BEAC Med Evo Stim E Pelvic Floor Trainer with EMG (Electromyography) Biofeedback and ETS (EMG Triggered Stimulation)

BEAC Med Evo Stim E Pelvic Floor Trainer is a cutting-edge pelvic floor trainer that features 1 electrostimulation channel and 1 biofeedback EMG channel. This facilitates:

• Effortless pelvic floor muscle treatments with perineal stimulation
• Enables active pelvic muscle recovery with EMG biofeedback; and
• Re-trains and re-educates the pelvic floor muscles with EMG triggered stimulation (ETS)

The BEAC Med Evo Stim E Pelvic Floor Trainer is functionally advanced and intuitive, yet simple to use either by professionals in clinics or at home for personal use. It is an advanced EMG (Electromyography), ETS (EMG Triggered Stimulation) and STIM (electrical stimulation) therapy device for all types of incontinence in men and women.

Featuring the IntelliSTIM function, stimulation parameters are controlled to ensure over stimulation does not occur. Overstimulation is not dangerous, but it can cause the muscles to become sore, IntelliSTIM prevents this. Additionally, professional users can adjust/edit stimulation parameters manually to address the specific needs of the patients. When the user adjusts the frequency, all other stimulation parameters are automatically adjusted to the values appropriate for the chosen frequency. This offers the user a countless number of perineal stimulation programs for stress incontinence, urge incontinence, mixed incontinence and pelvic pain relief that are tailored to their needs.

The electrical stimulation is delivered to the pelvic floor muscles either through adhesive skin electrodes or internally with a vaginal or anal probe.  

Each program has pre-set and optimised parameters, however, users can modify one or more parameters, except for pulse width which is automatically defined.  The user manual will give you details of each programme, the programmes are effective in the treatment of:

• Urge incontinence – the feeling of needing to urinate frequently and the occasional loss of bladder control leading to leaks
• Stress incontinence – the loss of bladder control when a level of pressure (or ‘stress’) is placed on the abdomen. For example, when you sneeze, cough, jump up and down, run or jog or even laugh too hard
• Mixed incontinence – a combination of both of the above    
• Pelvic pain and muscle tension – a feeling on tightness in the pelvis and involuntary contractions of the muscles at inopportune times like when trying to go to the toilet or during sexual contact. This program is designed to relax the muscles and give you back control of them

The toner is suitable for use with skin electrodes and:

A ringed probe. These probes have rings of NMES transmitters that wrap around the probe like the Novatys Gold-Plated Double Ring Vaginal and Anal Probe.

A lateral probe. These probes feature NMES transmitters laterally up the side of the probe, like the Kegel8 Glide Gold Vaginal Probe.

The pelvic floor toning programmes are set to a standard duration of 30 minutes; however, they can be adjusted from 5 to 60 minutes in steps of 5 minutes. Alternatively, a continuous stimulation can be selected.

EMG Biofeedback    

EMG Biofeedback is a way of measuring voluntary muscle movement and displaying the evidence of these contraction and relaxation phases in graphs and audibly with sound. The visual and acoustic evidence of their muscle contractions are found to be great motivators for patients trying to strengthen their pelvic floor. They are also a great way to track progress as your pelvic strength increases.

Types of EMG Muscle Training

Recruiting Biofeedback: The patient has difficulties locating the pelvic floor muscles. The contraction signal is weak and does not reach the threshold target. Patient tries to contract the muscles repeatedly and to find effective the way of ‘recruiting’ muscle fibres of pelvic floor to contribute to stronger contractions.

Training Biofeedback: Patient has weak pelvic floor muscles and displays problems controlling them. For example, they are not capable of contracting the muscles in time for a sudden change in abdominal pressure to allow for a leak-free cough or sneeze. EMG guides the patient to perform multiple contractions that increase in strength, motivating the patient by visual and acoustic stimuli.

Relaxing Biofeedback: The patient experiences involuntary contractions of pelvic floor muscles as well as steady contractions. Treatment goal is to achieve voluntary relaxation of the muscles.      

Biofeedback program information: Contraction time 8 seconds. Rest time 8 seconds. The visual feedback display has a target of achieving 20 concentric circles or this can be changed to display a bar graph if preferred. The sound feedback emits 2KHz of sound for a low contraction to a much louder 20Hz for full scale contraction. During contractions, the LCD display on the unit has yellow back-lighting, during rest periods the back light is green. The session time is pre-set for 30 minutes.     

EMG biofeedback is not an alternative to pelvic floor training programmes, but a complementary treatment. The difference being that EMG biofeedback allows you to simply see how strong the muscles are, whereas pre-set pelvic floor toning programmes will actively strengthen the muscles using Neuro Muscular Electrical Stimulation (NMES)  

When you are doing a biofeedback programme to measure your pelvic muscle strength, the best visual feedback is the 20 concentric circles visual, as its central circle visually represents the closure of an orifice achieved with muscle contractions. The bar graph can be used on any other muscle group in the body if you wish to use the device to measure other muscle strength.        

ETS (EMG Triggered Stimulation)

ETS utilises biofeedback as well as electrostimulation and requires a voluntary muscle contraction by the user. This muscle contraction triggers a contraction/rest cycle of electric stimulation. The EMG signal obtained during contraction is directly proportional to the contraction of the pelvic floor muscle and is measured in µV which is one millionth of a volt! The trigger threshold is pre-defined to 8 µV but can be modified to a preferred level. The threshold also increases with every 3 valid voluntary contractions. The last threshold value achieved during a session is automatically stored to become the starting threshold for the next session, so you never start weaker than you finished your last session. Contraction time using this program is 3 seconds with a rest time of 8 seconds.          

The patient’s existing muscle strength, willingness to train and perseverance in improving the thresholds make the ETS program highly motivating and effective on their journey to regaining full pelvic strength.