WO2000009202A1 - Biomedical electrode with perforation lines - Google Patents

Biomedical electrode with perforation lines Download PDF

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Publication number
WO2000009202A1
WO2000009202A1 PCT/US1999/017741 US9917741W WO0009202A1 WO 2000009202 A1 WO2000009202 A1 WO 2000009202A1 US 9917741 W US9917741 W US 9917741W WO 0009202 A1 WO0009202 A1 WO 0009202A1
Authority
WO
WIPO (PCT)
Prior art keywords
pad
biomedical electrode
electrode according
detaching
biomedical
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US1999/017741
Other languages
English (en)
French (fr)
Inventor
James C. Calenzo, Sr.
Arthur R. Eddy, Jr.
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Conmed Corp
Original Assignee
Conmed Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Conmed Corp filed Critical Conmed Corp
Priority to JP2000564703A priority Critical patent/JP4155709B2/ja
Priority to DE69912802T priority patent/DE69912802T2/de
Priority to AT99939021T priority patent/ATE253955T1/de
Priority to EP99939021A priority patent/EP1104325B1/en
Publication of WO2000009202A1 publication Critical patent/WO2000009202A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/0404—Electrodes for external use
    • A61N1/0408—Use-related aspects
    • A61N1/0456—Specially adapted for transcutaneous electrical nerve stimulation [TENS]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/0404—Electrodes for external use
    • A61N1/0472—Structure-related aspects
    • A61N1/0492—Patch electrodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/0404—Electrodes for external use
    • A61N1/0408—Use-related aspects
    • A61N1/046—Specially adapted for shock therapy, e.g. defibrillation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/0404—Electrodes for external use
    • A61N1/0472—Structure-related aspects
    • A61N1/048—Electrodes characterised by a specific connection between lead and electrode

Definitions

  • the present invention relates generally to biomedical electrodes. More particularly, the present invention relates to novel perforated biomedical electrodes having a surface area for contacting to a patient's skin which can be readily reduced in size depending on a particular application.
  • Biomedical electrodes are typically used in monitoring electrical impulses from the heart or brain.
  • Conventional biomedical electrodes are generally disposable and comprise a pad member with an electrode projection on its top surface which is in electrical communication with a central portion of the bottom surface for making an electrical contact with a patient's skin.
  • an adhesive material on the bottom surface surrounds the central portion and attaches the electrode in place.
  • Biomedical electrodes are also typically used in providing electrical impulses for nerve or neuromuscular stimulation. Biomedical electrodes may also be used to deliver current, e.g., a defibrillation pad, in the event that the heart goes into fibrillation or to act as a ground during electrosurgery, e.g., a dispersive pad.
  • Examples of such prior art biomedical electrodes are disclosed in U.S. Patent Nos . 4,674,512 to Rolf; 4,834,103 to Heath; and 5,330,527 to Montecalvo et al .
  • Examples of biomedical electrodes which are configured to more securely attach an electrical lead wire to the electrode include, U.S. Patent Nos . 4,331,153 and 4,757,817, both to Healy.
  • the patents to Healy disclose an EKG electrode pad having a cut which allows an auxiliary portion of the pad to be lifted up and placed over the electrical lead wire which attaches to an electrode projection of the electrode.
  • U.S. Patent No. 5,348,007 to Hitti discloses a biomedical electrode that will not easily be pulled from the skin of a patient when a force is exerted between the electrical lead wire and the patient.
  • the biomedical electrode disclosed in Hitti includes a contact portion connected to a conductive bridge portion.
  • the bridge portion is provided with a series of perforations or slits separated by small connections. The perforations form a break away means for the bridge portion which is used to pull the bridge portion apart, allowing it to expand, either immediately before or after the contact portion is applied to the patient's skin.
  • biomedical electrodes are configured with a single or fixed surface area for contacting to a patient's skin. For example, when used in monitoring electrical impulses from a patient's heart or brain, a large number of electrodes are required to be attached to the patient's skin. Biomedical electrodes which have a fixed surface area for contacting to a patient's skin limit how close the biomedical electrodes can be spaced from each other. Such biomedical electrodes are also configured having a single or fixed surface area for establishing an electrical contact or ground with the patient's skin.
  • biomedical electrodes having the same contact size are typically packaged and sold in large volumes, e.g., to hospitals or government agencies. This limits purchases of biomedical electrodes having different contact sizes, and particularly, to less frequently used biomedical electrode sizes.
  • a biomedical electrode having one or more detachable portions which a clinician can readily remove to thereby reduce the contact size of the electrode, e.g., to reduce the effective area for adhering the electrode to the patient's skin and/or to reduce the effective area for establishing electrical contact or ground with the patient's skin.
  • One embodiment of a biomedical electrode according to the present invention includes a pad comprising a first portion, a second portion, and a predefined means for detaching the second portion from the pad so that the pad with the second portion comprises a first surface area for contacting a patient's skin and upon detaching the second portion from the pad, the pad comprises a second surface area for contacting the patient's skin.
  • An electrode is operably attached to the first portion of the pad.
  • the predefined means for detaching may comprise a predefined line of separation and the second portion is detachable from the pad along the predefined line of separation.
  • the predefined means for detaching may also peripherally extend around the first portion.
  • the pad may be disk- shaped
  • the first portion may be disk-shaped
  • the second portion may be annular-shaped.
  • the predefined means for detaching may further comprise a series of apertures which extends through the pad.
  • the biomedical electrode includes a layer of pressure-sensitive adhesive disposed on a portion of the first surface area and a protective cover sheet releasably attachable to the layer of adhesive.
  • an electrically conductive layer is disposed between the first surface area and the adhesive layer, and the predefined means for detaching comprises a series of apertures which extends through the pad and the electrically conductive layer.
  • the first portion comprises a top surface and a bottom surface
  • the electrode comprises an upper electrical projection extending from the top surface and a lower planar member disposed below the bottom surface.
  • a porous member may be disposed on a bottom surface of the lower planar member and an electrically conductive jelly may be absorbed into the porous member .
  • a further embodiment of the present invention comprises a method of producing a biomedical electrode comprising the steps of providing a pad having a first portion, defining means for detaching a second portion from the pad so that the pad with the second portion has a first surface area for contacting a patient's skin and upon detaching the second, portion from the pad, the pad has a second surface area for contacting the patient's skin, providing an electrode, and attaching the electrode to the first portion.
  • FIG. 1 is a perspective view of one embodiment of a perforated biomedical electrode according to the present invention
  • FIG. 2 is a perspective view of the perforated biomedical electrode shown in FIG. 1 in which a detachable portion of the electrode is illustrated being removed;
  • FIG. 3 is a cross-sectional view of the perforated biomedical electrode, shown in FIG. 1, attached to the skin of a patient;
  • FIG. 4 is a cross-sectional view of the perforated biomedical electrode shown in FIG. 2 in which the detachable portion has been removed and the reduced size biomedical electrode is attached to the skin of a child;
  • FIG. 5 is a perspective view of an alternative embodiment of a perforated biomedical electrode according to the present invention in which a plurality of perforated biomedical electrodes is attached to a single release or protective cover sheet ;
  • FIG. 6 is a cross-sectional view of the perforated biomedical electrode, shown in FIG. 5, attached to the skin of a patient;
  • FIG. 7 is a top view of an alternative embodiment of a perforated biomedical electrode according to the present invention.
  • FIG. 8 is a bottom view of the perforated biomedical electrode shown in FIG. 7. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
  • perforated biomedical electrode 10 constructed in accordance with the principles of the present invention.
  • the novel construction of perforated biomedical electrode 10 allows a clinician to readily reduce the contact surface size of perforated biomedical electrode 10 prior to use as shown in FIG. 2.
  • perforated biomedical electrode 10 may be used with monitoring devices including cardioscopes, electrocardiographs, and electrocardiograms for monitoring the operation of the heart, with stimulating devices including Transcutaneous Electrical Nerve Stimulation (TENS) or Neuromuscular Stimulation (NMS) , as well as with therapeutic devices.
  • monitoring devices including cardioscopes, electrocardiographs, and electrocardiograms for monitoring the operation of the heart
  • stimulating devices including Transcutaneous Electrical Nerve Stimulation (TENS) or Neuromuscular Stimulation (NMS)
  • TNS Transcutaneous Electrical Nerve Stimulation
  • NMS Neuromuscular Stimulation
  • the perforated biomedical electrode may also be used with defibrillation devices, as well as with electrosurgical instruments.
  • illustrated perforated biomedical electrode 10 includes a disk- shaped pad 20 having a top surface 22, a bottom surface 24 (FIG. 3) , and a surrounding edge 29 (FIG. 3) .
  • Pad 20 further includes an inner, disk-shaped portion 26 and an outer, annular, detachable portion 28.
  • An electrode 30 is attached to inner portion 26, and a pressure-sensitive adhesive layer 40 is disposed on bottom surface 24 (FIG. 3) of pad 20.
  • Pad 20 may include a series of apertures 25 which extends from top surface 22 to bottom surface 24 (FIG. 3) and along which outer detachable portion 28 is separable from pad 20.
  • the series of apertures 25 form a predefined detachable means or predefined line of separation between outer detachable portion 28 and inner portion 26 so that first and second portions are sufficiently attached together to act as one, and so that outer detachable portion 28 may be readily and cleanly removed from inner portion 26 along the predefined line of separation by a clinician.
  • the series of apertures 25 include a series of elongated slits.
  • apertures 25 are illustrated as slits in FIGS. 1-3, from the present description it will be appreciated by those skilled in the art that apertures 25 can include a series of circular holes, elongated openings, or other suitable shaped passageways which allow detachment of a portion of the biomedical electrode.
  • the apertures need not extend completely through the pad so long as a portion of the biomedical electrode may be readily detached along the predefined line of separation or break line.
  • the pad may have a reduced thickness which defines the line of separation along which the detachable portion is separable from the pad.
  • pad 20 may be of any suitable shape, e.g., oval, square, or rectangle.
  • the predefined detachable means need not peripherally extend completely around the first or inner portion of the biomedical electrode.
  • a perforated biomedical electrode may be provided with a predefined detachable means which extends from one edge portion of the pad to an opposite edge portion of the pad, e.g., a rectangular-shaped pad having one or more readily detachable end portions.
  • Pad 20 may be formed from an electrically insulating or non-conductive material which is flexible to conform to a skin surface and/or flex with movement of the patient's skin.
  • pad 20 can be formed from a sheet of plastic foam, such as foamed polyurethane , polyethylene, or foam rubber, etc.
  • Perforated biomedical electrode 10 may further include a release or protective cover sheet 50 (FIGS. 1 and 2) disposed on adhesive layer 40 for protecting adhesive layer 40.
  • Protective cover sheet 50 may be removed or peeled off to expose pressure- sensitive adhesive layer 40 just prior to use.
  • the protective cover sheet can comprise a suitable thin, transparent or opaque, plastic material.
  • pad 20 may include a pull tab which can be easily grasped by a clinician for removing the protective cover sheet.
  • release sheet 50 is removed from perforated biomedical electrode 10 and the biomedical electrode is attached to the skin of a patient by means of pressure-sensitive adhesive layer 40 (FIG. 1), e.g., for use on a patient (FIG. 3) .
  • a clinician can easily remove outer detachable portion 28 of perforated biomedical electrode 10 prior to removal of protective cover sheet 50, as shown in FIG. 2. Subsequently, protective cover sheet 50 can be removed from the inner portion, and the reduced size biomedical electrode can be attached to the skin of a patient by means of pressure-sensitive adhesive layer 40, e.g., for use on a child or a small adult (FIG. 4) .
  • outer detachable portion 28 comprises outer circular edge 29, and the series of apertures 25 are concentrically disposed so that the outer detachable portion 28 has a width, e.g., about one-third the distance from outer circular edge 29 to the center of inner portion 26.
  • electrode 30 may comprise a generally inverted T-shaped cross- section having a bottom planar member 32 and an upwardly extending electrical projection 34 which extends through a hole in pad 20.
  • Electrode 30 may comprise a metal, an electrically conductive plastic, or other suitable electrically conductive materials or combinations thereof. In certain electrode designs, it may be useful to have a collar 35 which operably attaches to electrical projection 34 to retain electrode 30 to pad 20.
  • Perforated biomedical electrode 10 can be connected to a monitoring or stimulating device via an electrical connector 60 of an electrical lead wire 62. Desirably, electrical connector 60 is readily and releasably attachable to electrical projection 32 in a snap-fit manner.
  • the electrode may have an electrically conductive tab-type connector means which attaches to an alligator clip type termination on the leadwire .
  • Other types of connector means depending upon the biomedical electrode configuration, may also employ the perforated biomedical electrode design.
  • a porous member 37 may be disposed on the bottom surface of planar member 32 for receiving and absorbing an electrically conductive fluid or jelly, e.g., saline gel, or other equally suitable medium, to provide a conductive path between the electrode and the skin of the patient.
  • an electrically conductive fluid or jelly e.g., saline gel, or other equally suitable medium
  • Perforated biomedical electrode 10 may also comprise an annular ring 23 disposed around porous member 37 to contain the conductive medium.
  • Ring 23 may be fabricated from any suitable material, and is desirably formed of the same material as pad 20 and secured to pad 20 with a layer of adhesive therebetween. Desirably, the bottom portion of ring 23 includes an adhesive layer 40a. While an electrically conductive fluid or jelly can be applied to the electrode prior to use, the perforated biomedical electrodes of the present invention can be manufactured and sold with an electrically conductive fluid or jelly absorbed into the porous pad and protected by the protective cover sheet to prevent the electrically conductive fluid or jelly from drying out .
  • FIG. 5 illustrates an alternative embodiment of the present invention for a perforated biomedical electrode 100 having a plurality of outer detachable portions 128a and 128b.
  • a plurality of perforated biomedical electrodes 100 can be disposed on a single release or protective cover sheet 150.
  • Illustrated perforated biomedical electrode 100 is desirably suitable for nerve and/or neuromuscular stimulation and includes a bottom surface which provides a ground to transfer electrical impulses to a patient's skin. The bottom surface can be readily reduced in size to one of three different sizes depending on the particular application.
  • perforated biomedical electrode 100 includes a disk-shaped pad 120 having a top surface 122 and a bottom surface 124.
  • An electrically conductive layer 131 is attached to bottom surface 124 of pad 120, and an electrically conductive pressure-sensitive adhesive layer 140 is disposed on the bottom surface of electrically conductive layer 131.
  • Pad 120 and electrically conductive layer 131 further comprise a first series of apertures 125a, and a second series of apertures 125b, which extend from top surface 122 of pad 120 to a bottom surface of electrically conductive layer 131.
  • first series of apertures 125a and second series of apertures 125b are concentrically aligned.
  • the electrically conductive layer may be a flexible metal foil and the electrically conductive pressure-sensitive adhesive layer may include an electrically conductive gel.
  • biomedical electrode 100 is provided with three different effective biomedical electrode sizes.
  • the area of contact between the biomedical electrode and the patient's skin can be incrementally reduced by removing one or both outer portions, thereby varying the resistance or impedance between the biomedical electrode and the patient ' s skin.
  • FIG. 7 illustrates a perforated teardrop-shaped biomedical electrode 200 placed on a patient's skin surface.
  • Biomedical electrode 200 includes a pad 220 having a main portion 222 and a pull tab portion 221.
  • a series of aperatures 225 extends through portions 221 and 222 of pad 220.
  • An electrode 230 may be centered on main portion 222.
  • an adhesive 240 may be cast over the bottom surface of biomedical electrode 200 and a conductive jelly 238 may be centered and aligned with electrode 230.
  • the bottom surface of tab portion 221 of pad 220 contains a generally triangular-shaped release sheet portion 212 which prevents adhesive 240 on a portion of tab portion 221 from adhering to the patient's skin.
  • triangular-shaped release sheet portion 212 may be made by using a back slit die cutting operation during the manufacturing process of biomedical electrode 200 attached to a release sheet.
  • Series of apperatures 225 may also extend through a portion of triangular-shaped release sheet portion 212.
  • pull tab portion 221 allows a clinician to slid a finger or thumb underneath pull tab portion 221, grasp the tab with the thumb and finger and peel the biomedical electrode off of the patient's skin.

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Electrotherapy Devices (AREA)
  • Materials For Medical Uses (AREA)
PCT/US1999/017741 1998-08-11 1999-08-05 Biomedical electrode with perforation lines Ceased WO2000009202A1 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
JP2000564703A JP4155709B2 (ja) 1998-08-11 1999-08-05 ミシン目の線を有する生体臨床医学用電極
DE69912802T DE69912802T2 (de) 1998-08-11 1999-08-05 Biomedizinische elektrode mit perforationslinien
AT99939021T ATE253955T1 (de) 1998-08-11 1999-08-05 Biomedizinische elektrode mit perforationslinien
EP99939021A EP1104325B1 (en) 1998-08-11 1999-08-05 Biomedical electrode with perforation lines

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US09/132,416 1998-08-11
US09/132,416 US6240323B1 (en) 1998-08-11 1998-08-11 Perforated size adjustable biomedical electrode

Publications (1)

Publication Number Publication Date
WO2000009202A1 true WO2000009202A1 (en) 2000-02-24

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PCT/US1999/017741 Ceased WO2000009202A1 (en) 1998-08-11 1999-08-05 Biomedical electrode with perforation lines

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US (1) US6240323B1 (enExample)
EP (1) EP1104325B1 (enExample)
JP (1) JP4155709B2 (enExample)
AT (1) ATE253955T1 (enExample)
DE (1) DE69912802T2 (enExample)
WO (1) WO2000009202A1 (enExample)

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EP1104325A1 (en) 2001-06-06
DE69912802T2 (de) 2004-08-12
DE69912802D1 (de) 2003-12-18
JP4155709B2 (ja) 2008-09-24
ATE253955T1 (de) 2003-11-15
JP2002522178A (ja) 2002-07-23
US6240323B1 (en) 2001-05-29
EP1104325B1 (en) 2003-11-12

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