Large surface area electrode

• US 5,295,482 A
• Filed: 10/22/1992
• Issued: 03/22/1994
• Est. Priority Date: 10/22/1992
• Status: Expired due to Fees

• Current Assignee: Physiometrix, Inc. (Pfizer Inc.)
• Original Assignee: Physiometrix, Inc. (Pfizer Inc.)
• Inventors: Imran, Mir A., Clare, Christopher R., Highe, Albert J., Barnett, Donald E. Jr.
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): Parker, Marianne
• Application Number:
  US07/964,917
• Time in Patent Office: 516 Days
• Field of Search: 128/639-641, 128/798, 128/799, 128/802, 128/644, 602/2, 606/34, 606/41, 606/32-34, 607/62, 607/149, 607/152
• US Class Current: 600/385
• CPC Class Codes: A61N 1/046 Specially adapted for shock therapy, e.g. defibrillation
• CPC Class Codes: A61N 1/0492 Patch electrodes A61N1/0412, A61N1/0428 take precedence

Abstract

Large surface area electrode for use with a power supply having a more uniform current density distribution for contacting the exposed surface of a living body having a contour. The electrode comprises a layer of flexible conductive material of a predetermined geometrical shape and having first and second surfaces. The layer is normally relatively flat and is capable of assuming contours of the skin of the body when the electrode is placed in contact with the body with the first surface of the layer engaging the exposed surface of the body. The layer of conductive material has a central portion and a surrounding ring portion. The central portion and the surrounding ring portion have outer margins with edges. A flexible carrier layer is provided which is secured to the second surface of the layer of flexible conductive material and serves to support the central portion and the said surrounding portion so that the surrounding portion is spaced from and insulated from the central portion. A connector is provided which is connected to the surrounding ring portion and is adapted to be coupled to the power supply for controlling the current density at the edges so that the current density at the edges does not exceed a predetermined value. The connector forms a direct connection to the central portion and includes a resistor connected to the surrounding ring.

Claims

1. A large surface area electrode, for use with a power supply having a more uniform current density distribution for contacting an exposed surface of skin of a living body having a contour, comprising a layer of flexible conductive material of a predetermined geometrical shape and having first and second surfaces, said layer of flexible conductive material being normally relatively flat but being capable of assuming the contour of the skin of the body when the electrode is placed in contact with the body with the first surface of the layer engaging the exposed surface of the skin of the body, said layer of flexible conductive material having a central portion and a surrounding ring portion, said central portion and said surrounding ring portion having outer edges, means forming a flexible carrier layer having a first surface secured to the second surface of the layer of flexible conductive material and serving to support said central portion and said surrounding ring portion so that the surrounding ring portion is spaced from and insulated from the central portion and coupling means adapted to couple said central portion and said surrounding ring portion to said power supply for controlling the current densities at said edges so that the current densities at said edges do not exceed predetermined values, said coupling means forming a direct connection to the central portion and including a resistor connected to said surrounding ring portion.

2. An electrode as in claim 1, wherein said layer of flexible conductive material has an additional surrounding ring portion which surrounds said first named surrounding ring portion and wherein said means forming a flexible carrier layer also serves to support the additional surrounding ring portion so that the additional surrounding ring portion is spaced from and insulated from the central portion and the first named surrounding ring portion and wherein said coupling means includes a resistor connected to said additional surrounding ring portion and adapted to be coupled to the power supply.

3. An electrode as in claim 2, wherein said first named surrounding portion has a width and said additional surrounding ring portion has a width which is less than the width of the first named surrounding portion.

4. An electrode as in claim 2, wherein said coupling means includes a conductive flexible foil having portion in contact with said second surface of the layer of flexible conductive material.

5. An electrode as in claim 4, wherein said flexible carrier layer has a second surface together with a flexible backing layer secured to the second surface of the flexible carrier layer, said flexible backing layer being comprises of a resilient flexible material having first and second surfaces, an adhesive adherent to said first surface of the backing layer and also being adherent to the second surface of the carrier layer.

6. An electrode as in claim 5, wherein and backing layer has a size so that it has an outer margin that extends beyond the layer of flexible conductive material.

7. An electrode as in claim 1 together with a release liner removable secured to said first surface of the layer of flexible conductive material and being adherent to the adhesive carried by the outer margin of the flexible carrier layer.

8. An electrode as in claim 7, wherein said resistor is carried by the backing layer.

9. An electrode as in claim 1 together with a non-conductive insulating material disposed in the space between the surrounding ring portion and the central portion.

10. An electrode as in claim 9, wherein said flexible conductive material is formed on a conductive elastomer and wherein the non-conductive insulating material in the space between the surrounding ring portion and the central portion is a non-conductive elastomer.

11. An electrode as in claim 10, wherein said central portion is substantially circular and wherein said surrounding ring portion is in the form of a concentric ring portion.

12. An electrode in claim 1, wherein said flexible conductive material is comprised of a material which is substantially transparent to x-rays.

13. An electrode as in claim 1 having an oval geometric configuration with a longitudinal axis, wherein said means forming a flexible carrier layer includes a tail and further including conductors carried by said tail, said conductors being connected to the central portion and the surrounding portion of the flexible conductive material.

14. An electrode as in claim 13 wherein said tail has a length of at least approximately 6".

15. A large surface area electrode for use with a power supply for contacting an exposed surface of a patient comprising a first conductive element, a second conductive element substantially surrounding the first conductive element and being spaced form the first conductive element, means adapted to connect the first conductive element directly to the power supply and resistor means connected to the second conductive element and being adapted to be connected to the power supply, said resistor means providing a substantially uniform current density in the first and second conductive elements.

16. An electrode as in claim 15 wherein said first and second conductive elements include a flexible conductive metal foil.

17. An electrode as in claim 16 wherein said first and second conductive elements include a flexible conductive material.

18. An electrode as in claim 17 wherein said flexible conductive metal foil has a central portion with radially extending slits therein.

19. An electrode as in claim 18 wherein said flexible metal foil has a central portion having an outer margin, said central portion corresponding in geometry to the first conductive element together with first and second sets of radially extending slits formed in the central portions with one set of slits extending radially outwardly from the center and the other set of slits extending radially inwardly from the outer margin.

20. An electrode as in claim 19 wherein said first and second slits are offset circumferentially with respect to each other.

21. An electrode as in claim 17 wherein said conductive material is a gel.

22. An electrode as in claim 21 wherein said gel has a resistivity of less than 500 ohm-cm.

23. An electrode as in claim 21 wherein said gel is a hydrogel.

24. An electrode as in claim 21 wherein said gel is a conductive elastomer.

25. An electrode as in claim 15 together with a flexible backing material mounting said first and second conductive elements.

26. An electrode as in claim 25 together with a third conductive element having an outer margin, said third conductive element substantially surrounding the second conductive element.

27. An electrode as in claim 26 wherein said first, second and third conductive elements have surface areas which are unequal.

28. An electrode as in claim 27 wherein the surface area of the second conductive element is less than the surface area of the first conductive element and wherein the surface area of the third conductive element is less than the surface area of the second conductive element.

29. An electrode as in claim 26 wherein said conductive elements have surface areas which are approximately equal.

30. An electrode as in claim 26 wherein said backing material has a portion thereof having a perimeter extending beyond the outer margin of the third conductive element, said backing material having circumferentially spaced apart cutouts formed therein which do not intersect the perimeter of the backing material.

31. A large surface area electrode for use with a power supply and adapted to contact the skin of a patent having an impedance, comprising a plurality of separate conductive elements adapted to engage the skin of the patient, and circuitry coupled to the conductive elements and adapted to connect the conductive elements to the power supply for supplying predetermined currents to the conductive elements, said circuitry including viewing resistors for carrying the current supplied to the separate conductive elements, said viewing resistors developing voltages across the same in accordance with the current flowing through the resistors and means coupled to the viewing resistors for ascertaining the voltages developed across the viewing resistors and means responsive to these developed voltages to ascertain whether or not additional current should be supplied to the conductive elements in accordance with the impedance of the skin of the patient.