The present invention relates to a method for controlling a magnetic catheter, and more particularly to a method of moving a magnetic catheter by applying an acting force thereon via an annular region, hereafter called magnetic annulus, which has a relative high magnetic flux density in a magnetic field and offsets from a center of the magnetic field.
Thanks to the development of modern medical technology, many physical issues used to rely only on conventional open surgery can now be well treated and controlled using interventional catheter or endoscopic technology. This change helps to free patients from the discomfort caused by surgical operation, and minimize the risk of surgical infection.
To well control a flexible catheter, magnetic control has become an increasingly interesting scientific field. For example, U.S. Pat. No. 6,311,082 titled “DIGITAL MAGNETIC SYSTEM FOR MAGNETIC SURGERY” discloses a device that controls a magnetic field, generated by plural electromagnets, in terms of strength and direction by varying the currents and directions of theses electromagnets, so as to maneuver magnetic catheters inside patients' bodies to bend, travel and rotate as needed. However, using plural electromagnets renders the prior-art device bulky and expensive.
The inventor of the present invention has extensive study in the field of remote magnetic control (RMC) technology and has previously filed Taiwan Patent Application No. 102140727 for a motion-controlling device for catheters and a magnetic motion-controlling system for endoscopic catheters, and Taiwan Patent Application No. 101443778 for a magnetically controlled endoscope system and its magnetic-controlling device.
However, by implementing these inventors in practical applications, the inventor has noted that the following issues to be addressed.
First, the lines of magnetic force in the magnetic field between two opposite magnets are of a concentric annulus pattern, and the magnetic flux density is not even through the magnetic field. As a result, once the catheter to be controlled enters an area where the magnetic flux density is low, the controlling effect is degraded.
Second, when the bending of the catheter is purely depending on the attraction generated in the magnetic field, high magnetic flux density is required. For providing such high magnetic flux density, the electromagnets need to be supplied with extremely high current, and this is often costly.
Third, the attraction generated in the magnetic field can only make the catheter between the two opposite magnets bend toward one of the magnets at a relatively limited bending angle.
Hence, the objective of the present invention is to provide a method for controlling a magnetic catheter by using a magnetic-field-generated magnetic annulus. The magnetic catheter has its free end provided with a magnetic member, and the method comprises:
generating a resultant magnetic field between at least two magnets, in which an annular region that has a relative high magnetic flux density is defined as a magnetic annulus; entering the magnetic catheter into the magnetic annulus and therefore producing a magnetic force between the magnetic member and the magnetic annulus; and making the magnetic member lead the magnetic catheter to perform a preset motion under the magnetic force. It is noted that the boundary and the range of the magnetic annulus are dynamic and changed according to interaction between the magnetic member and the resultant magnetic field.
Preferably, the magnetic annulus of the resultant magnetic field is generated by arranging the at least two magnets with their like poles facing each other.
Preferably, the magnetic catheter has a front section that is a flexible section, and the preset motion is to make the flexible section perform a bending motion. In an embodiment the flexible section and a rear section of the magnetic catheter have different rigidities due to the fact that they are made of different materials. In another embodiment, the flexible section is a multi joint section having the free end provided with the magnetic member; moreover, the joints of the multi joint section each have a single bending degree of freedom, and the preset motion is to make the flexible section perform a bending motion in the direction of the bending degree of freedom.
Preferably, the flexible section is resilient, and the method further comprises when the flexible section performs the bending motion, gradually increasing or decreasing a strength of the resultant magnetic field in a certain ratio according to the resilient returning force generated, so as to adjust the magnetic force applied on the magnetic member and thereby control a bending angle of the flexible section.
Preferably, the method comprises the step of when the flexible section has performed the bending motion, gradually decreasing the strength of the resultant magnetic field, thereby reducing the magnetic force acting on the magnetic member and enabling the flexible section to gradually return by its resilience, and further comprises when the flexible section returns to a set angle, reversing the resultant magnetic field, thereby enabling the flexible section to return to an initial state thereof under the magnetic force.
Preferably, the method comprises the step of according to a selected target site, when the flexible section performs the bending motion, changing a position of the resultant magnetic field, or/and changing a direction of the resultant magnetic field, or/and changing a strength of the resultant magnetic field, and retaining the magnetic member within the magnetic annulus. Moreover, the direction and the strength of the resultant magnetic field is adjustable by changing relative positions of the at least two magnets.
Preferably, the at least two magnets are electromagnets, and the direction and the strength of the resultant magnetic field is adjustable by changing current intensities or/and current directions of the electromagnets.
Preferably, the method comprises controlling the magnetic catheter to perform a feeding motion or/and a rotating motion synchronously.
Preferably, the magnetic member is an axial magnet.
Preferably, the at least two magnets are permanent magnets or electromagnets. In the case that the at least two magnets are electromagnets, the magnetic annulus refers to a region within which the magnetic member is able to lead the magnetic catheter to perform an expected motion that matches for output currents of the electromagnets, such as bending to an expected level that matches for the output currents of the electromagnets.
Preferably, the magnetic catheter is a flexible endoscope.
With at least one of the features as described above, the following effects can be achieved:
1. By applying an acting force on the magnetic member via an annular region (magnetic annulus) that has a relative high magnetic flux density in a magnetic field, it is easier for the magnetic member to drive the flexible section to perform a bending motion.
2. When the magnetic member enters a magnetic annulus of a resultant magnetic field generated by repulsion existing between like poles of two magnets, thrust is exerted on a head portion of the magnetic member to facilitate the bending motion and increase the bending angle of the flexible section. Thus, when the resultant magnetic field is generated by electromagnets, the required power output of the electromagnets can be reduced.
3. The magnetic annulus of the resultant magnetic field is generated by repulsion existing between like poles of the two magnets so that the flexible section is allowed to bend in a direction that is perpendicular to the extending direction of the two magnets and therefore able to bend in different directions
4. In the process that the strength of the resultant magnetic field is gradually decreased to return the flexible section, by reversing the resultant magnetic field, the head portion of the magnetic member will be pulled under the acting force and thus lead the multi joint section return to its initial state.
For further illustrating the means and functions on which the present invention achieves the certain objectives, the following description, in conjunction with the accompanying drawings and preferred embodiments, is set forth as below to illustrate the implement, structure, features and effects of the subject matter of the present invention.
Referring to
In embodiments of the present invention, five types of magnetic control are applicable.
The first type is as shown in
In Step A, a target site (2) is set, as shown in
In Step B, at least two magnets are set opposite and separated from each other by a proper distance so as to form a resultant magnetic field (3). The resultant magnetic field (3) is applied to the multi joint section (11) of the magnetic catheter (1) and has a direction pointing toward the target site (2), while at this time the target site (2) is in a direction different from the direction of the bending degree of freedom.
In Step C, the magnetic catheter (1) is controlled not to perform the feeding motion and the rotating motion, and the magnetic member (12) is thus driven by the resultant magnetic field (3) to make the magnetic catheter (1) perform a declination, thereby making the free end of the multi joint section (11) point toward the target site (2).
The second type is as illustrated in
This type has an addition step after the declination of the magnetic catheter (1) as described in the first type. The addition step, step D, involves changing the direction of the resultant magnetic field (3) again to make the resultant magnetic field (3) point toward the bending degree of freedom, so that the magnetic member (12) can be driven by the resultant magnetic field (3) to lead the multi joint section (11) to perform a bending motion along the bending degree of freedom. The multi joint section (11) can thereby be in a three-dimensional torsion state, as shown in
The third type is as illustrated in
In Step A, the magnetic catheter (1) is such rotated that a target site (2B) is set in the direction of the bending degree of freedom of the multi joint section (11).
In Step B, the resultant magnetic field (3) is applied to the multi joint section (11) and has its direction pointing toward the target site (2B).
In Step C, the magnetic catheter (1) is controlled not to perform the feeding motion and the rotating motion, and the magnetic member (12) is thus driven by the resultant magnetic field (3) to make the multi joint section (11) of the endoscopic catheter (1) perform a bending motion along the bending degree of freedom, thereby making the free end point toward the target site (2B).
The fourth type is as illustrated in
In Step A, the magnetic catheter (1) enters a body cavity (4), and a target site (2C) is set. The target site (2C) is located in the direction of the bending degree of freedom of the multi joint section (11).
In Step B, the resultant magnetic field (3) is applied to the multi joint section (11) of the magnetic catheter (1) and has a direction pointing toward the target site (2C).
In Step C, the magnetic catheter (1) is controlled not to perform the feeding motion and the rotating motion, and the multi joint section (11) thus performs a bending motion to avoid obstacles.
In Step D, the resultant magnetic field (3) is moved while the magnetic catheter (1) is controlled to perform the feeding motion, so that the magnetic member (12) is driven by the resultant magnetic field (3) to control the free end of the multi joint section (11) to reach the target site (2C).
In addition to the method described above, by shifting the resultant magnetic field (3) and controlling the magnetic catheter (1) to perform the feeding motion, the free end of the multi joint section (11) can linearly advance toward and reach a desired target site.
The fifth type is as illustrated in
In Step A, a target site (2D) is set.
In Step B, the resultant magnetic field (3) is applied to the multi joint section (11) of the magnetic catheter (1) and has a direction pointing toward the direction of the bending degree of freedom.
In Step C, the magnetic catheter (1) is controlled not to perform the feeding motion and the rotating motion, and the multi joint section (11) of the magnetic catheter (1) thus performs a bending motion in the direction of the bending degree of freedom.
In Step D, the resultant magnetic field (3) is rotated, and the magnetic catheter (1) is also rotated according to the direction of the resultant magnetic field (3), so that the direction of the resultant magnetic field (3) is aligned with the direction of the bending degree of freedom of the multi joint section (11), thereby driving the free end of the multi joint section (11) to point toward the target site (2D).
The application of the resultant magnetic field (3) and the synchronous control of the feeding and rotating motions of the magnetic catheter (1) jointly ensure that the free end of the multi joint section (11) can selectively point toward any one of the target sites (2)(2A)(2B)(2C)(2D). With the cooperation of the feeding and rotating motions of the magnetic catheter (1), the magnetic member (12) is prevented from becoming uncontrollable to the resultant magnetic field (3), which may otherwise causes unexpected operational errors when the resultant magnetic field (3) shifts or changes direction. More specifically, without synchronously feeding or rotating the magnetic catheter (1) according to the movement or the direction of the resultant magnetic field (3), the magnetic catheter (1) could be twisted and thus generate considerable resistance that hinders the multi joint section (11) from following the resultant magnetic field (3). The free end of the multi joint section (11) then could fail to reach the target site and even come out of the control of the resultant magnetic field (3). While the present invention is effective in overcoming this problem, the solution is not limited to that described above and can be designed by varying the resultant magnetic field (3) and feeding/rotating the magnetic catheter (1) according to any desired target site. The present invention thus provides interventional or endoscopic surgery with a method of reaching nidi quickly and precisely through magnetic control.
It is to be noted that instead of making the flexible section as the multi joint section (11), the present invention may have the flexible section and the rear section of the magnetic catheter (1) made of materials of different rigidities.
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The magnetic catheter (1A) has a front end provided with a multi joint section (11A) with each joint (111A) thereof having a single bending degree of freedom. At a free end of the multi joint section (11A), there is a magnetic member (12A). The joints (111A) of the multi joint section (11A) are pivotally connected one by one. Each of two adjacent said joints (111A) has an inclined abutting surface (1111A) that faces the inclined abutting surface (1111A) of the other, so that when the multi joint section (11A) performs the bending motion in the direction of the bending degree of freedom, the abutting surfaces (1111A) of each two adjacent said joints (111A) abut on each other. Preferably, the joint (111A) closer to the free end has its abutting surface (1111A) inclined more. In addition, among the joints (111A) of the multi joint section (11A), the one closer to the free end is shorter.
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In Step A, the strength of the resultant magnetic field (3) is set according to a preset bending angle (θ1), and the magnetic member (12A) is thus driven by the resultant magnetic field (3) to make the multi joint section (11A) perform the bending motion. As used herein, the preset bending angle (θ1) refers to an angle on which the multi joint section (11A) bends in a patient's body as expected by doctors, i.e., in a direction aligning with nidi. By reaching the preset bending angle (θ1), the multi joint section (11A) can make a certain target site visible and accessible to the doctors. When the resultant magnetic field (3) makes the multi joint section (11A) bend from the first side (112A) toward the second side (113A), the first elastic member (21A) performs elastic deformation and elongates, while the second elastic member (22A) performs elastic deformation and contracts. The first sensing circuit (31A) measures variation of the inductance value caused by the elongation of the first elastic member (21A) at the first side (112A), and the second sensing circuit (32A) measures variation of the inductance value caused by the contraction of the second elastic member (22A) at the second side (113A).
In Step B, the variation of the inductance value are input to the processing unit (4A), and the processing unit (4A) uses this information to calculate an actual bending angle (θ2) of the multi joint section (11A). Since the variations of the inductance values include the variation of the inductance value caused by the elongation of the first elastic member (21A), and the variation of the inductance value caused by the contraction of the second elastic member (22A), the processing unit (4A) can also use this information to determine whether the multi joint section (11A) correctly bends from the first side (112A) toward the second side (113A).
In Step C, the actual bending angle (θ2) and the preset bending angle (θ1) are compared so the doctors can determine whether the actual bending angle (θ2) coincides with the preset bending angle (θ1). If there is any inconsistency therebetween, this informational also enables the doctors to adjust the actual bending angle (θ2) of the multi joint section (11A) until the actual bending angle (θ2) becomes equal to the preset bending angle (θ1) which means the multi joint section (11A) advances toward the direction aligning with nidi.
As shown in
The present invention has been described with reference to the preferred embodiments and it is understood that the embodiments are not intended to limit the scope of the present invention. Moreover, as the contents disclosed herein should be readily understood and can be implemented by a person skilled in the art, all equivalent changes or modifications which do not depart from the concept of the present invention should be encompassed by the appended claims.