Women's Wellness - Pelvic Floor System
Biological Feedback and Stimulation System
MLD B4PLUS is MedLander's flagship pelvic health rehabilitation system, a sophisticated Biological Feedback and Stimulation device built for advanced pelvic floor therapy. This trolley-mounted unit features a powerful industrial computer and four independent channels, enabling simultaneous multi-site treatments or even dual-patient sessions with ease. The B4PLUS integrates surface EMG biofeedback (to visualize muscle activity) with neuromuscular electrical stimulation (NMES) in one seamless platform, delivering non-surgical treatment for pelvic floor dysfunction and comprehensive postpartum rehabilitation. It comes pre-loaded with highly effective modules – from Kegel exercise programs to postpartum recovery regimens – offering complete solutions for pelvic floor evaluation, targeted treatment, and holistic rehabilitation in modern clinics. Treatments are entirely painless and require zero downtime, so patients can quickly resume daily activities after each session. Engineered to the highest medical standards, the MLD B4PLUS combines cutting-edge technology with intuitive design, making advanced pelvic care both elegant and effortless for healthcare professionals.
4 Drive Channel
30+ Program Suite
1 - Second Response
30 - Second Auto Plan
Key Features
Multi-Modal Therapy (EMG & Stimulation)
Integrates both electromyography (EMG) and electrical stimulation in one platform. This dual modality lets clinicians evaluate pelvic floor muscle activity and administer targeted stimulation within the same session. The integrated approach streamlines workflow, improves treatment precision, and provides a more comprehensive therapy experience that benefits both patients and practice efficiency.
Four Independent Channels & Dual-Patient Capacity
Equipped with four independently controlled channels, the system can treat two patients simultaneously or multiple muscle groups on one patient in a single session. This multi-channel flexibility maximizes clinic throughput and treatment versatility, allowing practitioners to efficiently deliver comprehensive therapy without additional machines or extended session times.
Intelligent Auto-Treatment Planning
Features smart auto-planning software that generates customized treatment protocols based on patient data or selected goals. This intelligent system reduces manual setup time and standardizes care, helping clinicians deliver personalized, effective therapy plans more efficiently while maintaining consistent high-quality outcomes across the clinic.
Extensive Program Library
Offers a comprehensive library of pre-programmed treatment protocols covering a broad spectrum of pelvic health conditions—from postpartum recovery to incontinence and pain management. Clinicians can quickly select evidence-based programs, saving time on configuration and enabling the clinic to address diverse patient needs effectively.
Real-Time Biofeedback & 1-Second Response
Provides real-time EMG biofeedback with near-instant (1-second) signal response. Patients and therapists see muscle performance changes as they happen, enhancing engagement and technique correction on the spot. The immediate feedback loop improves training effectiveness and allows for prompt adjustments, leading to more precise and motivating rehabilitation sessions.
Clinical-Grade Performance & Safety
Engineered to meet rigorous clinical standards, the system delivers reliable, high-performance operation and robust safety features. An industrial-grade computer and precision sensors ensure stable, accurate therapy delivery even under heavy daily use. Clinics gain peace of mind with a device that is medically certified, durable, and designed for patient safety and comfort.
Performance Highlight
Experience the pinnacle of pelvic health technology with a touch of luxury. The B4PLUS delivers high-octane clinical performance akin to a medical supercar, offering power, precision, and sophistication for women’s wellness professionals. Here are four standout digital and software-driven capabilities that set this flagship system apart:
4 Independent Channels for Dual Simultaneous Treatment
Quad-channel output means four EMG biofeedback and stimulation pathways firing in harmony, like a four-wheel drivetrain for pelvic therapy. Treat multiple muscle groups or even two patients at once, effectively doubling your clinic’s capacity without losing an ounce of precision. This parallel power is the pelvic health equivalent of all-wheel drive, delivering stable, high-performance therapy across multiple targets in one session.
30+ Preset Clinical Protocols
An expansive library of 30+ expert-designed programs comes standard, covering everything from postnatal recovery (Diastasis Recti rehab, Lactation support) to lower back pain relief and more. It’s like having a team of specialist “drive modes” at your fingertips – each protocol is master-crafted for optimal results, letting you select the perfect course of therapy at the touch of a button. No guesswork, just push-start clinical excellence tailored to women’s health needs.
1-Second EMG Scoring Feedback
Lightning-fast sEMG classifier technology delivers near-instant muscle performance scores, providing immediate biofeedback for you and your clients. Think of it as a 0–60 mph sprint readout for pelvic floor strength – in just about a second, the B4PLUS gauges progress and displays a clear, quantified health score. This real-time insight keeps both clinician and patient engaged and informed, empowering on-the-fly adjustments with Formula 1 level responsiveness.
30-Second Personalized Plan Generation
After each evaluation, the system’s intelligent software auto-generates a fully customized treatment plan in under 30 seconds. It’s the ultimate luxury of convenience – as if a pit crew of pelvic health experts sprang into action, mapping out a bespoke therapy “roadmap” for your patient almost instantly. One tap, and you have a data-driven, personalized rehab scheme ready to launch, allowing you to accelerate healing without delay and outpace ordinary results.
Accessories
Vaginal Electrode MLD VIM -Disposable
Vaginal Electrode MLD V2M -Reusable
Rectal Electrode MLD R1-Disposable
Rectal Electrode MLD R2-Disposable
Surface Electrode-square
Surface Electrode-Rectangle
Surface Electrode-Breast
3-in-1 Connection Wire
Clinical Applications
The MLD B4PLUS opens up a wide range of clinical use cases in pelvic health and postpartum recovery. Its versatile programs and capabilities empower clinics to address some of the most common (and often underserved) women’s health concerns. Below are key use cases, with supporting evidence and references where available:
Postpartum Pelvic Recovery
One of the primary applications of B4PLUS is helping women recover after childbirth. The device’s combined EMG biofeedback and stimulation facilitate effective postnatal pelvic floor muscle training to treat issues like postpartum urinary incontinence, vaginal laxity, and mild pelvic organ prolapse. Research shows that adding biofeedback-guided electrical stimulation to postpartum pelvic floor rehab can significantly improve muscle strength and sexual function while reducing anxiety and depression in new mothers. B4PLUS also supports abdominal core rehabilitation (e.g. addressing diastasis recti, or separation of abdominal muscles) through dedicated programs that strengthen the abdominal wall. Additionally, unique protocols such as “Lactation Promotion” gently stimulate neural pathways to potentially aid postnatal lactation for mothers facing difficulties – offering a comprehensive postpartum recovery solution beyond what basic kegel exercises alone can achieve.
Urinary Incontinence
The B4PLUS provides an evidence-backed, conservative treatment for female urinary incontinence, whether in postpartum women or those with age-related pelvic floor weakening. Pelvic floor muscle training enhanced with electrical stimulation is a first-line therapy to improve continence. The B4PLUS strengthens the pelvic floor muscles and retrains neuromuscular control, helping to reduce episodes of leakage. This is critically important, as urinary incontinence is extremely common – for example, a Canadian study found 43.5% of women experience some form of urinary incontinence in the first two years after childbirth. By offering a non-invasive incontinence therapy, clinics can significantly improve patients’ quality of life. Many women see improvements in bladder control after a course of supervised sessions on the B4PLUS, especially when therapy is started early.
Sexual Wellness and Pelvic Floor Function
Pelvic floor dysfunction can lead to sexual problems such as decreased sensation, vaginal dryness, or pain during intercourse. The B4PLUS’s programs help strengthen the pelvic floor muscles and improve blood circulation, which in turn can enhance sexual function. Stronger pelvic muscles often correlate with better orgasm quality and increased sexual satisfaction. In fact, pelvic rehabilitation with biofeedback and EMS has been shown to improve measures of sexual desire, arousal, and satisfaction in postpartum women recovering from pelvic floor injury. Clinics can incorporate these therapies as part of a holistic women’s sexual wellness program – for example, offering sessions to postpartum women or peri-menopausal women who seek improved pelvic tone and confidence.
Chronic Pelvic Pain & Circulation
For patients suffering from pelvic muscle tension or localized pain (e.g. pelvic floor myalgia, or low back pain related to pelvic instability), the B4PLUS offers programs aimed at pain relief and functional restoration. Electrical stimulation can aid in breaking the cycle of muscle spasm and improving blood flow to tissues. The device’s preset “Lower Back Pain” and “Blood Flow Promotion” routines, for instance, use specific frequencies and electrode placements to help relax deep pelvic muscles and increase circulation. This can accelerate healing and alleviate discomfort in conditions like pelvic girdle pain or episiotomy scars. Incorporating these protocols, rehabilitation clinics and physiotherapy centers can extend their services to women with chronic pelvic pain syndromes, providing relief where standard modalities might have had limited success.
Preventative Wellness & Maintenance
Beyond treating active conditions, the B4PLUS can be used in preventative care – for example, postpartum wellness programs in maternity recovery centers. Even women without major symptoms can benefit from guided pelvic floor training to restore strength after delivery, potentially preventing future issues like prolapse or incontinence. Similarly, women in midlife can use periodic biofeedback sessions to maintain pelvic floor tone. By documenting baseline EMG scores and improvements over time, the system provides tangible biofeedback that motivates patients to keep up with their pelvic exercises. This preventive application underscores the device’s value not just as a treatment tool, but as a long-term wellness investment for patients’ pelvic health.
Supporting References
The clinical effectiveness of pelvic floor biofeedback and stimulation is well-documented. For instance, a 2024 study in the journal Medicine demonstrated that postpartum women who underwent a regimen of biofeedback electrical stimulation therapy showed greater improvements in pelvic muscle strength and sexual quality of life compared to those who did exercises without these technologies. These findings align with decades of physiotherapy practice that affirm the benefits of electrical muscle stimulation (EMS) for muscle re-education and the advantages of EMG biofeedback in motor learning. By leveraging these proven modalities, the MLD B4PLUS enables your clinic to deliver results on par with the latest standards in pelvic rehabilitation science.
FAQs
What conditions can the MLD B4PLUS treat?
The MLD B4PLUS Pelvic Health System is designed to address a wide range of pelvic floor and abdominal conditions. According to its official manual, it is indicated for treating urinary incontinence (including stress, urge, or mixed types), urinary retention, pelvic organ prolapse, chronic pelvic pain, sexual dysfunction, constipation, fecal incontinence, diastasis recti abdominis (abdominal muscle separation), and general chronic pain. This broad set of indications covers many common pelvic floor dysfunctions, making the B4PLUS a versatile solution for clinics. By providing both biofeedback and electrical stimulation therapy, the device helps improve muscle strength and neuromuscular control across these conditions, leading to better patient outcomes.
How does the system combine EMG and electrical stimulation?
The MLD B4PLUS integrates surface electromyography (sEMG) biofeedback with electrical muscle stimulation in one system. It continuously monitors the patient’s muscle activity via EMG sensors and can deliver targeted electrical pulses to stimulate those muscles as needed. In practice, the device provides real-time biofeedback – for example, an on-screen EMG waveform and voice prompts guide the patient to contract and relax their pelvic floor muscles during training. At the same time, the unit can apply electrical stimulation either manually or in an EMG-triggered mode: when the patient’s voluntary muscle effort (EMG signal) reaches a preset threshold, the B4PLUS automatically activates stimulation to assist the contraction. This combination of active exercise and assisted stimulation helps retrain and strengthen the muscles more effectively than either method alone.
Is it safe for postpartum clients?
Yes. Once a new mother has passed the immediate postpartum recovery phase, the MLD B4PLUS can be safely used for pelvic rehabilitation. In fact, many postpartum-related issues like urinary incontinence and diastasis recti (abdominal muscle separation after pregnancy) are specifically indicated for treatment with this system. The main precaution is that the device should not be used during active postpartum vaginal bleeding (lochia) or before any childbirth-related wounds have healed. The manual lists ongoing vaginal bleeding (including postpartum lochia) as a contraindication to ensure safety. Therefore, as long as a postpartum client is medically cleared by her healthcare provider (typically at the postnatal check-up once bleeding has stopped and tissues have healed), the B4PLUS is considered safe and can be very beneficial for regaining pelvic floor strength after childbirth.
Can I treat two patients at the same time?
Yes. The MLD B4PLUS is equipped with four independent channels and offers a Dual-Patient Mode that allows you to treat two patients simultaneously on one machine. In dual-patient mode, channels A and B are assigned to the first patient, while channels C and D are used for the second patient. The system’s software interface even color-codes the two pairs of channels so you can easily distinguish each patient’s settings at a glance. Each channel remains fully independent – you can start/stop treatment and adjust the intensity and program on each pair without affecting the other. This means two patients can receive therapy at the same time with personalized settings for each. It’s a great feature for busy clinics, effectively doubling your treatment capacity with one device.
What’s the clinical evidence supporting its effectiveness?
The B4PLUS’s effectiveness is backed by solid clinical evidence. MedLander’s official manual cites multiple studies showing superior outcomes with the B4PLUS therapy. For example, one clinical study reported an approximately 94.9% overall effective rate in the group treated with biofeedback and stimulation (B4 series device) – significantly higher than about 86.6% in the control group not using the device. Other research has shown that patients using the B4PLUS achieved greater improvements in pelvic floor muscle strength, reduced symptoms (such as fewer incontinence episodes), and higher quality-of-life scores compared to control groups. In short, patients treated with the B4PLUS tend to experience better outcomes than those with standard therapy alone, giving decision-makers confidence in the device’s clinically proven benefits.
How easy is it to use for new staff?
The MLD B4PLUS is designed to be user-friendly, even for clinicians new to the system. The software interface is very intuitive, and operating the device is described as “simple to operate” in the official manual. The system provides guided therapy cues – for instance, an on-screen EMG curve template and audible voice prompts walk the user and patient through contraction and relaxation cycles during training. There are also pre-programmed treatment protocols (such as standard evaluations and training programs) built into the device, which helps new users get started quickly without needing to customize settings from scratch. Overall, minimal training is required – most staff can learn to confidently operate the B4PLUS after a brief orientation, thanks to its clear prompts and straightforward interface.
What accessories come with the system?
The standard MLD B4PLUS package includes the main console unit and all necessary patient-use accessories. According to the manual, it comes with:
- Electrode/probe connector wires for attaching the therapy probes and electrodes
- A reusable vaginal probe and a disposable vaginal probe (for internal pelvic floor EMG/stimulation)
- A reusable rectal probe and a disposable rectal probe (for internal pelvic floor EMG/stimulation)
- Surface electrodes for external physiotherapy (for EMG or stimulation on the skin)
In short, the B4PLUS comes with a complete set of probes, electrodes, and cables needed to begin treatment right out of the box – there’s no need to purchase these accessories separately.
How do I clean the probes and electrodes?
The standard MLD B4PLUS package includes the main console unit and all necessary patient-use accessories. According to the manual, it comes with:
All probes and electrodes should be cleaned and disinfected properly after each use to ensure patient safety and prolong the life of the accessories. Reusable probes (vaginal and rectal) must be thoroughly cleaned and high-level disinfected both before and after each patient use. The manual instructs that you clean the probe, apply an appropriate medical disinfectant, and then let it dry before the next use, storing it in a clean, dry environment. Disposable probes are single-use only – you would discard a used disposable probe after the treatment session (they should be disposed of as medical waste). For surface electrodes, make sure the patient’s skin is clean and dry before application, and if you are reusing an adhesive pad for the same patient, you can disinfect the electrode’s adhesive surface with 70% ethanol between uses. Always follow the cleaning and disinfection guidelines in the manual for each accessory to maintain hygiene and performance.
- A reusable vaginal probe and a disposable vaginal probe (for internal pelvic floor EMG/stimulation)
- A reusable rectal probe and a disposable rectal probe (for internal pelvic floor EMG/stimulation)
- Surface electrodes for external physiotherapy (for EMG or stimulation on the skin)
In short, the B4PLUS comes with a complete set of probes, electrodes, and cables needed to begin treatment right out of the box – there’s no need to purchase these accessories separately.
Are treatments painful or uncomfortable for patients?
Treatments with the B4PLUS are generally well-tolerated and should not be painful when used correctly. Patients will feel the electrical stimulation as a gentle tingling and muscle contraction, but the intensity is adjustable to keep it comfortable. According to the manual, only mild discomfort, slight irritation, or a warm “burn” sensation have been reported in some cases, and these side effects are infrequent. If a patient does experience pain or significant discomfort during a session, the clinician can pause the treatment immediately – the guidelines advise stopping stimulation and waiting until the patient is ready before resuming. Because the device’s output can be finely tuned, therapists can always start at a low intensity and increase gradually, ensuring the patient remains at ease. Most patients describe the sensation as strange but not painful, and many find the therapy quite comfortable once they adjust to the feeling.
Does it work for abdominal issues like diastasis recti?
Yes. Diastasis recti (the separation of abdominal muscles often seen postpartum) is explicitly listed as a treatable condition for the MLD B4PLUS. The B4PLUS system’s combination of EMG biofeedback and electrical stimulation helps engage and strengthen the abdominal and core muscles, which is key to improving diastasis recti. The manual references clinical studies showing significant improvements for patients with diastasis recti when using this therapy. For example, one study noted that after treatment, the group using biofeedback-stimulation had a significantly smaller abdominal muscle separation and greater muscle strength gains compared to the control group. In another cited trial, the treatment group achieved a 100% success/improvement rate in resolving diastasis issues, versus about a 76% rate in the control group not using the device. These results indicate that the B4PLUS is indeed effective for abdominal core rehabilitation, making it a valuable tool for conditions like diastasis recti.