Liberty

Federal Law (USA) restricts this device to sale by or on the order of a physician (or licensed practitioner).

PATIENT SELECTION CRITERIA

Indications:

• Urge Incontinence due to detrusor instability or of idiopathic origin
• Stress Incontinence, not associated with intrinsic sphincter deficiency
• Mixed Incontinence
• Willingness to comply with the therapy plan
• Ability of patient to demonstrate understanding of the use of the Liberty System
• Good Physical Health

Contraindications:

• Neurological deficiency that would not permit proper sensory perception or stimulation
• Currently Pregnant or attempting to get pregnant
• Cardiac pacemaker, or a history of rate or conductive disturbances
• Anatomical vaginal or rectal structure that does not permit proper and complete placement of the exerciser. In the case of vaginal stenosis, the small Rectal Exerciser may be inserted vaginally.
• Irregular menstrual bleeding cycles
• Urinary or vaginal infections, localized lesions, or other undiagnosed symptoms
• History of urinary retention, or current symptoms

 LIBERTY® PRODUCT FEATURES:

• Channel switch - permits selection for either stress (50Hz) or urge (12.5Hz) Incontinence
  • The stress mode is associated with strengthening and toning the pelvic floor muscles.
  • The urge mode stimulates the detrusor inhibitory reflex. Mixed incontinence can be treated by alternating channels with each treatment.
• Intensity adjustment knob - controls the intensity of stimulation from zero to 65mA. This is adjusted for each individual patient.
• Continuous control button - when depressed will deliver uninterrupted stimulation while determining the appropriate intensity level.
• Indicator light - illuminates when the device is delivering stimulation.
• Duty cycle - is the duration of the stimulation cycle and rest cycle. It is preset at 5/10 (5 seconds of stimulation and 1 seconds of rest).
• Duration - of treatment is prescribed by the clinician. Liberty® will automatically shut off after 30 minutes. If a shorter treatment time is desired, the device can be turned off by turning the intensity adjustment knob to zero.

Liberty® PFS therapy may be appropriate for you if:

• You have good general health both mentally and physically.
• You experience stress incontinence not associated with intrinsic sphincter deficiency.
• You experience urge incontinence due to detrusor instability or of idiopathic (unknown) origin.
• You experience mixed incontinence.
• You have normal menstrual cycles and are not pregnant or attempting to get pregnant.
• Your vagina is anatomically normal and free of any infections or lesions.
• You do not have a cardiac pacemaker or a history of abnormal heart rhythm or conductive disturbances.
• You do not have a history of urinary retention or current symptoms.
• Your nervous system permits you to accurately feel the level of electrostimulation.
• You are able to understand and demonstrate understanding of the use of the Liberty® System.

 Suggested Treatment Protocols:

15 minutes, twice a day, every other day treatments are as effective as every day treatments, assuming patient compliance.  Following cure or improvement, a maintenance program of 2-3 treatments per week should be implemented. Mixed incontinence can be treated by alternating channels with each treatment.  Improvements from Pelvic Floor Stimulation treatments are typically as follows: