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WO1996010965A1 - Novel device for relieving bladder incontinence - Google Patents

Novel device for relieving bladder incontinence Download PDF

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Publication number
WO1996010965A1
WO1996010965A1 PCT/FR1995/001293 FR9501293W WO9610965A1 WO 1996010965 A1 WO1996010965 A1 WO 1996010965A1 FR 9501293 W FR9501293 W FR 9501293W WO 9610965 A1 WO9610965 A1 WO 9610965A1
Authority
WO
WIPO (PCT)
Prior art keywords
series
shells
flanges
orifices
ribs
Prior art date
Application number
PCT/FR1995/001293
Other languages
French (fr)
Inventor
David Gamrasni
Original Assignee
Oscar International
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 Oscar International filed Critical Oscar International
Priority to AU36562/95A priority Critical patent/AU3656295A/en
Priority to JP8512379A priority patent/JPH09510646A/en
Priority to EP95934169A priority patent/EP0737048A1/en
Publication of WO1996010965A1 publication Critical patent/WO1996010965A1/en

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Classifications

    • 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
    • A61F13/00—Bandages or dressings; Absorbent pads
    • A61F13/15—Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
    • A61F13/20—Tampons, e.g. catamenial tampons; Accessories therefor
    • A61F13/2051—Tampons, e.g. catamenial tampons; Accessories therefor characterised by the material or the structure of the inner absorbing core
    • 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
    • A61F2/0031—Closure 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
    • A61F2/005—Closure 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

Definitions

  • the present invention relates to a new device intended to remedy mild urinary incontinence.
  • the present invention relates more precisely to a device intended to eliminate or limit the drawbacks linked to what is called stress incontinence and which more particularly affects young and active women.
  • This incontinence is essentially characterized by a leakage of urine in a jet which occurs during a sudden effort accompanied by an abdominal overpressure; this can be caused by coughing, laughing, sneezing or even a sudden change in position. This is a real handicap which progressively worsens and manifests itself frequently in active or sporting life (running, brisk walking, tennis, golf ).
  • the ureterovesical junction thus finds outside the enclosure of the pressures of the abdomen and the tightness of the bladder can no longer always be guaranteed.
  • the object of the invention is to remedy this drawback by proposing an alternative to the above-mentioned treatment, in particular to women who do not wish to undergo a surgical intervention or whose discomfort is insufficient to justify such an intervention.
  • the invention provides a device for remedying mild urinary incontinence in women, intended to be introduced into the vaginal cavity and maintained under the bladder so as to support the latter as well as the urethra through the vaginal wall. anterior and to oppose the ptosis of the bladder neck.
  • this document defines the removable body as consisting of a biocompatible plastic material.
  • HDPE high density polyethylene
  • fluorinated resins have already been the subject of numerous biomedical applications (bone, vascular prostheses and catheters) and have always made it possible to meet the requirements specific to this particular field.
  • the object of the invention is, in fact, to make available to the public a device intended to be introduced into the vaginal cavity and to be maintained under the bladder, easy to put in place and easy to remove, characterized in that '' it is made up of two symmetrical male and female half-shells which fit into each other by a series of flanges, to form an ovoid body pierced with orifices in the central part and having, at the lower part, a set of ribs facilitating gripping .
  • the two half-shells (l ') and (1 ") are joined by a common insertion point (6) placed on the inner rim and around which the two half-shells can turn to open or nest by a series of male and female tabs arranged symmetrically with respect to the vertical axis.
  • the device in a preferred embodiment of the device according to the invention, shown in Figure 2, has at the middle part, a succession of vertical ribs (2) (2 ') (2 ") intended to facilitate holding the device in place.
  • Figure 2 also shows the two half-shells (V) and (1 ") open around the point of articulation (6) and having assembly tabs (4) (4 ' ) (4 ") and (5) (5 ') and (5") arranged symmetrically at the rate of two at the top, one of a more elongated shape in the central part and two at the bottom of the device.
  • the male tabs (5) (5 * ) (5 ) are inserted into the female tabs thus ensuring the closure of the device.
  • the female tabs (4) (4 ') (4 ") have the shape of a gutter in which the male tab is inserted by coming to bear on the inner rim of said gutter.
  • Figure 1 shows a particular embodiment of the device according to the invention.
  • the device (1) has, at the top, a slight opening (9) and at the bottom, a wider opening (10).
  • the device is shown seen from the front, closed, with three vertical ribs in the center and three horizontal ribs in the lower part.
  • the vertical ribs (2) (2 ') (2 ") can be replaced by a multiplicity of small circular orifices (8) of variable diameter, arranged in horizontal rows over all the periphery of the median part of the device. These rows of orifices can be more or less significant. It has appeared that two to six rows of orifices represent the optimum number to ensure a regular and easy flow of local secretions. orifices of the same diameter are advantageously arranged along straight lines oblique to the horizontal plane of the device according to the invention.
  • an internal periodic protection article (7) not shown, in defibrated paper pulp (fluff) or in compressed cellulose wadding, is previously placed inside the cavity of the device.
  • the device closed by vertical ribs (2) (2 ') and (2 ") and horizontal ribs (3) or that providing a multitude of small circular orifices (8), arranged in horizontal rows around the entire periphery of the middle part of the device.
  • small circular holes deposited in horizontal rows are placed around the entire periphery of the upper part of the device and allow the flow of blood in the cavity.
  • the device according to the invention is made of inert material, non-allergenic and capable of being formed by molding.
  • high density polyethylene, polypropylene or polyamides are the materials of choice.
  • the dimensions of the device are calculated so as to fit as closely as possible to the dimensions of the vaginal cavity. Depending on the conformation, the total length of the device can vary from 40 to 50 mm and the diameter of the device from 25 to 35 mm.
  • the device according to the invention can easily be inserted. Its extraction can be done using a flexible wire disposed at the base of said device in a permanent manner and which allows or which facilitates its traction. When the device includes an internal periodic protection article, its extraction is done by this same wire.
  • the device according to the invention can be put on the market, packed in a case and this case can conveniently be used to throw the device away after use.
  • the device according to the invention can also be formed of two halves which fit into a horizontal plane, one of the halves having a collar with a diameter very slightly smaller than that of the other half so as to ensure a perfect fitting.

Landscapes

  • Health & Medical Sciences (AREA)
  • Urology & Nephrology (AREA)
  • Public Health (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Transplantation (AREA)
  • Epidemiology (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Prostheses (AREA)

Abstract

Novel device in the field of hygiene and health for relieving mild bladder incontinence in females. The device, which is inserted into the vaginal cavity, consists of two half-shells hinged about a common location and engaging through a series of cooperating male and female joining edges. The device comprises a series of vertical ribs or openings, whereby secretions are discharged, and a series of horizontal ribs, facilitating gripping. The device of the invention is suitable for the physiological treatment of effort-related incontinence.

Description

NOUVEAU DISPOSITIF DESTINE A REMEDIER AUX INCONTINENCES URINAIRES LEGERES NEW DEVICE FOR THE REMEDY OF LIGHT URINARY INCONTINENCES
La présente invention se rapporte à un nouveau dispositif destiné à remédier aux incontinences urinaires légères.The present invention relates to a new device intended to remedy mild urinary incontinence.
La présente invention se rapporte plus précisément à un dispositif destiné à supprimer ou à limiter les inconvénients liés à ce que l'on appelle l'incontinence d'effort et qui atteint plus particulièrement la femme jeune et active.The present invention relates more precisely to a device intended to eliminate or limit the drawbacks linked to what is called stress incontinence and which more particularly affects young and active women.
On estime que la pathologie des incontinences urinaires touche en FRANCE plus d'un million de sujets du sexe féminin, et nombreuses sont les femmes jeunes et actives qui ont des difficultés à se retenir, suffisamment souvent, d'uriner pour que cela les gêne dans leur vie quotidienne.It is estimated that the pathology of urinary incontinence affects in FRANCE more than a million subjects of the female sex, and many are the young and active women who have difficulties to refrain, often enough, from urinating so that it bothers them in their daily life.
Cette incontinence se caractérise essentiellement par une fuite d'urine en jet qui survient lors d'un effort brusque s'accompagnant d'une hyperpression abdominale; celle-ci peut être provoquée par une toux, un rire, un éternuement ou même un changement brusque de position. Il s'agit là d'un handicap réel qui s'aggrave progressivement et se manifeste fréquemment dans la vie active ou sportive (course, marche rapide, tennis, golf ...).This incontinence is essentially characterized by a leakage of urine in a jet which occurs during a sudden effort accompanied by an abdominal overpressure; this can be caused by coughing, laughing, sneezing or even a sudden change in position. This is a real handicap which progressively worsens and manifests itself frequently in active or sporting life (running, brisk walking, tennis, golf ...).
Parmi les différents mécanismes incriminés dans ces phénomènes, le plus fréquemment rencontré correspond à une ptôse, c'est-à-dire à une descente de la vessie au niveau du col vésical consécutive à un relâchement des muscles du diaphragme pelvien : la jonction urètrovésicale se trouve ainsi hors de l'enceinte des pressions de l'abdomen et l'étanchéité de la vessie ne peut plus toujours être garantie.Among the various mechanisms incriminated in these phenomena, the most frequently encountered corresponds to a ptosis, that is to say a descent of the bladder at the level of the bladder neck following a relaxation of the muscles of the pelvic diaphragm: the ureterovesical junction thus finds outside the enclosure of the pressures of the abdomen and the tightness of the bladder can no longer always be guaranteed.
Outre le port de garnitures jetables, le traitement de ces incontinences d'effort consiste à tenter une rééducation des muscles périnéaux, c'est-à-dire un renforcement du plancher musculaire qui soutient la vessie et ferme l'urètre; une telle rééducation ne donne malheureusement souvent que des résultats décevants.In addition to wearing disposable pads, the treatment of these stress incontinence consists in trying to rehabilitate the perineal muscles, that is to say a strengthening of the muscular floor which supports the bladder and closes the urethra; such re-education unfortunately often only gives disappointing results.
Jusqu'à présent, en cas d'échec de cette rééducation, le seul traitement consistait en une intervention chirurgicale réalisant une suspension de la paroi vaginale antérieure, souvent amarrée aux ligaments rétropubliens. Il s'agit cependant là d'un traitement "lourd" qui pour cette raison est réservé aux cas de gêne majeure. L'objet de l'invention est de remédier à cet inconvénient en proposant une alternative au traitement susmentionné, en particulier aux femmes qui ne souhaitent pas subir une intervention chirurgicale ou dont la gêne est insuffisante pour justifier une telle intervention.Until now, if this rehabilitation failed, the only treatment consisted of a surgical intervention carrying out a suspension of the anterior vaginal wall, often moored to the retropublian ligaments. However, this is a "heavy" treatment which is for this reason reserved for cases of major discomfort. The object of the invention is to remedy this drawback by proposing an alternative to the above-mentioned treatment, in particular to women who do not wish to undergo a surgical intervention or whose discomfort is insufficient to justify such an intervention.
A cet effet, l'invention propose un dispositif pour remédier aux incontinences urinaires légères chez la femme, destiné à être introduit dans la cavité vaginale et maintenu sous la vessie de façon à soutenir cette dernière ainsi que l'urètre au travers de la paroi vaginale antérieure et à s'opposer à la ptôse du col vésical.To this end, the invention provides a device for remedying mild urinary incontinence in women, intended to be introduced into the vaginal cavity and maintained under the bladder so as to support the latter as well as the urethra through the vaginal wall. anterior and to oppose the ptosis of the bladder neck.
La demande de brevet international PCT/FR93/01206 décrit déjà un dispositif constitué par un corps amovible dépourvu d'angles vifs réalisé en un matériau non- adhérent, inerte du point de vue chimique et biologique et non susceptible de créer de problèmes de tolérance locale ou d'allergie générale.The international patent application PCT / FR93 / 01206 already describes a device constituted by a removable body devoid of sharp angles made of a non-adherent material, inert from the chemical and biological point of view and not likely to create problems of local tolerance or general allergy.
C'est pourquoi, conformément à une caractéristique préférentielle de l'invention, ce document définit le corps amovible comme constitué d'un matériau plastique biocompatible.This is why, in accordance with a preferred characteristic of the invention, this document defines the removable body as consisting of a biocompatible plastic material.
A titre d'exemple, non limitatif, on a cité avantageusementBy way of non-limiting example, advantageously cited
- le polyéthylène haut densité (PEHD)- high density polyethylene (HDPE)
- le polypropylène (PP) - le polychlorure de vinyle (PVC) et ses dérivés- polypropylene (PP) - polyvinyl chloride (PVC) and its derivatives
- les polyamides (PA)- polyamides (PA)
- le polyuréthanne (PUR)- polyurethane (PUR)
- les silicones (Si)- silicones (Si)
- les résines fluorées dont le polytétrafluoréthylène (PTFE)- fluorinated resins including polytetrafluoroethylene (PTFE)
Il est à noter, que les résines fluorées ont déjà fait l'objet de nombreuses applications biomédicales (prothèses osseuses, vasculaires et cathéters) et ont toujours permis de satisfaire aux exigences propres à ce domaine particulier.It should be noted that fluorinated resins have already been the subject of numerous biomedical applications (bone, vascular prostheses and catheters) and have always made it possible to meet the requirements specific to this particular field.
On a constaté que l'emploi d'un polytétrafluoroéthylène pour la réalisation du dispositif défini dans la demande de brevet international PCT/FR93/01206 créait un problème industriel difficile à résoudre. Le moulage du polytétrafluoroéthylène est pratiquement impossible à réaliser et, de ce fait, une pièce en un tel matériau ne peut être réalisée que par extrusion et creusement de la pièce à l'emporte-pièce pour former une cavité. Il en résulte que des pièces en polytétrafluoroéthylène de cette conformation ne peuvent pas être fabriquées en série et doivent être usinées à la main ou avec un petit outillage. C'est la raison pour laquelle il est apparu souhaitable de pouvoir disposer d'un dispositif de traitement de l'incontinence d'effort qui présente des caractéristiques similaires mais qui puisse être fabriqué d'une manière simple et aisément industrialisable à partir d'un matériau biocompatible et totalement inerte.It was found that the use of a polytetrafluoroethylene for the production of the device defined in the international patent application PCT / FR93 / 01206 created an industrial problem difficult to solve. The molding of polytetrafluoroethylene is practically impossible to carry out and, therefore, a part in such a material does not can be produced only by extruding and digging the piece with the cookie cutter to form a cavity. As a result, polytetrafluoroethylene parts of this conformation cannot be mass produced and must be machined by hand or with a small tool. This is the reason why it appeared desirable to be able to have a device for treating stress incontinence which has similar characteristics but which can be manufactured in a simple and easily industrializable manner from a biocompatible and completely inert material.
L'objet de l'invention est, en effet, de mettre à la disposition du public un dispositif destiné à être introduit dans la cavité vaginale et être maintenu sous la vessie, facile à mettre en place et aisé à retirer, caractérisé en ce qu'il est formé de deux demi- coquilles symétriques mâles et femelles venant s'emboîter par une série de rebords, pour former un corps ovoïde percé d'orifices à la partie centrale et présentant à la partie inférieure, un ensemble de nervures facilitant la préhension.The object of the invention is, in fact, to make available to the public a device intended to be introduced into the vaginal cavity and to be maintained under the bladder, easy to put in place and easy to remove, characterized in that '' it is made up of two symmetrical male and female half-shells which fit into each other by a series of flanges, to form an ovoid body pierced with orifices in the central part and having, at the lower part, a set of ribs facilitating gripping .
Les deux demi-coquilles ( l') et (1") sont réunies par un point d'insertion commun (6) placé sur le rebord intérieur et autour duquel les deux demi-coquilles peuvent tourner pour venir s'ouvrir ou s'emboîter par une série d'onglets mâles et femelles disposés symétriquement par rapport à l'axe vertical.The two half-shells (l ') and (1 ") are joined by a common insertion point (6) placed on the inner rim and around which the two half-shells can turn to open or nest by a series of male and female tabs arranged symmetrically with respect to the vertical axis.
Dans un mode d'exécution préféré du dispositif selon l'invention, figuré à la figure 2, le dispositif, de forme ovoïde, présente à la partie médiane, une succession de nervures (2) (2') (2") verticales destinées à faciliter le maintien en place du dispositif. La figure 2 montre également les deux demi-coquilles (V) et (1") ouvertes autour du point d'articulation (6) et présentant des onglets d'assemblage (4) (4') (4") et (5) (5') et (5") disposés symétriquement à raison de deux au sommet, un de forme plus allongée dans la partie centrale et de deux à la partie inférieure du dispositif. Par pression sur les deux demi-coquilles, les onglets mâles (5) (5*) (5") viennent s'insérer dans les onglets femelles assurant ainsi la fermeture du dispositif. Les onglets femelles (4) (4') (4") présentent la forme d'une gouttière dans laquelle l'onglet mâle s'insère en venant s'appuyer sur le rebord intérieur de ladite gouttière.In a preferred embodiment of the device according to the invention, shown in Figure 2, the device, ovoid in shape, has at the middle part, a succession of vertical ribs (2) (2 ') (2 ") intended to facilitate holding the device in place. Figure 2 also shows the two half-shells (V) and (1 ") open around the point of articulation (6) and having assembly tabs (4) (4 ' ) (4 ") and (5) (5 ') and (5") arranged symmetrically at the rate of two at the top, one of a more elongated shape in the central part and two at the bottom of the device. By pressing on the two half-shells, the male tabs (5) (5 * ) (5 ") are inserted into the female tabs thus ensuring the closure of the device. The female tabs (4) (4 ') (4 ") have the shape of a gutter in which the male tab is inserted by coming to bear on the inner rim of said gutter.
La figure 1 montre un mode d'exécution particulier du dispositif selon l'invention. On y a figuré les onglets d'assemblage vus en coupe et disposés symétriquement tout autour du corps ovoïde. Le dispositif (1) présente, à la partie supérieure, un léger orifice (9) et à la partie inférieure, un orifice plus large (10).Figure 1 shows a particular embodiment of the device according to the invention. We figured the assembly tabs seen in section and arranged symmetrically around the ovoid body. The device (1) has, at the top, a slight opening (9) and at the bottom, a wider opening (10).
Le dispositif est montré vu de face, refermé, avec trois nervures verticales au centre et trois nervures horizontales à la partie inférieure.The device is shown seen from the front, closed, with three vertical ribs in the center and three horizontal ribs in the lower part.
Dans un autre mode d'exécution représenté à la figure 2, les nervures verticales (2) (2') (2") peuvent être remplacées par une multiplicité de petites orifices circulaires (8) de diamètre variable, disposés en rangées horizontales sur tout le pourtour de la partie médiane du dispositif. Ces rangées d'orifices peuvent être en nombre plus ou moins important. Il est apparu que deux à six rangées d'orifices représentent le nombre optimum pour assurer un écoulement régulier et facile des sécrétions locales. Les orifices de même diamètre sont disposés avantageusement selon des droites obliques par rapport au plan horizontal du dispositif selon l'invention.In another embodiment shown in Figure 2, the vertical ribs (2) (2 ') (2 ") can be replaced by a multiplicity of small circular orifices (8) of variable diameter, arranged in horizontal rows over all the periphery of the median part of the device. These rows of orifices can be more or less significant. It has appeared that two to six rows of orifices represent the optimum number to ensure a regular and easy flow of local secretions. orifices of the same diameter are advantageously arranged along straight lines oblique to the horizontal plane of the device according to the invention.
Dans un mode d'exécution particulier, un article de protection périodique interne (7) non figuré, en pâte à papier défibrée (fluff) ou en ouate de cellulose comprimée, est préalablement placé à l'intérieur de la cavité du dispositif.In a particular embodiment, an internal periodic protection article (7), not shown, in defibrated paper pulp (fluff) or in compressed cellulose wadding, is previously placed inside the cavity of the device.
Dans ce mode particulier d'exécution, on pourra utiliser le dispositif refermé par des nervures verticales (2) (2') et (2") et des nervures horizontales (3) ou celui prévoyant une multitude de petits orifices circulaires (8), disposés en rangées horizontales sur tout le pourtour de la partie médiane du dispositif.In this particular embodiment, it is possible to use the device closed by vertical ribs (2) (2 ') and (2 ") and horizontal ribs (3) or that providing a multitude of small circular orifices (8), arranged in horizontal rows around the entire periphery of the middle part of the device.
Dans l'un ou l'autre de ces dispositifs, de petits orifices circulaires déposés en rangées horizontales sont placés sur tout le pourtour de la partie supérieure du dispositif et permettent l'écoulement du sang dans la cavité.In either of these devices, small circular holes deposited in horizontal rows are placed around the entire periphery of the upper part of the device and allow the flow of blood in the cavity.
Le dispositif selon l'invention est réalisé en matériau inerte, non allergisant et susceptible d'être formé par moulage.The device according to the invention is made of inert material, non-allergenic and capable of being formed by molding.
A cet égard, le polyéthylène haute densité, le polypropylène ou les polyamides sont des matériaux de choix.In this regard, high density polyethylene, polypropylene or polyamides are the materials of choice.
Les dimensions du dispositif sont calculées de manière à s'ajuster le plus étroitement possible aux dimensions de la cavité vaginale. En fonction de la conformation, la longueur total du dispositif pourra varier de 40 à 50 mm et le diamètre du dispositif de 25 à 35 mm. L'insertion du dispositif selon l'invention se fait aisément. Son extraction peut se faire en utilisant un fil souple disposé à la base dudit dispositif d'une manière permanente et qui permet ou qui facilite sa traction. Lorsque le dispositif comporte un article de protection périodique interne, son extraction se fait par ce même fil.The dimensions of the device are calculated so as to fit as closely as possible to the dimensions of the vaginal cavity. Depending on the conformation, the total length of the device can vary from 40 to 50 mm and the diameter of the device from 25 to 35 mm. The device according to the invention can easily be inserted. Its extraction can be done using a flexible wire disposed at the base of said device in a permanent manner and which allows or which facilitates its traction. When the device includes an internal periodic protection article, its extraction is done by this same wire.
Avantageusement, le dispositif selon l'invention, pourra être mis dans le commerce, emballé dans un étui et cet étui pourra servir commodément à jeter le dispositif après usage.Advantageously, the device according to the invention can be put on the market, packed in a case and this case can conveniently be used to throw the device away after use.
L'invention a été décrite dans ses grandes lignes avec référence aux dessins. Il est compréhensible qu'il sera possible de modifier l'exécution ou la présentation du dispositif sans sortir du cadre de l'invention.The invention has been described in broad outline with reference to the drawings. It is understandable that it will be possible to modify the execution or the presentation of the device without departing from the scope of the invention.
Dans un mode d'exécution supplémentaire, il peut être avantageux de prévoir en plus, un point de soudure qui ferme la coquille.In an additional embodiment, it may be advantageous to provide, in addition, a welding point which closes the shell.
Le dispositif selon l'invention peut être également formé de deux moitiés qui viennent s'emboîter dans un plan horizontal, l'une des moitiés présentant une collerette d'un diamètre très légèrement inférieur à celui de l'autre moitié de manière à assurer un emboîtage parfait. The device according to the invention can also be formed of two halves which fit into a horizontal plane, one of the halves having a collar with a diameter very slightly smaller than that of the other half so as to ensure a perfect fitting.

Claims

REVENDICATIONS
1. Dispositif destiné à remédier aux incontinences urinaires légères, simple et aisément industrialisable, caractérisé en ce qu'il est formé de deux demi- coquilles symétriques mâle et femelle, venant s'emboîter par une série de rebords pour former un corps ovoïde percé d'orifices à la partie supérieure et inférieure, et présentant à la partie inférieure un ensemble de nervures facilitant la préhension.1. Device intended to remedy light urinary incontinence, simple and easily industrializable, characterized in that it is formed by two symmetrical male and female half-shells, coming to fit together by a series of edges to form an ovoid body pierced with orifices at the upper and lower part, and presenting at the lower part a set of ribs facilitating the gripping.
2. Dispositif selon la revendication 1° caractérisé en ce que les deux demi-coquilles (V) et (1 ") s'articulent autour d'un point d'insertion commun (6) placé sur le rebord intérieur autour duquel les deux demi-coquilles peuvent tourner pour venir s'ouvrir ou au contraire, s'emboîter.2. Device according to claim 1 ° characterized in that the two half-shells (V) and (1 ") are articulated around a common insertion point (6) placed on the inner rim around which the two half -shells can turn to open or, conversely, fit together.
3. Dispositif selon la revendication 1 ° ou la revendication 2° dans lequel les deux demi-coquilles (1 ) et (1 ") viennent s'emboîter par une série de rebords disposés le long du pourtour cfechacune des demi-coquilles.3. Device according to claim 1 ° or claim 2 ° wherein the two half-shells (1) and (1 ") are fitted by a series of flanges arranged along the periphery of each of the half-shells.
4. Dispositif selon l'une des revendications 1 à 3e dans lequel les rebords sont disposés symétriquement par rapport à l'axe vertical de chaque demi-coquille.4. Device according to one of claims 1 to 3 e wherein the flanges are arranged symmetrically with respect to the vertical axis of each half-shell.
5. Dispositif selon l'une des revendications 1 à 4° dans lequel les rebords de l'une des demi-coquilles sont des rebords femelles en forme de gouttière.5. Device according to one of claims 1 to 4 ° wherein the edges of one of the half-shells are female edges in the form of a gutter.
6. Dispositif selon l'une des revendications 1 à 4° dans lequel les rebords de l'autre demi-coquille sont des rebords mâles venant s'insérer dans le rebord femelle symétrique.6. Device according to one of claims 1 to 4 ° wherein the flanges of the other half-shell are male flanges coming to be inserted into the symmetrical female flange.
7. Dispositif selon l'une des revendications 1 à 6e dans lequel la partie médiane du dispositif présente une série de nervures verticales symétriques (2) (2') (2").7. Device according to one of claims 1 to 6 e wherein the middle part of the device has a series of symmetrical vertical ribs (2) (2 ') (2 ").
8. Dispositif selon l'une des revendications 1 à 6° dans lequel la partie médiane du dispositif présente des séries d'orifices de diamètre variable (8) disposées en rangées horizontales.8. Device according to one of claims 1 to 6 ° wherein the middle part of the device has series of orifices of variable diameter (8) arranged in horizontal rows.
9. Dispositif selon l'une des revendications 7 et 8° dans lequel la partie supérieure du dispositif présente des séries d'orifices de diamètre variable disposées en rangées horizontale. 9. Device according to one of claims 7 and 8 ° wherein the upper part of the device has series of orifices of variable diameter arranged in horizontal rows.
10. Dispositif selon l'une des revendications 1 à 6° dans lequel la partie inférieure porte une série de nervures (3) assurant la préhension.10. Device according to one of claims 1 to 6 ° wherein the lower part carries a series of ribs (3) ensuring gripping.
11. Dispositif selon l'une des revendications 1 à 9° dans lequel on a disposé un fil souple facilitant l'extraction dudit dispositif.11. Device according to one of claims 1 to 9 ° wherein there is disposed a flexible wire facilitating the extraction of said device.
12. Dispositif selon l'une quelconque des revendications 1 à 11° dans lequel on introduit au préalable, un article de protection périodique interne (7) en fluff ou en ouate de cellulose comprimée. 12. Device according to any one of claims 1 to 11 ° in which is introduced beforehand, an internal periodic protection article (7) in fluff or compressed cellulose wadding.
PCT/FR1995/001293 1994-10-05 1995-10-05 Novel device for relieving bladder incontinence WO1996010965A1 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
AU36562/95A AU3656295A (en) 1994-10-05 1995-10-05 Novel device for relieving bladder incontinence
JP8512379A JPH09510646A (en) 1994-10-05 1995-10-05 A novel device for treating mild urinary incontinence
EP95934169A EP0737048A1 (en) 1994-10-05 1995-10-05 Novel device for relieving bladder incontinence

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR94/11912 1994-10-05
FR9411912A FR2725360A1 (en) 1994-10-05 1994-10-05 NEW DEVICE FOR THE REMEDY OF LIGHT URINARY INCONTINENCES

Publications (1)

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WO1996010965A1 true WO1996010965A1 (en) 1996-04-18

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PCT/FR1995/001293 WO1996010965A1 (en) 1994-10-05 1995-10-05 Novel device for relieving bladder incontinence

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EP (1) EP0737048A1 (en)
JP (1) JPH09510646A (en)
AU (1) AU3656295A (en)
FR (1) FR2725360A1 (en)
WO (1) WO1996010965A1 (en)

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US6558370B2 (en) 2001-06-05 2003-05-06 Kimberly-Clark Worldwide, Inc. Urinary incontinence device
US20120259165A1 (en) * 2011-04-11 2012-10-11 Nancy Karapasha Lobed pessary device
US8926493B2 (en) 2011-04-11 2015-01-06 The Procter & Gamble Company Pessary device
US9050183B2 (en) 2006-07-10 2015-06-09 First Quality Hygienic, Inc. Resilient device
US9078726B2 (en) 2011-04-11 2015-07-14 The Procter & Gamble Company Pessary device with longitudinal flexibility
US9173768B2 (en) 2006-07-10 2015-11-03 First Quality Hygienic, Inc. Resilient device
US10201411B2 (en) 2015-06-29 2019-02-12 The Procter & Gamble Company Pessary with applicator

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US20020120243A1 (en) * 2000-12-22 2002-08-29 Robert Kraemer Intravaginal device for feminine hygiene
GB2435215B (en) * 2006-02-17 2011-08-03 Gaynor Morgan Vaginal device
US8047980B2 (en) 2006-07-10 2011-11-01 Mcneil-Ppc, Inc. Method of treating urinary incontinence
US10004584B2 (en) 2006-07-10 2018-06-26 First Quality Hygienic, Inc. Resilient intravaginal device
US10219884B2 (en) 2006-07-10 2019-03-05 First Quality Hygienic, Inc. Resilient device
US20120259167A1 (en) * 2011-04-11 2012-10-11 Nancy Karapasha Single use pessary devices

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US6558370B2 (en) 2001-06-05 2003-05-06 Kimberly-Clark Worldwide, Inc. Urinary incontinence device
US9050183B2 (en) 2006-07-10 2015-06-09 First Quality Hygienic, Inc. Resilient device
US9173768B2 (en) 2006-07-10 2015-11-03 First Quality Hygienic, Inc. Resilient device
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US20120259162A1 (en) * 2011-04-11 2012-10-11 Nancy Karapasha Pessary device with improved pressure profile
US8926493B2 (en) 2011-04-11 2015-01-06 The Procter & Gamble Company Pessary device
US9078726B2 (en) 2011-04-11 2015-07-14 The Procter & Gamble Company Pessary device with longitudinal flexibility
US9393090B2 (en) 2011-04-11 2016-07-19 The Procter & Gamble Company Pessary device with longitudinal flexibility
US10201411B2 (en) 2015-06-29 2019-02-12 The Procter & Gamble Company Pessary with applicator
US10925705B2 (en) 2015-06-29 2021-02-23 The Procter & Gamble Company Pessary with applicator

Also Published As

Publication number Publication date
AU3656295A (en) 1996-05-02
EP0737048A1 (en) 1996-10-16
FR2725360A1 (en) 1996-04-12
JPH09510646A (en) 1997-10-28

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