U.S. patent number 3,882,853 [Application Number 05/479,112] was granted by the patent office on 1975-05-13 for biomedical electrode.
This patent grant is currently assigned to Cardiodynamics, Inc.. Invention is credited to Richard F. Gianni, John W. Gofman.
United States Patent |
3,882,853 |
Gofman , et al. |
May 13, 1975 |
Biomedical electrode
Abstract
A biomedical electrode or sensor is provided having a cup-like
soft plastic base member with a solid conductive snap member
therein and with a compressible sponge-like material holding a
conductive paste between the solid conductive member and the body
of the wearer. The device of the present invention is suitable for
use as a sensor wherein it is desired to measure an electrical
potential developed by the body as well as useful wherein
potentials are applied to the body as in a cardiac pacemaker. The
electrode was particularly designed for use with a cardiac monitor
device.
Inventors: |
Gofman; John W. (Dublin,
CA), Gianni; Richard F. (Dublin, CA) |
Assignee: |
Cardiodynamics, Inc. (Dublin,
CA)
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Family
ID: |
26988361 |
Appl.
No.: |
05/479,112 |
Filed: |
June 13, 1974 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
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332720 |
Feb 15, 1973 |
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Current U.S.
Class: |
600/391; 600/394;
600/397 |
Current CPC
Class: |
A61B
5/25 (20210101); A61B 5/274 (20210101) |
Current International
Class: |
A61B
5/0408 (20060101); A61B 5/0416 (20060101); A61b
005/04 () |
Field of
Search: |
;128/2.6E,2.1E,DIG.4,416-418,410-411,404-405,172.1
;339/217S,252P |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
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176,033 |
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Oct 1964 |
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SU |
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166,466 |
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Oct 1963 |
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SU |
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Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Cohen; Lee S.
Attorney, Agent or Firm: Slick; Robert G.
Parent Case Text
This is a continuation, of application Ser. No. 332,720, filed Feb.
15, 1973, now abandoned.
Claims
We claim:
1. A body electrode comprising in combination:
a. a base member made of a single piece of a flexible, soft plastic
having a thin flexible rim portion and a rigid center flat bottomed
cup-like member defined by heavy sidewalls and a heavy top,
b. a snap comprising a relatively thin flat disc of conductive
material lying on the flat bottom of the cup-like member, and
having a terminal extending through the face of the cup-like
member,
c. a thin sheet of porous non-conductive material of substantially
the same size as the flat bottom of the cup-like member, and having
one surface in contact with said disc,
d. a thick disc of porous foam-like material in contact with said
porous nonconductive material and filling the remainder of the
cavity of the cup-like member and extending a substantial distance
beyond the open end of the cup-like member, said foam-like material
being saturated with an electrically conductive material, and
e. means for attaching said cup to a human body by the outer thin
wide rim whereby said foam-like material is brought into
compression within the cup-like member by pressure from the
body.
2. The structure of claim 1 wherein the outer surface of said
cup-like member is formed at an angle to provide a ramp to resist
lateral forces.
3. The structure of claim 1 wherein said rim is provided with a
double sided adhesive on its outer surface surrounding the opening
of the cup for attachment of the electrode to the body.
4. The structure of claim 1 wherein the inner surface of said cup
is provided with a plurality of bosses, said snap being retained
between the bosses and the flat bottom of the cup-like member.
5. The structure of claim 1 wherein the snap terminal is a center
post extending through the base, said center post terminating in a
bifurcated bulbous member.
6. The structure of claim 1 wherein said snap has a sharp edge at
the perimeter of said disc for retaining itself within the base and
acting as a seal.
7. The structure of claim 1 wherein the thin sheet of porous
nonconductive material is a sheet of paper.
8. The structure of claim 7 wherein the porous paper consists of a
sheet of blotting paper and the foam-like material consists of a
disc of polyurethane foam.
Description
SUMMARY OF THE INVENTION
It is frequently desired to apply an electrode to a human body
either for sensing a potential developed by the body as in an EKG
or for applying a potential to the body as in a cardiac pacemaker.
Ordinarily when an electrode is to be applied for only a relatively
short period of time to a quiescent individual, no particular
problem arises. However, if it is desired that the electrode be
applied for long periods of time to an active individual, many
problems arise. One is that the usual electrode is of such a
configuration that it could be knocked off by normal human
activities. Another is that artifact noise is frequently developed
because the potentials within the electrode or at the
skin-electrode interface change during bodily movements. Further,
there is a question of patient comfort when the electrode must be
worn for extended periods of time.
In accordance with the present invention a body electrode is
provided which is free from artifact noise by its novel
construction wherein a conductive paste is held by a sponge-like
material which is under compression between a conductive plate and
the body of the wearer. Thus, as the person moves about, there is
no change in potential between the electrode and the human body,
thus preventing the generation of unwanted signals.
Thus, in the achievement of constant potential, this invention
provides unique features in two major areas:
A. Maintenance of constant potential, within the electrode assembly
itself, even with stresses of body motion, pushes, and taps.
B. Maintenance of constant potential in the electrode-skin
interface.
The present invention is addressed to the maintenance of constant
potential both in (a) and (b). These are described in detail in the
following.
A. MAINTENANCE OF CONSTANT POTENTIAL IN THE ELECTRODE ASSEMBLY,
EVEN WITH STRESSES
The constancy of potential of the electrode assembly is controlled
by the constancy of ionic composition in the immediate environment
of the metallic surface of the electrode. It is a well known law of
electrochemistry that the potential of metal: metal ion is a
logarithmic function of the metal ion concentration in the
immediate environs of the electrode. The present invention makes
possible the achievement of constancy of metal ion concentration
(and activity) through the isolation of the electrode compartment
from sources of variation of ionic composition. This is achieved by
provision of an ionic medium in creme or gel directly in contact
with the electrode metal and this is isolated by a porous material,
such as blotting paper, from the remainder of the electrode
assembly. The filling of the porous material with conductive creme
or gel insures electrical contact between the ionic medium of the
electrode compartment with the ionic medium (gel or creme) of the
foam sponge which establishes the interface with the patient's
skin.
The close opposition of the porous blotting material to the
electrode ion compartment and its tight fit into the base itself is
one key feature of the present invention which prevents movements
of ions within the electrode compartment, hence maintaining
constant ion composition in the immediate environment of the
electrode metal.
Furthermore, the non-movement of medium within the electrode
compartment, achieved through the close and tight opposition of the
porous blotting surface makes it possible to utilize a wide variety
of electrode metals and a wide variety of metal ion concentration,
including the very low concentration of metal ions achieved through
electrode reactions, with no metal ions added. The present
invention permits the use of all types of metals that produce a
potential in contact with a conductive medium, since the isolation
technique of the present invention removes limitations from type of
metal. A wide range of ion concentrations is utilizable by
demonstrating the invention with silver electrodes in the absence
of added silver ions (thus having only the silver ions generated by
electrode reaction) and with silver electrodes in contact with the
very much higher silver ion concentration generated by suspension
of silver chloride in the creme or gel of the electrode
compartment. This is excellent proof of the efficiency of function
of the isolated electrode compartment, in maintenance of constant
potential, even when the ionic concentration is deliberately varied
over wide limits. The invention, therefore, provides that with the
principle of isolation introduced, a broad variety of metallic
surfaces can be employed, and the invention therefore covers such a
broad variety of metallic surfaces as electrodes.
The rigidity of the base of the central cavity, in addition to the
restriction of ion movement by the porous blotting surface, is an
additional key feature which maintains constancy of ion
concentration in the vicinity of the electrode by prevention of any
mass movement of gel or creme medium in the isolated electrode
compartment, when the electrode assembly is mechanically
stressed.
Because of the isolation of electrode compartment via both the
porous blotting surface and the rigidity of the walls of the
central cavity, such stresses as pushes on the electrode, taps on
the electrode, or patient movements do not disturb the constancy of
ion composition in the vicinity of electrode metal and hence
constant potential is maintained at the electrode in our
invention.
B. MAINTENANCE OF CONSTANT POTENTIAL IN THE ELECTRODE-SKIN
INTERFACE
We have addressed in (a) the problem of maintenance of constant
potential within the electrode assembly itself, an accomplishment
successfully performed by the present invention. Overall
performance, however, demands additionally that constancy of
potential be maintained at the skin-electrode interface. It is a
well-known observation that an electrical potential exists at the
skin surface in humans. The precise source of such potentials is
not known. Furthermore, the potential varies with depth of
penetration beyond the most superficial cell layers of the skin. If
a constant overall potential of a skin-electrode assembly is to be
maintained, it follows that the overall assembly must not be
permitted to sample varying potentials as a function of depth
beyond skin surface. Such varying potentials represent a source of
failure of most of the biomedical sensors (electrodes) currently
available.
The present invention accomplishes the maintenance of constant
interface potential in several important ways. First, we abrade the
skin gently either with a sponge soaked in pumice-isopropyl alcohol
(1:10 to 1:20 pumice in alcohol by volume is satisfactory) or with
gentle abrasion with an emery board, or with gentle abrasion of an
electrode creme (such as Redux) with abrasive in the creme. All
these skin preparation modalities remove surface cornified
epethelium, and bring the electrode (sensor) to the relatively deep
skin layers, in which variation of potentials is minimal.
Satisfactory performance of electrode sensors is achieved by
establishment of contact with such deeper skin layers. The present
invention guarantees such contact through use of a resilient sponge
as the immediate contact between electrode assembly and the deep
layers of skin. We have reduced to practice successful use of this
sponge-under-pressure system with diverse materials, including
latex rubber foam, polyurethane foam, neoprene, cellulose sponge,
and cork. The key feature of this part of our invention is to have
the sponge surface protrude from the electrode assembly. When the
electrode assembly is adhered to the skin, the sponge is under
compression at all times, guaranteeing maintenance of good contact
with the deep layers of skin, where potential variation is at a
minimum. To insure that the compression does not de-adhere the
electrode assembly, we use a sufficiently large surface of adhesive
to over balance the deadhering force of the compressed sponge. The
area chosen for adhesion depends upon the extent to which the
sponge is compressed, which in turn, depends upon the sponge
density and thickness chosen.
The sponge-under-compression serves two important functions,
additionally, in the present invention. First, since the sponge is
soaked with electrolyte cream (and excess squeezed out), the sponge
provides a very low impedance electrical contact path from skin to
the electrode compartment. The sponge is under compression and
hence at all times in excellent contact with the porous blotting
surface of the electrode compartment as well as in excellent
contact with skin. This feature of the invention obviates an
important source of artifact noise, namely that due to make-break
phenomena within the electrode assembly or at the skin electrode
interface, especially when the electrode assembly is stressed by
patient motion, by pushes on the assembly or by taps on the
assembly.
The present invention has further features which prevent potential
variation at the skin-electrode interface. It is essential that no
mechanism of stress should alter the skin-electrode interface,
since this would give rise to observation of varying potentials -
such varying potentials being the essence of artifact "noise." The
usually available commercial sensors are deficient in this respect
in that pressure stresses on the electrode are directly transferred
to the skin-electrode interface. In this way potential variation is
minimized or eliminated, protecting the assembly from this source
of artifact "noise."
There is still another feature of the invention which is important
for minimizing voltage artifacts. The sponge, while soaked in gel
or creme, is then squeezed out to eliminate excess creme or gel.
Thus, the invention uses a "semi-dry" sponge, in that no excess
creme is available when the electrode is mounted on the skin. This
feature is important, for if excess creme or gel is present, in the
usual "wet" sponges, such excess creme can find its way between the
electrode and skin including separation of the adhesive surface
from skin. Once this situation is reached, pressure stresses on the
electrode assembly transfer the stress to the creme-skin contact
and force this creme to contact with deeper layers of skin,
resulting in the sensing of the potential variation with depth.
This is a source of artifact voltage. The "semi-dry" sponge does
not provide such excess creme or gel and hence prevents this
described source of artifact voltage.
The invention has been successfully employed with a variety of
electrolyte cremes and gels, so that variation in gel or creme does
not constitute a departure from our invention. Among these we have
successfully utilized:
Ekg solution
Redux Creme
Redux Paste
Ferris Gel
Cam-Creme
This wide variety of cremes and gels will all work satisfactorily
with the invention.
Further, the construction of the electrode base of the present
invention is such that it is made of a soft plastic which conforms
to the body of the wearer so that it can be worn for long periods
of time without discomfort.
Another feature of the invention is that the base member is shaped
in such a manner that lateral forces, which might otherwise detach
the electrode from the body, are deflected.
Another feature of the present invention is that it can be made of
two injection molded parts at low cost so that it can be considered
an expendable item.
Other features of the invention will be brought out in the balance
of the specification.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a perspective view, partly in section, of a body
electrode embodying the present invention.
FIG. 2 is an enlarged section on line 2--2 of FIG. 1.
FIG. 3 is an exploded perspective view of an electrode embodying
the present invention.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
Referring to the drawings by reference characters, the electrode of
the present invention is generally designated 5 and consists of two
main parts, namely, a base 7 and snap 9.
The base includes a wide rim portion 11 which is relatively thin so
that it can conform to the shape of the body, particularly during
movement. The base includes a central cavity 13 which is defined by
the sidewall 15 and the top 17, both of which are relatively heavy
construction. It will be noted that both the sidewall 15 and top 17
slant to form a ramp-like configuration which aids in retaining the
device in the presence of lateral forces. At the center of the top
a hole 19 is provided for the reception of the center post of the
snap, later described. In the cup-like inner portion 13 are four
bosses 21 which serve to retain the snap within the cup. The base
thus far described is preferably cast from a single piece of
flexible polyvinylchloride, although it could be made out of
natural or artificial rubber or any relatively soft plastic. A
double sided adhesive 25 is applied to the lower surface of rim 11
for attachment of the base to the body of the wearer.
The snap 9 includes a disc-like member 27 having a sharp edge 29.
At the center, a post 31 is formed having a bulbous top 33. The
bulbous top 33 is bifurcated as at 35 which aids in snapping the
electrode to a standard clip, and which also facilitates removal of
the snap piece from the injection molding tool (if the part is made
by injection molding). Preferably, the snap is made of a relatively
hard plastic which is platable such as No. EP-3510 acrilonitrile
butadiene styrene (ABS) which is plated successively with copper,
nickel and then silver. The snap could be cast from metal but the
plastic is lighter weight, less expensive and provides excellent
conductivity when made in this manner. The sharp edge 29 of the
snap facilitates snapping it over the bosses 21 of the base and
also acts as a seal, preventing leakage of the electrode jell
solution out of the inner cup chamber of the base. The bosses 21
retain the snap 9 into the base 7. This retaining could be
performed by any undercut in the inner cup chamber of the base
7.
In use, a disc 37 of porous paper such as blotting paper and a
relatively thick disc 39 of a foam-like material such as latex or
polyurethane foam is provided. The paper 37 and the foam 39 are
both saturated with an electrode jell solution and, as can best be
seen in FIG. 2, the foam extends slightly beyond the bottom edge of
the flat portion 11. Thus, when the electrode is applied to the
body, the discs 37 and 39 are under compression, maintaining a
constant resistance between the body and the snap, even during
vigorous body movement. The paper disc 37 and foam disc 39 are
attached to each other with an adhesive. Since the paper fits
tightly into the cup chamber of the base 7, the foam disc 39 is
also securely retained into the assembly. Since the sides 15 and
top 17 form ramp-like members, the electrode is highly resistant to
lateral forces which might otherwise detach the electrode from the
body.
It will be apparent to those skilled in the art that many
departures can be made from the exact structure shown without
departing from the spirit of this invention.
* * * * *