United States Patent Application US 2005/0215858
Kind Code A1
Vail, William Banning III September 29, 2005
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Title: Tubular Personal Pelvic Viewers
Abstract
The Personal Pelvic Viewer™, abbreviated PPV™, is a hand-held instrument
which a woman may place by herself into her own vagina to conveniently view
images of the interior of her vagina, cervix, and external os. The PPV provides
a convenient instrument that allows a lone female to observe the interior of her
own vagina in total privacy for educational purposes, to determine her own
fertility, and to observe her sexual response. Different types of tubular
Personal Pelvic Viewers may be used by a lone female to view the interior of her
vagina by using a mirror and a hand-held light. Those images may also be
recorded with a camera or video camera. Other types of Personal Pelvic Viewers
incorporate a sealed video camera and use wireless communications to display
images of the interior of the vagina on a television set or video monitor.
Inventors:Vail, William Banning III; (Bothell, WA)
Correspondence Name and Address: WILLIAM BANNING VAIL III
3123 198TH PLACE SE
BOTHELL
WA
98012
US
Serial No.: 137149
Series Code: 11
Filed: May 24, 2005
U.S. Current Class:600/135; 600/109; 600/118
U.S. Class at Publication:600/135; 600/109; 600/118
Intern'l Class: A61B 001/04; A61B 001/00; A61B 001/307; A61B 010/00
Claims
What is claimed is:
1. An elongated tubular shaped personal pelvic viewer fabricated from a thick
walled transparent plastic material having an elongated tubular shape that
possesses a distal end that possesses rounded leading surfaces for easy
insertion into the vagina, and which possesses a proximal end for viewing the
interior of the vagina, cervix and the external os, whereby the wall thickness
of said thick walled transparent plastic material is a minimum of 1/8 inch thick
to provide for the fabrication of said rounded leading surfaces, and whereby the
inside diameter within the interior of said elongated tubular shaped personal
pelvic viewer is at minimum 3/4 inch so that the external os and most of the
cervix may be viewed from the interior of said proximal end through the interior
of said distal end of said elongated tubular shaped personal pelvic viewer,
whereby a lone female may view the interior of her vagina from the interior of
said proximal end through the interior of said distal end of said elongated
tubular shaped personal pelvic viewer that is inserted into her vagina by
viewing the reflected image of the interior of her vagina from a hand-held
mirror, and whereby the interior of the vagina is illuminated by an illumination
source placed near the vicinity of the entrance to her vagina.
2. The personal pelvic viewer in claim 1 whereby the walls of the vagina may be
viewed from the interior of said proximal end laterally through said thick
walled transparent plastic material having an elongated tubular shape.
3. The personal pelvic viewer in claim 1 whereby an illumination source is also
attached to said elongated tubular shaped personal pelvic viewer.
4. The personal pelvic viewer in claim 1 that is used to determine the presence
or absence of spinnbarkeit as an indication that the female is in a relatively
fertile condition.
5. The personal pelvic viewer in claim 1 that is used to observe the interior of
the vagina while the female masturbates and progresses through the excitement,
plateau, orgasm and resolution phases of her sexual cycle.
6. An elongated slotted tubular shaped personal pelvic viewer fabricated from a
thick walled transparent plastic material having an elongated tubular shape that
possesses a distal end that possesses rounded leading surfaces for easy
insertion into the vagina and a proximal end for viewing the interior of the
vagina, cervix and the external os, that also possesses at least one slot in the
walls of said thick walled transparent material located between said proximal
and distal ends, whereby the wall thickness of said thick walled transparent
plastic material is a minimum of 1/8 inch thick to provide for the fabrication
of said rounded leading surfaces, and whereby the inside diameter within the
interior of said elongated tubular shaped personal viewer is at minimum 3/4 inch
so that the external os and most of the cervix may be may be viewed from the
interior of said proximal end through the interior of said distal end of said
elongated slotted tubular shaped personal pelvic viewer, whereby a lone female
may view the interior of her vagina from the interior of said proximal end
through the interior of said distal end of said elongated slotted tubular shaped
personal pelvic viewer that is inserted into her vagina by viewing the reflected
image of the interior of her vagina from a hand-held mirror, and whereby the
interior of the vagina is illuminated by an illumination source placed near the
vicinity of the entrance to her vagina.
7. The personal pelvic viewer in claim 6 whereby said slot may be rotated into
different orientations within the vagina for laterally examining the walls of
the vagina, the paraurethral sponge, and the Skene's glands from within the
interior of said proximal end and laterally through said slot of said slotted
tubular shaped personal pelvic viewer.
8. The personal pelvic viewer in claim 6 whereby an illumination source is also
attached to said slotted tubular shaped personal pelvic viewer.
9. The personal pelvic viewer in claim 6 that is used to determine the presence
or absence of spinnbarkeit as an indication that the female in a relatively
fertile condition.
10. The personal pelvic viewer in claim 6 that is used to observe the interior
of the vagina while the female masturbates and progresses through the
excitement, plateau, orgasm and resolution phases of her sexual cycle.
11. A generally "Y" shaped flared personal pelvic viewer fabricated from a thick
walled transparent material having a distal end for insertion into the vagina,
and a double-slotted and flared proximal end for examining the interior of the
vagina, cervix and external os, whereby said distal end has a tubular shape and
possesses rounded leading surfaces for easy insertion into the vagina, whereby
said double-slotted and flared proximal end is used to spread the vagina open so
that the external os and most of the cervix may be viewed from the interior of
said double-slotted and flared proximal end through said distal end, whereby the
wall thickness of said thick walled transparent plastic material is a minimum of
1/8 inch thick to provide for the fabrication of the rounded leading surfaces on
said distal end, and whereby the tubular shaped distal end possesses an inside
diameter at minimum 3/4 inch so that the external os and most of the cervix may
be may be viewed from the interior of said double-slotted and flared proximal
end through said distal end of said generally "Y" shaped flared personal pelvic
viewer, whereby a lone female may view the interior of her vagina from the
interior of said double-slotted and flared proximal end through said distal end
of said generally "Y" shaped flared personal pelvic viewer that is inserted into
her vagina by viewing the reflected image of the interior of her vagina from a
hand-held mirror, and whereby the interior of the vagina is illuminated by an
illumination source placed near the vicinity of the entrance to her vagina.
12. The personal pelvic viewer in claim 11 whereby said double-slotted and
flared proximal end may be rotated into different orientations within the vagina
for laterally examining the walls of the vagina, the paraurethral sponge, and
the Skene's glands from the interior of said double-slotted and flared proximal
end of said generally "Y" shaped flared personal pelvic viewer.
13. The personal pelvic viewer in claim 11 whereby an illumination source is
also attached to said generally "Y" shaped flared personal pelvic viewer.
14. The personal pelvic viewer in claim 11 that is used to determine the
presence or absence of spinnbarkeit as an indication that the female in a
relatively fertile condition.
15. The personal pelvic viewer in claim 11 that is used to observe the interior
of the vagina while the female masturbates and progresses through the
excitement, plateau, orgasm and resolution phases of her sexual cycle.
16. A personal pelvic viewer fabricated from transparent plastic material
possessing at least a distal portion having a tubular shape and rounded leading
surfaces for easy insertion into the vagina, and a proximal end for examining
the interior of the vagina, cervix and the external os.
17. The personal pelvic viewer in claim 16 wherein said distal end having a
tubular shape possesses an inside diameter at minimum 3/4 inch so that the
external os and most of the cervix may be may viewed from the interior of said
proximal end through the interior of said distal end.
Description
PRIORITY CLAIMED FROM PENDING U.S. PATENT APPLICATION
[0001] The present application is a continuation-in-part (C.I.P) application of
co-pending U.S. patent application Ser. No. 10/384,448, filed Mar. 7, 2003 that
is entitled "Personal Pelvic Viewer", that is to issue as U.S. Pat. No.
6,896,653 on the date of May 24, 2005, which is fully incorporated herein by
reference. Applicant claims priority from this U.S. patent application Ser. No.
10/384,448.
[0002] Ser. No. 10/384,448 claimed priority from Provisional Patent Application
Number 60/362,567, having the Filing Date of Mar. 7, 2002, that is entitled
"Personal Pelvic Viewer", an entire copy of which is incorporated herein by
reference, which is not inconsistent with the disclosure herein. Applicant
claims any remaining and relevant priority from this Provisional Patent
Application Number 60/362,567.
[0003] Provisional Patent Application Number 60/362,567 is related to U.S.
Disclosure Document No. 470,975, having the filing date of Mar. 15, 2000, that
is entitled "Personal Pelvic Viewer", an entire copy of which is incorporated
herein by reference. An entire copy of this U.S. Disclosure Document 470,975 has
been retained by the Disclosure Document Program that now has Retention Label
60/362,567 with the "Filing Date" of Mar. 20, 2002 in Technology Center 0500 in
accordance with the Mar. 20, 2002 letter from Ms. Genet Teferra of the
Disclosure Document Program.
PRIORITY CLAIMED FROM PROVISIONAL PATENT APPLICATIONS
[0004] This application is also related to Provisional Patent Application No.
60/667,893 entitled "Production Samples of Hand-Held Pelvic Viewers" that was
filed on Apr. 1, 2005, an entire copy of which is incorporated herein by
reference which is not inconsistent with the disclosure herein. Applicant claims
priority from this U.S. Provisional Patent Application No. 60/667,893.
[0005] This application is also related to Provisional Patent Application No.
60/680,834 entitled "Production Samples of Hand-Held Pelvic Viewers and Relevant
Patent Searches" that was filed on May 12, 2005, an entire copy of which is
incorporated herein by reference, which is not inconsistent with the disclosure
herein. Applicant claims priority from this U.S. Provisional Patent Application
No. 60/680,834.
[0006] This application is also related to the Provisional Patent Application
entitled "Wireless Video and Data Transmission Methods and Apparatus for
Personal Pelvic Viewers" that was mailed to the USPTO with a Certificate of
Deposit by Express Mail on the date of May 23, 2005, that has U.S. Mailing Label
Number ED 258 746 825 US, an entire copy of which is incorporated herein by
reference, which is not inconsistent with the disclosure herein. Applicant
claims priority from this U.S. Provisional Patent Application.
OTHER RELATED APPLICATIONS AND DISCLOSURE DOCUMENTS
[0007] This application also relates to Provisional Patent Application No.
60/473,252 entitled "Methods and Apparatus to Produce Selectively Controlled
Clitoral and G-Spot Orgasms in the Human Female" that was filed on May 24, 2003,
an entire copy of which is incorporated herein by reference, which is not
inconsistent with the disclosure herein. Applicant claims any remaining and
relevant priority herein.
[0008] This application also relates to Provisional Patent Application No.
60/473,254 entitled "Portable Pelvic Examination Table" that was filed on May
24, 2003, an entire copy of which is incorporated herein by reference, which is
not inconsistent with the disclosure herein. Applicant claims any remaining and
relevant priority herein.
[0009] This application is further related to U.S. Disclosure Document No.
538,156 entitled "The Female Orgasm Scale" that has the filing date of Sep. 9,
2003, an entire copy of which is incorporated herein by reference, which is not
inconsistent with the disclosure herein.
[0010] This application is also related to U.S. Disclosure Document No. 545,871
entitled "Hand-Held Pelvic Viewers" that was filed on Jan. 29, 2004, an entire
copy of which is incorporated herein by reference, which is not inconsistent
with the disclosure herein.
[0011] This application is also related to U.S. Disclosure Document No. 554,972
entitled "Additional Hand-Held Pelvic Viewers" that was filed on Jun. 12, 2004,
an entire copy of which is incorporated herein by reference, which is not
inconsistent with the disclosure herein.
[0012] This application is also related to U.S. Disclosure Document No. 574,412
entitled "Production Samples of Hand-Held Pelvic Viewers" that was filed on Apr.
1, 2005, an entire copy of which is incorporated herein by reference, which is
not inconsistent with the disclosure herein.
[0013] This application is also related to the U.S. Disclosure Document No.
577,579 entitled "Production Samples of Hand-Held Pelvic Viewers and Relevant
Patent Searches" that was filed on May 12, 2005, an entire copy of which is
incorporated herein by reference, which is not inconsistent with the disclosure
herein.
Trademarks
[0014] The terms Personal Pelvic Viewer.TM., abbreviated PPV.TM., Personal
Pelvic Viewers.TM., Pelvic Viewer.TM., Pelvic Viewers.TM., Hand-Held Pelvic
Viewer.TM., Hand-Held Pelvic Viewers.TM., Hand-Held Personal Pelvic Viewer.TM.,
and Hand-Held Personal Pelvic Viewers.TM., are Trademarks owned by Science for
Medical Advocates, Inc.
BACKGROUND OF THE INVENTION
[0015] 1. Field of the Invention
[0016] The field of invention relates to methods and apparatus that allow a lone
human female to conveniently obtain and record video images from within her own
vagina that include images of her own cervix, external os, the rugae within the
walls of her vagina, the paraurethral sponge, and other features within the
vagina. Such private video images are useful to enhance the privacy of the
female during self-examinations, to help her gain additional power over her own
body, to help her determine potential early warning signs of cervical cancer or
infections, for birth control, to aid in becoming pregnant, and for educational
proposes to view and study her own sexual response. The hand-held device, or
instrument, that is inserted within the vagina is called the Personal Pelvic
Viewer.TM. (PPV.TM.).
[0017] The field of invention relates to any embodiment of the Personal Pelvic
Viewer which contains a sealed video camera and which uses wireless
communications to display images of the interior of the vagina on a television
set or video monitor.
[0018] The field of invention further relates to any embodiment of a tubular
Personal Pelvic Viewer that may be used by a lone female to view the interior of
her vagina by using a mirror and a hand-held light. Such images may also be
recorded with a camera or video camera.
[0019] 2. Description of the Prior Art
[0020] Various vaginal specula are used by physicians to view the interior of
the vagina of a patient as summarized in FIGS. 8A, 8B, 8C, and 8D and 9 of U.S.
Pat. No. 5,865,729 that issued on Feb. 2, 1999. A transparent bag placed over a
video camera has been used by physicians for medical uses as shown in U.S. Pat.
No. 5,971,916 that issued on Oct. 26, 1999. Vaginal specula for use by
physicians are illuminated with a fiber-optic illuminating system as shown in
U.S. Pat. No. 4,597,383 that issued on Jul. 1, 1986. Different probes used by
physicians with vaginal specula are shown in European Patent Application 0 650
694 A1 that was published on May 3, 1995. A vaginal speculum used by a physician
is refitted with a video camera as shown in U.S. Pat. No. 5,026,368 that issued
on Jun. 25, 1991. A vaginal speculum used by a physician is also retrofitted
with a video camera as shown in European Patent No. 0 451 200 B1 that issued on
Nov. 8, 1995. Another vaginal speculum used by a physician is retrofitted with a
video camera as shown in US 2001/0056223 A1 that was published on Dec. 27, 2001.
A video cervicoscope system to be used by physicians is shown in European Patent
Application No. 0 426 063 A1 published on May 8, 1991. A cervical videoscope
with a detachable camera unit used by physicians is shown in European Patent EP
0 585 321 B1 that issued on Jan. 29, 1997. An apparatus used by physicians for
digital photography useful in cancer detection is shown in U.S. Pat. No.
5,989,184 that issued on Nov. 23, 1999. However, the prior art does not provide
methods or apparatus so that a female alone may conveniently view the interior
of her own vagina and view her own cervix.
SUMMARY OF THE INVENTION
[0021] An object of the invention is to provide a lone female at home apparatus
to conveniently view the interior of her own vagina and her own cervix.
[0022] Another object of the invention is to provide a lone female at home a
method to conveniently view the interior of her own vagina and her own cervix.
[0023] Yet another object of the invention is to provide females the power to
inspect their own interior reproductive organs that include the vagina and the
cervix without the necessity of the presence of another individual.
[0024] Another object of the invention is to provide individual females
additional power over their own bodies by being able to conveniently view the
interior of selected portions of their own reproductive organs including the
vagina and the cervix.
[0025] Yet another object of the invention is to provide an individual female at
home apparatus to obtain video recordings of the interior of her own vagina and
her own cervix.
[0026] A further object of the invention is to provide an individual female at
home methods to obtain video recordings of the interior of her own vagina and
her own cervix.
[0027] Another object of the invention is to provide an individual female at
home apparatus to obtain single, or multiple, photographs of the interior of her
own vagina and her own cervix.
[0028] A further object of the invention is to provide methods and apparatus for
a lone female at home to inspect her own vagina and cervix to determine any
infections that may be visually present.
[0029] Another object of the invention is to provide methods and apparatus for a
lone female at home to inspect her own vagina and cervix to determine any
infections that may be visually present and as a result of early detection, the
ability to request immediate assistance from a health professional that could
lead to better outcomes at lower cost due to early detection of potential
infections.
[0030] Yet another object of the invention is to provide methods and apparatus
for a lone female at home to inspect her own vagina and cervix to determine any
infections that may be caused by an IUD.
[0031] Still another object of the invention is to provide methods and apparatus
for a lone female at home to inspect her own vagina and cervix to determine any
infections that may be caused by bacterial, viruses, or fungi.
[0032] A further object of the invention is to provide methods and apparatus for
a lone female at home to inspect her own cervix for the possible early warning
signs of cervical cancer.
[0033] Another object of the invention is to provide methods and apparatus for a
lone female at home to inspect her own cervix to determine any visual early
warning signs of cervical cancer that may be visually present and as a result of
early detection, the ability to request immediate assistance from a health
professional that could lead to better outcomes at lower cost due to early
detection of possible cervical cancer.
[0034] Yet another object of the invention is to provide methods and apparatus
for a lone female at home to inspect and record the visual appearance of her
cervix during her monthly cycle so as to determine any departures from the
normal appearance from month to month that may be an indication of the onset of
cervical cancer or other health care problems.
[0035] A further object of the invention is to provide methods and apparatus for
a lone female at home to inspect her own vagina and cervix to determine the
presence of any foreign objects, including misplaced tampons, or condoms that
may have slipped off during intercourse.
[0036] Another object of the invention is to provide methods and apparatus for a
lone female at home to inspect her own vagina and cervix for educational
purposes.
[0037] Yet another object of the invention is to provide methods and apparatus
for a lone female at home to obtain video recordings of her own vagina and
cervix that may be forwarded by the internet to her physician for additional
professional review.
[0038] A further object of the invention is to provide methods and apparatus for
a lone female at home to view images of the interior of her vagina, her cervix,
and color and texture of her cervical mucus to optimize chances of becoming
pregnant.
[0039] Yet another object of the invention is to provide methods and apparatus
for a lone female at home to determine the presence or absence of spinnbarkeit
as an indication that the female is in a relatively fertile condition.
[0040] Another object of the invention is to provide methods and apparatus for a
lone female at home to view images of the interior of her vagina, her cervix,
and the color and texture of her cervical mucus to optimize chances of
preventing pregnancy.
[0041] Yet another object of the invention is to allow a female to obtain images
from within her own vagina and her cervix and display those images on a
television set.
[0042] A further object of the invention is to allow a female to obtain images
from within her own vagina and her cervix and display those images on a computer
display terminal.
[0043] Another object of the invention is to obtain visual images from an
self-contained video camera located within the vagina and to forward those
images via wireless communication technology to a display unit, where the
wireless communication link includes any type of infra-red, radio wave, or
microwave wireless communication link.
[0044] Yet another object of the invention is to allow a lone female to obtain
visual images from within her vagina and of her cervix during her sexual cycle
while privately masturbating for educational proposes so as to better understand
her own excitement phase, plateau phase, orgasm phase, and resolution phase.
[0045] A further object of the invention is to allow a lone female to record
video images from within her vagina and of her cervix during her sexual cycle
while privately masturbating for educational proposes to better understand her
own excitement phase, plateau phase, orgasm phase, and resolution phase.
[0046] Another object of the invention is to allow to a lone female to
conveniently record video images from within her vagina and view of her cervix
while privately masturbating that may be provided at a later time to other
health professionals to diagnose certain types of infertility problems.
[0047] Yet another object of the invention is to provide methods and apparatus
where in additional to the recordings of images within the vagina and cervix,
readings of temperature vs. time, pressure vs. time, sound vs. time, and ph vs.
time, may also be obtained for a variety of different educational and medical
reasons.
[0048] Another object of the invention is to provide different types of
convenient apparatus for a lone female to privately perform self-examination of
her own vagina and her own cervix, each of which apparatus is called a Personal
Pelvic Viewer.TM. (PPV.TM.).
[0049] Still further, another object of the invention is to provide different
types of tubular Personal Pelvic Viewers.
[0050] And finally, another object of the invention is to provide a method of
using a tubular Personal Pelvic Viewer that allows the female to view the
interior of her vagina through the reflected image from an hand-held mirror that
is illuminated by an external illumination source.
BRIEF DESCRIPTION OF THE DRAWINGS
[0051] FIG. 1 shows a section view of a preferred embodiment of the Personal
Pelvic Viewer (PPV) that provides video images from the interior of the vagina
and of the cervix.
[0052] FIG. 2 shows an expanded section view of the Personal Pelvic Viewer shown
in FIG. 1.
[0053] FIG. 3 shows a section view of another preferred embodiment of the
invention which is similar to the PPV that is shown in FIG. 1, but in addition
has an expanded front cap for improved viewing within the vagina.
[0054] FIG. 4 shows a section view of the Internal Pelvic Viewer (IPV) that
provides video images from the interior of the vagina and of the cervix.
[0055] FIG. 5 shows a side view of an elongated tubular shaped Personal Pelvic
Viewer.
[0056] FIG. 5A shows a cross section view through section AA in FIG. 5.
[0057] FIG. 6 shows an illumination source that is attached to the elongated
tubular shaped Personal Pelvic Viewer previously shown in FIG. 5.
[0058] FIG. 7 shows a top view of the slotted elongated tubular shaped Personal
Pelvic Viewer.
[0059] FIG. 7A shows a cross section view through section AA in FIG. 7.
[0060] FIG. 7B shows a cross section view through section BB in FIG. 7.
[0061] FIG. 8 shows a perspective view of the distal portion of one embodiment
of the slotted elongated tubular Personal Pelvic Viewer shown in FIGS. 7, 7A,
and 7B.
[0062] FIG. 9 shows a top view of the generally "Y" shaped flared Personal
Pelvic Viewer.
[0063] FIG. 9A shows a cross section view through section AA in FIG. 9.
[0064] FIG. 9B shows a cross section view through section BB in FIG. 9.
[0065] FIG. 9C shows a cross section view through section CC in FIG. 9.
[0066] FIG. 9D shows a cross section view through section DD in FIG. 9.
[0067] FIG. 10 shows a perspective view of one embodiment of the generally "Y"
shaped flared Personal Pelvic Viewer shown in FIGS. 9, 9A, 9B, 9C, and 9D.
[0068] FIG. 11 shows side view of a solid transparent Personal Pelvic Viewer
used to view the interior of the vagina.
[0069] FIG. 12 shows side view of a front sealed tubular transparent Personal
Pelvic Viewer
[0070] FIG. 13 shows a section view of a the thin-walled transparent cylindrical
Personal Pelvic Viewer.
[0071] FIG. 14 shows a section view of a tapered thin-walled transparent
cylindrical Personal Pelvic Viewer.
[0072] FIG. 15 shows a section view of a conical thin-walled transparent
cylindrical Personal Pelvic Viewer.
[0073] FIG. 16 shows a perspective view of a lone female viewing the interior of
her vagina from a Personal Pelvic Viewer using a mirror and a hand-held light.
[0074] FIG. 17 shows a perspective view of a portion of the paraurethral sponge
hanging down inside the slot of a slotted elongated tubular shaped Personal
Pelvic Viewer shown in FIG. 7 that is inserted into the vagina.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0075] Many of the reproductive organs of the human male are easily viewed and
inspected by the male because of their location on the exterior of the male
torso. However, most of the reproductive organs of the human female are not
easily viewed and inspected by the female herself because of their predominant
location on the interior of the female torso. As a consequence, many females
must routinely undergo typical pelvic examinations. For a description of such
pelvic examinations, see Luckmann, 1997, in the section entitled "Procedure
31-1, Pelvic Examination", pages 1449-1454". Please also refer to Scott, et. al,
1999, pages 523-526.
[0076] A clear photographic record of the pelvic examination performed by a
medical professional with a bivalve speculum appears in Edge and Miller, 1994,
page 24. This type of record is relatively hard to find in the literature on the
subject.
[0077] Typical recommendations include a minimum of one pelvic examination per
year for the female during her reproductive years, and perhaps fewer
examinations following a "hysterectomy for benign disease" (Scott, et. al, 1999,
page 526). During a pelvic examination, a health professional, most often a male
gynecologist, views the interior genitalia of the female patient while the
female patient is in the so-called lithotomy position with her feet in the
stirrups of an examination table. This procedure has been described as typically
making women "nervous" because of various "horror stories" which is an
"embarrassing" procedure to some women (Lauersen, et. al, 1987, page 43). Then,
the gynecologist describes to the female his findings and opinions concerning
the examination of her own body.
[0078] It is well known that the appearance of the cervix is dramatically
affected by the woman's reproductive cycle. See for example, Gage, 1995, and the
many photographs following page 128. These photographs show that the color,
shape, texture, etc. of the cervix and other internal organs change during the
monthly cycle. Dramatic changes also occur during early pregnancy, under the
influence of infections and disease, and in response to a wide variety of other
circumstances.
[0079] It is the opinions of the inventors that, in general, the gynecologist is
under a severe handicap in determining any visual changes to the cervix and
vagina of a given woman patient as an advanced warning to diseases, such as
cancer, and other maladies. If the woman only sees the gynecologist about once a
year, then how would the gynecologist remember what the particular female looked
like? How would he, or she, remember from the thousands of pelvic examinations
any detailed coloration that might foretell problems? Further, if the female
comes in the office during different portions of her menstrual period, and
because of the variability of the appearance her reproductive organs during her
period, then any chance of observing visual changes as an indicator of problems
is further reduced. It is the opinions of the inventors that most gynecologists
have little way of reliability knowing what is "normal" for a given female
patient--much to the detriment of the health of the female patient.
[0080] The inventors believe that once a female has in her possession the means
to determine what she looks like inside own her vagina, and if she knows the
appearance of her cervix repeatedly during the same portions of her period, then
it may be possible for the given patient herself to determine from her own
visual records that changes have occurred that may foretell major illness.
[0081] It might be worthwhile to consider the following analogy. W. Banning
Vail, Ph.D. noticed from the odd appearance of the skin on his neck that he had
skin cancer. This odd appearance included visual changes in the coloration,
texture, and observable structure of the skin. It was obvious something was
wrong with the skin. The type of cancer was basal cell carcinoma, and it was
surgically removed. W. Banning Vail, Ph.D. visually inspects his own penis on
occasion for signs of cancer of the type described in Luckmann, 1997, page 1436.
It is also suggested that all males perform "Testicular Self-Examinations TSE".
Again, see Luckmann, 1997, page 1436. Then, why should the human female not have
the means to make similar observations herself? The male is recommended to view
his own genitalia for health reasons. By analogy, therefore, it is likely that
if such technology already existed, then it is the opinions of the inventors
that females would receive similar suggestions. However, that technology does
not exist for the female herself to conveniently view the interior of her vagina
and her cervix.
[0082] The inventors therefore suggest that when women are given the power to
conveniently inspect their own internal reproductive organs that it is possible
that many of them could detect changes in their interior reproductive organs
that may forewarn them against possible disease, infections, etc. in analogous
fashions to what males are now able to do for themselves.
[0083] It has heretofore been possible with extraordinary effort for a woman to
perform a pelvic self-examination using a standard bivalve speculum, a mirror,
and light. However, this requires considerably dexterity. For example, please
see the text and photographs in Sloane, 1993, in the section entitled "Vaginal
Self-Examination", pages 281-285. The following quote is from page 284 of that
reference:
[0084] "Why Self-Examination? Why Not? There are many reasons for
self-examination--there are health and financial benefits for women. Women who
are acquainted with the normal appearance of their external genitalia and
vaginal and cervical anatomy may be able to detect changes that indicate a
developing pathology in its early stages. An infection caught early is easier,
safer, and cheaper to treat than a full-blown case of itching vaginitis, for
example."
[0085] That same reference goes on to state with regards to self-examination and
mutual-examination " . . . is another way of demystifying the practice of
medicine and gaining more control over their bodies." With regards to
self-examination and mutual-examination: "It is a tool that can be used to take
the dominance and mystery out of the doctor's role." Further, it states: "When
the doctor stands less huge and all knowing, and the women lies less confused
and troubled, the difference in power between them is reduced. Women must find
the confidence, however possible, for a more equalized relationship between
themselves and their physicians . . . ".
[0086] For such vaginal self-examination, please also refer to the photographs
and text in the book entitled "Our Bodies, Ourselves for the New Century", 1998,
page 593. The following quote is from that page:
[0087] `For some women, placing the speculum and finding the cervix may take
some effort. Breathe deeply and manipulate the speculum gently while looking
into the mirror. Focus the light source on the mirror to help you see better. (A
friend can help with this.) With the speculum in the correct position, you will
be able to see both the folds in the vaginal walls and your cervix, which looks
pink, bulbish, and wet. (If your are pregnant, your cervix will have a bluish
tint; if your are menopausal or nursing, it may be quite pale.) Depending on
where you are in your menstrual cycle, your secretions may be white and creamy
or clear and stretchy. By learning what is "normal" for you, you will more
easily be able to identify any changes that may indicate ovulation, an
infection, or pregnancy.`
[0088] This particular reference goes step-by-step into the contortions that a
female must do to view her own cervix. That reference suggests getting a friend
to help. To say the least, it is certainly difficult for the woman to routinely
view her internal reproductive organs using a bivalve speculum, mirror, and
light.
[0089] A purpose of this invention is to describe the "Personal Pelvic
Viewer.TM." or "PPV.TM.". One purpose of this device is to allow a woman to
closely examine and monitor her own cervix in the privacy of her own home when
she wishes to do so. Various embodiments of the invention allow her to record
her observations on a computer or on a VCR attached to a TV monitor. Entirely at
the option of the female, her observations may be taken by her in various forms
for presentation to her doctor to document any problems which might develop. The
inventors are not precluding in any way the use of this device by the
professional medical community for a variety of purposes.
[0090] Perhaps much can be learned from the situation involving breast
self-examination (BSE). For example, Rosenfeld, 1997, on page 689 states:
"Breast self-examination is advocated as a low-cost method for breast cancer
detection. However, BSE has not been specifically evaluated in randomized
clinical trials. Some observational studies suggest that women who perform BSE
have lower breast cancer mortality rate than those who do not (75)." Further,
Planned Parenthood Federation of America, Inc., 1996, states on page 69: "The
breast self-examination (BSE) is a self-help tool that makes finding suspicious
lumps more likely. Some 80% of breast cancers are first detected by the woman
through BSE". Accordingly, despite the vast resources, instrumentation, and
attention provided by physicians during physical examinations to the detection
of breast cancer, it is the women themselves that locate troubles in about 80%
of the cases.
[0091] In the case of BSE, Planned Parenthood Federation of America, Inc., 1996,
further states on page 69:
[0092] "Perform BSE every month so you can get to know your breasts and what
regular changes they go through in conjunction with your menstrual cycle. Many
women prefer doing the BSE in the shower or bathtub, since fingers slide readily
over wet and soapy skin, making it easier to detect changes.
[0093] Since early detection improves the success of cancer treatment,
especially if the cancer is caught in the early stages, it is important to seek
medical attention immediately if a lump is found. Do not wait until the end of
the next menstrual cycle to see if a lump or thickening is due only to
menstrual-related changes."
[0094] By analogy, the inventors believe that if a woman can conveniently
inspect the interior of her own vagina and cervix once a month, that many women
will be able to spot trouble signs early. Once spotting trouble, or any changes,
the women could then immediately seek the advice of the medical community. If
women had access to the PPV, the inventors would not be surprised if they were
able to spot trouble early in analogy with the situation involving breast
cancer, where women detect 80% of the cases themselves--despite the vast
resources devoted by the medical community to examinations, machines, and tests.
[0095] The inventors also wish to point out that Luckmann, 1997 advocates
teaching women to perform vulval self-examination. Page 1455 from Luckmann, 1997
states the following:
[0096] "Learning/Teaching Guidelines for Vulvar Self-Examination Overview
[0097] 1. Explain why monthly examination of the vulvar area is important.
[0098] 2. Teach the woman to perform the examination between menstrual periods.
[0099] 3. Remind the woman that most signs and symptoms do not mean cancer but
that early detection of vulvar cancer usually means cure if it is treated early.
[0100] Technique of Examination
[0101] 1. Assist the woman to find a comfortable position--on the edge of her
bed or bathtub or on the floor--in a well-lighted area (or use a flashlight).
[0102] 2. Instruct her to use a hand mirror to examine the external genitalia.
[0103] 3. Point out the genital organs that make up the vulvar area.
[0104] 4. Assist the woman in examining the area around the vaginal opening from
the mons pubis to the anus.
[0105] 5. Instruct the woman to palpate as well as look at the vulvar area.
[0106] 6. Instruct the woman to report any lumps, masses, growths, sores,
changes in skin color, painful areas, or itching to her health care provider."
[0107] Accordingly, if self-examination of the breasts is suggested by the
medical community, and if self-examination of the external genitalia are
suggested by the medical community, then why not self-examination of the
internal genitalia? Of course, the reason that this is not a routine option is
because of the current difficulty in performing pelvic self-examinations. The
use of the PPV will allow such pelvic self-examinations to become routine,
should a female choose to do so.
[0108] So, what evidence do the inventors have that women might be able to
detect problems if they had a PPV? As just one example, see the photograph on
the lower right-hand side on the page immediately proceeding page 129 of Gage,
1995. There it states:
[0109] "In this photo, an IUD string can be seen coming out of the os. The
whitish part of the string at the os is where bacteria have gathered, like a pus
in an infection. This woman's IUD is a Dalkon Shield, a type that has been
removed from the market in the U.S. because of the number of deaths and severe
infections associated with it. (It is now recommended that every woman who has a
Dalkon Shield have it removed.) She is 31 years old. The red spots above her os
are irritations commonly seen on the cervixes of women who have IUD's."
[0110] Just look at the photograph. It is the opinions of the inventors that had
the female been able to inspect here own uterus, that she could have spotted
infection turning a healthy appearing cervix into what is observed.
[0111] Marilyn L. Vail had a similar problem with an IUD approximately 30 years
ago. To the best of her knowledge, she received the now infamous Dalkon Shield.
Her primary gynecologist refused to remove the IUD when it began causing her
pain and discomfort immediately after it was placed in her uterus. The male
gynecologist simply stated that she "needed to get used to it". Marilyn L. Vail
then had to go to another gynecologist, a female gynecologist, who removed it.
By that time, the IUD had caused a severe infection and had partially imbedded
into the wall of Marilyn's uterus. Then a sequence of events transpired rapidly
spanning about one year that included Marilyn L. Vail developing a new, and very
painful, condition of endometrioses that was then "cured" by the surgical
removal of her uterus and other organs by the same male gynecologist that
refused to remove the IUD--that apparently was at least a major contributing
cause of the problem, or the entire cause of the problem, for all we now know.
Suppose, however, that Marilyn L. Vail could have routinely viewed her own
cervix at that time. Suppose further that she could have monitored her own
cervix before, and after, the insertion of the IUD. Under these circumstances,
could she have immediately observed the commencement of the disastrous infection
associated with the IUD? We believe so. It is our opinions that had Marilyn L.
Vail been able to observe her own cervix, then perhaps much pain, agony, and a
now questionable hysterectomy could have been entirely avoided. The apparent
arrogance of her initial male attending physician, her lack of knowledge of her
own body, and the lack of any definitive scientific observations available to
her led to a long time delay that eventually required the surgical removal of
many of her reproductive organs. In our opinions, this is a typical situation
that has been repeatedly inflicted on many women. In our opinions, this ongoing
situation is simply unacceptable, and something needs to be done now.
[0112] The inventors are therefore dedicated to inventing devices that allow an
individual female alone in the privacy of her own home to conveniently view, and
record if she chooses, her own cervix and the interior of her own vagina. This
is certainly useful for educational purposes--if for no other reason. If the
female chooses to record what she views, perhaps under certain circumstances she
might wish to share this data with her doctor or gynecologist to assist the
medical professionals to diagnose any problems that might develop. If the female
patient were to arrive in her doctors office with clear, absolute, and
undeniable evidence of physical changes that accompanied the onset of
symptoms--then perhaps fewer male doctors, in particular, would suggest that
whatever ailed the female was simply "in her head". With scientific evidence in
her own hands, it would be more difficult for the attending male physician, for
the most part, to send the female home accompanied by some condescending
comments. With evidence and knowledge in her own hands, the female would have
the power to demand immediate attention to her medical problems.
[0113] There are many other uses for the Personal Pelvic Viewer including
providing information that may be useful to optimize the chances of becoming
pregnant. Alternatively, the Personal Pelvic Viewer may be used by the female to
better understand and monitor her body when attempting to follow the so-called
"rhythm method" for family planning purposes.
Detailed Description of the Personal Pelvic Viewer (PPV) FIGS. 1 and 2
[0114] A preferred embodiment of the Personal Pelvic Viewer.TM. (PPV.TM.) is
generally shown as element 2 of FIG. 1. The PPV is located in place for viewing
within a portion of the female reproductive system generally designated as
element 4 in FIG. 1.
[0115] FIG. 1 shows a section view of a portion of the female reproductive
system with the female in a slightly "elevated lithotomy position". In this
position, the female is lying on her back, knees raised, with knees to the
left-hand direction FIG. 1, and with the torso on an angle having the head
suitably elevated above the pelvic region. In this position, the torso is on
perhaps on a 30 degree angle with respect to horizontal, the head is elevated,
and the head would be in the right-hand direction in relation to FIG. 1. Such an
elevated lithotomy position is shown in FIG. 11-1 on page 152 of Gage, 1995. If
the female is lying on a bed, then putting two or three pillows under her upper
back and shoulders results in a "half sitting position" which is a good
description of this "elevated lithotomy position". Such an elevated lithotomy
position is also shown in the book entitled "The New Our Bodies, Ourselves" in
the photograph on page 563; and in the book entitled "Our Bodies, Ourselves for
the New Century" in the photographs on page 271 and on page 591. However, the
position of the female is not shown in FIG. 1 for the purposes of clarity.
[0116] The upper wall of the vagina 6 and the lower wall of the vagina 8 are
shown in FIG. 1, and those walls are generally horizontal as depicted in FIG. 1
that is appropriate for the "elevated" lithotomy position" described above. Each
such upper and lower wall of the vagina has muscles, tissues, nerves, etc. that
are not shown in FIG. 1 for the purposes of simplicity. FIG. 1 shows the uterus
10, that has an internal void described as is the uterine body cavity 12, the
cervix 14, the external os 16 that is the external opening of the cervix into
the rear of the vagina, and an example of cervical mucus 18 exiting from the
external os into the rear of the vagina 20. FIG. 1 also shows the posterior
fornix 22 and the anterior fornix 24.
[0117] In FIG. 1, the PPV is inserted into the interior of the vagina generally
designated by numeral 26. Other portions of the female anatomy depicted in FIG.
1 include the urethra 28, the urethral opening 30, the labium majus (or labia
majora) 32, the labium minus (or labia minora) 34, which labia join together in
the region having the clitoris 36, the vaginal introitus 38, and the region
generally described as the perineum 40.
[0118] There are a few details of interest related to the particular section
view depicted in FIG. 1. The section view in FIG. 1 is taken so that the PPV is
in placed in front of the labium majus and labium minus located on the
right-hand side of the body of the female as would be defined by the female
herself. The numeral 32 shows the portion of the labium majus located vertically
above the PPV in FIG. 1, and the numeral 33 shows the portion of the labium
majus located vertically below the PPV in FIG. 1. Similarly numeral 34 shows the
portion of the labium minus located vertically above the PPV in FIG. 1, and the
numeral 35 shows the portion of the labium minus located vertically below the
PPV in FIG. 1. The portions of the labium majus and labium minus which are
located on the left-hand side of the female body as would be defined by the
female herself are not shown in FIG. 1 for the purposes of clarity and
simplicity. Also not shown in FIG. 1 are the structures related to the ovaries
and the fimbriae of the fallopian tubes which are generally attached to the
uterus perpendicular to the plane of the sectional view of the uterus shown in
FIG. 1. The inventors have been careful to use only terms that have been defined
in Sloane, 1993 and in Edge and Miller, 1994.
[0119] Accordingly, and with reference to FIG. 1, and while the female is in the
"elevated lithotomy position", the female grasps the "handle portion" 42 of the
PPV with the fingers of her right hand, if she is right-handed. In general, and
while in the "elevated lithotomy position", the length of the arm of an average
female is sufficiently long so that she may easily grasp and manipulate the
"handle portion" of the PPV. She then locates the vaginal introitus, and inserts
the standard front cap 44 of the PPV into her vagina. She slides the PPV into
the vagina until it reaches a convenient viewing distance "X" away from the
cervix. The PPV is entirely under the control of the female, and because various
sanitary devices, such as tampons, are similarly introduced into the vagina, it
is evident that the female would normally be able to follow this procedure. The
smaller OD of the "handle portion" 42 of the PPV is useful in that upon full
insertion, the outer portion of the vagina may "clamp down" on this smaller OD
portion of the handle to positively hold the PPV into place within the vagina.
[0120] The front cap 44 of the PPV has a transparent front flat plate 46 for
good image transmission that is recessed by distance Y (not shown) from the
front of the cap of the PPV because of the recession region 48. Upon insertion
into the vagina, the front cap of the PPV typically collects up various vaginal
secretions. Further, the female may choose to lubricate the outer portions of
the front cap of the PPV with substances like K-Y Jelly before insertion into
the vaginal introitus. Therefore, it is anticipated that the leading edge of the
front cap will collect up vaginal secretions, any lubricating substances
present, etc. that are collectively designated by numeral 50 in FIG. 1. A
purpose for the recession region 48 is to provide a clear viewing area through
the transparent flat plate that is not contaminated by vaginal secretions,
lubrications, etc.
[0121] FIG. 2 shows a blow-up portion of FIG. 1 that includes the region
containing the front cap 44 of the PPV. The front cap of the PPV has threads 52
that match the corresponding threads 54 of the viewing end of the PPV, and an
appropriate "0-ring seal" 56 to keep the void region 58 clear of secretions,
etc. The main body of the PPV 60 possesses a transparent flat plate viewing
window 62 that is made integral with the main body of the PPV using typical
fabrication techniques used in the industry. In several preferred embodiments,
the main body of the PPV is fabricated from a plastic or rubber-like substance,
and the transparent flat plate viewing window 62 is made of transparent
plexiglass or the like.
[0122] FIG. 2 shows a first optical system 64 that focuses the image of the
cervix onto a first electronic imaging system 66. As an example, in one
preferred embodiment, the first optical system 64 may be one or more simple
lenses, and the first electronic imaging system 66 may be a charged-coupled
device (abbreviated as "CCD"). The first optical system provides a means of
properly focusing the image of the cervix onto the first electronic imaging
system. Any focusing means, including movable lenses on geared racks, may be
used for this purpose. The focusing means may provide a fixed focal length, or
that distance may be controlled by a computer, or other means which are
described below, to obtain proper focus. Standard apparatus in the optical
focusing arts and the optical imaging arts are used to construct the first
optical system and the first electronic imaging system. The first electronic
imaging system 66 provides outputs, and obtains any inputs controls, via wire
bundle 68. In another preferred embodiment, a miniature video camera
manufactured for certain close-focus purposes may be substituted for the first
optical system 64 and the first electronic imaging system 66 in FIG. 1, which
video camera is identified by numeral 67 that is not shown in FIG. 1 for
simplicity, which would provide similar outputs and received similar inputs as
described above in this paragraph. For the purposes herein, the term "video
camera" or "video camera means" shall mean the suitable combination of an
optical system and corresponding imaging system to properly provide video images
of the cervix or of the interior of the vagina as desired.
[0123] FIG. 2 shows first light source 70 that, in this case, is connected to
light pipe 72 that delivers light to point 74 for basic illumination of the
cervix. In a preferred embodiment, the first light source is a white light
source, and the light pipe delivers the light to point 74 for illumination of
the cervix through various plates and voids as is evident from the previous
description. The first light source 70 obtains control signals, and provides any
measurements of light levels, etc. through wire bundle 76.
[0124] FIG. 2 shows second light source 78 that in this case is connected to
light pipe 80 that delivers special lighting to point 82 for special lighting of
the cervix. In a preferred embodiment, the second light source provides a
duration of illumination by ultraviolet light for purposes that will be
described below. The second light source 78 obtains control signals, and
provides any measurements of light levels, etc. through wire bundle 84.
[0125] The first optical system 64 and the first imaging system 68 are used to
measure the images when, alternatively the first or second light source is used
to illuminate the cervix. In some preferred embodiments of the invention, only
the first light source is provided, and in other embodiments of the invention,
two or more such light sources are provided. The light pipe 72 may be designed
so that it does not terminate perpendicularly to transparent flat plate viewing
window 62 at point 74 to avoid multiple reflections back into the first optical
system 64. Similar comments apply to light pipe 80 terminating at point 82 to
avoid multiple reflections. Further, the various flat optically transparent flat
surfaces themselves may all be chosen to be at small angles with respect to one
another to avoid such multiple reflections, although this is simply another
minor variation of the invention.
[0126] FIG. 2 shows second optical system 86 that focuses the image of a portion
of the interior of the vagina designated as element 88 onto an electronic
imaging system 90. As an example, the second optical system 86 may be one or
more simple lenses, and the second electronic imaging system 90 may be a
charged-coupled device or "CCD". As before, the second optical system provides
suitable adjustable focusing means to image the interior of the vagina onto the
electronic imaging system 90. The focusing means may have a fixed focal length
or may be controlled from a computer system (described below) to provide proper
focus. The electronic imaging system 90 provides outputs, and obtains any input
controls, via wire bundle 92. The portion of the main body of the PPV at the
location designated as 94 is transparent so that the portion of the interior of
the vagina 88 is properly observed by the optical image system 86. Observations
may be obtained with the first, and or second light sources as defined above. In
some embodiments, yet other light sources are provided for the specific
illumination of the wall of the vagina. However, if the main body of the PPV 60
is made from materials such as plexiglass or the like, then adequate lighting
will be available at the portion of the vagina 88 to be observed from the first
and or second light sources.
[0127] PPV internal sensor and instrumentation package 96 provides measurements
of one or more of the following quantities: temperature, pressure, and sound.
The internal PPV sensor may also provide measurements of the relative amount of
blood flow in the wall of the vagina using doppler shifted acoustic
measurements, and other blood flow measurement techniques known in the
ultrasound art. That information is provided as an output, and control signals
are inputted, on wire bundle 98. The PPV internal sensor and instrumentation
package is not necessarily in direct contact with the fluids within the vagina.
[0128] PPV external sensor 100 provides measurements on the fluids within the
vagina including the ph; the salinity; the types and quantities of hormones
present; the quantity of any blood present; the types and quantities of any
bacteria present; the types and quantities of any viruses present; the types and
quantities of any fungi present; and perhaps the presence or absence of sperm.
This external sensor 100 may also provide measurements of the electrical and
electrochemical signals generated by the interior of the vagina. In certain
preferred embodiments of this invention it is intended that the PPV provide an
inventory of the chemical and biological substances within the vagina. This
external sensor is based on the many biosensors available in the industry and as
described for other biological uses in the USPTO. External sensor 100 provides
measurements to the external sensor instrumentation package 102. Outputs from
the external sensor 100, and any control signals sent to the external sensor by
the external sensor instrumentation package 102, are provided over wire bundle
104. The output of the external sensor instrumentation package 102, and any
control signals sent to it, are provide via wire bundle 106.
[0129] Master system control 108 receives data from, and provides control
signals, power, etc. to wire bundles 68, 76, 84, 92, 98, and 106. Master system
control 108 also provides any of the following elements necessary to provide the
desired operational features of the PPV: (a) it provides means of providing
power from an internal source or from another external source, in other words it
provides a "power source means"; (b) it provides any power and control signals
to any the elements defined above; (c) it possesses electronics including any
required analogue to digital converter devices to properly process the
temperature, pressure, and other data received; (d) it can receive commands from
the exterior from the PPV; (e) it can send any information necessary to the
exterior of the PPV; (f) it can have one or more means to process information,
ie., it can have at least one "processor means"; (g) it can have one or more
computers to process information, and/or interpret commands, and/or send data,
ie., it can have one or more "computer means"; (h) it can have one or more means
for data storage; (i) it can have one or more means for nonvolatile data storage
if power is interrupted, ie., it can have one or more "nonvolatile data storage
means"; (j) it can have one or more recording devices, ie., it can have one or
more "recording means"; (k) it can have one or more read only memories, ie., it
can have one or more "read only memory means"; (l) it may have one or more
electronic controllers to process information, ie., it may have one or more
"electronic controller means"; (m) it can have one or more actuator means to
change at least one physical element of the device in response to measurements
within the PPV, and/or commands received from the exterior of the PPV; (n) it
can have one or more means to take samples from within the interior of the
vagina and or cervix under the control the master control system using suitable
instrumentation within the PPV or external to the PPV; and (o), it can have one
or more means to introduce acoustic signals or vibrations into the vagina for a
variety of purposes, including for the purposes of transvaginal imaging while
the PPV is in place within the vagina.
[0130] Therefore, the master system control 108 provides all the electronics,
computer, memory, and data communications functions necessary to enable the PPV
to carry out the above functions and the below enumerated functions.
[0131] In accordance with the above, FIG. 2 has defined elements 52-108. Except
for element 108, these are not enumerated on FIG. 1 for the purposes of clarity
and simplicity. FIG. 1 is already crowded, and of these elements 52-108, only
element 108 is shown again in FIG. 1.
[0132] Returning to FIG. 1, the master system control 108 is suitably labeled.
It sends information out of the PPV via wire bundle 110 that is internal to the
PPV and through wire bundle 112 that is external to the PPV. At a minimum, a
waterproof seal 113 prevents contamination of the interior of the PPV with
vaginal secretions, lubricants, etc. The wire bundle 112 is connected to the
remote transceiver 116. Wire bundle 112 is perhaps 10 feet long, made of very
flexible material surrounding multiple insulated electrical conductors, and is
attached to mating electrical connectors 114 that in turn connect the wire
bundle to the remote transceiver 116. The remote transceiver 116 may be
conveniently placed adjacent to the torso of the female in the "elevated
lithotomy position" who is performing the self-examination with the PPV. It is
important that the PPV be washable and capable of being disinfected with agents
such as alcohol or anti-bacterial soaps. The PPV may be placed into a
dishwashing machine and suitably cleaned for re-use by the individual female.
The mating connectors 113 may be disconnected, and the entire PPV along with
wire bundle 112 may be washed by hand and submerged into alcohol for cleaning.
The entire PPV with attached wire bundle 112 is water proof and may be
sterilized. With suitable designs, it could be boiled in water for complete
sterilization if desired.
[0133] In a preferred embodiment of the invention, the remote transceiver 116
obtains its power from several ordinary flashlight batteries, small 9 volt
batteries, or the like. The remote transceiver 116 possesses remote infra-red
("IR") transceiver element 118 that sends the information and video images via
encoded infra-red light to the monitoring system. That infra-red light sent to
the monitoring system is designated as element 120 in FIG. 1.
[0134] The base station transceiver 122 has its base IR transceiver element 124
that receives the measured information and video images encoded by infra-red
light. The base station transceiver then provides this measured information and
video images to the visual display unit 126 via wire bundle 128. It should be
noted that for the purposes herein, a "wire bundle" may be comprised of
insulated copper wires, cables of the nature used for cable TV, or optical
fibers, or a combination of any of the above.
[0135] In a preferred embodiment, the visual display unit 126 is an ordinary
television set monitor. The visual image on the TV set monitor is generally
designated as element 130 in FIG. 1 that in this case, is the visual image of
the cervix as observed by the PPV inserted into the vagina as depicted in FIG.
1. The images of the cervix 14, the external os 16, and the cervical mucus 18
are clearly evident in the image displayed. The monitor also displays data, such
as the temperature within the vagina that is, in this case "T=98.4.degree. F.".
This image may be recorded on the associated VCR with TV control that, in this
preferred embodiment, is designated as element 132 as appropriate if the visual
display unit 126 is an ordinary television set monitor. A video recording may be
obtained of the visual inspection of the vagina with the PPV. The video
recording may be done on ordinary VHS tape for example. In this case, the
controls for the TV monitor are provided by the "VCR with TV Control" as one
alternative for element 132. The measured information is also presented on the
visual display. Any sounds measured within the vagina may be broadcast over
speakers.
[0136] In another alternative preferred embodiment of the invention, the visual
display unit 126 is instead a CRT monitor of a computer system, or the like. In
this embodiment, the computer is used to provide information to the visual
display unit 126. In this embodiment, element 132 is not the VCR as described
above, but instead is a computer. The computer receives commands from the
keyboard 134 via wire bundle 136. In yet other embodiments, the keyboard may be
replaced with a speech command decoder responsive to spoken commands, that in
this case, could be very convenient. As stated earlier, the computer may be used
to provide proper focus of the interior of the vagina or of the cervix in
several preferred embodiments of the invention.
[0137] In some cases, the images and information obtained by the female that are
stored in the computer could, solely at her choice, be forwarded to a physician
for additional advice via the internet through cable 138 connected to internet
driver 140 that in turn provides data to the internet 142. Thus, solely at the
choice of the female, she is able to obtain visual images of her cervix in the
privacy of her own home, view them conveniently herself, and forward them to her
physician. Again, any of these steps is totally up to her, and it is completely
under her control. Any type of internet means may be used including internet
means using telephone wires or wireless internet means.
[0138] In this embodiment of the invention, the CRT monitor and all related
electronics obtains its power from the AC power grid generally designated by
element 144 in FIG. 1. In this preferred embodiment, the computer 132 is
connected to the visual display unit 126 via cable 146.
[0139] In this embodiment, the computer may determine that certain images or
measurements need to be repeated because of some type of error in the data, for
example. So, commands may be sent from the computer to the base station
transceiver 122 and its base IR transceiver element 124 which transmits
infra-red signals shown as element 148 to the remote transceiver element 118, so
that signals are sent onto the master system control 108 that would, in turn,
direct the PPV to perform repeated measurements.
[0140] In the above described embodiments, it is evident at this point that
remote transceiver element 118 and the base IR transceiver element 124 use
infra-red light for data communication. However, any bidirectional data
communication scheme may be used including low power radio frequency (RF), low
power microwave frequency, or any of the types of low power bidirectional data
transmission schemes what are being used for wireless internet data
communication and high speed data communication of any type. Any wireless data
communications hardware and protocol may be used for this purpose. The lower
power transmitters are best suited for this application because this absolutely
minimizes the chances of any safety related problems. The entire electronics,
communications, electronic imaging, and optical arts that are on file in the
Library of Congress as it stands today is incorporated herein in its entirety by
reference. In simple devices, one-way wireless data communication links can also
be used. However, in other embodiments of the invention, all of these wireless
links can be replaced with a fiber optic links, coaxial cable links, or with
just ordinary copper wiring that use any number of communication protocols that
have been described in the literature relating to the filed of data
communications.
[0141] There is additional safety to be obtained if the remote transceiver 116
is battery operated and not otherwise connected by conducting copper wires or
cables to the monitoring system. In such a situation, the remote transceiver 116
is "electrically isolated" from the AC power grid. Such electrical isolation
precludes many types of electrical hazards associated with malfunctioning
electronics otherwise connected to the AC power grid; precludes hazards
associated with wiring mistakes in buildings; precludes hazards during
lightening storms; and precludes dangerous types of "ground loops" due to a
variety of design and environmental interference problems. Further, having the
remote transceiver 116 located on the bed adjacent to a female performing
self-examination with the PPV is certainly convenient, and allows the female to
place that remote transceiver without having to "fight with" long cables, etc.
In this preferred embodiment, the battery powers the transceiver and provides
all the power required for the video camera and other devices located within the
Personal Pelvic Viewer (PPV).
[0142] It is now necessary to describe a few additional details. In the
following, it will be assumed that the preferred embodiment described shall
apply to the computer attached to a CRT. The PPV has a hand-operated button 150
below a flexible covering 152 that is integral to the body of the PPV, a switch
element 154, and wire link 156 to master system control 108. At the discretion
of the female, this button may be used to begin recording the visual images and
the data after the PPV has been properly positioned within her vagina. In one
embodiment of the invention, "one click" starts the video recording, and the
following "second click" stops the video recording. Various other schemes are
possible. In another embodiment of the invention, perhaps it is desired to have
one short click perform a "still frame" image of what was on the visual display.
Perhaps it is desired to have two long clicks begin the storage of a long series
of visual images. Accordingly, these are various versions of "hand operated
control means for the PPV". If a speech command decoder is used instead of, or
in addition to the keyboard 134, then this would provide "verbally operated
control means for the PPV". For the record, element 134 includes the following
possibilities: just the keyboard, just the speech command decoder, and both the
keyboard and the speech command decoder.
[0143] Such a series of long visual images accompanied with sound and pressure
readings vs. time might assist the female to understand her own orgasmic
response and its relevance to any reproductive problems she might have. At the
least, such images accompanied by sound and pressure would be educational.
[0144] With respect to FIG. 1, an end plug 158 is used to seal the PPV after
final assembly. It has a key-way 160 for installation at the factory, threads
162 engaging threads 164 in the main body of the PPV, and suitable 0-ring seal
166. However, in other embodiments, the PPV may be assembled to be one
monolithic one-piece assembly by gluing together certain portions of the body of
the PPV.
Proposed Cervical Cancer Detection with the PPV
[0145] It is the opinions of the inventors that many of the above embodiments of
the invention might allow the female in certain circumstances to self-diagnose
the initial appearance of cervical cancer using the following procedures. Below
described are two such procedures.
First New Proposed Procedure to Detect Cervical Cancer
[0146] This proposed first new procedure is described in the following steps to
detect cervical cancer:
[0147] 1. Choose a PPV with a first light source that is a white light source
for viewing the cervix that has a second ultraviolet light source for viewing
fluorescent optical emissions from the cervix.
[0148] 2. Insert the PPV into the vagina having first light source on and second
light source off. View the cervix, and record the view of the cervix in a in a
"first video recording".
[0149] 3. Remove the PPV from the vagina.
[0150] 4. Douche the vagina with a "particular liquid", where this particular
liquid binds to cancerous cells and normal cells in a manner such that when
illuminated with ultraviolet light, the cancerous cells and the normal cells can
be determined by observation under ultraviolet light.
[0151] 5. Insert the PPV into the vagina having first light source off and
second light source on. View the cervix, and record the view of the cervix in a
"second video recording".
[0152] 6. Remove the PPV from the vagina.
[0153] 7. Compare the "first video recording" with the "second video recording"
to detect if any cancer cells are present, and if so, make an estimate of the
region of the cervix affected by cancer.
[0154] It should be noted that similar procedures may be used on certain areas
of the vaginal wall using the second optical system. Further, the "first video
recording" and the "second video recording" may essentially be a "first still
image" and a "second still image"--just like comparing two photographs. The
point is that using one or more light sources, and a douche procedure between
the initial insertion of the PPV and the final insertion of the PPV may be used
by the female herself at her own home to screen for cancer. Such a procedure may
be criticized as being prone to error. However, the so-called Pap smear is not
accurate all the time.
[0155] With respect to the accuracy of Pap smears, please refer to Planned
Parenthood Federation of America, Inc., 1996, page 311 that states: "Pap test
screening is not perfect. Fifteen to 30 percent of those who are tested are
found to have normal results when in fact there are abnormal cells present".
This is the case involving "false negatives". False positives, involving Pap
smears, results in more disastrous outcomes in the view of Dr. Robert S.
Mendelsohn, an MD. In his book, that is the reference of Mendelsohn, 1981, I
quote the following excerpt from page 41:
[0156] "My concern about these examinations, and the tests that are routinely
associated with them, is not simply that they are largely worthless. I am
concerned because too often they lead to physical damage and even death.
[0157] The Pap test is a classic example of this. Although it had never been
subject to adequate study to determine its effectiveness, this test for cervical
cancer was eagerly accepted by Modern Medicine. A 1973 study found that more
than half of all American women over age seventeen had taken the test during the
previous year.
[0158] Gynecologists welcomed the Pap test because it gave them access to their
patients at least once a year. Although numerous studies questioned its value,
doctors had no incentive to discourage annual testing, because it provide them
with so many opportunities to intervene."
[0159] Mendelsohn, 1981, on page 43 further states:
[0160] "I realize that these are isolated examples from which no scientific
conclusions can be drawn. I cite them merely to dramatize the reasons routine
examination and testing of apparently healthy people is so hazardous to their
health. It is because they lead to radical medical or surgical intervention
based on tests that are suspect at best and grossly inaccurate at worst. They
also lead to sloppy medical practice in which inadequate tests are substituted
for careful clinical evaluation and sound medical judgement."
[0161] This view is reinforced in a recent article in Time Magazine, Dec. 13,
1999, page 74-76 entitled "Doctors' Deadly Mistakes" and "Medical errors kill up
to 98,000 Americans yearly . . . ". It is based on the 1999 report from The
Institute of Medicine, a branch of the National Academy of Sciences, entitled
"To Err is Human, Building a Safer Health System". That report speaks for
itself.
Second New Proposed Procedure to Detect Cervical Cancer
[0162] In the second procedure, steps are followed that resemble normal
colposcopy procedures in gynecological determination of cervical cancer. Please
refer to Rymer, et. al, 1997, pages 7-8. FIG. 10 therein shows a female being
observed in a colposcopy clinic. FIG. 11 therein shows a "colpophotograph of a
normal cervix". FIG. 12 therein shows a photograph "Exposing the squamocolumnar
junction" following the application of "5% acetic acid to stain the abnormal
areas white (acetowhite)." Therefore, photographic examination before and after
shows evidence of cervical cancer. In the case of colposcopy, page 7 of this
reference states: "The colposcopy (FIG. 10) is a binocular microscope. An
illuminated, three-dimensional view of the cervix is obtained, magnified between
6 and 40 times (FIG. 11). This technique identifies both the severity of the
abnormality giving rise to an abnormal smear and also the position on the
cervix. Hence, it allowed the clinician to assess the suitability for local
ablative therapy."
[0163] Accordingly, in this new proposed second procedure is described as
follows:
[0164] A. Choose a PPV with a first light source that is a white light source
for viewing the cervix.
[0165] B. Insert the PPV into the vagina having first light source on. View the
cervix, and record the view of the cervix in a in a "first video recording".
[0166] C. Remove the PPV from the vagina.
[0167] D. Douche the vagina with a "particular liquid", where this particular
liquid binds to cancerous cells and normal cells in a manner such that when
illuminated with the first light, the cancerous cells and the normal cells can
be determined by observation under the first light. In analogy with normal
colposcopy, have the female douche with a 5% acetic acid solution.
[0168] E. Insert the PPV into the vagina having first light source on. View the
cervix, and record the view of the cervix in a "second video recording".
[0169] F. Remove the PPV from the vagina.
[0170] G. Compare the "first video recording" with the "second video recording"
to detect if any cancer cells are present, and if so, make an estimate of the
region of the cervix affected by cancer.
[0171] Scott, et. al, 1999, also states on page 527 with respect to colposcopy
the following three paragraphs which are quoted below:
[0172] "Colposcopy aids in examining the visible portion of the female
reproductive tract (i.e., vulva, vagina, cervix). This technique complements
cytologic evaluation and may be able to localize the source of abnormal cells
seen on cytology.
[0173] Vulvar diseases amenable to colposcopic evaluation include HPV
infections, herpes genitalis, and preinvasive cancers. The magnification
afforded by the colposcope may aid in the selection of areas for biopsy. The
application of 3% acetic acid for 3 to 5 minutes may also help defined abnormal
areas that typically turn white and display sharp borders (i.e. acetowhite
epithelium). The colposcope may also aid in the recognition of clinically
inapparent vaginal intraepithelial neoplasia or HPV infection. These lesions are
also characterized by acetowhite epithelium.
[0174] Colposcopy is most commonly used for evaluating the cervix in patients
with an abnormal Pap smear. After it is visualized and excess mucus is gently
removed with a dry cotton ball, the cervix is treated with 3% to 5% acetic acid.
As noted, flat condylomata or dysplastic areas turn white or develop a vascular
pattern with a mosaic appearance or punctuation. The squamocolumnar junction and
transformation zone are then thoroughly inspected, and a biopsy of suspicious
areas is performed. In addition, nonpregnant patients with an abnormal Pap smear
should have an endocervical biopsy. Bleeding occurring as a result of the biopsy
can easily be controlled with ferric subsulfate (Monsel solution)."
[0175] From the above, it is evident that it is likely that the PPV may be used
to determine the presence or absence of cervical cancer in some fraction of the
cases. In any event, if the female could carefully observe her own cervix and
vagina, perhaps she could observe early warning signs.
[0176] It is possible that simple direct observation of her cervix can directly
detect precancerous conditions in at least some women. For example, on page 75
of Stoppard, 1994, it states the following:
[0177] "The second most common cancer affecting women, cervical cancer is one of
few that has a long and well-defined precancerous stage, which doctors are able
to detect during a PAP SMEAR."
[0178] There are two side-by-side photographs on page 75 of Stoppard, 1994, that
are described as follows under the title of "The vulnerable cervix" that are
quoted as follows:
[0179] "The picture on the left shows a healthy cervix, while that on the right
show one with precancerous cells. Cervical cancer occurs mainly in the 25-35 age
group, and there appears to be a link with the presence of genital warts in the
vagina or on a partner's penis."
[0180] In the opinions of the inventors, it would be very difficult for a female
not to be able to determine a change between two images shown on that page
75--provided she had knowledge of what her cervix looked like in time before and
after a great change. Therefore, it may be possible for many females avoid the
douching procedures in the above defined first and second new proposed
procedures to detect cervical cancer and/or to detect precancerous conditions.
These new procedures are defined as the new third and fourth procedures
respectively to detect cervical cancer and/or to detect precancerous conditions
in the cervix. However, these third and fourth procedures are not listed below
for brevity.
[0181] In any event, and provided that a woman otherwise follows all normal
suggestions by the medical profession, there is certainly little risk in
becoming familiar with her own body and observing her uterus, vagina, and vulva
for visible changes from what appears normal to her.
PPV Used to Assist Understanding Infertility Problems
[0182] If the female is having difficulty becoming pregnant, then perhaps as a
first step she might wish to understand her own biology. Accordingly, she could
insert the PPV once a day, take a "still frame" image of her cervix each time,
take her vaginal temperature each day with the PPV. Then, each "still frame" and
each temperature reading would be sent to the computer. The computer would then
compile a "one minute video" that corresponds to one of her "periods". This "one
minute video" corresponds to the female's "monthly" cycle that shows how the
cervix behaves during the cycle along with a plot of the temperature within the
vagina.
[0183] To see what such a "one minute video" might look like, please refer to
Gage, 1995. There are 8 pages of photographs inserted between page 128 and 129
of Gage, 1995. In particular, there is a series of photographs beginning on the
page entitled "Changes During the Menstrual Cycle". This series of photographs
is described as follows: "This woman is 29 years old and has no children or
abortions." The "one minute video" would show a series of images that look
continuous to the human eye that would proceed through the entire menstrual
cycle. On the next page is another series of photographs described in part:
"This woman, age 46, had her first period when she was 14 years old." And there
is one more series of photos on the next page described in part: "This woman is
19 years old."
[0184] This process could be repeated during a first cycle, a second cycle, and
a third cycle. Such a series of images could diagnose heretofore difficult or
impossible problems to detect. For example, what happens if the os does not open
in proper synchronization for fertilization with ovulation, as evidenced from
the basal temperature change? In current practices, such a failure would not be
detectable. However, this information in the hands of the female could be used
to enhance her chances of becoming pregnant. If there is a problem with
synchronization, perhaps the husband would be requested to have sex during a
very narrow window of time when pregnancy can occur.
[0185] The more information provided by the PPV, the better for diagnosing
complex infertility problems. For example, cervical images, temperature, ph, and
the presence or absence of certain fungi could be correlated with achieving
pregnancy. There are many variations of methods to promote pregnancy using
measurements provided by the PPV.
[0186] Similar comments apply to the female being able to prevent pregnancy
using the typical "rhythm method".
[0187] For example, in the case of a woman practicing the "rhythm method",
please refer to the series of photographs following page 129 in Gage, 1995 on
the page entitled "Changes During the Menstrual Cycle". On one photograph it
states: "DAY 14. She thinks she ovulated today. The os is open and there is
clear, fertile mucus coming out. The cervix is very light pink in color". This
is apparently an optimum situation for conception. Contrast this with the
photograph labeled: "DAY 22. The os is closed and there is more whitish
secretion on her cervix." It is evident that if a woman more clearly understood
her cycle, then she could perhaps either enhance her probability of conception,
or reduce the probability of conception--entirely at her own discretion.
[0188] As another point, please refer to the series of photographs in Gage, 1995
following page 129 having the legend reading: "This woman is 19 years old". This
page further states:
[0189] "She has no children and has had one abortion. She is not having a
menstrual cycle because she is taking birth control pills.* She has intervals of
bleeding from drug withdraw that last approximately five days. There is no
significant difference in the appearance of her cervix from one day to the next,
due to the fact that the Pill is suppressing the normal menstrual cycle."This
page 129 in Gage, 1995, defines the "*" as follows:
[0190] "* The Pill Cycle: A woman takes a pill each day for 21 days. During this
time most women do not have bleeding. Then she stops taking pills for seven
days, or takes sugar pills instead. Within the next day or two (day 22 or so)
most women get breakthrough bleeding which is really drug withdrawal bleeding
that results from abruptly discontinuing the hormonlike drug contained in the
Pill."
[0191] Therefore, a female having knowledge of the appearance of her own cervix
could detect if the birth control pill were failing to preclude the possibility
of pregnancy. Such a failure, for example, might be evident in the opening of
her os and the production of the clear, fertile mucus fluids while taking the
birth control pills.
[0192] The importance of the appearance of cervical mucus to the enhance
reproduction or for birth control purposes is described at length in Edge and
Miller, 1994 on pages 209-232 in Chapter 11 entitled "Fertility, Infertility,
and Contraception". For example, on page 227 it states:
[0193] "The cervical mucus (Billings or ovulation) method involves an evaluation
of cervical mucus from the vaginal introitus to predict ovulation. Before
ovulation, the cervical mucus is thin, clear, and watery. During or just
preceding ovulation, the mucus becomes thicker, more abundant, and "stretchy"
and can be pulled like taffy 5 cm or more (spinnbarkeit). Sperm survives well in
this mucosal environment. A woman should analyze her mucus several times a day
and keep an accurate record of monthly changes before using the characteristics
of cervical mucus to predict ovulation. The fertile time begins with the
appearance of the slippery mucus and lasts for approximately 72 hours. The
characteristics of the cervical mucus can be change by sperm, water-soluble
lubricants, contraceptive foams or jellies, and vaginal infections such a yeast
infection or candidiasis. . . . "
[0194] Edge and Miller, 1994, on page 232 further go on to state under the "box"
prominently labeled with "PATIENT TEACHING":
[0195] "4. Have the woman describe and report monthly changes in mucus,
especially the appearance of slippery, fertile mucus."
Cover for Insertion of PPV
[0196] Various types of "applicators" are typically used with tampons. For a
listing, please refer to Rinzler, 1997, in the table labeled with "Comparing the
Products: Tampons" on pages 52-56. Various applicators are described including a
cardboard applicator having a "rounded tip". The tampon is pushed through the
slots of the "rounded tip" upon insertion in the vagina.
[0197] By analogy, a waxed cardboard tube having a "rounded tip" with "slots"
could be designed to cover the PPV in shown in FIGS. 1 and 2. That is called an
"insertion cover for the PPV". That cover with PPV is inserted into the vagina
to the desired depth. The cover is then removed leaving the PPV in place. This
process would tend to avoid contamination of the optical surfaces at the end of
the PPV by vaginal secretions, lubricants, etc.
[0198] In another variation, the PPV may be inserted into a non-lubricated
"condom-like-cover". This "condom-like-cover" is intentionally designed to have
slotted weak points on the front end. Then, the outer layer of the
"condom-like-cover" can be lubricated. The PPV covered by the lubricated
"condom-like-cover" can then be inserted into the introitus and into the vagina.
Upon reaching the final depth, the female can "pull back" on the
"condom-like-cover", while holding the PPV in place, and the "condom-like-cover"
may be removed from the vagina. Again, this process would tend to avoid
contamination of the optical surfaces at the end of the PPV by vaginal
secretions, lubricants, etc. It is important that the "condom-like-covers" be
clearly marked and identified so that nobody would use them as ordinary condoms
because they might fail at an inopportune time.
[0199] Accordingly, the invention provides for many different "PPV covers" that
provide initial covering of the PPV upon insertion into the introitus and then
into the vagina.
Description of FIG. 3
[0200] FIG. 3 shows another preferred embodiment of the invention. Bivalve
specula for pelvic examinations are constructed so that they expand after
insertion into the vagina for a more clear view of the cervix and other organs.
For a description of the art in this field as of 1999, please refer to Meehan,
et. al., 1999. In particular, please see FIGS. 8A, 8B, 8C, and 8D in Meehan, et.
al, 1999. The invention shown in FIGS. 1 and 2 could be modified so that
structures resembling the "bills" of a bivalve speculum. However, a primary goal
of the PPV is to provide a lone female the ability to observe her own vagina
without the aid of another party, or without undue complexity. Such complexity
might include mechanical or actuation means to open her vagina. An air operated
"balloon type device" on the outside of the PPV could be used. Such devices are
known in the field of gynecology. For example, see Meehan, 1999.
[0201] However, it is well known that the vagina, and the introitus of the
vagina are extremely flexible and can expand to quite large sizes--provided that
the female herself is in control. For example, inspect many "adult toys" used
for enhancing the sexual pleasure of females, and many of such "adult toys" are
circumferencially quite large. However, it is known that with sufficient care,
patience, the lone female may comfortably insert quite large objects into her
own vagina. Of course the process of birth and the recovery of the vagina after
birth is a testimony to the flexibility of the vagina.
[0202] Accordingly, FIG. 3 shows a PPV with an enlarged front cap 168 that tends
to expand the interior portion of the vagina in the region near the cervix an
improved and unobstructed viewing by the PPV. All elements through element 166
elements in FIG. 3 have been previously described. Element 168 is an enlarged
front cap that is chosen so that with sufficient care, preparation, and
patience, an average female can insert this enlarged front cap into her
introitus and then into the vagina.
[0203] The maximum lateral dimension of the enlarged front cap 168 is given by
the dimensions of cross section AB in FIG. 3. This maximum lateral dimension
will NOT be larger than the lateral dimensions of "adult toys" routinely
commercially available. Further, the outer portion of the enlarged front cap may
be made from very flexible rubber of the type typically used in many such adult
toys. Such flexible rubber would make the insertion of the enlarged cap into the
introitus more comfortable. Mating threads 170 in the PPV and 172 in the cap
allow the oversize front cap to screw onto the PPV.
[0204] In FIG. 3, the enlarged front cap must be firmly screwed into place on
the body of the PPV so that this enlarged front cap does not fall off within the
vagina upon removal of the PPV from the vagina. (However, the front cap should
have rounded edges on all portions of the cap should that occur and removal by
hand be required.) Accordingly, a preferred embodiment provides for an inner
portion of the enlarged front cap to be strong plastic that is bonded to soft
rubber on the exterior of the enlarged cap for reasons already cited, although
such as "laminated" structure is not shown in FIG. 3 for simplicity. For future
reference, element 174 is reserved for the inner hard plastic portion of such an
enlarged front cap having the threads in the cap 172 and element 176 is reserved
for the outer soft rubber component of that enlarged cap, although elements 174
and 176 are not shown in FIG. 3 for simplicity.
[0205] In FIG. 3, rear O-ring 178 seals the enlarged front cap against the body
of the PPV to the left-hand side in FIG. 3, and front 0-ring 180 seals the
enlarged front cap against the transparent flat plate viewing window 62 that is
made integrally with the main body of the PPV. Typical 0-ring fabrication
processes are used. A reason for this construction allows the female to simply
replace the standard front cap 44 with enlarged front cap 168--should she choose
do so. The standard front cap 44 and the enlarged front cap 168 have suitable
0-rings seals to keep vaginal secretions, etc. from the threads. However, the
caps may be removed and cleaned if desired using techniques already descried
above.
[0206] Standard "K-Y.RTM. Brand Jelly", a personal lubricant manufactured by
Ortho-McNeil Pharmaceutical, Inc., Raritan, N.J., may be used by the female to
assist the insertion of the enlarged front cap into her introitus. Element 182
shows some K-Y jelly and other vaginal secretions on the forward portion of the
enlarged cap. Recession region generally identified with element 184 in FIG. 3
is designed to minimize contamination into the viewing area by such K-Y jelly
and by other vaginal sections. Such a construction will optimize the clarity of
the uterus and the visual observation of any imperfections or suspicious areas
on the uterus as identified with element 186 in FIG. 3.
[0207] It is also worthwhile to note that it might not help for insertion if the
female is in a heightened state of sexual excitement. Please refer to Masters,
Johnson, and Kolodny, 1995. In particular, please refer in general to Chapter 4
entitled "Sexual Physiology" in particular to FIG. 4.2 on page 76 entitled
"Internal Changes in the Female Sexual Response". The terms defined in that
Chapter 4 shall be used in this paragraph and elsewhere as appropriate. In the
"plateau phase", the introitus becomes tighter because of increased blood flow,
and this in part forms the "orgasmic platform". On page 78, of that Chapter 4 it
states in part: "During the plateau phase in women prominent vasocongestion in
the outer third of the vagina causes the tissues to swell. This reaction, called
the orgasmic platform, narrows the opening of the vagina by 30 percent or more .
. . " Therefore, if the orgasmic response of the female is to be observed, and
if the PPV with an enlarged front cap is to be used, then perhaps it might be
wise to first insert the PPV into the vagina, and then begin the process of
achieving orgasm. It might also help if the female were to be in the "resolution
phase" before it is removed. Before attempting to observe the female orgasm with
the PPV, it is recommended that the female become acquainted with the processes
involved as described in FIG. 4.2 and in many other books.
Simplified PPV
[0208] The inventors had conceived of the simplified form of the PPV some time
ago. The inventors had disclosed this simplified PPV under confidentiality to
several other parties. The simplified PPV has the following elements:
[0209] 1. A PPV with at least one light source and one video camera within the
vagina.
[0210] 2. A PPV with at least a one directional wireless transmitter. For
example this would include a one-way infra-red (IR) transmitter.
[0211] 3. A suitable wireless receiver and a display in the form of a TV or a
computer screen.
[0212] 4. Preferably, the IR transmitter would be located in the handle of the
PPV or in a box attached by a flexible cord as described above.
[0213] No separate figure is shown for this "simplified PPV", but the elements
have been previously described in relation to FIGS. 1, 2, and 3. Instead of the
IR transmitter in the above, a low power radio transmitter or a low power
microwave transmitter can be used instead.
Simultaneous View of Perineum
[0214] Another embodiment of the invention uses the PPV in combination with yet
another video camera whose function is to observe the portion of the perineum
above the PPV.
[0215] In this embodiment, yet another very small video camera is located
integral within "handle portion" of the PPV 42. This small video camera, is
comprised of a third optical system 188 and a third electronic imaging system
190 (elements not shown in figures for simplicity). The purpose of this third
video camera system is to provide images of the inner labium, outer labium, the
urethral opening 30, and the clitoris that are located above the portion of the
handle of the PPV inserted into the vagina. Such images may be provided on a
split screen display.
[0216] As the PPV is rotated in the vagina, a 360 degree close-up view of the
perineum may be obtained for the visual inspection of this region for that is a
part of a normal gynecological examination. For example, please see Luckmann,
1997, under "Performing the Adult Physical Examination", and in particular under
"f. Female Genitalia . . . " on pages 145-147.
[0217] Further, observation of the swelling of the labium majus, the color
changes of the labium minus, and the changes in the physical shape and
dimensions of the clitoris during the female sexual response is of interest for
a variety of purposes, including for educational purposes.
[0218] Scientific issues may be resolved with this instrument. It is not now
known if "female ejaculation" at orgasm pushes fluid through the urethral
opening 30, or through the Skene's glands that are very close by, or if the a
given female may ejaculate from one or more of these locations. For example,
Sloane, 1993, on page 36 states: "But there are women who are concerned about
expelling what seems to be a small gush of urine during intercourse, especially
at orgasm. They are not urinating, but are probably experiencing a greater
discharge from the paraurethral (Skene's) glands and the vulvovaginal
(Bartholin's) glands--for them, a normal sexual response." Such a response may
be different for different females. If a female wishes to understand more about
her body, such observations correlated with vaginal pressure, sound, images of
her uterus at orgasm would allow her to better understand her own sexual
response. Such a response may be carefully observed while in the "elevated
lithotomy position" with PPV in place and while also placing a hand-held
"vibrator" against the clitoris for sexual stimulation.
[0219] Further, other embodiments of the invention provide for one or more
"vibrator devices" to be incorporated within the PPV to further aid in such
stimulation. If necessary, motion stabilization of the video images may be
provided so that even though there are one or more acoustic stimulations, that
the images are stabilized. And one more embodiment provides for computer based
acoustic signals to be sent by the wireless communication system to the PPV to
control the "vibrator devices" within the PPV to aid during sexual stimulation.
Such acoustic signals include the provision of "base signals" from ordinary
audio tapes or other acoustic signals related to music converted to acoustic
signals sent to the PPV by a wireless commutation link. Such observations by a
female would certainly be educational, if for no other reasons.
Women's Health and the PPV
[0220] The medical community has during the last decade generally recognized
that a healthy sex life for women and men is important to their overall physical
and mental health. Typical of such modern views is the following excerpt from
the Chapter entitled "Women and Sexuality", on page 106 of Youngkin and Davis,
1998:
[0221] `Sexuality is inextricably woven into the fabric of a women's life and is
an important aspect of her health. It is an integrated, unique expression of
self that encompasses physiological and psychosocial processes inherent in
sexual development, sexual response, sexual desire, view of self as a female
including sexual orientation, and presentation of self to society as a
woman..sup.1 Sexuality underlies much of who and what a person is, and it is an
inherent, ever changing aspect of life from birth to death. It is expressed in
different ways at different times--alone, with one partner, or with different
partners..sup.2
[0222] Although experts do not agree on a definition of sexual health or what
constitutes normal sexual behavior, the World Health Organization definition
provides a starting point: "Sexual health is the integration of somatic,
emotional, intellectual, and social aspects of sexual beings in ways that are
positively enriching and that enhance personality, communication and
love"..sup.3 Essential elements of this definition include a woman's capacity to
live in a manner that is congruent with her personal and social ethic while
enjoying and controlling sexual and reproductive behavior; the freedom from
psychological factors such as guilt, anxiety, fear, shame and misconceptions
that impair sexual response and hurt sexual relationships; and the absence of
disease, illness, organic disorders or deficiencies that interfere with sexual
function..sup.2 Integral to sexual health is an acceptance of one's
self-concept, body image, sexual identity, and sexual orientation.
[0223] Sexual health is that emotional and physical state that allows enjoyment
and the ability to respond to sexual feelings. In short, sexual health may be
considered the physical and emotional state of well-being that enables us to
enjoy and act on our sexual feelings..sup.4 Promoting sexual health is a
legitimate role for health professional and an essential nursing function. The
nurse practitioner or other primary care provided can have primary role in
promoting and maintaining the sexual health of women.`
[0224] On page 114 under the subtopic of "Inhibited Female Orgasm" of Youngkin
and Davis, 1998, it states: "Women whose orgasmic difficulties have a physical
basis should be treated for the underlying cause. Once physical causes have been
corrected, the most common treatments of this problem are behavioral. For
example, the women is taught to experience orgasm through a series of exercises
that increase here awareness of genital sensations and masturbatory
techniques..sup.52 Once she has experienced an orgasm through self-stimulation,
she is taught to transfer this knowledge to a partner experience. Women with a
partner may be given specific couples exercises to practice. Women with an
orgasmic dysfunction may also benefit from information about female anatomy and
physiology and the differences between male and female response cycles."
[0225] With regards to the sexual health of women, please also refer to the
section in Sloane, 1993, entitled "Sexual Problems in Women" on pages 197-199
which states in part with respect to problems achieving orgasm: "One of the best
ways to teach oneself to have an orgasm is by masturbating, but even knowing how
to masturbate may not come naturally to women who have been taught since
childhood that touching oneself is wrong and shameful. The very intense local
stimulation that is derived by an electric vibrator may help to achieve orgasm
initially." Sloane, 1993, in general emphasizes that "knowledge concerning the
anatomy and physiology of the female orgasm" is important.
[0226] The above quotes in this paragraph are representative of much of what now
is common practice in the medical community. A central them is that the overall
health of the female and the sexual health of a female is enhanced by knowledge
of her own reproductive organs and their response under sexual stimulation.
[0227] Accordingly, the female alone in her own home may view and investigate
her own sexual cycle with the PPV inserted into her vagina. This sexual cycle is
clearly explained in FIG. 4.2 on page 76 of Masters, Johnson and Kolodny, 1995,
and the terms used in that FIG. 4.2 and in the related text on pages 70-86 will
be used here and quotes will be used from this reference. Therefore, the female
may view the following with the PPV having a first, second, and third optical
system described above.
[0228] 1. Excitement Phase: During the excitement phase, vaginal lubrication
appears through the process of transudation. "Other changes also occur in women
during the excitement phase. The inner two-thirds of the vagina expand, the
cervix and uterus are pulled upward, and the outer lips of the vagina flatten
and move apart. . . . " "In addition, the inner lips of the vagina enlarge in
diameter, and the clitoris increases in size as a result of vasocongestion."
[0229] 2. Plateau Phase: During the plateau phase, the uterus elevates, and the
vagina expands dramatically, a phenomenon called "tenting" that provides a
region for the seminal pool. "During the plateau phase in women prominent
vasocongestion in the outer third of the vaginal causes the tissues to swell.
This reaction, called the orgasmic platform, narrows the opening of the vagina
by 30 percent or more. . . . " "The clitoris pulls back against the public
bone". "The inner lips enlarge dramatically as a result of engorgement with
blood, doubling or event tripling in thickness." "Once this reaction has
occurred, vivid color changes develop in the inner lips." `Masters and Johnson
(1966) noted that if effective sexual stimulation continues once this "sex skin"
color change appears, orgasm invariably follows. In more than 7500 cycles of
female sexual response, an orgasm never occurred without the preceding color
change of the inner lips.`
[0230] 3. Orgasm Phase: "Orgasm in the female is marked by simultaneous rhythmic
muscular contractions of the uterus, the outer third of the vagina (the orgasmic
platform) . . . ". "The first few contractions are intense and closed together
(at 0.8--second intervals). As orgasm continues, the contractions diminish in
force and duration and occur at less regular intervals. A mild orgasm may have
only 3 to 5 contractions, while an intense orgasm may have 10 to 15."
[0231] 4. Resolution Phase: During the resolution phase, the uterus moves
towards its original position, the orgasmic platform within the vagina gradually
disappears, and the vagina returns to normal.
[0232] In the above, the "outer lips" are the labium majus (or labia majora),
and the "inner lips" are the labium minus (or labia minora).
[0233] The first optical system of the PPV will provide views of the motion of
the cervix and the os during the sexual cycle. Such images using different
technology were provided in a television show on The Learning Channel in the
series entitled "Intimate Universe, The Human Body" and in the particular
episode of that series entitled "Building a Baby", that was copyright 1998,
(hereinafter "TLC, 1998"), and presented by Dr. Robert Winston. It showed the
remarkable images from inside the vagina of a woman. Those images clearly show
that during the orgasm of the particular woman being filmed, the tip of her
uterus dips repeatedly and rhythmically into the region of the vagina having the
seminal pool--evidently because this increases the chances of insemination from
an evolutionary point of view. In one segment of TLC, 1998, it appeared that a
standard video camera was placed inside a glass or plastic "test tube" type
device having a rounded end that showed distorted images within the vagina at
orgasm. In another segment of this television show, it appeared that a standard
video camera with a long focal length lens (perhaps 135 mm) was viewing the
cervix at orgasm through a bivalve speculum located in place within the vagina.
[0234] The particular images described above had been previously obtained using
different procedures than described herein. These images were obtained using
different technology than that provided by the PPV in the original pioneering
studies by Masters and Johnson, 1966. Regarding this academic study by Masters
and Johnson, Sloane, 1993, states the following on page 189: `They made
observations during manual masturbation, during masturbation with a vibrator,
during intercourse in several positions, while the breasts alone were stimulated
without genital contact, and also during "artificial coitus" with a plastic
penis containing a movie camera to record internal changes.`Regarding health
matters, Sloane, 1993, further states on page 189 regarding the work of Masters
and Johnson: "Use of the artificial penis also made possible observations that
had clinical value in infertility problems and contraceptive research."
[0235] It is the opinions of the inventors that a PPV would provide such images
much more clearly and under circumstances that are much more private and
discrete for the female investigating her own body. The PPV will provide the
female her own images that until now would have required a filming crew, a
gynecologist, and facilities in a major scientific laboratory. The lack of
privacy is the female is obvious in such a laboratory environment.
[0236] In addition to the above images during orgasm, the second optical system
of the PPV may be used to monitor transudation and related phenomena.
[0237] The third optical system of the PPV may be used to observe the sexual
cycle of regions of the perineum.
[0238] The PPV may also be used in the scientific study of the sexual response
of the human female in the privacy of her own home--should she choose to
participate in such a study. Any or all of the above signals could be provided
through the internet to a laboratory for scientific study while the female is in
the safety and security of her own home who chose to be part of such a study.
With suitable attention to anonymity in the study, perhaps many females might
wish to participate in such a scientific study. Perhaps if the beauty, and the
stunningly complex physiological responses were better understood by the
community at large, perhaps women in general might be accorded the same respect
for their wondrous genitals as are accorded to the males for their more obvious
genitals.
[0239] Perhaps the PPV could significantly benefit society in a number of ways.
For example, if males better understood that the sexual response of the human
female involves physiological responses and physical changes within her body
that are equal to or greater than that of the male's, then women might be
accorded additional respect and dignity for the wondrous anatomy of an adult
woman. With respect to this particular subject, Masters, Johnson and Kolodny,
1994, under the subtitle of "Common Myths About Sexual Response" on page 86
state the following:
[0240] "One commonly held belief is that males have a greater sexual capacity
than females. The reverse is actually true."
[0241] With the images from the PPV in her hands, any women could prove the
validity of this statement to herself, or to anybody else she might choose.
Samples with the PPV
[0242] It is evident from the above that suitable modifications of the PPV may
be made so that the female in the privacy of her own home might be able to take
PAP smears from her cervix while viewing the sampling procedure with the PPV.
There are many modifications to the above PPV's that would allow this. One
simple modification is to provide an open hole along the length of the PPV
through which the female could insert a spatula type device to sample here own
cervix. Perhaps she could then treat these samples with a fixer, and send them
to a laboratory for standard analysis. A photograph of such procedures, and an
accompanying brief description, appear in Rymer, et. al., 1997, under the topic
of "2. Investigative techniques" on pages 5-6.
Other Types of Displays
[0243] FIGS. 1, 2 and 3 contemplate the display of the visual image from the PPV
on element 126. Again, element 130 is in some embodiments a TV monitor, and in
others, is a CRT monitor of a computer system, or the like. Any type suitable
display may be used for this purpose.
[0244] The views from the PPV may be presented on a "split-screen" display. For
example, for example a TV monitor, or CRT monitor as they case may be, may have
four equal size areas for display. Three of the areas may show images from the
first, second, and third optical systems simultaneously. Data, such as
temperature and pressure in real time as measured within the vagina may be
displayed in the remaining fourth area. Simultaneous with all of the visual
displays are sounds as measured within the vagina in real time.
[0245] However, yet other preferred embodiments of the invention contemplate
using so-called "retinal displays" and the like. For the purposes herein, such
displays are head-mounted devices that provide displays to the human observer. A
"retinal display" may be used in combination with the other displays enumerated
above or as the only display for several preferred embodiments of the invention.
The "retinal display" may be used by the female during self-examination in the
privacy of her own home. The "retinal display" may also be used by a
gynecologist while using the PPV to perform internal visualization of the
cervix, vagina, etc. and to perform other tests with the PPV.
[0246] Another embodiment of this invention provides for any device located
within the human body for monitoring purposes that has any of the above wireless
display and recording characteristics shown in FIGS. 1, 2 and 3. For example,
most presently used internal visualization device for viewing within human body
cavities are connected to other instruments by wires, cords, mechanical devices,
light pipes, etc.
[0247] Accordingly, the invention herein provides the method of observation of
interior body parts including at least the following steps: placing observation
means within the body interior that obtains visual information; sending that
visual information by at least one wireless communications means to a receiver
attached a display system; and viewing the visual information on the display
system remote from the interior of the body. Similar comments apply to methods
of recording information. This method may also include at least one or more
additional measurements described above.
[0248] In analogy, the invention herein also includes apparatus having the
following elements: means located within the body interior to obtain visual
information; wireless transmitter means within the body; wireless receiver mans
outside the body; and display means to display the visual information obtained
within the body. This invention not only pertains to the PPV, but to any
instrument for measuring and recording information within the human body used in
the medical sciences.
[0249] A side view of an embodiment of the invention described in the previous
paragraph is shown in FIG. 4. Internal Pelvic Viewer.TM. (IPV.TM.) 200 is shown
located within the interior walls of the vagina 202. The cervix 204 and the
external os 206 face the forward end 208 of the IPV. Transparent plate 210
allows the "means located within the body interior to obtain visual information"
that is element 212 in FIG. 4. The quotes in this paragraph are from the
previous paragraph. Element 214 is the "wireless transmitter means within the
body". Wireless transmitter means 214 is also located within the IPV. Element
216 is the "wireless receiver means outside the body". Element 218 is the
"display means to display the visual information obtained within the body". An
end view of the image of the cervix and external os 220 are displayed on the
display means 218. The transmitted signal 222 is shown propagating from the
wireless transmitter means 214 to the wireless receiver means 216 which is
composed of radio frequency waves or microwaves (but not infra-red radiation
that is absorbed by the wall of the vagina). Element 224 is "any instrument for
measuring and recording information within the human body" which includes any of
previously described sensors. Other ancillary support electronics, including
batteries, etc. that is evident from the prior description above is shown as
element 226 in FIG. 4. The entrance to the vagina 228 closes around the IPV. A
flexible cord 230 is attached to the IPV which allows easy removal in analogy
with the flexible cord typically attached to a tampon. The IPV forms a
water-tight enclosure around elements 212, 214, 224, and 226.
[0250] The "wireless receiver means outside the body" 216 and the "display means
to display the visual information obtained within the body" 218 may be chosen in
different preferred embodiments to be located as follows: (a) in a room next to
the woman having the IPV inserted into her vagina; (b) worn by the woman having
the IPV inserted into her vagina; or (c) in a remote location that can read at a
later time any information stored in element 226. The one direction transmission
link may be suitably replaced with a bidirectional communication link as
described in relation to other embodiments previously described above. With a
bidirectional communication link, a command may be suitably provided to begin
transmitting information stored in element 226 that is useful in preferred
embodiment (c) above.
[0251] In one particular use for the preferred embodiment defined in (c) above,
extreme exercise, such as distance running, may cause gynecological problems for
certain women. With the IPV in place, a woman can exercise, and with the visual
images obtained during exercise from the IPV, may determine if the exercise
itself is responsible, or partially responsible, for certain gynecological
problems. As one particular preferred method of using the invention, if the
muscles holding the uterus in place are not sufficiently strong, during
exercise, the cervix may drop unreasonable distances into the vagina during
exercise which may not be advisable for those women having weaker muscles
holding the uterus in place.
[0252] Further, in analogy with the PPV, other preferred embodiments of the
invention provide for one or more "vibrator devices" to be incorporated within
the IPV for genital stimulation. The process of excitement, plateau, orgasm and
resolution may be observed with the IPV in place within the vagina.
[0253] The IPV may be left in place for long periods of time. It may also be
used to investigate infertility problems. For example, in one embodiment, the
display unit 218 could have an alarm indicating that measurements from sensors
indicate that the woman has become fertile using typical techniques in the
medical sciences. For example, in one preferred embodiment, temperature is
measured, and the properties of the cervical mucus is measured to indicate
fertility.
[0254] The IPV may also be used to investigate problems during a woman's
menstrual period. In one preferred embodiment, the outer portion of the IPV may
be covered with an absorbent material similar to that used in tampons. Then
visual images and measurements may be taken during her menstrual period. This
embodiment may be described as an intelligent, instrumented, tampon and has many
uses. In yet another preferred embodiment, the "means located within the body
interior to obtain visual information" that is element 212 is omitted to reduce
the expense of the intelligent, instrumented, tampon. There are many variations
of the intelligent, instrumented, tampon.
[0255] Yet another variation of the invention provides for views within the anal
cavity. A slightly smaller OD version of the PPV may be inserted into the rectum
and visual images obtained of the type described above. Such images are
particularly relevant in studying the orgasmic response of the human female at
orgasm. The device engineered for anal insertion is called the "Personal Anal
Viewer.TM." that is abbreviated "PAV.TM.". The distal end of the PAV would
normally be inserted past the sphincter muscle into the interior of the anus for
viewing. A suitable "stop" would be formed into the handle portion of the PAV so
that the handle could not be inserted completely into the anus that would pose a
potential retrieval problem. Many adult "toys" have such "stops" that prevent
complete insertion into the anus.
[0256] Yet another variation of the invention provides for the simultaneous
viewing of the interior of the vagina with the PPV and the interior of the anus
with the PAV. Here, both the PPV and the PAV are independently connected to the
remote transceiver 116 by separate wires. However, visual display on element 130
in FIG. 1 would then be a "split display", where the first image corresponds to
the interior of the vagina and the second image corresponds to the interior of
the anus.
[0257] Yet another variation of the invention provides for the simultaneous
viewing of the interior of the vagina with the PPV, the simultaneous viewing of
the perineum (see the above section entitled "Simultaneous View of Perineum"),
and the simultaneous viewing of the interior of the anus with the PAV. In this
case, the visual display would show three images. Such a system would be
particularly useful to investigate the orgasmic response of the human female.
[0258] Yet another variation of the invention provides for the simultaneous
viewing of the interior of the vagina with the PPV, the simultaneous viewing the
perineum with the PPV (see the above section entitled "Simultaneous View of the
Perineum"), the simultaneous viewing of the interior of the anus with the PAV,
the simultaneous frontal view of the general genital area with a first standard
video camera, the simultaneous close-up view of the nipples with a second
standard video camera, and the simultaneous viewing with a third standard video
camera of the entire body of the female. Such visual information would be very
useful for studying the orgasmic response of the human female, a topic of
considerable scientific interest at this time.
[0259] In view of the above description, a method of observation of the interior
of the vagina by a lone female within a room including has been described that
includes at least the following steps:
[0260] (a) the female places a sealed video camera means within her own vagina,
whereby that means possesses a sealed transparent aperture so that the means may
properly view the interior of the vagina and the cervix;
[0261] (b) obtaining video information from the video camera means;
[0262] (c) transmitting the video information by a wireless communications means
to a receiver means attached to a monitor means located within the room; and
[0263] (d) viewing the video information on the monitor means to view the
interior of her own vagina.
[0264] Here, the monitor means may be a television set or a computer monitor.
The video information may be recorded by a recording means. The recorded video
information may be forwarded by a data transmission means to a physician's
office remote from the room, and the data transmission means may be the
internet. Here, the video camera means obtains its electrical power from a
battery power supply means. The wireless communication means may use infra red
radiation, radio waves, or microwaves.
[0265] In accordance with the above, a Personal Pelvic Viewer has been described
for viewing the vagina and cervix by a lone female in a room comprising:
[0266] (a) a sealed video camera means having suitable geometric dimensions to
be placed within the vagina by the female, whereby the means provides video
data, and whereby the means possesses a sealed transparent aperture so that the
video camera means may view the interior of the vagina and the cervix of the
female;
[0267] (b) a remote transceiver means that obtains the video data through an
electrical cable attached to the sealed video camera means that transmits by a
wireless data transmission means the video data to a base station transceiver
means located within the room; and
[0268] (c) electronic means to display video data obtained from the base station
transceiver means on a monitor means for viewing by the lone female.
[0269] Here, the monitor means may be a television set or a computer monitor.
The video data may be recorded by a recording means. The recorded video data may
be forwarded by a data transmission means to a physician's office remote from
the room. In one embodiment, the data transmission means is the internet. In one
embodiment, the video camera means obtains its electrical power from a battery
power supply means. The wireless communications means may use infra red
radiation, radio waves, or microwaves.
[0270] In view of the above, a Personal Pelvic Viewer for viewing the vagina and
cervix by a lone female in a room comprising:
[0271] (a) a sealed video camera means having suitable geometric dimensions to
be placed within the vagina by the female, whereby the means provides video
data, and whereby the means possesses a sealed transparent aperture so that the
video camera means may view the interior of the vagina and the cervix of the
female;
[0272] (b) means to provide the video data to a monitor system;
[0273] (c) means to display the video data to provide an image of the interior
of the vagina and cervix to be viewed by the lone female within the room.
[0274] Here, the monitor system may be a television set or a computer monitor.
The video data may be recorded by a recording means. The recorded video data may
be forwarded by a data transmission means to a physician's office remote from
the room. In one embodiment, the data transmission means is the internet. In one
embodiment, the video camera means obtains its electrical power from a battery
power supply means.
[0275] It is also evident from the above that the invention provides methods and
apparatus for a lone female at home to inspect her own vagina and cervix to
determine the presence of any foreign objects, including misplaced tampons, or
condoms that may have slipped off during intercourse. It is further evident that
the Personal Pelvic Viewer (PPV) may be used to determine the proper positioning
of a cervical cap used for contraceptive purposes.
[0276] It should also be noted that recent advances make small camera systems of
the type required for the PPV and the PAV feasible. For example please refer to
the article entitled "A Fantastic Voyage Through Your Intestines" under
"Developments to Watch" in Business Week dated Jun. 12, 2000, an entire copy of
which is incorporated herein by reference.
[0277] The hand-held device that is inserted within the vagina is called the
Personal Pelvic Viewer.TM. (PPV.TM.) and is to become widely available through
the internet sales and in stores currently selling "adult toys" commonly used
for sexual purposes. Other sales outlets are also contemplated. For the purposes
of such sales, the Personal Pelvic Viewers are classified as devices allowing a
lone female to view the internal portions of her vaginal. For the purposes of
such sales, the Personal Pelvic Viewers are classified as devices used by a lone
female to view the interior of her vagina during masturbation. For the purposes
of such sales, the Personal Pelvic Viewers are classified as devices used for
adult educational purposes, as adult sexual aids, and as adult sex toys.
Tubular Transparent Vaginal Specula
[0278] In the process of experimenting with different designs for the PPV above,
it became apparent that there are other types of Personal Pelvic Viewers which
may be used by the lone female. These viewers must be able to be inserted into
the vagina by a lone female. Therefore a tubular shaped Personal Pelvic Viewer
of suitable dimensions may be used for this purpose. It must also be of a
sufficient length so that it can be retrieved by the lone female. The tubular
Personal Pelvic Viewers are preferably made from transparent plastic materials
such as transparent acrylic. Acrylic materials feel reasonable to the vagina.
The transparent acrylic viewers allow the interior of the vagina to be viewed
through the transparent materials. Acrylic materials may be suitably rounded for
easy insertion into the vagina. There are many preferred embodiments of this
invention.
[0279] FIG. 5 shows a side view of an elongated tubular shaped Personal Pelvic
Viewer 232. The elongated tubular shaped Personal Pelvic Viewer 232 is
fabricated from a thick walled transparent plastic material 234. Such materials
include transparent acrylic materials or acyrlics. The elongated tubular shaped
Personal Pelvic Viewer has an inside diameter shown by the legend ID5 in FIG. 5;
has an outside diameter shown by the legend OD5 in FIG. 5; has a wall thickness
shown by the legend WT5 in FIG. 5; and has a length shown by the legend L5 in
FIG. 5.
[0280] The elongated tubular shaped Personal Pelvic Viewer possesses a distal
end 236 that possesses rounded leading surfaces 237 intentionally designed for
easy insertion into the vagina which are indicated by a suitable radius of
curvature shown by the legend R51 in FIG. 5. The elongated tubular shaped
Personal Pelvic Viewer possesses a proximal end 238 for examining the interior
of the vagina, cervix and the external os. The proximal end 238 also has rounded
leading surfaces 239 indicated by a suitable radius of curvature shown by the
legend R52 in FIG. 5, but these leading surfaces are designed to be conveniently
pushed by hand and need not be as rounded as the distal end. There are no sharp
edges in the elongated tubular shaped Personal Pelvic Viewer 232 shown in FIG.
5, and suitable fabrication techniques are used to ensure that there are no such
sharp edges that could cut or otherwise damage the female genitals.
[0281] Section AA is shown at the distance Z51 from the distal end 236 in FIG.
5. The distance Z51 is a legend defined in FIG. 5. Any position along the length
of the device from the distal end 236 is defined by the legend Z5 in FIG. 5.
[0282] The wall thickness of thick walled transparent plastic material is a
minimum of 1/8 inch thick to provide for the fabrication of the rounded leading
surfaces. The minimum inside diameter is 3/4 of an inch so that the external os
and most of the cervix may be viewed through the inside diameter of the distal
end of the elongated tubular shaped Personal Pelvic Viewer and so that the walls
of the vagina may be viewed through the transparent plastic material.
[0283] Women have different sizes of cervices. It is well known in the medical
arts that cervical caps are often supplied in substantially four different
sizes: 22, 25, 28 and 31 mm. Therefore, if the minimum inside diameter is 3/4 of
an inch (19.0 mm), then even in the case of a large cervix requiring a 31 mm
cervical cap, that nevertheless most of that cervix is available for clear
viewing.
[0284] The interior of the distal end 400, the interior of the proximal end 402,
and the interior region 404 of the elongated tubular shaped Personal Pelvic
Viewer are shown in FIG. 5. A lateral wall of the device is indicated by numeral
406. A point external to the device is shown at location 408 in FIG. 5. A
longitudinal direction is designated by the legend LN5 in FIG. 5 and a lateral
direction is designated by the legend LT5 in FIG. 5.
[0285] In one preferred embodiment of the elongated tubular shaped Personal
Pelvic Viewer that was fabricated and tested, the outside diameter OD5 is 13/4
inches; the wall thickness WT5 is 1/4 inch; the inside diameter is 11/4 inches;
and the length L5 is 71/2 inches. This inside diameter of 11/4 inches (31.8 mm)
is sufficient to view all, or almost all, of a larger cervix. It was found that
this 13/4 inch OD version is comfortable for many women who have had children.
[0286] Another preferred embodiment of the elongated tubular shaped Personal
Pelvic Viewer was fabricated and tested having an outside diameter OD5 of 2
inches, a wall thickness WT5 of 1/4 inch, that also had length L5 of 71/2
inches. This is appropriate for women with larger vaginas.
[0287] Another preferred embodiment of the elongated tubular shaped Personal
Pelvic Viewer was fabricated and tested having an outside diameter OD5 of 15/8
inches, a wall thickness WT of 1/4 inch, and length L5 of 71/2 inches. This is
appropriate for women with smaller vaginas.
[0288] Yet another preferred embodiment of elongated tubular shaped Personal
Pelvic Viewer has an outside diameter OD5 of 11/2 inches, a wall thickness WT5
of 1/4 inch, and length L5 of 71/2 inches.
[0289] Yet other lengths and dimensions were used to fabricate and test
prototypes of the elongated tubular shaped Personal Pelvic Viewer.
[0290] In several preferred embodiments having a wall thickness of WT5 equal to
1/4 inch, the dimension R51 was chosen to be approximately 1/8 inch, and the
dimension R52 was chosen to be approximately {fraction (1/16)} inch. There are
many variations. In various preferred embodiments,
[0291] The rounded leading surfaces 237 on the distal end 236 may be fabricated
having any smooth rounded shape, not just shapes that may be specified by one
radius of curvature (such as R51), or two or more radii of curvature. The
rounded leading surfaces 239 on the proximal end 238 may be fabricated having
any smooth rounded shape, not just shapes that may be specified by one radius of
curvature (such as R52), or two or more radii of curvature. Although these
comments here specifically apply to the elongated tubular shaped Personal Pelvic
Viewer shown in FIG. 5, in the following, these comments also apply to any
rounded leading surfaces, or to any other smooth or rounded surfaces, in the
devices which follow, and this statement will not be repeated for each such
device.
[0292] FIG. 5A shows a cross section view through section AA in FIG. 5. FIG. 5A
shows the dimensions OD5 and ID5.
[0293] A lone female may view the interior of her vagina through the proximal
end of the elongated tubular shaped Personal Pelvic Viewer shown in FIG. 5 that
is inserted into her vagina by viewing the reflected image of the interior of
her vagina from a hand held mirror. The interior of the vagina is illuminated by
an illumination source placed near the vicinity of the entrance to her vagina or
by an ambient light near the entrance to her vagina. The use of the hand held
mirror and the use of the illumination source placed near the vicinity of the
entrance to the vagina is analogous to that described in the text and
photographs in Sloane, 1993, in the section entitled "Vaginal Self-Examination",
pages 281-285. A hand held camera or a video camera may also be used by the lone
female to record the reflected image of the interior of her vagina from a hand
held mirror.
[0294] Accordingly, and in relation to FIGS. 5 and 5A, the above has described
an elongated tubular shaped Personal Pelvic Viewer fabricated from a thick
walled transparent plastic material having an elongated tubular shape that
possesses a distal end that possesses rounded leading surfaces for easy
insertion into the vagina, and which possesses a proximal end for viewing the
interior of the vagina, cervix and the external os, whereby the wall thickness
of the thick walled transparent plastic material is a minimum of 1/8 inch thick
to provide for the fabrication of the rounded leading surfaces, and whereby the
inside diameter within the interior of the elongated tubular shaped Personal
Pelvic Viewer is at minimum 3/4 inch so that the external os and most of the
cervix may be viewed from the interior of the proximal end through the interior
of the distal end of the elongated tubular shaped Personal Pelvic Viewer,
whereby a lone female may view the interior of her vagina from the interior of
the proximal end through the interior of the distal end of the elongated tubular
shaped Personal Pelvic Viewer that is inserted into her vagina by viewing the
reflected image of the interior of her vagina from a hand-held mirror, and
whereby the interior of the vagina is illuminated by an illumination source
placed near the vicinity of the entrance to her vagina.
[0295] Accordingly, and in relation to FIGS. 5 and 5A, the Personal Pelvic
Viewer described in the previous paragraph may be used in a manner so that the
walls of the vagina may be viewed from the interior of the proximal end
laterally through the thick walled transparent plastic material having an
elongated tubular shape.
[0296] Accordingly, and in relation to FIGS. 5 and 5A, the Personal Pelvic
Viewer may be used to determine the presence or absence of spinnbarkeit as an
indication that the female is in a relatively fertile condition.
[0297] Accordingly, and in relation to FIGS. 5 and 5A, the Personal Pelvic
Viewer may be used to observe the interior of the vagina while the female
masturbates and progresses through the excitement, plateau, orgasm and
resolution phases of her sexual cycle.
[0298] FIG. 6 shows the elements in FIG. 5, but in addition, illumination source
240 is attached to the elongated tubular shaped Personal Pelvic Viewer 232 that
obtains its power through cable 242 attached to battery power source 244 having
an on/off switch 246. As shown in FIG. 6, the light source is formed in a band
around the outside diameter of the elongated tubular shaped Personal Pelvic
Viewer, although any suitable light source may be used for this purpose
(including a single LED attached to the side of the device). The light source is
painted black on the outside, or otherwise constructed, so that no light shines
in the eyes of the user. Light that is emitted into the elongated tubular shaped
Personal Pelvic Viewer is conveyed to the distal end by light-pipe type effects
to illuminate the cervix, the external os, and the interior of the vagina. The
light source is located near the proximal end of the elongated tubular shaped
Personal Pelvic Viewer shown in FIG. 6.
[0299] A lone female may view the interior of her vagina through the proximal
end of the elongated tubular shaped Personal Pelvic Viewer shown in FIG. 6 that
is inserted into her vagina by viewing the reflected image of the interior of
her vagina from a hand held mirror. The interior of the vagina is illuminated by
the illumination source 240 in FIG. 6. The use of the hand held mirror is
analogous to that described in the text and photographs in Sloane, 1993, in the
section entitled "Vaginal Self-Examination", pages 281-285. A hand held camera
or a video camera may also be used by the lone female to record the reflected
image of the interior of her vagina from a hand held mirror.
[0300] Any of the following Personal Pelvic Viewers described herein may have a
suitable illumination source attached to them that is analogous to that
described in relation to FIG. 6. In the interests of brevity, this fact may not
be stated in each of the following descriptions of Personal Pelvic Viewers.
[0301] A top view of the slotted elongated tubular shaped Personal Pelvic Viewer
248 is shown in FIG. 7. The slotted elongated tubular shaped Personal Pelvic
Viewer is fabricated from a thick walled transparent plastic material 250. Such
materials include transparent acrylic materials or acyrlics. The slotted
elongated tubular shaped Personal Pelvic Viewer 248 has an inside diameter shown
by the legend ID7 in FIG. 7; has an outside diameter shown by the legend OD7 in
FIG. 7; has a wall thickness shown by the legend WT7 in FIG. 7; and has a
overall length shown by the legend L7 in FIG. 7. In addition to the embodiment
of the invention shown in FIG. 5, the slotted elongated tubular shaped Personal
Pelvic Viewer 248 has slot 252 having a slot width defined by the legend S7 in
FIG. 7 and a slot length defined by the legend H7 in FIG. 7.
[0302] The slotted elongated tubular shaped Personal Pelvic Viewer possesses a
distal end 254 that possesses rounded leading surfaces 255 for easy insertion
into the vagina which are indicated by a suitable radius of curvature shown by
the legend R71 in FIG. 7. The slotted elongated tubular shaped Personal Pelvic
Viewer also possesses proximal end 256 for examining the interior of the vagina,
cervix and the external os. The proximal end 256 also has rounded leading
surfaces 257 indicated by a suitable radius of curvature shown by the legend R72
in FIG. 7, but these leading surfaces are designed to be conveniently pushed by
hand and need not be as rounded as the distal end. There are no sharp edges in
the slotted elongated tubular shaped Personal Pelvic Viewer 248 shown in FIG. 7,
and suitable fabrication techniques are used to ensure that there are no such
sharp edges that could cut or otherwise damage the female genitalia. All
surfaces related to the slot are rounded as evidence by a suitable radius of
curvature shown by the legend R73 in FIG. 7.
[0303] Distal slot face 251 and proximal slot face 253 are shown in FIG. 7. The
distance Z73 from the distal end 254 to section BB is defined by the legend Z73
in FIG. 7. The distance Z74 from the proximal end 256 to section AA is defined
by the legend Z73 in FIG. 7. The legend Z7 defines any distance along the length
of the device from the distal end 254.
[0304] The distance from distal end to the beginning of the slot nearest the
distal end is defined by the legend Z71 in FIG. 7. The distance from the
proximal end to the beginning of the slot nearest the proximal end is defined by
the legend Z72 in FIG. 7.
[0305] Once the slotted elongated tubular shaped Personal Pelvic Viewer is
inserted into the vagina, it may be rotated so that the slot faces various
lateral portions within the vagina. In a first rotational orientation, the slot
faces the paraurethral sponge, the Skene's glands, and the urethra; in a second
rotational orientation, the slot faces the side wall of the vagina closest to
the right arm of the woman and the rugae may be inspected and various secretion
glands may be observed; and in a third rotational orientation, the slot faces
the bottom of the vagina (that is opposite the paraurethral sponge, the Skene's
glands, and the urethra) and various tissues may be inspected; and in a fourth
orientation rotational orientation, the slot faces the side wall of the vagina
closest to the left arm of the woman and the rugae may be inspected and various
secretion glands may be observed. These structures may be viewed through the
inside diameter ID7 of the proximal end and through the slot 252. The slotted
elongated tubular shaped Personal Pelvic Viewer may also be suitably rotated to
observe any one of the Bartholin's glands. Therefore, by rotating the position
of the slot inside the vagina, any lateral portion of the walls of the vagina
may be inspected.
[0306] The wall thickness of the thick walled transparent plastic material is a
minimum of 1/8 inch thick to provide for the fabrication of the rounded leading
surfaces. The minimum inside diameter is 3/4 of an inch so that the external os
and most of the cervix may be viewed through the distal end of the slotted
elongated tubular shaped Personal Pelvic Viewer.
[0307] The interior of the distal end 410, the interior of the proximal end 412,
and the interior region 414 of the slotted elongated tubular shaped Personal
Pelvic Viewer are shown in FIG. 7. A lateral wall of the device is indicated by
numeral 416. A point external to the device is shown at location 418 in FIG. 7.
A longitudinal direction is designated by the legend LN7 in FIG. 7 and a lateral
direction is designated by the legend LT7 in FIG. 7.
[0308] In one preferred embodiment of the slotted elongated tubular shaped
Personal Pelvic Viewer that was fabricated and tested, the outside diameter OD7
is 13/4 inches; the wall thickness WT7 is 1/4 inch; the inside diameter is 11/4
inches; the overall length is 71/2 inches; the slot width S7 is 1 inch; and a
slot length H7 is 51/2 inches.
[0309] Another preferred embodiment of the slotted elongated tubular shaped
Personal Pelvic Viewer is similar to that in the previous paragraph except that
the outside diameter OD7 is chosen to be 15/8 inches.
[0310] Yet another preferred embodiment of the slotted elongated tubular shaped
Personal Pelvic Viewer is similar to that in the second paragraph above except
that the outside diameter OD7 is chosen to be 2 inches and the slot width S7 is
chosen to be 11/4 inches.
[0311] FIG. 7A shows a cross section view through section AA in FIG. 7.
[0312] FIG. 7B shows a cross section view through section BB in FIG. 7. All
portions of the slot have rounded edges where appropriate as indicated by a
suitable radii of curvature R74 and R75 in FIG. 7B.
[0313] FIG. 8 shows a perspective view of the distal portion of one embodiment
of the slotted elongated tubular Personal Pelvic Viewer shown in FIGS. 7, 7A,
and 7B. Distal end 254 that possesses rounded leading surfaces 255 for easy
insertion into the vagina is shown on the right-hand side of FIG. 8. A portion
of the slot towards the distal end 258 is shown in FIG. 8. All edges are rounded
in FIG. 8 including those in locations 260 and 262. In this embodiment of the
invention, and with reference to FIG. 7, the outside diameter OD7 is 13/4
inches; the wall thickness WT7 is 1/4 inch; the inside diameter is 11/4 inches;
the overall length is 71/2 inches; the slot width S7 is 1 inch; and a the slot
length H7 is 51/2 inches.
[0314] A lone female may view the interior of her vagina through the proximal
end of the slotted elongated tubular shaped Personal Pelvic Viewer shown in FIG.
7 that is inserted into her vagina by viewing the reflected image of the
interior of her vagina from a hand held mirror. The interior of the vagina is
illuminated by an illumination source placed near the vicinity of the entrance
to her vagina or by an ambient light near the entrance to her vagina. The use of
the hand held mirror and the use of the illumination source placed near the
vicinity of the entrance to the vagina is analogous to that described in the
text and photographs in Sloane, 1993, in the section entitled "Vaginal
Self-Examination", pages 281-285. A hand held camera or a video camera may also
be used by the lone female to record the reflected image of the interior of her
vagina from a hand held mirror. In another preferred embodiment related to that
shown in FIG. 7, the interior of the vagina is illuminated by an illumination
source analogous to that shown as element 240 in FIG. 6, but that preferred
embodiment is not shown in a separate figure here solely in the interests of
brevity.
[0315] Accordingly, and in relation to FIGS. 7, 7A, 7B, and 8, the above has
described an elongated slotted tubular shaped Personal Pelvic Viewer that is
fabricated from a thick walled transparent plastic material having an elongated
tubular shape that possesses a distal end that possesses rounded leading
surfaces for easy insertion into the vagina and a proximal end for viewing the
interior of the vagina, cervix and the external os, that also possesses at least
one slot in the walls of the thick walled transparent material located between
the proximal and distal ends, whereby the wall thickness of the thick walled
transparent plastic material is a minimum of 1/8 inch thick to provide for the
fabrication of the rounded leading surfaces, and whereby the inside diameter
within the interior of the elongated tubular shaped Personal Pelvic Viewer is at
minimum 3/4 inch so that the external os and most of the cervix may be may be
viewed from the interior of the proximal end through the interior of the distal
end of the elongated slotted tubular shaped Personal Pelvic Viewer, whereby a
lone female may view the interior of her vagina from the interior of the
proximal end through the interior of the distal end of the elongated slotted
tubular shaped Personal Pelvic Viewer that is inserted into her vagina by
viewing the reflected image of the interior of her vagina from a hand-held
mirror, and whereby the interior of the vagina is illuminated by an illumination
source placed near the vicinity of the entrance to her vagina.
[0316] Accordingly, and in relation to FIGS. 7, 7A, 7B, and 8, the Personal
Pelvic Viewer described in the previous paragraph may be used so that the slot
may be rotated into different orientations within the vagina for laterally
examining the walls of the vagina, the paraurethral sponge, and the Skene's
glands from within the interior of the proximal end and laterally through the
slot of the slotted tubular shaped Personal Pelvic Viewer.
[0317] In view of the above, an illumination source may also be attached to the
slotted tubular shaped Personal Pelvic Viewer shown in FIGS. 7, 7A, 7B, and 8.
[0318] Accordingly, and in relation to FIGS. 7, 7A, 7B, and 8, the Personal
Pelvic Viewer may be used to determine the presence or absence of spinnbarkeit
as an indication that the female is in a relatively fertile condition.
[0319] Accordingly, and in relation to FIGS. 7, 7A, 7B, and 8, the Personal
Pelvic Viewer may be used to observe the interior of the vagina while the female
masturbates and progresses through the excitement, plateau, orgasm and
resolution phases of her sexual cycle.
[0320] FIG. 9 shows a top view of the generally "Y" shaped flared Personal
Pelvic Viewer 264. The generally "Y" shaped flared Personal Pelvic Viewer is
fabricated from a thick walled transparent material 266. Such materials include
transparent acrylic materials, or acrylics. The generally "Y" shaped flared
Personal Pelvic Viewer 264 has a distal end 268 for insertion into the vagina,
and a double-slotted and flared proximal end 270 for examining the interior of
the vagina.
[0321] In FIG. 9, the distal end 268 has a cylindrical shape, or tubular shape,
and possesses rounded leading surfaces 269 for easy insertion into the vagina as
indicated by suitable radius of curvature shown by the legend R91 in FIG. 9. The
distal end of the generally "Y" shaped flared Personal Pelvic Viewer possesses a
cylindrical or tubular shape having an outside diameter shown by the legend OD9
in FIG. 9; an inside diameter shown by the legend ID9 in FIG. 9; that has a wall
thickness shown by the legend WT9 in FIG. 9; and the length of the cylindrical
or tubular shaped section is shown by the legend Z91 in FIG. 9.
[0322] The device shown in FIG. 9 was fabricated from a cylindrical thick walled
length of acrylic tubing. Initially, double slots having an equal width of S9, a
legend shown in FIG. 9, were cut through the top and bottom of the thick-walled
cylinder indicated by locations 272 and location 274 respectively in FIG. 9.
Then, after heating the resulting part, at longitudinal location 276 the right
flare 278 and the left flare 280 were bent through the angle .theta. that is a
legend shown in FIG. 9. In certain preferred embodiments of the device shown in
FIG. 9, following bending through the angle .theta., the right and left flares
are further bent in relatively large, gentle, radius of curvature designated by
the legend RC9 in FIG. 9. In other preferred embodiments of the invention,
following bending through the angle .theta., the right and left flares remain
straight. After the bending has been completed in any case, the maximum width
between the right flare and the left flare is shown by the legend X9 in FIG. 9.
[0323] Because of this method of fabrication, the flared end is called "a
double-slotted and flared proximal end 270". Because of the shape of the top
view generally shown in FIG. 9, the finally fabricated device is called `the
generally "Y" shaped flared Personal Pelvic Viewer`. The total length of the
generally "Y" shaped flared Personal Pelvic Viewer is shown by the legend H9 in
FIG. 9. Then, in the fabrication sequence, all surfaces are suitably rounded.
There are no sharp edges in the generally "Y" shaped flared Personal Pelvic
Viewer shown in FIG. 9, and suitable fabrication techniques are used to ensure
that there are no such sharp edges that could cut or otherwise damage the female
genitalia. The distal end 268 has rounded leading surfaces 269 indicated by the
radius of curvature shown by the legend R91 shown in FIG. 9. The proximal end
270 has rounded leading surfaces 271 indicated by a suitable radius of curvature
shown by the legend R92 in FIG. 9. All features of the slots are suitably
rounded as evidenced from the radius of curvature shown by the legend R93 in
FIG. 9.
[0324] In addition, the distance from the distal end 268 to the position of the
section view AA is defined by the legend Z94 in FIG. 9. The distance from the
distal end 268 to the position of the section view BB is defined by the legend
Z95 in FIG. 9. The distance from the distal 268 end to the position of section
view CC is defined by the sum of the distances Z91 plus Z92 that are legends
defined in FIG. 9. The distance from the distal end 268 to the position of
section view DD is defined by the sum of the distances Z91 plus Z92 plus Z93
that are legends defined in FIG. 9. The total length H91 of the device is equal
to the sum of the distances of Z91 plus Z92 plus Z96 that are legends defined in
FIG. 9. The legend H91 is shown in FIG. 9. Any position along the length of the
device from its distal end 268 is defined by the legend Z9 in FIG. 9.
[0325] The double-slotted and flared proximal end 270 in FIG. 9 is used for
examining the interior of the vagina. The double-slotted and flared proximal end
270 in FIG. 9 is is used to spread the vagina open so that the external os and
most of the cervix may be clearly viewed through the distal end. Once inserted
into the vagina, the generally "Y" shaped flared Personal Pelvic Viewer may be
rotated within the vagina in a similar manner that was described for the device
described in FIG. 7. A first rotational orientation may be chosen for a view;
then a second rotational orientation may be chosen for a view; etc. Accordingly,
the walls of the vagina, the paraurethral sponge, the Skene's glands, and other
structures may be conveniently viewed from the double-slotted and flared
proximal end through the distal end as the generally "Y" shaped Personal Pelvic
Viewer is rotated into different rotational orientations within the vagina.
[0326] The wall thickness WT9 of the thick walled transparent plastic material
is a minimum of 1/8 inch thick to provide for the fabrication of the rounded
leading surfaces 269 on the distal end 268. The cylindrical, or tubular, shaped
distal end 268 possesses a minimum inside diameter of 3/4 inch so that the so
that the external os and most of the cervix may be may be viewed through the
distal end of the generally "Y" shaped flared Personal Pelvic Viewer.
[0327] The interior of the distal end 420, the interior of the proximal end 422,
and the interior region 424 of the generally "Y" shaped flared Personal Pelvic
Viewer are shown in FIG. 9. A lateral wall of the device is indicated by numeral
426. A point external to the device is shown at location 428 in FIG. 9. A
longitudinal direction is designated by the legend LN9 in FIG. 9 and a lateral
direction is designated by the legend LT9 in FIG. 9.
[0328] A lone female may view the interior of her vagina through the proximal
end of the generally "Y" shaped flared Personal Pelvic Viewer that is inserted
into her vagina by viewing the reflected image of the interior of her vagina
from a hand held mirror. The interior of the vagina is illuminated by an
illumination source placed near the vicinity of the entrance to her vagina or by
any ambient lighting present. A hand held camera or a video camera may also be
used by the lone female to record the reflected image of the interior of her
vagina from a hand held mirror. In another preferred embodiment related to that
shown in FIG. 9, the interior of the vagina is illuminated by an illumination
source analogous to that shown as element 240 in FIG. 6, but that preferred
embodiment is not shown in a separate figure here solely in the interests of
brevity.
[0329] FIG. 9A shows a cross section view through section AA in FIG. 9.
[0330] FIG. 9B shows a cross section view through section BB in FIG. 9. All
portions of the two slots have rounded edges where appropriate as indicated by a
suitable radii of curvature R94, R95, R96, and R97 in FIG. 9B. During the
initial fabrication process as explained above, slots were cut through the top
and bottom of the initially thick-walled cylinder indicated by location 272 and
location 274 in FIG. 9B. All resulting surfaces were rounded so as not to cause
any damage to genital tissue.
[0331] FIG. 9C shows a cross section view through section CC in FIG. 9. The
right flare 278 has its external, outside, surface 282 at the position shown in
FIG. 9. The left flare 280 has its external, outside surface 284 at the position
shown in FIG. 9. The right flare and the left flare have a vertical height
indicated by the legend L9 in FIG. 9C. The maximum distance of separation
between the external, outside, faces of the right and left flares at the
position indicated in FIG. 9 is shown by the legend Y9 in FIG. 9C. The outside,
external, surfaces of the right flair 278 and the left flair 280 are used to
open the walls of the vagina.
[0332] FIG. 9D shows a cross section view through section DD in FIG. 9. The
right flare 278 has its external, outside, surface 286 at the position shown in
FIG. 9. The left flare 280 has its external, outside, surface 288 at the
position shown in FIG. 9. The right flare and the left flare have a vertical
height indicated by the legend L9 in FIG. 9D. The maximum distance of separation
between the external, outside, faces of the right and left flares at the
position indicated in FIG. 9 is shown by the legend X9 in FIG. 9D. The outside,
external, surfaces of the right flair 278 and the left flair 280 are used to
open the walls of the vagina.
[0333] FIG. 10 is a perspective drawing of one embodiment of the generally "Y"
shaped flared Personal Pelvic Viewer 264 shown in FIGS. 9, 9A, 9B, 9C, and 9D.
The right flare 278, the left flare 280, and the distal end 268 have been
previously defined in FIG. 9 and in figures related to FIG. 9. In this preferred
embodiment, the edge 291 of the right flare remains straight (so that the radius
of curvature RC9 in FIG. 9 is infinite). In this preferred embodiment, the edge
293 of the left flare also remains straight. The proximal end of right flare 290
and the proximal end 292 of the left flare are also shown in FIG. 10.
[0334] In one preferred embodiment of the generally "Y" shaped flared Personal
Pelvic Viewer, the outside diameter OD9 is 13/4 inches; the wall thickness WT9
is 1/4 inch; the inside diameter ID9 is 11/4 inch; the overall length H91 is
71/2 inches; the distance Z91 is 1 inch; the distance S9 is 1 inch; and the
distance X9 is 23/4 inches.
[0335] Another preferred embodiment had the same dimensions as above but the
distance X9 was instead 21/4 inches.
[0336] Yet another preferred embodiment had the same dimensions as above but the
distance X9 is instead 31/4 inches.
[0337] Accordingly, and in relation to FIGS. 9, 9A, 9B, 9C, 9D, and 10, the
above has described a generally "Y" shaped flared Personal Pelvic Viewer
fabricated from a thick walled transparent material having a distal end for
insertion into the vagina, and a double-slotted and flared proximal end for
examining the interior of the vagina, cervix and external os, whereby the distal
end has a tubular shape and possesses rounded leading surfaces for easy
insertion into the vagina, whereby the double-slotted and flared proximal end is
used to spread the vagina open so that the external os and most of the cervix
may be viewed from the interior of the double-slotted and flared proximal end
through the distal end, whereby the wall thickness of the thick walled
transparent plastic material is a minimum of 1/8 inch thick to provide for the
fabrication of the rounded leading surfaces on the distal end, and whereby the
tubular shaped distal end possesses an inside diameter at minimum 3/4 inch so
that the external os and most of the cervix may be may be viewed from the
interior of the double-slotted and flared proximal end through the distal end of
the generally "Y" shaped flared Personal Pelvic Viewer, whereby a lone female
may view the interior of her vagina from the interior of the double-slotted and
flared proximal end through the distal end of the generally "Y" shaped flared
Personal Pelvic Viewer that is inserted into her vagina by viewing the reflected
image of the interior of her vagina from a hand-held mirror, and whereby the
interior of the vagina is illuminated by an illumination source placed near the
vicinity of the entrance to her vagina.
[0338] Accordingly, and in relation to FIGS. 9, 9A, 9B, 9C, 9D, and 10, the
Personal Pelvic Viewer described in the previous paragraph may be used in a
manner so that the double-slotted and flared proximal end may be rotated into
different orientations within the vagina for laterally examining the walls of
the vagina, the paraurethral sponge, and the Skene's glands from the interior of
the double-slotted and flared proximal end of the generally "Y" shaped flared
Personal Pelvic Viewer.
[0339] In view of the above, an illumination source may also be attached to the
slotted tubular shaped Personal Pelvic Viewer shown in FIGS. 9, 9A, 9B, 9C, 9D,
and 10.
[0340] Accordingly, and in relation to FIGS. 9, 9A, 9B, 9C, 9D, and 10, the
Personal Pelvic Viewer may be used to determine the presence or absence of
spinnbarkeit as an indication that the female in a relatively fertile condition.
[0341] Accordingly, and in relation to FIGS. 9, 9A, 9B, 9C, 9D, and 10, the
Personal Pelvic Viewer may be used to observe the interior of the vagina while
the female masturbates and progresses through the excitement, plateau, orgasm
and resolution phases of her sexual cycle.
[0342] FIG. 11 shows a side view of a solid transparent Personal Pelvic Viewer
294 used to view the interior of the vagina. It is fabricated from a transparent
material 296 such as acrylic. It has a distal end 298 for insertion into the
vagina. The distal end has rounded edges for easy insertion into the vagina as
indicated by radius of curvature shown by the legend R11. The solid transparent
Personal Pelvic Viewer has an outside diameter shown by the legend OD11 and a
clear flat aperture shown by the legend A9. The total length of the device is
shown by legend H11 in FIG. 11. Any position along the length of the device is
shown by the legend Z11 defined in FIG. 11. The cervix, the external os, and
other features of the vagina are viewed through the proximal end 300. The clear
flat aperture provides a distortion-free image of the cervix and external os.
[0343] FIG. 12 shows side view of a front sealed tubular transparent Personal
Pelvic Viewer 302 to view the interior of the vagina. The device has a sealed
distal end 304 having a thickness shown by the legend T12. The outside diameter
of the device is shown by the legend OD12. The distal end has a clear flat
aperture A12. The sealed distal end 304 is suitably rounded for insertion into
the vagina as evidenced by the radius of curvature shown by the legend R12. The
distal end 304 is suitably joined to tubular portion 306 at location 308. The
inside diameter of tubular portion 306 is shown by the legend ID12. The tubular
portion has wall thickness shown by the legend W12. The total length of the
device is shown by the legend H12 in FIG. 12. Any position along the length of
the device is defined by the legend Z12 in FIG. 12. The cervix, the external os,
and other features of the vagina are viewed through proximal end 310. The clear
flat aperture provides a distortion-free image of the cervix and external os.
[0344] The interior of the distal end 430, the interior of the proximal end 432,
and the interior region 434 of the front sealed tubular transparent Personal
Pelvic Viewer are shown in FIG. 12. A lateral wall of the device is indicated by
numeral 436. A point external to the device is shown at location 438 in FIG. 12.
A longitudinal direction is designated by the legend LN12 in FIG. 12 and a
lateral direction is designated by the legend LT12 in FIG. 12.
[0345] FIG. 13 shows a section view of a the thin-walled transparent cylindrical
Personal Pelvic Viewer 312. It is constructed from a thin-walled transparent
tubular material 314 such as acrylic having a wall thickness shown by the legend
W13. The tubular portion 314 has an outside diameter shown by the legend OD13.
It has a distal end 316 for insertion into the vagina and a proximal end 318 for
viewing the cervix, the external os, and other features of the vagina. The
device has a total length defined by the legend H13 in FIG. 13. Any position
along the length of the device is defined by the legend Z13 in FIG. 13. Smooth
rounded and bulbous distal end 320 is designed for easy insertion into the
vagina. Smooth rounded and bulbous proximal end 322 is designed to be smooth to
the touch. Here, the term bulbous means any extra material that is suitably
rounded for easy insertion into the vagina or that is designed to be smooth to
the touch. This thin-walled embodiment saves on material costs and yet is
designed to be easy and comfortable to insert into the vagina by a lone female.
The wall thickness of the material must be sufficient so that it will not
collapse when inserted into the vagina. In several preferred embodiments, the
wall thickness of acrylic material is chosen to be {fraction (1/16)} inch.
[0346] The interior of the distal end 440, the interior of the proximal end 442,
and the interior region 444 of the thin-walled transparent cylindrical Personal
Pelvic Viewer are shown in FIG. 13. A lateral wall of the device is indicated by
numeral 446. A point external to the device is shown at location 448 in FIG. 13.
A longitudinal direction is designated by the legend LN13 in FIG. 13 and a
lateral direction is designated by the legend LT13 in FIG. 13.
[0347] FIG. 14 shows a tapered thin-walled transparent cylindrical Personal
Pelvic Viewer 324. It is constructed from a tapered thin-walled transparent
material 326 such as acrylic having a wall thickness shown by the legend W14. It
has a distal end 328 for insertion into the vagina and a proximal end 330 for
viewing the cervix, the external os, and other features of the vagina. Smooth
rounded distal and bulbous end 332 is designed for easy insertion into the
vagina. Smooth rounded and bulbous proximal end 334 is designed to be smooth to
the touch. At the distal end, the outside diameter is shown by the legend OD141.
At the proximal end the outside diameter is shown by the legend OD142. The
device has a total length defined by the legend H14 in FIG. 14. Any position
along the length of the device is defined by the legend Z14 in FIG. 14.
[0348] In FIG. 14, and by analogy with FIG. 13, the interior of the distal end,
the interior of the proximal end and the interior region of the tapered
thin-walled transparent cylindrical Personal Pelvic Viewer are defined by
reference. Further, a lateral wall of the device, a point external to the
device, a longitudinal direction, and a lateral direction are all further
defined in FIG. 14 by analogy to FIG. 13.
[0349] FIG. 15 shows a section view of a conical thin-walled transparent
cylindrical Personal Pelvic Viewer 336. It is constructed from a thin-walled
transparent tubular material 338 such as acrylic having a wall thickness shown
by the legend W15. It has a distal end 340 for insertion into the vagina and a
proximal end 342 for viewing the cervix, the external os, and other features of
the vagina. Smooth rounded distal and bulbous end 344 is designed for easy
insertion into the vagina. Smooth rounded and bulbous proximal end 346 is
designed to be smooth to the touch. At the distal end, the outside diameter is
shown by the legend OD151. At the proximal end the outside diameter is shown by
the legend OD152. The total length of the device is shown by the legend H15 in
FIG. 15. Any position along the length of the device is shown by the legend Z15
in FIG. 15. The sides of the device 348 may take any convenient geometric form
that is insertable into the vagina.
[0350] In FIG. 15, and by analogy with FIG. 13, the interior of the distal end,
the interior of the proximal end and the interior region of the conical
thin-walled transparent cylindrical Personal Pelvic Viewer are defined by
reference. Further, a lateral wall of the device, a point external to the
device, a longitudinal direction, and a lateral direction are all further
defined in FIG. 15 by analogy to FIG. 13.
[0351] FIG. 16 shows a perspective view of a lone female viewing the interior of
her vagina from a Personal Pelvic Viewer using a mirror and a hand-held light.
In FIG. 16, a lone female 350 views the interior of her vagina through the
proximal end 238 of the elongated tubular shaped Personal Pelvic Viewer 232
shown in FIG. 5. FIG. 16 shows her left leg 352, her right leg 354, her torso
356, her left hand 358 holding a mirror 359 with the reflective portion facing
her torso, her labium majus (or labia majora) 360, her labium minus (or labia
minora) 362, her clitoris 363, her cervix and external os 364 observed through
the proximal end 238 of the elongated tubular shaped Personal Pelvic Viewer, her
mons pubis 366, her urethra 368, her perineum 370, her anus 372, and her belly
button 374. The lone woman is sitting on a towel 376. FIG. 16 shows an external
light source 378, which includes devices such as flashlights, incandescent
bulbs, fluorescent lights, projection lights, professional camera lights, light
emitted from a fiber optic cable, etc., (or any combination thereof) that is
held with the lone female's right hand 380 (not shown in the interest of
brevity). The lone female views the reflected image from the mirror into her
eyes 382 (not shown in the interest of brevity).
[0352] In reference to FIG. 16, after placing the elongated tubular shaped
Personal Pelvic Viewer 232 into her vagina, the mirror 359 is adjusted by the
left hand 358 to reflect the image from the interior of her vagina into her
eyes. The external light source 378 is then adjusted by the right hand (not
shown in FIG. 16) to reflect off the mirror and into her vagina to illuminate
the interior of her vagina. The elongated tubular shaped Personal Pelvic Viewer
232 may be manipulated by the lone female until the image of her cervix and
external os become visible to her. The mirror and external light may then be
suitably adjusted to maximize the clarity of the image and the brightness of the
image viewed by the lone female.
[0353] Accordingly, in reference to FIG. 16, the cervix, external os, and other
features of the vagina are viewed through the proximal end 238 of the elongated
tubular shaped Personal Pelvic Viewer 232 shown in FIG. 5. The use of the hand
held mirror and the use of the illumination source placed near the vicinity of
the entrance to the vagina using a vaginal speculum is analogous to that
described in the text and photographs in Sloane, 1993, in the section entitled
"Vaginal Self-Examination", pages 281-285. However, it is very difficult to for
a lone female to insert a vaginal speculum into her vagina without assistance
from others, which is one of the inherent advantages of the many different
embodiments of the Personal Pelvic Viewers described herein. Using analogous
procedures, a hand held camera may also be used by the lone female to record the
reflected image of the interior of her vagina from a hand held mirror. Using
analogous procedures, a hand held video camera may also be used by the lone
female to record the reflected image of the interior of her vagina from a hand
held mirror.
[0354] Using similar procedures that have been described above, a lone female
may view the interior of her vagina through the proximal end of any of the
Personal Pelvic Viewers described in FIGS. 5, 5A, 6, 7, 7A, 7B, 8, 9, 9A, 9B,
9C, 9D, 10, 11, 12, 13, 14 and 15 which is inserted into her vagina by viewing
the reflected image of the interior of her vagina from a hand held mirror. In
certain preferred embodiments, the interior of the vagina is illuminated by an
illumination source placed near the vicinity of the entrance to her vagina. If
the ambient light in a room is sufficiently bright, then an external light
source is not necessarily needed.
[0355] If the Personal Pelvic Viewer has a built-in light source as shown in
FIG. 6, then a external light source is not necessarily needed. In different
preferred embodiments, built-in light sources such as that shown in FIG. 6 may
be provided to any of the Personal Pelvic Viewers described in FIGS. 5, 5A, 6,
7, 7A, 7B, 8, 9, 9A, 9B, 9C, 9D, 10, 11, 12, 13, 14 and 15. In such case, no
external light source is needed to view the interior of the vagina, nor is
bright ambient lighting necessary.
[0356] FIG. 17 shows a perspective view of a portion of the paraurethral sponge
hanging down inside the slot of a slotted elongated tubular shaped Personal
Pelvic Viewer shown in FIG. 7 that is inserted into the vagina. FIG. 17 shows
the proximal end 256 of the slotted elongated tubular shaped Personal Pelvic
Viewer. A portion of the proximal slot face 253 defined in FIG. 7 is identified
in FIG. 17. A portion of the inside surface of the slotted elongated tubular
shaped Personal Pelvic Viewer is identified by the numeral 384. FIG. 17 shows a
portion of the paraurethral sponge 386 hanging down through slot 252 of the
slotted elongated tubular shaped Personal Pelvic Viewer that is identified in
FIG. 7. FIG. 17 also shows the woman's left-hand Skene's gland 388, the woman's
right-hand Skene's gland 390, and her urethra 392. There are many ridges of skin
observed in the paraurethral sponge and one is identified with numeral 394 in
FIG. 17. Other anatomical features are evident such as a "cleft" 396 in the
paraurethral sponge hanging down into the slot. This arrangement allows for the
paraurethral sponge to assume its full size without hindrance from running into
the wall of the interior of the vagina or into the blades of a speculum. This is
an ideal device to observe female ejaculation. Using this device, it is easily
possible to determine which gland, glands, or the combination of glands and the
urethra are responsible for such ejaculation. The overall relative size shown in
FIG. 17 is appropriate for a slotted elongated tubular shaped Personal Pelvic
Viewer having an outside diameter OD7 of 13/4 inches, and an inside diameter ID7
of 11/4 inches, where these legends are defined in FIG. 7. Behind the portion of
the paraurethral sponge shown in FIG. 17 can be normally seen the cervix, the
external os, and the distal end of the slotted elongated tubular shaped Personal
Pelvic Viewer, but those features are not shown in FIG. 17 in the interests of
clarity and brevity.
[0357] The sketch shown in FIG. 17 is but one example of the new and novel
images observed with the Personal Pelvic Viewers. Not only does their use allow
new and novel images, but allows the observation of perhaps new and novel
aspects of pelvic anatomy.
Other Comments
[0358] Another primary advantage of using the Personal Pelvic Viewers shown in
FIGS. 5, 5A, 6, 7, 7A, 7B, 8, 9, 9A, 9B, 9C, 9D, 10, 11, 12, 13, 14 and 15 is
that women can masturbate with these comfortable devices in place, and their
sexual cycles can be observed and recorded. This is not readily possible with
standard vaginal specula because these specula have "bills" with relatively
sharp edges, and as the outer portion of the vagina squeezes down while going
through the excitement phase and the plateau phase, women find the vagina
specula to be very uncomfortable.
[0359] Accordingly, the above has described a Personal Pelvic Viewer fabricated
from transparent plastic material possessing at least a distal portion having a
tubular shape and rounded leading surfaces for easy insertion into the vagina,
and a proximal end for examining the interior of the vagina, cervix and the
external os.
[0360] Accordingly, the above has disclosed a Personal Pelvic Viewer described
in the previous paragraph wherein the distal end having a tubular shape
possesses an inside diameter at minimum 3/4 inch so that the external os and
most of the cervix may be may viewed from the interior of the proximal end
through the interior of the distal end.
[0361] Another preferred embodiment of the Personal Pelvic Viewer contains a
sealed video camera and any means to to display images of the interior of the
vagina on a television set, video monitor, computer monitor, etc. This includes
using various types of wired cables or fiber optic cables for communications to,
and from, any means used to display the images from the interior of the vagina.
[0362] The specification related to FIGS. 1, 2, and 3 describe using different
types of wireless communications apparatus and methods. However, any suitable
wireless apparatus and method may be used that is described in the Provisional
Patent Application entitled "Wireless Video and Data Transmission Methods and
Apparatus for Personal Pelvic Viewers" that was mailed to the USPTO with a
Certificate of Deposit by Express Mail on the date of May 23, 2005, that has
U.S. Mailing Label Number ED 258 746 825 US, an entire copy of which is
incorporated herein by reference, which is not inconsistent with the disclosure
herein. Suitable means of wireless communication include the use of infra-red
light, optical light, microwaves, radio waves, any wireless internet protocol,
wi-fi protocol, 802.11 protocol, wireless video protocol, or any suitable
wireless protocol capable of transmitting and receiving video and data
transmissions.
[0363] The specification related to FIGS. 1, 2, 3, and 4 describes various types
of measurements. However, such measurement instrumentation may be suitably
attached to the Personal Pelvic Viewers shown in FIGS. 5, 5A, 6, 7, 7A, 7B, 8,
9, 9A, 9B, 9C, 9D, 10, 11, 12, 13, 14, and 15. The use of such measurements in
combination with these Personal Pelvic Viewers are additional preferred
embodiments of the invention. In particular, means to measure the temperature of
the vagina may be suitably attached to the various embodiments of the Personal
Pelvic Viewer.
[0364] Any of the Personal Pelvic Viewers described herein may have a suitable
illumination source attached to them that is analogous to that described in
relation to FIG. 6. In the interests of brevity, this fact may not be stated in
each of the descriptions of those Personal Pelvic Viewers. However, suitable
illumination sources may be attached to the Personal Pelvic Viewers shown in
FIGS. 5, 5A, 7, 7A, 7B, 8, 9, 9A, 9B, 9C, 9D, 10, 11, 12, 13, 14, and 15.
Multiple sources of illumination may also be used with these Personal Pelvic
Viewers including using attached sources of illumination, using sources of
illumination in the vicinity of the vagina, and using background illumination.
[0365] The specification related to FIGS. 1, 2, 3, and 4 describes various types
of vibrators and other sexual stimulation means that may be used in conjunction
with those Personal Pelvic Viewers. However, such vibrators and other types of
sexual stimulation means may be suitably attached to the Personal Pelvic Viewers
shown in FIGS. 5, 5A, 6, 7, 7A, 7B, 8, 9, 9A, 9B, 9C, 9D, 10, 11, 12, 13, 14,
and 15. Vibrators and other types of sexual stimulation means attached to these
Personal Pelvic Viewers are preferred embodiments of the invention herein.
[0366] Any suitable transparent plastic substance may be used to manufacture the
above Personal Pelvic Viewers. If only the cervix and oz is to be viewed, opaque
tubular Personal Pelvic Viewers may be used. The transparent Personal Pelvic
Viewers may be conveniently made in plastic injection machines. Any convenient
plastic, or plastic-like, suitable material may be used.
[0367] FIG. 7 shows a top view of the slotted elongated tubular shaped Personal
Pelvic Viewer. In other preferred embodiments, the slot shown in FIG. 7 may take
on any convenient shape. In yet other preferred embodiments, two slots may be
used--one opposite the other. Such embodiments of the invention were designed,
fabricated, and tested, and they work well. In other preferred embodiments, a
multiplicity of slots may be fabricated into the Personal Pelvic Viewer. In
addition, in other preferred embodiments, a multiplicity of slots having one or
more different shapes may be fabricated into the Personal Pelvic Viewer. Another
preferred embodiment is any Personal Pelvic Viewer with three slots, which may
or may not have the same shape depending upon the application.
[0368] FIG. 9 shows a top view of the generally "Y" shaped flared Personal
Pelvic Viewer having a flared proximal end 422. The double-slotted and flared
proximal end 270 in FIG. 9 is used for examining the interior of the vagina. The
double-slotted and flared proximal end 270 in FIG. 9 is is used to spread the
vagina open so that the external os and most of the cervix may be clearly viewed
through the distal end. In other preferred embodiments, any suitable shape may
be used for the flared end. The flared end must hold the vagina open at the
proximal end and must be comfortable. In yet other preferred embodiments, three
or more "slots" are fabricated into the proximal end 422 in FIG. 9. So, in
various preferred embodiments, a multiplicity of slots may be fabricated into
the proximal end, and each such slot may or may not be identical.
[0369] FIG. 14 shows a section view of a tapered thin-walled transparent
cylindrical Personal Pelvic Viewer 324. The sides of the device may have any
suitable taper, or be at any suitable angle, that is insertable into the vagina.
[0370] FIG. 15 shows a section view of a conical thin-walled transparent
cylindrical Personal Pelvic Viewer 336. The sides of the device 348 may take any
convenient geometric form or shape that is insertable into the vagina. The cross
section of various tubular embodiments may not be symmetric.
[0371] In addition, and with respect to any of the preferred embodiments of the
invention shown in FIGS. 5, 5A, 6, 7, 7A, 7B, 8, 9, 9A, 9B, 9C, 9D, 10, 11, 12,
13, 14, and 15, as pictured there, each corresponding distal end is contained in
a plane that is perpendicular to the longitudinal axis along each such device.
However, the distal end can be manufactured to be contained in any plane that is
not perpendicular to the longitudinal axis. Such a plane is at an angle with
resect to the longitudinal axis. In particular, the shape of the end of such
preferred embodiments may be fabricated to suitably penetrate the different
distances into the anterior fornix and the posterior fornix in analogy with the
different lengths of the "bills" of typical vaginal specula which have longer
"bills" to go into the relatively deeper posterior fornix. (For the related
geometry, please see page 39 of Sloane, 1993, that shows the posterior fornix is
located a longer distance into the vagina than the anterior fornix.) An
advantage of such embodiments is that they may provide a better view of the
cervix and the external oz. However, such embodiments would have the
disadvantage that more care would be necessary should the device be rotated
inside the vagina to look at lateral features with the vagina.
The Female Orgasm Scale
[0372] Many physiological orgasmic responses can be faked. However, the rhythmic
contraction of the uterus at orgasm cannot be faked. The following "Female
Orgasm Scale.TM.", or "Vail's Orgasm Scale.TM.", is based on the observation of
the sexual cycle, including the orgasm, by use a Personal Pelvic Viewer. Vaginal
specula have been found to be relatively uncomfortable during the sexual cycle
because of their sharp "blades" or "bills", so that the Personal Pelvic Viewer
is much better for observing the sexual cycle of the human female. The purpose
of this scale is to provide a method to numerically compare the power of one
female orgasm vs. another. This scale is used for educational purposes.
[0373] As discussed in the above, Masters and Johnson divided the various stages
of the female sexual response into the following four phases:
[0374] (1) Excitement Phase
[0375] (2) Plateau Phase
[0376] (3) Orgasm Phase
[0377] (4) Resolution Phase
[0378] The following Female Orgasm Scale is based upon these four Phases.
Observers would calculate the total Score of the orgasmic experience based upon
the following considerations.
[0379] The "Strength" of each response is divided into Strengths of S=1, 2 or 3.
The "Strength" amounts to the observer answering the question "How intense was
the process being observed on a scale of 1, 2, or 3?". Alternatively, the
"Strength" amounts to the observer answering the question "How strong was the
process being observed on a scale of 1, 2, or 3?"
[0380] Each physiological function is also given a "Weight". The "Weight" is one
measure of how interesting the phenomenon is to observe by a trained observer.
So, in the below, a uterus ejaculating a fluid at orgasm is given a weight of
W=18, but the first sign of vaginal lubrication is given a Weight of W=3.
[0381] The individual "Line" is given by the "Tally" of the product of the
(Weight) times (Strength). The sum of all the Tallies then provide the Total
Score of the sexual cycle that is also called the "Power of the Orgasmic
Experience".
1 Excitement Phase: Weight Strength 1st sign - vaginal lubrication - 3 1, 2, or
3 wetting of interior of vagina inner 2/3's of vagina lengthens 9 1, 2, or 3
cervix and uterus pulled upward 9 1, 2, or 3 vaginal wall changes from pink to 9
1, 2, or 3 sometimes dark purple outer labia flatten and move apart 6 1, 2, or 3
inner labia enlarge in diameter 6 1, 2, or 3 clitoris increases in size as 6 1,
2, or 3 result of vasocongestion nipples become erect 3 1, 2, or 3 veins in
breast become more visible 3 1, 2, or 3 breast size increases 6 1, 2, or 3
lubrication flows out of vagina 9 1, 2, or 3
[0382]
2 Plateau Phase: inside diameter of outer 9 1, 2, or 3 1/3 of vagina narrows by
about 50% forming "orgasmic platform" inner 2/3's of vagina extends 9 1, 2, or 3
further in length uterus becomes more elevated 18 1, 2, or 3 in process called
"tenting" vaginal lubrication slows 3 1, 2, or 3 with prolonged Plateau clitoris
pulls back against 9 1, 2, or 3 pubic bone under clitoral hood during Plateau
inner labia enlarge dramatically 9 1, 2, or 3 inner labia force outer labia 6 1,
2, or 3 further apart vivid color change in inner 18 1, 2, or 3 labia before
orgasm areola begin to swell 6 1, 2, or 3 nipple erection can become 6 1, 2, or
3 obscured by large areola breasts can increase in size 6 1, 2, or 3 by 25%
pupils of eyes enlarge 6 1, 2, or 3 late in Plateau, reddish, spotty 9 1, 2, or
3 skin color change producing "sex flush" - typically beginning on chest area
sex flush appears on neck 9 1, 2, or 3 buttocks, back, arms, legs, and face
tightening or tension of muscles 6 1, 2, or 3 in thighs and buttocks hip
thrusting 6 1, 2, or 3 tightening of sphincter muscle 6 1, 2, or 3 realistic
verbalization 6 1, 2, or 3 of sensation of pleasure heavy breathing 6 1, 2, or 3
cervical oz becomes dilated 9 1, 2, or 3 facial expression indicating interest 6
1, 2, or 3 in achieving orgasm sometimes, dimples all over 6 1, 2, or 3 skin of
body, on bottom, etc.
[0383]
3 Orgasm Phase: rhythmic contractions of uterus 9 1, 2, or 3 uterus pounds
bottom of vaginal 18 1, 2, or 3 wall at orgasm total number of contractions N1
1, 2, or 3 of uterus rhythmic contractions of outer 18 1, 2, or 3 1/3 of vagina
total number of contractions N2 1, 2, or 3 of outer 1/3 of vagina rhythmic
contractions of anal 18 1, 2, or 4 sphincter (sensed by pressure gauge, or by
PAV) total number of contractions N3 1, 2, or 3 of the sphincter muscle
increasing sex flush 6 1, 2, or 3 woman provides a clear 6 1, 2, or 3 verbal
indication before orgasm is reached head tossed back at orgasm 6 1, 2, or 3
extension of legs 6 1, 2, or 3 feet curl 6 1, 2, or 3 toes curl 6 1, 2, or 3
fingers curl 6 1, 2, or 3 fingers grab sheets or other 6 1, 2, or 3 objects to
"hold on" at orgasm involuntary vibration of 9 1, 2, or 3 leg muscles in
pleasure orgasmic contractions showing 9 1, 2, or 3 on muscles of abdomen hands
on abdomen and abdomen 6 1, 2, or 3 doubled-over at orgasm hip thrusting at
orgasm 6 1, 2, or 3 ejaculation of fluid from 18 1, 2, or 3 uterus at orgasm
ejaculation of fluid from 18 1, 2, or 3 the urethra at orgasm ejaculation from
Skene's glands 18 1, 2, or 3 at orgasm ejaculation from Bartholin's glands 18 1,
2, or 3 at orgasm clear or white frothy ejaculate 18 1, 2, or 3 flows from
vagina G-spot stimulation can result in 9 1, 2, or 3 vagina being pushed down
and inner portion of vagina compresses total length of time of orgasmic 9 1, 2,
or 3 response appearance of "orgasm face" 9 1, 2, or 3
[0384] Multiple Orgasms:
[0385] After distinct passage of time in Plateau Phase, return to Orgasmic
Phase. Re-Score each Orgasm as in Above.
4 Resolution Phase: woman requests not to be 9 1, 2, or 3 touched because all
nerves are too sensitive following orgasm orgasmic platform disappears 3 1, 2,
or 3 (inside diameter of outer 1/3 of vagina expands to normal) uterus moves
back into its 9 1, 2, or 3 resting position color changes of inner labia 6 1, 2,
or 3 return to normal vagina shortens in length 9 1, 2, or 3 to normal length
clitoris returns to 9 1, 2, or 3 its usual size and position breasts decrease in
size 6 1, 2, or 3 areolar tissue flattens 6 1, 2, or 3 out faster than nipples
giving impression that nipples are again erect prominent sweating 6 1, 2, or 3
sex flush disappears 3 1, 2, or 3 cervical oz may remain 9 1, 2, or 3 dilated
for 30 minutes following orgasm peaceful expression on face 6 1, 2, or 3 after
orgasm
[0386] To calculate a score, the Tallies of each Line need to be added up. Then
a combined score is calculated. Ideally, there should be at least two
independent judges. Their scores would be averaged.
[0387] Mathematically:
[0388] Each Tally (j)=W(j) S(j)
[0389] Here, W(j) stands for the "Weight" of item "j", and S(j) stands for the
"Strength" of item "j" that is 1, 2, or 3.
[0390] Then, Total Orgasmic Score=Sum of all Tally (j)
[0391] Total Orgasmic Score="Power of the Orgasmic Experience"
[0392] It is worth noting that most of the Weights above of 9 or more are
assigned for physiological events that are beyond voluntary muscle control and
therefore cannot be faked.
[0393] Additional Orgasms would add to the total Score. The number of
contractions, and their respective Tallies, also need to be added to this Score.
The total Score is open-ended. There is no maximum Score possible.
[0394] In some versions of this scale, there should be a clearly defined Plateau
Phase between each different Orgasm (or series of Orgasms).
[0395] The Female Orgasm Scale.TM. was created by the inventor and is the
property of Science for Medical Advocates, Inc. This scale is also called
"Vail's Sexual Response Scale for the Human Female.TM." or simply "Vail's Orgasm
Scale.TM.".
[0396] In analogy with the above, the following could be added for additional
scoring for the following educational content:
5 Anatomical Education Weight Strength During any part of sexual cycle: urethra
was clearly identified 6 1, 2, or 3 Skene's glans were clearly 6 1, 2, or 3
identified Bartholin's glans were clearly 6 1, 2, or 3 identified demonstration
of circular connection 6 1, 2, or 3 of inner labia and forchette rugae of vagina
were clearly 6 1, 2, or 3 observed the cervix, and the oz of the 12 1, 2, or 3
uterus were clearly observed the anterior fornix and the 12 1, 2, or 3 posterior
fornix were observed view of vestibule after sexual cycle 6 1, 2, or 3 clearly
showing upper vaginal opening (vestibule is everything enclosed by labia minora)
[0397] The above "Female Orgasm Scale.TM." or "Vail's Orgasm Scale.TM." provides
a method of numerically scoring the sexual response of a human female.
[0398] The above "Female Orgasm Scale.TM." or "Vail's Orgasm Scale.TM." provides
a method numerically scoring the power of the sexual response of the human
female.
REFERENCES
[0399] The following references were cited above. However, entire copies of the
following references are incorporated herein by reference.
[0400] Edge, V. and Miller, M., the book entitled "Women's Health Care", Mosby,
St. Louis, Mo., 1994
[0401] Gage, S., the book entitled "A New View of a Woman's Body", the Feminist
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[0402] Lauersen, N., and Whitney, S., "with" Stukane, E., the book entitled
"It's Your Body", Perigee Books, The Putnam Publishing Group, New York, N.Y.,
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[0403] Luckmann, J., Editor, the book entitled "Saunders Manual of Nursing
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[0404] Masters, W. H., and Johnson, V. E., in the book entitled "Human Sexual
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[0405] Masters, W. H., Johnson, V. E., and Kolodny, R. C., the book entitled
"Human Sexuality", Fifth Edition, Harper Collins College Publishers, New York,
N.Y., 1995
[0406] Meehan, et. al., U.S. Pat. No. 5,865,729 entitled "Apparatus for
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1999
[0407] Mendelsohn, R. S., the book entitled "Male Practice, How Doctors
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[0408] Institute of Medicine, National Academy of Sciences, the book entitled
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[0409] Planned Parenthood Federation of America, Inc., the book entitled "The
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[0410] Rinzler, C. A., in the book entitled "The Women's Health Products
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[0411] Rosenfeld, J. A., the book entitled "Women's Health in Primary Care",
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[0412] Rymer, J., Fish, A. N. J., and Chapman, M., the book entitled
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[0413] Scott, J. R., DiSaia, P. J., Hammond, C. B., and Spellacy, W. N.,
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[0414] Sloane, E., the book entitled "Biology of Women", Third Edition, Delmar
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[0415] Stoppard, M., the book entitled "Woman's Body", Carroll & Brown Limited,
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[0416] The Boston Women's Health Book Collective, the book entitled "The New Our
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[0417] The Boston Women's Health Book Collective, the book entitled "Our Bodies,
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[0418] The Learning Channel ("TLC"), the series entitled "Intimate Universe, The
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Stamford, Connecticut, 1998
Final Remarks
[0420] While the above description contains many specificities, these should not
be construed as limitations on the scope of the invention, but rather as
exemplification of preferred embodiments thereto. As have been briefly
described, there are many possible variations. Accordingly, the scope of the
invention should be determined not only by the embodiments illustrated, but by
the appended claims and their legal equivalents.