Exercise device for activating pelvic floor muscles

Abstract

The invention relates to an exercise device (1) for activating the pelvic floor muscles, the exercise device comprising: a control unit (3) having a processing unit, a memory unit, a user module (31), and a user program (30) by means of which activation signals can be supplied to the user module (31) and user signals output by the user module (31) can be processed, and an interface unit (2) which is intended for interaction with the user and which has an activator (21A) which is used to transmit the activation signals to the pelvic floor muscles; a force transducer (22A) which can be actuated by the pelvic floor muscles; a transmission medium (222); and a sensor (23A) which is coupled to the force transducer (22A), is connected to the user module (31), and is intended to output user signals which correspond to the muscle force of the pelvic floor muscles; wherein the user program (30) is intended to implement an operating process during which activation signals can be supplied to the activator (21A), and user signals triggered by muscle force of the pelvic floor muscles can be detected by means of the sensor (23A), can be transmitted to the user program (30), and are used to monitor the occurrence of user signals in relation to the activation signals and to process said user signals.

Description

[0001] Tool for activating the pelvic floor muscles

[0002] The invention relates to a device for activating the pelvic floor muscles.

[0003] The pelvic floor is the lower boundary of the lesser pelvis. It consists of three layers of muscle, which have only narrow openings for the intestines, urinary organs, and reproductive organs. From the inside out, these are: the pelvic diaphragm (the largest and strongest layer), the urogenital diaphragm (a trapezoidal muscular plate covered on both sides by strong connective tissue), and the outer sphincter layer, which comprises various muscles as the external pelvic floor musculature. The three muscle layers are arranged one above the other in a fan-like pattern and are interconnected at several points via muscle fibers and fascia.

[0004] The pelvic floor muscles ensure the muscular closure of the pelvis. Together with the diaphragm and abdominal muscles, they enclose the abdominal contents. When pressure increases in the abdominal cavity, they elastically absorb the pressure of the pelvic organs, such as the rectum, bladder, uterus, ovaries, vagina, and accessory sex glands. They thus secure the position of the abdominal and pelvic organs and support the closure of the anus and urethra.

[0005] The described muscular system is therefore of central importance for the body's condition and numerous bodily functions, as well as posture and well-being, and should always be kept in good condition through physical exercise.

[0006] Numerous training devices are known from the prior art that allow the pelvic floor muscles to be trained for exercise purposes. The pelvic floor muscles can act on the training device through contraction and relaxation, thereby activating the pelvic floor muscles. KR102012961B1 discloses an intelligent cushion for maintaining correct posture and for performing Kegel exercises or pelvic floor exercises. The cushion comprises at least two air-filled cells. To maintain correct posture, a control device, at least one pneumatic motor, at least one air outlet valve, and an air pressure sensor are provided, by means of which the air transfer to the cells can be controlled to adjust and maintain correct posture, and to control the release or inflow of air into the cells.However, this device cannot provide any information about the condition of the user's pelvic floor muscles.

[0007] P 1214 PCTDie EP3600576B1 discloses a portable device for training the pelvic floor muscles, comprising a rigid housing that serves as a seat for the user and has a rib with an opening facing the user's pelvic floor muscles. The training device also includes a rigid support arranged within the housing, which projects into the opening in the rib and is designed to transmit pelvic floor muscle activity to a sensor. Furthermore, means are provided for receiving, processing, and displaying data corresponding to pelvic floor muscle activity. The training is thus influenced by the display of training data.The training process is controlled in a closed loop based on the information obtained and displayed, which, however, does not allow any deeper conclusions about the condition of the users' pelvic floor muscles.

[0008] EP3212081B1 discloses a method for distinguishing between strain and contraction of the pelvic floor muscles, wherein data from an orientation sensor of a vaginal probe device positioned within the vaginal canal are received and processed to determine the direction of rotation of the vaginal probe device during a measurement period and, depending on the direction of rotation, to determine whether a contraction or strain of the pelvic floor muscles occurred. More in-depth information about the condition of the pelvic floor muscles cannot be obtained with this device.

[0009] CN117617977A discloses a pelvic floor muscle group repair system comprising an information acquisition module, an analysis module, and a training guidance module. The information acquisition module is used to capture information concerning the users and their activities. The analysis module is used to provide real-time visual feedback on the users' training process based on the collected user information, in order to obtain the current training score and a comprehensive assessment of the users' pelvic floor muscle group. The training guidance module is used to guide users to adjust the training regimen in real time according to the results of the information analysis and to update the training plan according to the current training score and the comprehensive assessment.The training, in turn, takes place in a closed loop based on the measurement, display, and optimization of the users' training behavior.

[0010] The pelvic floor muscle repair system combines active and passive training methods. One application method involves non-invasive external [treatments / exercises].

[0011] The PCT sensor (p 1214) is used to capture and analyze training data based on users' active training and to provide real-time visual feedback so that users can actively perform Kegel exercises. In another application, non-invasive electrodes are used to passively stimulate the pelvic floor muscles without user activity. This passive stimulation stimulates and strengthens the pelvic floor muscles and restores muscle function. Passive stimulation of the pelvic floor muscles through external influence thus serves a therapeutic purpose, not the acquisition of information. The training data based on users' active training, on the other hand, does not allow for any in-depth conclusions about the condition of the users' pelvic floor muscles.More in-depth information about the condition of the pelvic floor muscles cannot be obtained with this device. W02023140404A1 discloses a device for strengthening the pelvic floor muscles that can be used even when the user is wearing clothing.

[0012] US2024149112A1 discloses a training device comprising a pressure force transducer deformable by muscle force, containing a gel-like, liquid, or gaseous medium, and at least one sensor to which the medium is in contact and by means of which the pressure of the medium, and thus the muscle force exerted by the user, can be measured. The sensor is connected to a computer system by which measurement data is recorded. The measurement results can be displayed on a screen.

[0013] US20070287610A1 discloses a training device for stimulating the pelvic floor muscles, comprising a tubular force transducer that is deformable within the crotch area of ​​the human body by activation of the pelvic floor muscle system. The tubular force transducer consists of an elastic cylinder filled with a fluid and sealed at both ends. Forces exerted on the tubular force transducer can be detected by means of a sensor, allowing monitoring of the current training and training progress. US20070287610A1 further discloses that muscles can be efficiently trained by passive stimulation with vibrations in the range of 20 Hz to 50 Hz with amplitudes of up to 3 mm. This can be performed either with relaxed muscles or during muscle contraction. The passive stimulation of the

[0014] P 1214 PCT Pelvic floor muscle training through external influence serves a therapeutic or training purpose, but not the acquisition of information. Pelvic floor muscle training is carried out using the aforementioned training devices according to the provided operating instructions, online instructions via an electronic device, or based on user experience. With training devices that have a control unit, users can often select one of several training programs that corresponds to their physical characteristics. For example, age, height, and weight can be selected, and the control unit then provides suitable training programs.

[0015] A training process, if configured and possibly visualized, therefore follows a predetermined, fixed pattern. If users find the chosen training program unsuitable, it must either be continued, terminated, or modified manually, which usually presents difficulties.

[0016] The addition of passive stimulation of the pelvic floor muscles to the training, using external force, serves a therapeutic or training purpose with known devices, for example, to loosen the muscles. This can increase the user's well-being. However, no information is gained.

[0017] With these known devices, information is obtained through the analysis of the training process. However, these devices cannot provide more in-depth information about the condition of the user's pelvic floor muscles.

[0018] Individual adaptation of the treatment to the physical condition of each user is therefore only possible to a limited extent, as each person has different habits and is exposed to different influencing factors. People of the same age, height, and weight can exhibit, for example, permanent weakness or temporary tension due to other influencing factors such as genetic factors, behavior (physical exertion at work or in sports, exercise habits), respiratory problems (frequent coughing), digestive problems, or substance use. In women, particular consideration is given to whether, how often, and by what method (natural birth or cesarean section) they have already given birth. It is also relevant whether

[0019] P 1214 PCT: Accidents have occurred or operations have been performed on users.

[0020] Pelvic floor muscle dysfunction is often due to neuromuscular disorders, which have various causes and can lead to a wide range of symptoms. These disorders affect the nerves that control the pelvic floor muscles and can result in muscle weakness, atrophy, and loss of function. Common neuromuscular disorders of the pelvic floor muscles include motor neuron disorders, which affect the transmission of signals from the brain via the spinal cord to the pelvic floor muscles; peripheral nerve disorders; neuromuscular connectivity disorders, which impair communication between nerves and muscles; and myopathies, which directly affect the muscle tissue.

[0021] With current training devices, relevant information for the individual treatment of users regarding the existing physical condition of their neuromuscular system cannot be obtained, or can only be obtained insufficiently. Therefore, training or treatment successes are often slow or minimal. It is even possible that the training performed is detrimental to the user's health.

[0022] It should also be noted that training programs are often perceived as boring after repeated execution, and the motivation to carry out the training decreases accordingly.

[0023] The present invention is therefore based on the objective of creating an improved device for activating the pelvic floor muscles.

[0024] The device is intended to allow for the determination of more in-depth information about the condition of the pelvic floor muscles, which can then be used to focus and improve the training of the users.

[0025] The device is intended to allow for the individual assessment of the condition and functions of the pelvic floor muscles, in particular the condition and functions of the neuromuscular system of the pelvic floor muscles, so that physiological and / or medical insights can be gained and an adapted treatment or training can be prescribed and carried out either directly by the device or by a physiotherapist.

[0026] The device should therefore make it possible to perform an analysis of the pelvic floor muscles that focuses on individual muscle groups or a holistic analysis.

[0027] P 1214 PCT to be performed to determine muscle activity or inactivity and to allow an individual assessment of the condition of the pelvic floor muscles or the neuromuscular system of the pelvic floor muscles.

[0028] The determination of relevant condition data should be quick and precise, so that corresponding condition data is available for further use by the work device or a physiotherapist.

[0029] Once the condition of the pelvic floor muscles has been determined, treatment or training should be possible with greater efficiency, especially to specifically promote weakened parts of the muscles.

[0030] If the work device is used as a training device, work processes should be feasible that control or support the training of the users. Preferably, the work processes, in particular the interaction between an analysis process and a training process, should run dynamically and be continuously optimized during the use of the work device.

[0031] The additional information gained should enable optimized, pleasant, and varied treatment of the pelvic floor muscles. At the same time, it should make it easier to motivate users to perform the necessary exercises, such as Kegel exercises.

[0032] Ideally, the device should allow for the beneficial conditioning of muscle groups. The device should treat the muscles effectively, ensuring optimal muscular function and promoting user well-being.

[0033] The optimization of the equipment should be possible by machine and / or by the users, so that users can choose or rediscover preferred treatments.

[0034] Furthermore, communication between the users and the work device should be possible unidirectionally in one direction or the other, or bidirectionally in both directions. Preferably, the work device should be able to influence or control the users' behavior, and / or the users should be able to influence or control the behavior of the work device. Preferably, this communication should enable motivating and playful control of the work or training process.

[0035] P 1214 PCT Furthermore, the working device should preferably be controllable via this communication, for example to intervene in a training program or to change parameters of the training.

[0036] The device should preferably allow all muscles of the pelvic floor musculature to be activated or reactivated, preferably selectively.

[0037] The work device should preferably be individually adaptable to the physical characteristics of the users, so that the work device can also be used by different users whose physical characteristics, for example with regard to body dimensions, muscle topography, previous births, injuries or medical interventions, differ significantly from one another.

[0038] The tool should be simple and inexpensive to design, so that it can be manufactured cost-effectively.

[0039] This problem can be solved with a tool according to claim 1. Advantageous embodiments of the invention are defined in further claims.

[0040] The device, designed to activate the pelvic floor muscles of users, includes

[0041] a control unit comprising a computer unit, a storage unit, a user module suitable for converting data and electrical signals, and a user program by means of which activation signals can be supplied to the user module and user signals emitted by the user module can be processed, and

[0042] an interface unit intended for interaction with the user, comprising at least one activator that is wirelessly or wired connected to the user module and is intended for transmitting the activation signals to the pelvic floor muscles;

[0043] with at least one force sensor that can be actuated by the muscular force of the pelvic floor muscles;

[0044] with at least one transmission medium for transmitting the muscular force of the pelvic floor muscles; and

[0045] P 1214 PCT with at least one sensor which is coupled on the one hand to the at least one force transducer and on the other hand is wirelessly or wired connected to the user module and is intended to output detected user signals which correspond to the muscle force of the pelvic floor muscles exerted on the force transducer;

[0046] where the user program

[0047] on the one hand, is intended for the implementation of at least one work process, during which activation signals can be supplied to the at least one activator and user signals triggered by the muscle force of the pelvic floor muscles can be detected by means of the at least one sensor and transmitted to the user program; and

[0048] On the other hand, it is intended for monitoring the occurrence and processing of user signals relating to emitted or emitted activation signals in order to determine user information.

[0049] By evaluating the user signals, user information can be determined in relation to the activation signals emitted or emitted, in particular

[0050] a) the delay of the effect of muscle force, and / or

[0051] b) the course of the exerted muscle force, and / or

[0052] c) the duration of the exerted muscle force, and / or

[0053] d) the intensity of the muscle force exerted, and / or

[0054] e) the point of application of muscle force, and / or

[0055] f) responding or non-responding muscles, and / or

[0056] g) the control or coordination of the muscles, and / or

[0057] h) a combination thereof

[0058] regarding .

[0059] For example, the course of muscle force is evaluated over a single muscle contraction or over multiple muscle contractions.

[0060] P 1214 PCT Evaluation of the user signals is preferably carried out in relation to or taking into account the entire work process, whereby at least one activation signal is used as a reference point.

[0061] During a sequence of muscle contractions, the muscle's ability to generate force decreases, and muscle fatigue occurs. Therefore, it is preferably verified whether this muscle fatigue or the course of the force reduction lies within or outside an expected range. Muscle fatigue is normally temperature-dependent, which is why one or more additional parameters are preferably considered when evaluating the user signals and gathering user information.

[0062] A work process is preferably started by sending at least one activation signal via the interface unit. A work process can activate one or more muscle groups once or multiple times.

[0063] A work process can also be triggered by additional activation signals that are not emitted via the interface unit. For example, acoustic or optical activation signals are emitted directly from the control unit or via other activators or modules, and the user signals are evaluated in relation to these activation signals. For instance, acoustic systems, lighting systems, or electrical or electronic devices are used as alternative or supplementary external activators. External activators are used, for example, in fitness centers to increase user motivation and performance.

[0064] Particularly valuable, however, is the output of activation signals via the interface unit and the evaluation of user signals with respect to these activation signals, since the output of the activation signals and the acquisition of the user signals take place in the area for which the user information is to be determined. Only through the output of activation signals via the interface unit is the desired communication with the pelvic floor muscles or the neuromuscular system fully possible. Work processes can be programmed and / or controlled by means of the control unit. The control unit preferably includes an output unit, such as a screen or a loudspeaker, designed to output information or optical or acoustic activation signals. In preferred embodiments, activation signals can therefore also be output directly by the control unit.

[0065] P 1214 PCT Preferably, the control unit comprises an input unit for user input or control information, through which the current work process or a further work process can be controlled or programmed by the user. The output unit and the input unit, as well as the other modules of the control unit, can be arranged in a single device, for example, a tablet computer or a mobile phone, which typically has several input units and output units.

[0066] The working device comprises an interface module capable of converting muscle force into electrical signals via the interface unit and transmitting them to the control unit. The force is applied via at least one transmission medium, which is preferably an integral part of the force sensor or coupled to it.

[0067] A mechanical force transmission system is preferably used as the transmission medium, which is preferably an integral part of the force transducer and serves to transmit the acting muscle force to the at least one measuring sensor.

[0068] Measuring systems of this type are known, for example, from weighing technology. For instance, a lever system or a system with a spring can be used, the extension of which can be measured under the influence of the spring force. In preferred embodiments, a wall system is provided that comprises a liquid or gaseous transmission medium or a container with a liquid or gaseous transmission medium. In this case, the muscle force is transmitted serially to the liquid or gaseous transmission medium via one or two wall elements.

[0069] At least one sensor can be a force sensor, such as a strain gauge, a piezoelectric sensor, a hydraulic force sensor, or an optical sensor that, for example, measures the bending or compression of a spring element onto which muscle force is transmitted. Pressure sensors, which are subjected to a liquid or gaseous transmission medium, can include, for example, absolute pressure sensors, differential pressure sensors, or relative pressure sensors.

[0070] The device, which can be used as an analysis and / or training tool, can perform various functions and is suitable for any user. The term "user" refers to both male and female users. The device also functions as a communication device, enabling communication between users and the control program. Information can be exchanged unidirectionally.

[0071] The P 1214 PCT or bidirectional data can be transmitted via the interface unit. The activation signals can serve solely for training or stimulating users, or they can contain instructions. The work program allows work and training processes to be designed in a playful and entertaining way, ensuring that motivation to use the device remains high even after prolonged use. Information can also be output audibly and / or visually.

[0072] The device can optionally be used to analyze the condition of the user's pelvic floor muscles. Alternatively, the device can be used for optimized training of the pelvic floor muscles or the related neuromuscular system. Preferably, the device serves both the analysis and training of the user's pelvic floor muscles. Activation of the pelvic floor muscles is essential for both the analysis and the training. An interaction preferably occurs between the analysis and training processes. The condition of the pelvic floor muscles can be regularly checked, and the training process optimized accordingly.

[0073] The work device comprises two essential units: the control unit and the interface unit, which serves as a man / woman-machine interface for communication with the users. The control unit includes at least a computer unit, a storage unit, an electrical and / or electronic user module (e.g., equipped with a signal processor and suitable for converting data and electrical signals), and a user program by which activation signals can be supplied to the user module and user signals output by the user module can be processed.

[0074] Activation signals are signals transmitted from the control unit to the pelvic floor muscles via the interface unit. These signals can take on various forms, energy types, and signal shapes along the transmission path to the pelvic floor muscles. For example, activation signals are transmitted digitally from the computer unit to the user module, which preferably contains a digital-to-analog converter. From the user module, activation signals are transmitted, for example, as electrical, hydraulic, or pneumatic signals to at least one activator. This activator may convert the activation signals into a different energy form and transmit them to the user's body, particularly the pelvic floor muscles.

[0075] P 1214 PCTAls User signals are signals that are transmitted from the users to the control unit via the force transducers, the at least one sensor, and the user module. For example, electrical signals are transmitted from the sensor to the user module, which preferably contains an analog-to-digital converter from which digitized user signals are transmitted to the computer unit.

[0076] Preferably, at least first and / or second and / or third operating information is stored in the control unit, or optionally in the user program.

[0077] Based on the initial work information, activation signals for all activators, or individually for at least one activator, can be generated simultaneously or with a time delay for a selected work process, possibly taking into account previously determined user information. Based on the initial work information and / or the determined user information, process information, in particular start information, direction information, location information, intensity information, and performance information, can be transmitted to the users by sending corresponding activation signals to the at least one activator. Alternatively or additionally, the work process can be controlled based on the initial work information and / or the determined user information.

[0078] The second set of operating information is comparable to the determined user signals in order to obtain further information, such as control information, if the operating information and the determined user information match. This control information can be generated by the user by applying force to at least one force sensor, and the work process can be controlled by means of this control. Based on the second set of operating information, user control commands can be extracted from the user information. User information with control commands can be transmitted to the control unit via specific muscle contractions according to a communication protocol or Morse code. For example, if a muscle contraction is maintained for an extended period, this can be interpreted as a control command by which the user can signal, for example, the start, termination, or interruption of a training session.For example, a further muscle contraction or a series of muscle contractions can signal the resumption of training. Any commands or instructions can be defined. The communication protocol or Morse code corresponds to the second set of operating instructions.

[0079] P 1214 PCT The third set of working information corresponds to the normal state or to anomalies or clinical pictures of the neuromuscular system of the pelvic floor muscles. The third set of working information is preferably defined individually for each user, with tolerance limits. For user information obtained that falls within the tolerance limits, a normal state is determined. For information obtained that falls outside the tolerance limits, an anomaly is determined. Through further evaluation of the user information, symptoms of the anomaly can be identified, and based on the identified symptoms, a clinical picture can be diagnosed.

[0080] After an anomaly is detected, initial working information can preferably be selected, which allows for the verification or supplementation of the identified symptoms, enabling a precise, iterative determination of a condition or disease pattern. For example, if an anomaly is detected, a work process can be used to check whether neuromuscular connection disorders are present. Activation signals are delivered via various activators, after which it is checked whether the response of the pelvic floor muscles corresponds to expectations. Identified diseases or anomalies can subsequently be treated using the working device or, in severe cases, through medical treatment.

[0081] Learning phases are preferably carried out to determine the second and third work information.

[0082] To determine the second set of operating instructions, users are prompted to apply a sequence of force inputs that corresponds to a control command and are stored as this second set of operating instructions. For all possible control commands, individual force inputs from users can therefore be recorded and stored as second set of operating instructions. Sequences of force inputs from different users for a specific control command can differ significantly. However, based on the user data previously recorded and stored as second set of operating instructions, the issued control command can be easily identified.

[0083] To determine the third set of work information, user data is collected for healthy and / or impaired users with different user profiles, and, if necessary, post-processing data is stored as third set of work information. For example, tolerance limits are defined for different user profiles. Within these tolerance limits...

[0084] P 1214 PCT indicates a normal state. An anomaly exists if the data is outside the tolerance limits. For users with disabilities, user data reflecting symptoms of a specific condition is preferably also stored. If user data from other users exhibits the same characteristic user data, the same condition can be inferred.

[0085] The data collected by the work devices can therefore be continuously used to improve the first, second, and third work information. Preferably, the work devices are connected to a central server, for example, a hospital server, where the third work information, in particular, is continuously revised and verified and then made available again to the work devices.

[0086] To distinguish between user information, which on the one hand contains control information generated by the user through corresponding pressure application, and user information used on the other hand to determine the state of the neuromuscular system of the pelvic floor muscles, separate process phases are preferably provided. For example, in a first process phase, user information is analyzed only using secondary working information to obtain control information. In a second process phase, user information is analyzed only using secondary working information to determine the state of the pelvic floor muscles. Preferably, the beginning and end of the first and second process phases are signaled to the user, for example, visually or audibly.

[0087] By analyzing and comparing user information with third-party work data, the state of the user's neuromuscular system can be precisely determined. Artificial intelligence (AI) enables the efficient evaluation and interpretation of this data. The AI ​​algorithms are trained to recognize patterns in the recorded signals and identify deviations from normal neuromuscular function. The AI ​​system, implemented, for example, in a local and / or central analysis module, can derive symptoms from the user information and assign these symptoms to a specific disease pattern.

[0088] By analyzing user signals in real time, the AI ​​can provide immediate feedback and adjustments to the training and analysis processes. This allows, for example, the generation of optimal activation signals.

[0089] P 1214 PCTs are tailored to the specific needs of each individual user. Furthermore, AI enables continuous monitoring and evaluation of progress, leading to personalized and dynamic adaptation of the training programs.

[0090] The control unit is preferably connected to a centralized analysis system, for example in a hospital, which supports the control unit in analyzing user information.

[0091] The user signals obtained are typically used to assess health status, particularly the condition of the pelvic floor muscles. It's important to note that the pelvic floor muscles are controlled by the brain via nerve pathways. Furthermore, stimuli are transmitted to the brain via these nerve pathways. If long reaction times are observed, this can have various causes. The stimulation may have been too weak, or the sensitivity of the pelvic floor muscles and adjacent nervous systems, which detect the activation signals, may not be high enough. The brain's perception of the activation signals, or the reaction of the brain and muscular system, may be impaired. There may also be weakness in the muscular system. By changing the parameters, it is possible to determine the deficiencies, at least approximately.

[0092] In preferred embodiments, several force transducers are provided, by means of which forces from different parts of the pelvic floor muscles can be selectively absorbed.

[0093] The at least one force transducer is, for example, a pressure force transducer deformable under the influence of muscle force, which has a pressure chamber in which a gel-like, liquid, or gaseous transmission medium is provided. The pressure chamber preferably comprises a wall system or is held within a wall system, which also serves as a transmission medium. Transmission media can therefore be arranged in series, so that a pressure force can be transmitted from the first to the second transmission medium before it is detected by a sensor.

[0094] The wall system is preferably anatomically adapted to the pelvic floor area, optionally the perineum or adjacent body openings, or adaptable to it. The wall system is preferably portable or can be supported on the floor as a lying or sitting element.

[0095] p 1214 PCT The wall system preferably comprises a plurality of receiving openings into which activators can be selectively inserted or optionally inserted. In this way, the device can be selectively or situationally adapted to the user and it can be ensured that the activation signals are delivered at the optimal positions. Passive filling units are preferably inserted into the unused receiving openings. The at least one sensor is preferably a pressure sensor or a force sensor suitable for delivering measurement signals that correspond to the acting muscle force of the pelvic floor muscles.

[0096] Preferably, a series of force transducers is arranged in series, allowing muscle contractions, for example in the anterior and posterior regions of the perineum, to be individually recorded. This allows the function or dysfunction of the pelvic floor muscles along the perineum to be tested.

[0097] Preferably, two rows of force transducers arranged serially are provided, positioned side by side, which can detect asymmetrical force effects along the perineum. This allows the function or dysfunction of the pelvic floor muscles along the perineum to be tested and it to be determined whether the pelvic floor muscles are weakened unilaterally at certain points.

[0098] Activation signals, preferably of different types, can be transmitted to the pelvic floor muscles by means of at least one activator or by means of several activators. Energy in a specified form, such as electrical energy (e.g., in the form of stimulus signals), mechanical energy (e.g., in the form of vibrations or shocks), ultrasound energy, and / or thermal energy, can be transmitted to the pelvic floor muscles by means of the activators. Cooling can also be effected by means of the at least one activator.

[0099] Activators include, for example, piezoelectric elements or a motor with an eccentrically mounted element, or at least a voice coil and a part movable by the at least one voice coil, at least one electrode or a heating element or cooling element.

[0100] By means of at least one activator, a massage function, a stimulation function, an ultrasound treatment or a heat treatment can also be advantageously carried out by releasing energy, which serves, for example, to loosen or relax the pelvic muscles.

[0101] P 1214 PCT Preferably, for at least one activator or individually for all activators, the activation signals can be generated with at least one of the following variably selectable parameters: amplitude and / or frequency and / or pulse duration and / or pulse count and / or pulse intervals. By selecting the signals or signal sequences, incentive signals, massage signals, thermal signals, or process information can be transmitted. For example, the beginning, end, or a change in a work process can be signaled by mechanical shocks or impacts. Information regarding the direction or position of the required user activity can also be signaled. Furthermore, it can be signaled to increase or decrease the intensity of the training activity.

[0102] Preferably, several activators are arranged in a way that allows them to communicate with each other on parts of the transmission medium and are designed to deliver identical or different activation signals to different parts of the pelvic floor muscles. The work program can be used, for example, to determine at which positions and with which activation signals the best results are achieved. The selection of multiple activators also provides additional possibilities for transmitting information.

[0103] The term "activator" defines an activator as the final link in the transmission chain for activating a specific muscle group of the pelvic floor muscles. The energy delivered by the activator can be generated in various ways and through any physical effects. The activator is typically an energy converter that transforms electrical energy into specific electrical signals and / or mechanical energy and / or thermal energy and / or cooling. An activator can be any technical device suitable for activating a part of the user's body, in particular at least one part of the pelvic floor muscles. For the activation of the pelvic floor muscles, it is not necessary to stimulate the pelvic floor muscles themselves. It is sufficient if, for example, an area of ​​the skin surface is stimulated mechanically, electrically, or thermally.However, by means of electrodes to which electrical signals are applied, it is possible to directly activate muscle groups, causing muscle contractions to occur.

[0104] The at least one activator and / or the at least one sensor can be wirelessly or wired connected to the user module, so that activation signals and user signals can be transmitted wirelessly or wired between them.

[0105] P 1214 PCTdem at least the interface unit and the control unit are transferable.

[0106] Bluetooth technology, for example, is used for wireless transmission. With wireless signal transmission, the control unit can advantageously be designed as a mobile phone or tablet computer. The transmitters, on the other hand, must be equipped with the necessary signal converters and communication modules.

[0107] In wired transmission, the energy required to operate the transmitters can be transmitted via transmission lines. If no transmission lines are available, the transmitters are preferably powered by at least one local power supply device. This power supply device includes, for example, a mains-connected power supply unit, a battery, or an accumulator. Alternatively or additionally, the power supply device can include a generator that converts the user's muscle power into electrical energy. The interface unit, on the other hand, can also be connected to a power supply unit that provides the necessary energy.

[0108] On the control unit, or optionally on the mobile phone or tablet computer, work processes and results, or the collected user information, are preferably visualizable on the screen. The collected user information is preferably stored individually for each user, who, for example, possesses a token that allows their current settings to be retrieved in order to adapt the device to their profile.

[0109] The user information gathered can be used to advantage to control or optimize the current or a subsequent work process. For example, if monitoring user signals shows no feedback from the user, the intensity of the activation signals can be increased. If monitoring user signals does show feedback from the user, the intensity of the activation signals can be reduced to determine a stimulation threshold and thus the sensitivity of the pelvic floor muscles. If monitoring user signals shows feedback from the user only for a portion of the pelvic floor muscles, the activation and / or training of the remaining passive portion of the pelvic floor muscles can be intensified. For example, the passive portion of the pelvic floor muscles can be activated thermally through heating or cooling, and / or mechanically through vibrations or...

[0110] P 1214 PCT beatings or by ultrasound, and / or electrically by voltages or voltage pulses are treated and activated.

[0111] The at least one force transducer can be manufactured in one piece or consist of two or more device parts and preferably comprises a wall system with one or more pressure chambers. The wall system preferably comprises two side walls for absorbing the muscle force, which extend upwards towards each other and are integrally connected at their upper ends. The opposing side walls of the wall system, which are subjected to muscle force, preferably extend towards each other at the front and / or rear and are preferably integrally connected. Alternatively, the two side walls can be integrally connected at the front to a front wall and / or at the rear to a rear wall. Thus, advantageous shapes, such as round or elliptical shapes, which are preferably adapted to the user's anatomy, can be realized.

[0112] The wall system can be advantageously adapted in terms of dimensions and elasticity to the anatomy or the body part being trained by the user, resulting in improved interaction between the muscles and the force transducer and thus improved training results. With the device according to the invention, an elastic and large-area coupling of the force transducer to the user's body part is possible. Point pressure points can therefore be largely avoided, even after prolonged training.

[0113] In preferred embodiments, the working device is individually adaptable to the user. Preferably, the wall system is provided with design elements, preferably made of metal or plastic, which are arranged in outwardly open or outwardly closed receiving openings, pockets, loops, recesses, or receiving grooves on the wall system. In preferred embodiments, the wall system comprises at least one partition wall that divides a cavity into several pressure chambers separated from each other along the longitudinal axis or a transverse axis. The sub-chambers can be connected to each other by an opening in the partition wall, so that they can be filled together with a medium through a transfer opening. Alternatively, the pressure chambers can be completely separate from each other and each can be filled separately with the medium through a transfer opening.A corresponding number of pressure force transducers, each with its own measuring sensor, can be implemented using the pressure chambers. Preferably, a series of pressure chambers is provided, or two.

[0114] P 1214 PCT provides pressure chambers arranged parallel to each other, extending parallel to a longitudinal axis of the working device, and adapted, for example, to the perineum of the users.

[0115] The pressure chambers can optionally be filled with a suitable transfer medium, preferably individually, to a specific pressure or overpressure. For this purpose, the wall system has a transfer opening, preferably equipped with an access valve, through which the liquid or gaseous transfer medium can be introduced into the pressure chamber.

[0116] In preferred embodiments, it is provided that

[0117] a) that at least one sensor, or

[0118] b) that the at least one sensor with the associated electronic circuit and a communication module for wireless or wired communication, or

[0119] c) that the at least one sensor with the associated electronic circuit and a communication module for wireless or wired communication and with a battery, or d) that the at least one sensor with the associated electronic circuit and a communication module for wireless or wired communication, with a battery and with a charging coil

[0120] The electronic circuitry can be arranged inside or outside the associated pressure chamber or sub-chamber. It can be mounted on a rigid or flexible printed circuit board.

[0121] If at least one sensor is located within the associated pressure chamber, the sensor is in direct or indirect contact with the liquid or gaseous transmission medium within the pressure chamber. If at least one sensor and any associated device components are located outside the associated pressure chamber, the sensor is in direct or indirect contact with the associated transmission medium outside the pressure chamber, which is guided out of the pressure chamber through a connecting channel, a connecting line, or optionally a hose. Associated device components include, for example, an associated electronic circuit, such as an amplifier circuit, and / or a local control unit, a communication module for wireless or wired communication.

[0122] P 1214 PCT and / or power supply modules, such as charging coils, batteries, accumulators, power supplies or the like.

[0123] The wall system preferably has at least one connection opening through which connecting wires to the sensor inside or at the edge of the pressure chamber are led, or from which the connecting channel, pipe, or hose leads to the sensor outside the pressure chamber. The at least one transfer opening through which a medium has previously been introduced into the pressure chamber can also be used as a connection opening. Alternatively, a valve with an integrated pressure sensor can be inserted into the transfer opening.

[0124] Provided that at least one sensor is arranged within the pressure chamber with the electronic circuit and the accumulator, the accumulator is preferably charged via the charging coil, which can be inductively coupled to a charger.

[0125] In preferred embodiments, at least one temperature sensor is provided, by means of which the temperature of the medium and / or the temperature of the wall system and / or the temperature of the adjacent body part can preferably be measured for each force transducer.

[0126] The invention is explained in more detail below with reference to the drawings. These show:

[0127] Fig. 1 shows a working device 1 according to the invention, with a control unit 3 and an interface unit 2 in a sectional view, which has several force transducers 22A, 22B, 22C that can be actuated by muscle power, at least one transmission medium 21A, 22B, 21C, 222 with several sections, several activators 7A, 7B, and a measuring sensor 23A, 23B for each force transducer 22A, 22B, 22C;

[0128] Fig. 2a shows the working device of Fig. 1 with a preferably configured interface unit 2 in a sectional view, by means of which asymmetrical force effects can be measured; and

[0129] Fig. 2b shows the working device 1 of Fig. 2a in a further preferred embodiment.

[0130] Fig. 1 shows a working device 1 according to the invention, which serves to activate the pelvic floor muscles of users and which comprises a control unit 3 and an interface unit 2 shown in a sectional view ,

[0131] P 1214 PCT via the activation signals from the control unit 3 to the respective users and via the user signals from the respective users to the control unit can be transmitted and evaluated there in order to obtain user information that represents the state of the users and by means of which an implemented work process or training process can be optimized.

[0132] The interface unit 2 comprises several force transducers 22A, 22B, 22C, which form a unit and are individually responsive to the muscle force of the pelvic floor muscles; a first transmission medium 221, 221A, 221B, 221C and a second transmission medium 222, which are coupled together and serve to transmit the muscle force of the pelvic floor muscles; several activators 21A, 21B, 21C, which are wirelessly or wired connected to the user module 31 and are intended to transmit the activation signals to the pelvic floor muscles; and several measuring sensors 23A, 23B, 23C, which are coupled on the one hand to the associated force transducer 22A, 22B, 22C and on the other hand are wirelessly or wired connected to the user module 31 and are intended to output detected user signals that correspond to the muscle force of the pelvic floor muscles exerted on the force transducers 22A, 22B, 22C.

[0133] The control unit 3 comprises a computer unit, a storage unit, a user module 31, which is used in particular for the conversion of data and electrical signals, and a user program 30, by means of which activation signals s32 can be supplied to the user module 31 and user signals s32 emitted by the user module 31 can be processed.

[0134] In this configuration, the user program 30 comprises a work module 301, a control module 302, and an analysis module 303. Work processes can be selected and implemented using the work module 301. Depending on the selected work process, activation signals can be generated or retrieved using the control module 302 and transmitted to a D / A converter 311 of the user module 31, which converts digital activation signals into analog activation signals and, if necessary, transmits them individually to activators 21A, 21B, 21C of the interface unit 2.

[0135] In this configuration, the user program 30 also includes an analysis module 303, which receives and processes user signals s23 from the user module 31. The user signals s23 are transmitted from the sensors 23A, 23B, 23C of the interface unit 2 via a D / A converter 312 of the user module 31 to the analysis module 303. Based on the user signals s23, the analysis module 303 generates information about the user status.

[0136] P 1214 PCT in particular user information regarding the condition of the pelvic floor muscles is obtained, which is preferably used in work module 301 to control or modify the current or a future work process or training process.

[0137] The user information gathered is preferably visualizable on a display unit to inform the user or a physiotherapist about the measurement or training results. If the user's condition deviates significantly from target values ​​and a rapid correction cannot be expected through the use of the device 1, the physiotherapist can use the gathered user information to carry out treatment.

[0138] The control unit 3 comprises a housing into which all the aforementioned modules are integrated, preferably implemented as software modules where possible. Alternatively, the aforementioned modules can also be implemented as hardware modules where possible. Typically, the aforementioned modules comprise a combination of hardware and software modules.

[0139] If data transmission between the user module 31 and the activators 21A, 21B, 21C and / or the sensors 23A, 23B, 23C is wireless, communication modules, signal converters, optionally a processor, and the required power supply are provided locally in the interface unit 2. In this case, the user module 31 is divided into two parts that communicate with each other via the existing air interface. Figure 1 shows an exemplary power supply unit 28, which supplies the aforementioned device parts of the interface unit 2 with electrical energy via power supply lines 288. The power supply lines 281 are preferably integrated into the wall system 221 and run, for example, between receiving openings 2213 or corresponding contact devices that are provided in the wall system 221 for receiving the activators 21A, 21B, 21C.The activators 21A, 21B, 21C preferably have connection contacts that are automatically connected to the power supply lines 288 after insertion into the contacting devices. The interface unit 2 can also be powered by an external power supply unit. A power supply unit 28 is always provided if the energy required for the activators 21A, 21B, 21C cannot be supplied by the control unit 3. This applies if the control unit 3 is wirelessly connected to the force transducer 1, for example via a Bluetooth interface.

[0140] P 1214 PCT the control unit 3 can advantageously be implemented using a tablet computer, a notebook or a mobile device.

[0141] The first transmission medium 221 comprises a wall system 221 with several transmission segments 221A, 221B, 221C, each forming a first transmission medium. Pressure chambers 2210A, 2210B, 2210C are provided in the wall system 221, separated from one another by partitions 2211 and filled with a second liquid or gaseous transmission medium 222. The first transmission medium 221 and the second transmission medium 222 transmit the applied muscle force serially.

[0142] The wall system 221 comprises a rear wall 2218, a front wall 2219, and a chamber floor 2217, which is preferably integrally, forcefully, or positively connected to a base 2215 that is placed on the floor. In this embodiment, the wall system 221 forms a seat with a ridge facing the user's perineum, whose glate muscles lie against the wall system 221 on both sides. However, the wall system 221 can also have other shapes and be adapted to the user's anatomy.

[0143] The wall system 221 comprises a pressure chamber 2210A, 2210B, 2210C for each force transducer 22A, 22B, 22C. The third force transducer 22C is shown in a sectional view, looking towards the open pressure chamber 2210C, in which the gaseous or liquid second transmission medium 222 is arranged. The measuring sensors 23A, 23B, 23C are inserted into the chamber floor 2217 and the base 2215, each connecting to an opening 22170 in the chamber floor 2217 of the associated pressure chamber 2210A, 2210B, 2210C. The measuring sensors 23A, 23B are shown by dashed-dotted cutouts in the wall system 211.

[0144] Through openings 22170 in the chamber floor 2217, the liquid or gaseous transmission medium 222 can interact with the sensors 23A, 23B, 23C. Due to the action of forces from the pelvic floor muscles, symbolized by arrows Fa, Fb, Fc, the wall system 221 with the transmission segments 221A, 221B, 221C and thus the pressure chambers 2210A, 2210B, 2210C are deformable, which is why a corresponding pressure is exerted on the liquid or gaseous transmission medium 222 in each pressure chamber 2210A, 2210B, 2210C, which acts on the associated sensor 23A, 23B, 23C. The pressure changes are detected by the sensors 23A, 23B, 23C and corresponding user signals s23 are output.

[0145] The number of force transducers 22A, 22B, 22C, activators 21A, 21B, 21C and measuring sensors 23A, 23B, 23C is purely exemplary. Preferably,

[0146] p 1214 PCT Each force transducer 22A, 22B, 22C is assigned a measuring sensor 23A, 23B, 23C. By way of example, each force transducer 22A, 22B, 22C is assigned an activator 21A, 21B, 21C. However, the number of activators 21A, 21B, 21C can vary considerably. At least one activator 21A is provided, via which electrical, mechanical, or other activation signals are transmitted to the user to activate the pelvic floor muscles and detect corresponding reactions. The activators can be provided on the top and / or sides of the wall system 211.

[0147] The activation of the pelvic floor muscles by means of activation signals can occur directly or indirectly. For example, the pelvic floor muscles can be directly activated by the direct application of electrical signals via activators 21A, 21B, and 21C in the form of electrodes. Conversely, electrical and / or mechanical or other activation signals can also provoke a conscious or unconscious reaction of the pelvic floor muscles via nerve pathways and the human brain.

[0148] Preferably, two or more groups of activators 21A, 21B, 21C are provided. A first group of activators 21A, 21B, 21C is intended to determine the health status or condition of the pelvic floor muscles. A second group of activators 21A, 21B, 21C is intended, in particular, to enable treatment or massage of the pelvic floor muscles in order to relax them and / or to condition them for training.

[0149] The activators 21A, 21B, and 21C of the first group are intended, for example, to trigger the fastest possible reactions of the pelvic floor muscles. After the activation signals s32 are delivered, user information can be determined by evaluating the user signals s23, which determines,

[0150] a) the delay of the effect of muscle force, or

[0151] b) the course of the exerted muscle force, or

[0152] c) the duration of the exerted muscle force, or

[0153] d) the intensity of the muscle force exerted, or

[0154] e) the place where the muscle force acts, or

[0155] f) responding or non-responding muscles, or

[0156] g) the control or coordination of muscles, or

[0157] h) a combination thereof

[0158] regarding .

[0159] p 1214 PCT activators 21A, 21B, 21C of the first group are typically designed to deliver electrical, electromagnetic, magnetic, or mechanical signals or impulses, such as oscillations, vibrations, or shocks. Additionally, activators may be provided for delivering acoustic or optical activation signals, which are located in the interface unit 2 or in the control unit 3.

[0160] Activators 21A, 21B, and 21C of the second group are typically suitable for treating the pelvic floor muscles using electrical signals, heat application, ultrasound, or mechanical stimuli such as vibrations. Two electrodes are typically provided for delivering electrical signals, to which an alternating voltage is applied. Various activators 21A, 21B, and 21C can also dynamically perform functions of the first or second group.

[0161] The activators 21A, 21B, and 21C can be supplied with identical or individually modified activation signals s32, which are converted accordingly and delivered to the users. The first activator, 21A, is designed, for example, to deliver electrical activation signals, while the other activators, 21B and 21C, are designed, for example, to deliver mechanical signals.

[0162] Fig. 1 shows that the wall system 221, which serves as the first transmission medium, has receiving openings 2213 into which either activators 21A, 21B, 21C and / or passive filling units 210 can be inserted. The interface unit 2 can therefore be optionally equipped and configured according to the needs of the users.

[0163] The control unit 3 preferably stores initial work information, according to which activation signals, preferably individually for each activator 21A, 21B, 21C, can be generated simultaneously or with a time delay for a selected work process, optionally taking into account previously determined user information. After the determination of the condition of the pelvic floor muscles in a first work process, individual areas of the pelvic floor muscles can, for example, be treated thermally, by vibration, or by means of alternating voltage signals or ultrasound in a second work process. Subsequently, the first work process can be restarted to determine whether the condition of the pelvic floor muscles has improved and, for example, tensions have been relieved.

[0164] P 1214 PCT According to the initial operating information, activation signals can also be generated and transmitted to at least one activator 21A, 21B, 21C or individually and / or sequentially to several activators 21A, 21B, 21C, by means of which process information, in particular start information, direction information, location information, intensity information, performance information, can be transmitted to the users and / or the work process can be controlled. For example, the activators 21A, 21B, 21C are actuated sequentially with a time delay, from which the users can, for example, infer that a muscle contraction should occur in the area of ​​activator 21C, or that they should change their sitting position in the direction of activator 21C.For example, two mechanical shocks applied via the activator 21A can signal that a work process begins, and two mechanical shocks applied via the activator 21C can signal that the work process has ended.

[0165] Appropriate signaling can indicate to users whether the work process is an analysis process to determine the user's state or a training process to optimize the user's state.

[0166] Preferably, the control unit 3 also stores secondary operating information that is comparable to the determined user information in order to obtain further information. Secondary operating information includes, for example, a previously registered user profile, which is compared with the currently determined user information to detect any changes in state. Furthermore, depending on age, weight, and / or height, and possibly other parameters, target values ​​can be set, for example, for...

[0167] a) the delay of the effect of muscle force, and

[0168] b) the course of the exerted muscle force, and

[0169] c) the duration of the exerted muscle force, and

[0170] d) the intensity of the exerted muscle force

[0171] be determined for each muscle area.

[0172] As a result, users receive precise information about their condition and suggestions for improving that condition.

[0173] By comparing the second set of operating information with user information, control commands can also preferably be determined that can be generated by the user by applying force to the at least one force transducer 22A, 22B, 22C. For example, the user can set the pressure for a

[0174] P 1214 PCT can pause for a specified time or generate higher pressure, which, according to the second set of operating instructions, is interpreted, for example, as a control command to terminate or interrupt the work process. Through this communication with the users via interface unit 2, the device 1 is therefore controllable. Users can intervene in ongoing training processes and change training parameters. Conversely, the training device can transmit messages, commands, or rhythms to the users via activation signals, which serve to optimize the training, motivate the users, or provide playful entertainment. For example, sequences of activation signals are emitted that correspond to a musical rhythm and are intended, for example, to stimulate or calm the users.The sequences can, for example, be modified by the users according to the second set of work information by applying force. The device, which can be used as an analysis and training tool, thus also serves as a form of playful entertainment for the users.

[0175] The control unit 3 preferably also stores third-party working information that corresponds to the normal state and / or to anomalies or disease patterns of the neuromuscular system of the pelvic floor muscles and that is comparable with the determined user information in order to determine the state and / or malfunctions of the neuromuscular system of the pelvic floor muscles.

[0176] The first and / or second and / or third work information is stored, for example, in a database 310 and can be retrieved by the control unit 3 as needed.

[0177] The analysis module 303, which preferably includes an AI module, is connected via a network, optionally the Internet IP-N, preferably to a centralized server 3000, for example, in a hospital, in which a preferably AI-based analysis system 3030 is implemented. This system is suitable for in-depth evaluation and updating of user information and / or from which current data on disease patterns can be retrieved, by means of which the third-party work information is updated. The centralized server 3000 can be connected to any number of work devices 1 (see the double arrows on the right) and continuously collect data for users with different user profiles and, in turn, provide updated work data to the work devices 1.

[0178] Figure 2a of P 1214 PCT shows the working device of Figure 1 with a preferably configured interface unit 2 in sectional view, by means of which asymmetric force effects can be measured. The interface unit 2 has a first row with force transducers 22A1, 22B1, ... and a second row with force transducers 22A2, 22B2, which run axially parallel to each other.

[0179] The force transducers 22A1 and 22A2 are separated from each other by partition walls 2211 and each has a wall system 221A1 and 221A2, each with a pressure chamber 2210A1 and 2210A1, respectively, to which a measuring sensor 23A1 and 23A2 is connected. The same applies to the force transducers 22B1 and 22B2. Activators 21 can be optionally inserted into designated receiving openings 2213 of the wall system 221 either from the top and / or side. The measuring sensors 23A1 and 23A2 are inserted into the base 2215 and the chamber floor of the respective pressure chamber 2210A1 and 2210A1. The sensors 23A1 and 23A2 are thus integrated into the interface unit 2, which is generally advantageous, but may involve greater manufacturing effort.

[0180] Fig. 2b shows the working device 1 from Fig. 2a in a further preferred embodiment. In this embodiment, the measuring sensors 23A1, 23A2 are not integrated into the interface unit 2, but are connected with tubular connecting lines 230A1, 230A2, each of which is led into the associated pressure chamber 2210A1, 2210A1.

[0181] The activators 21 are shown as cylinders in the exemplary embodiments, but can have any other shapes and, for example, be provided as metal plates, metal grids and the like.

[0182] The invention therefore also relates to a method for operating such a work device in accordance with the subject matter of the patent claims.

[0183] P 1214 PCT

Claims

Patent claims 1. Working device (1) for activating the pelvic floor muscles of users, with a control unit (3) comprising a computer unit, a storage unit, a user module (31) suitable for converting data and electrical signals, and a user program (30) by means of which activation signals can be supplied to the user module (31) and user signals emitted by the user module (31) can be processed, and with an interface unit designed to interact with the user (2) with at least one activator (21A, 21B) which is wirelessly or wired connected to the user module (31) and is designed to transmit the activation signals to the pelvic floor muscles; with at least one force transducer (22A, 22B) that can be actuated by muscular force of the pelvic floor muscles; with at least one transmission medium (221A, 221B; 222 ) for transmitting the muscle force of the pelvic floor muscles; and with at least one measuring sensor (23A, 23B) which is coupled on the one hand to the at least one force transducer (22A, 22B) and on the other hand wirelessly or wired to the user module (31) and is provided for outputting detected user signals which correspond to the muscle force of the pelvic floor muscles exerted on the force transducer (22A, 22B); wherein the user program (30) on the one hand, is intended for the implementation of at least one work process, during which activation signals can be supplied to the at least one activator (21A, 21B) and user signals triggered by muscle force of the pelvic floor muscles can be detected by means of the at least one measuring sensor (23A, 23B) and transmitted to the user program (30); and P 1214 PCT is intended, on the other hand, for monitoring the occurrence and processing of user signals relating to emitted activation signals, in order to determine user information.

2. Working device (1) according to claim 1 , characterized in that, a) that the control unit (3) has an output unit, such as a screen or a loudspeaker, intended for the delivery of information or optical or acoustic activation signals, and / or b) that the control unit (3) has an input unit for inputting user data or control information, through which the current work process or a further work process can be controlled or programmed by the users.

3. Working device (1) according to claim 1 or 2, characterized in that a) the at least one transmission medium (221A, 221B; 222 ) is a mechanical transmission system (221A, 221B); or b) the at least one transmission medium (221A, 221B; 222 ) comprises a wall system (221A, 221B) or a part thereof, or c) the at least one transmission medium (221A, 221B; 222 ) comprises a wall system (221A, 221B) or a part thereof and a gel-like, liquid or gaseous transmission medium (222 ) held within the wall system (221A, 221B), wherein the transmission medium (221A, 221B; 222 ) is preferably anatomically adapted or adaptable to the pelvic floor area, optionally the perineum or adjoining body openings, and is designed to be portable or can be supported on the floor as a lying or sitting element.

4. Working device (1) according to claim 1, 2 or 3, characterized in that the at least one activator (21A, 21B) is suitable for emitting thermal, electrical, electromagnetic, optical, magnetic, mechanical, such as oscillations, vibrations or shocks, or acoustic activation signals or a combination of these activation signals.

5. Working device (1) according to one of claims 1-4, characterized in that for the at least one activator (21A, 21B) or individually for P 1214 PCTalle activators (21A, 21B) Activation signals with at least one of the following variably selectable parameters, namely the amplitude, the frequency, the pulse duration, the number of pulses, the pulse intervals, can be generated.

6. Working device (1) according to one of claims 1-5, characterized in that at least two activators (21A, 21B) are provided, which are arranged opposite each other on parts of the wall system or transmission medium (221A, 221B) and are provided for delivering identical or different activation signals to different parts of the pelvic floor muscles, and / or that at least two force transducers (22A, 22B) are provided and assigned to different parts of the pelvic floor muscles.

7. Working device (1) according to one of claims 1-6, characterized in that the at least one transmission medium (221A, 221B) has receiving openings (2213) into which either activators (21A, 21B) or either activators (21A, 21B) and passive filling units (210) are optionally inserted or can be optionally inserted.

8. Working device (1) according to one of claims 1 - 7 , characterized in that first working information is stored in the control unit (3 ), according to which, optionally taking into account determined user information, activation signals for the at least one activator (21A, 21B) or individually for several activators (21A, 21B) can be generated for a selected working process, by means of which process information, such as start information, direction information, location information, intensity information, power information, can be transmitted to the users or the working process can be controlled .

9. Working device (1) according to one of claims 1 - 8 , characterized in that second working information is stored in the control unit (3 ) and that control commands can be determined by comparing the second working information with user information, which can be generated by the users by exerting force on the at least one force transducer (22A, 22B ).

10. Working device (1) according to one of claims 1-9, characterized in that third working information is stored in the control unit (3) which relates to normal states or to anomalies of the neuromuscular P 1214 PCTSystems of the pelvic floor muscles correspond and are comparable with the determined user information in order to determine the condition and / or anomalies of the neuromuscular system of the pelvic floor muscles of the users.

11. Working device (1) according to claim 9 or 10, characterized in that the user program (30) has an intelligent analysis module (303) which has access to at least the second or third working information or at least to the second or third working information and external databases or artificial intelligence systems, and that control information of the users and / or information on anomalies can be determined from the user information by means of the analysis module (303).

12. Working device (1) according to one of claims 1-11, characterized in that user information can be determined by evaluating the user signals, which, after the activation signals have been issued, determines a) the delay of the effect of muscle force, or b) the course of the exerted muscle force, or c) the duration of the exerted muscle force, or d) the intensity of the muscle force exerted, or e) the place where the muscle force acts, or f) responding or non-responding muscles, or g) the control or coordination of muscles, or h) involve a combination of these.

13. Working device (1) according to one of claims 1 - 12 , characterized in that the at least one activator (21A, 21B) comprises piezo elements or a motor with an eccentrically mounted element , or at least one voice coil and a part movable by the at least one voice coil or at least one electrode .

14. Working device (1) according to one of claims 1 - 13 , characterized in that a massage function, a stimulation function, an ultrasound treatment or a heat treatment can be carried out by means of the at least one activator (21A, 21B) by supplying energy .

15. Working device (1) according to one of claims 1 - 14 , characterized in that , P 1214 PCT that the at least one force transducer (22A, 22B) is a pressure force transducer (22A, 22B) deformable under the influence of muscle force, which has a pressure chamber (2210) in which a gel-like, liquid or gaseous transmission medium (222) is provided, that the pressure chamber (2210) comprises a wall system (221A, 221B) or is contained within a wall system (221A, 221B) which wall system (221A, 221B) also serves as a transmission medium, and that the at least one sensor (23A, 23B) is a pressure sensor or a force sensor suitable for emitting measurement signals corresponding to the acting muscle force of the pelvic floor muscles. P 1214 PCT

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