Efficient magnet system for magnetically-assisted surgery

Abstract

A system for magnetically assisted surgery includes a magnetic support structure, a patient support structure and a magnet having at least four poles attached to the magnetic support structure so that the magnet provides a near-field magnetic field in an operating region of a patient supported by the patient support structure. The magnet is moveable so that the direction of the magnetic field lines in the operating region is adjustable. The magnet may include a pair of essentially semicircular half-segments permanently magnetized and joined in an extremely stable disk configuration. The magnetic field and gradient field provided by the magnet is such that movement of the disk in one plane combined with rotation of the disk is sufficient to orient the magnetic field during surgical use, thereby reducing interference to medical imaging devices needed during surgery. An example of a medical delivery device that may be used for surgery in conjunction with this system is a flexible endoscope or catheter having a series of magnetically permeable rings.

What is claimed is:  
     
         1 . A method of controlling an element within a patient's body which is responsive to a magnetic field, the method comprising applying at least two different magnetic fields to the element within the body to control the element, the magnetic fields having different angular relationships between the field direction and the gradient.  
     
     
         2 . The method according to  claim 1  wherein in one of the magnetic fields applied to the element, the gradient is substantially parallel to the field direction and wherein in another of the magnetic fields applied to the element the gradient is substantially perpendicular to the field direction.  
     
     
         3 . The method according to  claim 2  wherein one of the fields applied to the element is an end field of a permanent magnet and one of the fields applied to the element is a side field of a permanent magnet.  
     
     
         4 . The method according to  claim 3  wherein the permanent magnet is a multipole permanent magnet.  
     
     
         5 . The method according to  claim 4  wherein the multipole permanent magnet is a quadrupole permanent magnet.  
     
     
         6 . The method according to  claim 1  wherein the magnet fields are applied with at least one permanent magnet.  
     
     
         7 . The method according to  claim 1  wherein the magnetic fields are applied with at least one permanent magnet.  
     
     
         8 . The method according to  claim 7  wherein the at least two fields are applied to the element by changing at least one of the position and orientation of the magnet with respect to the patient.  
     
     
         9 . The method according to  claim 1  wherein the magnetic fields are applied with at least one electromagnetic coil.  
     
     
         10 . The method according to  claim 9  wherein the at least two fields are applied to the element by changing at least one of the position and orientation of the magnet with respect to the patient.  
     
     
         11 . The method according to  claim 10  wherein the magnetic fields are applied with at least one superconducting electromagnetic coil.  
     
     
         12 . The method according to  claim 11  wherein the at least two fields are applied to the element by changing at least one of the position and orientation of the magnet with respect to the patient.  
     
     
         13 . The method according to  claim 11  where the superconductor coil has a mechanical refrigerator associated with it for maintaining the superconducting state of the superconducting magnet coil.  
     
     
         14 . An improved method of controlling an element within a patient's body which is responsive to a magnetic field through the controlled application of magnetic fields, the improvement comprising successively applying at least two different magnetic fields in which the angle between the magnetic field direction and the gradient are different.  
     
     
         15 . A method of controlling an element within the human body which is responsive to an applied magnetic field, the method comprising applying a series of magnetic fields including fields in which the magnetic gradient is negligible for orienting the element along the field direction and fields in which the magnetic gradient is non-negligible and oblique to the magnetic field direction for pulling the element in a direction different from the orientation of the element.  
     
     
         16 . A method of controlling an element with the human body which is responsive to an applied magnetic field, the method comprising applying a series of magnetic fields to control the element including fields in which the direction and strength of the magnetic gradient is negligible for orienting the element along the field direction and fields in which the magnetic gradient is non-negligible and oblique to the magnetic field direction for pulling the element in a direction different from the orientation of the element.  
     
     
         17 . A device for magnetically assisted surgery of a patient comprising: 
 a magnet support structure;    a magnet having at least four poles, the magnet attached to the magnet support structure so that the magnet provides a near-field magnetic field in an operating region within a patient, the magnet being moveable to alter a direction of magnetic field lines in the operating region within the patient.    
     
     
         18 . The device of  claim 17  wherein the magnet is a quadrupole magnet.  
     
     
         19 . The device of  claim 18  wherein the magnet is a permanent magnet.  
     
     
         20 . The device of  claim 19  wherein the magnet is generally cylindrical and has a radius and an axis perpendicular to its radius.  
     
     
         21 . The device of  claim 20  wherein the magnet comprises a pair of essentially semicircular segments joined so that the segments attract each other and provide, in a region proximate the magnet disk, a magnetic field essentially parallel to the magnet disk along the axis of the magnet.  
     
     
         22 . The device of  claim 20  wherein the magnet is mounted rotatably on its axis so that a direction of magnetic field lines in the operating region of the patient may be varied.  
     
     
         23 . The device of  claim 22  and wherein the magnet is mounted translatably in at least one radial direction.  
     
     
         24 . The device of  claim 23  wherein the magnet is mounted so that it is translatable in a plurality of radial directions.  
     
     
         25 . The device of  claim 24  and further comprising a medical imaging system configured to provide a medical image of the operating region of the patient.  
     
     
         26 . The device of  claim 25  wherein the medical imaging system comprises an x-ray source and an x-ray imaging plate on opposite sides of the operating region of the patient, and further wherein the x-ray source and x-ray imaging plate are positioned in a region entirely on one side of a face of the magnet.  
     
     
         27 . The device of  claim 18  wherein the magnet is a NdFeB maximum energy product.  
     
     
         28 . The device of  claim 27  wherein the magnet has a 44 MgOe composition.  
     
     
         29 . The device of  claim 28  wherein the magnet is disk-shaped and has a radius of about 12.39 inches and a thickness of 6.20 inches.  
     
     
         30 . The device of  claim 29  wherein the magnet provides a field of at least about 0.15 Tesla at 6 inches from its face.  
     
     
         31 . The device of  claim 17  wherein the magnet comprises at least one electromagnetic coil.  
     
     
         32 . The device of  claim 31  wherein the magnet comprises a continuously wound coil with a cross-over to provide a quadrupole or higher-order magnetic field.  
     
     
         33 . The device of  claim 31  wherein the magnet comprises at least a pair of separately wound electromagnetic coils.  
     
     
         34 . The device of  claim 33  wherein the coils are each shaped in the form of a pie section and assembled into a circular configuration.  
     
     
         35 . The device of  claim 34  wherein the pair of separately wound electromagnetic coils are D-shaped, with a flat portion of each of the D-shaped coils adjacent one another.  
     
     
         36 . The device of  claim 22  wherein the at least one coil is superconducting.  
     
     
         37 . The device according to  claim 36  where the superconductor coil has a mechanical refrigerator associated with it for maintaining the superconducting state of the superconducting magnet coil.  
     
     
         38 . A device for magnetically assisting surgical operations, the device comprising: 
 a magnetic delivery vehicle configured to be introduced into a patient;    a magnet support base; and    a magnet assembly adjustably supported on the support base and positionable thereon to provide a magnetic field of specified direction and having an transverse gradient at a location in which the magnetic delivery vehicle is introduced into a patient supported by the patient support structure.    
     
     
         39 . The device of  claim 38  wherein the magnet assembly comprises a computer-controlled robotic arm having a magnetic effector.  
     
     
         40 . The device of  claim 37  and further comprising a medical imaging device configured to provide a relative location and orientation of the magnetic delivery vehicle, the magnet assembly, and the operating region of the patient.