U.S. patent number 3,628,530 [Application Number 04/809,834] was granted by the patent office on 1971-12-21 for intrauterine device for contraception.
Invention is credited to Jerome Schwartz.
United States Patent |
3,628,530 |
Schwartz |
December 21, 1971 |
INTRAUTERINE DEVICE FOR CONTRACEPTION
Abstract
An intrauterine device (I.U.D.) for contraception is provided
which is comprised of a plurality of rodlike members made of a
soft, inert plastic. One end of each of the rodlike members is
joined at a common junction to define, in an expanded condition, an
upwardly diverging cone having an envelope that is oval shaped in
transverse cross section. The rodlike members may be of equal or
unequal lengths and may have irregularly spaced nodules formed
thereon. A heat soluble gelation cap may be used to hold the
rodlike members in a collapsed condition prior to insertion of the
I.U.D.
Inventors: |
Schwartz; Jerome (Hewlett
Harbor, NY) |
Family
ID: |
25202322 |
Appl.
No.: |
04/809,834 |
Filed: |
March 24, 1969 |
Current U.S.
Class: |
128/839 |
Current CPC
Class: |
A61F
6/142 (20130101) |
Current International
Class: |
A61F
6/00 (20060101); A61F 6/14 (20060101); A61f
005/46 () |
Field of
Search: |
;128/128,129,130,131 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
|
|
|
|
|
|
|
6,708,364 |
|
Jan 1968 |
|
NL |
|
981,389 |
|
Jan 1965 |
|
GB |
|
Primary Examiner: Truluck; Dalton L.
Claims
I claim:
1. An intrauterine device for contraception comprising a plurality
of flexible rodlike members, juncture means securing said rodlike
members at one end thereof to each other at a common joint, each
member terminating in an enlarged portion at the free end thereof,
said rodlike members further having included thereon a plurality of
nodules formed integrally along the said rodlike members, said
nodules being irregularly spaced relative to said juncture means,
and said device being substantially conical in elevation and oval
shaped in transverse cross section.
2. The device in accordance with claim 1 wherein said rodlike
members are substantially straight.
3. The device in accordance with claim 1 wherein at least the
portion of said rodlike members adjacent said juncture means is
convex.
4. The device in accordance with claim 1 wherein said rodlike
members are of equal length.
5. The device in accordance with claim 1 wherein said rodlike
members are of unequal length.
6. The device in accordance with claim 1 wherein there is further
included means for detecting the presence of said device subsequent
to the insertion thereof.
7. The device in accordance with claim 6 wherein said detecting
means comprises a metal insert.
8. The device in accordance with claim 1 wherein said detecting
means comprises a ferrous metal insert.
9. The device in accordance with claim 6 wherein said detecting
means comprises a radio opaque substance.
10. The device in accordance with claim 9 wherein said radio opaque
substance is barium chloride.
11. The device in accordance with claim 1 wherein there is further
included a nontoxic, soluble retaining member positioned about the
end of said rodlike members opposite said juncture means to thereby
maintain said rodlike members in a collapsed condition prior to
insertion thereof.
12. The device in accordance with claim 11 wherein said retaining
member is a heat soluble gelation cap.
13. The device in accordance with claim 1 wherein at least said
rodlike members are fabricated from a nontoxic, soft plastic
material.
14. The device in accordance with claim 13 wherein said material is
ethylene-vinyl acetate copolymer.
15. The device in accordance with claim 13 wherein said material is
polyethylene.
16. The device of claim 1 including a presence-detecting means.
17. The device of claim 16 wherein said presence-detecting means is
a flexible filament extending from said juncture means.
18. The device of claim 16 wherein said presence-detecting means is
a radiant energy opaque material.
Description
The present invention relates generally to I.U.D.'s and more
particularly to an improved I.U.D. that, in transverse cross
section defines a shallow oval.
BACKGROUND OF THE INVENTION
I.U.D.'s used for the purpose of contraception are old in art,
having been popularized by the development of Dr. Ernst
Grafenberg's silver ring. Since that time, almost forty years ago,
there have been many improvements in both the configuration and the
material of the device as well as in the efficiency and the public
acceptance of the device. The configuration of the I.U.D.'s most
frequently used today may be categorized generally as coils, loops,
rings and bows, the best known examples being those devices
developed by Margulies, Lippes, Ota and Birnberg, respectively.
Still another, structurally different form of I.U.D. is described
in U.S. Pat. No. 3,353,533 granted on Nov. 21, 1967 to Atsumi
Ishihama. The materials most frequently used today in I.U.D.'s are
semirigid, inert, medium density plastics such as polyethylene,
polypropylene, polytetrafluoroethylene, polyvinyls, silicones etc.
Frequently, a radio opaque compound such as barium sulfate is
combined with the plastic to permit subsequent radiologic
detection. Alternatively, a ferrous metal insert has been used to
facilitate magnetic detection or detection by means of electronic
apparatus.
While I.U.D.'s are presently considered to be one of the better
forms of contraception, the manner in which they function is not
fully understood. It has been suggested that I.U.D.'s increase the
functional activity of the endometerium but it is not believed that
I.U.D.'s prevent ovulation. Nor is it believed that the I.U.D.
interferes with fertilization. The I.U.D. does, however, prevent
implantation of the ovum in the uterine wall due, it is suspected
to a simulated foreign body reaction. In any event, I.U.D.'s are
statistically very effective and are widely accepted.
It has long been recognized that even though I.U.D.'s are safe,
reliable and efficient, there are still several very important
structural aspects that can be improved. For example, the I.U.D.
must be capable of insertion using a thin-walled cannula and a push
rod without the need for dilation of the cervix. Or, if dilation of
the cervix is required, then it should be kept to an absolute
minumum. The I.U.D. must also be readily removable and yet must be
capable of resisting expulsion caused by the involuntary uterine
contractions exhibited by the fundus muscle. These are, of course,
diametrically opposite conditions, but which must nevertheless be
met for the I.U.D. to be effective.
Another functionally important aspect of I.U.D. design is the
ultimate effectiveness for contraception. In this regard there is a
body of opinion to the effect that the degree of protection is
dependent upon the size of the I.U.D. This may very well mean that
the greater area of the uterine wall that is contacted by the
I.U.D., the less likelihood there will be of an unwanted pregnancy.
There are, of course, practical size limitations and it is
absolutely essential that the device is not made too large. If the
I.U.D. is not properly sized and shaped, there is the danger that
it will embed itself in the endometrial tissue or will perforate
the uterus.
The prior art patents that are the closest to the present invention
will now be discussed in limited detail. The closest is the
aforementioned Ishihama patent wherein there is disclosed a
plurality of elongated members secured to each other at a common
joint. When inserted, the I.U.D. due to its inherent elasticity,
opens up to form a single plane sector. The free end of each of the
two outboard elongated members is located adjacent one of the
uterine horns leading to the fallopian tubes. The free end of each
of the remaining elongated members is positioned in opposition to
the fundus muscle. Ishihama recognized the need to cover as much as
the uterine cavity as possible but since his device is disposed
solely in a single plane then only one wall in the frontal plane of
the uterus will be contacted. The drawing of Ishihama shows, and he
claims, contact of only two elongated members with the anterior
wall and not the posterior wall as well.
Other patents, for example, U.S. Pat. No. 3,077,879 issued on Feb.
19, 1963 to M. H. Knoch, U.S. Pat. No. 3,312,214 issued on Apr. 4,
1967 to C. L. Burdick and U.S. Pat. No. 3,306,286 issued on Feb.
28, 1967 to M. A. Ahmed all disclose generally triangular
configurations but it is apparent that only a single plane of usage
is contemplated, as in the Ishihama patent. Accordingly, even
though these patentees recognized the need for a device that will
maximize contact with the uterine wall, which will be readily
insertable and removable and which will resist involuntary
expulsion, they have failed to provide the optimum configuration,
namely a device that will contact both the anterior wall as well as
the posterior wall of the uterus.
The Margulies coil, the Lippes loop, the Ota ring and the Birnberg
bow all exhibit the same single plane construction that is both
structurally and functionally different from the present invention.
The same may be said for H. H. Hall ring U.S. Pat. No. 3,323,520)
and the construction shown by G. Mazlin in U.S. Pat. No.
3,397,690.
SUMMARY OF THE INVENTION
In its most basic form the present invention is characterized by a
plurality of soft plastic, rodlike members that are connected to
each other at a common joint. When inserted the device of this
invention assumes a conical shape which, in transverse cross
section, defines a shallow oval that permits both the anterior and
posterior walls of the uterus to be contacted. One of the several
embodiments disclosed herein teaches the use of unequal lengths for
the rodlike members while another embodiment teaches the use of
irregularly spaced nodules formed integrally with the rodlike
members. It is also contemplated that the scope of the present
invention includes a heat soluble gelation cap used to hold the
rodlike members in a collapsed condition prior to insertion as well
as detection means, for example, a compound such as barium sulfate
or barium chloride or a ferrous metal integral with the
plastic.
Accordingly, it is the primary object of the present invention to
provide an improved I.U.D. for contraception.
Another important object of this invention is to provide an
improved I.U.D. which, when inserted, assumes a conical shape.
Still another important object of this invention is to provide an
improved I.U.D. which, when inserted, assumes an oval shape in
transverse cross section.
Yet another important object of this invention is to provide an
improved I.U.D., as described above, that is comprised of a
plurality of rodlike members secured to each other at a common
joint.
It is a particular object of this invention to provide an improved
I.U.D., as described above, wherein the rodlike members are of
unequal length.
An additional object of this invention is to provide an improved
I.U.D., as described above, wherein the rodlike members include a
plurality of irregularly spaced modules.
A further object of this invention is to provide an improved
I.U.D., as described above, including a heat soluble gelatin cap
arranged to hold the rodlike members in a collapsed condition prior
to the insertion thereof into the uterus by means of a thin-walled
cannula and a push rod.
Still another object of this invention is to provide an improved
I.U.D., as described above, including means for detecting the
presence thereof after it is inserted into the uterus.
It is a feature of this invention that the improved I.U.D.
disclosed herein will, after it is inserted, have portions
contacting both the anterior and posterior walls of the uterine
cavity.
An advantage of the present invention is that the improved I.U.D.
will resist involuntary contractions of the muscles adjacent the
uterus and yet will still readily be removable.
These and other features, objects and advantages of the invention
will, in part, be pointed out with particularity and will, in part,
become obvious from the following, more detailed description of the
invention taken in conjunction with the accompanying drawing, which
forms an integral part thereof.
BRIEF DESCRIPTION OF THE DRAWING
In the various figures of the drawing, like reference characters
designate like parts.
In the drawing:
FIG. 1 is a diagrammatic, sectional view in the frontal plane
illustrating a human uterus and cervix with one embodiment of the
present invention properly placed therein:
FIG. 2 is a diagrammatic side elevational view in section showing
the embodiment of FIG. 1 together with a human uterus and
cervix;
FIG. 3 is an enlarged elevational view of the embodiment of FIG.
1;
FIG. 4 is a sectional plan view taken along line 4--4 of FIG.
3;
FIG. 5 is an enlarged elevational view of an alternative embodiment
of this invention;
FIG. 6 is an enlarged elevational view of another alternative
embodiment of this invention;
FIG. 7 is a developed plan view of the embodiment shown in FIG.
6.
FIG. 8 is a developed plan view of still another embodiment of this
invention; and
FIG. 9 is an elevational view of one of the embodiments of this
invention shown prior to insertion.
Referring now to the drawings, FIGS. 1-4 will be used to describe
and illustrate the present invention in its most basic form. A
human uterus U, a cervix C and a vagina V are shown in dot and dash
outline with the improved I.U.D. 20 properly placed. The I.U.D. 20
is comprised of a plurality of rodlike members 22 secured to each
other at one end to define a common junction 24. FIG. 1 illustrates
that the free ends of the outboard rodlike members 22 are
positioned proximate the uterine horns H that lead to the fallopian
tubes F while the free ends of the remaining, rodlike members are
positioned in opposition to the fundus muscle M. In FIGS. 2 and 4
it will be seen that several of the rodlike members 22 are in
contact with the anterior wall A of the uterus U, while several of
the rodlike members are in contact with the posterior wall P of the
uterus U. FIG. 3 illustrates the generally conical shape of the
I.U.D. 20.
Nylon strings 29 attached to the junction 24 extend from the cervix
and can be manually detected to verify the presence of the I.U.D.
The device of the present invention can include other means for
detecting the presence of the I.U.D. after insertion. The detection
means may take the form of a radio opaque compound such as barium
sulfate or barium chloride, for example, which lends itself to
subsequent radiologic detection or, like the barium compound, a
metal may be formed integrally with the I.U.D. so that its presence
can be verified after insertion by suitable electronic
apparatus.
The single plane prior art devices are generally fabricated from a
semirigid polyethylene material which can perforate the tissues of
the uterus. On the other hand, one of the advantages of the
configuration of this invention is that soft plastic, such as
ethylene-vinyl acetate copolymers, may be employed. Such materials
approach rubber in softness and flexibility and are unlikely to
damage surrounding tissues.
Where cost is an important factor, polyethylene may be used as the
plastic. The thin configuration of the arms make it flexible even
when polyethylene is employed, minimizing the danger of
perforation.
The second embodiment shown in FIG. 5 is functionally similar to
the first embodiment just described. That is, I.U.D. 30 is
comprised of a plurality of rodlike members 32 that are secured to
each other at a common junction 34. The second embodiment 30 is
also substantially conical in elevation and is oval shaped in
transverse cross section. However, in the I.U.D. 30 of the second
embodiment, the rodlike members 32 are gently curved so that at
least the lower portion of the cone that is adjacent joint 34 is
convex. This construction permits contact over a greater area of
the uterus and, in accordance with one widely held theory, will
more effectively inhibit conception. It is also less likely to be
expelled.
Turning now to FIGS. 6 and 7, there is shown a construction that
may be used with either of the first two embodiments of the
invention just described. I.U.D. 40 is substantially cone shaped in
elevation and oval shaped in transverse cross section. A plurality
of rodlike members 42 are provided and are secured to each other at
a common junction 44. In addition, the rodlike members 42 are each
provided with a plurality of nodules 46 formed integrally thereon.
The nodules 46 serve to make positive contact with the anterior and
posterior walls A and P respectively, of the uterus U. Preferably,
the nodules are irregularly spaced with respect to the juncture 44,
as shown in the developed plan view of FIG. 7. This arrangement
provides greater compactness of the device 40 in the collapsed
condition. That is, the nodules 46 will tend to nest between each
other when the I.U.D. 40 is being inserted thereby minimizing the
need for dilation of the cervix C.
FIG. 8 illustrates still another construction of the present
invention that may be used in combination with any of the
previously described embodiments. An I.U.D. 50 is provided and is
comprised of a plurality of rodlike members 52a-52f that are
secured to each other at a common joint 54. In this embodiment, the
rodlike members 52a-52f are of unequal length as is clearly shown
in the developed plan view of FIG. 8. This construction also
provides greater compactness in the collapsed condition so that the
need for dilation of the cervix C is minimized.
Means for inserting the I.U.D. of this invention is shown in FIG. 9
and for purposes of illustration only the I.U.D. 20 is shown. A
thin-walled cannula 60 and a push rod 62 of conventional design are
employed in the usual manner that is well known to the medical
profession and need not be described in greater detail. A nontoxic,
heat soluble gelation cap 64 is formed about the free ends of the
rodlike members 22. Within a short time after insertion, the
gelation cap 64 will dissolve permitting the I.U.D. 20 to assume
its expanded or oval shape. Until that time the gelation cap 64
holds the rodlike members 22 in a relatively tight and compact
bundle thus permitting usage of the thin-walled cannula 60 and the
push rod 62. In place of a cap, the bundle could be dipped into
liquid gelatin, while clamped in a closed position, removed, until
gelation occurs, to bond the rodlike members together. The
resulting gelatin mass will melt in the body cavity.
All of the embodiments described hereinabove have, as a common
factor, a conical shape that defines an oval in transverse cross
section. The conical shape is made up of a plurality of soft
plastic rodlike members that may be of equal or unequal length and,
as desired, the rodlike members may be either straight or at least
a portion thereof may be curved convexly in the frontal plane.
Irregularly spaced nodules may also be provided on the rodlike
members of any of the embodiments and means integral with the
I.U.D. may be included to facilitate subsequent verification of the
placement of the I.U.D. Preferably, a gelation cap that is nontoxic
and heat soluble is used to hold the rodlike members in a collapsed
condition prior to insertion of the device in the uterus.
It is preferred to have enlarged tip portions 70 to minimize the
likelihood that the end of the rod member may perforate the uterus
wall.
There has been disclosed heretofore the best embodiment of the
invention presently contemplated. However, it is to be understood
that various changes and modifications may be made by those skilled
in the art without departing from the spirit of the invention.
* * * * *