X-ray transparent medical electrodes and lead wires and assemblies thereof

• US 4,685,467 A
• Filed: 07/10/1985
• Issued: 08/11/1987
• Est. Priority Date: 07/10/1985
• Status: Expired due to Term

• Current Assignee: NDM, Inc.
• Original Assignee: American Hospital Supply Corp. (Baxter International Inc.)
• Inventors: Patrick, Charles T. Jr., Cartmell, James V., Allaire, Michael J., Burcham, Larry R.
• Primary Examiner(s): NOT, DEFINED
• Application Number:
  US06/753,411
• Time in Patent Office: 762 Days
• Field of Search: 128/639, 128/640, 128/641, 128/643, 339/D3, 339/59, 339/61
• US Class Current: 600/385
• CPC Class Codes: A61B 2562/0215 Silver or silver chloride containing
• CPC Class Codes: A61B 2562/0217 Electrolyte containing
• CPC Class Codes: A61B 5/25 Bioelectric electrodes therefor
• CPC Class Codes: A61B 5/265 containing silver or silver chloride
• CPC Class Codes: A61B 5/268 containing conductive polymers, e.g. PEDOT:PSS polymers
• CPC Class Codes: A61B 5/274 using snap or button fasteners
• CPC Class Codes: Y10S 439/909 Medical use or attached to human body

Abstract

A medical electrode assembly which is otherwise free of metal in the area of attachment to a patient so as to be X-ray transparent in such area has a conductive plastic electrode conductor with a silver plated and chlorided coating of a thickness between 0.02 and 0.08 mil. The assembly also has a lead wire formed from an elongate cable having carbon fibers in a low density polymeric jacket and a conductive plastic connector having an opening for gripping a stud formed by the conductive plastic electrode conductor.

Claims

1. In an x-ray transparent medical electrode assembly of the type comprising a conductor, means for bridging the conductor to human tissue, and connector means detachably connected to said conductor for connecting said conductor to peripheral equipment, the improvement wherein said conductor comprises a conductive plastic body that includes a stud having a thin metal coating on its outer surface, wherein said connector means comprises a conductive plastic body having an opening extending therethrough for receiving said stud, and wherein said body has surface portions defining marginal portions of said openings that resiliently grip said outer surface of said stud when said connector means is connected to said conductor.

2. The medical electrode assembly of claim 1 wherein said body of said connector means conprises a polymeric matrix filled with carbon.

3. The medical electrode assembly of claim 1 wherein said connector means further comprises a cable comprising a bundle of carbon filaments contacting and extending into said body of said connector means.

4. The medical electrode assembly of claim 3 wherein said cable has a polyurethane jacket surrounding said carbon filaments.

5. The medical electrode assembly of claim 1 wherein said opening has a keyhole shape with a larger part and a smaller part for receiving said stud in said larger part and for slideably accepting said stud in said smaller part and wherein said surface portions of said body resiliently gripping said outer surface of said stud define marginal portions of said smaller part.

6. The medical electrode assembly of claim 5 wherein said conductive plastic body of said connector means further has a slit extending therethrough communicating with said smaller part and opening to the outer margin of said body to enable said side wall portions therof to be spread apart upon insertion of said stud therein.

7. The medical electrode assembly of claim 1 wherein said conductor has a base surface which has a metal coating and wherein said means for bridging the conductor to human tissue comprises an electrolyte engaging said base surface.

8. The medical electrode assembly of claim 7 wherein said body of said conductor comprises a plastic matrix rendered conductive by included carbon and wherein said metal coating on said stud and said metal coating on said base surface comprise a chlorided silver plating on the outer surface of said body of said conductor.

9. The medical electrode assembly of claim 8 wherein said silver plating has a thickness before chloriding in the range of 0.02 to 0.08 mils.

10. The medical electrode assembly of claim 1 wherein said conductor is mounted in a surrounding frame of non-conductive plastic and wherein said means for bridging comprises an electrolyte-loaded sponge, peripheral portions of said sponge being affixed to said frame.

11. The medical electrode assembly of claim 10 wherein said conductor has a surrounding tongue lodged within a groove within said frame.

12. The medical electrode assembly of claim 1 wherein said stud has a generally cylindrical shape and has a head portion and a neck portion for connection to a snap-fastener connector.

13. The medical electrode assembly of claim 12 wherein said stud has a base portion below said neck portion, said portion base having a generally conical shape, said marginal portions of said connector are shaped to engage said neck portion, and said connector has flanges adjacent said marginal portions shaped to engage the outer wall of said base portion.

14. An x-ray transparent medical electrode assembly comprising:

a low-profile, x-ray transparent, plastic electrode conductor made conductive by the inclusion of carbon and having a thin metallic coating on surface portions thereof;

an electrolyte engaged with a surface portion of said conductor coated with said thin metallic coating for electrically bridging between said conductor and the skin of a patient;

means connected to said conductor for adhering said conductor and said electrolyte to the skin of a patient;

an x-ray transparent cable;

means connected to one end of said cable for electrical connection to monitoring equipment; and

x-ray transparent means for detachably connecting said cable to said conductor comprising a pair of tightly interfitting, conductive plastic members, including a first conductive plastic member which is integrally fixed to said conductor and a second conductive plastic member which is integrally fixed to said lead wire, one of said members having a chlorided silver coating having a thickness before chloriding in the range of 0.02 to 0.08 mils, so that said pair of members when assembled to one another are x-ray transparent and are electrically and mechanically uncompromised by the application thereto of high energy pulses resulting from defibrillation procedures so that reliable traces of heart waves will continue to be obtained after defibrillation pulses have been applied to a patient to whom the electrode assembly is applied.

15. The medical electrode assembly of claim 14 wherein said first conductive plastic member comprises a stud integral with said conductor and said second conductive plastic member comprises a connector at the other end of said cable having an opening for snugly receiving said stud.

16. The medical electrode assembly of claim 15 wherein said connector comprises a thin-walled plate having marginal portions bounding said opening for resiliently gripping said stud.

17. The medical electrode assembly of claim 16 wherein said opening has a keyhole shape with a larger part and a smaller key-slot part for receiving said stud in its larger part and for slideably accepting said stud in said key-slot part and wherein said marginal portions bounding said opening comprise side wall portions of said key-slot part.

18. The medical electrode assembly of claim 17 wherein said plate further has a slit extending therethrough communicating with said key-slot part and opening to the outer margin of said body to enable said side wall portions to be spread apart upon insertion of said stud therein.

19. The medical electrode assembly of claim 18 wherein the opening of the end of said key-slot part remote from said larger part is slightly larger than the rest of said key-slot part but slightly smaller than the portion of said stud received therein.

20. For use with a medical electrode of the type having a stud, a lead wire comprising an x-ray transparent cable comprising a bundle or carbon filaments in a polymeric jacket, an X-ray transparent connector connected to said filaments, said X-ray transparent connector comprising a thin-walled plate formed from conductive plastic and having an opening for snugly receiving said stud, said plate having marginal portions bounding said opening for resiliently gripping said stud.

21. The medical electrode assembly of claim 20 wherein said opening has a keyhole shape with a larger part and a smaller key-slot part for receiving said stud in its larger part and for slideably accepting said stud in said key-slot part and wherein said marginal portions bounding said opening comprise side wall portions of said key-slot part.

22. The medical electrode assembly of claim 21 wherein said plate further has a slit extending therethrough communicating with said key-slot part and opening to the outer margin of said body to enable said side wall portions to be spread apart upon insertion of said stud therein.

23. The medical electrode assembly of claim 22 wherein the opening of the end of said key-slot part remote from said larger part is slightly larger than the rest of said key-slot part but slightly smaller than the portion of said stud received therein.

24. An x-ray transparent medical electrode assembly comprising:

a low-profile, x-ray transparent, plastic electrode conductor made conductive by the inclusion of carbon and having a thin metallic coating on surface portions thereof;

an electrolyte engaged with a surface portion of said conductor coated with said thin metallic coating for electrically bridging between said conductor and the skin of a patient;

means connected to said conductor for adhering said conductor and said electrolyte to the skin of a patient;

an x-ray transparent cable;

means connected to one end of said cable for electrical connection to monitoring equipment; and

x-ray transparent means for detachably connecting said cable to said conductor comprising a pair of tightly interfitting, conductive plastic members, including a first conductive plastic member which is integral with said conductor and a second conductive plastic member which is integral with said lead wire,

said first conductive plastic member comprising a stud having a head portion and a neck portion for connection to a snap-fastener connector, said stud further having a base portion below said neck portion, said neck portion having a smaller thickness than said head portion and said base portion, and

said second conductive plastic member comprising a thin-walled plate having an opening extending therethrough for receiving said stud, said opening having a larger part for receiving said stud and a smaller part, said plate having relatively movable confronting side walls bounding said smaller part for slideably accepting said neck portion that are mutually spaced apart by a distance less than the thickness of said neck portion and are forced apart upon slideable insertion of said neck portion therebetween so that said side walls firmly grip said neck portion.

25. The medical electrode assembly of claim 24 wherein said base portion of said stud has a generally conical shape and said connector has flanges adjacent said side walls shaped to engage the outer wall of said base portion.

26. The medical electrode assembly of claim 25 wherein said plate has a gap communicatihg with said smaller part and opening to the outer margin of said plate to enable said side wall portions therof to be spread apart upon insertion of said stud therein.

27. The medical electrode assembly of claim 24 wherein said stud has a chlorided silver coating having a thickness before chloriding in the range of 0.02 to 0.08 mils.

28. The medical electrode assembly of claim 24 wherein said x-ray transparent cable comprises a bundle of carbon filaments contacting and extending into said thin-walled plate.

29. The medical electrode assembly of claim 28 wherein said cable has a polyurethane jacket surrounding said carbon filaments.