FR3106274A1 - Device for external support of the female urethra during exertion - Google Patents
Device for external support of the female urethra during exertion Download PDFInfo
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- FR3106274A1 FR3106274A1 FR2011794A FR2011794A FR3106274A1 FR 3106274 A1 FR3106274 A1 FR 3106274A1 FR 2011794 A FR2011794 A FR 2011794A FR 2011794 A FR2011794 A FR 2011794A FR 3106274 A1 FR3106274 A1 FR 3106274A1
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- support device
- directional support
- pants
- rigid
- cushion
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- 210000003708 urethra Anatomy 0.000 title claims abstract description 14
- 230000002787 reinforcement Effects 0.000 claims description 17
- 210000002640 perineum Anatomy 0.000 claims description 10
- 230000003187 abdominal effect Effects 0.000 claims description 9
- 239000000463 material Substances 0.000 abstract description 4
- 210000004197 pelvis Anatomy 0.000 description 8
- 210000000056 organ Anatomy 0.000 description 7
- 210000001519 tissue Anatomy 0.000 description 7
- 239000013598 vector Substances 0.000 description 5
- 230000002485 urinary effect Effects 0.000 description 4
- 241001313288 Labia Species 0.000 description 3
- 206010046543 Urinary incontinence Diseases 0.000 description 3
- 210000002808 connective tissue Anatomy 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 206010066218 Stress Urinary Incontinence Diseases 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 210000003041 ligament Anatomy 0.000 description 2
- 230000007774 longterm Effects 0.000 description 2
- 230000000717 retained effect Effects 0.000 description 2
- 208000034347 Faecal incontinence Diseases 0.000 description 1
- 206010021639 Incontinence Diseases 0.000 description 1
- 208000012287 Prolapse Diseases 0.000 description 1
- 230000002745 absorbent Effects 0.000 description 1
- 239000002250 absorbent Substances 0.000 description 1
- 239000000560 biocompatible material Substances 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 210000001217 buttock Anatomy 0.000 description 1
- 230000000295 complement effect Effects 0.000 description 1
- 210000004013 groin Anatomy 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 230000010354 integration Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000003387 muscular Effects 0.000 description 1
- 230000004007 neuromodulation Effects 0.000 description 1
- 210000003903 pelvic floor Anatomy 0.000 description 1
- 208000013823 pelvic organ prolapse Diseases 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 230000001850 reproductive effect Effects 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 210000005070 sphincter Anatomy 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 210000002700 urine Anatomy 0.000 description 1
- 210000003905 vulva Anatomy 0.000 description 1
Classifications
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- 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
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/008—Apparatus for applying pressure or blows almost perpendicular to the body or limb axis, e.g. chiropractic devices for repositioning vertebrae, correcting deformation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
- A61F2/0009—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse placed in or outside the body opening close to the surface of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
- A61F5/24—Trusses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
- A61F5/24—Trusses
- A61F5/28—Supports for trusses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/44—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
- A61F5/451—Genital or anal receptacles
- A61F5/455—Genital or anal receptacles for collecting urine or discharge from female member
- A61F5/4553—Genital or anal receptacles for collecting urine or discharge from female member placed in the vagina, e.g. for catamenial use
-
- 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
- A61H39/00—Devices for locating or stimulating specific reflex points of the body for physical therapy, e.g. acupuncture
- A61H39/04—Devices for pressing such points, e.g. Shiatsu or Acupressure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/0071—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof thermoplastic
-
- 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
- A61H2201/0157—Constructive details portable
-
- 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
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/1628—Pelvis
- A61H2201/163—Pelvis holding means therefor
-
- 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
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/165—Wearable interfaces
- A61H2201/1652—Harness
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- Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Biomedical Technology (AREA)
- Nursing (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Epidemiology (AREA)
- Rehabilitation Therapy (AREA)
- Physical Education & Sports Medicine (AREA)
- Pain & Pain Management (AREA)
- Urology & Nephrology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
Titre : Dispositif de maintien externe de l’urètre féminin à l’effort » Dispositif de soutien directionnel externe de l’urètre féminin à l’effort, constitué par un coussin (1) rigide fixé à un contre-appui rigide (2) placé dans la partie postérieure d’une ceinture ou d’une culotte, et comportant une partie de support périnéale, le contre-appui rigide (2) étant relié en avant par des lanières réglables (2) le soutiennent à une ceinture (5) ou une culotte dont la périphérie arrière est rigidifiée par un insert ou autre matériau ne pliant pas. Figure 1Title: Device for external support of the female urethra during exertion »External directional support device for the female urethra during exertion, consisting of a rigid cushion (1) fixed to a rigid counter-support (2) placed in the rear part of a belt or panties, and comprising a perineal support part, the rigid counter-support (2) being connected in front by adjustable straps (2) support it to a belt (5) or a panty whose rear periphery is stiffened by an insert or other material that does not bend. Figure 1
Description
DOMAINE DE L’INVENTIONFIELD OF THE INVENTION
La présente invention a pour objet un dispositif de maintien externe de l’urètre féminin à l’effort.The present invention relates to a device for maintaining the external female urethra under stress.
Selon un nouveau postulat(http://perineologie-vectorielle.com) développé par l’inventeur, les forces abdominales ne se dirigent pas verticalement vers le plancher pelvien. Elles sont réfléchies par la surface de l’ensemble osseux et musculaire du petit bassin. Ces forces sont physiquement redirigées vers l’avant. Les frottements des tissus relies entre eux sont retenus par le tissus conjonctifs jeunes. (reference A2499EC European Journal of Obstetrics & Gynecology and Reproductive Biology 234 (2019) - From tissue viscoelasticity to vectorial perineology - Edgard Cornier1,2,∗, et al. ) les pressions produisent des mouvements quasi statiques de plicature des organes entre eux. La Plicature des organes créent des zones appelées «fonctionnelles». Ce sont ces zones qui font obstacles aux fuites. L’invention consiste à corriger ces renvois de forces afin de recréer la plicature fonctionnelle des organes du petit bassin. Un appui postérieur permettra avec la redirection de ces vecteurs de force, la flexion de l’urètre féminin, sa clôture, et la guérison des incontinences urinaires à l‘ effort. Le reste du pelvis, au centre, et latéralement (les grandes lèvres et les tissus adjacents) ne doivent pas être maintenus et il doivent rester libre de leurs mouvements.According to a new postulate (http://perineologie-vectorielle.com) developed by the inventor, the abdominal forces are not directed vertically towards the pelvic floor. They are reflected by the surface of all the bones and muscles of the small pelvis. These forces are physically redirected forward. The friction of the tissues connected to each other is retained by the young connective tissues. (reference A2499EC European Journal of Obstetrics & Gynecology and Reproductive Biology 234 (2019) - From tissue viscoelasticity to vectorial perineology - Edgard Cornier1,2,∗, et al. ) the pressures produce quasi-static movements of plication of the organs between them. Plication of the organs create areas called "functional". These are the areas that block leaks. The invention consists in correcting these force references in order to recreate the functional plication of the organs of the small pelvis. A posterior support will allow with the redirection of these vectors of force, the flexion of the female urethra, its closure, and the healing of urinary incontinence on effort. The rest of the pelvis, in the center, and laterally (the labia majora and the adjacent tissues) must not be maintained and they must remain free to move.
ETAT DE LA TECHNIQUESTATE OF THE ART
L’incontinence urinaire affecte environ 20% des femmes jeunes et 77% à l’age du relâchement tissulaire ( UrinaryIncontinencein Women: A Review.Urinary incontinence affects approximately 20% of young women and 77% at the age of tissue slackening ( UrinaryIncontinencein Women: A Review.
Lukacz ES, Santiago-Lastra Y, Albo ME, Brubaker L.JAMA. 2017 Oct 24;318(16):1592-1604. )Lukacz ES, Santiago-Lastra Y, Albo ME, Brubaker L.JAMA. 2017 Oct 24;318(16):1592-1604. )
L’arsenal thérapeutique est pauvre et la plupart des femmes affectées sont réduites au port de couches absorbantes.The therapeutic arsenal is poor and most affected women are reduced to wearing absorbent diapers.
La rééducation musculaire à elle seule est peu efficace dans la durée, ou contraignante. Il faut lui adjoindre différentes méthodes, qui supposent un investissement personnel difficile à assumer sur le long terme. L’arrêt de l’entrainement s’accompagne de récidives.Muscular re-education alone is not very effective in the long term, or restrictive. It is necessary to add different methods, which suppose a personal investment difficult to assume in the long term. The cessation of training is accompanied by recurrences.
KegelExercises, Biofeedback, Electrostimulation, and Peripheral Neuromodulation Improve Clinical Symptoms of Fecal Incontinence and Affect Specific Physiological Targets: An Randomized Controlled Trial.KegelExercises, Biofeedback, Electrostimulation, and Peripheral Neuromodulation Improve Clinical Symptoms of Fecal Incontinence and Affect Specific Physiological Targets: An Randomized Controlled Trial.
Mundet L, Rofes L, Ortega O, Cabib C, Clavé P.J Neurogastroenterol Motil. 2020 Oct 28.Mundet L, Rofes L, Ortega O, Cabib C, Clavé P.J Neurogastroenterol Motil. 2020 Oct 28.
La mise en place de pessaires intra vaginaux est inconfortable, peu suivie, peu efficaces sur les fuites urinaires. Pessaryuse in stressurinaryincontinence: a review of advantages, complications, patient satisfaction, and quality of life.The placement of intravaginal pessaries is uncomfortable, little followed, not very effective on urinary leakage. Pessaryuse in stressurinaryincontinence: a review of advantages, complications, patient satisfaction, and quality of life.
Al-Shaikh G, Syed S, Osman S, Bogis A, Al-Badr A.Int J Womens Health. 2018Al-Shaikh G, Syed S, Osman S, Bogis A, Al-Badr A. Int J Womens Health. 2018
Souvent il a été fait appel à la chirurgie pour mettre en place une bandelette de soutien direct sous urétral pour provoquer la flexion forcée de l‘urètre, pour sa fermeture à l‘effort. Cette intervention chirurgicale a connu une grande diffusion tant la gêne est importante. Mais le pourcentage élevé de complications en a maintenant interdit ou très fortement limités l’usage. (Survey on surgery for stress urinary incontinence in an era mid-urethral slings are being questioned. D'hulster AS, Housmans S, Spaans W, Van der Aa F, Slabbaert K, Milani AL, Deprest J.Int Urogynecol J. 2020 Apr;31(4):695-702.).Often surgery has been used to place a direct support strip under the urethra to force the urethra to bend, for its closure under stress. This surgical procedure has been widely used as the discomfort is significant. But the high percentage of complications has now prohibited or very severely limited its use. (Survey on surgery for stress urinary incontinence in an era mid-urethral slings are being questioned. D'hulster AS, Housmans S, Spaans W, Van der Aa F, Slabbaert K, Milani AL, Deprest J.Int Urogynecol J. 2020 Apr ;31(4):695-702.).
Les dispositifs de soutien de l’ensemble du périnée selon l’arrière-plan technologique, on connaît les documents suivants: EP 2158882, US 2015/034074, JP 2014 1510-20. Ces brevets antérieurs proposent des dispositif placés sur tout le périnée et maintenus par des bretelles. Leur but est d’empêcher les descentes des prolapsus, et les refoulant largement, à l’aide d’un dispositif convexe ou concave, vers l’intérieur de l’orifice vaginal.Support devices for the entire perineum according to the technological background are known from the following documents: EP 2158882, US 2015/034074, JP 2014 1510-20. These prior patents propose devices placed over the entire perineum and held by straps. Their purpose is to prevent the descents of the prolapses, and driving them back widely, using a convex or concave device, towards the inside of the vaginal orifice.
Ces dispositifs sont plus ou moins larges et prennent appui à l’extérieur de la vulve, sur les grandes lèvres. Ils comportent parfois une gouttière en avant pour permettre aux urines de s’échapper. Aucun ne revendique le traitement des fuites urinaires de la femme.These devices are more or less wide and rest on the outside of the vulva, on the labia majora. They sometimes have a gutter in front to allow urine to escape. None claims the treatment of urinary leakage in women.
Ces dispositifs soulèvent, l’ensemble des organes du petit bassin très au-delà de la zone postérieure du périnée, et soulèvent la totalité des tissus pelviens. Ils sont destinés à maitriser les grandes descentes d’organe. Ils n’ont pas d’effet de plicature - clôture de l’urètre qu’ils soulèvent et rendent rectilignes. De ce fait ils sont mêmes susceptibles d’aggraver «de novo» les fuites urinaires. ( reference: Commentary on 'Denovourinaryincontinenceafter pelvic organ prolapse surgery-a national database study'.These devices lift all the organs of the small pelvis far beyond the posterior area of the perineum, and lift all the pelvic tissues. They are intended to control major organ descents. They do not have a plicature effect - closure of the urethra which they lift and make straight. As a result, they are even likely to aggravate "de novo" urinary leakage. ( reference: Commentary on 'Denovourinary incontinence after pelvic organ prolapse surgery-a national database study'.
Abdelrahman A.Int Urogynecol J. 2020 Feb;31(2):309.)Abdelrahman A.Int Urogynecol J. 2020 Feb;31(2):309.)
BUT DE L’INVENTIONPURPOSE OF THE INVENTION
La présente invention a pour but de développer un dispositif de soutien remédiant aux inconvénients des solutions connues et de mettre la plicature de l’urètre lors d’un effort abdominal.The aim of the present invention is to develop a support device remedying the drawbacks of the known solutions and to fold the urethra during an abdominal effort.
EXPOSE ET AVANTAGES DE L’INVENTIONDESCRIPTION AND ADVANTAGES OF THE INVENTION
A cet effet, l’invention a pour objet un dispositif de soutien directionnel externe de l’urètre féminin à l’effort, caractérisé en ce qu’il comprendTo this end, the subject of the invention is a device for external directional support of the female urethra during effort, characterized in that it comprises
- un coussin rectangulaire rigide muni d’une lanière postérieure et de deux lanières antérieures et- a rigid rectangular cushion fitted with a rear strap and two front straps and
- une ceinture abdominale munie d’un point de fixation arrière et de deux points de fixation avant recevant de manière réglable respectivement la lanière postérieure et les deux lanières avant pour tenir le coussin rigide contre la zone postérieure et inférieure du périnée en partant du coccyx.- an abdominal belt fitted with a rear attachment point and two front attachment points that accommodate the rear strap and the two front straps respectively in an adjustable manner to hold the rigid cushion against the rear and lower area of the perineum starting from the coccyx.
Le dispositif de soutien directionnel selon l’invention permet de réorienter les forces de pression abdominale, lors de l’effort abdominal, grâce à la mise en place postérieure de ce contre-appui rigide, plat et étroit, placé en avant du coccyx, ne recouvrant pas l’ensemble de la surface périnéale et restant à distance de l’orifice urinaire. Il permettra la plicature occlusive de la zone fonctionnelle de l ‘urètre.The directional support device according to the invention makes it possible to redirect the forces of abdominal pressure, during abdominal effort, thanks to the posterior placement of this rigid, flat and narrow counter-support, placed in front of the coccyx, not covering the entire perineal surface and remaining away from the urinary orifice. It will allow the occlusive plication of the functional zone of the urethra.
Suivant une caractéristique, la ceinture a un renforcement postérieur portant le point de fixation arrière.According to one characteristic, the belt has a rear reinforcement carrying the rear attachment point.
Suivant une autre caractéristique, la ceinture est combinée à une culotte et notamment le coussin rigide est intégré dans la partie intermédiaire de la culotte reliant la partie avant et la partie arrière.According to another characteristic, the belt is combined with panties and in particular the rigid cushion is integrated into the intermediate part of the panties connecting the front part and the rear part.
La culotte a une partie arrière renforcée au niveau de la ceinture portant le point de fixation arrière et une partie arrière rigide reliée au renforcement de la partie interfessiaire de la culotte.The breeches have a reinforced rear part at the level of the waistband carrying the rear attachment point and a rigid rear part connected to the reinforcement of the intergluteal part of the breeches.
Suivant une autre caractéristique avantageuse, la culotte a une partie avant munie d’une double paroi formant un canal de passage pour chacune des lanières avant pour rejoindre les deux points de fixation réglables sur le côté antérieur.According to another advantageous characteristic, the pants have a front part provided with a double wall forming a passage channel for each of the front straps to join the two adjustable attachment points on the front side.
De façon avantageuse, les points de fixation réglables antérieurs sont constitués chacun par un double anneau surmontant l’orifice de sortie de la lanière correspondante. Cette réalisation permet une fixation réglable facile et simple à mettre en œuvre.Advantageously, the anterior adjustable attachment points each consist of a double ring overcoming the exit orifice of the corresponding strap. This realization allows an adjustable fixing easy and simple to implement.
De façon avantageuse, le point de fixation réglable arrière comprend une boucle de passage fixée au renforcement postérieur et la lanière comporte une extrémité dentée d’enclipsage permettant d’accrocher la lanière à l’une des dents de la boucle pour réaliser un réglage fixe.Advantageously, the rear adjustable attachment point comprises a passage loop fixed to the rear reinforcement and the strap has a toothed clipping end allowing the strap to be hooked to one of the teeth of the buckle to achieve a fixed adjustment.
Ce réglage une fois effectué reste maintenu alors que le réglage au niveau des points de fixation avant reste réglable et peut être resserré ou desserré à tout moment en fonction de nécessité ou de la sensation de confort.This adjustment once made remains maintained while the adjustment at the level of the front fixing points remains adjustable and can be tightened or loosened at any time according to need or the feeling of comfort.
De façon particulièrement avantageuse, le coussin rigide est intégré dans la région inférieure postérieure de la partie intermédiaire de la culotte, l’avant du coussin étant muni des deux lanières passant dans les deux canaux de la double paroi avant pour rejoindre les deux points de fixation avant.In a particularly advantageous manner, the rigid cushion is integrated into the lower rear region of the intermediate part of the pants, the front of the cushion being provided with two straps passing through the two channels of the double front wall to join the two attachment points Before.
Ce mode de réalisation est particulièrement avantageux car pratique et confortable.This embodiment is particularly advantageous because it is practical and comfortable.
Les dimensions moyennes du coussin rigide sont de l’ordre de : longueur de 5 cm à 11 cm et largeur de 2 centimètres.The average dimensions of the rigid cushion are of the order of: length of 5 cm to 11 cm and width of 2 centimeters.
Une enveloppe souple formée par une protection biocompatible entoure la partie rigide, constituée par la plaquetteA flexible envelope formed by a biocompatible protection surrounds the rigid part, consisting of the wafer
La plaquette rigide porte un dispositif ou un anneau à chacune de ses extrémités permettant de le relier à la lanière postérieure et aux deux lanières antérieures. Ces lanières sont reliées à une ceinture simple ou combinée/intégrée à une culotte.The rigid plate carries a device or a ring at each of its ends allowing it to be connected to the rear strap and to the two front straps. These straps are connected to a simple belt or combined/integrated with panties.
La ceinture ou la culotte comportent un insert ou un matériau rigide dans leur partie arrière.The belt or the pants have an insert or a rigid material in their rear part.
En résumé, la ceinture formant un bandeau ou la culotte se placent sans douleur au-dessus du relief fessier au niveau des ailes iliaques. Le bandeau ou la culotte sont renforcés dans leur tiers postérieur par un insert qui permet au bandeau ou à la ceinture de la culotte de ne pas fléchir à la tension.In summary, the belt forming a headband or the panties are placed without pain above the buttock relief at the level of the iliac wings. The bandeau or panties are reinforced in their posterior third by an insert which allows the bandeau or the waistband of the panties not to bend under tension.
Ce moyen permet d’obtenir un maintien confortable à l’ensemble.This means provides a comfortable fit to the whole.
BREVE PRESENTATION DES DESSINSBRIEF PRESENTATION OF DRAWINGS
La présente invention sera décrite de manière détaillée à l’aide de mode de réalisation de dispositifs de soutien selon l’invention représentés dans les dessins annexés dans lesquels:The present invention will be described in detail using embodiments of support devices according to the invention shown in the accompanying drawings in which:
DESCRIPTION DE MODES DE REALISATIONDESCRIPTION OF EMBODIMENTS
La vue de dessus schématique de la
La plaquette rigide a une longueur de l’ordre de 5 à 11cm et une largeur de l’ordre de 2cm. L’enveloppe souple 12 qui habille la plaquette rigide est une enveloppe libre ou une enveloppe fixée ou intégrée à la plaquette 11.The rigid plate has a length of the order of 5 to 11cm and a width of the order of 2cm. The flexible envelope 12 which covers the rigid wafer is a free envelope or an envelope fixed or integrated into the wafer 11.
Selon un mode de réalisation, le coussin 1 est réalisé par bi-injection en deux matières plastiques, une matière relativement rigide formant la plaquette 11 et une matière souple biocompatible formant l’enveloppe 12.According to one embodiment, the cushion 1 is made by bi-injection in two plastic materials, a relatively rigid material forming the pad 11 and a flexible biocompatible material forming the envelope 12.
Le dispositif de soutien directionnel externe 100 selon l’invention se compose du coussin 1 tel que représenté à la
La ceinture 4 est une ceinture large, élastique, munie le cas échéant d’une fermeture 41 permettant de régler la ceinture. A l’avant la ceinture 4 est munie de deux points de fixation 42a, 42b et à l’arrière d’un point de fixation arrière 43 fixé à un renfort arrière 44.The belt 4 is a wide, elastic belt, provided where appropriate with a closure 41 allowing the belt to be adjusted. At the front the belt 4 is provided with two fixing points 42a, 42b and at the back with a rear fixing point 43 fixed to a rear reinforcement 44.
La
La
La ceinture 4 se place sans douleur au-dessus du relief fessier au niveau des ailes iliaque. Le bandeau formé par la ceinture 4 est renforcé dans son tiers postérieur par un renfort 44 qui permet à la ceinture de ne pas fléchir à la tension pour un maintien confortable de l’ensemble du dispositif de soutien 100.The belt 4 is placed without pain above the gluteal relief at the level of the iliac wings. The headband formed by the belt 4 is reinforced in its posterior third by a reinforcement 44 which allows the belt not to bend under tension for a comfortable hold of the entire support device 100.
Le schéma anatomique de la
La
La
La ceinture comporte deux orifices 421 de passage des lanières antérieures 2 à droite et à gauche et au niveau de ces orifices, deux anneaux couplés 422, 423 permettant le passage en S de la lanière antérieure 2 à travers le premier anneau 422 puis autour du second anneau 423 de façon que les deux boucles de la lanière 2 soient bloquées entre les deux anneaux 422, 423 par la traction de la lanière 2 reliée à l’extrémité avant du coussin 1.The belt has two openings 421 for the passage of the front straps 2 on the right and on the left and at the level of these holes, two coupled rings 422, 423 allowing the passage in S of the front strap 2 through the first ring 422 then around the second ring 423 so that the two loops of the strap 2 are locked between the two rings 422, 423 by pulling the strap 2 connected to the front end of the cushion 1.
La
Le point de fixation arrière 43 extérieur à la ceinture 4 n’est pas visible à la
Les figures 6A, 6B, 6C montrent un autre mode de réalisation d’une culotte 6 intégrant le coussin 1 dans la culotte et formant ainsi par combinaison, le dispositif de soutien directionnel externe 100 selon l’invention.Figures 6A, 6B, 6C show another embodiment of a panty 6 integrating the cushion 1 into the panty and thus forming by combination, the external directional support device 100 according to the invention.
La
La
Les deux lanières antérieures 2 passent dans la double paroi avant de la culotte dans deux canaux 611 débouchant sous ou au niveau de la ceinture 4, près des deux anneaux 42a,b. Les lanières antérieures 2 non représentées à la
La
La
De façon plus détaillée, l’effort abdominal entraîne un glissement des organes entre eux (Flèche rouge). Les organes sont élastiques et retenus entre eux par le tissu conjonctif souple (forces de frottement). Ces mouvements retenus par les ligaments (pubo urétraux), provoquent la plicature des tissus les uns sur les autres, à la manière de la plicature du tuyau d’arrosage du jardinier. Cette plicature arrête l’écoulement, on l’appelle zone fonctionnelle de l’urètre.In more detail, the abdominal effort causes the organs to slip between them (Red arrow). The organs are elastic and held together by soft connective tissue (friction forces). These movements retained by the ligaments (pubo urethral), cause the tissues to kink on each other, like the kinking of the gardener's garden hose. This kink stops the flow, it is called the functional zone of the urethra.
En cas de relâchement des tissus conjonctifs, ou arrachement des ligaments pubo urétraux, rien ne retient plus le tissu entre eux, et la plicature se fait mal (incontinence des urines par hypermobilité urétro-vesicale).In the event of relaxation of the connective tissues, or tearing of the pubo-urethral ligaments, nothing retains the tissue between them any longer, and the plication is done badly (incontinence of urine by urethro-vesical hypermobility).
L’invention permet de réorienter les forces afin que cette plicature puisse se réaliser, (
Elle consiste en une plaque rigide et étroite.It consists of a rigid and narrow plate.
Cette plaque est ajustable contre la partie dure du petit bassin (le coccyx) en arrière.This plate is adjustable against the hard part of the small pelvis (the coccyx) behind.
Sa position sur l’axe de rotation postérieur est réglable pour réorienter plus ou moins haut les vecteurs des forces réfléchies.Its position on the posterior axis of rotation is adjustable to reorient the vectors of the reflected forces more or less high.
Sa longueur ne dépasse pas les deux tiers postérieurs du périnée, afin de conserver la mobilité indépendante du tiers antérieur. Sa largeur ne dépasse pas la fente vaginale entre les petites lèvres, afin de conserver la mobilité indépendante des parties latérales du périnée.Its length does not exceed the two posterior thirds of the perineum, in order to preserve the independent mobility of the anterior third. Its width does not exceed the vaginal gap between the labia minora, in order to maintain the independent mobility of the lateral parts of the perineum.
Cette plaque rigide courte et étroite, ajustable et réglable agit afin de réorienter la direction des frottements dus à l’écoulement quasi statique des pressions abdominales. Une plicature peut se reproduire, et la zone fonctionnelle et l’urètre (appelée aussi sphincter) peut devenir active.This short, narrow, adjustable and adjustable rigid plate acts to redirect the direction of friction due to the quasi-static flow of abdominal pressures. A kink may reoccur, and the functional area and urethra (also called sphincter) may become active.
NOMENCLATURE DES ELEMENTS PRINCIPAUXNOMENCLATURE OF THE MAIN ELEMENTS
100 Dispositif de soutien directionnel externe100 External Directional Support Device
1 Coussin1 Cushion
11 Plaquette rigide11 Rigid pad
12 Enveloppe12 Envelope
13 Attache avant13 Front attachment
14 Attache arrière14 Rear attachment
2 Lanières antérieures2 front straps
3 Lanière postérieure3 Posterior strap
31 Extrémité de la lanière postérieure31 End of posterior strap
4 Ceinture4 Belt
41 Fermeture41 Closing
42a,b Point de fixation avant/double anneau42a,b Front fixing point/double ring
421 Orifice421 Orifice
422, 423 Anneaux couplés422, 423 Coupled Rings
43 Point de fixation arrière, anneau43 Rear fixing point, ring
44 Renfort44 Reinforcement
45 Prolongement de renfort arrière45 Rear reinforcement extension
441 Ouverture441 Opening
5 Culotte combinée à un dispositif de maintien5 Panties combined with a support device
6 Culotte intégrant le dispositif de maintien6 Panties incorporating the support device
Claims (9)
caractérisé en ce qu’il comprend
- un coussin (1) rectangulaire, rigide, muni d’une lanière postérieure (3) et de deux lanières antérieures (2) et
- une ceinture abdominale (4) munie d’un point de fixation arrière (43) et de deux points de fixation avant (42a,b) recevant de manière réglable respectivement la lanière postérieure (3) et les deux lanières antérieures (2) pour tenir le coussin rigide (1) contre la zone postérieure et inférieure du périnée en partant du coccyx.Device for external directional support (100) of the female urethra to abdominal effort,
characterized in that it comprises
- a cushion (1) rectangular, rigid, provided with a rear strap (3) and two front straps (2) and
- an abdominal belt (4) provided with a rear attachment point (43) and two front attachment points (42a,b) receiving in an adjustable manner respectively the rear strap (3) and the two front straps (2) for hold the rigid cushion (1) against the posterior and lower area of the perineum starting from the coccyx.
caractérisé en ce que
la ceinture (4) a un renfort postérieur (4) portant le point de fixation arrière (43).Directional support device (100) according to claim 1,
characterized in that
the belt (4) has a rear reinforcement (4) carrying the rear attachment point (43).
caractérisé en ce que
la ceinture (4) est combinée à une culotte (6).Directional support device (100) according to claim 1,
characterized in that
the belt (4) is combined with panties (6).
caractérisé en ce que
le coussin (1) rigide est intégré dans la partie intermédiaire (62) de la culotte (6) reliant la partie avant (61) et la partie arrière (63).Directional support device (100) according to claim 3,
characterized in that
the rigid cushion (1) is integrated into the intermediate part (62) of the pants (6) connecting the front part (61) and the rear part (63).
caractérisé en ce que
la culotte (6) a une partie arrière (63) renforcée au niveau de la ceinture (4) portant le point de fixation arrière (43) et le fond de culotte présente une partie arrière rigide reliée au renforcement de la liaison interfessiaire de la culotte.Directional support device (100) according to claim 4,
characterized in that
the pants (6) have a rear part (63) reinforced at the level of the waistband (4) carrying the rear attachment point (43) and the bottom of the pants has a rigid rear part connected to the reinforcement of the intergluteal connection of the pants .
caractérisé en ce que
la culotte (6) a une partie avant (61) munie d’une double paroi formant un canal de passage pour chacune des lanières antérieures pour rejoindre côté extérieur les deux points de fixation réglables.Directional support device (100) according to claim 4,
characterized in that
the pants (6) have a front part (61) provided with a double wall forming a passage channel for each of the front straps to join the two adjustable attachment points on the outside.
caractérisé en ce que
les points de fixation réglables extérieurs (42a,b) avant sont constitués chacun par deux anneaux couplés (422, 423) surmontant l’orifice de sortie (421) de la lanière antérieure (2) correspondant.Directional support device according to claims 1 and 6,
characterized in that
the external adjustable fixing points (42a, b) before each consist of two coupled rings (422, 423) surmounting the outlet orifice (421) of the corresponding front strap (2).
caractérisé en ce que
le point de fixation arrière (43) réglable comprend une boucle de passage fixée au renforcement postérieur (44) et la lanière (3) comporte une extrémité (31) dentée d’enclipsage permettant d’accrocher la lanière (3) par l’une de ses dents à la boucle pour fixer le réglage.Directional support device according to claim 2,
characterized in that
the adjustable rear attachment point (43) comprises a passage loop attached to the rear reinforcement (44) and the strap (3) has a toothed clipping end (31) allowing the strap (3) to be hooked by one from its teeth to the buckle to secure the setting.
caractérisé en ce que
le coussin (1) rigide est intégré dans la région inférieure postérieure de la partie intermédiaire (62) de la culotte (6), l’avant du coussin (1) étant muni de deux lanières antérieures (2) passant dans les deux canaux de la double paroi avant pour rejoindre les deux points de fixation avant (42a,b).Directional support device according to claims 4 to 6,
characterized in that
the rigid cushion (1) is integrated into the lower rear region of the intermediate part (62) of the pants (6), the front of the cushion (1) being provided with two front straps (2) passing through the two channels of the double front wall to join the two front attachment points (42a,b).
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP21150257.0A EP3851086A1 (en) | 2020-01-17 | 2021-01-05 | Device for external support of the female urethra under force |
US17/143,295 US20210220106A1 (en) | 2020-01-17 | 2021-01-07 | Device for the external support of the female urethra under stress |
FR2106711A FR3124375A1 (en) | 2020-11-17 | 2021-06-23 | Device for external support of the female urethra during effort |
EP21185382.5A EP4000577A1 (en) | 2020-11-17 | 2021-07-13 | Device for external support of the female urethra under force |
US17/574,886 US20220202550A1 (en) | 2020-01-17 | 2022-01-13 | Device for the external support of the female urethra under stress |
Applications Claiming Priority (2)
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FR2000430 | 2020-01-17 | ||
FR2000430A FR3106275A1 (en) | 2020-01-17 | 2020-01-17 | Device for external support of the female urethra during exertion |
Publications (1)
Publication Number | Publication Date |
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FR3106274A1 true FR3106274A1 (en) | 2021-07-23 |
Family
ID=70228218
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FR2000430A Pending FR3106275A1 (en) | 2020-01-17 | 2020-01-17 | Device for external support of the female urethra during exertion |
FR2011794A Pending FR3106274A1 (en) | 2020-01-17 | 2020-11-17 | Device for external support of the female urethra during exertion |
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FR2000430A Pending FR3106275A1 (en) | 2020-01-17 | 2020-01-17 | Device for external support of the female urethra during exertion |
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Cited By (2)
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FR3131699A1 (en) * | 2022-01-10 | 2023-07-14 | Eurl Cornier | Postnatal gluteal orthosis |
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FR3131686A1 (en) * | 2022-01-10 | 2023-07-14 | Eurl Cornier | Postnatal gluteal orthosis |
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