U.S. patent number 3,683,904 [Application Number 05/077,895] was granted by the patent office on 1972-08-15 for pessaries.
Invention is credited to Howard B. Forster.
United States Patent |
3,683,904 |
Forster |
August 15, 1972 |
PESSARIES
Abstract
A pessary intended for insertion in the vaginal passage of a
human female is formed with a resiliently flexible forward end wall
which effectively closes the vaginal passage anteriorly of the
cervix uteri so as to restrict movement of spermatozoa thereto. A
projection is formed on the forward surface of the forward end wall
of the pessary for disposition in the posterior fornix of the
vaginal passage and abutment with the cervix uteri to stabilize the
pessary against angular displacement during coitus. The forward
projection is usefully formed with an internal compartment for
containing a spermicidal fluid material and a passage communicating
with that compartment opens, when the pessary is correctly
positioned in the vaginal passage, in general apposition to the
cervix uteri. In such a construction, the forward end wall of the
pessary partially defines the compartment so that, during coitus,
flexure of the forward end wall causes discharge of the spermicidal
fluid material from the compartment about the cervix uteri, so
further reducing the risk of live sperm reaching the uterus.
Inventors: |
Forster; Howard B. (Toronto,
Ontario, CA) |
Family
ID: |
22140660 |
Appl.
No.: |
05/077,895 |
Filed: |
October 5, 1970 |
Current U.S.
Class: |
128/834; 128/842;
604/57 |
Current CPC
Class: |
A61F
6/08 (20130101) |
Current International
Class: |
A61F
6/08 (20060101); A61F 6/00 (20060101); A61f
005/46 () |
Field of
Search: |
;128/127,294,260,261 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
|
|
|
|
|
|
|
809,694 |
|
Jul 1949 |
|
DT |
|
116,246 |
|
Feb 1930 |
|
DT |
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924,313 |
|
Apr 1963 |
|
GB |
|
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Dunne; G. F.
Claims
What is claimed is:
1. A pessary for insertion into and disposition in a vaginal
passage of a human female and which pessary comprises a
fluid-impermeable cup including a forwardly convex forward end wall
having a forwardly facing forward end surface and terminating
peripherally and rearwardly in a resiliently outwardly urged first
annular lip and a rearwardly and outwardly diverging cuff
terminating rearwardly in a resiliently outwardly urged second
annular lip and integrally formed essentially completely thereabout
with said forward end wall to provide an obliquely disposed inner
surface of said cuff about a generally semi-conical anterior
portion thereof, said second annular lip being spaced apart
rearwardly from said first annular lip and together therewith
defining a generally cylindrical locus and each of said first and
second annular lips being disposed obliquely with respect to the
longitudinal axis of said generally cylindrical locus to extend
rearwardly from its posterior limit to its anterior limit, and a
projection on said forward end wall and extending forwardly
therefrom in a direction generally parallel to said longitudinal
axis and being transversely offset with respect thereto whereby,
when said pessary is correctly disposed in a vaginal passage with
said first and second annular lips thereof in snug engagement with
the interior wall of the vaginal passage, said projection is
disposed in the posterior fornix of the vaginal passage and in
general apposition to the cervix uteri so as to prevent angular
displacement of said pessary during coitus and whereby said
obliquely disposed inner surface of said cuff is operative to
engage the anterior surface of a glans penis in turn to guide the
penis during coitus so that it is disposed generally parallel to
said longitudinal axis of said generally cylindrical locus.
2. A pessary as claimed in claim 1 which additionally comprises a
pressure-actuated fluid-retaining and discharging means disposed
forwardly of said forward end wall of said fluid-impermeable cup
and in which said forward end wall is resiliently flexible and is
operatively associated with said fluid-retaining and discharging
means so that penile thrust against said forward end wall during
coitus causes flexing of said forward end wall and, in turn,
actuation of said fluid-retaining and discharging means to cause
discharge of fluid material thereby.
3. A pessary as claimed in claim 2 in which said projection
includes at least one compartment defined in part by said forward
end wall of said fluid-impermeable cup and constituting said
fluid-retaining and discharging means, said projection including an
opening in fluid communication with the interior of said
compartment for the discharge of fluid material therefrom whereby
said flexing of said forward end wall of said cup by penile thrust
during coitus causes variation in the volume of said compartment
and the discharge of fluid material therefrom.
4. A pessary as claimed in claim 3 which said opening in said
projection is disposed so as to be in general apposition to the
cervix uteri when said pessary is itself correctly positioned in
the vaginal passage of a human female.
5. A pessary as claimed in claim 4 in which said projection
includes a generally cuspate nipple-shaped compartment wall
integral with said forward end wall of said cup.
Description
BACKGROUND OF THE INVENTION
The present invention relates generally to pessaries and more
particularly to a contraceptive pessary intended for insertion into
the vaginal passage of a human female for the purpose of reducing
the risk of the entry of live spermatozoa into the uterus and the
consequent risk of conception.
Mechanical devices having a contraceptive function as presently
available can be classified into the following types: intra-uterine
devices which are intended to be inserted completely into the
uterine cavity; uterine stems and rings which are intended to be
inserted partially into the cervix uteri so as to "plug" the
external os uteri; cervical caps which are fitted externally over
the portio vaginalis; vaginal caps which include fluid-impermeable
diaphragms which cover the cervix uteri and extend from the
posterior fornix of the vaginal passage to a position immediately
behind the symphysis; barrier materials such as foams which are
"packed" in the posterior end of the vaginal passage to prevent the
access to the cervix uteri of spermatozoa; and condoms worn by the
male party to coitus.
With the ever-increasing public and professional apprehension
concerning the safety of the presently available hormone
medications intended for modifying a woman's hormone balance for
the purpose in turn of preventing conception, interest has been
re-aroused in the use of mechanical contraceptive devices.
All the presently available mechanical contraceptive devices fall
short, however, of optimum fulfillment of the practical
requirements for such a device. Some known contraceptive devices
have proved to have a low practical effectiveness for preventing
conception while others cannot be used by women with anatomical
irregularities. For example, vaginal diaphragms are generally
contra-indicated for women having damaged or relaxed pelvic floors
since such a condition prevents the front rim of such a pessary
being seated satisfactorily beneath the symphysis. Additionally,
reports have been made of infection or irritation resulting from
the use of intra-uterine devices and of the presently available
intra-uterine stems and rings. Other disadvantages of some of the
known contraceptive devices are that they are difficult or awkward
to fit and consequently their use is frequently less effective than
is theoretically possible, resulting, for example, from
unsatisfactory fitting or use of such devices by women.
It is accordingly an important object of this invention to provide
a pessary and more particularly a pessary intended for use as a
contraceptive device and which pessary is not only simple in its
construction but is also easily fitted within the vaginal passage
of a human female and easily removed therefrom when so
required.
Another important object of this invention is to provide a
contraceptive pessary which is intended for insertion into the
vaginal passage of a human female without requiring any insertion,
even partial, into the external os uteri, let alone into the uterus
itself, so as to present little danger of uterine infection.
Yet another object of this invention is to provide a contraceptive
pessary which is easily fitted into the vaginal passage of a human
female and which can be used even in the event of the presence of
anatomical variations or irregularities in that vaginal passage or
even in the event of some degree of misplacement of the uterus.
Yet another object of this invention is to provide a contraceptive
pessary which is intended to be disposed within the vaginal passage
of a human female and which is provided with means for preventing
angular displacement of the pessary during coitus.
In accordance with another feature of this invention, it is an
object thereof to provide a contraceptive pessary which not only
provides a barrier to the movement of spermatozoa into the area of
the cervix uteri but which is also adapted to distribute a
spermicidal material about the cervix uteri during coitus with
further reduction in the risk of conception.
Other objects of the invention will become apparent as the
description herein proceeds.
SUMMARY OF THE INVENTION
More broadly, the present invention provides a pessary for
insertion into and disposition in a vaginal passage of a human
female and which pessary comprises a fluid-impermeable cup
including a forwardly facing forward end surface, peripheral
sealing means on that cup for snug engagement with the internal
wall of such a vaginal passage for the purpose of restricting the
movement of spermatozoa forwardly therepast, and a projection
provided on the forwardly facing forward end surface of the cup
integrally therewith and extending forwardly therefrom for
disposition in the posterior fornix of the vaginal passage and into
general apposition to the cervix uteri so as to prevent angular
displacement of the pessary during coitus.
In accordance with a particularly useful feature of this invention,
a pessary in accordance therewith includes a forwardly convex
forward end wall which terminates peripherally and rearwardly in a
resiliently outwardly urged first annular lip for snug engagement
with the internal wall of the vaginal passage, and a rearwardly and
outwardly diverging cuff integrally formed with the forward end
wall of the cup and terminating rearwardly in a resiliently
outwardly urged second annular lip for snug engagement with the
interior wall of the vaginal passage, the second annular lip being
spaced apart rearwardly from the first annular lip and together
therewith defining a generally cylindrical locus.
In accordance with yet another useful feature of this invention, a
pessary in accordance therewith is usefully provided with a
pressure-actuated fluid-retaining and discharging means disposed
forwardly of its fluid-impermeable cup. In such a construction, the
fluid-impermeable cup includes a resiliently flexible forward end
wall operatively associated with the fluid-retaining and
discharging means so that penile thrust against the forward end
wall of that cup during coitus causes flexing of that forward end
wall and, in turn, actuation of the fluid-retaining and discharging
means to cause discharge of fluid material, such as a spermicidal
material, thereby.
Such a spermicidal compartment in a pessary of this invention is
advantageously defined in part by the forward end wall of the
fluid-impermeable cup and includes an opening in fluid
communication with the interior of the compartment for the
discharge of fluid material therefrom so that the flexing of the
forward end wall of the cup by penile thrust during coitus causes
variation in the volume of the compartment and the discharge of
spermicidal fluid material therefrom. By providing such an opening
so that, when the pessary is correctly positioned in the vaginal
passage of a human female, that opening is disposed in general
apposition to the cervix uteri, the spermicidal material contained
in the compartment is discharged about the cervix uteri, so further
reducing the risk of conception.
Other features and advantages of the invention will become apparent
as the description herein proceeds.
BRIEF DESCRIPTION OF THE DRAWINGS
The invention will now be described merely by way of illustration
with reference to the accompanying drawings in which:
FIG. 1 is a perspective view of one embodiment of a pessary in
accordance with this invention showing certain parts fragmentarily
to reveal its internal structure in greater detail;
FIG. 2 is a longitudinal sectional view through the pessary of FIG.
1 when viewed as indicated by the arrows 2--2 of that figure;
FIG. 3 is a rearward end elevation of the pessary of FIGS. 1 and 2
when viewed as indicated by the arrows 3--3 of FIG. 2;
FIG. 4 is an anterior-posterior sectional view showing the pessary
of FIGS. 1 to 3 in position in the vaginal passage of a human
female and illustrating the manner of operation of that pessary
during coitus;
FIG. 5 is a sectional view similar to that of FIG. 4 and
illustrating the manipulative procedure used to effect removal of
the pessary from the vaginal passage; and
FIG. 6 is a sectional view similar to that of FIG. 2 but showing an
alternative construction for a pessary in accordance with this
invention.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
The pessary generally indicated at 10 in FIGS. 1 to 3 of the
accompanying drawings comprises a unitary moulded structure, for
example, of an elastomer, such as rubber, and including a
fluid-impermeable cup generally indicated at 11. The cup 11 in turn
comprises a forwardly directed convex forward end wall 12 having a
forward end surface 13 and an inner surface 14. Integrally formed
with the end wall 12 is a skirt or cuff generally indicated at
15.
It will be seen by particular reference to FIGS. 1 and 2 of the
accompanying drawings that the forward end wall 13 terminates
rearwardly in a generally annular first peripheral lip 16 having a
generally circular configuration and which is urged resiliently
outwardly by the inherent resilience of the material from which it
is made. The cuff 15 terminates rearwardly in a generally annular
second peripheral lip 17 which is spaced apart rearwardly from the
first peripheral lip 16 and which is also urged resiliently
outwardly by virtue of the inherent resilience of the material from
which it is formed. The cuff 15 converges inwardly and forwardly
and is integrally formed at its forward end with the forward end
wall 13 directly therewith about a generally semicircular posterior
portion thereof as indicated at 20. About its generally
semicircular anterior portion, the cuff 15 is secured to the
forward end wall 13 by a forwardly and inwardly converging
generally semi-conical web 22.
The first and second peripheral lips 16 and 17 respectively are
disposed and dimensioned so that together they define a generally
cylindrical locus as indicated by the lines A--A and B--B in FIG. 2
of the accompanying drawings, the longitudinal axis of that locus
being indicated at C--C in FIG. 2 The generally cylindrical locus
already identified corresponds generally to the internal wall of
the vaginal passage of a human female when the pessary 10 is
correctly positioned in such a passage. For a reason which will
become apparent as the description herein proceeds, each of the
generally annular lips 16 and 17 is disposed obliquely with respect
to the aforementioned longitudinal axis C--C so as to extend
rearwardly relatively thereto from its posterior limit to its
anterior limit. The reason for such oblique disposition of the lips
16 and 17 will be more readily understood when the manner in which
the pessary 10 is used is described in greater detail
hereinafter.
It should perhaps, however, be explained at this juncture that,
when reference is made herein to anterior and posterior positions,
such references are intended to identify those positions on the
pessary 10 which are disposed in opposition to the anterior and
posterior walls of the vaginal passage in which the pessary is
positioned when it is positioned in such a passage in the intended
manner. Referring to FIG. 2 of the accompanying drawings, it will
now be understood that the upper portion of the pessary 10 shown
therein constitutes the anterior portion while the lower portion
constitutes the posterior portion.
It should also be noted that the inner surface 24 of the cuff 15
about its generally semicircular posterior portion is disposed
generally parallel to the longitudinal axis C--C while the inner
surface 25 of the cuff 15 about its generally semicircular anterior
portion is disposed obliquely with respect to that axis.
Integrally formed with the forward end wall 13 of the pessary 10,
there is provided a projection generally indicated at 26 and which
functions to stabilize the position of the pessary 10 when the
latter is correctly positioned in a vaginal passage in turn to
prevent angular displacement of the pessary during coitus and as
will be explained in greater detail hereinafter with reference to
FIG. 4 of the accompanying drawings. For this purpose, the
projection 26 extends generally forwardly from the forward end wall
13 in a direction generally parallel to the aforementioned
longitudinal axis C--C and is radially offset in the posterior
direction relative to that axis.
In accordance with a particularly useful feature of this invention,
the projection 26 also functions as a fluid-retaining and
discharging means. For this purpose, the projection 26 includes a
chamber wall generally indicated at 27 and having a generally
cuspate nipple-shaped configuration. About its posterior portion,
the wall 27 is rounded and forms a generally forward and inwardly
converging extension 28 of the cuff 15.
In its upper or anterior portion, the wall 27 has an outer surface
29 and is provided with an opening 30 in fluid communication with a
compartment indicated at 31 and which is defined both by the wall
27 and by a portion of the forward wall 13 of the cup 11.
Having completed the description herein of the structure of the
pessary 10, the manner in which that pessary is used will now be
explained with particular reference to FIG. 4 of the accompanying
drawings.
Prior to coitus, the pessary 10 is inserted into the vaginal
passage generally indicated at 34 in FIG. 4 so that the projection
26 extends into the posterior fornix 35 of the vaginal passage 34
with the opening 30 in general apposition to the portio vaginalis
36. During such insertion, the lips 16 and 17 of the pessary 10 are
flexed inwardly and, when the pessary has been completely and
properly inserted, such lips flex outwardly into snug engagement
with the internal wall of the vaginal passage 34 so significantly
to restrict the movement of spermatozoa forwardly therepast. During
coitus, the inner sloping surface 25 of the anterior portion of the
cuff 15 engages the anterior surface 37 of the glans penis 38 so as
to guide the penis 39 into alignment with the vaginal passage 34
and to ensure that the direction of penile thrust is generally
along the longitudinal axis of the vaginal passage 34. The
disposition of the projection 26 in the posterior fornix of the
vaginal passage 34 and the abutment of the anterior surface 29 of
the projection 26 generally against the portio vaginalis 36 is
important in ensuring positional stabilization of the pessary 10
during coitus. Such stabilization is also improved by the described
arrangement of the lips 16 and 17. It will be understood that,
prior to its insertion into the vaginal passage 34, the outer
surface of the pessary 10 will usually be coated with a suitable
lubricant material which will also usefully be a material which has
spermicidal properties.
When, as hereinbefore described, the projection 26 is provided with
the internal compartment 31, a spermicidal cream or other fluid
material can be introduced into that compartment 31 prior to the
insertion of the pessary 10 into the vaginal passage 34. In such a
case, penile thrust against the interior surface 14 of the forward
end wall 13 of the pessary 10 causes flexing of that end wall with
consequent variation in the volume of the compartment 31. This
leads in turn to the discharge of the spermicidal material from
within the compartment 31 about the cervix uteri thereby further
reducing the risk of undesired movement of live spermatozoa into
the uterus.
The manner in which the pessary 10 is removed from a vaginal
passage will be easily understood by reference to FIG. 5 of the
accompanying drawings. From that figure, it will be seen that a
finger may be inserted into the vaginal passage 34 so as to grip
the forward end of the anterior portion of the cuff 15 to permit
simple withdrawal of the pessary 10 from the vaginal passage
34.
Referring now to FIG. 6 of the accompanying drawings, there is
shown therein generally at 40, a pessary having many structural
features in common with the pessary 10 already described herein.
The pessary 40 differs from the pessary 10 simply in that its
forward end wall 41 is provided on its inner surface 42 with a
resilient padding material 43, for example, of foamed or sponge
rubber. The purpose of the padding 43 is to soften the impact of
the wall 42 on the glans penis 38 during coitus, thereby to reduce
the extent of the male's tactile awareness of the presence of the
pessary in his partner's vaginal passage.
* * * * *