Title of Invention

CERVICAL DILATION MONITOR

Abstract

A system for measuring dilation of a cervix of a uterus of a female during the first stage of labor, including an expandable gripping arrangement having two oppositely facing gripping members configured, such that, the gripping arrangement grips the dilating cervix. The system also includes a first elongated elements having a calibrated scale disposed thereon and a second elongated element. A part of the second elongated element has an indicator disposed thereon. The first and second elongated element are mechanically connected to the gripping arrangement, in a manner such that, as the gripping arrangement expands with the dilating cervix, relative linear movement is generated between the first and second elongated elements, thereby moving the indicator with respect to the calibrated scale so as to give a measurement of dilation of the cervix.

Full Text

CERVICAL DILATION MONITOR FIELD AND BACKGROUND OF THE INVENTION The present invention relates to a medical instrument and, in particular it concerns a cervical dilation monitor. 5 By way of introduction, it is still standard practice for the obstetrician to resort to regular vaginal examination in order to estimate cervical dilation and thereby assess the progress of labor during the first stage of active labor. The cervix dilates to about 10 cm during this stage of labor as well as effacing to a very thin layer. However, these examinations are uncomfortable to the patient, inaccurate, objective, as well as risking 10 introducing infection into the uterus, these disadvantages being amplified if serial examinations are carried out by different observers. Of relevance to the present invention is U.S. Patent No. 5,658,295 to Krementsov which teaches an instrument, similar to calipers, with a scale for indicating dilation. The device taugjit by Krementsov is not designed to be left in position for 15 continual monitoring. Additionally, the instrument is not disposable and requires repeated sterilization. Of most relevance to the present invention is U.S. Patent No. 4,141,345 to Allen et al. which teaches an expandable V-shaped caliper instrument. The dilation is measured using strain gauges. A shortcoming of the aforementioned system is that the 20 system is not disposable and requires repeated sterilization. Also of relevance to the present invention is U.S. Patent Nos. 4,476,871 to Hon and 6,423,000 to Berry. Both of these patents teach systems for monitoring cervical dilation. However, both of the systems are non-disposable, expensive as well as intrusive to the patient. 25 There is therefore a need for a cheap, disposable cervical dilation monitor which is easy to fit and is comfortable and safe for the patient, takes into account cervical effacement, as well as providing accurate, continuous and objective measurements of cervical dilation. 2 SUMMARY OF THE INVENTION The present invention is a cervical dilation monitor construction and method of operation thereof. According to the teachings of the present invention there is provided, a system 5 for measuring dilation of a cervix of a uterus of a female during the first stage of labor* comprising: (a) an expandable gripping arrangement having two oppositely facing gripping members and an outwardly biased restoring member, the gripping arrangement being configured, such that, the restoring member pushes the gripping members apart so that the gripping arrangement grips the cervix while the cervix dilates; (b) a first 10 elongated element having a calibrated scale disposed thereon; and(c) a second elongated element, a part of the second elongated element being disposed along the calibrated scale, the part of the second elongated element having an indicator disposed thereon, the first elongated element and the second elongated element being mechanically connected to the gripping arrangement, in a manner such that, as the 15 gripping arrangement expands with the dilating cervix, relative linear movement is generated between the first elongated element and the part of the second elongated element, thereby moving the indicator with respect to the calibrated scale so as to give a measurement of dilation of the cervix. According to a further feature of the present invention, the second elongated 20 element is a line. According to a further feature of the present invention, at least one of the gripping members is expandable in order to grip a portion of the cervix while the cervix effaces. According to a further feature of the present invention, there is also provided an 25 insertion arrangement configured to keep the gripping members expanded during fitting of the gripping arrangement on the cervix. According to a further feature of the present invention: (a) the first elongated element is hollow; and (b) the insertion arrangement is partially disposed within the first elongated element. 3 According to a further feature of the present invention the insertion arrangement is a tube configured for inserting the gripping members and the restoring member in the tube. According to a further feature of the present invention, the gripping arrangement 5 includes two flexible connecting elements, each of the connecting elements uniquely mechanically connecting one of the gripping members to the restoring member. According to a further feature of the present invention: (a) the first elongated element is hollow and has a portion which is translucent, the portion including the calibrated scale; and (b) the part of the second elongated element is disposed within the 10 first elongated element. According to a further feature of the present invention: (a) the first elongated element is hollow; (b) the first elongated element has a first end and second end; (c) the first end is mechanically connected to the restoring member; and(d) the second elongated element extends substantially from the first end to the second end. 15 According to a further feature of fee present invention, the second elongated element has a control element disposed thereon, the control element being configured to enable an operator move the second elongated element to contract the expandable gripping arrangement for fitting into the cervix. According to a further feature of the present invention, the second elongated 20 element is mechanically connected to the restoring member and one of the gripping members. According to a further feature of the present invention, the second elongated element is mechanically connected to both of the gripping members. 25 BRIEF DESCRIPTION OF THE DRAWINGS The invention is herein described, by way of example only, with.reference to the accompanying drawings, wherein: Fig. 1 is an isometric view of a cervical dilation monitor that is constructed and operable in accordance with a preferred embodiment of the invention; 30 Fig. 2 is a front view of the cervical dilation monitor of Fig. 1; 4 Fig. 3 is a top view of the cervical dilation monitor of Fig. 1; Fig. 4 is a front view of the cervical dilation monitor of Fig. 1 when fully extended; Fig. 5 is a top view of the cervical dilation monitor of Fig. 1 when fully 5 extended; Fig. 6 is a cross-sectional view through the line A-A of Fig. 2; Fig. 7 is a front view of the cervical dilation monitor of Fig. 1 with an insertion arrangement installed; Fig. 8 is a side view of the cervical dilation monitor of Fig. 1 with the insertion 10 arrangement installed; Fig. 9 is a cross-sectional view through the line B-B of Fig. 7; Fig. 10 is a front view of the cervical dilation monitor of Fig. 1 being fitted onto a cervix; Fig. 11 is a front view of the cervical dilation monitor of Fig. 1 being fitted onto 15 a partially dilated cervix; Fig. 12 is a view of the gripping arrangement of the cervical dilation monitor of Fig. 1 after fitting onto a cervix; Fig. 13 is a view of the cervical dilation monitor of Fig. 1 after 30 mm dilation of the cervix; 20 Fig. 14 is a view of the cervical dilation monitor of Fig. 1 after 50 mm dilation of the cervix; Fig. 15 is a view of the cervical dilation monitor of Fig. 1 after the cervix is folly dilated; Fig. 16 is a front view of a cervical dilation monitor which is constructed and 25 operable in accordance with a first alternate embodiment of the present invention; Fig. 17 is a front view of a cervical dilation monitor which is constructed and operable in accordance with a second alternate embodiment of the present invention; Fig. 18 is a front view of a cervical dilation monitor which is constructed and operable in accordance with a third alternate embodiment of the present invention; 5 Fig. 19 is a front view of the cervical dilation monitor of Fig. 16 in a contracted state, implemented with a first alternate embodiment of gripping members; Fig. 20 is a front view of the cervical dilation monitor of Fig. 19 in an expanded state; 5 Fig. 21 is a front view of the cervical dilation monitor of Fig. 16 in a contracted state, implemented with a second alternate embodiment of gripping members; Fig. 22 is a front view of the cervical dilation monitor of Fig. 21 in an expanded state; Fig, 23 is a front view of a cervical dilation monitor having an external insertion 10 arrangement that is constructed and operable in accordance with a fourth alternate embodiment of the present invention; Fig. 24 is a side view of the cervical dilation monitor of Fig. 23; Fig. 25 is a front view of a gripping member of the cervical dilation monitor of Fig. 23 in a contracted state; 15 Fig. 26 is a front view of the cervical dilation monitor of Fig. 23 in an expanded state; Fig. 27 is a front view of a cervical dilation monitor in a contracted state that is constructed and operable in accordance with a fifth alternate embodiment of the present invention; 10 Fig. 28 is a front view of the cervical dilation monitor of Fig. 27 in an expanded state; Fig. 29 is a front view of a cervical dilation monitor in an expanded state that is constructed and operable in accordance with a sixth alternate embodiment of the present invention; 25 Fig. 30 is a front view of the cervical dilation monitor of Fig. 29 inserted into an insertion tube; and Fig. 31 is a front view of the cervical dilation monitor of Fig. 30 being pushed out of the insertion tube. 6 DESCRIPTION OF THE PREFERRED EMBODIMENTS The present invention is a cervical dilation monitor construction and method of operation thereof. The principles and operation of a cervical dilation monitor according to the 5 present invention may be better understood with reference to the drawings and the accompanying description. Reference is now made to Figs. 1 to 5. Fig. 1 is an isometric view of a cervical dilation monitor 10 that is constructed and operable in accordance with a preferred embodiment of the invention* Fig. 2 is a front view of cervical dilation monitor 10. Fig. 10 3 is a top view of cervical dilation monitor 10. Fig. 4 is a front view of cervical dilation monitor 10 when fully extended. Fig. 5 is a top view of cervical dilation monitor 10 when fully extended. Cervical dilation monitor 10 includes an expandable gripping arrangement 12 having two oppositely facing gripping members 14 and an outwardly biased restoring member 16. Expandable gripping arrangement 12 is configured, such 15 that, restoring member 16 pushes gripping members 14 apart so that expandable gripping arrangement 12 grips the cervix while the cervix dilates. Figs. 1,2 and 3 show cervical dilation monitor 10 in a contracted state, which is generally employed when fitting cervical dilation monitor 10 into a patient, as will be explained later with reference to Figs. 10 to 12. Figs. 4 and 5 show cervical dilation monitor 10 in a fully 20 expanded state. Each gripping member 14 is configured to be expandable in order to grip a portion of the cervix even while the cervix effaces, as is best shown with reference to Figs. 13 to 15. Expandable gripping arrangement 12 includes two flexible connecting elements 18. Each flexible connecting element 18 uniquely mechanically connecting one of gripping members 14 to an end of restoring member 16. Flexible 25 connecting elements 18 enable movement among gripping members 14 and restoring member 16, which is especially important having regard to the changes in the relative position of the dilating cervix, which is gradually moving upward, and gripping members 14. Reference is now made to Fig. 6, which is a cross-sectional view through the line 30 A-A of Fig. 2. Flexible connecting elements 18 are typically implemented as a single 7 strip of fabric which passes through gripping members 14 (Fig 2) and restoring member 16. Therefore, expandable gripping arrangement 12 is typically formed by selectively molding biocompatible plastic or silicon on top of a single strip of fabric to form gripping members 14, restoring member 16 and flexible connecting elements 18. 5 Flexible connecting elements 18 is typically formed from a synthetic fabric such as nylon. The fabric typically has a width of between 5 mm to 10 mm. The thickness of gripping members 14 and restoring member 16 is typically between 2 mm to 5 mm. Reference is again made to Figs. 1 to 5. Cervical dilation monitor 10 also includes an elongated element 20 having a calibrated scale 22 disposed thereon. 10 Elongated element 20 is generally hollow. Elongated element 20 has a portion 24 which is translucent, typically transparent Portion 24 also includes calibrated scale 22* Elongated element 20 has two ends, an end 26 and an end 28. End 26 is mechanically connected to approximately the center of restoring member 16. Elongated element 20 is long enough to ensure that calibrated scale 22 is disposed outside of the patient's body. 15 Elongated element 20 is generally formed of clear plastic and is flexible enough to ensure that cervical dilation monitor 10 is not uncomfortable for the patient to use. Cervical dilation monitor 10 also includes an elongated element 30. It will be appreciated by those skilled in the art that elongated element 30 can be implemented in a number of ways that will perform the function of elongated element 20. However, in 20 accordance with a most preferred embodiment of the present invention elongated element 30 is a line, typically a nylon thread having a thickness typically in the range of 0.5 mm to 2.5 mm. Elongated element 30 is typically 45 cm long. A line includes any equivalent element that will perform the same function as a line, for example, but not limited to, a cord, a cable, a thread, a wire, a string or a ribbon or flexible strip. A part 25 of elongated element 30 is disposed within elongated element 20 along calibrated scale 22^ This part of elongated element 30 extends substantially from end 26 to end 28. This part of elongated element 30 has an indicator 32 and a movement restrainer 34 disposed thereon. Indicator 32 and movement restrainer 34 are typically plastic beads, which are mechanically connected to the line forming elongated element 30. 30 Indicator 32 provides an indication of the measured cervical dilation as is explained in 8 more detail below. Movement restrainer 34 prevents elongated element 30 from over extending into the uterus. For example, once cervical dilation monitor 10 is fully extended, movement restrainer34 prevents any further movement of elongated element 30 as best shown in Fig. 4. Elongated element 20 and elongated element 30 are 5 mechanically connected to expandable gripping arrangement 12, in a manner such that, as expandable gripping arrangement 12 expands with the dilating cervix, relative linear movement is generated between elongated element 20 and elongated element 30, thereby moving indicator 32 with respect to calibrated scale 22 so as to give a measurement of dilation of the cervix. In accordance with the most preferred 10 embodiment of the present invention, the distance moved by indicator 32 is a linear function of the dilation of the cervix. In accordance with the most preferred embodiment of the present invention, an end 36 of elongated element 30 is typically mechanically connected to one end of restoring member 16. Elongated element 30 is then thread through a loop 38, which is 15 disposed on one gripping member 14. Elongated element 30 is then passed through elongated element 20. Therefore, as the cervix dilates, restoring member 16 pushes gripping members 14 apart, thereby increasing the length of elongated element 30 which is disposed between gripping members 14. Therefore, as the cervix dilates, elongated element 30 and indicator 32 move toward end 26 of elongated element 20. 20 Therefore, the position of indicator 32 with respect to calibrated scale 22 gives a measurement of dilation of the cervix. It will be apparent to those skilled in the art that elongated element 30 can be mechanically connected to expandable gripping arrangement 12 in many ways, for example, but not limited to, mechanically connecting one end of elongated element 30 to one end of restoring member 16 or to one gripping 25 member 14 and by threading elongated element 30 through a loop which is disposed on the other end of restoring member 16 or another gripping member 14. Reference is now made to Figs. 7 and 8. Fig. 7 is a front view of cervical dilation monitor 10 of Fig. 1 with an insertion arrangement 40 installed therein. Fig. 8 is a side view of cervical dilation monitor 10 of Fig. 1 with insertion arrangement 40 installed 30 therein. Prior to fitting of cervical dilation monitor 10 onto a dilating cervix, gripping 9 members 14 are expanded, such that the top section 42 of each gripping member 14 is approximately perpendicular with the bottom section 50 of that gripping member 14. Therefore, cervical dilation monitor 10 includes insertion arrangement 40 which is configured to keep gripping members 14 expanded during fitting of expandable 5 gripping arrangement 12 on to the cervix. Insertion arrangement 40 is formed from a rod 44, two arms 46 and a handle 58. Arms 46 are mechanically connected to one end of rod 44 and handle 58 is mechanically connected to the other end of rod 44. Arms 46 are configured, such that, arms 46 have a natural position whereby arms 46 are pushed together. Arms 46 are also configured to be pulled apart as necessary, as will be 10 explained below. Handle 58 is used to help insert and remove insertion arrangement 40 from cervical dilation monitor 10, as will be explained below* Typically, insertion arrangement 40 is formed as a unitary element from plastic. With arms 46 pushed together, insertion arrangement 40 is inserted through elongated element 20. Insertion arrangement 40 is inserted so that arms 46 exit from end 26 of elongated element 20. 15 Each gripping member 14 has a hole 48 disposed therein between top section 42 and bottom section 50. Arms 46 are separated and each arm 46 is uniquely fed through one of holes 48 to support one of top sections 42. Therefore, insertion arrangement 40 is partially disposed within elongated element 20 with arms 46 being disposed outside of elongated element 20. Rod 44 and arms 46 are generally formed as rigid elements. The 20 mechanical connection between rod 44 and arms 46 is rigid enough to keep gripping members 14 expanded by arms 46 supporting top sections 42. Nevertheless, the mechanical connection between rod 44 and arms 46 is flexible enough to enable arms 46 to move apart, and therefore gripping members 14 to move apart, under the action of restoring member 16, which is necessary when cervical dilation monitor 10 is 25 fitted onto a partially dilated cervix, as is described in more detail with reference to Fig. 1L It should be noted that insertion arrangement 40 is typically inserted into cervical dilation monitor 10 as part of the manufacture of cervical dilation monitor 10. Therefore, the cervical dilation monitor 10 is typically supplied ready to use, with insertion arrangement 40 inserted, as well as cervical dilation monitor 10 being 30 sterilized. There is a seal 56 (Fig. 8) which is disposed between end 26 of elongated 10 element 20 and restoring member 16 to prevent movement restrainer 34 (Fig. 7) from exiting elongated element 20 via end 26. End 26 of elongated element 20 is configured to reduce fluid leakage into elongated element 20 by shaping end 26 around restoring member 16. 5 Reference is now made to Fig. 9, which is a cross-sectional view through the line B-B of Fig. 7. Elongated element 20 is divided into two sections, a section 52 and a section 54. Section 52 is used for elongated element 30 and section 54 is used for insertion arrangement 40. Reference is now made to Figs 10 and 11. Fig. 10 is a front view of the cervical 10 dilation monitor 10 of Fig. 1 being fitted onto a cervix. Fig. 11 is a front view of cervical dilation monitor 10 of Fig. 1 being fitted onto a partially dilated cervix. Elongated element 30 includes a control element 60 disposed thereon external to elongated element 20 and external to the patient. Control element 60 is typically a clip which is configured to enable an obstetrician to move elongated element 30 in order to 15 contract and expand expandable gripping arrangement 12 for fitting onto the cervix. Control element 60 is configured to be removable from and attachable to elongated element 30, as necessary, in order to clamp elongated element 30 in a certain position without necessitating the obstetrician to constantly hold onto control element 60 or elongated element 30. Additionally, control element 60 provides a grip surface for an 20 obstetrician to pull and release elongated element 30. Prior to insertion of cervical dilation monitor 10 into a patient, expandable gripping arrangement 12 is contracted, typically as part of the manufacture process, by pulling elongated element 30 taught* Insertion arrangement 40 is then inserted into cervical dilation monitor 10, also typically as part of the manufacture process, to keep gripping members 14 expanded. 25 With one hand the obstetrician holds cervical dilation monitor 10 and with the other hand the obstetrician observes the state of the cervix. If the cervix is partially dilated (Fig. 11), elongated element 30 needs to be released slowly until top sections 42 of gripping members 14 come into contact with the wall of the cervix. The obstetrician then slowly removes insertion arrangement 40 from cervical dilation monitor 10, 30 thereby enabling gripping members 14 to contract and grip the cervix, as shown in Fig. 11 12. Cervical dilation monitor 10 is now fitted and is ready to perform continuous, accurate and objective monitoring of cervical dilation. The monitoring can be easily performed by people other than a physician, such as family of the patient Moreover, cervical dilation monitor 10 removes the need for repeated vaginal examinations. 5 Reference is now made to Figs. 13, 14 and 15. Fig. 13 is a view of the cervical dilation monitor of Fig. 1 after 30 mm dilation of the cervix. Fig. 14 is a view of the cervical dilation monitor of Fig. 1 after 50 mm dilation of the cervix. Fig. 15 is a view of the cervical dilation monitor of Fig. 1 after the cervix is fully dilated. As discussed above with reference to Figs. 1 to 5, as the cervix dilates, restoring member 16 pushes 10 gripping members 14 apart so that gripping members 14 continually grip the cervix. Additionally, the length of elongated element 30 which is disposed between gripping members 14 increases as the cervix dilates. Also, flexible connecting elements 18 enable movement among gripping members 14 and restoring member 16 to allow for the shape changes of gripping members 14 and restoring member 16. Additionally, 15 flexible connecting elements 18 enable movement among gripping members 14 and restoring member 16 to allow for the changes in the relative position of the dilating cervix, which is gradually moving upward, and gripping members 14. Additionally, as the cervix dilates it normally also effaces. Therefore, gripping members 14 continually contract to ensure that they hold onto the cervix during dilation and effacement of the 20 cervix. Reference is now made to Fig. 16, which is a front view of a cervical dilation monitor 62 which is constructed and operable in accordance with a first alternate embodiment of the present invention. Cervical dilation monitor 62 is implemented in substantially the same way as cervical dilation monitor 10 (Fig.l) except that with 25 cervical dilation monitor 62, elongated element 30 is mechanically connected to one end of restoring member 16 and elongated element 30 is then fed through a loop which is disposed on the other end of restoring member 16. Reference is now made to Fig. 17, which is a front view of a cervical dilation monitor 68 which is constructed and operable in accordance with a second alternate 30 embodiment of the present invention. Cervical dilation monitor 68 is implemented in 12 substantially the same way as cervical dilation monitor 10 (Fig. 1) except that with cervical dilation monitor 68, elongated element 30 is mechanically connected to one gripping member 14 and elongated element 30 is then fed through a loop which is disposed on the other gripping member 14. 5 Reference is now made to Fig. 18, which is a front view of a cervical dilation monitor 70 which is constructed and operable in accordance with a third alternate embodiment of the present invention. Cervical dilation monitor 70 is implemented in substantially the same way as cervical dilation monitor 10 (Fig. 1) except that with cervical dilation monitor 70, elongated element 30 forms a closed loop 72 at one end of 10 elongated element 30. The closed loop of elongated element 30 is mechanically connected to restoring member 16 by a loop 74 at one end of restoring member 16 and by another loop 76 at the other end of restoring member 16. Reference is now made to Figs. 19 and 20. Fig. 19 is a front view of the cervical dilation monitor 62 of Fig. 16 in a contracted state, implemented with a first alternate 15 embodiment of gripping members 78. Fig. 20 is a front view of cervical dilation monitor 62 of Fig. 19 in an expanded state. Gripping members 78 have a profile which is similar to an inverted profile of gripping members 14. Reference is now made to Figs. 21 and 22. Fig. 21 is a front view of cervical dilation monitor 62 of Fig. 16 in a contracted state, implemented with a second alternate 20 embodiment of gripping members 80. Fig. 22 is a front view of cervical dilation monitor 62 of Fig. 21 in an expanded state. Gripping members 80 provide larger gripping surfaces than gripping members 14. Additionally, restoring member 16 and gripping members 80 do not include an embedded fabric strip, in this embodiment, flexible connecting elements 18 are replaced by two flexible connecting elements 106. 25 Each flexible connecting element 106 is formed from a plastic strip which is bent over itself a number of time in alternate directions. Reference is now made to Figs. 23 to 26. Fig. 23 is a front view of a cervical dilation monitor 82 having an external insertion arrangement 84 that is constructed and operable in accordance with a fourth alternate embodiment of the present invention. 30 Fig. 24 is a side view of cervical dilation monitor 82. Fig. 25 is a front view of a 13 gripping member 86 of cervical dilation monitor 82, gripping member 86 being in a contracted state. Fig. 26 is a front view of cervical dilation monitor 82 without insertion arrangement 84, cervical dilation monitor 82 being in an expanded state. Cervical dilation monitor 82 is implemented in substantially the same way as cervical dilation 5 monitor 10 (Fig. 1) except for the following differences. Cervical dilation monitor 82 has an outwardly biased V-shaped restoring member 88. Restoring member 88 differs from restoring member 16 (Fig. 1) in that restoring member 88 has two arms 90, each arm 90 being rigid and straight for most of its length. Restoring member 88 includes an embedded metal strip 92 (Fig, 23), which is disposed in the central section of restoring 10 member 88, to give restoring member 88 resilience with outward bias. Gripping member 86 has a profile that is an inverted profile of gripping member 14 of cervical dilation monitor 10 (Fig.l). Each gripping member 86 includes an embedded metal strip 98 (Fig. 23) to give gripping member 86 resilience with inward bias. Elongated element 30 (Fig. 26) is mechanically connected to one end of restoring member 88 and 15 elongated element 30 is fed through a loop which is disposed on the other end of restoring member 88. Insertion arrangement 84 performs the same function as insertion arrangement 40. Insertion arrangement 84 is disposed externally to elongated element 20. Insertion arrangement 84 has two arms 94 which uniquely pass through one of two holes 96 in gripping members 86 to keep gripping members 86 expanded during 20 fitting of cervical dilation monitor 82 onto the cervix. Reference is now made to Figs. 27 and 28. Fig. 27 is a front view of a cervical dilation monitor 100 in a contracted state that is constructed and operable in accordance with a fifth alternate embodiment of the present invention. Fig. 28 is a front view of cervical dilation monitor 100 in an expanded state. Cervical dilation monitor 100 is 25 implemented in substantially the same way as cervical dilation monitor 82 (Figs. 23 to 26) except for the following differences. Elongated element 30 is replaced by a rigid rod 102 and two rigid arms 104. A part of rod 102 is disposed within elongated element 20. This part of rod 102 has an indicator (not shown) disposed thereon, which is used as a measure of dilation of the cervix against calibrated scale 22 (not shown) on 30 elongated element 20. One end of rod 102 extends out of end 26 of elongated * 14 element 20. This end of rod 102 is mechanically connected to one end of arms 104. The other end of one arm 104 is mechanically connected to a central portion of one arm 90 of restoring member 88. The other end of the other arm 104 is mechanically connected to a central portion of the other arm 90. The mechanical connections with arms 104 are 5 configured, such that, arms 104 can swing with respect to the elements connected to arms 104. Therefore, as the cervix expands, restoring member 88 pushes gripping members 86 apart, thereby causing the mechanical connection between arms 104 and rod 102 to move closer to end 26 of elongated element 20. Therefore, as the cervix expands, rod 102 is pushed away from end 26 of elongated element 20. Therefore, the 10 position of the indicator on rod 102 gives a measurement of the dilation of the cervix. Reference is now made to Figs. 29 to 31. Fig. 29 is a front view of a cervical dilation monitor 108 in an expanded state that is constructed and operable in accordance with a sixth alternate embodiment of the present invention. Fig. 30 is a front view of cervical dilation monitor 108 of Fig. 29 inserted into an insertion tube 110. Fig. 31 is a 15 front view of cervical dilation monitor 108 of Fig. 30 being pushed out of insertion tube 110. Insertion tube 110 serves as a conduit which guides cervical dilation monitor 108 and facilitates the installation of cervical dilation monitor 108 on to the cervix. In operation, restoring member 16 of cervical dilation monitor 108 is first contracted so as to fit into insertion tube 110. At the same time, gripping members 14 20 are held in an expanded state and are fully opened while cervical dilation monitor 108 is located within insertion tube 110, in order that gripping members 14 are ready to be positioned onto the dilating cervix as cervical dilation monitor 108 is pushed out of insertion tube 110 (best seen in Fig. 30). Next, cervical dilation monitor 108 is pushed out of insertion tube 110 (best seen in Fig. 31) with top sections 42 of gripping 25 members 14 leading the way. As cervical dilation monitor 108 continues to slide out of insertion tube 110, top sections 42 of gripping members 14 are no longer kept in the expanded state by insertion tube 110 and top section 42 of gripping members 14 begin to contract in a sideways motion, thereby enabling top section 42 of gripping members 14 to grip the inner aspect of the cervix. At this point, bottom sections 50 of 30 gripping members 14 remain in an expanded state as bottom sections 50 are still held by 15 insertion tube 110. As cervical dilation monitor 108 is further pushed out of insertion tube 110, bottom sections 50 of gripping members 14 are released from insertion tube 110. Bottom sections 50 of gripping members 14 contract rapidly, thus gripping the fornix, the external aspect of the cervix. Now gripping members 14 are located on 5 the cervix, facing opposite directions and clinging to the dilating and effacing tissue of the cervix. Finally, insertion tube 110 is removed from the birth canal. It will be appreciated by persons skilled in the art that the present invention is not limited to what has been particularly shown and described hereinabove. Rather, the scope of the present invention includes both combinations and sub-combinations of the 10 various features described hereinabove, as well as variations and modifications thereof that are not in the prior art which would occur to persons skilled in the art upon reading the foregoing description. 16 WHAT IS CLAIMED IS: 1, A system for measuring dilation of a cervix of a uterus of a female during the first stage of labor, comprising: (a) an expandable gripping arrangement having two oppositely facing gripping members and an outwardly biased restoring member, said gripping arrangement being configured, such that, said restoring member pushes said gripping members apart so that said gripping arrangement grips the cervix while the cervix dilates; (b) a first elongated element having a calibrated scale disposed thereon; and (c) a second elongated element, a part of said second elongated element being disposed along said calibrated scale, said part of said second elongated element having an indicator disposed thereon, said first elongated element and said second elongated element being mechanically connected to said gripping arrangement, in a manner such that, as said gripping arrangement expands with the dilating cervix, relative linear movement is generated between said first elongated element and said part of said second elongated element, thereby moving said indicator with respect to said calibrated scale so as to give a measurement of dilation of the cervix. 2. The system of claim 1, wherein said second elongated element is a line. 3. The system of claim 1, wherein at least one of said gripping members is expandable in order to grip a portion of the cervix while the cervix effaces. 4, The system of claim 1, further comprising an insertion arrangement configured to keep said gripping members expanded during fitting of said gripping arrangement on the cervix. 17 5. The system of claim 4, wherein: (a) said first elongated element is hollow; and (b) said insertion arrangement is partially disposed within said first elongated element. 6. The system of claim 4, wherein said insertion arrangement is a tube configured for inserting said gripping members and said restoring member in said tube. 7. The system of claim 1, wherein said gripping arrangement includes two flexible connecting elements, each of said connecting elements uniquely mechanically connecting one of said gripping members to said restoring member. 8. The system of claim 1, wherein: (a) said first elongated element is hollow and has a portion which is translucent, said portion including said calibrated scale; and (b) said part of said second elongated element is disposed within said first elongated element. 9. The system of claim 1, wherein: (a) said first elongated element is hollow; (b) said first elongated element has a first end and second end; (c) said first end is mechanically connected to said restoring member; and (d) said second elongated element extends substantially from said first end to said second end. 10. The system of claim 1, wherein said second elongated element has a control element disposed thereon, said control element being configured to enable an operator move said second elongated element to contract said expandable gripping arrangement for fitting into the cervix. 18 11. The system of claim 1, wherein said second elongated element is mechanically connected to said restoring member and one of said gripping members. 12. The system of claim 1, wherein said second elongated element is mechanically connected to both of said gripping members.

Documents:

2891-chenp-2005 abstract-duplicate.pdf

2891-chenp-2005 claims-duplicate.pdf

2891-chenp-2005 description (complete)-duplicate.pdf

2891-chenp-2005 drawings -duplicate.pdf

2891-chenp-2005-abstract.pdf

2891-chenp-2005-claims.pdf

2891-chenp-2005-correspondnece-others.pdf

2891-chenp-2005-correspondnece-po.pdf

2891-chenp-2005-description(complete).pdf

2891-chenp-2005-drawings.pdf

2891-chenp-2005-form 1.pdf

2891-chenp-2005-form 18.pdf

2891-chenp-2005-form 3.pdf

2891-chenp-2005-form 5.pdf

2891-chenp-2005-pct.pdf