摘要:
A method for forming an ablation pattern to electrically isolate a vessel having an ostium from a chamber formed within a patient for treatment of cardiac arrhythmia. The distal portion of a catheter is navigated to a chamber. An anchor member is deployed from the distal end of the catheter into the chamber, and the distal end is navigated into the ostium of the vessel, and temporarily secured in the vessel. An ablation member is deployed from the distal end of the catheter into the chamber and successively navigated into contact with tissue adjacent the ostium and ablating the tissue in contact with the ablation member to form a line of ablation. At least one of the navigating the distal portion of the catheter, navigating the anchor member and navigating the ablation member is performed by applying an external magnetic field to orient the device being navigated.
摘要:
A method of placing a pacing lead in the heart includes introducing a distal end of a delivery catheter into the patient's vasculature; magnetically navigating the distal end of the delivery catheter to the patient's heart; deploying a pacing lead from the distal end of the delivery catheter; and magnetically navigating the pacing lead to the pacing application site.
摘要:
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.
摘要:
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.
摘要:
A method of applying a magnetic medical device to the surface of an internal body structure, the medical device having a magnetically responsive element associated with its distal end, the method comprising applying a magnetic field to the distal end of the magnetic medical device to apply a measured and controlled force between the medical device and tissue to facilitate cardiac sensing, mapping, pacing, ablation, biopsying and other procedures. Contact is confirmed by the angle between the direction of the magnetic medical device and the applied magnetic field, and the contact force is controlled by controlling at least one of the magnetic field direction and the magnetic field strength.
摘要:
A method of applying an elongate magnetic element to the surface of an internal body structure includes applying a magnetic field to the elongate magnetic element to orient the elongate magnetic element in a selected orientation; and applying a magnetic gradient to the elongate magnetic element to draw the elongate magnetic element against the surface of the body structure.
摘要:
A method of applying an elongate magnetic element to the surface of an internal body structure includes applying a magnetic field to the elongate magnetic element to orient the elongate magnetic element in a selected orientation; and applying a magnetic gradient to the elongate magnetic element to draw the elongate magnetic element against the surface of the body structure.
摘要:
An adjustable field magnet assembly comprising at least two magnets rotatably mounted so that the rotation of at least one of the at least two rotatably mounted magnets changes the magnetic field projected by magnet assembly. The magnet is particularly useful in providing a magnet field of variable direction for use in magnetically navigating medical objects in the body by rotating the magnets comprising the assembly and/or rotating the entire assembly.
摘要:
A method of localizing a medical device inside a patient's body, the method comprising: transmitting ac magnetic signals between a plurality of points of known location outside of the patient's body and a plurality of points on the medical device inside the patient's body, the signals transmitted between at least some of the points comprising at least two different frequencies; and receiving the transmitted ac magnetic signals and processing the received signals to determine the position of the points on the medical device, and thus the location of the medical device, this processing including correcting for the affects of metal in the vicinity by using the transmitted and received signals at different frequencies. In an alternate embodiment, a reference device is provided inside the patients' body, and the medical device is localized relative to the reference catheter. The use of signals comprising at least two frequencies may or may not be used in this relative localization embodiment, but preferably is used at least to localize the reference catheter.
摘要:
A catheter assembly for an intravascular ultrasound system includes an imaging core configured and arranged for inserting into a distal end of a lumen of a catheter. The imaging core includes at least one transducer mounted to a driveshaft and configured and arranged for transforming applied electrical signals to acoustic signals and also for transforming received echo signals to electrical signals. A motor is coupled to the driveshaft between the one or more transducers and the transformer. The motor includes a rotatable magnet and at least two magnetic field windings disposed around at least a portion of the magnet.