U.S. patent number 3,750,650 [Application Number 05/207,421] was granted by the patent office on 1973-08-07 for double spiral electrode for intra-cavity attachment.
This patent grant is currently assigned to Hewlett-Packard GmbH. Invention is credited to Helge Ruttgers.
United States Patent |
3,750,650 |
Ruttgers |
August 7, 1973 |
DOUBLE SPIRAL ELECTRODE FOR INTRA-CAVITY ATTACHMENT
Abstract
An electrode device is configured for mounting at or within
parts of the human body, especially for obtaining ECG signals from
a fetus. The electrode device includes two spiral pointed catcher
elements displaced by 180.degree. which are mounted in an
insulating carrier. A counter electrode in the form of a tubular
metal guiding element surrounds the carrier and protects the vagina
and the fetus when the pointed catcher elements are introduced. A
cannula may be provided at the electrode device so that liquid
medicine or an electrolyte can be supplied to the fetus
simultaneously with measuring ECG signals. The electrode device is
introduced into the vagina by means of a guiding element.
Inventors: |
Ruttgers; Helge (Heidelberg,
DT) |
Assignee: |
Hewlett-Packard GmbH
(Boblinger, DT)
|
Family
ID: |
25760184 |
Appl.
No.: |
05/207,421 |
Filed: |
December 13, 1971 |
Foreign Application Priority Data
|
|
|
|
|
Dec 15, 1970 [DT] |
|
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P 20 61 593.4 |
Aug 10, 1971 [DT] |
|
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P 21 40 065.7 |
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Current U.S.
Class: |
600/376 |
Current CPC
Class: |
A61B
5/288 (20210101); A61B 5/4362 (20130101) |
Current International
Class: |
A61B
5/0402 (20060101); A61B 5/0448 (20060101); A61b
005/04 () |
Field of
Search: |
;128/2.6E,2.1E,DIG.4,404,418,419C,419F,2.5R |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Kamm; William E.
Claims
I claim:
1. A measuring head assembly for obtaining measuring signals from
cavities of the human body comprising:
a spiral catcher electrode having two arms with pointed ends being
displaced by 180.degree. relative to each other;
a carrier formed of an insulating material surrounding a portion of
the catcher electrode;
an electrically conductive member extending from the carrier in a
fixed spatial relation with the catcher electrode, the conductive
member being operable as a counter electrode with the catcher
electrode;
a pair of electrical signal leads connected respectively to the
catcher electrode and the conductive member; and
a guiding tube having an end portion of a predetermined
configuration for receiving and holding the carrier by engaging the
conducting member extending from the carrier, thereby enabling the
carrier to be detachably mounted in the guiding tube.
2. The apparatus of claim 1 including a cannula having a pointed
end extending centrally from the carrier between the spiral arms of
the catcher electrode.
3. The apparatus of claim 2 wherein the length of the pointed end
extending from the carrier is adjustable.
4. The apparatus of claim 1 wherein at least one of the arms of the
catcher electrode is a cannula.
Description
BACKGROUND OF THE INVENTION
This application relates generally to an apparatus for obtaining
measuring signals at or in parts of the human body, for example in
cavities of the human body.
It is well known to take physiological measurements such as an
electrocardiogram from an unborn child by using a needle electrode
on which a second opposite polarity or counter electrode is
mounted. Since a wrong positioning of the needle electrode can lead
to substantial injuries of the fetus, the adjustment of said
electrode has to be effected visibly. Thus, it is necessary to use
an endoscope which, for the use in combination with a needle
electrode, has an inclined top which permits the needle electrode
to be positioned tangentially at the body part of the fetus. The
needle electrode is mounted by means of a special pincers having
gripping elements formed like a stork's bill. Such an electrode is
rather complicated and does not exclude the possibility of
substantially injuring the fetus.
It is also well known to obtain physiological signals using a
so-called clip electrode working according to the principle of the
suture clip. The counter electrode of the clip electrode is mounted
on the insulating envelope of the signal lead. Practical use of
this type of electrode has shown that it can be used only a few
times before its prongs break. Furthermore, after being mounted in
place, the electrode is not rigidly positioned at the fetus, and
can pivot around an axis defined by the points of fixation. This
can lead to the result that the counter electrode may touch the
fetus, so that both the clip and counter electrodes have equal
potentials and no measuring result can be obtained. A further
disadvantage of this type of electrode arrangement is that its
removal from a fetus is not easy and often causes substantial
injury thereto. Also, this type of electrode has to be positioned
visibly, which requires a relatively free entry to the desired
point of location because of the size of the electrode. Often this
special requirement cannot be met and the electrode is thus not
usable.
Finally, it is well known to use an electrode in the form of a
spiral shaped gripping device or catcher having two needle-like
ends which are displaced by 180.degree.. This catcher electrode is
positioned at the desired point of fixation on the fetus and is
then affixed thereto by a short turn. The counter electrode is
separate from the catcher electrode and has its own signal lead.
The counter electrode is simply introduced into the same cavity of
the body in which the catcher electrode is also present. As a
result both electrodes do not have a defined relative position to
each other, and the measuring result may be adversely affected.
This is especially true if during the measurement the child or the
mother is moving. The introduction of the catcher electrode is done
manually or by means of a tampon holder. However, such a tampon
holder is constructed for a different purpose and does not have the
necessary stability to ascertain a precise mounting of the
electrode. Also, the catcher electrode can cause injuries when
being introduced as there is no exact guidance therefore, and such
electrodes cannot be introduced into deep cavities of the body.
SUMMARY OF THE INVENTION
The present invention in one embodiment comprises a spiral catcher
electrode having two pointed ends displaced from each other by
180.degree.. The catcher electrode is contained in a carrier formed
of insulating material, and is connected to an electrical signal
lead. In or at the carrier there is a metal member being outwardly
accessible and being usable as a second opposite polarity or
counter electrode. The carrier is mounted at one end of a rod-like
guiding element or tube. The metal member used as the counter
electrode can extend beyond the carrier. The carrier can comprise
grooves or projections which coact with the guiding element and can
be detachably mounted on the guiding element.
In another embodiment of the invention, the carrier carries at
least one tube or cannula. One end of the cannula is disposed on
the side of the front face of the carrier and is pointed, while the
other end is connected to a liquid line. The cannula can centrally
project from the front face of the carrier between the spiral arms
of the catcher electrode. Alternatively, the cannula may be formed
from at least one of the arms of the catcher electrode.
One advantage of the novel apparatus is that it allows a safe and
simple mounting of the measuring head even with a moving fetus. The
removal of the measuring head does not endanger the fetus. As the
piercing of the catcher electrode causes only small injuries, the
danger of infection is decreased. Finally, the measuring head is
fixedly mounted at the point of fixation during the measurement and
the two electrodes maintain their relative position to each other
even with movement of the fetus. With these conditions accurate
measuring signals are obtained.
An advantage of the improved apparatus including the cannula is
that it is possible to supply to the location under test an
electrolytically conductive liquid in order to improve the
measuring results. Furthermore, it is possible to medically treat
the fetus or mother by injecting medicine through the cannula.
Also, liquid may be extracted from the cavity by help of the
cannula.
BRIEF DESCRIPTION OF THE DRAWINGS
FIGS. 1 and 2 are partial sectional views of the measuring head and
associated guide member in two different embodiments of the present
invention.
FIG. 3 is a cross-sectional view of the measuring head shown in
FIG. 2 and rotated 90.degree..
FIGS. 4-9 are a cross-sectional and outline views of different
embodiments of the measuring head of the present invention.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
The embodiment illustrated in cross section in FIG. 1 comprises a
gripping or catcher electrode 10 which is built such that its two
free pointed ends are displaced by 180.degree. relative to each
other in a plane which is normal to the longitudinal extension of
the apparatus. This catcher electrode is surrounded by an
electrically insulating material in the form of a carrier 11 in
such a manner that its ends project resiliently from this material.
The carrier 11 has the shape of a cylinder and comprises at its
lower end a cylinder-like extension 11' of smaller diameter. A
second, counter electrode is formed from a metal ring 12 mounted on
the carrier 11. The catcher electrode 10 and the metal ring 12
constitute the two electrodes of the measuring head. Accordingly,
the catcher electrode is connected with an electrical lead 13 and
the ring 12 is connected with an electrical lead 14. The carrier 11
is by means of extension 11' mounted on a rod-like guiding element
in the form of a guiding tube 15 which at its lower end is provided
with a knurled portion 16 in order to simplify its handling. The
two leads 13, 14 are passed through the guiding tube and are
connected to the input receptacles of an electronic measuring and
processing apparatus, not shown.
The illustrated guiding tube can be made of metal or of a suitable
plastic material. If the tube is formed of plastic material it can
have a certain flexibility which permits that the apparatus can be
used in curved cavities of the body.
In FIGS. 2 and 3 there is illustrated another embodiment of the
novel apparatus, in which the catcher electrode 10 is mounted in a
carrier 18 which simultaneously surrounds a pin-like counter
electrode 19 such that the ends of electrode 19 project slightly
from carrier 18. Electrodes 10, 19 are connected to the electrical
leads 13, 14 respectively. The carrier 18 is mounted on a guiding
tube 20 which is split at its upper end so that the conical and
resilient tube parts 20' thus formed surround the carrier 18. With
this arrangement, the pin-like counter electrode 19 is held in the
slits between the tube parts. Another tube 21 is slidably mounted
on the guiding tube 20. When displaced upwardly, the tube 21 pushes
against the conical tube parts 20' and thus fixes the counter
electrode 19 rigidly in the slits of the guiding tube 20. For the
purpose of simple handling, the guiding tube 20 has a knurled
gripping portion 17 at its lower end. The tube 21 is also provided
with a similar gripping portion 22 at its lower end in order to
simplify the actuation of the tube assembly. Thus, by displacing
the tube 21 in one or the other direction relative to guiding tube
20, the carrier 18 can be securely clamped in place or unclamped so
as to be detached from the guide tube. Because of the length of the
tubes, tube 21 does, from a practical point of view, represent a
remote actuation of the clamping. It can be actuated within or
outside of the body cavity. As shown in FIG. 2, it can be a further
advantage to mount a tubular sleeve 23 with rounded edges at its
front face on the tube 21 such that the sleeve 23 can only be
displaced on the tube 21 by exerting a certain force. Before the
introduction of the apparatus into the body cavity, this tubular
sleeve is moved into the represented position in which it surrounds
the pointed ends of the catcher electrode 10 for the purpose of
protection. Upon touching the point of adjustment, the tubular
sleeve displaces backwards and thus releases the action of the
catcher electrode 10. During the introduction of the apparatus, the
body cavity is protected against injury from the catcher electrode
by means of the tubular sleeve 23.
FIGS. 4 and 5 illustrate different measuring heads which can be
mounted on a guiding element. The measuring head shown in FIG. 4
comprises the catcher electrode 10 and a counter electrode in the
form of a metal ring 25 which is sleeve-like, inserted intothe
carrier 26. Also, both electrodes are connected with respective
electrical leads 13 and 14. At its lower end the carrier 26
comprises recesses 27 into which a complementarily formed guiding
element can be engaged. In lieu of these recesses there can also be
provided projections 28 which are schematically illustrated in FIG.
5, where a ring 30 positioned on the carrier forms the counter
electrode for the catcher electrode 10.
Another embodiment of the measuring head is shown in FIG. 6. The
carrier for the electrodes is not made unitary but is manufactured
with a ring 31 of insulating material. The electrodes 10, 34 are
mounted by means of an electrically insulating casting material to
extend from opposite ends of the ring 31. In the illustrated
embodiment, mounting plugs 35 serve for mounting the carrier on the
guiding tube.
Although in the illustrated embodiments the guiding elements are
always shown to be guiding tubes, it is also possible to replace
the tubes by a compact guiding rod. In this case the electrical
leads laterally extend from the carriers of the measuring heads and
they can be located laterally along the guiding rod.
There can be provided still another ring measuring system, for
example for pressure measurement, at or within the carrier of the
measuring head. If only pressure is to be measured with this
apparatus, the counter electrode is unnecessary and the catcher
would serve merely as a mounting element. In the case where the
measuring head carries both measuring head systems, measuring data
for several parameters may be obtained simultaneously.
In FIG. 7 there is represented a measuring head, wherein the
catcher electrode 10 is isolatedly mounted in a carrier 18 that
simultaneously surrounds a pin-like counter electrode 19, the ends
of which project slightly at both sides of the carrier. Electrodes
10, 19 are connected with electrical signal leads 13, 14,
respectively. Furthermore, the carrier 18 carries a tube or cannula
36 having a pointed end which projects beyond the upper front face
of the carrier 18. As shown, the cannula is centrally located
between the arms of the catcher electrode 10. The rear end of the
cannula is connected with a liquid line 37. When the measuring head
is affixed to a fetus, for example, by a short turn, the tubing
immerses into the fetus. If desired, the tubing can be mounted in
the carrier in a manner such that its length projecting beyond the
front face of the carrier is adjustable. This can be achieved, for
example, by providing on the external portion of the cannula a
screw-threaded portion which coacts with a corresponding internally
threaded portion in the carrier.
The embodiment according to FIG. 8 is similar to that of FIG. 6.
However, the catcher electrode 10 mounted in insulating material 32
consists of two parts 10a and 10c, of which the latter itself forms
a cannula having one end embedded in the carrier in communication
with a liquid pipe 37. Both catcher arms 10a, 10c are connected
with each other and act as an electrode, which can coact with the
caplike counter electrode 34. The outer shape of the carrier is
determined by a sleeve 31 having two holding trunnions 35.
In FIG. 9 is illustrated another embodiment of a measuring head
wherein both catcher arms 10c are formed as cannulas. They are
embedded in an insulating mass 29 which is surrounded by a ring 30
that serves as a counter electrode. The two cannulas are
electrically connected together to form one electrode. Each cannula
is connected to a liquid pipe 37. The carrier 29 includes lateral
extensions 28 which simplify its handling. In the illustrated
embodiments, the liquid pipes are connected to the cannulas within
the insulating mass; however, it is also possible to provide these
connections outside of the carrier.
* * * * *