Uniformity of current density under stimulating electrodes. 1990

Y Kim, and H G Zieber, and F E Wang
Department of Electrical Engineering, University of Washington, Seattle.

This work examines all the factors that go into designing, simulating, implementing, and experimentally testing high-current bioelectrodes. It reviews previous work on the properties and risks of electrodes used to interface high currents to the human body. It is a self-contained presentation covering all aspects of the design, test, and implementation of high-current stimulating bioelectrodes. Inherent properties derived from theoretical work are pointed out. The tools to design and evaluate electrodes are introduced and discussed. Analytical methods provide insights into inherent characteristics, but lack generality and are often very difficult to use. Numerical methods overcome the difficulties of analytical procedures and are capable of quantitatively evaluating existing electrode designs, or can be used to find a design that is optimal in certain properties and specific applications. Experimental studies have verified and provided knowledge of the mechanisms that can potentially cause damage to the patient. They are also used to test the validity as well as the limitations of numerical models and their predictions, and to point out which aspects of the numerical methods need to be improved. Experimental measurements are in good agreement with the analytical predictions and simulation results. For example, all three approaches pinpoint that the edge effect (the current density at the electrode-body interface increases toward the perimeter of the electrode) is an inherent property of a low-impedance electrode attached to a body of higher resistivity. Also, several optimal stimulating electrode designs to obtain the uniformity of current density under the electrodes are presented.

UI MeSH Term Description Entries
D010138 Pacemaker, Artificial A device designed to stimulate, by electric impulses, contraction of the heart muscles. It may be temporary (external) or permanent (internal or internal-external). Cardiac Pacemaker, Artificial,Artificial Cardiac Pacemaker,Artificial Cardiac Pacemakers,Artificial Pacemaker,Artificial Pacemakers,Cardiac Pacemakers, Artificial,Pacemaker, Artificial Cardiac,Pacemakers, Artificial,Pacemakers, Artificial Cardiac
D004553 Electric Conductivity The ability of a substrate to allow the passage of ELECTRONS. Electrical Conductivity,Conductivity, Electric,Conductivity, Electrical
D004554 Electric Countershock An electrical current applied to the HEART to terminate a CARDIAC ARRHYTHMIA. Cardiac Electroversion,Cardioversion,Defibrillation, Electric,Electroversion, Cardiac,Electrical Cardioversion,Electroversion Therapy,Therapy, Electroversion,Cardiac Electroversions,Cardioversion, Electrical,Cardioversions,Cardioversions, Electrical,Countershock, Electric,Countershocks, Electric,Defibrillations, Electric,Electric Countershocks,Electric Defibrillation,Electric Defibrillations,Electrical Cardioversions,Electroversion Therapies,Electroversions, Cardiac,Therapies, Electroversion
D004566 Electrodes Electric conductors through which electric currents enter or leave a medium, whether it be an electrolytic solution, solid, molten mass, gas, or vacuum. Anode,Anode Materials,Cathode,Cathode Materials,Anode Material,Anodes,Cathode Material,Cathodes,Electrode,Material, Anode,Material, Cathode
D004598 Electrosurgery Division of tissues by a high-frequency current applied locally with a metal instrument or needle. (Stedman, 25th ed) Electrosurgeries
D004599 Electric Stimulation Therapy Application of electric current in treatment without the generation of perceptible heat. It includes electric stimulation of nerves or muscles, passage of current into the body, or use of interrupted current of low intensity to raise the detection threshold of the skin to pain. Electrotherapy,Electrical Stimulation Therapy,Interferential Current Electrotherapy,Therapeutic Electric Stimulation,Therapeutic Electrical Stimulation,Therapy, Electric Stimulation,Electric Stimulation, Therapeutic,Electrical Stimulation, Therapeutic,Electrotherapy, Interferential Current,Stimulation Therapy, Electric,Stimulation Therapy, Electrical,Stimulation, Therapeutic Electric,Stimulation, Therapeutic Electrical,Therapy, Electrical Stimulation
D004867 Equipment Design Methods and patterns of fabricating machines and related hardware. Design, Equipment,Device Design,Medical Device Design,Design, Medical Device,Designs, Medical Device,Device Design, Medical,Device Designs, Medical,Medical Device Designs,Design, Device,Designs, Device,Designs, Equipment,Device Designs,Equipment Designs
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia

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