U.S. patent number 3,626,949 [Application Number 04/793,369] was granted by the patent office on 1971-12-14 for cervical dilator.
Invention is credited to Wallace B. Shute.
United States Patent |
3,626,949 |
Shute |
December 14, 1971 |
CERVICAL DILATOR
Abstract
A cervical dilator comprising a fluidtight bag formed from a
flexible material and insertable in a collapsed state into the
cervical canal, inlet means in said bag for periodically
introducing fluid under pressure to alternately inflate said bag
whereby the wall of said bag radially expands to directly contact
the walls of said canal and to deflate said bag so as to cause
dilatation of the cervix and simulate effects of labor contraction,
a portion of the wall of said bag intermediate the ends thereof
being adapted to be more resistant to radial expansion whereby to
form on inflation of said bag a constricted waist portion which
accommodates the edges of the cervix.
Inventors: |
Shute; Wallace B. (Ottawa,
Ontario, CA) |
Family
ID: |
25159762 |
Appl.
No.: |
04/793,369 |
Filed: |
January 23, 1969 |
Current U.S.
Class: |
606/193; 606/121;
606/119 |
Current CPC
Class: |
A61M
29/02 (20130101) |
Current International
Class: |
A61M
29/00 (20060101); A61m 029/00 (); A61b
017/42 () |
Field of
Search: |
;128/344,349B,361
;206/DIG.30 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Pace; Channing L.
Claims
I claim:
1. A cervical dilator comprising a flattenable, closed end, tubular
fluidtight bag formed from a flexible plastic material and
insertable in a collapsed state into the cervical canal, inlet and
outlet means in said bag for allowing intermittent introduction of
fluid under pressure to alternately inflate said bag such that the
peripheral tubular sidewall of said bag radially expands to
directly contact the walls of said canal and deflate said bag so as
to cause dilatation of the cervix and simulate effects of labor
contraction, a portion of the peripheral wall of said bag
intermediate the ends thereof including relatively inextensible
reinforcing means which extend circumferentially of the peripheral
wall in radially restraining engagement therewith so as to cause
said portion of said peripheral wall to be more resistant to radial
expansion than the remainder of said peripheral wall whereby to
form on inflation of said bag a constricted waist portion having
substantially the same girth when said bag is inflated as when said
bag is in said collapsed state and which locates and retains the
edges of the cervix when said bag is inflated, the ends of said bag
defining substantially the extremities of said dilator and being
reinforced by being folded transversely and sealed to limit axial
expansion of said bag during inflation.
2. The cervical dilator of claim 1 wherein the bag peripheral wall
is formed from polyvinyl chloride and the relatively inextensible
reinforcing means is a continuous textile thread imbedded in said
portion of the peripheral wall.
Description
The present invention relates to a cervical dilator which is
adapted to be inserted into the cervical canal and to cause upon
inflation and deflation thereof dilation of the cervix so as to
simulate the effect of labor contractions and thus hasten the
processes of nature.
During labor, the cervix uteri dilates equally in all directions
from a diameter of 0 to 10 centimeters under the pressure of
intermittent uterine contractions transmitted through the
presenting part (head, breech and/or forebag of water). This
dilation permits passage of the baby from the uterine cavity
through the pelvis to delivery. Nature however does not produce
such labor pains in any regular or standard pattern, since the
anatomical and physiological characteristics of all women vary,
thus labor can be remarkedly efficient and short or with
noneffective contractions extremely protracted. The present
invention provides a simple and relatively inexpensive device which
will reproduce the effects of labor pains more efficiently and
accurately regulating the dilation of the cervix from 0 to 10
centimeters with safety thus hastening the first stage of
labor.
In my Canadian application No. 958,955 I have disclosed and claimed
such a cervical dilator which comprises a fluidtight container
formed from a flexible material and insertable in a collapsed state
into the cervical canal, inlet means in said container for
intermittently introducing fluid under pressure to alternately
inflate said container such that a peripheral radial wall of said
container expands radially to directly contact the walls of said
canal and deflate said bag so as to cause dilatation of the cervix
and simulate the effects of labor contractions, the ends of the
container being adapted to limit axial expansion of said container
during inflation. In particular, in my copending Canadian
application the ends of the container are adapted to substantially
prevent axial expansion of the container on inflation thereof,
essentially all the expansion of the container during the
dilatation being in a radial direction as axial expansion of the
container causes expansion of the container into the uterus of the
pregnant women, thereby hindering to a substantial extent the
delivery of the baby which is undesirable.
Further, the container has a waist portion intermediate the ends
thereof and particularly equidistant from the ends thereof which
waist portion is of reduced radial dimension for the location of
the edges of a cervical os. This allows for the proper positioning
of the cervical dilator in the cervical canal when used in
simulating the effects of labor contraction.
It has now been found according to the present invention that by
adapting the waist portion intermediate the ends of the container
or bag so as to be more resistant to radial expansion than the
remainder of the walls of the bag, on inflation of the bag the
waist portion is constricted and thus at all times accommodates the
edges of the cervical os and prevents the bag when under inflation
from moving axially into or out of the uterus which is undesirable
and thus allows only radial expansion and contraction of the walls
of the bag to take place.
According to the present invention therefore there is provided a
cervical dilator comprising a fluidtight bag formed from a flexible
material and insertable in a collapsed state into the cervical
canal, inlet means in said bag for periodically introducing fluid
under pressure to alternately inflate said bag whereby the wall of
said bag radially expands to directly contact the walls of said
canal and deflate said bag so as to cause dilatation of the cervix
and simulate effects of labor contraction, a portion of the wall of
said bag intermediate the ends thereof being adapted to be more
resistant to radial expansion thereby to form on inflation of said
bag a constricted waist portion which accommodates the edges of the
cervix.
The bag which is suitable made of a relatively heavy gauge plastic
material such as polyvinyl chloride suitably has embedded in the
waist portion a relatively inextensible fiber such as cotton fiber
which provides the necessary resistance to expansion of the waist
portion which waist portion is suitably equidistant from the ends
of the bag and thus on inflation of the bag the waist portion is
constricted to accommodate the edges of the cervix.
As with the cervical dilator of my Canadian application No. 958,955
the ends of the bag are adapted to restrict axial expansion of the
bag during inflation and desirably the ends of the bag allow
substantially no axial expansion of the bag on inflation
thereof.
Inflation and deflation of the bag may suitably be effected by
periodically discharging fluid under pressure from a pressure means
into said bag through the inlet means, the pressure means being
suitably a hydraulic pressure means, the fluid being suitably
water. Thus the present invention also provides in combination with
the aforesaid cervical dilator of the present invention means for
periodically discharging fluid under pressure into said bag through
said inlet means to effect inflation or deflation thereof.
The present invention will be further illustrated by way of the
accompanying drawings in which
FIG. 1 is a perspective view of a deflated cervical dilator
according to a preferred embodiment of the present invention,
and
FIG. 2 is a similar view of the cervical dilator of FIG. 1 in the
inflated state.
Referring to the accompanying drawings, the cervical dilator
comprises a bag 1 formed from a flexible plastic material such as
polyvinyl chloride sealed along the top and bottom edges thereof so
that there is no appreciable axial expansion of the bag on
inflation thereof and having an inlet 2 for the periodic
introduction of water under pressure into the bag 1 to effect
radial inflation and deflation thereof. The bag 1 has a waist
portion 3 which has a continuous thread 4 embedded therein which
restricts radial expansion of the waist portion 3 on inflation of
the bag 1 (see FIG. 2) thus providing accommodation for the edges
of the cervix during expansion of the bag 1 and as such avoiding
the tendency of the bag 1 to move axially with respect to the
cervix during inflation thereof.
* * * * *