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Small wearable computerised unit for pelvic floor electrical stimulation and biofeedback through vaginal or anal probes, to improve continence. Dual-channel stimulation, surface EMG and pressure, worn on a waist belt and connected wirelessly by Bluetooth to a Windows PC running the supplied software.
Overview
TOTEM-UG is a small wearable computerised unit for pelvic floor electrical stimulation and biofeedback, using vaginal or anal probes. The aim is to improve the patient's continence by combining the effectiveness of perineal stimulation with the strong contribution of biofeedback to functional re-learning.
It is supplied with its own software and is used with a Windows desktop or laptop PC. The connection is wireless (Bluetooth), and the unit is worn at the patient's waist on a belt.
Alongside manual re-education and pelvic-perineal physiotherapy, pelvic floor stimulation is the most popular method for treating incontinence and successfully restores continence, especially in women. It strengthens the pelvic floor through two concurrent effects: an excitomotor action that increases muscle tone, and a vascular effect that improves local circulation. Researchers have also reported a significant increase in urethral closure pressure and improved bladder compliance, with fewer uninhibited detrusor contractions.
Key Features
Technical Specifications
| Model number | RU-TOTEM-UG |
| Intensity | 0–100 mA on a 1000 Ω normalised load |
| Output current | Max. 100 mApp (14 mA rms) on 1000 Ω |
| Frequency | 1–200 Hz (±5%) |
| Pulse width | 30–500 µs (±5%) |
| Pulse type | Biphasic, two selectable wave shapes |
| DC component in output | Max. 4 mVrms |
| Communication | Wireless, Bluetooth |
| Power supply | Internal detachable Li-Po battery, 3.7 V 1130 mAh (about 8 hours), recharged with external charger |
| Dimensions | 190 × 160 × 60 mm |
| Weight | 0.2 kg (unit only) |
Clinical Protocols
Recommended starting parameters by indication. Final protocols should be set by the treating clinician.
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