Apparatus and method for measuring electrical activity of heart

• US 5,685,303 A
• Filed: 09/20/1994
• Issued: 11/11/1997
• Est. Priority Date: 02/12/1993
• Status: Expired due to Fees

• Current Assignee: Bruce L. Rollman
• Original Assignee: Bruce L. Rollman
• Inventors: Sherman, Alan E., Rollman, Bruce L.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US08/307,667
• Time in Patent Office: 1,148 Days
• Field of Search: 128/644, 128/639, 128/640, 128/656
• US Class Current: 600/390
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: A61B 5/303 Patient cord assembly, e.g. cable harness
• CPC Class Codes: A61B 5/6831 Straps, bands or harnesses

Abstract

A smooth surfaced, inelastic, flexible, S-shaped or L-shaped belt-like strip for recording electrocardiograms having a series of separate precordial electrical contacts and laterally placed separate, independently movable precordial leads and electrodes movable laterally insuring proper placement on the patient'"'"'s chest or precordium during usage. The S- and/or L-shape of the strip helps cover proper recording areas. Raised, fixed, compressible precordial electrodes maintain contact with each patient'"'"'s chest allowing for variations in chest size among patients. The apparatus is attached to the chest with an adjustable elastic strap providing a constant and evenly distributed downward force holding it and the precordial leads in place. Lead wires exit the lateral sides of the precordial belt-like strip towards electrodes placed on each arm. Lead wires from the precordial electrodes and from each of the left and right arm electrodes travel inside or on the outside surface of the S-shaped and/or L-shaped belt-like strip and emerge to form a main cable which connects via a suitable adapter or plug to an electrocardiograph machine. Two additional wire leads enter the cable to transmit signals from each lower limb electrode towards the main cable for transmission to the electrocardiograph machine. All limb lead wires end in male connector plugs to facilitate attachment to a variety of EKG electrodes in known use. This device is reusable for many patients, easily cleaned and designed for use with patients of a variety of body habitus'"'"' during usage.

Claims

1. An electrocardiogram recording apparatus having fixed and movable precordial electrodes attached to lead wires, left and right arm and leg lead wires and an adapter or plug for connecting all the lead wires to an electrocardiograph machine, comprising a smooth surfaced, inelastic, flexible, belt-like strip having two ends and being L-like shape around its perimeter, said strip adapted to follow the contours of the chest of a patient in a pattern which covers the right breast and just below the left breast, wherein, raised, fixed electrodes on said belt-like strip are attached to lead wires in or on said belt-like strip wherein said raised fixed electrodes are adapted to cover precordial locations V1, V2 and V3 on the patient'"'"'s chest;

movable precordial electrodes attached to said belt-like strip by flexible lead wires emerging from said belt-like strip and laterally spaced from said fixed electrodes enabling the movable electrodes to be placed on precordial locations V4, V5 and V6 on the patient'"'"'s chest;

flexible left and right arm lead wires emerging from said belt-like strip with each having a connector plug for suitable attachment and electrical contact to conventionally used limb electrodes on each arm of the patient;

a cable formed from all the lead wires emerging from the belt-like strip, said cable having two ends, the first end of which is at the emergence of the cable from the belt-like strip and the second of which is where an adapter or plug is attached to the cable, wherein each of the lead wires has two ends, one end of which forms the cable and the second of which is attached to one said electrodes, said cable having attached thereto intermediate its first end and said belt-like strip, leg lead wires with connector plugs on an end of each adapted for suitable attachment and electrical contact to conventionally used limb electrodes on each leg;

an adapter or plug on the second end of said cable for connection to an electrocardiograph machine; and

an elastic fastener on one of the ends of said belt-like strip for attachment to the other of the two ends of said belt-like a strip for holding said belt-like strip in place around a patient'"'"'s chest.

2. The apparatus of claim 1 in which said cable is detachably attached to the lead wires emerging from said belt-like strip to allow for easier cleaning and storage of the apparatus.

3. The apparatus of claim 1 wherein the total of fixed and movable precordial electrodes is six.

4. The apparatus of claim 1 wherein said raised, fixed electrodes additionally are compressible.

5. The apparatus of claim 1 wherein said arm and leg lead wire connector plugs are circular male plugs.

6. The apparatus of claim 1 wherein said flexible belt-like strip additionally contains indicia on its surface to locate precordial locations V₁ and/or V₂ and/or V₃.

7. The apparatus of claim 1 additionally having a shoulder strap adapted to be connected to the right upper corner of the belt-like strip on the patient'"'"'s chest and to extend over the shoulder patient'"'"'s back for connection to said elastic fastener.

8. The method of claim 9 comprising placing at least one compressible fixed electrode additionally on the patient'"'"'s chest.

9. A method of conducting an electrocardiogram comprising attaching the apparatus of claim 1 to the chest of a patient with the raised, fixed, precordial electrodes over recognized central precordial recording zones, placing movable precordial electrodes of the apparatus of claim 1 on recognized central and lateral precordial recording zones on said patient between the smooth surfaced, inelastic, flexible, belt-like strip and the patient'"'"'s chest, attaching said arm and leg limb lead wires of the apparatus to the conventional electrodes on the arms and legs of the patient, respectively, placing an electrolyte conducting paste between and in contact with each electrode and the patient'"'"'s chest, then, with the cable and any necessary adapter or plug plugged into an electrocardiograph machine, performing the electrocardiogram.

10. The method of claim 9 comprising placing at least one movable electrode on the patient'"'"'s chest outside the belt-like strip.