Abstract: A guide for controlling the orientation of a medical device includes a cannula having a lumen therein for the medical device, and a guide member having a passage therein for receiving and directing the medical device, the guide member being movably mounted in the cannula for movement. The guide member can be magnetically responsive to an externally applied magnetic field, or can be magnetically responsive to an externally applied magnetic field when a magnetic medical device is in the passage, and/or it can be mechanically responsive.

Abstract: A steerable magnetic catheter having a proximal end, a distal end, and a lumen therebetween. The catheter has regions of different flexibility along its length. There is a magnetic body adjacent the distal end, which is responsive to an applied magnetic field. The magnetic body is sized and the flexibility of the distal end portion of the catheter is selected so that the distal end of the catheter can be manipulated with a magnetic field of a practical strength, eliminating the need for a guidewire.

Abstract: A method of navigating a magnet-tipped distal end of an elongate medical device through the body includes providing an image display of the part of the body through which the medical device is being navigated and using the display to input the desired path of the medical device by identifying points on the desired path on the display. The magnetic field needed to orient the end of the medical device in the direction of the desired path as indicated on the display is then determined. In one embodiment where only points on the desired path are identified, the field direction is the direction indicated by the points on the desired path.

Abstract: A method of navigating a medical device having a changeable magnetic moment within an operating region within a patient, the method includes applying a navigating magnetic field to the operating region with an external source magnet, and changing the direction of the magnetic moment in the medical device to change the orientation of the medical device in a selected direction within the operating region. The magnet moment of the medical device can be created by one or more electromagnet coils, in which case the magnetic moment can be changed by changing the current to the coil. Alternatively, the magnetic moment of the medical device can be created by one or more permanent magnets, in which case the magnetic moment can be changed by mechanically or magnetically manipulating the permanent magnet.

Abstract: A method of placing a pacing lead in the heart includes introducing a the distal end of a delivery catheter into the patient's vasculature; magnetically navigating 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.

Abstract: A method of magnetically manipulating a medical device within a body part of a human patient in conjunction with MR imaging includes applying a navigating magnetic field with magnets from the MR imaging device, and changing the magnetic moment of the medical device to change the orientation of the medical device within the body part.

Abstract: A guide for controlling the orientation of a medical device includes a cannula having a lumen therein for the medical device, and a guide member having a passage therein for receiving and directing the medical device, the guide member being movably mounted in the cannula for movement. The guide member can be magnetically responsive to an externally applied magnetic field, or can be magnetically responsive to an externally applied magnetic field when a magnetic medical device is in the passage, and/or it can be mechanically responsive.

Abstract: A method of navigating a medical device having a changeable magnetic moment within an operating region within a patient, the method includes applying a navigating magnetic field to the operating region with an external source magnet, and changing the direction of the magnetic moment in the medical device to change the orientation of the medical device in a selected direction within the operating region. The magnet moment of the medical device can be created by one or more electromagnet coils, in which case the magnetic moment can be changed by changing the current to the coil. Alternatively, the magnetic moment of the medical device can be created by one or more permanent magnets, in which case the magnetic moment can be changed by mechanically or magnetically manipulating the permanent magnet.

Abstract: A method of and apparatus for treating vascular defects. A catheter having a selectively energizeable coil on its distal end. The catheter is particularly adapted for the delivery of magnetic embolic materials. The coil can be energized to aid in the magnetic navigation of the catheter, to help retain magnetic material in the catheter, to draw ejected magnetic material back into the catheter. A catheter can also be used to deliver a magnetic patch that can be magnetically applied to a vascular defect such as an aneurysm.

Abstract: Embolic compositions for treating vascular defects such as aneurysms include a mixture of a biocompatible polymer material, a biocompatible solvent, and preferably also an adhesive. The compositions preferably further comprise magnetic particles for controlling the delivery of the embolic agent. These magnetic particles preferably lose magnet strength over time, so that they do not interfere with subsequent magnetic diagnostic and therapeutic procedures. The compositions preferably also include radiopaque particles, which may be the magnetic particles, to facilitate imaging the embolic material.

Abstract: A system of navigating a magnetic medical device within that part of a patient located within an operating region of the system, the system comprising magnets, and preferably electromagnets, arranged to provide a magnetic field sufficient to navigate the magnetic medical device within the operating region. There are preferably three magnetic coils arranged in mutually perpendicular planes such that their axes intersect in the operating region. The magnetic coils are sized and arranged so that a patient can easily access the operating region to allow virtually any portion of the patient to be positioned within the operating region. The openness of the magnetic system allows access to the operating region by a bi-planer imaging system.

Abstract: A magnetic embolic agent for magnetic placement in a vascular defect includes a bicompatible polymer, a solvent, an adhesive, and magnetic particles.

Abstract: A system of navigating a magnetic medical device within that part of a patient located within an operating region of the system, the system comprising magnets, and preferably electromagnets, arranged to provide a magnetic field sufficient to navigate the magnetic medical device within the operating region. There are preferably three magnetic coils arranged in mutually perpendicular planes such that their axes intersect in the operating region. The magnetic coils are sized and arranged so that a patient can easily access the operating region to allow virtually any portion of the patient to be positioned within the operating region. The openness of the magnetic system allows access to the operating region by a bi-planer imaging system.

Abstract: A device and method for specifying the orientation of a magnetic field produced in a patient to aid surgical procedures involving an implanted magnet. The device includes a processor, a pointing device, a magnet assembly generating a magnetic field, a display, and a medical imaging device that provides three-dimensional imaging of an operating region of a patient during surgery. Fluoroscopic images of an operating region of the patient in which the magnetic delivery vehicle is implanted are shown on a screen, each image representing a projection in space of the operating region. The pointing device is operated to move a cursor from a projection of a present location of the magnetic delivery vehicle to a projection of a desired future location of the magnetic delivery vehicle.