in the embodiment set forth in fig1 the invention comprises a strain relief ( sr ) coupling assembly 10 including a pad connector element such as a male snap connector 12 affixed to the top surface of an electrically nonconductive first sheet element 14 disposed about the pad connector element . preferably , element 14 is flexible , but not necessarily so . the pad connector element is reversibly engageable with an electrode connector element on a wire or lead from the monitoring device . on its underside , the first sheet element 14 is coated with a layer of biologically compatible adhesive layer 15 as are known in the art . prior to use , the adhesive layer 15 may be covered with a release sheet which preserves the adhesive layer 15 for use on the patient . the release sheet may be of waxy paper , or of thin plastic , or the like . the first sheet element 14 does not allow electrical contact to be made between the patient &# 39 ; s skin and the pad connector element 12 . an elongated flexible electrically conductive element 16 is connected at one end to pad connector element 12 and at its opposite end to sr connector element 18 , which may be a female snap connector . the elongated flexible electrically conductive element 16 is of sufficient length that slack may be maintained therein when the sr coupling assembly is in operation . the elongated flexible electrically conductive element 16 may be made of any suitable conductive material and may be in the form of a wire , a ribbon conductor , or the like . the elongated flexible electrically conductive element is preferably coated with a non - conductive insulating material . in accordance with the invention , the elongated flexible electrically conductive element may be permanently affixed to the pad connector element 12 , or it may be removably affixed to pad connector element 12 . methods for effecting such permanent and removable connections between pans of electrical circuits are known to those of skill in the art . the sr coupling assembly of fig1 may be used , for example , as set forth in fig2 . a conventional monitoring electrode assembly 20 is affixed to the patient in the normal manner . such monitoring electrode assemblies are commercially available and are exemplified by the 3m red dot ™ electrode provided by minnesota mining and manufacturing co ., or the medi - trace ™ electrode provided by graphic controls of buffalo , n . y . , or the carbocone ® electrode distributed by lynn medical instrument co . of bloomfield hills , mich . such electrodes are generally supplied with solid or liquid conductive gel preapplied under an electrode connector element 22 such as a male snap , the gel being protected from drying with a removable cap or sheet and are commonly designated as &# 34 ; adhesive pregelled electrodes .&# 34 ; after removal of the protective cap or sheet , the monitoring electrode assembly 20 is affixed to the patient through the adhesive pad of the electrode assembly . the sr coupling assembly 10 of the invention is also affixed to the patient &# 39 ; s skin near the monitoring electrode assembly 20 , using the contact adhesive on the underside of the first sheet element 14 . if desired , the sr coupling assembly 10 may be affixed to the patient near the site to be monitored prior to affixation of the monitoring electrode . in accordance with the invention , the sr coupling assembly 10 must be affixed at such a distance from the monitoring electrode assembly 20 that slack is maintained in the elongated flexible electrically conductive element 16 . elongated flexible electrically conductive element 16 must not be stretched tightly between the pad connector element 12 of the sr coupling assembly and the electrode connector element 22 . slack is preferably defined in accordance with the invention as a loose loop in the elongated flexible electrically conductive element 16 when both the first sheet of the sr coupling assembly and the monitoring electrode assembly are affixed to the patient and the electrical connections between the monitoring device , the sr coupling assembly , and the monitoring electrode assembly are completed . the sr connector element 18 of the sr coupling assembly 10 is connected to the electrode connector element 22 of the monitoring electrode assembly 20 , maintaining slack in the elongated flexible electrically conductive element 16 as set forth above . a lead 32 from a monitoring device ( md ) includes a monitoring device connector 30 at its distal end , which is coupled to the pad connector element 12 of the sr coupling assembly 10 . with this configuration , the slack in the elongated flexible electrically conductive element 16 mechanically decouples the conductive gel from patient - induced motion of the lead , while maintaining a high reliability electrical connection . in accordance with the present invention , a second sheet element 14a may be provided in combination with the first sheet element 14 described above . preferably , sheet 14a is flexible , but not necessarily so . in this embodiment , as shown in fig3 the second sheet element 14a has top and bottom surfaces and includes an electrical feed - through conductor 22a extending between those surfaces , and an electrically conductive gel element ( not shown ) adjacent to its bottom surface for establishing electrical contact with the skin . the bottom surface of the pad element is coated with an adhesive layer 15 &# 39 ;, in a manner similar to the bottom surface of the first sheet element 14 . the top surface of the second sheet element 14a contains a connector element 22 which may be permanently connected to first sheet element through the elongated flexible conductive element 16 . alternatively , the connection between connector element 22 and first pad connector element 12 may be releasable , through a connector element 22 &# 39 ; such as a male snap connector . the connector element 22 or 22 &# 39 ; is connected to the electrical feed - through conductor 22a . as above , an electrically conductive gel is supplied preapplied to the electrical feed - through conductor 22a , with a removable cap or sheet to protect the gel from drying . in this embodiment , the sr connector is affixed to the top surface of the second sheet element and an electrical connection is maintained from the patient &# 39 ; s skin through the conductive gel element beneath the second sheet element 14a , through the connector element 22a , through the sr connector 22 &# 39 ;, through the elongated flexible electrically conductive element 16 , through the first pad connector element 12 , through the electrode connector element 30 , through the wire or lead 32 to the monitoring device . when in use , slack as defined above is maintained between the first and second sheet elements in order to provide mechanical separation between the conductive gel and the monitoring device . in accordance with the present invention , the second sheet element may optionally be affixed to the first sheet element . such affixation may occur through a perforation x ( depicted as a broken line in fig3 ) in an otherwise contiguous first sheet element and second sheet element , as depicted in fig3 . in the electrode assembly embodiment set forth in fig3 the sr coupling assembly 10 includes detachably connected sheets 14 and 14a , having adhesives 15 and 15a on their respective bottom surfaces . a release sheet 42 is shown affixed to the underside of sheets 14 and 14a , which release sheet can be removed without altering the characteristics of the adhesive layers 15 and 15a . in use , the sr coupling 10 and the monitoring electrode 20 are detached from each other by tearing along perforations x . sr coupling assembly 10 and monitoring electrode 20 are pulled apart from each other , and the portion of sheet 42 affixed to the underside of monitoring electrode 20 is removed . monitoring electrode 20 is adhesively affixed to the patient at the site to be monitored . the remaining portion of sheet 42 is removed from the sr coupling assembly 10 , and sr coupling assembly 10 is affixed to the patient at a site removed from the site of the monitoring electrode but sufficiently close to allow slack in elongated flexible electrically conductive element 16 to be maintained when sr connector element 18 is reattached to electrode connector element 22 . monitoring device connector 30 on external lead wire 32 extending to the monitoring device is coupled to pad connector element 12 of sr coupling assembly 10 , maintaining the slack - containing configuration which mechanically decouples the lead wire from patient - induced motion of the conductive gel . in yet another embodiment , as shown in fig4 the first sheet 14 containing the sr coupling assembly and the second sheet 14a containing the skin electrode connector element , with the elongated flexible electrically conductive element 16 affixed therebetween as described above , may be connected by an elongated flexible connecting sheet element 50 . the elongated flexible electrically conductive element 16 may extend along and be affixed to the elongated flexible connecting sheet element 50 , or alternatively the elongated flexible electrically conductive element 16 may be substantially free of the elongated flexible connecting sheet element . this embodiment may optionally include a release sheet element as described above . another embodiment is shown in fig5 . that embodiment is similar to the embodiment in fig2 with a release sheet 42 affixed to the adhesive - bearing bottom surfaces of sheets 14 and 14a and with an adhesive - bearing sheet 54 releasably affixed to the top of sheets 14 and 14a . with this configuration , the sheet 42 may first be removed and the sheets 14 and 14a affixed to the patient , with the spaced apart relation of those sheets maintained ( to ensure affixation with slack in conductor 16 ) by the action of sheet 54 . that sheet 54 may subsequently be removed . the invention may be embodied in other specific forms without departing from the spirit or essential characteristics thereof . the present embodiments are therefore to be considered in all respects as illustrative and not restrictive , the scope of the invention being indicated by the appended claims rather than by the foregoing description , and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein .