Electrode for evaluating cardiac functions via esophagus

• US 6,438,400 B1
• Filed: 02/22/2000
• Issued: 08/20/2002
• Est. Priority Date: 12/06/1993
• Status: Expired due to Term

• Current Assignee: Heska Corporation (Mars Incorporated)
• Original Assignee: Heska Corporation (Mars Incorporated)
• Inventors: Young, Robert L., Beard, Lane, Howard, James P., Melnikoff, Donald J.
• Primary Examiner(s): COHEN, LEE S
• Application Number:
  US09/513,737
• Time in Patent Office: 910 Days
• Field of Search: 600/373-381, 607/115-122, 607/124, 607/137, 607/141, 606/41, 606/51
• US Class Current: 600/380
• CPC Class Codes: A61B 2562/043 in a linear array
• CPC Class Codes: A61B 5/1459 invasive, e.g. introduced into the body by a catheter A61B5/1464 takes precedence
• CPC Class Codes: A61B 5/285 Endotracheal, oesophageal or gastric probes
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61B 5/6853 with a balloon
• CPC Class Codes: A61B 5/6855 with a distal curved tip
• CPC Class Codes: A61B 5/6859 with multiple distal splines
• CPC Class Codes: A61B 5/6885 Monitoring or controlling sensor contact pressure
• CPC Class Codes: A61B 7/023 for introduction into the body, e.g. into the oesophagus oesophageal ECG probes A61B5/285
• CPC Class Codes: A61M 2205/3368 Temperature

Abstract

An electrode useful for generating or receiving electrical signals generally comprises a base and more than one dome-like protuberance on an exterior surface of the base. The electrodes can be utilized in connection with various probe applications. For example, the electrodes can be utilized with an esophageal probe for invasively monitoring cardiac functions, including the ECG or cardiac output of a patient. To further minimize the differences in voltage potential as may be caused by electrolytes present at the point of contact, a gold-plated layer may be provided on the outer surface of the electrodes. An exemplary probe generally comprises a chassis with an electrical cable extending from the proximal end of the chassis and with the cable terminating at an electrical plug configured for connection to a cardiac monitor. The probe also includes an electrode assembly comprising the dome-like protuberances and configured to generate or receive electrical signals that are indicative of the cardiac functions of the patient. The probe may further include a deployment device attached to the chassis for stabilizing the probe within the esophagus. The probe may also be configured to include other sensing devices, for example, a temperature measuring device and an acoustic monitor.

Claims

1. An electrode useful for generating or receiving electrical signals, the electrode comprising:

a base having an outer circumference;

a protuberance unitarily arranged on said base, wherein said protuberance has a radius of curvature in the range of 0.050″

to 0.090″

; and

a gold-plated layer configured on an outer surface of said protuberance and said base.

2. An electrode in accordance with claim 1, wherein said protuberance is configured substantially around said outer circumference of said base.

3. An electrode useful for generating or receiving electrical signals, the electrode comprising:

an annular ring base having an exterior surface and an interior aperture;

a dome-like protuberance arranged on said exterior surface of said annular ring base, said dome-like protuberance having a radius of curvature in the range of 0.050″

to 0.090″

; and

a gold-plated layer configured on said exterior surface of said annular ring base and on said dome-like protuberance.

4. An electrode in accordance with claim 3, wherein said dome-like protuberance has a radius of curvature in the range of 0.065″

to 0.070″

.

5. An electrode in accordance with claim 3, wherein said dome-like protuberance and said annular ring base comprise a homogeneous metal.

6. An electrode in accordance with claim 3, wherein said dome-like protuberance is integrally formed with said annular ring base, such that when used in connection with a probe configured for insertion into an anatomical canal of a human or animal, anatomical fluids are prevented from penetrating between a juncture defined by said dome-like protuberance and said annular ring base.

7. An electrode in accordance with claim 3, wherein said electrode further comprises an end having a rounded-portion configured for insertion into an anatomical canal of a human or animal.

8. An electrode in accordance with claim 7, wherein said electrode further comprises a connector located on a side opposing said rounded portion and configured to enable attachment of said electrode to a distal end of said tube-like probe.

9. An electrode for evaluating cardiac functions, the electrode comprising:

an annular ring base having a first connector, a second connector, an exterior surface and an interior aperture, wherein said first and said second connectors are configured to enable attachment of said electrode to a tube-like probe;

a dome-like protuberance unitarily arranged on said exterior surface of said annular ring base; and

a gold-plated layer covering said exterior surface of said annular ring base and said dome-like protuberance.

10. An electrode in accordance with claim 9, wherein each of said first and said second connectors comprise at least one barb to facilitate attachment to said tube-like probe.

11. An electrode in accordance with claim 10, wherein each of said first and said second connectors comprise a threaded section to facilitate attachment to said tube-like probe.

12. An electrode useful for generating or receiving electrical signals, the electrode comprising:

a band having an outside surface;

a dome-like protuberance unitarily mounted on said outside surface, said dome-like protuberance having a radius of curvature in the range of 0.050″

to 0.090″

; and

a gold-plated layer configured on said band and said dome-like protuberance.

13. An electrode in accordance with claim 12, wherein said electrode further comprises a means for facilitating circumferential attachment of said band to a probe.

14. An esophageal probe useful for invasively monitoring cardiac functions in the esophagus of a patient, the probe comprising:

a chassis having a proximal end and a distal end; and

at least one electrode configured on said chassis between said proximal end and said distal end, wherein said electrode comprises an annular ring and more than one dome unitarily arranged on said annular ring and configured for facilitating contact with a tissue wall of the esophagus of a patient.

15. An esophageal probe in accordance with claim 14, wherein said probe further comprises a deployment device attached to said chassis, wherein said deployment device is configured to stabilize the probe in the esophagus and limit movement of the probe within the esophagus.

16. An electrode for receiving electrical signals for cardiac measurement, said electrode comprising:

a base portion having an exterior surface, said base portion being adapted to connect to a probe device; and

a protruding member unitarily arranged on said exterior surface of said base portion, wherein said protruding member is configured substantially around an outer circumference of said base portion; and

wherein each of said exterior surface of said base portion and said protruding member comprises a gold-plated layer adapted to reduce the difference in voltage potential between said electrode and another electrode.

17. An electrode of claim 16, wherein said base portion comprises an annular ring.

18. An electrode of claim 16, wherein said protruding member further comprises a radius of curvature in the range of 0.050″

to 0.090″

.

19. An electrode of claim 18, wherein said radius of curvature is in the range of 0.065″

to 0.070″

.

20. An esophageal probe useful for invasively monitoring cardiac functions in the esophagus of a patient, the probe comprising:

a chassis having a proximal end and a distal end; and

at least one electrode, wherein said at least one electrode comprises,

an annular base having an exterior surface, and

a protruding member having a radius of curvature in the range of 0.050″

to 0.090″

;

wherein said exterior surface and said protruding member comprise a gold-plated layer adapted to reduce the difference in voltage potential between said at least one electrode and any other electrode configured on said chassis.

21. An esophageal probe according to claim 20, wherein said protruding member is configured substantially around an outer circumference of said annular base for facilitating contact with a tissue wall of the esophagus of a patient.

22. An esophageal probe according to claim 20, wherein said protruding member is integrally formed with said annular base, such that when used in connection with a probe configured for insertion into an anatomical canal of a human or animal, anatomical fluids are prevented from penetrating between a juncture defined by said protruding member and said annular base.

23. An esophageal probe according to claim 20, wherein said electrode further comprises a first connector and a second connector located on opposing sides of side annular base, said first and said second connectors configured to enable attachment of said electrode to said chassis.