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US 201101.84500A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2011/0184500 A1 Reil (43) Pub. Date: Jul. 28, 2011 54). CORRECTION OF FEMALE URINARY 60) ProvisionalrOV1S1Onal apol1Cat1Onapplication No.NO. 61/165,993,,993, filedIlled on ApApr. INCONTINENCE AND SKN REDUCTION 2, 2009. (75) Inventor: Julie Ann Reil, Billings, MT (US) Publication Classification (73) Assignee: SENITIE, INC., Billings,- - - - MT (51) A6INInt. Cl. 5/06 (2006.01) (52) U.S. Cl. .......................................................... 6O7/88 (21) Appl. No.: 13/079,729 (57) ABSTRACT (22) Filed: Apr. 4, 2011 The invention relates to devices and compositions useful for Related U.S. Application Data and methods of female genital skin reduction, improvement .S. App of skin tone and treatment of female urinary incontinence, as (63) Continuation-in-part of application No. 12/753,600, well as the treatment or improvement of other clinical condi filed on Apr. 2, 2010, Continuation-in-part of applica tions, including but not limited to those involving the female tion No. 12/754,466, filed on Apr. 5, 2010. genitalia. O abia Majora Reduction 2 abia Minora Rediction 4 Citora Hood ar 6 Reduction Periureta Reduction 8 Wagina introitus Reduction 24 26 Peries Ana and Peri Vaginal Wall 22 - Reductio ana Reduction Reduction Patent Application Publication Jul. 28, 2011 Sheet 1 of 21 US 2011/O184500 A1 Figure 1 Figure 2 -- A. Prepuce (Hood) of Clitoris ... B. Clitoris ... C. Opening of Urethra (Urinary Tract) D. Labia Minora E. Labia Maiota - F. Vagina Introitus - G. Vestibule H. Hyman Tissue J. Perineun J. Opening of Anus Patent Application Publication Jul. 28, 2011 Sheet 2 of 21 US 2011/O184500 A1 Figure 3A Figure 4B Patent Application Publication Jul. 28, 2011 Sheet 3 of 21 US 2011/O184500 A1 Figure SB § Patent Application Publication Jul. 28, 2011 Sheet 4 of 21 US 2011/O184500 A1 Figure 7 Labia Majora / O 2 1 cricReduction abia Minoa 141 Reduction ClitoralReduction Hood - 16 Periuretta 8 Rediction Vagina introitus - 20 Reduction 24 26 rerea 22 - Ana and Peri- Vaginal Wall Reduction anal Reduction Reduction Patent Application Publication Jul. 28, 2011 Sheet 5 of 21 US 2011/O184500 A1 Figure 8 30 Pace heating device agaist 32-i- side A of the abia rajra akci. apply toderate press:re: Apply praise of etergy whiie 34 cartri-Erg direct applicatio (if device for pr:dieterfiri:ip;s& 333i: 38 Regosities device directly be ow or Eyeside it:83. (38 just treated Apply praise (fei'ergy white 38 CL:rg direct applicatio (i dawica or fixieterfir:3d paise 33i: 40 - hias cre pass of area teet: completed? Place heating device agains: side 8 of tie atta frajira and 42 apply 3&rate grassife Repeaturit: all passes are conglete Patent Application Publication Jul. 28, 2011 Sheet 6 of 21 US 2011/O184500 A1 Figure 9 Piage feating device against side A at the abia minora and aggly roderate pessire Apply pulse of energy while S. coining diet applicator of device for rexiet&rried Lise. gif3:38 58 Repositior device directly below or beside the area just treated Apply puise of energy while 58 continuing direct appication of device car predeterriccipiise duration 60 rias are pass of area beer. congated? Place heating device agains: Side 8 of 8 aiia rite: a 3: Ed 82 apply 3d&rate presse *Repeat tight: all passes are complete Patent Application Publication Jul. 28, 2011 Sheet 7 of 21 US 2011/O184500 A1 Figure 10 70 Place heating device horizontaly agains the Lipper cistofa treatient area and appy noderate press tire Apply praise of energy whiie 7. continuing direct appeation of device for rexieterried pLise: (t:a:::: 78 Reposition tiewice with: moderate overlap of the area just treated Place heating device vertically 78 against the uppet citoral featent 383 3 appy toderate pessie Apply guise of energy whiie device for predetermined pLise d: ratio hias ore pass of area eer O coffigieteri Repeat until all passes are camplete Patent Application Publication Jul. 28, 2011 Sheet 8 of 21 US 2011/O184500 A1 Figure 11 Pace heating device Superior to y ... the urethral opening trea:rrent 92 area 3rd aggy Ede:Eate $8SSu:8 Apply praise of energy while 94 continuing direct agicaia of device for predicterinired Lise d: Eq. 96 - Reposition device with noxierate overlag of the area is treated Apply praise of energy while 98 (Ost urg direct agglicacaf of device for predetermired pLise distics has one pass of area beer: OO completed? Repeat it at passes are O2 cornplete Patent Application Publication Jul. 28, 2011 Sheet 9 of 21 US 2011/O184500 A1 Figure 12 O Place heating device directly 2 aga: rst the sk or one side of & wagiai (gering and appy 1-derate fasstire fe 14 cariirurg direct applieatio of device for predetermired pise duration 6 re *Reposition device with noderate (we tag of the area just treated Apply pulse of energy white 8 contin Brig direct application of device for predetermired prise duration Treat any area not covered by the 2O vaginal opening treatment has Gre pass of are: xeet: O 22 completed? Repeat tiltii at passes are 24 complete Patent Application Publication Jul. 28, 2011 Sheet 10 of 21 US 2011/O184500 A1 Figure 13 Place heating device directly ? 32 agains: the skirt of the perieur as apply flode 33 fessure Apply use of energy while 34 COL:g direct applicatio of device for predeterried pulse (3:303 36 Repositio; device wit: Ciera & overlag of the area just treated Apply pulse of energy while 138 continuing direct application of device for predeterried pulse dia:O: has one pass of area been t 1 O xx-xx-xx-xx-xx-xx-xx-xxx completed? XXXYXXYXXXYXXXYXXYXXXYXXXYXXYXXXYXXXYXXYXXXYXXXYXXYXXXYXXXYXXYXX. Repeat tantial passes are 42 corriplete Patent Application Publication Jul. 28, 2011 Sheet 11 of 21 US 2011/O184500 A1 Figure 14 Place heating device directly 2 against the skin of the anus and 15 apply moderate pressure Apply pulse of energy while 154 continuing direct application of device for predeter ninted puise duration 156 - Reposition device with moderate overlap of the area just treated Apply praise of energy white 158 - continuing direct application of device for predetermired prise duration has one pass of area been no 160 completed? s yes Repeat untial passes are 162 complete Patent Application Publication Jul. 28, 2011 Sheet 12 of 21 US 2011/O184500 A1 Figure 15 170 Place heating device with adaptor into the vaginal orifice directly 172 against the skin of the vaginal wall t and apply moderate pressure Agly guise of etergy while 174 continuisg disect appticatio 3 of device for fedeteriei Rise d: raft 176 Reposition device wit: ?it-iera: avera; it the area just treated Apply puise of energy white 178 - corruig dietappicatio of device for predeternied pise d: ratigi -as ose pass of area been 18O completed? Repeat Britis a passes are 182 complete Patent Application Publication Jul. 28, 2011 Sheet 13 of 21 US 2011/O184500 A1 Patent Application Publication Jul. 28, 2011 Sheet 14 of 21 US 2011/O184500 A1 Figure 18B Figure 9B Patent Application Publication Jul. 28, 2011 Sheet 15 of 21 US 2011/O184500 A1 Figure 20B Figure 21 A Figure 21B ? Patent Application Publication Jul. 28, 2011 Sheet 16 of 21 US 2011/O184500 A1 F 22A Patent Application Publication Jul. 28, 2011 Sheet 17 of 21 US 2011/O184500 A1 Figure 23A 107 101 102 104 Patent Application Publication Jul. 28, 2011 Sheet 18 of 21 US 2011/O184500 A1 Figure 23B 107 103 101 102 106 104 Patent Application Publication Jul. 28, 2011 Sheet 19 of 21 US 2011/O184500 A1 Figure 24A 200 201 E.L. 101 2O3 204 102 Figure 24B 107 103 101 102 204 Patent Application Publication Jul. 28, 2011 Sheet 20 of 21 US 2011/O184500 A1 Figure 2SA Figure 2SB 107 103 Y 101 102 Patent Application Publication Jul. 28, 2011 Sheet 21 of 21 US 2011/O184500 A1 Figure 25C 107 103 Y 101 301 102 US 2011/O 184500 A1 Jul. 28, 2011 CORRECTION OF FEMALE URINARY 0010. Much less common is a condition known as overac INCONTINENCE AND SKN REDUCTION tive bladder, which occurs when nerves send signals to the bladder at the wrong time, day and night, when the bladder is CROSS REFERENCE TO RELATED not full, causing the muscles to Squeeze without warning. APPLICATION(S) 0011 Relatively rare in women are overflow incontinence, when the bladder doesn't empty properly causing urine to 0001. This application is a continuation-in-part of U.S. spill over, and functional incontinence, which happens to patent application Ser. No. 12/753,600, filed Apr. 2, 2010, women with impaired thinking, moving or communicating currently, which claims the benefit of U.S. provisional appli making it hard for them to reach the toilet. cation No. 61/165,993, filed Apr. 2, 2009, now expired. This 0012 Transient incontinence is leaking that occurs tem application is also a continuation-in-part of U.S. patent appli porarily due to a medication effect, urinary tract infection or cation Ser. No. 12/754,466, filed Apr. 5, 2010, currently pend restricted mobility from an injury. For example, a respiratory ing. The aforementioned applications are incorporated herein infection can trigger transient incontinence, which resolves by reference in their entirety. when coughing ends. 0013 Both stress and urge incontinence become more frequent with age and are most prevalent at the time of meno BACKGROUND OF THE INVENTION pause, approximately age 50, and again at age 65. See R. G. 0002 1. Field of the Invention Rogers, Urinary Stress Incontinence in Women, N.