Electrode with charge-operated indicator

• US 9,986,930 B2
• Filed: 10/04/2017
• Issued: 06/05/2018
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Welch Allyn Incorporated
• Original Assignee: Welch Allyn Incorporated
• Inventors: Lane, John A., Freer, Benjamin, Quinn, David E., Kroon, Frederik W.
• Primary Examiner(s): Stoklosa, Joseph
• Assistant Examiner(s): ANTISKAY, BRIAN MICHAEL
• Application Number:
  US15/724,580
• Publication Number:
  US 20180042508A1
• Time in Patent Office: 244 Days
• Field of Search: 600372, 600382, 600384, 600386-393, 600508-509
• CPC Class Codes: A61B 2560/0462 Apparatus with built-in sensors
• CPC Class Codes: A61B 2562/0257 Proximity sensors
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• CPC Class Codes: A61B 5/259 using conductive adhesive means, e.g. gels
• CPC Class Codes: A61B 5/28 for electrocardiography [ECG]
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take precedence
• CPC Class Codes: A61B 5/74 Details of notification to user or communication with user or patient indicating measured values G01D7/00; user input means input or output arrangements for computers G06F3/00

Abstract

An electrode includes separate first and second electrical contacts to contact the skin of a subject. A charge-holding structure is electrically connected between the first and second contacts. An indicator is operatively coupled to the charge-holding structure so that the indicator changes visibly in response to a change in the charge stored in the charge-holding structure. The electrode can include a rectifier across the contacts. A container for electrodes includes an electrical supply and a plurality of receptacles for electrodes so that a voltage difference is maintained across conductors of each receptacle (and contacts of an electrode therein) for at least one week. A method of making electrodes includes arranging the contacts over a support, connecting the charge-holding structure between them, arranging the indicator over the support, and charging the charge-holding structure so that the indicator has a first visual appearance.

Claims

1. A system, comprising:

a patient-contact electrode;

a first electrical-supply conductor and a second electrical-supply conductor;

an electrical supply configured to provide a voltage difference between the first and second electrical-supply conductors; and

a receptacle configured to accept the patient-contact electrode,

wherein the receptacle is configured to electrically connect the patient-contact electrode with the first and second electrical-supply conductors, the receptacle being operable to apply the voltage difference across the patient-contact electrode; and

wherein the patient-contact electrode includes;

a support;

a first electrical contact and a second electrical contact, wherein the first and second electrical contacts;

are at least partly embedded in or disposed on the support, and

are adapted to contact a skin surface of a patient when the electrode is removably attached to the skin surface;

a charge-holding structure at least partly embedded in or disposed on the support, and electrically connected to the first and second electrical contacts, wherein the charge-holding structure is configured to;

store a charge, and

in response to formation of an electrical connection between the first electrical contact and the second electrical contact through the patient, dissipate at least some of the charge stored in the charge-holding structure through the patient; and

an indicator at least partly embedded in or disposed on the support, wherein the indicator is;

electrically connected to the charge-holding structure, and

configured to visibly change state in response to a change in the charge stored in the charge-holding structure.

2. The system according to claim 1, wherein:

the patient-contact electrode is configured for application to the skin surface; and

the second electrical contact is positioned so that the second electrical contact has a capacitive electrical connection with the patient upon at least;

improper application of the patient-contact electrode to the skin surface, or

partial peeling of the patient-contact electrode off the skin surface after proper application of the patient-contact electrode to the skin surface.

3. The system according to claim 1, wherein the electrical supply comprises at least one of a voltage source, a current source, or a charge source.

4. The system according to claim 1, wherein the electrical supply comprises a battery.

5. The system according to claim 1, wherein the electrical supply comprises a mains-powered voltage source.

6. The system according to claim 1, wherein the system further comprises:

a release liner removably attached to the patient-contact electrode, the release liner comprising;

a first electrical conductor removably connected with the first electrical contact, and

a second electrical conductor removably connected with the second electrical contact,

wherein the receptacle is configured to;

retain the release liner,

electrically connect the first electrical conductor of the retained release liner with the first electrical-supply conductor, and

electrically connect the second electrical conductor of the retained release liner with the second electrical-supply conductor.

7. The system according to claim 1, wherein:

the receptacle comprises a first rail and a second rail configured to retain the patient-contact electrode,

the first rail is configured to electrically connect the first electrical-supply conductor to the first electrical contact of the retained patient-contact electrode, and

the second rail is configured to electrically connect the second electrical-supply conductor to the second electrical contact of the retained patient-contact electrode.

8. The system according to claim 1, further comprising a container enclosing the patient-contact electrode and the receptacle.

9. The system according to claim 1, further comprising:

a plurality of patient-contact electrodes, the plurality of patient-contact electrodes including the patient-contact electrode;

a measurement unit; and

a plurality of wires configured to electrically connect the measurement unit with respective patient-contact electrodes of the plurality of patient-contact electrodes,

wherein the measurement unit is configured to;

measure respective voltages on one or more wires of the plurality of wires, and

determine one or more difference signals indicating respective voltage differences between pairs of the measured respective voltages.

10. A patient-contact electrode, comprising:

a support;

a first electrical contact and a second electrical contact, wherein the first and second electrical contacts;

are at least partly embedded in or disposed on the support, and

are adapted to contact a skin surface of a patient when the electrode is removably attached to the skin surface;

a charge-holding structure at least partly embedded in or disposed on the support and electrically connected to the first and second electrical contacts, wherein the charge-holding structure is configured to;

store a charge; and

in response to formation of an electrical connection between the first electrical contact and the second electrical contact through the patient, dissipate at least some of the charge stored in the charge-holding structure through the patient; and

an indicator at least partly embedded in or disposed on the support, wherein the indicator is;

electrically connected to the charge-holding structure, and

configured to visibly change state in response to a change in the charge stored in the charge-holding structure.

11. The patient-contact electrode according to claim 10, further comprising:

a rectifier electrically connected to the first electrical contact and to the second electrical contact in parallel with the charge-holding structure; and

a terminal electrically connected to the first electrical contact.

12. The patient-contact electrode according to claim 10, wherein:

the patient-contact electrode further comprises a first terminal electrically connected to the first electrical contact and a second terminal electrically connected to the second electrical contact; and

the first and second terminals are configured to electrically connect with wires.

13. The patient-contact electrode according to claim 10, further comprising a non-biopotential sensor and an output interface adapted to provide information sensed by the non-biopotential sensor.

14. The patient-contact electrode according to claim 13, wherein the non-biopotential sensor is adapted to sense a temperature of the skin surface to which the electrode is removably attached.

15. The patient-contact electrode according to claim 10, wherein the indicator includes an electronic ink arranged between the first and second conductors and controlled by the charge between the first and second conductors.

16. The patient-contact electrode according to claim 10, wherein the indicator includes an electrochromic display element.

17. An electrocardiogram system, comprising:

a measurement unit;

a plurality of patient-contact electrodes, at least one patient-contact electrode of the plurality of patient-contact electrodes including;

a support;

a first electrical contact and a second electrical contact, wherein the first and second electrical contacts;

are at least partly embedded in or disposed on the support, and

are adapted to contact a skin surface of a patient when the electrode is removably attached to the skin surface;

a terminal electrically connected to the first electrical contact;

a charge-holding structure at least partly embedded in or disposed on the support and electrically connected to the first and second electrical contacts, wherein the charge-holding structure is configured to;

store a charge; and

in response to formation of an electrical connection between the first electrical contact and the second electrical contact through the patient, dissipate at least some of the charge stored in the charge-holding structure through the patient; and

an indicator at least partly embedded in or disposed on the support, wherein the indicator is;

electrically connected to the charge-holding structure, and

configured to visibly change state in response to a change in the charge stored in the charge-holding structure; and

at least two wires configured to electrically connect the measurement unit with respective terminals of at least two patient-contact electrodes of the plurality of patient-contact electrodes;

wherein the measurement unit is configured to;

measure respective voltages on the at least two wires; and

determine one or more electrocardiogram signals indicating respective voltage differences between pairs of the measured respective voltages.

18. The electrocardiogram system according to claim 17, wherein:

the at least one patient-contact electrode further comprises a rectifier electrically connected to the first electrical contact and to the second electrical contact in parallel with the charge-holding structure;

a first wire of the at least two wires electrically connects the measurement unit with the terminal of the at least one patient-contact electrode; and

the measurement unit is further configured to apply a first voltage and, subsequently, a second, different voltage to the first wire, so that the charge stored in the charge-holding structure changes in response to the at least one patient-contact electrode not being in sufficient contact with the skin surface.

19. The electrocardiogram system according to claim 18, further comprising a drain electrode removably attachable to the skin surface and electrically connected with the measurement unit.

20. The electrocardiogram system according to claim 17, wherein:

the at least one patient-contact electrode comprises a second terminal electrically connected to the second electrical contact of the at least one patient-contact electrode;

the at least two wires comprise;

a first wire electrically connecting the measurement unit with the terminal of the at least one patient-contact electrode; and

a second wire electrically connecting the measurement unit with the second terminal of the at least one patient-contact electrode; and

the measurement unit is further configured to apply a voltage difference across the first wire and the second wire, so that the charge stored in the charge-holding structure changes in response to the at least one patient-contact electrode not being in sufficient contact with the skin surface.