Force Applicators for Wearable Cardiac Electrode Placement
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Solution Overview
Problem
Existing wearable cardiac devices face challenges in effectively monitoring and treating cardiac arrhythmias, particularly due to interference from breast tissue, which can disrupt the proper placement and function of ECG sensing electrodes and therapy electrodes.
Innovation Solution
The ambulatory patient monitoring and treatment device incorporates cardioprotective apparel with a cardioactive band and shoulder harnesses that shift breast tissue away from electrode placement regions, ensuring these electrodes lie flush with the skin for optimal function.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Manufacturing precision
If cardioprotective apparel is worn to support electrodes, then electrode placement accuracy is improved, but breast tissue interference with electrode contact deteriorates
Solution Approach 1:
The force applicators extract and remove breast tissue from the electrode placement area by applying localized compressive forces that shift tissue laterally, clearing the path for accurate electrode positioning on the chest wall
Solution Approach 2:
The cardioprotective apparel acts as an intermediary device between the patient's anatomy and the electrodes, using force applicators to mechanically manipulate tissue position and create optimal contact conditions for electrode-skin interface
2Reliability
If force applicators are used to shift breast tissue, then electrode-skin contact is improved, but device complexity increases
Solution Approach 1:
The cardioprotective apparel integrates multiple functions into a single garment: it provides mechanical compression via force applicators, supports and positions electrodes, and maintains skin contact consistency, eliminating the need for separate positioning devices
Solution Approach 2:
The apparel uses flexible, conformable materials that adapt to patient anatomy while incorporating force applicators, allowing the device to maintain electrode contact through tissue manipulation without rigid structural elements
3Measurement precision
If shoulder harnesses with force applicators are implemented, then monitoring precision is improved, but ease of operation deteriorates
Solution Approach 1:
The force applicators incorporate elastic or adjustable components that dynamically adapt to different patient body types and breast tissue characteristics, automatically adjusting compression force and tissue displacement to achieve optimal electrode contact
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
This solution enables the device to accurately detect and treat cardiac arrhythmias by maintaining consistent contact between electrodes and the skin, improving the effectiveness and reliability of the monitoring and treatment process.
Implementation Method 1
Each of the at least two shoulder harnesses includes a force applicator having an elasticity configured to shift breast tissue of the upper torso region of the patient away from at least one of the anterior therapy electrode placement region on the patient or at least one of the predetermined ECG sensing anatomical regions on the patient
Data Source
AI summary
An ambulatory patient monitoring and treatment device configured to be worn continuously is provided. The device includes sensing electrodes, therapy electrodes, and cardioprotective apparel for wear about the torso. The cardioprotective apparel includes a cardioactive band configured to support the sensing electrodes and anterior therapy electrode(s) such that, when worn, the sensing electrodes are disposed on predetermined sensing anatomical regions and the anterior therapy electrode(s) are disposed on an anterior therapy electrode placement region. The cardioprotective apparel also includes at least two shoulder harnesses. Each of the at least two shoulder harnesses includes a force applicator having an elasticity configured to shift breast tissue away from at least one sensing anatomical region and/or the anterior therapy electrode placement region, thereby facilitating the anterior therapy electrode(s) and the sensing electrodes in lying flush with a patient's skin. The device also includes a controller and associated circuitry operably connected to the electrodes.


