U.S. patent number 3,607,788 [Application Number 04/687,955] was granted by the patent office on 1971-09-21 for liquid electrode material.
Invention is credited to Robert J. Adolph, Aribert H. Bernstein.
United States Patent |
3,607,788 |
Adolph , et al. |
September 21, 1971 |
LIQUID ELECTRODE MATERIAL
Abstract
A novel electrode material for use with medical diagnostic
potentiometric devices having a wire lead extending therefrom to be
secured to the skin of a patient, is provided. The electrode
material is a viscous, adhesive, electrically conductive liquid
which dries on the skin. Upon application the electrode material
will envelope the wire lead, and after drying will assure that
dependable and durable electrical contact between skin and wire
lead has been made.
Inventors: |
Adolph; Robert J. (Cincinnati,
OH), Bernstein; Aribert H. (Cincinnati, OH) |
Family
ID: |
24762523 |
Appl.
No.: |
04/687,955 |
Filed: |
November 20, 1967 |
Current U.S.
Class: |
252/510; 252/513;
600/397; 252/514 |
Current CPC
Class: |
A61B
5/259 (20210101) |
Current International
Class: |
A61B
5/0408 (20060101); H01b 001/06 (); A61n
001/18 () |
Field of
Search: |
;252/500,502,503,510,511,512,513,514,518
;128/2.06,2.1,404,405,417,418,416 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Drummond; Douglas J.
Claims
We claim:
1. A liquid electrode material for use with medical diagnostic
potentiometric devices having a wire lead extending therefrom, said
electrode material consisting essentially of collodion and a
comminuted, electrical conductor selected from the group consisting
of carbon, nickel, German silver, gold, silver and platinum.
2. A liquid electrode material as claimed in claim 1 wherein said
electrode material contains approximately 4040-70 percent by weight
electrical conductor.
3. A liquid electrode material for use with medical diagnostic
potentiometric devices having a wire lead extending therefrom, said
electrode material consisting essentially of collodion and
comminuted carbon.
Description
This invention relates to devices for measuring small electrical
voltages generated in the human body as is commonly done in medical
diagnosis, and more particularly to an improved electrode for use
with electrocardiographic, oscilloscopic-monitoring and like
recording devices.
The heart, muscles and brain of the human skin generate small
voltages which are measurable on the skin of a person. The precise
and accurate recording of these voltages form the basis of
electrocardiography, electromyography, and electroencephalography,
respectively. The recorded potentials are valuable aids in the
diagnosis of normality and disease of the tissues from whence they
originate. It is sometimes necessary to continue such measurements
for prolonged periods of time, sometimes three days or longer.
Specifically, long-term monitoring of bioelectrical potentials
originating from the heart has provided lifesaving in patients who
have had or are suspected of having had a myocardial infarction
(heart attack). In addition, there is a need for continuous
recording of heart rate and heart rhythm and changes thereof in
humans subjected to the stresses of exercise, aerospace, ocean
depths and supersonic speeds.
In making such measurements, a potentiometric device for receiving
and recording electrical signals is employed. A wire lead between
the device and patient is required for purposes of conducting the
signal from patient to device, and the wire lead terminates at an
electrode, the term "electrode" in this context signifying the
means by which electrical connection between wire lead and skin of
the patient is made.
Standard clinical electrodes currently in use with
electrocardiographic, oscillographic-monitoring, and recording
devices are usually large and cumbersome metal plates, mesh, or
recessed wells in which electrical contact with the skin is made by
means of hypertonic salt solution in the form of a paste or gel.
Mechanical contact with the skin is maintained by elastic straps,
suction cups, adhesive tape, or other mechanical means. The
conductive paste or gel dries up after several minutes or hours and
electrical resistance between the skin and metal plate increases.
In electrocardiography this may result in spurious electrical
signals, or motion artefacts. If the patient is connected to a
monitor-alarm system in a coronary care unit, frequent false alarms
may be initiated which falsely simulate an absence of electrical
activity of the heart or a serious cardiac arrhythmia. This results
in frequent harassment of patient, physician and nursing
personnel.
Such electrodes are also unsuitable in the unrestrained and
ambulatory subject. As the subject moves, there is considerable
variation in the area of direct contact between the skin and the
metallic electrode as well as variation in the amount of
electrolyte paste or gel between the skin and the electrode. Thus
the electrical resistance between the skin and electrode varies
considerably with body movement and the desired bioelectrical
potential is obscured by reduced voltage and unwanted electrical
noise and artefact. Heavy shielded leads and cables and
constricting bands, straps and adhesive tape as used in all prior
devices all lead to patient discomfort and inconvenience. It is
necessary to clean and reapply electrode paste to such electrodes
at relatively frequent intervals. Adhesive tapes which have been
use to bind metal electrodes to skin tend to lose their
adhesiveness under conditions of patient perspiration, humid
environment or when the electrode paste has wet them. In many
patients, particularly with prolonged usage, the hypodermic salt
solution incorporated into the electrode paste is an irritant to
the skin resulting in considerable discomfort and even inflammation
and ulceration of the skin. Needle electrodes make good electrical
contact with the body but are painful to the patient and hence
their use is undesirable in the critically ill coronary patient.
They are impractical in the ambulatory subject because of pain
attendant upon muscle movement, and because needles penetrate the
skin there is always a risk of infection.
Against the foregoing background, it is the primary object of this
invention to provide a novel electrode material and technique for
use in the recording of bioelectrical potentials. The electrode
material which we provide is a viscous, adhesive, electrically
conductive liquid which dries on the skin, bonding firmly to the
skin and to a lead wire from the recording device. The consistency
of the liquid electrode material should be such that it is easily
applied to the skin from a tube or by any applicator stick. It is
contemplated that the electrode material be applied on top of an
exposed end of a flexible wire lead and to the adjacent skin, where
it will dry in a short period of time forming a firm mechanical
bond between the skin and the wire lead. As an example, we have
found collodion, with carbon particles suspended therein to provide
an effective electrode. Collodion is available in "flexible" and
"nonflexible" grades. When the term collodion is used herein, we
mean the "flexible" grade. The solvent in the collodion quickly
evaporates on exposure to air. Other liquid substances which are
nontoxic to human tissues yet which upon drying adhere firmly to
human skin may also be employed in place of collodion and
conductive particles of materials other than carbon may be used as
will be dealt with more fully hereafter.
Another object herein is to provide an improved wire lead terminus
structure which is especially useful in connection with our
inventive electrode material.
How these and many other objects are to be achieved by employment
of the present invention will become clear through a consideration
of the accompanying drawings wherein:
FIG. 1 is a top view of our novel wire lead terminus structure;
FIG. 2 is a sectional view taken at 2-2 in FIG. 1;
FIG. 3 depicts a wire lead between a receiving and recording device
for electrical signals, and the body of a patient when the
embodiment of FIG. 2 is employed; and
FIG. 4 is a top view of a second embodiment of our novel wire lead
terminus structure;
FIG. 5 is a section at 5-5 of FIG. 4;
FIG. 6 depicts a wire lead in place upon the skin of a patient as
it may appear after the second embodiment of our novel wire lead
terminus as shown in FIGS. 4 and 5 has been employed.
In the drawings the symbol "P" represents any standard
potentiometric device used in medical diagnosis such as an EKG. or
ECG. machine. Interconnection between machine P and the body of a
patient, 10, is made by means of wire lead 11. A terminal structure
for such a wire lead 11 which we provide is shown in FIGS. 1 and 2
which show such a terminal structure prior to application to the
skin of the patient.
Wire lead 11 is sandwiched between two layers of tape 12 and 13 by
means of an adhesive layer 14. Adhesive layer 15 is also provided
at the under surface of bottom tape 13. So that the tackiness of
adhesive 15 will be maintained until it is desired to attach the
end of the wire lead to the body of a patient, nontacky protective
strips 16 and 17 are placed upon adhesive layer 15. Flaps 20 and 21
are integral parts of protective strips 16 and 17 respectively and
provide finger grips whereby the protective strips 16 and 17 may
readily be removed when desired. An aperture 22 through tapes 12
and 13 is provided, and a portion 23 of wire lead 11 crosses such
aperture.
An electrode 24, in accordance with our present invention, is
provided to make contact between the skin of a patient and the
terminus of a wire lead 11, and thus the measuring device P. The
procedure for connecting patient and measuring device is first for
the operator to grasp flaps 20 and 21 and by manipulating such
flaps, pull away protective strips 16 and 17, thus exposing
adhesive 15 at the bottom of tape 13. The terminus of wire lead 11
is then brought into close proximity with the body of the patient
by placing the sandwich consisting of tapes 12 and 13 against the
patient's body, and then assuring that the wire leads terminus
remains in position by pressing the sandwich against the patient's
body whereupon adhesive 15 will hold the wire lead terminus close
to the body. Dependable electrical contact, of course, between the
patient's skin and wire lead terminus is not thus made. To make
such electrical contact viscous liquid electrode material is
disposed over the sandwich consisting of tapes 12 and 13, and
particularly in aperture 22, there reaching the skin of the patient
and also engulfing portion 23 of wire lead 11. The solvent in the
conductive electrode material will quickly evaporate, electrode 24
will result, and thereupon connection between measuring device P
and patient is achieved, which connection will serve to provide
accurate measurements of electrical voltages for extended periods
of time. For long-term use, it is desirable that the wire lead be
taped to the body of the patient at point 25 located between
electrode 24 and device P (preferably near electrode 24) to prevent
unnecessary tension thereon.
The liquid electrode material which we provide essentially
comprises two constituents, a liquid component and particles of an
electrical conductor suspended therein, the constituents being
combined by mixing them together. A variety of liquid components
may be used and different electrical conductor particles may also
be used. The electrode material should be nontoxic, relatively
quick drying, flexible when dry, and preferably of the viscosity of
a thick free-flowing syrup. We have found the following to be
suitable liquid components, and each will be seen to consist of a
polymeric adhesive in a highly volatile solvent:
1, Collodion (A viscous solution of pyroxylin in a mixture of
alcohol and ether).
2. Vinyl chloride and acetone (vinyl chloride 30 percent by
weight).
3. Vinyl chloride and methyl ethyl ketone (vinyl chloride 30
percent by weight).
4. Natural rubber and hexane (natural rubber 35 percent by weight).
The criteria for the electrical conductor employed is that it be
available in comminuted form, that it be a good electrical
conductor, that it be nontoxic, and that it not be unduly
susceptible to polarization. The following are specific examples of
suitable conductors:
1. Carbon
2. Nickel
3. German silver
4. Gold
5. Silver
6. Platinum
The electrode material should contain approximately 40-70 percent
by weight conductor, with the balance being liquid adhesive.
Examples of electrodes embodying our invention which have been used
and which gave consistently accurate reading over a period of five
days, and from which patients suffered no toxic effects are:
Example 1. Adhesive: Collodion. Conductor: Carbon. Carbon 45
percent by weight in the mixture.
Example 2. Adhesive: Vinyl chloride and acetone (vinyl chloride 30
percent by weight). Conductor: Carbon. Carbon 53 percent by weight
in the mixture.
Example 3. Adhesive: Collodion. Conductor: German silver. German
silver 57 percent by weight in the mixture.
Example 4. Adhesive: Natural rubber and hexane (natural rubber 35
percent by weight). Conductor: Nickel. Nickel 50 percent by weight
in the mixture.
While we have shown the use of a sandwich made up of top tape 12
and bottom tape 13 which it is contemplated will remain in place
upon the skin of the patient during the measurement period, it is
also possible that a single apertured tape could be employed and
such tape removed after liquid electrode material had been applied
and had dried. Such an embodiment is illustrated in FIGS. 4-5.
The second embodiment of our novel wire lead terminus structure has
wire lead 27 which, it will be understood, is connected to a
medical diagnostic potentiometric device, the portion of wire lead
27 crossing aperture 28 in tape 29 being designated 30. The
terminal portion of wire lead 27 is held to the underside of tape
29 by adhesive layer 31. Protective strips 32 and 33 with flap
portions 34 and 35 respectively overlay adhesive layer 31 to
maintain tackiness until used. When the second embodiment in FIG. 4
is employed, protective strips 32 and 33 are first peeled away by
grasping finger-grip portions 34 and 35 and pulling. Tape 29 is
then placed against the body 10 of a patient, holding lead portion
30 against the skin. Our inventive liquid electrode material 36 is
then applied at the aperture 28 in tape 29. When said material
dries the liquid electrode tape 29 may be stripped away leaving an
electrical connective condition as illustrated in FIG. 6.
In addition, of course, the end of a wire lead could be applied to
the skin of a patient and maintained there solely by use of the
electrode resulting upon unemployment of our novel electrode
material. Thus, it is apparent that while we have shown specific
embodiments of our invention, changes and modifications may be made
therein without departing from the spirit thereof, and though so
changed or modified the material and method of using it may still
fall within the ambit of our invention.
* * * * *