Apparatus and method for preparing a patient's scalp for attaching electrodes
12484823 ยท 2025-12-02
Inventors
Cpc classification
A61B2562/0209
HUMAN NECESSITIES
International classification
Abstract
An apparatus and method for preparing the skin of a patient's scalp for attaching electrodes, the method comprising the steps of providing a squeezable member having a hollow interior, wherein a skin abrasive solution is in the interior, wherein the squeezable member includes a restrictive member having a restrictive opening for restricting flow of the skin abrasive solution out of the squeezable member, and an applicator tip through which the solution leaving the restrictive member exits the squeezable member including an interior member and a compressible exterior member having corresponding shapes; squeezing the squeezable member; scrubbing skin portions of the scalp of the patient with the tip; and attaching electrodes to the skin portions of the patient's scalp.
Claims
1. A method for preparing the skin of a patient's scalp for attaching electrodes to the scalp, said method comprising the steps of: providing a squeezable member comprising a body, an applicator, and a skin abrasive prep; said body having a hollow interior chamber in which said skin abrasive prep is located, said hollow interior chamber having a cross-sectional area; said applicator including a retainer and a tip, said retainer being releasably secured to said body by either a threaded screw connection, a friction hold connection, or a tongue and groove connection; said tip being configured to enable said skin abrasive prep to flow therethrough from said hollow interior chamber of said body via a restrictive member interposed between said tip and said hollow interior chamber; said tip including an interior member having one or more openings therein and a hollow interior, and a compressible exterior member applied over the interior member and the one or more openings in the interior member, wherein said interior member is relatively more rigid than the compressible exterior member, and said compressible exterior member and interior member having similar, corresponding shapes; said restrictive member including an opening having a cross-sectional area which is less than said cross sectional area of said hollow interior chamber; said body being configured to be squeezed in a direction to cause said skin abrasive prep to flow from said hollow interior chamber through said opening of said restrictive member into said hollow interior of said interior member of said tip and then passing out of said interior member through said one or more openings in the interior member to said compressible exterior member, and then passing through said compressible exterior member out of said tip; squeezing said squeezable member in said direction to cause said skin abrasive prep to flow from said hollow interior chamber through said opening of said restrictive member into said hollow interior of said interior member of said tip and then through said one or more openings in the interior member to said compressible exterior member, then through said compressible exterior member out of said tip; bringing said less rigid compressible exterior member of said tip of said applicator into engagement with portions of skin of said patient's scalp and scrubbing said portions of skin of said patient's scalp using a back and forth rubbing motion with said abrasive prep exiting from said tip to produce a scrubbed portion of the patient's scalp, said interior member having a rigidity required for an adequate manual pressure to be applied against the patient's scalp with the tip to repeatedly scrub said portions of the patient's scalp without breaking; removing said less rigid compressible exterior member of said tip of said applicator from engagement with said scrubbed portions of the patient's scalp; and thereafter attaching electrodes to scrubbed portions of the patient's scalp.
2. The method of attaching electrodes according to claim 1, wherein said skin abrasive prep is introduced into said hollow interior by detaching said applicator from said body, inserting said skin abrasive prep into said hollow interior chamber, and attaching said applicator to said body, wherein said applicator that is detached and said applicator that is reattached is one of a) a same applicator and b) respectively different applicators.
3. The method according to claim 2, wherein said squeezable member is supplied with said respectively different applicators.
4. The method according to claim 1, wherein said compressible exterior member is comprised of cotton.
5. The method according to claim 1, wherein said restrictive member is a seal with an opening of variable size that changes responsive to the amount of squeezing of said squeezable member with said skin abrasive prep therein.
6. The method according to claim 1, wherein said squeezable member is supplied with said skin abrasive prep therein and without a resealable opening for refilling said squeezable member after said skin abrasive prep has exited.
7. The method according to claim 1, wherein while scrubbing said portion of skin of said patient's scalp, pressure is applied to said portions of skin of said patient's scalp in a direction orthogonal to said direction in which said squeezable member is squeezed.
8. The method according to claim 1, wherein said interior member of the tip is rigid, and said exterior member of the tip is a compressible member.
9. The method according to claim 1, wherein said exterior member of the tip comprises a sponge-like material.
10. The method according to claim 1, wherein the exterior member of the tip comprises a textile or fabric.
11. The method according to claim 1, wherein said body comprises a sidewall and wherein said restrictive member comprises a plurality of restrictive members extending radially inward with respect to said body.
12. The method according to claim 1, wherein said squeezable member additionally comprises a cap being releasably secured over said tip by either a threaded screw connection, a friction hold connection, or a tongue and groove connection, and removing the cap from over the tip prior to the step of squeezing said squeezable member to cause said skin abrasive prep to flow from said hollow interior chamber out of said tip.
13. The method according to claim 1, wherein the compressible exterior member of the tip comprises a vegetal cellulose material.
14. The method according to claim 1, wherein the compressible exterior member of the tip has an outer surface shape which is that same as an outer surface shape of the interior member.
15. The method according to claim 14 wherein the tip further comprises a front surface which is angled with respect to the restrictive member to be easily brought into engagement with said portions of skin of said patient's scalp for scrubbing said portions of skin of said patient's scalp, and the one or more openings in the interior member of the tip are in said front surface.
16. The method according to claim 15 wherein said front surface of the tip has a triangular shape.
17. The method according to claim 1 wherein after the step of removing said less rigid compressible exterior member of said tip of said applicator from engagement with said scrubbed portions of the patient's scalp, and prior to the step of attaching electrodes to scrubbed portions of the patient's scalp, the further step of; applying a conductive paste to a skin contact area of the electrodes to increase adherence of the electrodes to the scrubbed portions of the patient's scalp and to reduce contact impedance at an interface between the electrodes and skin of the scrubbed portions of the patient's scalp.
18. The method according to claim 17 wherein prior to the step of applying a conductive paste to a skin contact area of the electrodes, the further step of: removing excess skin abrasive prep from the scrubbed portions of the patient's scalp.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION
(11) The prior art method of applying prep has several problems which makes the process undesirable. As previously explained, prep is applied to a patient's scalp through the use of a cotton tipped applicator or swab. The cotton tipped applicator is dipped into a container of prep, and then the cotton tipped applicator is rubbed on locations on the patient's scalp.
(12) As the prep goes from location to location on the patient's scalp, it is desirable to keep the cotton tipped applicator saturated with prep. Thus, the technician applying the prep repeatedly moves his/her hand back and forth: dipping the applicator into a solution of prep and then rubbing the applicator on the patient's scalp in various locations.
(13) There are problems with this procedure, namely the time needed to apply the prep and the possibility of applicator breakage.
(14) Because the technician is moving the applicator hack and forth between the solution of prep and the patient's head, time is lost in the process of moving between the patient's head and the solution of prep. This can be particularly inconvenient for a patient. For example, if a patient is a child, or the patient is an adult with a disability such as a learning disability, the patient might be impatient or potentially frightened by the process of being prepared for an EEG recording. In one example, the patient may have difficulty sitting still. In another example, if the patient is very upset, the patient can start to cry, and/or can be very agitated with the result of frequent head movements. With any type of head movement, application of prep onto a patient's head can become very challenging. Thus, a technician will attempt to apply prep on a patient's head as quickly as possible. If the technician is continuously moving his/her hand back and forth between the patient's head and a solution of prep, this process of hand movement increases the amount of time needed to apply prep to all the locations on a patient's head, and/or creates unnecessary delays between applying prep to each location on the patient's head.
(15) Breakage of the applicator is another concern. An applicator may be comprised of wood (as opposed to other materials) because of low cost as well as sufficient structural strength. In other words, the cotton tipped applicator needs to be sufficiently strong so that a technician can apply pressure on to the patient's head while grasping the applicator. This pressure may be needed in order to slightly abrade the skin in order to lower the impedance of the electrode connection. Unfortunately, if a technician applies too much pressure, then the applicator might break, with the result that a sharp point is formed, and that is possibly pointing towards the patient's head. Even if a technician is perfect in the amount of pressure being applied, if the patient suddenly jerks his/her head in the wrong direction, and with sufficient force, the jerking motion may result in the applicator snapping in half. Again, this may result in a dangerous situation where a technician is left holding only a portion of the applicator, with a sharp end facing towards the patient's head.
(16) Accordingly, in an exemplary embodiment of the present invention, squeezable member 100 is provided as shown in
(17) In operation, squeezable member 100 is provided. Also, squeezable member 100 may be provided with abrasive prep in hollow interior 104. In another embodiment, squeezable member 100 is provided empty and is then filled with abrasive prep. Abrasive prep is sold under several brand names such as NUPREP, LEMON PREP, and SKIN PURSE. Squeezable member 100 may be inverted into the position shown in
(18) In one embodiment, sidewalls 109 of body 102 are flexible. This flexibility enables body 102 to be squeezed from opposite sides as shown by the exemplary and illustrative opposing arrows that are illustrated in
(19) Squeezable member 100 includes applicator 210. Applicator 210 may include a tip that includes materials to provide comfort to a patient when applicator 210 is in contact with skin layer 110. Thus, applicator 210 may be comprised of a sponge-like material. Alternatively, the tip of applicator 210 may have a hard interior and an exterior softer than the hard interior. Exemplary exterior is formed of textiles or fabrics. Details regarding applicator 210 are described below.
(20) Squeezable member 100 may also include optional restrictive member 106. Restrictive member 106 may provide some form of restriction as liquid within hollow interior 104 flows through applicator 210 and onto skin layer 110. Details regarding restrictive member 106 are also provided below.
(21) As a result of gravity, and/or squeezing of body 102, prep is now introduced onto skin layer 110. Using for example a back-and-forth motion, applicator 210 may be rubbed on skin layer 110 in order to clean skin layer 110 with the abrasive prep that has come out of body 102. In one embodiment, the actions of 1) allowing abrasive prep to flow out of body 102 and 2) rubbing applicator 210 on skin layer 110, occur concurrently. In another exemplary embodiment, flow of abrasive prep out of body 102 and rubbing of skin layer 110 by applicator 210 occur sequentially (i.e., allow abrasive prep to flow out of body 102, subsequently rub skin layer 110 with applicator 210, repeat). Alternatively, a combination of the above steps may occur in which rubbing of skin layer 110 and exiting of abrasive prep from body 102 first occurs simultaneously, then occurs sequentially, etc. The hard interior enables sufficient force to be applied against the skin surface by the softer exterior for the abrasive prep to easily clean the skin layer 110.
(22) In one exemplary embodiment, squeezable member 100 is supplied in a closed container and filled with abrasive prep prior to being received for patient use. In this exemplary embodiment, the technician removes squeezable member 100 from packaging, preps a patient head for EEG recording, and when done simply disposes of squeezable member 100. In another exemplary embodiment, squeezable member 100 is refillable, and applicator 210 is replaceable. Thus, for example, prior to use, squeezable member 100 is provided empty, squeezable member 100 is filled with abrasive prep, applicator 210 is rubbed on a patient's skin layer 110 while abrasive prep is concurrently and/or sequentially exiting squeezable member 100, and after patient preparation is complete, applicator 210 is discarded or sterilized. Squeezable member 100 is then refilled with abrasive prep, and either applicator 210 is attached to body 102 prior to further patient use, or a previously-used applicator is sterilized and subsequently attached to body 102. Several exemplary embodiments will now be provided in order to illustrate both methods of operation.
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(24) In the embodiment shown in
(25) Tip 216 may be oval-shaped as shown in the figure, although this is merely exemplary. Tip 260 may be manufactured using various exemplary manufacturing processes including injection molding and blow molding. Tip 216 as shown in
(26) As previously explained, applicator 210 is attached to body 102 using various methods that include and are not limited to a threaded attachment, a friction attachment, a tongue and groove attachment, etc. Also, in another exemplary embodiment, applicator 210 and body 102 are manufactured so that applicator 210 and body 102 are integrated into a single piece. As previously explained, if injection molding is used as the form of manufacturing, it may be desirable to form squeezable member 100 in two separate identical bisymmetrical pieces that are bonded/fused together during the manufacturing process.
(27) Body 102 includes body opening 204. When squeezable member 100 is inverted, abrasive prep flows out of hollow interior 104, through body opening 204, through restrictive opening 220, into tip 216, and through cover 218 before coating skin layer 110.
(28) Prior to performing an EEG on a patient, squeezable member 100 is supplied having body 102 with hollow interior 104. Abrasive prep (a skin abrasive solution) may either be included in the hollow interior 104 or added to hollow interior 104 prior to use. Squeezable member 100 includes applicator 210 having tip 216 (at the end of applicator 210) through which the prep exits squeezable member 100. The squeezable member includes a restrictive member, either in body 102 or applicator 210. In the example shown in
(29) Squeezable member 100 may be squeezed to assist in the flow of prep out of squeezable member 100.
(30) As (or after) prep flows onto the patient's scalp, skin portions of the patient's scalp are scrubbed with tip 216. Scrubbing may be accompanied by pressure against the patient's scalp. In one embodiment-pressure is applied to the scalp in a direction orthogonal to the direction in which squeezable member 100 is squeezed. In another embodiment, squeezable member 100 is used to apply pressure at an angle that is not exactly orthogonal to the patient's scalp, but the pressure has an orthogonal pressure vector component.
(31) Electrodes are then attached to the patient's scalp at the locations where the patient's scalp was scrubbed.
(32) During use, if prep is not already in hollow interior 104, then prep is added to hollow interior 104. Adding prep to hollow interior 104 may be performed as follows: Applicator 210 may be unfastened from body 102, prep is poured into hollow interior 104, and applicator 210 may be reattached to body 102. Applicator 210 that is reattached to body 102 is either an applicator 210 that was previously detached from body 102 or a new applicator 210.
(33) Squeezable member 100 may thus be provided as a kit, with body 102 and a plurality of applicators 210. In this manner, each applicator 210 that is used may be discarded and replaced with a new (and clean and/or sterile) applicator 210.
(34) The above explanation is with regard to the embodiment shown in
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(36) Compressible tip 240 sits within applicator 210 and rests on restrictive member 222. Restrictive member 222 may be one of a plurality of restrictive members 222 that extend inwardly from the inner walls of applicator 210. While restrictive member 222 extends inwardly from the inner walls of applicator 210, the location of one restrictive member 222 relative to another may result in spaces therebetween, thus allowing abrasive prep to flow to those spaces. Alternatively, restrictive member 222 can be another shape such as a disk with a central opening. The disk may be adhered to the interior of applicator 222. Adhering of restrictive member 222 within applicator 210 may be via chemical bonding, bonding during the manufacturing process, or a tongue and groove configuration. Compressible tip 240 may be held in place within applicator 210 with a friction hold, adhesive, and/or it may rest on restrictive member 222. Applicator 210 includes sidewalls 230 in which compressible tip 240 is inserted.
(37) During actual operation, abrasive prep flows through body opening 204 of body 102, through restrictive opening 220, through compressible tip 240 and onto skin layer 110. Furthermore, while
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(39) When opposing pressure is applied to body 102, prep within hollow interior 104 is pressed against seal 250, causing seal 250 to open. As opposing pressure (or even pressure from one side) against body 102 is increased, seal 250 increases the size of its opening to allow more prep to flow therethrough. Without opposing pressure exerted against body 102, seal 250 remains closed and therefore prep is prevented from flowing past seal 250, through compressible tip 240, and onto skin layer 110.
(40) As disclosed in U.S. Pat. No. 5,664,705, seal 250 may be comprised of a plurality of members that are attached to each other during manufacturing in order to maintain prep within body 102. Score lines may separate the individual valve members. Upon application of pressure while body 102 is squeezed, the valve members open, separating from each other along the score lines. In an exemplary embodiment, score lines may be cut deepest at the apex allowing the valve members to easily separate.
(41) U.S. Pat. No. 5,664,705 discloses that the body is manufactured as a plurality of different members that are bonded (or fused) together during the manufacturing process. This is merely exemplary.
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(47) At step 1002, a squeezable member may be provided. For example, squeezable member 100 may be provided. In some exemplary embodiments, abrasive prep is included within the squeezable member. At step 1004, portions of skin layer 110 may be scrubbed. In the preferred embodiment, the portions of skin layer are on the scalp, i.e. located on a person's head. Step 1004 may be accompanied by other steps. One exemplary step that may accompany step 1004 includes the step of inverting the squeezable member so that it is inverted, so it is facing downwards and is in contact with the patient's skin. Furthermore, another exemplary step that may be included is the step of squeezing the squeezable member from opposite sides in order to assist with the dispensing of abrasive prep from the squeezable member. As previously described, squeezing and scrubbing may occur simultaneously, may occur serially (one after the other), or may occur in some combination thereof. At step 1006, electrodes are attached to the patient's skin so that, for example, EEG recording may commence. At step 1008, the squeezable member may be discarded. If the squeezable member is discarded at step 1008, then processing proceeds to step 1002 at which a new squeezable member is provided. Alternatively, if the squeezable member includes a removable retainer, then at step 1010 the removable retainer is removed. At step 1114, solution, namely abrasive prep, is added to the squeezable member. At step 1112, the retainer is replaced onto the squeezable member. Processing then proceeds to step 1004 where skin portions of yet another patient may be scrubbed.
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(49) While several embodiments described above include structure for opening and resealing squeezable member 100, in several embodiments squeezable member 100 is supplied with prep already included therein and with a resealable opening for refilling squeezable member 100 after the prep has exited.
(50) In the aforementioned description, numerous details are set forth. It will be apparent. however, to one skilled in the art, that the disclosure may be practiced without these specific details. In some instances, well-known structures and devices are shown in block diagram form, rather than in detail, in order to avoid obscuring the disclosure.
(51) Whereas many alterations and modifications of the disclosure will no doubt become apparent to a person of ordinary skill in the art after having read the foregoing description, it is to be understood that any particular implementation shown and described by way of illustration is in no way intended to be considered limiting. Therefore, references to details of various implementations are not intended to limit the scope of the claims, which in themselves recite only those features regarded as the disclosure.
ITEM NUMBERS
(52) 100 squeezable member 102 body 104 hollow interior 106 restrictive member 107 bottom 108 tip 109 sidewalls 110 skin 202 neck 204 body opening 210 applicator 212 retainer 214 restrictive member 216 rounded tip 218 cover 220 restrictive opening 222 restrictive member 230 sidewall 240 compressible tip 242 protrusion 250 seal 280 cap 300 disk 301 disk opening 410 applicator 416 tip 420 restrictive member 422 interior member 424 exterior member 428 front surface 430 cross-shaped opening 432 restrictive opening