable into a woman's vagina as part of a stimulation system for stimulating and constricting muscles adjacent the vagina to prevent the flow of urine through the urethra. The electrode includes an elongated resilient member with an exterior surface on which a plurality of conductive electrode elements reside, and leads for coupling electrical stimulation signals to the electrode elements. The elongated resilient member is capable of transverse compression permitting its insertion into a vagina. The elongated resilient member is also capable of transverse expansion, causing its exterior surface and electrode elements to contact the vagina after insertion within the vagina.
In one embodiment, the electrode includes a diametrically compressible, spiral rolled sheet of material, with an exterior surface contacting the vaginal wall after insertion into the vagina. Circumferentially oriented electrode elements are positioned on the ,~

2 ~

exterior surface of the sheet. Leads are woven into the sheet and couple electrical signals to the electrode elements.
The vaginal electrode of the present invention is convenient and easy to use. A single vaginal elec-trode can accommodate a full range of individual patient anatomies. This characteristic alleviates the inconven-ience of having to choose the proper size electrode.
Furthermore, once the vaginal electrode is inserted into the vagina, changes due to such factors as hormone levels or body position which can cause changes in the vagina size, are compensated for by the compressible/expandable nature of the electrode. Thus, contact between the elec-trode elements and the vaginal wall is maintained as well as the retention of the electrode within the vagina.
The invention is described in detail in connection with the drawings in which:
Figure 1 is a cross-sectional view showing an electrode in accordance with the present invention operatively disposed in the vagina of a user.
Figure 2 is a perspective view of the electrode in its rolled spiral state.
Figure 3 is a perspective view of the electrode in an unrolled, expanded state.
A vaginal electrode 22 in accordance with the present invention is shown operatively disposed within a woman's pelvic region in Figure 1. Pelvic region 10 includes a vagina 12 having vaginal walls 14, a urethra 18, and sphincter muscles 16 surrounding the urethra.
Electrical stimulation of pelvic region 10 by vaginal electrode 22 causes contraction of sphincter muscles 16, thereby constricting urethra 18 and preventing the unwanted flow of urine from bladder 20.
Vaginal electrode 22 has a distal end 24 posi-tioned within vagina 12 and a proximal end 26 positioned adjacent an introitus of vagina 12. Vaginal electrode 22 is part of stimulation system 27, which also includes conductive leads 28 and controller 30. Leads 28 extend out of proximal end 26 and couple electrical signals from controller 30 to vaginal electrode 22. Controller 30 is selectively operable to send a train of pulsed electrical signals of varying intensity (e.g. amplitude and pulse width) and frequency through leads 28 to vaginal electrode 22.
Vaginal electrode 22, as illustrated in FIGS.
2 and 3, is an elongated member that is resilient and capable of both transverse compression and transverse expansion. Vaginal electrode 22 includes a sheet of material 32 which is shown in Figure 2 in a diametrically compressed, rolled spiral state. When sheet 32 is in its compressed spiral state, electrode 22 can be inserted and positioned within vagina 12. Sheet 32 also retains an expanded, rolled spiral configuration when sheet 32 is not diametrically compressed. The tendency of sheet 32 to unwind from its compressed spiral state to its expanded spiral state provides an outwardly oriented transverse or diametric pressure so that electrode 22 is retained within vagina 12. Figure 3 shows ~heet 32 in a forced, expanded or unrolled state illustrating its interior surface and sheet-like geometrical qualities.
Sheet 32 can be formed from polymer materials, polymer-covered metals or other nonconductive shape-memory materials.
Electrode elements 34 are positioned parallel to one another and mounted in a circumferentially oriented fashion upon the exterior surface of rolled sheet 32. Electrode elements 34 are comprised of a conductive material such as conductive polymer or carbon-;~3.~

loaded silicone rubber.
Nonconductive elements 36 separate and insulate conductive electrode elements 34 from one another. Non-conductive elements 36 are positioned parallel to one another and mounted in a circumferentially oriented fashion upon the exterior surface of rolled sheet 32.
Nonconductive elements 36 are made of a nonconductive material such as nonconductive silicone rubber.
Lead housing 38 extends from proximal end 26 of rolled sheet 32 and protects leads 28. Housing 38 also provides structural support for leads 28 to facilitate handling of vaginal electrode 22 during insertion, positioning, and removal. In the embodiment shown in Figure 3, leads 28 are woven into sheet 32 parallPl to one another. Contact portions 40 of leads 28 (shown in phantom in Figure 3) are exposed on the exterior surface of sheet 32, contacting electrode elements 34 to provide the coupling of electrical signals. Electrode elements 34 and nonconductive elements 36 can be layers applied to sheet 32 after leads 28 are woven in the sheet.
In operation, the use of vaginal electrode 22 as part of stimulation system 27, ~egins with the inser-tion of vaginal electrode 22 into vagina 12. Prior to insertion, vaginal electrode 22 must first be transverse-ly compressed into a spiral by rolling and circumferen-tially applying pressure to rolled sheet 32 so that the diameter thereof permits insertion within the introitus of vagina 12. Next, while holding vaginal electrode 22 by hand to maintain the compressed spiral state, the distal end 24 of vaginal electrode 22 is inserted through the introitus into vagina 12 until proximal end 26 is adjacent the introitus.
Once vaginal electrode 22 is inserted and posi-tioned within vagina 12, rolled sheet 32 unwinds and .

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transversely expands (i.e., has spring-like shape memory) until its diameter increases to such an extent that electrode elements 34 establish contact with vaginal walls 14. Vaginal electrode 22 is retained in vagina 12 with electrode elements 34 forced into electrical contact with vaginal walls 14 by the tendency of rolled sheet 32 to unwind. This transverse pressure is consistently maintained so hormone level changes or changes in body position do not alter retention of electrode 22 within vagina 12.
After vaginal electrode 22 is firmly seated within vagina 12, controller 30 (which is typically clipped to the clothing of the user) is manipulated by an operator to provide stimulating signals to electrode elements 34. The active electrode elements 34 in contact with vaginal walls 14 transcutaneously transmit the stimulation signals to pelvic region 10 so as to cause contraction of muscles 16, thereby constricting urethra 18. The illustrated embodiment of electrode 22 includes four electrode elements 34. Stimulation signals can be applied through one or more pairs of electrodes 22 to most effectively recruit muscles 16. The use of vaginal electrode 22 as part of stimulation system 27 provides an effective tool in controlling female urinary incontinence.
Although the present invention has been described with reference to preferred embodiments, workers skilled in the art will recognize that changes may be made in form and detail without departing from the ` 30 spirit and scope of the invention.

, .

Claims (32)

1. A vaginal electrode, including:
an elongated resilient member having an exterior surface and capable of transverse compression to a profile permitting insertion into a vagina and transverse expansion causing the exterior surface to contact the vagina;
a plurality of conductive electrode elements on the exterior surface of the resilient member; and leads for coupling electrical signals to the electrode elements.
2. The electrode of claim 1 wherein the resilient member includes a diametrically compressible spiral sheet of material tending to unwind and contact the vaginal wall when inserted into the vagina.
3. The electrode of claim 2 wherein the sheet of material includes a polymer sheet.
4. The electrode of claim 2 wherein the sheet of material includes a polymer covered, thin metal sheet.
5. The electrode of claim 2 wherein the sheet of material includes a sheet of nonconductive shape-memory material.
6. The electrode of claim 2 wherein the electrode elements extend across the outside surface of the sheet so as to extend around the circumference of the spiral sheet.
7. The electrode of claim 6 wherein the electrode elements include conductive polymer elements.
8. The electrode of claim 7 wherein the electrode elements include carbon loaded silicon rubber.
9. The electrode of claim 8 and further including nonconductive silicon rubber on the exterior surface of the sheet between the electrode elements.
10. The electrode of claim 2 wherein:
the leads include conductors woven into the sheet of material and having contact portions which extend from the exterior surface; and the electrode elements include conductive elements on the exterior surface of sheet and in electrical contact with the contact portions of the leads.
11. The electrode of claim 10 wherein the electrode elements include conductive polymer elements.
12. The electrode of claim 1 wherein the electrode elements include conductive polymer elements.
13. A vaginal electrode, including:
a diametrically compressible spiral sheet of material tending to unwind, with an exterior surface contacting a vaginal wall after insertion into the vagina;

a plurality of electrically isolated conductive electrode elements on the exterior surface of the sheet of material; and leads for coupling electrical signals to the electrode elements.
14. The electrode of claim 13 wherein the sheet of material includes a polymer sheet.
15. The electrode of claim 13 wherein the sheet of material includes a polymer-covered, thin metal sheet.
16. The electrode of claim 13 wherein the sheet of material includes a nonconductive sheet of shape memory material.
17. The electrode of claim 13 wherein the electrode elements include conductive polymer elements.
18. The electrode of claim 17 wherein the electrode elements include carbon-loaded silicone rubber.
19. The electrode of claim 18 and further including nonconductive silicone rubber on the exterior surface of the sheet between the electrode elements.
20. The electrode of claim 13 wherein:
the leads include conductors woven into the sheet of material and having contact portions which extend from the exterior surface; and the electrode elements include conductive elements on the exterior surface of the sheet and in electrical contact with the contact portions of the leads.
21. The electrode of claim 20 wherein the electrode elements include conductive polymer elements.
22. The electrode of claim 21 wherein the electrode elements include carbon-loaded silicone rubber.
23. The electrode of claim 22 and further including nonconductive silicone rubber on the exterior surface of the sheet between the electrode elements.
24. A vaginal electrode, including:
a nonconductive sheet of material formed into a diametrically compressible spiral tending to unwind, with an exterior surface contacting a vaginal wall after insertion into the vagina;
conductive leads woven into the sheet having contact portions exposed on the exterior surface of the sheet;
conductive electrode elements extending around the circumference of the exterior surface of the sheet and in electrical contact with the contact portions; and nonconductive strips extending around the circumference of the outer surface of the sheet between the electrode elements.
25. The electrode of claim 24 wherein the sheet of material includes a polymer sheet.
26. The electrode of claim 24 wherein the sheet of material includes a polymer-covered, thin metal sheet.
27. The electrode of claim 24 wherein the sheet of material includes a nonconductive sheet of shape memory material.
28. The electrode of claim 24 wherein the electrode elements include conductive polymer elements.
29. The electrode of claim 28 wherein the electrode elements include carbon loaded silicon rubber.
30. The electrode of claim 24 wherein the strips include nonconductive silicon rubber strips.
31. The electrode of claim 24 wherein the leads are oriented perpendicular to the longitudinal axis of the spiral.
32. The electrode of claim 24 wherein the electrode elements are oriented perpendicular to the longitudinal axis of the spiral.
CA002018466A 1989-08-03 1990-06-07 Expandable vaginal electrode Abandoned CA2018466A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US07/389,175 US5010895A (en) 1989-08-03 1989-08-03 Expandable vaginal electrode
US07/389,175 1989-08-03

Publications (1)

Publication Number Publication Date
CA2018466A1 true CA2018466A1 (en) 1991-02-03

Family

ID=23537160

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002018466A Abandoned CA2018466A1 (en) 1989-08-03 1990-06-07 Expandable vaginal electrode

Country Status (4)

Country Link
US (1) US5010895A (en)
EP (1) EP0411632B1 (en)
CA (1) CA2018466A1 (en)
DE (1) DE69004028T2 (en)

Families Citing this family (96)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5224491A (en) * 1991-01-07 1993-07-06 Medtronic, Inc. Implantable electrode for location within a blood vessel
US5170802A (en) * 1991-01-07 1992-12-15 Medtronic, Inc. Implantable electrode for location within a blood vessel
US5199443A (en) * 1991-03-26 1993-04-06 Empi, Inc. Incontinence electrode apparatus
GB2301287B (en) * 1992-05-23 1997-02-05 Keith Edward Tippey Electrical stimulation for treatment of incontinence and other neuro-muscular disorders
GB9211085D0 (en) * 1992-05-23 1992-07-08 Tippey Keith E Electrical stimulation
US5476434A (en) * 1992-05-27 1995-12-19 Kalb; Irvin M. Female incontinence device including electronic sensors
FR2693113B1 (en) * 1992-07-06 1994-08-19 Mamberti Dias Andre Dual function vaginal or anal endocavity probe.
AU5295493A (en) * 1992-10-01 1994-04-26 Cardiac Pacemakers, Inc. Stent-type defibrillation electrode structures
US5662699A (en) * 1993-12-16 1997-09-02 Myo Kinetic Systems, Inc. Method and apparatus for stimulating or monitoring the exercise of muscles adjacent a body cavity
US5456709A (en) * 1994-03-16 1995-10-10 Myo Kinetic Systems, Inc. Interlocking electrode carrying body cavity insert for treating medical conditions
GB9406700D0 (en) * 1994-04-05 1994-05-25 D M I Medical Ltd Improvements in or relating to electrical treatment apparatus
US5782902A (en) 1995-01-05 1998-07-21 Boutos; David Apparatus for stimulating living tissue
US5571118A (en) * 1995-01-05 1996-11-05 Boutos; David Apparatus for stimulating penile, scrotal, anal, vaginal and clitoral tissue
US5697966A (en) * 1995-01-05 1997-12-16 Boutos; David Apparatus for stimulating living tissue
US5681514A (en) * 1995-06-07 1997-10-28 Sulzer Intermedics Inc. Method for making an implantable conductive lead for use with a cardiac stimulator
NL1001890C2 (en) * 1995-12-13 1997-06-17 Cordis Europ Catheter with plate-shaped electrode array.
US6464697B1 (en) 1998-02-19 2002-10-15 Curon Medical, Inc. Stomach and adjoining tissue regions in the esophagus
ATE284732T1 (en) * 1997-02-07 2005-01-15 Biobedded Systems Gmbh TAMPON, ESPECIALLY FOR USE IN URINARY INCONTINENCE IN WOMEN
USD415835S (en) * 1997-06-24 1999-10-26 Empi Corp. Vaginal electrode
US6086549A (en) * 1997-07-03 2000-07-11 Utah Medical Products, Inc. Apparatus and method for treating female urinary incontinence
US5947901A (en) 1997-09-09 1999-09-07 Redano; Richard T. Method for hemodynamic stimulation and monitoring
US6185465B1 (en) 1998-02-25 2001-02-06 Seung Kee Mo Vaginal electrode for urinary incontinence treatment
US5871533A (en) * 1998-03-18 1999-02-16 Boutos; David Apparatus for stimulating living tissue
US6620192B1 (en) * 1999-03-16 2003-09-16 Advanced Cardiovascular Systems, Inc. Multilayer stent
US6606523B1 (en) * 1999-04-14 2003-08-12 Transneuronix Inc. Gastric stimulator apparatus and method for installing
WO2001035846A1 (en) * 1999-11-16 2001-05-25 Ganz Robert A System and method of treating abnormal tissue in the human esophagus
US20060095032A1 (en) 1999-11-16 2006-05-04 Jerome Jackson Methods and systems for determining physiologic characteristics for treatment of the esophagus
US20040215235A1 (en) 1999-11-16 2004-10-28 Barrx, Inc. Methods and systems for determining physiologic characteristics for treatment of the esophagus
US7079882B1 (en) 2000-01-22 2006-07-18 Richard Schmidt Method and apparatus for quantifying nerve and neural-muscular integrity related to pelvic organs or pelvic floor functions
US6432037B1 (en) * 2000-08-31 2002-08-13 Flexiprobe Ltd. Intravaginal device for electrically stimulating and/or for sensing electrical activity of muscles and/or nerves defining and surrounding the intravaginal cavity
US20040087936A1 (en) * 2000-11-16 2004-05-06 Barrx, Inc. System and method for treating abnormal tissue in an organ having a layered tissue structure
CA2458726A1 (en) * 2001-08-30 2003-03-06 Flexiprobe Ltd. Device for measuring distances within body cavities
US7150745B2 (en) * 2004-01-09 2006-12-19 Barrx Medical, Inc. Devices and methods for treatment of luminal tissue
US7590454B2 (en) * 2004-03-12 2009-09-15 Boston Scientific Neuromodulation Corporation Modular stimulation lead network
US20050203600A1 (en) * 2004-03-12 2005-09-15 Scimed Life Systems, Inc. Collapsible/expandable tubular electrode leads
US7231260B2 (en) * 2004-05-06 2007-06-12 Boston Scientific Scimed, Inc. Intravascular self-anchoring electrode body with arcuate springs, spring loops, or arms
AU2004208669B1 (en) * 2004-09-06 2005-12-08 Margaret Phillipa Treanor Medical device to electronically force the pelvic floor & associated muscles and muscles of the urogenital triangle to exercise
WO2006052905A2 (en) * 2004-11-08 2006-05-18 Cardima, Inc. System and method for performing ablation and other medical procedures using an electrode array with flex circuit
US20090240249A1 (en) * 2004-11-08 2009-09-24 Cardima, Inc. System and Method for Performing Ablation and Other Medical Procedures Using An Electrode Array with Flexible Circuit
US7937160B2 (en) * 2004-12-10 2011-05-03 Boston Scientific Neuromodulation Corporation Methods for delivering cortical electrode leads into patient's head
US7959627B2 (en) 2005-11-23 2011-06-14 Barrx Medical, Inc. Precision ablating device
US8702694B2 (en) 2005-11-23 2014-04-22 Covidien Lp Auto-aligning ablating device and method of use
US7997278B2 (en) 2005-11-23 2011-08-16 Barrx Medical, Inc. Precision ablating method
GB0523918D0 (en) 2005-11-24 2006-01-04 Femeda Ltd Self contained device with treatment cycle for electrostimulation
GB0523917D0 (en) 2005-11-24 2006-01-04 Femeda Ltd Devices for electrostimulation
GB0523916D0 (en) 2005-11-24 2006-01-04 Femeda Ltd Compressible electrodes
WO2007092610A2 (en) 2006-02-07 2007-08-16 Tivamed, Inc. Vaginal remodeling device and methods
NZ535186A (en) * 2006-03-10 2007-06-29 Margaret Phillipa Treanor A medical device to electronically exercise the pelvic floor and associated muscles and muscles of the urogenital triangle
US7908018B2 (en) * 2006-09-06 2011-03-15 Cardiomems, Inc. Flexible electrode
CA2666661C (en) * 2006-10-18 2015-01-20 Minnow Medical, Inc. Tuned rf energy and electrical tissue characterization for selective treatment of target tissues
US20080161893A1 (en) * 2006-12-29 2008-07-03 Saurav Paul Fabric electrode head
US8571662B2 (en) * 2007-01-29 2013-10-29 Simon Fraser University Transvascular nerve stimulation apparatus and methods
DE102007006901B4 (en) 2007-02-13 2011-02-24 Med.Sse-System Gmbh Device for the treatment of stool and urinary incontinence by stimulation
WO2008137757A1 (en) 2007-05-04 2008-11-13 Barrx Medical, Inc. Method and apparatus for gastrointestinal tract ablation for treatment of obesity
US8784338B2 (en) 2007-06-22 2014-07-22 Covidien Lp Electrical means to normalize ablational energy transmission to a luminal tissue surface of varying size
US8251992B2 (en) 2007-07-06 2012-08-28 Tyco Healthcare Group Lp Method and apparatus for gastrointestinal tract ablation to achieve loss of persistent and/or recurrent excess body weight following a weight-loss operation
KR101547931B1 (en) * 2007-07-06 2015-08-28 코비디엔 엘피 Ablation in the gastrointestinal tract to achieve hemostasis and eradicate lesions with a propensity for bleeding
US8646460B2 (en) 2007-07-30 2014-02-11 Covidien Lp Cleaning device and methods
US8273012B2 (en) 2007-07-30 2012-09-25 Tyco Healthcare Group, Lp Cleaning device and methods
US9795442B2 (en) 2008-11-11 2017-10-24 Shifamed Holdings, Llc Ablation catheters
US8805466B2 (en) 2008-11-11 2014-08-12 Shifamed Holdings, Llc Low profile electrode assembly
PL2370015T3 (en) 2008-11-11 2017-07-31 Shifamed Holdings, Llc Low profile electrode assembly
US8920369B2 (en) 2009-06-24 2014-12-30 Shifamed Holdings, Llc Steerable delivery sheaths
US8323241B2 (en) * 2009-06-24 2012-12-04 Shifamed Holdings, Llc Steerable medical delivery devices and methods of use
EP2477695B1 (en) 2009-09-18 2015-10-21 Viveve Inc. Vaginal remodeling device
WO2011119857A2 (en) 2010-03-24 2011-09-29 Shifamed, Llc Intravascular tissue disruption
US9655677B2 (en) 2010-05-12 2017-05-23 Shifamed Holdings, Llc Ablation catheters including a balloon and electrodes
CA2838506C (en) * 2010-06-17 2022-01-04 InControl Medical, LLC Urinary incontinence device and method and stimulation device and method
US10278774B2 (en) 2011-03-18 2019-05-07 Covidien Lp Selectively expandable operative element support structure and methods of use
CN102800230A (en) * 2011-05-24 2012-11-28 天津市天堰医教科技开发有限公司 Method for detecting disinfection positions of female urethra
US8961550B2 (en) 2012-04-17 2015-02-24 Indian Wells Medical, Inc. Steerable endoluminal punch
CA2908517A1 (en) 2013-04-08 2014-10-16 Apama Medical, Inc. Cardiac ablation catheters and methods of use thereof
US10349824B2 (en) 2013-04-08 2019-07-16 Apama Medical, Inc. Tissue mapping and visualization systems
US10098694B2 (en) 2013-04-08 2018-10-16 Apama Medical, Inc. Tissue ablation and monitoring thereof
US9763733B2 (en) 2013-10-25 2017-09-19 Covidien Lp Unfurling electrode devices with the multiple longitudinal electrode segments
US9743981B2 (en) * 2013-10-25 2017-08-29 Covidien Lp Unfurling electrode devices with spring
WO2015146172A1 (en) 2014-03-28 2015-10-01 国立大学法人大阪大学 Vagina evaluation device and uterus evaluation deveices
GB201414695D0 (en) 2014-08-19 2014-10-01 Femeda Ltd Electrostimulation related devices and methods
KR101655532B1 (en) * 2014-09-15 2016-09-07 두재균 Female vaginal implant plate
US10368934B2 (en) 2015-01-14 2019-08-06 Covidien Lp Arrangement of multi-channel bipolar electrode zones to minimize leakage and edge effects
US10149716B2 (en) 2015-02-02 2018-12-11 Covidien Lp Self-sizing catheter features to prevent over-tightening of the electrode
JP6797131B2 (en) 2015-03-27 2020-12-09 カリラ メディカル インコーポレイテッド Manipulable medical devices, systems and usage
CN107708785B (en) 2015-04-24 2021-08-20 卡里拉医疗股份有限公司 Steerable medical devices, systems, and methods of use
US10966601B2 (en) * 2015-05-27 2021-04-06 Ob Tools Ltd. Vaginal speculum with electromyographic sensors
US10105531B2 (en) 2015-09-07 2018-10-23 Femeda Ltd. Device for electrostimulation
WO2017083257A1 (en) 2015-11-09 2017-05-18 Shifamed Holdings, Llc Steering assemblies for medical devices, and methods of use
WO2017087549A1 (en) 2015-11-16 2017-05-26 Apama Medical, Inc. Energy delivery devices
WO2018098468A1 (en) * 2016-11-28 2018-05-31 Allotrope Medical Inc. Delivery system for intracorporeal smooth muscle stimulation
US11511110B2 (en) 2018-06-27 2022-11-29 Viveve, Inc. Methods for treating urinary stress incontinence
US11896823B2 (en) 2017-04-04 2024-02-13 Btl Healthcare Technologies A.S. Method and device for pelvic floor tissue treatment
WO2019107621A1 (en) * 2017-11-30 2019-06-06 주식회사 루트로닉 Vaginal canal treatment apparatus, control method thereof, and treatment method using same
WO2019107618A1 (en) * 2017-11-30 2019-06-06 주식회사 루트로닉 Vaginal canal treatment apparatus, control method thereof, and treatment method using same
US11229574B2 (en) 2018-09-15 2022-01-25 Uccellini LLC Massager device with expansion function
US11027120B2 (en) 2018-09-28 2021-06-08 InControl Medical, LLC Urinary incontinence treatment device and method for using the same
EP3920772A4 (en) 2019-02-07 2022-10-05 Artisan Medical Devices Corporation Multi-layered speculum and methods of manufacturing and using same
US11903639B2 (en) * 2020-04-17 2024-02-20 Biosense Webster (Israel) Ltd. Flexible distal-end assembly with double-sided electrode array and irrigation

Family Cites Families (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US659409A (en) * 1900-08-25 1900-10-09 Charles L Mosher Electric bipolar dilator.
US1622244A (en) * 1925-12-24 1927-03-22 Ethel Pope Beckley Electric autocondensation pad
US2110392A (en) * 1937-01-06 1938-03-08 Edgar J Rose Self-supporting electrotherapy electrode
US3654933A (en) * 1968-11-18 1972-04-11 Medtronic Inc Implatable electrode
GB1480103A (en) * 1974-01-24 1977-07-20 Garbe D Incontinence control
US3926178A (en) * 1975-01-17 1975-12-16 Alvin N Feldzamen Apparatus for aiding the voluntary exercising of sphincter muscles
SE7604553L (en) * 1976-04-21 1977-10-22 Svenska Utvecklings Ab ELECTRICAL STIMULATOR FOR REDUCING INCONTINENCE
US4094309A (en) * 1977-03-07 1978-06-13 Grzenia Robert M Medical electrode
SE418364B (en) * 1978-11-27 1981-05-25 Crafon Medical Ab ELECTRICAL STIMULATION BODY
US4300575A (en) * 1979-06-25 1981-11-17 Staodynamics, Inc. Air-permeable disposable electrode
US4509535A (en) * 1982-06-07 1985-04-09 Horace Bryan Electrode apparatus
US4542753A (en) * 1982-12-22 1985-09-24 Biosonics, Inc. Apparatus and method for stimulating penile erectile tissue
US4515167A (en) * 1983-02-28 1985-05-07 Hochman Joel S Device for the development, training and rehabilitation of the pubococcygeal and related perineal musculature of the female
US4602624A (en) * 1984-10-11 1986-07-29 Case Western Reserve University Implantable cuff, method of manufacture, and method of installation
CA1240784A (en) * 1985-08-30 1988-08-16 Patrick D. Van Der Puije Cochlea implant
US4722353A (en) * 1985-09-16 1988-02-02 Intermedics, Inc. Stabilizer for implantable electrode
US4785828A (en) * 1986-10-06 1988-11-22 Empi, Inc. Vaginal stimulator for controlling urinary incontinence in women
US4781196A (en) * 1987-02-20 1988-11-01 Etymotic Research, Inc. Conductive eartip assembly
US4846818A (en) * 1988-05-17 1989-07-11 Conceptus, Inc. Incontinence appliance

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DE69004028T2 (en) 1994-02-17
DE69004028D1 (en) 1993-11-25
EP0411632A1 (en) 1991-02-06
EP0411632B1 (en) 1993-10-20
US5010895A (en) 1991-04-30

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