Instructions for Use (IFU)

Device Name: Squeezy (Women / Men / Maternity / Connect)
Manufacturer: Living With Ltd
Intended Users: Adults experiencing pelvic floor muscle dysfunction, including urinary incontinence, pelvic floor weakness, prolapse‑related symptoms, overactive bladder, faecal continence, constipation, or pelvic health issues.
Regulatory Status: NHS‑endorsed digital therapeutic used across multiple NHS Trusts and recommended by pelvic health physiotherapists.

1. Intended Purpose

Squeezy is a mobile application designed to help users perform pelvic floor muscle exercises correctly and consistently, following NICE‑aligned exercise plans supplied in the app or customised by a pelvic health physiotherapist.

It supports self‑management of pelvic floor dysfunction by providing reminders, visual/audio guides, exercise plans, and progress tracking.

Squeezy is also available in Squeezy Connect and Squeezy Maternity, allowing clinicians to monitor adherence and provide targeted support.

2. Device Description

The Squeezy App includes the following features:

  • Pre‑set pelvic floor muscle exercise plans based on physiotherapist‑recommended protocols and NICE guidance.
  • Customisable exercises (slow squeezes, quick squeezes, timings, repetitions).
  • Visual and audio guides demonstrating contraction and relaxation phases.
  • Reminder system with adjustable scheduling.
  • Exercise record and progress logs for clinician review.
  • Symptom diary and bladder/bowel tracking (Squeezy Connect).
  • Support for women, men, and maternity journeys.

3. Indications for Use

The app may be used by:

  • Individuals experiencing pelvic floor muscle dysfunction.
  • People with stress or mixed urinary incontinence.
  • Women during pregnancy and postnatally (Squeezy Maternity).
  • Patients under the supervision of pelvic health physiotherapists.
  • Patients experiencing prostate related pelvic health issues.

4. Contraindications

Squeezy should not be used as a substitute for professional medical evaluation in cases of:

  • Unexplained pelvic pain
  • Acute urinary retention
  • Significant pelvic trauma
  • Conditions requiring urgent care

Users uncertain about beginning pelvic floor exercises should seek clinical advice first.

5. Warnings & Precautions

  • If exercises cause pain or worsening symptoms, stop and seek clinical advice.
  • Exercise plans should be customised when provided by a clinician; incorrect exercise intensity may worsen symptoms.
  • Squeezy is not a diagnostic tool.
  • Users should follow physiotherapy guidance if exercises have been prescribed as part of supervised treatment.
  • Adherence improvements are common (with over a 90% increase in exercise frequency reported). Though outcomes can vary, surveys show that the majority of our users experience improvements in their condition.

6. Getting Started

6.1 Installation

Squeezy is available on the Apple App Store and Google Play as paid downloads (women, men, maternity).

6.2 Initial Setup

  1. Open the app and review the pre‑set exercise plan.
  2. Adjust reminder times to suit your daily routine.
  3. Customise exercise parameters (reps, hold time, relax time) if instructed by a clinician.

7. Using the App

7.1 Performing Exercises

  • The app provides visual contraction/relaxation cues via an animated circle.
  • Follow prompts for slow squeezes, relaxations, and quick squeezes.
  • Aim for consistent daily practice over weeks and months for best outcomes.

7.2 Exercise Plan Customisation

  • Exercise durations, repetitions, and rest periods can be adjusted.
  • Clinicians can set exercises and parameters using Professional Mode.

7.3 Tracking Progress

  • Save exercise sessions to maintain a detailed exercise log.
  • Track symptoms and bladder/bowel diaries (available in Squeezy Connect).

8. Squeezy Variants

8.1 Squeezy (Self‑Management)

  • For personal use without clinician oversight.
  • Helps improve adherence and pelvic floor strength.
  • UK’s top paid medical app.

8.2 Squeezy Connect (Clinician‑Managed)

  • Users are invited by clinicians.
  • Clinicians can monitor adherence, set plans, and view diaries.
  • Demonstrated improvements:
    • 50% increase in PFME adherence
    • 25% improvement in ICIQ‑UI outcomes
    • Reduced DNAs by 22%
    • £50k–£75k annual cost savings per NHS Trust

8.3 Squeezy Maternity

  • Developed with midwives and pelvic health physiotherapists.
  • Supports pregnant and postnatal women.
  • 90% report finding it helpful.

9. Maintenance & Data Handling

  • Keep the app updated to ensure compatibility and performance.
  • Data is stored securely according to developer privacy policies.
  • Clinician‑linked data (Squeezy Connect) uses secure systems for monitoring.

10. Troubleshooting

Issue Possible Cause Solution
Missing reminders Notifications disabled Enable notifications in phone settings
Difficulty completing exercises Plan too advanced Adjust parameters or consult physiotherapist
No progress data Workouts not saved Save each session after completion

11. Storage & Handling

  • No special environmental conditions required.
  • Mobile device should remain functional and charged.

12. Disposal

  • Delete the app if no longer required.
  • No hardware components require disposal.

12. Symbols Used

  • 📘 Consult instructions
  • 🔔 Reminder/notification enabled
  • ⚠️ Caution

13. Manufacturer Contact

Living With Ltd
Website: squeezyapp.com
Support: Contact form on website