Child-birth assisting system

• US 5,405,356 A
• Filed: 06/30/1993
• Issued: 04/11/1995
• Est. Priority Date: 06/30/1993
• Status: Expired due to Fees

• Current Assignee: CUREXO, Inc.
• Original Assignee: JCS Biomedical Incorporated
• Inventors: Lloyd, Peter M., Pan, Wei, Gai, Mingying, Yamamoto, Ron, Hahn, Soonkap
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): LEWIS, WILLIAM W
• Application Number:
  US08/086,099
• Time in Patent Office: 650 Days
• Field of Search: 606/119, 606/201-203, 128/24 R, 128/24.2, 128/28, 128/30, 128/30.2, 128/31, 128/775, 128/778
• US Class Current: 606/202
• CPC Class Codes: A61B 17/1355 Automated control means therefor
• CPC Class Codes: A61B 17/42 Gynaecological or obstetrical instruments or methods ligaturing clamps or clips for the umbilical cord A61B17/122; curettage A61B17/320708; dilators A61M29/00

Abstract

The childbirth-assisting device uses an automatically synchronized expandable pneumatic girdle-to externally augment the secondary force of labor. The pneumatic girdle is fitted around the abdomen of the woman and the girdle is inflated to create a downward pressure on the abdomen when a contraction occurs. The synchronization of the girdle'"'"'s inflation and the contractions is provided by an electronic controller which receives a signal from an intra-uterine monitor indicating a contraction and causes the girdle to inflate at a certain rate until a preset intra-uterine pressure is attained. Once the intra-uterine pressure reaches the pre-set pressure, the girdle pressure is maintained until the offset of the contraction is detected, at which time the girdle is deflated.

Claims

1. A system for assisting in childbirth comprising:

a girdle having at least one inflatable bladder adapted to be positioned over a patient'"'"'s abdomen for applying pressure to the abdomen;

an air source for providing air for inflating said inflatable bladder;

an intrauterine pressure monitor for generating an electrical signal indicative of the patient'"'"'s contractions;

an automatic controller means in electrical communication with said intrauterine pressure monitor for controlling the inflation and deflation of said at least one inflatable bladder in response to said electrical signal wherein the pressure is increased to a target intrauterine pressure at the onset of a contraction and decreased after the contraction is over, said automatic controller means having means for receiving and controlling air from said air source for inflating said inflatable bladder; and

tubing having a first end attached to said girdle and a second end attached to said automatic controller means for conducting air between said girdle and said automatic controller means.

2. A system as in claim 1 wherein said intrauterine pressure monitor is external to the patient.

3. A system as in claim 1 wherein said intrauterine pressure monitor is internal to the patient.

4. A system as in claim 1 wherein the target intrauterine pressure is 40 to 60 mmHg during a first stage of labor with cervical dilation from 3 cm to 8 cm.

5. A system as in claim 1 wherein the target intrauterine pressure is 60 to 80 mmHg during a first stage of labor with cervical dilation from 8 cm to 10 cm.

6. A system as in claim 1 wherein the target intrauterine pressure is within the range of 80 to 160 mmHg during a second stage of labor.

7. A system as in claim 1 wherein a maximum girdle pressure is 150 mmHg during a first stage of labor with cervical dilation from 3 cm to 8 cm.

8. A system as in claim 1 wherein a maximum girdle pressure is 250 mmHg during a first stage of labor with cervical dilation from 8 cm to 10 cm.

9. A system as in claim 1 wherein a maximum girdle pressure is 350 mmHg during a second stage of labor.

10. A system as in claim 1 wherein said automatic controller means further generates an alarm signal in response to detection of a girdle pressure exceeding a maximum girdle pressure and further comprising:

an alarm means triggered by said alarm signal; and

valve means responsive to said alarm signal for deflating said girdle.

11. A system as in claim 1 wherein said automatic controller means includes timing means for limiting a duration of said pressure.

12. A system as in claim 1 wherein said automatic controller means further comprises:

a memory means for storing a library of abnormal labor indicators; and

a comparison means for comparing said electrical signal against said library of abnormal labor indicators to identify the presence of an abnormal labor condition.