A bipolar electrode configuration is less complicated to
implement than a tripolar electrode. It may be better suited
for clinical use than the monopolar configurations because
it can be useful at shorter electrode lengths.
An experimental asymmetric electrode with two pairs of contacts is shown in the
figure. A.D. is the internal cuff diameter of the primary Anodes (1 and 4) and
C.D. is the internal cuff diameter of the primary Cathodes (2 and 3). L-s is
the length of insulation housing the Anodes. Red arrows show the current paths
from anode to cathode, internal and external to the insulating cuff.
Electrode was placed around nerve to the Medial Gastrocnemius. EMG and muscle
force were recorded during electrical stimulation. Orthodromic conduction block
was tested with contact 3 as cathode and 4 as the anode (‘Arrest End’).
Antidromic escape was tested with contacts 1 and 2 (‘escape end’).
Example of twitch force, (normalized to maximum elicited
by supramaximal rectangular pulse) recorded from Medial Gastrocnemius
is shown in the figure, plotted against the stimulus current
amplitude. The pulse width of the plateau phase was 300 µsec.
In addition, the exponential decay phase was 500 µsec.
Filled circles are the results for the ‘arrest end’,
with contacts 3 and 4. Open circles are the results for the ‘escape
end’, with contacts 1 and 2.
For the ‘arrest end’, force started to decline at 0.28 mA, and was
down to 10% at 0.48 mA. Conduction arrest at the ‘escape end’ resulted
in a fall of 90% of maximum force at 0.69 mA. The ‘block window’ is
defined by the 90% maximal current at the ‘escape end’ minus the
10% maximal current at the ‘arrest end’.
Sweeney, J. D. and J. T. Mortimer (1986). “An
asymmetric two electrode cuff for generation of unidirectionally
propagated action potentials.” IEEE Trans Biomed
Eng. 33(6): 541-9.