Magnetic navigation system

Abstract

A system for magnetically navigating a medical device in an operating region within the body of a patient. The system includes a magnet having a front field projecting from the front of the magnet sufficient to project a magnetic field into the operating region in the patient. The magnet is mounted for movement between a navigation position in which the magnet is located adjacent to the patient with the front of the magnetic generally facing the operating region, and an imaging position in which the magnet is spaced from the patient and the front generally faces away from the operating region.

Description

CROSS REFERENCE TO RELATED APPLICATIONS

This is a continuation application of U.S. patent application Ser. No. 10/347,525, filed Jan. 17, 2003, which is a continuation-in-part of U.S. patent application Ser. No. 10/056,227, filed Jan. 23, 2002, the entire disclosures of which are incorporated herein by reference.

BACKGROUND OF THE INVENTION

This system relates to magnetic navigation of medical devices in the body, and in particular to a system for applying a magnetic field of selected direction to an operating region in a subject's body to orient a magnetically responsive medical device.

Magnetic navigation of medical devices has significantly improved to ability of medical professionals to control medical devices in the body. Early magnetic navigation techniques involved the use of superconducting magnets. While these techniques were, and remain, highly effective, advances in permanent magnetic materials and in the design of permanent magnets, have made it possible to use permanent magnets for magnetic navigation. While the magnetic fields created by superconducting magnets can be readily changing the currents in the superconducting electromagnetic coils, in order to change the magnetic field created by permanent magnets for navigation, it is generally necessary to change the position and/or orientation of the permanent. In order to accurately control the magnetic field applied by permanent magnets, it is necessary to accurately control the position and/or orientation of the permanent magnet.

SUMMARY OF THE INVENTION

The present invention relates to a magnetic navigation system, and in particular to a system including magnet units comprising a permanent magnet, and a support for controlling the position and orientation of a permanent magnet. The system is adapted for magnetically navigating a medical device in an operating region within the body of a patient. Generally, the system comprises a magnet having a front field projecting from the front of the magnet sufficient to project a magnetic field into the operating region in the patient. The magnet is mounted for movement between a navigation position in which the magnet is located adjacent to the patient with the front of the magnetic generally facing the operating region, and an imaging position in which the magnet is spaced from the patient and the front generally faces away from the operating region.

According to another aspect of the invention the system includes a magnet system comprising: a magnet and a support for mounting the magnet and changing the position and orientation of the magnet to change the direction of magnetic field applied to the operating region. The support is preferably capable of pivoting the magnet about a first axis that rotates about a second axis perpendicular to the first axis, and translating the magnet, preferably parallel to the second axis.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a perspective view of a magnetic surgery suite incorporating magnet assemblies in accordance with the principles of this invention;

FIG. 1A is a top plan view of the magnetic surgery suite;

FIG. 2 is an exploded front perspective view of one of the magnet assemblies (the other magnet assembly being a mirror image thereof), with the cover removed to show details of construction;

FIG. 3 is a front perspective view of the magnet assembly, with the cover removed;

FIG. 4 is a front perspective view of the magnet assembly, showing the lower cover;

FIG. 5 is a front perspective view of the magnet assembly, showing the upper cover;

FIG. 6 is a rear perspective view of the magnet assembly;

FIG. 7 is a front elevation view of the magnet assembly;

FIG. 8 is a further exploded front perspective view of the positioner system of the magnet assembly

FIG. 9 is a front elevation view of the positioner system of the magnet assembly;

FIG. 10 is a left side elevation view of the positioner system of the magnet assembly

FIG. 11 is a right side elevation view of the positioner system of the magnet assembly;

FIG. 12 is a rear elevation view of the positioner system;

FIG. 13 is a top plan view of the positioner system;

FIG. 14 is a bottom plan view of the positioner system;

FIG. 15 is a front elevation view of the phi drive mechanism of the magnet assembly;

FIG. 16 is a top plan view of the phi drive mechanism;

FIG. 17 is a left side elevation view of the phi drive mechanism;

FIG. 18 is a right side elevation view of the phi drive mechanism;

FIG. 19 is a front elevation view of the front plate of the phi drive mechanism;

FIG. 20 is a left side elevation view of the front plate of the phi drive mechanism;

FIG. 21 is a right side elevation view of the front plate of the phi drive mechanism;

FIG. 22 is a horizontal transverse view of the front plate of the phi drive mechanism, taken along the plane of line 22-22 in FIG. 19;

FIG. 23 is an exploded perspective view of the phi drive mechanism;

FIG. 24 is a front elevation view of the theta drive mechanism of the magnet assembly;

FIG. 25 is a top plan view of the theta drive mechanism;

FIG. 26 is a left side elevation view of the theta drive mechanism;

FIG. 27 is a bottom plan view of the theta drive mechanism;

FIG. 28 is a front perspective view of the theta drive mechanism;

FIG. 29 is a front elevation view of theta drive motor;

FIG. 30 is a top plan view of the theta drive motor;

FIG. 31 is a bottom plan view of the theta drive motor;

FIG. 32 is a left side elevation view of the theta motor;

FIG. 33 is an exploded front perspective view of the theta motor;

FIG. 33 is an a top plan view of the z drive mechanism

FIG. 34 is an front elevation view of the z drive mechanism;

FIG. 35 is a left side elevation view of the z drive mechanism;

FIG. 36 is a right side elevation view of the z drive mechanism;

FIG. 37 is bottom plan elevation of the z drive mechanism;

FIG. 38 is an exploded perspective view of the z drive mechanism

FIG. 39 is a perspective view of the pedestal;

FIG. 40 is an exploded front perspective view of the pedestal showing the pivot assembly, the drive system assembly, and the locking system;

FIG. 41 is an exploded front perspective view of the pedestal with the pivot assembly, the drive system assembly, and the locking system assembly removed;

FIG. 42 is a bottom plan view of the pedestal;

FIG. 43 is a longitudinal cross sectional view of the pedestal taken along the plane of line 43-43 in FIG. 42;

FIG. 44 is a side elevation view of the pedestal;

FIG. 45 is an exploded perspective view of the pivot assembly for pivotally mounting the pedestal;

FIG. 46 is a perspective view of the drive mechanism;

FIG. 47 is a perspective view of the drive assembly.

FIG. 48 is a side elevation view of the magnet.

FIG. 49 is a front elevation view of the magnet.

Corresponding reference numerals indicate corresponding parts throughout the several views of the drawings.

DETAILED DESCRIPTION OF THE INVENTION

A magnetic surgery suite incorporating magnet units in accordance with the principles of this invention is indicated generally as 20 in FIG. 1. As shown in FIG. 1, the suite 20 comprises an operating room 22 and a control room 24. The control room 24 is preferably adjacent to the operating room 22, and has a window 26 from which the procedure taking place in the operating room 22 can be viewed. However, the control room 24 does not have to be adjacent to the operating room 22, and instead could be located remotely from the operating room, for example on a different floor, or in a different building, or even in a different city.

The operating room 22 includes a patient support, such as a patient bed 26, and a pair of magnet units 28 and 30, disposed on opposite sides of the patient bed to project a magnetic field into the operating region in a patient on the patient bed. The operating room also includes an imaging system 32, comprising a C-arm mounting at least one x-ray source 34 and at least one x-ray receiver 36, such as an amorphous silicon imaging plate. Cabinets 38 and 40 are provided for computer controllers and other electronics for operating the magnet units 28 and 30 and the imaging system 32. A plurality of displays 42 (six in this preferred embodiment) are mounted on an articulating arm 44 from the ceiling. The displays 42 display images from the imaging system 32, and screens from the control system for operating the magnet units 28 and 30. A plurality of controls 46 are provided on the patient bed 26 for operating a user interface to control the magnet units 28 and 30, in conjunction with the screens displayed on the displays 42.

The control room 24 includes a cabinet 48 for a processor for operating the user interface for controlling the magnet units 28 and 30. A plurality of displays 50 (two in this preferred embodiment) are provided for displaying images from the imaging system 32, and screens from the user interface. A plurality of controls 52 are provided on the patient bed 26 for operating a user interface to control the magnet units 28 and 30, in conjunction with the screens on the displays 52.

Each of the magnet units 28 and 30 projects a strong magnet field from its front face, so that together, the magnets provide a magnet field of sufficient strength to orient a magnetic medical device in an operating region in the patient on the patient bed 26. Because of the strength of the field projected by the magnet units 28 and 30, the units are preferably rotatably mounted to swing between an operative position in which the units face the patient support, and project a field into the operating region in the patient on the patient bed, and a stowed position, in which the magnet units do not face the patient bed.

As shown in FIG. 2, each of the magnet units 28 and 30 comprises a magnet 100, a mechanism 200 for moving the magnet to change the magnetic field applied by the magnet 100 to the operating region in a patient, and a pedestal 700, for supporting the mechanism 200 and magnet 100. As described in more detail below the magnet 100 is preferably a compound magnet designed so that relatively small translations and/or rotations result in significant changes in the magnetic field direction projected into an operating region in the patient. As described in more detail below, the mechanism 200 is adapted to support and translate and/or rotate the magnet 100 to change the direction of the field applied by the magnet to the operating region in the patient. The magnet 100 and the mechanism 300 are preferably designed so that they can project a magnetic field in any direction in the operating region in the patient, or at least so that when both magnet units 28 and 30 are positioned on opposite sides of the patient, the combined effect of the magnets from the units projects a magnetic field in any direction.

In this preferred embodiment, the mechanism preferably provides three movements of the magnet 100: translation of the magnet toward and away from the patient (referred to herein as translation in the z-direction), rotation of the magnet about an axis parallel to the z-direction, referred to herein as rotation in the θ-direction, and pivoting of the magnet about an axis perpendicular to the θ-axis, referred to herein as pivoting in the φ direction. The movements of the magnet 100 in the z direction, the θ-direction, and the φ direction permitted by the mechanism 300 are sufficient to create a magnetic field of suitable strength for magnetic navigation, in any direction in the operating region in the patient. Of course, additional or different translations and or rotations could be provided for the same or different magnet design. The strength of the field projected by the magnets is preferably at least 0.05, and more preferably at least 0.09.

The magnet 100 is preferably comprised of a plurality of block 102 arranged and mounted on a backing plate 104, for example with adhesive the magnet 100 further includes a cover 106, preferably with a smooth, contoured finished surface enclosing the assembly of blocks 102. Each of the blocks is made of a permeable magnetic material, and has a size, shape, position and magnetization direction to optimize field properties (direction and strength) while accommodating manufacturing. Examples of suitable magnets are disclosed in magnets such as those disclosed in U.S. patent application Ser. No. 10/082,715, filed Feb. 25, 2002, U.S. patent application Ser. No. 10/056,227, filed Jan. 23, 2003, and/or U.S. patent application Ser. No. 09/546,840, filed Apr. 11, 2000, the disclosures of all of which are incorporated herein by reference.

The magnet 100 and mechanism 300 are mounted on pedestal 800. As indicated above, and described in more detail below, the pedestal 800 is mounted for pivoting about a post 802, and has wheels 804 which allow the pedestal to pivot from a stowed position, in which the magnet 100 generally faces away from the patient, to an operative position in which the magnet generally faces the patient.

The magnet 100 and mechanism 300 are preferably enclosed is a cover 200 to protect the mechanism from interference, to prevent persons from being injured or property from being damaged by the mechanism, to reduce patient anxiety, and to enhance the appearance of the unit. As shown in FIG. 3, this cover includes a frame 202 slidably mounted around the base of the mechanism 300. As shown in FIG. 4, the cover also comprises a front base cap 204, which is generally U-shaped and adapted to be secured on the front and sides of the pedestal 800, a top base cap 206, which is adapted to be secured over the top of the pedestal, around the mechanism 300, and a rear base cap 208, which is adapted to be secured on the back of the pedestal cap device. As shown in FIG. 5, the cover 200 also comprises a front panel 210, adapted for mounting on the frame 202 over the front of the magnet 100 and mechanism 300, and left and right side panels 212 and 214 adapted for mounting on the frame 202 over the sides of the magnet and mechanism. An inverted U-shaped frame 216 is mounted on the frame 202 over the back of the mechanism 300. The frame 216 mounts a conduit 218 for enclosing power and control leads, and a back panel 220 for covering the back of the mechanism. A cooling fan unit 222 is mounted on the frame 202, inside the panel 220 to circulate air inside the cover through louvered openings formed in the cover 220.

As shown in FIG. 8, the mechanism 300 preferably comprises a φ pivot mechanism 302, for pivoting the magnet 100 in the φ direction; a θ-rotation mechanism 402, for rotating the magnet 100 in the θ-direction; and a z-drive mechanism 602 for translating the magnet in the z-direction.

As shown in FIGS. 15-22, the φ pivot mechanism 302 comprises a front plate 304, adapted for mounting the magnet 100. The front plate 304 is pivotally mounted to a back plate 306. The back plate 306 is adapted to be mounted on the θ-rotation mechanism 402, and has two parallel brackets 308 and 310 projecting from its front face for mounting the front plate 304. A hub 312 on the back of the front plate 304 is pivotally mounted between the brackets 308 and 310, so that the front plate can pivot. In this preferred embodiment, the front plate 304, and thus the magnet 100 mounted on the front plate can pivot plus and minus 40°, for a total range of motion of 80°. This range of motion is based upon the properties of the magnet 100, which in this preferred embodiment provides a 180° change in field direction over a range of pivoting of 80°. With a different magnet, the range of pivoting could be made larger or smaller, as desired.

As best shown in FIG. 23, a motor brake 314 is mounted on bracket 308, a motor mounting adapter 316 is mounted over the motor brake on the bracket 308. A motor 318 is mounted on the mounting adapter 316, to turn drive shaft 320 having key 322 thereon. A housing 24 encloses the motor 318. The drive shaft 320 engages the front plate 304 so that rotation of the drive shaft caused by motor 318 causes the plate to pivot about the φ pivot mechanism.

A +φ limit switch 324 is mounted on a block 326 on the front face of plate 306, and is adapted to engage a stop 328 on the front plane 304. Similarly, a −φ limit switch 330 is mounted on a block 332 on the front face of plate 308, and is adapted to engage a stop 334 on the front plate. A theta sensor flag 336, which is used by the theta position sensor as described below, is secured on the back plate 306. Phi sensor flags 338 are secured on the back of front plate 304. A rotary encoder 340 is mounted on an encoder mounting plate 342, on the bracket 310, and is driven by the key 322 on the drive shaft 320.

The θ rotation mechanism 402 is shown in FIGS. 24-28. The θ rotation mechanism 402 comprises a carriage 404, which is preferably made of aluminum or other strong, lightweight, non-magnetic material. As best shown in FIG. 28, the carriage 404 has a generally cylindrical opening 406 therein in which the outer race of a bearing 408 is mounted. Front and rear retaining hubs 410 and 412 are secured together, sandwiching the inner race of the bearing 408 between them. A retaining ring is mounted in the carriage 404 over the front retaining hub 414. The phi pivot mechanism 302 is mounted to the front retaining hub 410, for rotation around about the theta axis.

A position sensor 416 is mounted in a recess in the front of the carriage 404, and is triggered by the flag 338 on the phi pivot mechanism.

A cam tray 420, mounting a cam 422, is also secured on the bottom of the carriage 404. A plurality of stops 424 are also mounted on the bottom of the carriage 404. A pair of C-shaped brackets 426 are mounted on the bottom of the carriage for engage and moving the cover as the theta mechanism 402 moves in the z direction, as described below. A precision gear 428 is mounted on a bracket 430 on the bottom of the carriage. The precision gear is used in sensing the position in the z-direction as a back up to the position sensing built in to the z drive mechanism 602.

The driver for the θ rotation mechanism 402 is indicated generally as 434 in FIGS. 29-33. The driver 434 comprises a servo motor 436, a gear box 438, a reducer mounting plate 440, and a pinion 442. The pinion 440 engages and drives a gear 442 secured to the rear hub 444, causing rotation in the theta direction.

As shown in FIGS. 35-38, the z drive mechanism 602 comprises base plate 604. Mounting plates 606 are provided on the underside of base plate, on either side, for securing the base plate to the pedestal 800. Tracks 608 and 610 are mounted on the plate 604. Two carriages 612 are slidably mounted on each of the tracks 608 and 610, for slidably mounting the carriage 404 of the theta drive mechanism 402. A servo motor 614 is mounted on the base plate 604 with a bracket 616. A flexible shaft coupling 618, drive screw bearing 620 connect ball screw shaft 622 to the servo motor 614. The end of the ball screw shaft 622 is supported in drive screw bearing 624. A bracket 626 is mounted on the ball screw shaft 622 and is secured to the underside of the carriage 402, to move the carriage.

Stops 628 are mounted on the base plate 604 adjacent one end. Stops 630 are mounted on the base plate 604 adjacent the other end. Limit switches 632 and 634 are mounted on the plate 604 with brackets 636 an 638, respectively. A rotary encoder 640 is mounted on the base plate 604, and has a pinion 642. The pinion 642 engages the precision gear 428 on the bottom of the carriage 404, and measures the position of the carriage relative to the base plate 604. Rails 644 are mounted on the sides of the base plate 604 for slidably mounting the cover 200.

As shown in FIG. 39, the pedestal 800 comprises a frame 808, with a platform 810 for mounting the mechanism 402. The pedestal 800 is pivotally mounted for rotation about post 402, which is secured to the floor of the operating room. A collar 812 secured to the frame 808 surrounds, and rotates around the post 402. A drive mechanism 814 is mounted in the frame 808, for driving the pedestal 800 to rotate around the post 402. A lock mechanism 816 is also mounted in the frame 808, for securing the pedestal against movement.

As shown in FIGS. 40 and 45, the post 802 is surrounded by a weldment 818. A stop tube 820 is mounted over the post 802, providing stops 822 and 824 for limiting the rotational movement of the pedestal. Lower outer mounting plate 826 and lower inner mounting plate 828, and upper outer mounting plate 830 and upper inner mounting 832 are secured above and below block 834, mounting spherical bearing 836. Limit switches 838, 840, 842, and 844 are mounted on the upper mounting ring and are tripped by movement relative to cam 846 secured on the top of the post 802.

As shown in FIGS. 40 and 46, the drive mechanism 814 comprises a motor 848 connected to gear box 850. A hand crank 852 on shaft 854 is also connected to gear box 850. Sheaves 856 and 858 and belt 860 connect the gear box 850 to the drives shaft 862, which in turn drives drive wheel 864. Thus the motor can operate the drive wheel, or in a situation where power is not available, hand crank 852 an be used to operate the drive wheel, and pivot the pedestal around post 802.

As shown in FIGS. 40 and 47, the lock mechanism 816 comprises an electric motor 870 which turns a gear box 872 to pull or push rod 874. The pulling or pushing of the rod 874 causes the lock member 876 to pivot. The lock member 876 has a tab 878, which pivots into and engages a slot in the floor of the procedure room. A hand crank 880 on shaft 882 also turns the gear box 872, to manually pull or push rod 874. An spring biased interlock bar 884, interferes with the hand crank, and must be manipulated out of the way in order to manually operate the lock mechanism 816.

Claims

1. A system for magnetically navigating a medical device in an operating region within the body of a patient, the system includes a magnet having a front field projecting from the front of the magnet sufficient to project a magnetic field into the operating region in the patient, the magnet is mounted for movement between a navigation position in which the magnet is located adjacent to the patient with the front of the magnetic generally facing the operating region, and an imaging position in which the magnet is spaced from the patient and the front generally faces away from the operating region.

2. A magnet system for applying a magnetic field of selected direction to an operating region inside a patient on a support, to control a magnetic medical object in the operating region, the magnet system comprising: a base, a magnet mounted on the base, the base being movable with respect to the support, to move the magnet from an active position in which the magnet is adjacent the patient, and an inactive position, in which the magnet is spaced from the patient.

3. A magnet applicator for applying a magnetic field of selected direction to an operating region within the body of a patient, the magnet applicator comprising a magnet; a support for mounting the magnet and changing the position and orientation of the magnet to change the direction of magnetic field applied to the operating region, the support capable of pivoting the magnet about a first axis that rotates about a second axis perpendicular to the first axis, and translating the magnet in two mutually perpendicular horizontal directions.

4. A magnet applicator for applying a magnetic field of selected direction to an operating region within the body of a patient, the magnet applicator comprising a base, a magnet having a front face and a plurality of other faces, a support on the base for mounting the magnet and changing the position and orientation of the magnet to change the direction of magnetic field applied to the operating region, the base being movable between an active position in which the magnet is oriented with the front face facing the patient, and an inactive position in which that magnet is oriented with the front face is not facing the patient.

5. A magnet applicator for applying a magnetic field of selected direction to an operating region within the body of a patient, the magnet applicator comprising a magnet; a support for mounting the magnet and changing the position and orientation of the magnet to change the direction of magnetic field applied to the operating region, the support mounting the magnet to pivot about a first axis, which is rotatable about a second axis perpendicular to the first axis; and translating the magnet in two mutually perpendicular horizontal directions.

6. The magnet applicator according to claim 5 wherein the second axis is parallel to one of the mutually perpendicular horizontal directions.

7. (canceled)

8. (canceled)

9. (canceled)

10. A magnet system for applying a magnetic field of selected direction to an operating region inside a patient on a support, to control a magnetic medical object in the operating region, the magnet system comprising: first and second magnets mounted on opposite sides of the operating region, each of the magnets being movable relative to the operating region from an activ position in which the magnets apply a magnetic field to the operating region and an inactive position in which the magnets apply a magnetic field to the operating region.

11. The magnet system according to claim 10 further comprising a pivotally mounted base, the pivoting of the base changing the position and/or orientation of the magnet relative to the operating region.

12. The magnet system according to claim 10 wherein the magnets have a front face and at least one side face from which the magnetic field projected by the magnet is substantially less than the magnet field projected from the front face, in the active position the magnet being oriented with the front face base generally toward the operating region, and in the inactive position the magnet being oriented with the at least one side face oriented toward the operating region.

13. A magnet system for applying a magnetic field of selected direction to an operating region inside a patient on a support, to control a magnetic medical object in the operating region, the magnet system comprising: first and second magnets mounted on opposite sides of the operating region, each of the magnets being movable relative to the operating region from an active position in which the magnets apply a magnetic field sufficient to control a magnet element in the device but which interferes with the imaging of the operating region; and second position in which the magnets do not apply a magnetic field that interferes with the imaging of the operating region.

14. A magnet system for navigating a magnetic medical device in the operating region in a patient, the system comprising at least one magnet for applying a magnet field to the operating region in the patient, the magnet being mounted for movement between an active position in which the magnet is adjacent the patient to apply a magnetic field to the operating region, and an inactive position in which the magnet is spaced sufficiently from the operating region that it does not interfere with the x-ray imaging of the operating region.

15. A magnet system for navigating a magnetic medical device in the operating region in a patient, the system comprising at least one magnet for applying a magnet field to the operating region in the patient, the magnet being mounted for movement between an active position in which the magnet is adjacent the patient to apply a magnetic field to the operating region, and an inactive position in which the magnet is spaced sufficiently from the operating region that it do s not apply a magnetic field of greater than 5 gauss to imaging equipment positioned to image the operating region.

16. The system according to claim 15 interfere with the x-ray imaging of the operating region.

17. A magnet system for applying a magnetic field to an operating region in a patient, the system comprising at least one magnet mounted to move between an active position in which the magnet is adjacent the patient to project a controllable magnetic field into the operating region and an inactive position in which the magnetic field projected by the magnet into the operating region is less than about 5 gauss.

18. The magnet system according to claim 17 wherein there are two magnets one on each side of the patient, and wherein the total magnetic field applied by the magnets in the inactive position is less than about 5 gauss.

19. A magnet system for applying a magnetic field to an operating region in a patient, the system comprising at least one magnet mounted to move between an active position in which the magnet is adjacent the patient to project a controllable magnetic field into the operating region and an inactive position in which the field projected by the magnet in the operating region does not interfere with imaging of the operating region.

20. The magnet system according to claim 19 wherein there are two magnets one on each side of the patient, and wherein the total magnetic field applied by the magnets in the inactive position is less than about 5 gauss.

21. The magnet system according to claim 19 wherein the magnet is mounted on a pivoting base, and wherein the magnet moves between the active and inactive positions by the pivoting of the base.

22. The magnet system according to claim 19 wherein the magnet both pivots and translates relative to the operating region as the base pivots.

23. The magnet system according to claim 19 wherein the base pivots about a pivotally mounding further has a roller that rolls on an accurate track as the base pivots.

24. The magnet system according to claim 19 wherein a first face of the magnet faces the operating region when the magnet is in the active position, and a second face of the magnet faces the operating region in the inactive position.

25. The magnet system according to claim 19 wherein the magnet has a preferred direction in which the magnet projects a relatively strong magnetic field and at least one non-preferred direction in which the magnet projects a relatively weak magnetic field, the preferred direction generally facing the operating region when the magnet is in its active position, and the a non-preferred direction generally facing the operating region when the magnet is in its inactive position.

26. A magnetic navigation system comprising:

a support;

a magnet assembly on either side of the support for applying a controllable magnetic field to an operating region in a patient on the support;

the magnet assembly comprising a magnet, and a support that moves the magnet to change the direction of the field applied by the magnet to the operating region, the support selectively pivoting the magnet about a first axis, rotating the magnet about a second axis perpendicular to the first axis, and translating the magnet in a first and second mutually perpendicular directions.

37. The magnet assembly according to claim 36 wherein each magnet assembly further comprises a base for mounting the support, each base being movable to move the magnet from an operative position adjacent the patient support to an inoperative position.

38. The magnet assembly according to claim 36 wherein the base pivots translating and/or rotating the magnet relative to the operating region.

39. The magnet assembly according to claim 36 wherein the second axis and one of the first and second directions are generally parallel.

40. The magnet assembly according to claim 36 wherein the second axis and one of the first and second directions extend in a direction toward the patient.

41. The magnet assembly according to claim 36 wherein the second axis is in a direction generally toward the patient.

42. The magnet assembly according to claim 36 in which the second axis is generally horizontal, oriented generally toward the patient, and wherein the first and second directions are in a generally horizontal plane, with the first direction extending generally toward the patient, and the second direction extending generally perpendicular thereto.

43. A magnetic navigation system for applying a magnetic field in a selected direction to control a medical object in an operating region in the patient, the system comprising a patient support for supporting a patient, first and second magnet assemblies on opposite sides of the patient support, each magnet assembly comprising at least one magnet for applying a magnetic field to an operating region between the magnet assemblies in a patient on the support, and a support for supporting the at least one magnet and moving the at least one magnet to change the direction of magnetic field applied by magnet assemblies to the operating region.

44. The magnetic assembly according to claim 43 wherein the supports pivot the at least one magnet about a first axis that rotates about a second axis perpendicular to the first.

45. The magnetic assembly according to claim 43 wherein the supports translate the at least one magnet in first direction toward and away from the operating region.

46. The magnetic assembly according to claim 43 wherein the support translates the magnet perpendicular to the first direction.