Adjustable Coiled Leadwire for ECG Monitoring
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Solution Overview
Problem
Current ECG monitoring systems have one-size-fits-all leadwires that are excessively long, leading to entanglement, dislodgment, and unnecessary noise, as they are designed for worst-case scenarios rather than specific patient applications.
Innovation Solution
An adjustable leadwire device with a coiled insulated wire housed in a sheath, allowing for extension to exact lengths needed, featuring connection means for surface electrodes and physiological monitors, preventing entanglement and noise while maintaining signal integrity.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Adaptability or versatility
If leadwires are made excessively long to accommodate all patient sizes, then all patients can be connected, but entanglement and dislodgment occur
Solution Approach 1:
The leadwire incorporates a telescoping mechanism with coiled wire that can dynamically adjust its length. The wire extends from a compact coiled state to a fully extended state, allowing the leadwire to adapt its length based on the specific patient size and monitoring requirements, thereby preventing entanglement while maintaining compatibility across different patient populations.
Solution Approach 2:
The leadwire system changes the physical parameter of length from a fixed value to a variable range. By providing a mechanism that allows the leadwire to extend between minimum and maximum lengths, the system optimizes the length parameter for each specific application, eliminating the harmful effects of excessive length while ensuring adequate reach for all patient sizes.
2Adaptability or versatility
If leadwires are made excessively long for worst-case scenarios, then all connections are possible, but unnecessary noise increases
Solution Approach 1:
The telescoping leadwire mechanism enables dynamic adjustment of wire length, allowing clinicians to extend the wire only to the necessary minimum length required for connection. This minimizes the conductive path length, thereby reducing electromagnetic interference and electrical noise while maintaining the ability to connect to all patient positions.
Solution Approach 2:
By changing the length parameter from excessive fixed length to optimized variable length, the system reduces the antenna effect and electrical noise generation. The leadwire extends only to the required length, minimizing parasitic capacitance and inductance that would otherwise increase with excessive wire length.
3Ease of manufacture
If fixed-length leadwires are used, then manufacturing is simple, but patient-specific optimization is lost
Solution Approach 1:
The telescoping mechanism incorporates a coiled wire design that can be manufactured using standard wire forming techniques. The coil structure is created by winding wire around a mandrel to a specified diameter and pitch, which is a well-established manufacturing process. This maintains manufacturing simplicity while enabling dynamic length adjustment for patient-specific optimization.
Solution Approach 2:
The leadwire is segmented into a coiled portion and straight end portions. The coiled segment provides the telescoping functionality while the end portions maintain standard connector interfaces. This segmentation allows the complex telescoping feature to be manufactured separately and assembled into the standard leadwire structure, preserving manufacturing ease.
4Object-generated harmful factors
If shorter leadwires are used, then entanglement is reduced, but reach to all patients is limited
Solution Approach 1:
The telescoping leadwire provides a dynamic length adjustment mechanism that allows the wire to extend from a compact coiled state to a fully extended state. This enables the leadwire to reach all patient positions when extended, while remaining compact and non-entangling in its coiled state during transport and storage.
Solution Approach 2:
The coiled wire structure effectively nests the leadwire within itself, creating a compact configuration that minimizes space occupation and prevents entanglement. When extension is required, the wire uncoils to provide the necessary reach, embodying the nesting principle that allows the same structure to occupy different effective volumes based on operational requirements.
Data Source
AI summary
An adjustable leadwire device for connecting at least one surface electrode to a physiological monitor includes a length of insulated wire between a first attachment end and a second attachment end. The first attachment end includes a first connection means configured to conductively connect to the surface electrode and the second attachment end includes a second connection means configured to conductively connect to the physiological monitor. At least a portion of the length of insulated wire is coiled to form a helix. A sheath surrounds the helix and has a first end opening and a second opening. The sheath is configured such that coiled insulated wire is extendable out of at least one of the first end opening or the second end opening by pulling a respective one of the first attachment and the second attachment end in order to adjust a length of the adjustable leadwire device.


