CN1191784C - 用于放置心电机测量电极带的形装置 - Google Patents

用于放置心电机测量电极带的形装置 Download PDF

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CN1191784C
CN1191784C CNB981043593A CN98104359A CN1191784C CN 1191784 C CN1191784 C CN 1191784C CN B981043593 A CNB981043593 A CN B981043593A CN 98104359 A CN98104359 A CN 98104359A CN 1191784 C CN1191784 C CN 1191784C
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S·A·马亨尼
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Koninklijke Philips NV
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Abstract

一种ECG带形装置(11)，放在病人胸部进行心电机测量。该装置包括非导电膜的带(13)，具有：一组缝隙(21，23，25，27)，在选择的解剖学位置沿带的长度配置；连接端子(33)，设在带的一端，以便与一监视装置连接；导电的边缘迹线(29)，在缝隙周围延伸，使迹线露在带的外侧并与内侧绝缘；导线(31)，从连接端子延伸到迹线；电极垫(35)，放在带的外侧，至少部分地伸展在各缝隙上，每个垫有导电的内侧(36)，以便与一条迹线及病人皮肤电接触。

Description

用于放置心电机测量电极带的带形装置
技术领域
一般说，本发明涉及用于进行心电机测量的传感器，具体说，涉及一种带形装置(harness)，便于在病人身上快速适当地放置电极。
背景技术
通常以心电机(ECG)测量提供关于病人心脏功能的信息。技术人员惯常是将传感器放在病人的胸部。该传感器是具有粘胶的一些电极，以便粘在病人的皮肤上并具有导电性能，然后技术人员将ECG监视器的导线夹到每个电极垫的端子上。技术人员监视电压差，以给出表示病人心脏情况的曲线。
将电极垫放到十分精确的解剖学位置是十分重要的。给出这些位置以便与通过各类病人取得的ECG测量结果进行适当比较。然而，病人的身体尺寸不同使这种放置工作相当困难。通常，必须放置6个电极垫，然后将导线夹到垫上。而且，技术人员必须小心将适当的导线夹到对路的电极垫上。
必须有技术和细心才能将用于ECG测量的传感器安置好。在紧急情况下这种工作变得更为困难。例如，在救护车上或在现场以手提式ECG装置进行ECG测量是很有用的，然而，由于时间紧迫，很难准确快速地放置和连接电极垫。
现有的专利公开了多种方便ECG测量的装置。一般，这些装置包括某种带或带形装置，具有预先连线到带边缘上的连接器端子的一些电极。预先将电极垫连到连接器端子上减少了技术人员不小心转接导线的机会。同时，一些装置通常是将电极放在所要求的解剖学位置附近。然而，由于病人体形的差别手头上可能要有各种尺寸的这类带子。一些公开了的装置是很昂贵的。由于这样那样的原因，通常不使用这种预先连接的带子。
发明内容
本发明提供了一种放到病人胸部的带形装置，以进行ECG测量。该带形装置包括一个非导电薄膜的薄带，该薄带具有一组缝隙。可将缝隙放在预先选定的解剖学位置上。带的内侧包括用于粘附到病人皮肤上的粘胶层。端子连接器位于带的一边，用于连接到监视装置上。
一组导电的边缘迹线至少部分地围绕这些缝隙延伸。该边缘迹线露在带的外侧，与带的内侧绝缘。还在带上形成导线或迹线。至少从边缘迹线延伸的一些导线将边缘迹线与连接端子连接。
从带上分别提供电极垫，这些电极垫一般有通用性，但不需要用鳄鱼夹端子。这些垫的内侧有导电凝胶。将垫放到至少一部分缝隙上，与边缘迹线电接触。将垫的导电凝胶放到病人皮肤上，使之与边缘迹线和导线导通。
为了避免有过大尺寸，一些缝隙是细长的，长度比宽度大。电极垫具有一长度和宽度，但两者都显著小于细长缝隙的长度。这使技术人员可根据病人体形尺寸选择沿缝隙的不同点放置该垫。
附图说明
图1是一正视图，示意地表示出按本发明构成的ECG带形装置。
图2是沿图1的2-2线截取的ECG带形装置的局部放大剖视图，其厚度被显著放大了。
图3是沿图1的线3-3截取的图1所示带形装置的另一放大剖示图，其厚度也被显著放大了。
具体实施方式
参看图1，带形装置11用于放置到病人身上进行ECG测量。带形装置11包括柔性带13。带13是一种非导电衬底或薄膜，具有一种能够对各种体形尺寸的病人进行ECG测量的结构。带13具有直的横向部分13a，通向与横向部分13a成钝角的斜向部分13b。斜向部分13b是直的，通向头部13c。端部13d从端部13c与横向部分13a近似垂直地延伸。带13是细长的，从头部13c到横向部分13a的自由端的长度显著大于它的宽度。
参看图2，带13比所示的要薄得多，图中在厚度上被放大了。带13的外侧15背离病人，而内侧包含粘胶涂层17。如图3所示，使用之前底层19覆盖住粘胶层17。底层19是一种用于保护粘胶层17的可除去的膜。
再参看图1，带13具有一组细长的缝隙21、23、25和27，这些缝隙完全穿过带13。每个缝隙的长度L大于它的宽度W。然而，缝隙21、23、25、27不都是直的，也不都是一样长度的。宽度W最好相同。缝隙23成折线形，因为它大致位于斜向部分13b与横向部分13a的接合处。在所示的实施例中，缝隙21比缝隙25和27的长度短，因为它比其它的更接近头部13c。缝隙21、23、25和27有不同长度的原因是为了适应不同体形尺寸病人的所要求的解剖学位置的较大变化。
用边缘迹线29环绕每个缝隙21、23、25和27。边缘迹线29是导电的并沿着每个缝隙21、23、25和27形成周边。以通常的方法，比如，通过氯化银沉积，使边缘迹线29形成在带13的衬底上。如图2和3中所示，边缘迹线29露在带13的外侧15上。然而，通过非导电带13部分使边缘迹线29与内侧17绝缘。
带形装置11具有一组导线31。导线31也是由一种导电印剂构成的，比如，以与边缘迹线29的同样方法形成的氯化银印剂。导线31也不延伸过带13的整个厚度。可使导线31露在外侧15，但不必使它们露到具有粘胶面的内侧17。导线31从连接端子33延伸，这是一种通常的连接器，用于将带形装置11连接到ECG监视器。一条导线31延伸到每一边缘迹线29，将边缘迹线分开电连接到连接端子33上。
带13用了一组电极垫35。电极垫35可以是一般用于ECG测量的通用类型。然而，不像现有技术那样，它们无须连接到鳄鱼夹上。图2中所示的每个电极垫35都有一层通常的导电层36，它可以是沉积在薄膜上的导电印剂。将导电凝胶37涂到导电层36的内侧，以便使病人的皮肤与导电层36接触。凝胶37有足够厚度，以便受挤压通过缝隙21、23、25、27部分。同时，一些凝胶37将接触边缘迹线29。凝胶37最好包括一种粘合成分，以便粘附到边缘迹线29和病人的皮肤上。
如图1所示，电极垫35的边到边的尺寸比各缝隙21、23、25和27的长度L小得多。所示的电极垫35呈正方形，其长度和宽度相等，当然其结构可以变化，也可以是圆形等。电极垫35的长度和宽度之一最好大于宽度W，但两者的尺寸都比缝隙长度L小。可将电极垫35放到沿缝隙21、23、25和27长度L的各个点上。而且，因为每个电极垫35的垂直尺寸都比宽度W大，故每个电极垫35会完全横跨每个缝隙21、23、25和27延伸。
在该最佳实施例中，不是所有的导线31都连到缝隙21、23、25、27之一上。而是有两条导线31连到固定的电极41上。使电极41与带13整体地形成，并有导电凝胶涂层。除去底层19使固定电极41的内侧露到病人皮肤上。
使用时，将底层19剥离，以要求的方位将带13放到病人的胸部。具有粘胶面的内侧17将带13粘结到病人身上。将固定电极41放在要求的解剖学位置。然后，技术人员使每一电极垫35就位。首先，技术人员除去在每个垫35上的底层(未示出)，露出凝胶37。然后，技术人员将垫35放到沿每个缝隙21、23、25和27长度L的所要求点上。当这样做时，凝胶37部分将与病人的皮肤电接触，并与边缘迹线29电接触。最好，每个电极垫35延伸横跨每个缝隙21、23、25和27的整个宽度W。然后，技术人员将连接端子33连接到ECG监视器并进行测量。为医院使用，可配置一个通用的带形装置11。
本发明具有显著的优点。通过预先连线，这种带形装置消除了用通常的ECG测量技术所发生的导线不适当的转接。因为有各细长的缝隙，该带形装置适用于各种体形的病人。缝隙的取向和带形结构保证了电极的十分精确的解剖学定位。这将大大加快紧急应用时的过程，并减低了对技术人员的技术水平要求，可让非专业人员在家里进行ECG测量。该带形装置便宜，便于使用。

Claims (4)

1.一种带形装置(11)，利用电极垫(35)将其定位到病人的胸部，以进行心电图测量，所述电极垫具有导电的内侧(36)，该带形装置(11)包括：
一个非导电膜的带(13)，具有用于定位到选择的解剖学位置上的一组缝隙(21，23，25，27)，所述带(13)的内侧含有粘胶层(17)；
连接端子(33)，处在带(13)的一端，用于与一监视装置连接；
一组导电的边缘迹线(29)，形成在带(13)上，并且至少部分地围绕缝隙(21，23，25，27)之一延伸，该边缘迹线(29)与带(13)的内侧绝缘，以避免与病人的皮肤接触；
一组导线(31)，形成在带(13)上，每条都从连接端子(33)引出，至少一些导线连接到边缘迹线(29)上，以使边缘迹线与连接端子电连接；
其中每条边缘迹线(29)都露在带(13)的外侧(15)，用于和一个电极垫(35)的含有导电凝胶(37)的导电内侧(36)电连接，所述电极垫(35)被选择放在带的外侧，至少部分地在一个缝隙上延伸，以便将电极垫(35)的导电内侧(36)与一条边缘迹线电接触，并与病人皮肤电接触。
2.根据权利要求1的带形装置，其特征在于，至少一个缝隙(21)是细长的，其长度大于宽度，成为细长缝隙，使得可沿该细长缝隙的长度选择一个电极垫(35)放置。
3.根据权利要求1的带形装置，其特征在于：
至少一个缝隙(21)是细长的，其长度大于宽度，成为细长缝隙；
每个电极垫(35)的宽度和长度都小于该细长缝隙的长度，使得可沿该细长缝隙的长度选择一个电极垫放置。
4.根据权利要求1的带形装置，其特征在于，所述电极垫(35)的至少一边的尺寸大于缝隙(21，23，25，27)的宽度。
CNB981043593A 1997-01-28 1998-01-27 用于放置心电机测量电极带的形装置 Expired - Fee Related CN1191784C (zh)

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EP0855168B1 (en) 2005-01-26
US5788633A (en) 1998-08-04
EP0855168A1 (en) 1998-07-29
JPH10211178A (ja) 1998-08-11
JP4218998B2 (ja) 2009-02-04
DE69732344T2 (de) 2005-12-22
DE69732344D1 (de) 2005-03-03
CN1194813A (zh) 1998-10-07

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