Abstract: Cardiac electrodes and techniques for testing application of the electrodes to a victim are described herein.

Abstract: There is provided an energy delivery device comprising a storage device, a discharge circuit and a disarm circuit. The discharge circuit comprises a switch electrically connected to the storage device, and is selectively operable to deliver energy from the storage device to a load, e.g., a patient needing defibrillation, preferably in a multiphasic waveform. The disarm circuit comprises the switch. Preferably, the discharge circuit comprises an H-bridge circuit. There are also provided delivery devices: which comprise a shoot-through elimination circuit; which include housing elements which, when assembled, cause electrical connection between respective components; which include a housing having a small volume and an energy storage device having a large capacitance; which comprise a shunt circuit which, when activated, prevents switching of a switch. There are also provided methods of assembly and disassembly of an energy delivery unit and methods of delivering energy to a load.

Abstract: A defibrillator electrode assembly with a slot-like storage case is described which protects the pads prior to use and retains them in either an electrically connected or electrically disconnected configuration. When the electrode assembly is slidably inserted into the case, an optional pinch clip within the case presses electrodes on opposite sides of a thick release liner into electrical contact with each other.

Abstract: A medical electrode includes a moderately conductive flexible member having a top side and a bottom side with a plurality of highly conductive patterns disposed on the conductive flexible member bottom side in a spaced apart relationship. A moderately highly conductive layer disposed on the conductive flexible member bottom side and covering the conductive patterns, for adhering the electrode to a patient's skin. A connector is provided for establishing electrical contact with an external apparatus. The connector includes a leadwire having conductive portions in electrical communication with the conductive patterns and non-conductive portions between the conductive patterns. Control over conductivity between the leadwire conductive portion and the conductive pattern is provided.

Abstract: An electrode pad packaging system including an electrode pouch, an electrode pad (e.g., a defibrillation electrode pad), a wire and a shell is disclosed. The electrode pad is disposed at least partially within the electrode pouch. The wire extends from the electrode pad and, in a disclosed embodiment, at least a portion of the wire is attached to the shell. The shell is disposed in mechanical cooperation with the electrode pouch (e.g., the shell is secured to a portion of the electrode pouch). The shell includes a valve thereon that is configured to allow air to exit the electrode pouch. The valve may be configured to prevent air from entering the electrode pouch. A method of packaging an electrode pad is also disclosed. The method includes providing an electrode pouch, an electrode pad, a wire and a shell. A valve on the shell allows air to exit the electrode pouch.

Abstract: An electrode pad packaging system including an electrode pouch, an electrode pad (e.g., a defibrillation electrode pad), a wire and a shell is disclosed. The electrode pad is disposed at least partially within the electrode pouch. The wire extends from the electrode pad and, in a disclosed embodiment, at least a portion of the wire is attached to the shell. The shell is disposed in mechanical cooperation with the electrode pouch (e.g., the shell is secured to a portion of the electrode pouch). The shell includes a valve thereon that is configured to allow air to exit the electrode pouch. The valve may be configured to prevent air from entering the electrode pouch. A method of packaging an electrode pad is also disclosed. The method includes providing an electrode pouch, an electrode pad, a wire and a shell. A valve on the shell allows air to exit the electrode pouch.

Abstract: A defibrillator electrode set for a defibrillator which senses the capacitance of an attached electrode set includes an electrode set coupled to the defibrillator by an adapter cable. The adapter cable and electrode set are pre-connected to the defibrillator prior to use. The electrodes are stored in a sealed foil package to retard gel desiccation prior to use. To reduce the capacitance of the electrode set seen by the defibrillator, the capacitance between the stored electrodes and the foil package is reduced by using a thicker dielectric layer for the layer of an electrode which opposes a wall of the foil package. In a constructed embodiment, one sixteenth inch thick polyethylene foam is used for the electrode layer opposing the wall of the foil package.

Abstract: Techniques are disclosed for recharging an Implantable Medical Device (IMD). In one embodiment, a first external coil is positioned on one side of a patient's body, such as on a front side of the torso in proximity to the IMD. A second external coil is positioned on an opposite side of the patient's body, such as on the back of the torso. A recharging device generates a current in each of the coils, inductively coupling the first and the second coils to the secondary recharge coil of the IMD. According to another aspect, each of the two external coils may wrap around a portion of the patient's body, such as the torso or head, and are positioned such that the IMD lies between the coils. According to this aspect, current generated in the coils inductively couples to a second recharge coil that is angled within the patient's body.

Abstract: A bioelectrode comprising a skin-side, electrically conducting adhesive layer (7) and a flexible electrical connecting cable (4) which in an electrically insulating cable sheath (5) includes at least one electrical conductor (6), preferably in the form of a braid comprising a plurality of individual wires or conducting individual fibers, wherein the electrode-side end (4a) of the connecting cable (4) is arranged between two thermoplastic layers (2, 3) which are welded together at least region-wise, wherein both thermoplastic layers (2, 3) are electrically conducting and are electrically connected to the electrical conductor (6) of the connecting cable (4).

Abstract: A cochlear implant sound processor is powered by a rechargeable battery that is permanently integrated into the sound processor. The sound processor contains an inductive coil that may be tuned to an external charging coil for battery recharging. The electronic circuits and coil of the sound processor are housed in a material transparent to RF signals. The sound processor may be placed in a recharging base station in which the sound processor is positioned in a space surrounded by the inductive charging coil embedded in a material transparent to RF signals. The inductive charging coil sends power to the coil inside the processor and thereby recharges the battery. An alternative embodiment utilizes contacts in the sound processor case and aligned terminals in the recharging base station that allow direct charging of the battery.

Abstract: A medical lead system includes at least one bandstop filter for attenuating current flow through the lead across a range of frequencies. The bandstop filter has an overall circuit Q wherein the resultant 3 dB bandwidth is at least 10 kHz. The values of capacitance and inductance of the bandstop filter are selected such that the bandstop filter is resonant at a selected center frequency or range of frequencies. Preferably, the bandstop filter has an overall circuit Q wherein the resultant 10 dB bandwidth is at least 10 kHz. Such bandstop filters are backwards compatible with known implantable deployment systems and extraction systems.

Abstract: An image is captured or otherwise converted into a signal in an artificial vision system. The signal is transmitted to the retina utilizing an implant. The implant consists of a polymer substrate made of a compliant material such as poly(dimethylsiloxane) or PDMS. The polymer substrate is conformable to the shape of the retina. Electrodes and conductive leads are embedded in the polymer substrate. The conductive leads and the electrodes transmit the signal representing the image to the cells in the retina. The signal representing the image stimulates cells in the retina.

Abstract: An electrode including a non-conductive substrate having a top surface and at least one channel extending therethrough, an electrically conductive trace material positioned adjacent a portion of the top surface of the non-conductive substrate and extending through the channel, and adapted for electrically coupling to a power source, and second and third electrically conductive materials that are inert or more corrosion resistant than the trace material. The second material is positioned adjacent to and entirely covering a top surface of the trace material, and the third material is positioned adjacent to and entirely covering a top surface of the second electrically conductive material, and covers a portion of a top surface of the non-conductive substrate surrounding the second electrically conductive material. The electrode further includes a conductive hydrogel positioned adjacent to a portion of a top surface of the third electrically conductive material, but laterally offset from the trace material.

Abstract: An apparatus and techniques for determining whether a medical electrode, such as a defibrillation electrode coupled to an automated external defibrillator, is in a condition for replacement. The determination can be made as a function of one or more data. In one exemplary embodiment, the determination is a function of one or more measurements of an impedance of a hydrogel bridge in a test module. In another exemplary embodiment, the determination is a function of one or more environmental condition data from one or more environmental sensors.

Abstract: A physiological power source is coupled to a signal coupler/decoupler through a conductive line. The signal coupler/decoupler includes a proximal signal port, connected to the physiological power source through the first conductive line, and separate distal signal ports. The signal coupler/decoupler combines signals flowing to the physiological power source through the distal signal ports and separates a signal flowing away from it through the proximal signal port.

Abstract: Device for influencing brain functions of a human being by targeted stimulation of at least one region of the human body, comprising stimulating means that permit a stimulation of the region that is to be stimulated, characterized in that the stimulation is an electrical stimulation.

Abstract: A defibrillator electrode assembly with a slot-like storage case is described which protects the pads prior to use and retains them in either an electrically connected or electrically disconnected configuration. When the electrode assembly is slidably inserted into the case, an optional pinch clip within the case presses electrodes on opposite sides of a thick release liner into electrical contact with each other.

Abstract: The invention presents an apparatus and techniques for determining whether a medical electrode, such as a defibrillation electrode coupled to an automated external defibrillator, is in a condition for replacement. The determination can be made as a function of one or more data. In one exemplary embodiment, the determination is a function of one or more measurements of an impedance of a hydrogel bridge in a test module. In another exemplary embodiment, the determination is a function of one or more environmental condition data from one or more environmental sensors.

Abstract: A reusable component of a hands-free defibrillation electrode, the reusable component having a flexible nonconductive element, and a flexible metallic element supported by the flexible nonconductive element, wherein the flexible metallic element has an exposed surface on one side of the reusable component and the exposed surface is configured to be adhered to a disposable coupling portion, and wherein the reusable component is configured to accept an electrical defibrillation pulse and spread the electrical pulse across the exposed surface area, from which it is delivered to the patient's chest through the disposable coupling portion.

Abstract: Disclosed herein are CPR assisting devices. Certain embodiments pertain to a device that may be adhered to patient's chest to aid in active compression/decompression CPR. The device may be incorporated with the AED pad for implementation in conjunction with defibrillator machine.

Abstract: Medical electrodes in embodiments of the teachings may include one or more of the following features: (a) a metallic conductor, (b) the metallic conductor sandwiched between a first dielectric layer adjacent a top surface of the metallic conductor and a second dielectric layer located on a bottom surface of the metallic conductor, (c) a conductive gel coating on at least one of the first and second dielectric layers, (e) the metallic conductor, the dielectric layers, and the conductive gel being wrapped to form a multi-tiered electrode having a plurality of conductive surfaces, (f) an adhesive adhering the metallic conductor with the dielectric layers, (g) a tab connector to provide a connection to electrical monitoring equipment and (h) an attachment connector to provide electrical connection with a patient.

Abstract: System and method for monitoring and controlling, defibrillation and pacing which allows a victim of a cardiac rhythm abnormality immediate access to a medical professional at a central station, who will remotely monitor, diagnose and treat the victim at one of a plurality of remote sites in accordance with the following steps: (1) providing a plurality of contact electrodes for a victim at a remote site for the receipt of ECG signals and for the application of electrical pulses to the victim; (2) transmitting the signals from the remote site to a central station and displaying them for review by the medical professional; (3) the medical professional selecting from a menu of defibrillation and pacing pulses, if the application thereof is appropriate; (4) transmitting the selection results to the remote site; and (5) receiving the selection results at the remote site and applying the selected pulses to the victim.

Abstract: A sealed medical electrode package comprises first and second electrodes each comprising a conductive layer (14) disposed on one major surface of a flexible nonconductive backing sheet (10). The electrodes are disposed with their conductive layers (14) face-to-face and their backing sheets separably sealed together around their peripheral edges so that the backing sheets form a substantially gas-impermeable enclosure containing the conductive layers. In an alternative embodiment (FIG. 6) a respective electrical contact extends through each backing sheet into electrical contact with the respective conductive layer, and a substantially gas-impermeable packaging material encloses the electrodes. The packaging material has a respective aperture exposing each electrical contact, the periphery of each aperture being sealed to the backing sheet around the respective contact.

Abstract: The present invention provides a self-storing medical electrode (10) that does not require packaging, enclosures, or other means to house and to protect various electrode components. According to one aspect, the invention provides an electrode comprising an electrode body having first and second sides, wherein the first side comprises a barrier layer (15) comprising a heat-sealable material and the second side comprises a conductive layer (16). The electrode further comprises an electrically conductive gel layer (18) disposed on the electrode body and which is further in electrical communication with the conductive layer (16).

Abstract: A system and method for positioning an electrode for cardiotherapy of atrial arrhythmia are described. Signals from patient electrical activity for a plurality of electrode locations on a patient are analyzed. An electrode can be repositioned to different locations on the patient to obtain signals from patient electrical activity therefrom. A human perceptible output indicative of the quality of the signals for the plurality of locations is generated and a final electrode location on the patient for placement of the electrode for cardiotherapy is identified based on the human perceptible output.

Abstract: The invention presents techniques for making the operation of an automated external defibrillator easier to understand for an operator. The automated external defibrillator includes defibrillation electrodes packaged in a sealed, easy-to-open pouch. Visual cues such as instructive pictures show the operator how to open the pouch, retrieve the defibrillation electrodes and correctly position the electrodes on a patient's chest.

Abstract: A case for defibrillator electrode pads on a release liner is described which protects the pads prior to use and retains them in either an electrically connected or electrically disconnected configuration. When the case is closed, spring contacts on opposite sides of the inside of the case retain the pads and release liner in place. The retention either holds electrical conductors in contact with each other to retain the pads in electrical connection with each other, or in a different configuration in which the pads are not electrically connected.

Abstract: A medical electrode, and a method of making a medical electrode. The electrode comprises an electrode member having a top face and a bottom face; disconnected regions of electrically conductive material in electrical contact with the top face of the electrode member, patient contacting layer and an electrical connector in electrical contact with the disconnected regions. The disconnected regions reduce patient skin irritation and burning while optimizing electrical impedance of the electrode.

Abstract: A bioelectrode comprising a skin-side, electrically conducting adhesive layer (7) and a flexible electrical connecting cable (4) which in an electrically insulating cable sheath (5) includes at least one electrical conductor (6), preferably in the form of a braid comprising a plurality of individual wires or conducting individual fibers, wherein the electrode-side end (4a) of the connecting cable (4) is arranged between two thermoplastic layers (2, 3) which are welded together at least region-wise, wherein both thermoplastic layers (2, 3) are electrically conducting and are electrically connected to the electrical conductor (6) of the connecting cable (4).

Abstract: The disclosure describes medical mats that provide electrical paths with connectors that connect to various electronic medical or surgical tools. The medical mats can reduce the lengths of cables and define routes that preventing cross-over, looping and/or bunching of loose lengths of long cables.

Abstract: An electrode generally comprises a body, which makes up the electrode and which is formed as a thin flexible polymeric substance such as urethane foam. The electrode body includes a central inner conductive area, which is associated with a first electrode connector. Around the inner conductive area is a non-conductive area formed as a ring around the inner conductive area and there is also an outer conductive area provided as a ring, concentrically arranged around the non-conductive area. Electrode connector (6B) is connected to the outer conductive ring. The electrode body, which has a release tag and is supported on a backing sheet and body can be peeled off the backing sheet using the release tag. The condition of the electrode can be evaluated using a test device, which can for example measure electrical impedance across the electrode via electrodes (6A) and (6B).

Abstract: As compared to conventional electrodes, the electrode configurations disclosed herein minimize irritation and damage to the skin when they are placed in contact with a patient's body over extended of time. The electrodes are formed from a conductive substrate coated with a thin dielectric material, and a plurality of open spaces pass through the electrodes. Those open spaces are distributed and sized to permit moisture on the surface of the patient's body to escape when the electrode is placed in contact with the patient's body. One intended use for the electrodes is for treating tumors by applying an AC electric field with specific frequency and field strength characteristics over an extended period of time.

Abstract: A release liner for electrode pads is described which enables the pads to be used with defibrillators requiring the electrodes to be electrically interconnected for self-test prior to use, and with defibrillators which do not require the electrodes to be electrically interconnected. In one example this variation is afforded by folding the release liner one way to electrically connect conductive layers underlying two attached electrodes. In another example this variation is afforded by leaving the conductive layers electrically connected or breaking the connection.

Abstract: A medical electrode includes a conductive flexible member having a top side and a bottom side with a connector in contact with a flexible member for establishing electrical contact with an external apparatus. An oversize non-conductive flexible sheet covering the conductive flexible member top utilizes concentric adhesives. A conductive hydrogel adhesive disposed on the conductive flexible member bottom side for adhering the electrode to a patient's skin.

Abstract: A medical electrode includes a conductive flexible member having a top side and a bottom side with a connector in contact with a flexible member for establishing electrical contact with an external apparatus. An oversize non-conductive flexible sheet covers the conductive flexible member top. A conductive hydrogel adhesive disposed on the conductive flexible member bottom side for adhering the electrode to a patient's skin.

Abstract: A multifunction electrode (MFE) pad, which includes a multi-strand conductor having one end in the form of dispersed carbon fibers, and another end adapted for connection to a defibrillation unit. A conductive substrate is in electrical communication with one end of the multi-strand conductor. The conductive substrate includes a conductive back side, an intermediate conductive polymer layer, and a conductive front side, the front side being a metal/metal chloride coating containing at least 25% by weight of metal chloride. The MFE pad further includes a conductive hydrogel layer covering said front side of the conductive substrate and a backing layer covering one end of the multi-strand conductor and the back side of the conductive substrate. The backing layer has a surface area that is greater than the surface area of the conductive hydrogel layer.

Abstract: A disposable electrode includes: an electrode pad; and a connector, connecting the electrode pad to a defibrillator, and including an information holder that can be provided with a transmissive opening or a light reflective member, the information holder holding information about at least an expiration date, depending on presence or absence of the transmissive opening or the light reflective member, the information holder allowing the information to be notified from the defibrillator when the connector is connected to the defibrillator.

Abstract: An electrode for measuring an electrocardiogram. The electrode comprises a signal detector operable to detect an electrocardiogram signal. An electrolytic gel is coated onto a first surface of the signal detector. The gel is electrically conductive and operable to adhere to a skin. A connector is electrically connected to the signal detector.

Abstract: A defibrillation electrode for application to the front of the chest of a patient, the electrode comprising a metallic layer, a conductive liquid-containing layer in contact with the metallic layer and configured to contact the skin of the patient, an adhesive layer surrounding the conductive liquid-containing layer and having a layer of adhesive configured to adhere the electrode to the patient, a release layer configured to be removed from the electrode prior to application to the patient, the release layer being in contact with the adhesive and the conductive liquid-containing layer prior to removal, wherein the electrode has a lateral perimeter at or laterally outside of the adhesive layer, and wherein the lateral perimeter is generally triangular.

Abstract: A device and method for defrosting a defibrillation electrode are provided. This includes an automated external defibrillator that is capable of defrosting one or more frozen electrodes. The device is includes a portable housing containing a battery powered energy source and a controller as well as at least a pair of electrodes which are operably coupled to the housing. The electrodes are designed for attachment to the chest of a patient in need of resuscitation and contain a conductive interface medium that has temperature dependent properties. A controller is configured to selectively heat the conductive interface medium by applying limited electrical impulses and raise the electrode temperature to a desired temperature range.

Abstract: A defibrillator includes a defibrillator mainframe and a defibrillating electrode. The defibrillator mainframe includes a main control unit and a master device electrically connected to the main control unit. The defibrillating electrode comprises a slave device supporting a bus protocol, the master device and slave device being interconnected through a bus.

Abstract: A defibrillation electrode for application to the front of the chest of a patient, the electrode comprising a metallic layer, a conductive liquid-containing layer in contact with the metallic layer and configured to contact the skin of the patient, an adhesive layer surrounding the conductive liquid-containing layer and having a layer of adhesive configured to adhere the electrode to the patient, a release layer configured to be removed from the electrode prior to application to the patient, the release layer being in contact with the adhesive and the conductive liquid-containing layer prior to removal, wherein the electrode has a lateral perimeter at or laterally outside of the adhesive layer, and wherein the lateral perimeter is generally triangular. A method of applying the defibrillation electrode to the chest of a patient.

Abstract: The invention presents an apparatus and techniques for determining whether a medical electrode, such as a defibrillation electrode coupled to an automated external defibrillator, is in a condition for replacement. The determination can be made as a function of one or more data. In one exemplary embodiment, the determination is a function of one or more measurements of an impedance of a hydrogel bridge in a test module. In another exemplary embodiment, the determination is a function of one or more environmental condition data from one or more environmental sensors.

Abstract: Each of a pair of electrodes has a conductive face adapted to be brought into contact with a living body. A connector has a pair of terminals. Each of a pair of lead wires has a first end connected to one of the electrodes and a second end connected to one of the terminals. The electrodes, the connector and the lead wires constitute a biomedical electrode unit. A package body is adapted to hermetically packages the biomedical electrode unit in such a condition that the conductive faces of the electrodes are separatably adhered to each other, that the lead wires are coiled, and that the terminals are short-circuited by a conductive member.

Abstract: Handling or removal of a pair of pre-connected defibrillator electrode pads from their package, or a compartment in the defibrillator, is detected in order to effectively time the issuance of prompts to guide the user. Detection occurs when an impedance level between the electrode pads varies sufficiently over time to indicate occurrence of the handling or removal event. The pads are preferably configured to leverage variability in the impedance that results from bending of pads during handling or removal.

Abstract: In accordance with embodiments of the present technique an electrode pad for medical use is provides. The electrode pad comprises a support layer a plurality of electrodes mounted on the support layer and electrically insulated from one another, and a plurality of leads electrically coupled to the electrodes for selectively placing the electrodes at a desired electrical potential.

Abstract: An Automated External Defibrillator (AED) with wireless patient monitoring capability. The AED is used in conjunction with a monitoring chest strap that transmits the patient's ECG and other parameters over a wireless network to the AED. The AED is capable of monitoring several patients simultaneously for use in mass casualty incidents. The AED notifies and indicates to the operator when a patient requires defibrillation therapy. The device is ready to shock once the defibrillation electrodes are applied.

Abstract: A transcutaneous electrode is disclosed having a sheet electrode of an electrically-conductive material with an electrically conductive layer affixed to a major portion of the lower surface thereof. A pad of electrically-conductive gel is applied to the lower surface of the sheet electrode over the electrically-conductive layer. An electrical conductor having an unsheathed end portion is secured to the upper surface of the sheet electrode by an electrically-conductive adhesive. A high dielectric cover overlays the end out portion of the electrical conductor, and is secured to the sheet electrode by the conductive adhesive. A method for making the electrode is also disclosed.

Abstract: Handling or removal of a pair of defibrillator electrode pads from their package is detected in order to effectively time the issuance of prompts to guide the user. One plate of a capacitor is embedded in the package, the electrode pads and lead wires serving as the other plate. Impedance across the capacitor in an alternating current circuit is monitored to detect an increase in the distance between the pads and the package. The impedance level is determined, in a low-cost hardware solution, by rectifying and then integrating an output voltage of the capacitor to produce a voltage signal whose magnitude attenuates as the pads arc handled or removed. In one embodiment, the above methodology is time-division multiplexed with an alternative process that identifies handling or removal based on pad-to-pad impedance. In a further embodiment, the capacitive configuration is replaced with an inductive one.

Abstract: An electrode includes a conductive adhesive layer and a conductive foil layer having a void therein. One such electrode may be mounted in conjunction with another electrode upon a release liner having one or more openings therein to facilitate electrical signal exchange between electrodes. A release liner may include a moisture permeable and/or moisture absorbent membrane. A release liner may alternatively include a conductive backing layer. A release liner may also include an insulating swatch covering an opening. A release liner may be implemented as a foldable sheet, such that multiple electrodes may be mounted upon the same side of the foldable sheet. A medical device to which the mounted electrodes are coupled may characterize the electrical path between the electrodes. The medical device may perform a variety of electrical measurements, including real and/or complex impedance measurements.