U.S. patent number 3,659,614 [Application Number 04/888,272] was granted by the patent office on 1972-05-02 for adjustable headband carrying electrodes for electrically stimulating the facial and mandibular nerves.
Invention is credited to Bernard Jankelson.
United States Patent |
3,659,614 |
Jankelson |
May 2, 1972 |
ADJUSTABLE HEADBAND CARRYING ELECTRODES FOR ELECTRICALLY
STIMULATING THE FACIAL AND MANDIBULAR NERVES
Abstract
Electrodes capable of conforming to irregular surfaces include a
cup-shaped housing having an open end, a pad of electrically
conductive coiled metallic wire in the housing, a felt of porous
material over the metallic wire pad, and a mounting ring contacting
the wire pad and felt around their circumference to hold the pad
and felt in place in the housing. Three electrodes, two input
electrodes and a dispersal electrode, of the type described are
attached through electrically conductive support members to an
adjustable headband. The two input electrodes are pivotally
attached to the headband. Lead wires from the output of a pulse
generator connect with the electrodes. The lead wires to the input
electrodes are run along the surface of the headband and covered
with an insulating material.
Inventors: |
Jankelson; Bernard (Seattle,
WA) |
Family
ID: |
25392894 |
Appl.
No.: |
04/888,272 |
Filed: |
December 29, 1969 |
Current U.S.
Class: |
607/139;
607/148 |
Current CPC
Class: |
A61N
1/321 (20130101) |
Current International
Class: |
A61N
1/32 (20060101); A61n 001/18 (); A61n 001/04 () |
Field of
Search: |
;128/410,2.05,2.06,404,416,418,DIG.4,405,411,417,419,421 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: McGowan; J. C.
Claims
The embodiments of the invention in which an exclusive property or
privilege is claimed are defined as follows:
1. An assembly for electrically stimulating facial muscles with a
pulsing electrical current comprising;
a single non-conductive flexible band adapted to be secured around
the head of the patient, said band being adjustable in length,
a pair of input electrodes pivotally attached to the head band by
means of electrically conductive support means said electrodes
being movable along the length of the support means and adapted to
be placed in contact with the patient's skin forward of his
ears,
a common dispersal electrode attached to a conductive support
means, said support means secured to the band intermediate the
input electrode supports and adapted to contact the skin of the
patient at the nape of the neck,
insulated electrically conductive means adapted to be connected to
the output of a pulse generator and connected to each of the input
electrodes,
insulated electrically conductive means adapted to be connected to
a pulse generating means and connected to the dispersal electrode,
whereby the stimulating current is administered through the input
electrodes and received by the dispersal electrode,
the electrodes each comprising a housing of dielectric material
having a bottom wall, side walls and an open end, a pad of
compressible, resilient, flexible electrically conductive metallic
wire mounted within and substantially filling the housing, said pad
being connected to the conductive mounting means by a blot secured
to the mounting means passing through the housing, the bolt
including a conductive disk mounted thereon which is imbedded in
the wire pad and a thin moisture retentive piece of material
covering the skin contacting surface of the pad.
2. An assembly as in claim 1 wherein the compressible pad extends
beyond the side walls of the housing.
3. An assembly as in claim 1 wherein the means for connecting the
electrodes to a source of pulsing current includes separate strands
of conductive wire along the surface of the headband.
4. An assembly as in claim 3 wherein the strands are covered by
removable material.
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
This invention relates to an adjustable headband carrying unique
electrodes for electrically stimulating the facial and mandibular
nerves of a human.
2. Prior Art Relating to the Disclosure
Various means of making electrical contact by means of electrodes
placed in contact with the skin of an individual are known. Most
frequently electrodes are taped to the desired areas of the skin so
that they will remain in continuous contact. Taping of multiple
electrodes to various areas, however, is disadvantageous and time
consuming and does not provide the necessary pressure contact. The
present invention is primarily useful in electrically stimulating
the muscle complex that work synergistically to close the human
mandible. Such a method is useful to dentists in fitting dentures,
in correcting occlusional difficulties of patients, in reduction of
swelling or discoloration after surgical operations or accidental
injury, and in treatment of various nerve and/or muscle disorders
associated with the facial muscles. As the device is used
clinically it is desirable to have a way for quickly and accurately
connecting electrodes firmly and with adequate pressure contact in
the right positions on the patients's face without causing the
patient any discomfort or inconvenience. The problem in obtaining
the requisite firm pressure adaptation of the electrodes to the
skin has been the irregular contours of the input area. Variation
of compressibility of the tissues compounds the problem. In some
areas, such as the zygomatic arch, bone closely underlies the skin
and soft tissue while in other areas, such as the mandibular notch,
there is an absence of bony support. In general the thickness and
compressibility of the tissues of the input area varies
considerably. Flat metal electrodes do not conform to variation in
contours and compressibility. There are two requirements for an
adequate input electrode (1) adaption of variation in contour and
compressibility; and (2) conductivity.
SUMMARY OF THE INVENTION
This invention relates to unique electrodes used in electrical
stimulation of the facial and mandibular muscles and an apparatus
for carrying the electrodes. Each of the electrodes comprises a
housing of dielectric material in which is mounted a pad of
compressible, resilient, flexible, electrically conductive,
preferably coiled, metallic wire over which a pad of porous,
flexible, moisture retentive material is placed. The pad of
metallic wire and porous material are held in place in the housing
by a mounting ring extending around the circumference of both the
metallic wire and porous pad, the ring having side walls
frictionally engaging the housing. Each electrode is attached to
one end of separate electrode support members. The two input
electrodes are pivotally attached to an adjustable headband
opposite one another and the third electrode, designated a
dispersal electrode, attached to the headband between the input
electrodes. Conductive means leading from a pulse generating
apparatus are electrically connected to each of the electrodes. The
support members of the input electrodes are attached to the
headband forward of each ear of the patient when the headband is in
place. The common or dispersal electrode, placed between the two
input electrodes, is preferably contoured to contact the nape of
the neck. The overall apparatus is compact, can be positioned in
place rapidly and accurately without discomfort or inconvenience to
the patient, and can be removed readily.
It is a primary object of this invention to provide electrodes for
electrically stimulating nerves and muscles through the skin.
It is a further object of this invention to provide an adjustable
headband carrying the electrodes connected to a pulse generating
means.
It is a further object of this invention to provide an adjustable
headband providing a stable platform from which electrodes are
extended.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a perspective view of the electrodes of this invention
attached to an adjustable headband adapted to encircle the
patient's head, the electrodes electrically connected to a pulse
generating apparatus;
FIG. 2 is a side elevational view of the headband and electrode
assembly of FIG. 1 in place on a patient's head;
FIG. 3 is a sectional view along line 3--3 of FIG. 2 showing
details of one of the electrodes and its mode of connection to the
adjustable headband and to conductive elements from the pulse
generating apparatus; and
FIG. 4 is a sectional view along section line 4--4 of FIG. 3
showing further details of one of the electrodes.
DETAILED DESCRIPTION OF THE INVENTION
The overall apparatus of this invention, including the electrodes
and adjustable headband, is primarily useful in electrical
stimulation of the motor nerves controlling the masticatory and
facial muscles with resultant involuntary closure of the human
mandible. The method of producing a muscularly balanced closure of
the human mandible through electrical stimulation of the masicatory
and facial muscles is described in detail in applicant's copending
application Ser. No. 855,480 filed Sept. 5, 1969, now U.S. Pat. No.
3,593,422. This copending application is hereby incorporated by
reference. Described in the copending application is a method of
involuntarily closing the human mandible for various clinical
objectives by electrically stimulating the motor roots of the
mandibular and facial nerves on both sides of the face, stimulation
of the nerves resulting in coordinated contraction of the
masticatory and facial muscles controlling opening and closing of
the mandible. In practicing the method described in the
aforementioned application for various clinical objectives, it is
essential that the input electrodes placed on each side of the face
be in continuous pressure contact with the skin. If the electrodes
placed on each side of the face are not maintained in pressure
contact with the skin the current flow through the skin varies,
giving rise to unequal stimulation of the muscles on each side of
the face. This is unacceptable in the method described in
applicant's copending application. Additionally, light contact of
the electrodes with the shin of the patient results in discomfort
to the patient. The design of the electrodes of this invention
enables continuous pressure contact at all times. Further the
design of the overall assembly is such that it can be quickly
positioned and adjusted to fit different individual needs. The
headband on which the electrodes are mounted is adjustable so that
the circumference thereof can be increased or decreased to fit a
particular patient's head. The headband itself forms no part of the
instant invention as it is fully described in U.S. Pat. No.
3,325,824. Each of the electrodes, i.e. the two input electrodes
and the common dispersal electrode, are attached to the headband by
means of electrically conductive support members. The support
members for the two input electrodes are pivotally attached to the
headband so that they can be swung in and out of position when the
headband is placed on the patient's head or removed therefrom.
FIG. 1 shows the adjustable headband to which the two input
electrodes and common dispersal electrode are attached. The
headband 1 comprises a flat, flexible strip of plastic or other
suitable material 2. The two ends of the strip, which have
elongated slots therein, are telescoped into opposite ends of
sleeve 3. A rotatable knob 4 connected to a toothed pinion meshes
with gear racks formed in the slots. Rotation of knob 4 increases
or decreases the circumference of the headband depending on the
direction of rotation. The electrodes, two input electrodes 5 and
6, and a common dispersal electrode 7, are attached to the headband
1 by means of support members 8, 9 and 10. The input electrodes are
positioned on the headband so that when it is positioned in place
on the patient's head the points of attachment will lie just
forward of the ears of the patient, as shown in FIG. 2. The common
dispersal electrode is preferably positioned so it will contact the
nape of the neck as shown in FIG. 2. Lead wires are electrically
connected to each of the electrodes and to a pulse generating
apparatus, generally shown as reference numeral 11.
To keep the lead wires from the pulse generating apparatus to the
input and dispersal electrodes from hindering the work of the
dentist, they are extended from the pulse generator to the rear of
the headband. The wires to the input electrodes extend along the
circumference of the headband on both sides thereof to the points
of attachment of the input electrode support members to the
headband. A strip of reinforcing material such as glass fiber is
preferably extended part-way along the head band in the area where
the input electrode support members are attached to prevent the
headband from twisting when the input electrodes are placed in
operating position. A cross section of the headband and one of the
input electrodes is shown in FIGS. 3 and 4. This cross section is
representative of the electrode construction and means of
attachment of the headband of the other input electrode and common
dispersal electrode except that the dispersal electrode is
preferably not pivotally attached to the headband. As shown lead
wire 12 extends along channel 13 to its point of electrical
connection to bolt 14 which extends outwardly through the headband.
Channel 13 is formed along the inner circumference of the flat
strip 2 of headband 1 by two parallel strips 15 of matted synthetic
filaments. Over the channel is placed a strip 16 of synthetic
material which adheres to the matted felt when pressed into place,
but which can be removed therefrom. The combination of matted
filaments and plastic strip is a commercially available material
sold under the trademark "Velcro." Over the "Velcro" strip is
preferably bonded a vinyl strip 17 having an adhesive backing. The
strip can be removed and replaced after each use. The purpose of
the strip is principally for sanitation reasons.
Support members 8 and 9 for the input electrodes 5 and 6 are bent
to the configuration shown in FIG. 3 so that when they are attached
to the headband and to the input electrodes the face of the input
electrodes will press firmly against the face of the patient just
in front of the ear. Support member 10 for the dispersal electrode
7 is of a different configuration. It is bent so that it will press
the dispersal electrode 7 firmly against the nape of the neck of
the patient. Support electrodes 8, 9 and 10 are made of an
electrically conductive material, preferably spring steel. The
upper and lower portions of the support members electrically
connect the respective lead wires from the pulse generator to their
respective electrodes. The middle portion of the support members is
coated with a dielectric material 18, such as an insulating
plastic. Over the bolts 14, extending outwardly through the
headband are placed washers 19 of a suitable dielectric material. A
spring washer 20 of electrically conductive material is then placed
over the dielectric washers followed by the support member. The
entire assembly is held in place by nuts 21. The manner in which
the support members are attached to the headband allows them to be
swiveled in either direction about bolts 14. The dispersal
electrode is preferably fixed to the headband in the position shown
in FIGS. 1 and 2 as head movement of the patient may cause loss of
electrical contact if the electrode is pivotally mounted.
The lower ends of support members 8 and 9 are preferably slotted
with a vertical slot 22 as shown in FIG. 2 to allow vertical
adjustment of the input electrodes for correct positioning.
As mentioned previously the electrodes, and particularly the input
electrodes, must continuously and intimately contact the skin of
the patient to establish good electrical contact. To accomplish
this the electrodes must be capable of conforming to irregular
surfaces. No two individuals have a facial configuration that is
exactly the same. The electrodes must be able to conform to the
facial structure just forward of the ears of all patients without
difficulty. One of the input electrodes is shown in cross section
in FIG. 3. The design of the remaining electrodes is the same. The
preferred electrode of this invention is an aggregate of metallic
wire which is springy and adaptive. The wire strands are preferably
coiled into an elongated spring which is folded and packed into an
electrode housing to provide a springy mass. The mass of springy
coiled wire adapts to, and equalizes pressure against, irregular
yielding surfaces as the coils move against each other within the
container. An alternate electrode configuration which can be
employed is a thin flexible wire screen overlying an adaptive pad
of elastomeric foam material. The wire screen curves around or in
the foam to receive the electricity at the base of the electrode
housing. It covers the foam where it is in contact with the
skin.
The electrodes comprise a housing 23 of a suitable dielectric
material, such as a molded plastic material, the housing having
side walls 24, a bottom wall 25, and an open end. The input and
dispersal electrodes may be of any suitable configuration, although
the input electrodes are shown as being semicircular while the
common dispersal electrode is rectangular in shape. The electrodes
5, 6 and 7 are secured to support members 8, 9 and 10 by any
suitable retaining means. As shown in FIGS. 3 and 4 a bolt 26
extends through and contacts support member 8 and further extends
through the bottom wall of electrode 5. An electrically conductive
disc 27 is secured to the inner end of the bolt. The disc may be of
any suitable configuration.
The housing of each of the electrodes is filled with a pad of
electrically conductive material 28 which is compressible,
resilient and flexible. The pad should extend above the side walls
of the housing a short distance. Over the pad of electrically
conductive material is placed a thin felt of porous,
moisture-retentive material 29 such as a cellulosic sponge. The
porous material and pad of electrically conductive material are
held in the housing by a mounting ring 30 of dielectric material
adapted to contact the pad of electrically conductive material and
porous pad around their circumference to hold them in place in the
housing. Side walls 31 of the mounting ring are adapted to
frictionally engage the side walls 24 of the housing. By not
rigidly securing the mounting ring 30 to the housing the mounting
ring is free to move to conform to irregular surfaces on the face
of an individual patient.
A plastic liner 32 may be placed around the side walls 24 of the
housing of each electrode, the plastic liner extending a short
distance above the side walls of the housing to help retain the pad
of electrically conductive material in place when the mounting ring
is removed. The liner also facilitates positioning of the mounting
ring over the side walls of the housing.
OPERATION
To use the assembly of this invention the adjustable headband 1 is
extended to easily fit over the patient's head. Each of the
electrodes is saturated with an electrolyte solution. Any of the
common electrolyte solutions may be used. Preferably, a soap
solution is used, the soap solution being electrically conductive.
The input electrodes 5 and 6 are swung forward around their pivot
points so that the support members to which they are attached are
substantially parallel with the headband 1. The dispersal electrode
7 is preferably locked into the position shown in FIG. 1 The
headband is then placed over the patient's head and tightened
around the head by rotation of knob 4. The input electrodes are
then swung into the position shown in FIG. 2. If necessary the
individual input electrodes are adjusted vertically so that the
electrode contacts the mandibular notch region of the patient. Once
the headband and electrodes are in place the pulsing apparatus is
energized. Once treatment is completed the input electrodes are
swung forward, the headband expanded, and removed.
The electrode assembly described is compact and easy to use, is
comfortable to the patient and has a relatively long service
life.
* * * * *