Surgery – Truss – Pad
Patent
1982-07-16
1985-08-27
Kamm, William E.
Surgery
Truss
Pad
A61N 136
Patent
active
045371954
DESCRIPTION:
BRIEF SUMMARY
TECHNICAL FIELD
This invention concerns the control of certain body functions by electricl stimulation.
In a first application of the present invention, it concerns control of the anus and/or bladder.
In a second application of the present invention, it controls migraine and stress headaches.
In a third aspect, the present invention is used by persons who have had a colostomy or ileostomy operation, so that drainage or discharge from their digestive systems takes place through an opening in the abdominal wall, termed a stoma. In this application of the present invention, it controls discharge from the opening or stoma.
In each case, the control that is provided by the present invention is by means of low frequency electrical stimulation of nerves which govern the action being controlled.
BACKGROUND ART
Consider first the problem of incontinence. Incontinence and other disorders of the anus and bladder functions are major medical problems, particularly in geriatric medicine.
Where incontinence is tolerated, considerable time is spent by nursing staff in regular, almost continuous, changing of a patient's clothes and bedding. However, incontinence is not generally acceptable by a sufferer or the family of a sufferer, and various techniques have been developed to provide some control of incontinence.
Some of these control techniques involve "mechanical" control apparatus. One example of "mechanical" control is the use, with males, of continuous catheterization, with a bag for collection. This has been used for some time, but is an unpleasant solution and is disliked by patients. Another "mechanical" control device, developed for control of urinary incontinence in women by L. E. Edwards (and described in an article in the British Medical Journal, July 1970 issue, at page 104) is a triangular device having a steel wire projection which is curved and is provided with a corrugated plastic pad. The steel wire fits into the vagina and he corrugated pad exerts gentle pressure on the urethra to prevent discharge of urine. This device has not yet received wide acceptance.
Electrical control of the bladder and anus has also been attempted previously. This electrical control has developed in two major ways. One of these is the implantation of electrodes into the flesh of a patient, while the other is the use of rectal tampons which are fitted with electrodes.
The first insertion of electrodes into the pelvic floor by surgery, followed by the application of electrical voltages to the electrodes, is usually attributed to K. P. S. Caldwell, who reported his work in various papers that were published in the early and mid-1960's. More recent reference to this technique is found in the papers by treatment of Resistant Urinary Incontinence", which was published in the British Medical Journal, in the 6th March 1971 issue, at pages 543-545; and Incontinence-treatment with electrical stimulation of the pelvic floor", which was published in Urology, Volume V, January, 1975, at pages 67 to 72. that is necessary. Both papers refer also to the use of rectal tampons fitted with electrodes, which have been referred to in other publications as "transrectal tampons" and "intra-anal plugs".
The rectal tampon with fitted electrodes was first developed by B. R. Hopkinson and R. Lightwood, and described in their papers published in The Lancet (5th February 1966 issue, pages 297 to 298) and in the British Journal of Surgery (Volume 54, 1967, pages 802 to 805). The successful use of this form of control of incontinence has also been reported by E. S. Glen (in his paper entitled "Effective and safe control of incontinence by the intra-anal plug electrode", which was published in the British Journal of Surgery, Volume 38, 1971, pages 249-252. Recently the anal plug or rectal tampon aid has become available commercially in the U.S.A. (on prescription), being marketed by Mentor Corporation, Minneapolis, under the trade mark "Continaid".
It is interesting to note that notwithstanding the acclaim given to the rectal tampon or anal plug control t
REFERENCES:
patent: 3543761 (1970-12-01), Bradley
patent: 3640284 (1972-02-01), DeLangis
patent: 3800800 (1974-04-01), Garbe et al.
patent: 3870051 (1975-03-01), Brindley
patent: 3902502 (1975-09-01), Liss et al.
patent: 3933147 (1976-01-01), DuVall et al.
patent: 3941136 (1976-03-01), Bucalo
patent: 3943938 (1976-03-01), Wexler et al.
patent: 3983881 (1976-10-01), Wickham
patent: 4106511 (1978-08-01), Erlandsson
patent: 4147171 (1979-04-01), Greene et al.
patent: 4153059 (1979-05-01), Fravel et al.
patent: 4155366 (1979-05-01), DiMucci
patent: 4227516 (1948-10-01), Meland et al.
patent: 4235241 (1980-11-01), Tabuchi et al.
patent: 4249537 (1981-02-01), Lee et al.
patent: 4324253 (1982-04-01), Greene et al.
patent: 4334525 (1982-06-01), Kastrubin
A. Winter, "The Use of Transcutaneous Electrical Stimulation (TNS) in the Treatment of Multiple Sclerosis", J. Neurosurgical _Nursing, vol. 8, No. 2, pp. 125-131.
G. D. Schuster, "The Use of TENS for Peripheral Neurovascular Diseases", J. Neurological & Orthopaedic Surgery, Jul. 1980, pp. 219-221.
L. E. Edwards, "Device for Control of Incontinence of Urine in Women", British Medical Journal, Jul. 1970.
D. C. Merrill et al., "Urinary Incontinence", Urology, Jan. 1975, vol. V, No. 1, pp. 67-72.
B. R. Hopkinson et al., "Electrical Treatment of Incontinence", Brit. J. Surg., 1967, vol. 54, No. 9, pp. 802-805.
E. S. Glen, "Effective and Safe Control of Incontinence by the Intra-Anal Plug Electrode, Brit. J. Surg., 1971, vol. 58, No. 4, pp. 249-252.
L. Edwards et al., "Investigation and Treatment of Resistant Urinary Incontinence", British Medical Journal, Mar. 1971, pp. 543-545.
B. R. Hopkinson et al., "Electrical Treatment of Anal Incontinence", The Lancet, Feb. 1966, pp. 297-298.
CONTiNAiD Brochure, Mentor Corporation, Minneapolis, Minnesota.
Kamm William E.
Shein Mitchell J.
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