Method for safely and efficiently navigating magnetic devices in the body

• US 6,702,804 B1
• Filed: 10/03/2000
• Issued: 03/09/2004
• Est. Priority Date: 10/04/1999
• Status: Expired due to Term

• Current Assignee: Stereotaxis, Inc.
• Original Assignee: Stereotaxis, Inc.
• Inventors: Ritter, Rogers C., Blume, Walter M., Hogg, Bevil J., Creighton, Francis M. IV, Hastings, Roger N., Werp, Peter R.
• Primary Examiner(s): ROBINSON, DANIEL LEON
• Application Number:
  US09/678,640
• Time in Patent Office: 1,253 Days
• Field of Search: 600/1, 600/4, 600/7, 600/10, 600/13, 600/14, 600/15, 600/16, 600/17, 600/18, 600/19, 332/62, 332/85, 332/63, 333/34, 128/899, 128/898, 385/285, 324/318
• US Class Current: 606/1
• CPC Class Codes: A61B 1/00158 using magnetic field
• CPC Class Codes: A61B 1/01 Guiding arrangements therefore
• CPC Class Codes: A61B 17/12022 Occluding by internal devices, e.g. balloons or releasable wires plugging an opening in the wall of an organ A61B17/0057; occluders for the cervical canal A61F6/146; vas deferens occluders A61F6/20
• CPC Class Codes: A61B 17/12113 within an aneurysm
• CPC Class Codes: A61B 17/12131 characterised by the type of occluding device
• CPC Class Codes: A61B 2017/00876 magnetic
• CPC Class Codes: A61B 2017/1205 Introduction devices
• CPC Class Codes: A61B 2034/733 arranged only on one side of the patient, e.g. under a table
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61B 34/73 Manipulators for magnetic surgery
• CPC Class Codes: A61M 25/0105 Steering means as part of the catheter or advancing means; Markers for positioning systems for detection of markers A61B
• CPC Class Codes: A61M 25/0127 Magnetic means; Magnetic markers

Abstract

A method of turning a medical device, having a magnetically responsive element associated with its distal end, at an operating point within an operating region inside a patient'"'"'s body from an initial direction to a desired final direction, through the movement of at least one external source magnet. The at least one external source magnet is moved in such a way as to change the direction of the distal end of the magnetic medical device from the initial direction to the desired final direction without substantial deviation from the plane containing the initial direction and the desired final direction.

Claims

1. A method of turning a medical device, having a magnetically responsive element associated with its distal end, at an operating point within an operating region inside a patient'"'"'s body from an initial direction to a desired final direction, through the movement of at least one external source magnet, the method comprising:

identifying a series of intermediate directions between the initial direction and the desired final direction, each intermediate direction being substantially in the plane containing the initial direction and the desired final direction;

determining the magnetic field direction at the operating point that will cause the magnetically responsive element to align with each of series of intermediate directions and the desired final direction;

successively moving the at least one source magnet to apply the determined magnetic field directions to align the magnetic medical device with each of the series of intermediate directions and the desired final directions.

2. The method according to claim 1 wherein the step of successively moving the at least one source magnet to apply the determined magnetic field directions to align the magnetic medical device with each of the series of intermediate directions and the desired final directions is done to so that the magnetic field strength at the operating point remains substantially constant.

3. The method according to claim 1 further comprising the step of determining the required movements of the at least one source magnet before moving the at least one source magnetic, and testing the required movements by calculating the amount by which the direction of the magnet medical device would from the plane of the initial direction during the determined required movements, and identifying a different series of intermediate directions if the variation exceeds a predetermined threshold.

4. The method according to claim 1 wherein the step of moving the at least one source magnet comprises determining an orientation of the at least one source magnet to apply the determined field direction.

5. The method according to claim 4 wherein the step of determining the orientation of the at least one source magnet to apply the determined field direction employs a look-up table.

6. The method according to claim 4 wherein the step of determining the orientation of the at least one source magnet to apply the determined field direction employs an equation characterizing the magnetic field of the source magnet.

7. The method according to claim 1 wherein the movement of the magnet from one position to another position is made by taking a number of trial movements in a plurality of different directions and testing the movement.

8. The method according to claim 1 wherein the step of identifying the magnetic field direction that will cause the magnetic medical device to align with each of the intermediate directions and the desired final direction, takes into account the lag between the applied magnetic field and the actual orientation of magnetic medical device.

9. The method according to claim 8 wherein the step of identifying the magnetic field direction that will cause the magnetic medical device to align with each of the intermediate directions and the desired final direction employs an equation to determine the lag between the applied magnetic field and the actual orientation of magnetic medical device.

10. The method according to claim 8 wherein the step of identifying the magnetic field direction that will cause the magnetic medical device to align with each of the intermediate directions and the desired final direction employs a look-up table to determine the lag between the applied magnetic field and the actual orientation of magnetic medical device.

11. The method according to claim 1 wherein identifying the magnetic field direction that will orient the magnetic element to align with each of the intermediate directions and the desired final direction is determined with an appropriate over-torque.

12. The method according to claim 1 further comprising computing the amount by which the magnetic medical device deviates from the plane containing the initial direction and final direction, and identifying a new series of intermediate directions if the deviation exceeds a predetermined threshold.

13. The method according to claim 12 wherein the step of identifying a new series of intermediate directions comprises identifying intermediate directions based upon the direction in which the deviation of the magnetic medical device from the plane of the initial direction and the desired final direction exceeds a predetermined amount.

14. The method according to claim 1 wherein the desired final direction and the series of intermediate directions are identified in the patient frame of reference, and translated to the frame of reference of the at least one source magnet.

15. The method according to claim 1 wherein there is a look-up table of prohibited movements of the at least one source magnet, and the look-up table is referenced before moving the source magnets.

16. The method according to claim 1 wherein several possible movements of the at least one source magnet are determined, and the actual movement selected is selected based upon minimizing the cost function for the movement of the at least one source magnet.