Tumor treating fields (TTFields) are low intensity alternating electric fields within the intermediate frequency range (for example, 50 kHz to 1 MHz), which may be used to treat tumors as described in U.S. Pat. No. 7,565,205. TTFields are induced non-invasively into the region of interest by transducers placed on the patient's body and applying AC voltages between the transducers. Conventionally, transducers used to generate TTFields include a plurality of electrode elements comprising ceramic disks. One side of each ceramic disk is positioned against the patient's skin, and the other side of each disc has a conductive backing. Electrical signals are applied to this conductive backing, and these signals are capacitively coupled into the patient's body through the ceramic discs. Conventional transducer designs include arrays of ceramic disks attached to the subject's body via a conductive skin-contact layer such as a hydrogel.
This application describes exemplary transducer apparatuses used to apply TTFields to a subject's body for treating one or more cancers.
Transducers used to apply TTFields to a subject's body often include multiple electrode elements coupled together on a substrate and attached to the subject's body at a desired location, for example, via an adhesive layer on the substrate or a separately applied adhesive. Transducers can include one or more conductive material layers located between the electrode elements and the subject's body upon attachment of the transducer to the subject's body. Such conductive material layers may include, for example, a conductive skin-contact layer such as a hydrogel or a conductive adhesive layer located against the subject's body. The conductive adhesive layer may take the form of an adhesive matrix material having conductive particles (e.g., carbon fibers or carbon black powder) embedded at least partially in the adhesive matrix material. Additionally, the conductive material layer(s) may include a conductive layer of anisotropic material taking the form of a carbon layer, a graphite layer, or others. The conductive layer of anisotropic material may have different thermal and/or electrical conductivities in a direction perpendicular to a face of the transducer (z-direction) than in directions parallel to the transducer face (directions in an x-y plane). Conductive material layer(s) having greater thermal conductivity in the x-y plane than in the z-direction can spread out heat generated by the electrode elements within an x-y plane while conducting electricity from the electrode elements in a z-direction toward the subject's body. This allows greater currents to be applied to the electrode elements while maintaining the temperature at the subject's skin under a maximum operating temperature.
In general, one or more pairs of transducers are positioned on the subject's body and used to alternately apply TTFields to the subject's body. Generally, it is preferred that there are at least two pairs of transducers, and that the transducers are not touching each other. However, on certain areas (e.g., the head) of the subject's body, two or more transducers may be positioned such that they overlap one another or are located immediately adjacent one another. It is important to avoid electrical contact between overlapping/adjacent transducers, particularly those with conductive material layer(s) that are highly conductive in the x-y plane, so as to prevent a short circuit in which current runs through the transducers and not through the subject's body. Electrical contact between transducers is typically avoided via physical separation of the conductive elements of the transducers. For example, physical separation is provided by a non-conductive adhesive bandage provided on each transducer, the adhesive bandage extending in the x-y plane beyond the outer edges of the electrode elements and any conductive material layers.
However, subjects will sometimes cut the adhesive bandage of a transducer, either to resize the transducer for fitting on a portion of the subject's body or to reduce the total contact area of the adhesive bandage (which can cause skin irritation) with the subject's body. Cutting the bandage in this manner could lead to the unintentional and undesirable exposure of a conductive material layer. Exposure of a conductive material layer of the transducer may eliminate the physical separation of conductive elements between adjacent transducers, potentially causing a short circuit between the transducers.
The inventors have now recognized that a need exists for transducers capable of preventing physical exposure of conductive material layer(s) of the transducer to a conductive portion of a nearby transducer.
Exemplary transducer apparatuses include a conductive adhesive layer having at least one non-conductive edge portion that is electrically non-conductive. The non-conductive edge portion may prevent exposure of the edges of a conductive portion (e.g., a conductive portion of the adhesive layer and/or a conductive layer of anisotropic material) of the transducer and, as such, may prevent two transducers from electrically connecting.
Each transducer (100, 200) of
In
The transducer (100, 200) of each of
In
The adhesive layer (106, 206) may take any desired shape. For example, as shown in
The conductive adhesive region (107, 207) of the adhesive layer (106, 206) may be a composite adhesive layer. In particular, the conductive adhesive region (107, 207) comprises a plurality of electrically conductive particles embedded at least partially within an adhesive matrix material. The electrically conductive particles may include carbon granules, carbon flakes, graphite powder, carbon black powder, carbon nanoparticles, carbon nanotubes, and the like. The electrically conductive particles may include electrically conductive fibers, such as carbon fibers, as discussed in detail below. The electrically conductive fibers are illustrated in
As viewed in
As shown in
The area 113 in
In other embodiments, as shown in
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As illustrated in
In an example, the non-conductive material border(s) 218A, 218B, 218A′, 218B′ may be, or may comprise, a non-conductive adhesive. The non-conductive adhesive may be a medical adhesive. The non-conductive adhesive may be sprayed onto or otherwise applied to the rest of the transducer 200 to form the non-conductive material border 218A, 218B, 218A′, 218B′. As described above, the non-conductive adhesive may be applied such that portion(s) of the outer perimeter 217 of the conductive adhesive region 207 are covered by the non-conductive adhesive. In another embodiment, the non-conductive adhesive may be applied only outside of the outer perimeter 217 of the conductive adhesive region 207, for example, starting at the outer perimeter 217 of the conductive adhesive region 207 and extending outside of the outer perimeter 217 of the conductive adhesive region 207 to form an adhesive “outline”; or starting outside the outer perimeter 217 of the conductive adhesive region 207 and extending further outside of the outer perimeter 217 of the conductive adhesive region 207 to form an adhesive “outline”. The latter approach may be advantageous compared to relying on the area of bandage outside of the outer perimeter 217 of the conductive adhesive region 207, particularly if the adhesive used for the “outline” is less irritating on the skin than the bandage adhesive. The same adhesive “outline” may be achieved in practice by coating a layer (or multiple areas) of non-conductive adhesive over portion(s) of the front face 203 of the substrate 202 prior to applying the electrode assembly comprising the conductive adhesive region 207 onto the substrate 202. In this method of construction, the layer (or multiple areas) of non-conductive adhesive extends out from beneath the conductive adhesive region 207, extending beyond the outer perimeter 217 thereby forming the adhesive “outline”.
In another example, the non-conductive material border 218A, 218B, 218A′, 218B′ may comprise a tape, bandage, or plaster. In particular, the non-conductive material border 218A, 218B, 218A′, 218B′ may comprise an electrical tape or a non-conductive medical tape. As shown in
In an example, as shown in
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In
The second adhesive layer (110, 210) may have a different construction than the adhesive layer (106, 206). For example, the second adhesive layer (110, 210) may not have the same shape, size, base material, or conductive particles (e.g., fibers) that are used in the adhesive layer (106, 206). In some embodiments, the second adhesive layer (110, 210) may comprise a conductive acrylic adhesive or a conductive silicone adhesive, with or without carbon powder dispersed therein. In some embodiments, the adhesive material of the second adhesive layer (110, 210) may be the same as, or different than, the matrix material used to form the adhesive layer (106, 206).
In some embodiments, the layer of anisotropic material (108, 208) may not be present, and the transducer (100, 200) may only feature a single adhesive layer (106, 206) comprising the conductive adhesive region (107, 207) electrically coupled to the electrode element(s) (104, 204).
As constructed, transducers 100 and 200 may present exposed surfaces facing in the forward-facing direction. For the transducer 100, the forward-facing surfaces of the substrate 102 and conductive adhesive layer 107 are surfaces 130A and 130B, respectively. For the transducer 200, the forward-facing surfaces of the substrate 202, non-conductive material border 218A/B, and conductive adhesive layer 207 are surfaces 230A, 230B and 230C, respectively. The dimensions of various components of the transducer (100, 200) in
The disclosed adhesive layer (106, 206) comprising the conductive adhesive region (107, 207) having the area(s) 113 devoid of electrically conductive particles (alone or in combination with one or more non-conductive material borders 218A, 218B, 218A′, 218B′) may prevent or protect against a short circuit occurring between the transducer 100, 200 and an adjacent transducer positioned on a subject's body, even if one or both of the transducers have been cut. The adhesive layer (106, 206) (with or without non-conductive material border(s) 218A, 218B, 218A′, 218B′) provides a border defined by a physical barrier (e.g., area(s) 113 devoid of electrically conductive particles and/or the non-conductive material). The border surrounds an areal exclusion zone of the transducer (100, 200) containing at least the areal footprint of the second region (conductive adhesive region 107, 207) of the adhesive layer (106, 206) having the electrically conductive particles. The border (with or without non-conductive material border(s) 218A, 218B, 218A′, 218B′) may seal the outer edge of the adhesive layer (106, 206) and/or the layer of anisotropic material (108, 208) from electrical contact with other transducers in its vicinity.
The disclosed adhesive layer (106, 206) (with or without non-conductive material border(s) 218A, 218B, 218A′, 218B′) may provide a third level of separation between conductive material layer(s) of the transducer (100, 200) and a conductive portion of an adjacent transducer, in addition to (1) a recommended relative placement of the transducers on the subject's body; and (2) the non-conductive substrate (102, 202).
The adhesive layer (300, 400) of
In
In some embodiments, as shown in
In
Turning to
Turning to
In an example, the plurality of electrically conductive particles may be electrically conductive fibers. As such, the conductive adhesive region (307, 407) may be a “fiber region” having conductive carbon fibers, and the non-conductive edge portion(s) (313A/B, 413) may be “non-fiber regions” each devoid of electrically conductive fibers. When viewed in a direction perpendicular to the x-y plane (e.g.,
The non-fiber region(s) (313A/B, 413) are located along one or more portions (317A/B, 417A-D, 417) of an outer perimeter of the fiber region (307, 407) of the adhesive layer (300, 400). For example, in
The plurality of electrically conductive particles may comprise graphite. The plurality of electrically conductive particles may comprise a sheet of fibers embedded in the adhesive matrix material. The sheet of fibers may be in the form of a mesh layer that can be cut to any desired shape, which becomes the first areal footprint (327, 427) of the conductive adhesive region (307, 407). The electrically conductive fibers may be oriented such that the longitudinal axes of each of the fibers is substantially (e.g., within 10 degrees) parallel to the x-y plane of the adhesive layer (300, 400). The adhesive matrix material may comprise any suitable polymer, for example, the adhesive matrix material may comprise an acrylic polymer matrix material or a silicone polymer matrix material. In some embodiments where the non-fiber region comprises a non-conductive adhesive layer, the matrix material (e.g., adhesive) may be the same in each of the non-conductive region (non-fiber region) and the conductive adhesive region (fiber region). In other embodiments of this aspect, the matrix material (e.g., adhesive) may not be the same in each of the non-conductive region (non-fiber region) and the conductive adhesive region (fiber region).
As illustrated, some of the adjacent transducers 500 may overlap each other on the subject's head. A user may cut one or more portions of the transducer(s) 500 to fit the transducers 500 together, to fit the transducers 500 around anatomical features, or simply to reduce the amount of adhesive touching the subject's body. The transducers 500 may be equipped with one or more of the above-described electrically conductive adhesive layers having region(s) devoid of electrically conductive particles (e.g.,
The invention includes other illustrative embodiments (“Embodiments”) as follows.
Embodiment 1: An adhesive layer for use in a transducer apparatus, the adhesive layer extending in an x-y plane and having an adhesive layer outer edge, the adhesive layer comprising: an adhesive matrix material; a plurality of electrically conductive particles embedded at least partially within the adhesive matrix material forming a conductive adhesive region of the adhesive layer; and at least one non-conductive edge portion comprising an adhesive devoid of electrically conductive particles, the at least one non-conductive edge portion being electrically non-conductive; wherein, when viewed in a direction perpendicular to the x-y plane, a first non-conductive edge portion is located adjacent to and extends along an outer edge of the conductive adhesive region and forms at least a portion of an outer perimeter of the adhesive layer.
Embodiment 2: The adhesive layer of Embodiment 1, wherein the first non-conductive edge portion extends at least 1 mm from the adhesive layer outer edge into the adhesive layer in a direction perpendicular to the adhesive layer outer edge.
Embodiment 3: The adhesive layer of Embodiment 1, wherein the adhesive layer has a substantially square or rectangular shape, or substantially square or rectangular shape with rounded corners when viewed in the direction perpendicular to the x-y plane.
Embodiment 4: The adhesive layer of Embodiment 3, wherein, when viewed in the direction perpendicular to the x-y plane, the conductive adhesive region has a substantially square or rectangular shape, or substantially square or rectangular shape with rounded corners, and the first non-conductive edge portion is located adjacent to and extends along four outer edges of the conductive adhesive region, the four outer edges being connected by corners or rounded corners.
Embodiment 5: The adhesive layer of claim 3, wherein, when viewed in the direction perpendicular to the x-y plane, the conductive adhesive region has a substantially square or rectangular shape, or substantially square or rectangular shape with rounded corners, and the first non-conductive edge portion is located adjacent to and extends along a first outer edge of the conductive adhesive region, and a second non-conductive edge portion is located adjacent to and extends along a second outer edge of the conductive adhesive region opposite the first outer edge of the conductive adhesive region, each forming at least a portion of the outer perimeter of the adhesive layer.
Embodiment 6: The adhesive layer of Embodiment 5, wherein, when viewed in the direction perpendicular to the x-y plane, the first and second non-conductive edge portions are separated from each other, such that electrically conductive particles are located along a third outer edge of the conductive adhesive region connecting the first and second outer edges of the conductive adhesive region, and electrically conductive particles are located along a fourth outer edge of the conductive adhesive region connecting the first and second outer edges of the conductive adhesive region.
Embodiment 7: The adhesive layer of Embodiment 1, wherein the adhesive layer has a circular, oval, ovoid, ovaloid, or elliptical shape when viewed in the direction perpendicular to the x-y plane.
Embodiment 8: The adhesive layer of Embodiment 7, wherein, when viewed in the direction perpendicular to the x-y plane, the first non-conductive edge portion is located adjacent to and extends along the outer edge of the conductive adhesive region and forms the entire outer perimeter of the adhesive layer.
Embodiment 9: The adhesive layer of Embodiment 1, wherein, when viewed in the direction perpendicular to the x-y plane, the first non-conductive edge portion is located adjacent to and extends along the outer edge of the conductive adhesive region and forms the entire outer perimeter of the adhesive layer.
Embodiment 10: The adhesive layer of Embodiment 1, wherein the plurality of electrically conductive particles are fibers.
Embodiment 11: The adhesive layer of Embodiment 1, wherein the plurality of electrically conductive particles comprises graphite.
Embodiment 12: The adhesive layer of Embodiment 1, wherein the plurality of electrically conductive particles comprises a sheet of fibers embedded in the adhesive matrix material.
Embodiment 13: The adhesive layer of Embodiment 1, wherein the plurality of electrically conductive particles is distributed through an entire thickness of the adhesive layer in the direction perpendicular to the x-y plane.
Embodiment 14: The adhesive layer of Embodiment 1, wherein the plurality of electrically conductive particles is distributed through a portion of an entire thickness of the adhesive layer in the direction perpendicular to the x-y plane.
Embodiment 15: A transducer apparatus for delivering tumor treating fields to a subject's body, the transducer apparatus comprising: a substrate; at least one electrode element coupled to the substrate; and an adhesive layer located on an opposite side of the at least one electrode element from the substrate, the adhesive layer comprising an electrically conductive adhesive region, wherein: the electrically conductive adhesive region has an areal footprint that overlays one, or more than one, electrode element; the electrically conductive adhesive region comprises a plurality of electrically conductive fibers embedded at least partially within an adhesive matrix material, and when viewed in a direction perpendicular to a face of the substrate, a first area located adjacent to and extending along at least a first portion of an outer perimeter of the electrically conductive adhesive region is devoid of electrically conductive fibers, is electrically non-conductive, and forms at least a first portion of an outer perimeter of the adhesive layer.
Embodiment 16: The transducer apparatus of Embodiment 15, wherein, when viewed in the direction perpendicular to the face of the substrate, a second area defining a second portion of an outer perimeter of the adhesive layer has electrically conductive fibers, and the transducer apparatus further comprises a non-conductive material border disposed over the second area, the non-conductive material border being electrically non-conductive.
Embodiment 17: The transducer apparatus of Embodiment 16, wherein, when viewed in a direction parallel to the face of the substrate, the non-conductive material border covers a full thickness of the adhesive layer in the direction perpendicular to the face of the substrate.
Embodiment 18: The transducer apparatus of Embodiment 16, wherein, when viewed in the direction perpendicular to the face of the substrate, an outer edge of the non-conductive material border extends at least 1 mm outside of the second portion of the outer perimeter of the adhesive layer.
Embodiment 19: The transducer apparatus of Embodiment 16, wherein, when viewed in the direction perpendicular to the face of the substrate, a third area defining a third portion of the outer perimeter of the adhesive layer opposite the second portion of the outer perimeter has electrically conductive fibers, and a second non-conductive material border is disposed over the third area, the second non-conductive material border being electrically non-conductive.
Embodiment 20: The transducer apparatus of Embodiment 16, wherein the non-conductive material border comprises a non-conductive adhesive.
Embodiment 21: The transducer apparatus of Embodiment 16, wherein the non-conductive material border comprises a tape, bandage, or plaster.
Embodiment 22: The transducer apparatus of Embodiment 16, wherein the non-conductive material border comprises a tape, bandage or plaster, wherein the tape, bandage or plaster adheres to a front face of the adhesive layer and is folded to adhere to a back face, or on a back facing side, of the adhesive layer.
Embodiment 23: The transducer apparatus of Embodiment 15, wherein, when viewed in the direction perpendicular to the face of the substrate, the first area located adjacent to and extending along at least the first portion of the outer perimeter of the electrically conductive adhesive region extends along the entire outer perimeter of the electrically conductive adhesive region, and forms an entire outer perimeter of the adhesive layer that is non-conductive.
Embodiment 24: The transducer apparatus of Embodiment 15, further comprising a layer of anisotropic material located between one or more than one electrode element and the electrically conductive adhesive region.
Embodiment 25: The transducer apparatus of Embodiment 24, wherein, when viewed in the direction perpendicular to the face of the substrate, the first portion of the outer perimeter of the adhesive layer that is electrically non-conductive extends outward beyond an outer perimeter of the layer of anisotropic material. Embodiment 26: The transducer apparatus of Embodiment 24, further comprising a second adhesive layer located between the at least one electrode element and the layer of anisotropic material.
Embodiment 27: The transducer apparatus of Embodiment 15, wherein the at least one electrode element comprises a ceramic dielectric layer.
Embodiment 28: The transducer apparatus of Embodiment 15, wherein the at least one electrode element comprises a polymer film.
Embodiment 29: An adhesive layer for use in a transducer apparatus, the adhesive layer extending in an x-y plane, the adhesive layer comprising: an adhesive matrix material; and a plurality of electrically conductive fibers embedded at least partially within the adhesive matrix material, wherein, when viewed in a direction perpendicular to the x-y plane, the plurality of electrically conductive fibers are located within a fiber region of the adhesive layer defined by a first areal footprint, and the adhesive layer further comprises at least one non-fiber region located along one or more portions of an outer perimeter of the fiber region of the adhesive layer, each non-fiber region being devoid of electrically conductive fibers.
Embodiment 30: The adhesive layer of Embodiment 29, wherein, when viewed in the direction perpendicular to the x-y plane, the adhesive layer comprises one non-fiber region fully surrounding the first areal footprint.
Embodiment 31: The adhesive layer of Embodiment 29, wherein, when viewed in the direction perpendicular to the x-y plane, the adhesive layer comprises: a first non-fiber region located along a first portion of the outer perimeter of the fiber region of the adhesive layer; and a second non-fiber region located along a second portion of the outer perimeter of the fiber region of the adhesive layer opposite the first portion.
Embodiment 32: The adhesive layer of Embodiment 31, wherein, when viewed in the direction perpendicular to the x-y plane: a third portion of the outer perimeter of the fiber region of the adhesive layer forms a portion of an outer perimeter of the adhesive layer; and a fourth portion of the outer perimeter of the fiber region of the adhesive layer forms another portion of the outer perimeter of the adhesive layer.
Embodiment 33: The adhesive layer of Embodiment 29, wherein, when viewed in the direction perpendicular to the x-y plane, the adhesive layer comprises a rounded outer perimeter.
Embodiment 34: The adhesive layer of Embodiment 29, wherein, when viewed in the direction perpendicular to the x-y plane, the adhesive layer comprises a substantially square or rectangular outer perimeter, with or without rounded corners.
Embodiment 35: The adhesive layer of Embodiment 1, wherein the adhesive in the at least one non-conductive edge portion is the same as the adhesive matrix material in the conductive adhesive region.
Embodiment 36: The adhesive layer of Embodiment 1, wherein the adhesive in the at least one non-conductive edge portion is not the same as the adhesive matrix material in the conductive adhesive region.
Embodiments illustrated under any heading or in any portion of the disclosure may be combined with embodiments illustrated under the same or any other heading or other portion of the disclosure unless otherwise indicated herein or otherwise clearly contradicted by context. For example, and without limitation, embodiments described in dependent claim format for a given embodiment (e.g., the given embodiment described in independent claim format) may be combined with other embodiments (described in independent claim format or dependent claim format).
Numerous modifications, alterations, and changes to the described embodiments are possible without departing from the scope of the present invention defined in the claims. It is intended that the present invention not be limited to the described embodiments, but that it has the full scope defined by the language of the following claims, and equivalents thereof.
The present application claims the benefit of and priority to U.S. Provisional Patent Application No. 63/357,278, filed Jun. 30, 2022; U.S. Provisional Patent Application No. 63/357,390, filed Jun. 30, 2022; U.S. Provisional Patent Application No. 63/408,604, filed Sep. 21, 2022; U.S. Provisional Patent Application No. 63/420,950, filed Oct. 31, 2022; and U.S. Provisional Patent Application No. 63/421,005, filed Oct. 31, 2022, the contents of each of which are incorporated herein by reference in their entireties.
Number | Date | Country | |
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63357278 | Jun 2022 | US | |
63357390 | Jun 2022 | US | |
63408604 | Sep 2022 | US | |
63420950 | Oct 2022 | US | |
63421005 | Oct 2022 | US |