U.S. patent application number 13/362503 was filed with the patent office on 2012-08-02 for systems and methods which remove material from blood vessel walls.
Invention is credited to Sasha Ishmael, Rainer Meinke.
Application Number | 20120197063 13/362503 |
Document ID | / |
Family ID | 46577877 |
Filed Date | 2012-08-02 |
United States Patent
Application |
20120197063 |
Kind Code |
A1 |
Meinke; Rainer ; et
al. |
August 2, 2012 |
Systems and Methods Which Remove Material From Blood Vessel
Walls
Abstract
Systems and methods for removing plaque from blood vessels by
applying constant or time varying magnetic or electrical fields. In
one embodiment a system includes winding configurations positioned
about a central axis along which a body region may be placed. Each
winding configuration generates a magnetic field in a direction
which passes through the body region. A first winding configuration
generates a first magnetic field component perpendicular to a
second magnetic field component generated by a second winding
configuration. In a related method for removing a deposit of plaque
from a position along a wall of a blood vessel a magnetic field is
applied which has a net direction predominantly orthogonal to the
direction of the flow of blood through the vessel.
Inventors: |
Meinke; Rainer; (Melbourne,
FL) ; Ishmael; Sasha; (Melbourne, FL) |
Family ID: |
46577877 |
Appl. No.: |
13/362503 |
Filed: |
January 31, 2012 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
|
|
61438198 |
Jan 31, 2011 |
|
|
|
Current U.S.
Class: |
600/13 ;
600/9 |
Current CPC
Class: |
A61B 17/22012 20130101;
A61B 2017/22081 20130101; A61B 2018/00404 20130101; A61N 2/02
20130101; A61B 2017/22002 20130101; A61B 34/73 20160201; A61N 1/40
20130101; A61B 17/22 20130101; A61N 2/004 20130101; A61N 1/32
20130101; A61B 2018/00386 20130101 |
Class at
Publication: |
600/13 ;
600/9 |
International
Class: |
A61N 2/02 20060101
A61N002/02; A61N 2/00 20060101 A61N002/00 |
Claims
1. A treatment method for removing a deposit of plaque from a
position along a wall of a blood vessel in a patient through which
blood flows in a first direction wherein the first direction may be
orthogonal to an axis along which the patient is positioned for
treatment, comprising: applying a magnetic field having a net field
direction based on contributions from a plurality of components
whose individual field strengths are variable so that the net field
direction is selectable and not limited to a direction orthogonal
to the axis along which the patient is positioned, this enabling
selection of a net field direction parallel with the axis along
which the patient is positioned and selection of a net field
direction orthogonal to the axis along which the patient is
positioned so that treatment can include provision of a magnetic
field which is orthogonal to the direction of the flow of blood
through the vessel.
2. The method of claim 1 wherein the applied magnetic field is a
pulsed field, the method further comprising generating an electric
field having a direction orthogonal to the magnetic field and
orthogonal to the direction of the flow of blood through the
vessel.
3. The method of claim 2 further including transporting molecules
which constitute the plaque in a direction orthogonal to the
direction of the flow of blood through the vessel and away from the
wall of the blood vessel so that the molecules merge into the flow
of blood and move away from the position along the wall, thereby
reducing the amount of plaque at the position.
4. The method of clam 1 further including rotating the magnetic
field about an axis to provide an electric field which rotates
about the axis.
5. The method of claim 4 wherein by rotating the magnetic field
molecules which form the plaque completely around the wall of the
vessel enter into the flow of the blood and are carried in a
direction away from the position.
6. The method of claim 4 wherein the step of rotating the magnetic
field is accomplished by providing multiple sets of double helix
coils and generating a net magnetic field based on superposition of
fields generated by each coil and varying the net field strength
generated by each coil set.
7. A treatment method for removing molecules in a layer of plaque
from a position along a wall of a blood vessel through which blood
flows in a first direction wherein the first direction may be
orthogonal to an axis along which the patient is positioned for
treatment, comprising: applying a magnetic field having a net field
direction which is continuously variable and not limited to a
direction predominantly determined by an axial field component
parallel to the axis along which the patient is positioned so that
treatment can include selection of a magnetic field direction which
is predominantly orthogonal to the direction of the flow of blood
through the vessel, the field being of sufficient strength to cause
dissociation of a first molecule in the layer of plaque from
another molecule in the layer, or from a molecule which forms the
blood vessel wall, by severing a bond which otherwise stabilizes
the position of the first molecule within the layer of plaque.
8. The method of claim 7 wherein, in the absence of the magnetic
field, the severed bond is formed by a London Dispersion force and
the bond is severed by provision of an electric field.
9-10. (canceled)
11. A system for removing plaque from a blood vessel, comprising: a
plurality of winding configurations each positioned about a central
axis along which a body region of a patient may be placed, each
winding configuration designed to generate a magnetic field in a
direction which passes through the body region, a first of the
winding configurations capable of generating a first magnetic field
component perpendicular to a second magnetic field component
generated by the second winding configuration.
12. The system of claim 11 wherein the first and second winding
configurations each comprise a pair of coils positioned about the
axis to generate two field components orthogonal to one
another.
13. The system of claim 12 wherein each coil pair generates a
dipole field.
14. The system of claim 12 including a third winding configuration
comprising a single solenoid winding concentrically positioned
about the axis with respect to the other pair of coils.
15. The system of claim 13 wherein the first and second wiring
configurations each comprise double helix coil pairs with each pair
of coils concentrically positioned about the axis with respect to
the other pair of coils.
16. The system of claim 10 wherein the first and second winding
configurations and a third winding configuration each comprise a
double helix coil pair with each coil pair concentrically
positioned about the axis with respect to the other two coil
pairs.
17. The system of claim 11 wherein the plurality of winding
configurations comprises superimposed magnetic coils which generate
three magnetic field components perpendicular to one another
18. The system of claim 17 wherein the superimposed magnetic coils
generate a first dipole field in a first direction transverse to
the central axis, a second dipole field in a second direction
transverse to the central axis and transverse to the first dipole
field and an axial field in a direction parallel to the central
axis, the system thereby providing three magnetic field vectors,
each in one of three orthogonal directions.
19. The system of claim 17 wherein, by adjusting current flow in
the coils, a net field vector can be created in any direction.
20-29. (canceled)
Description
PRIORITY BASED ON RELATED APPLICATION
[0001] This application claims priority based on U.S. Provisional
Application No. 61/438,198 filed Jan. 31, 2011.
FIELD OF THE INVENTION
[0002] The present invention relates to medical methods and systems
and, more particularly, to removal of deposits from blood vessels
in cardio-vascular systems.
BACKGROUND
[0003] Peripheral and coronary blockages are caused by deposits of
fatty substances, e.g., cholesterol, cellular waste products,
calcium and fibrin (a clotting material in the blood) along the
walls of blood vessels. Combinations of the foregoing are referred
to herein generally as forms of plaque. Conventionally, narrowed
blood vessels are widened or reopened by mechanical means such as
angioplasty or atherectomy. These are invasive procedures. With
atherectomy plaque is actually removed to enable less impeded blood
flow. Atherectomy may be effected with a catheter system comprising
a cutter blade for separation of the deposits, a system for
dispersing the cut material, and an imaging system to guide
catheter movement or aid in the cutting process. Generally,
angioplasty and atherectomy are costly and complex procedures which
create potential risks to the welfare of the patient. Moreover, the
effectiveness of such procedures is limited, e.g., for treatment of
coronary disease or blood vessels in the extremities. Nonetheless,
because the build-up of deposits along the inner linings of
vascular cavities causes life threatening medical problems, the
benefits of using these methods are often seen to outweigh the
risks. Yet, it remains desirable to provide a completely
non-invasive technique which is effective, economical and without
potential risk to the welfare of the patient.
BRIEF SUMMARY OF THE INVENTION
[0004] According to one series of embodiments there is provided a
method for removing a deposit of plaque from a position along a
wall of a blood vessel through which blood flows in a first
direction. The method includes applying a magnetic field having a
net direction predominantly orthogonal to the direction of the flow
of blood through the vessel. In one implementation, a treatment
method is provided where blood flows in a first direction through
the blood vessel of a patient and the first direction may be
orthogonal to an axis along which the patient is positioned for
treatment. A magnetic field is applied which has a net field
direction based on contributions from a plurality of components
whose individual field strengths are variable so that the net field
direction is selectable, i.e., not limited to a direction
orthogonal to the axis along which the patient is positioned. This
enables selection of a net field direction parallel with the axis
along which the patient is positioned and selection of a net field
direction predominantly orthogonal to the axis along which the
patient is positioned. Treatment can thereby include provision of a
magnetic field which is in a plane orthogonal to the direction of
the flow of blood through the vessel.
[0005] A method for removing molecules in a layer of plaque from a
position along a wall of a blood vessel through which blood flows
in a first direction includes applying a magnetic field having a
net direction predominantly orthogonal to the direction of the flow
of blood through the vessel, the field being of sufficient strength
to cause dissociation of a first molecule in the layer of plaque
from another molecule in the layer, or from a molecule which forms
the blood vessel wall, by severing a bond which otherwise
stabilizes the position of the first molecule within the layer of
plaque. In one implementation a treatment method is provided for
removing molecules in a layer of plaque from a position along a
wall of a blood vessel through which blood flows in a first
direction through the blood vessel of a patient. The first
direction may be orthogonal to an axis along which the patient is
positioned for treatment. A magnetic field is applied which has a
net field direction which is continuously variable and not limited
to a direction predominantly determined by an axial field component
parallel to the axis along which the patient is positioned.
Accordingly, treatment can include selection of one or more
magnetic field directions predominantly orthogonal to the direction
of the flow of blood through the vessel. The field is of sufficient
strength to cause dissociation of a first molecule in the layer of
plaque from another molecule in the layer, or from a molecule which
forms the blood vessel wall, by severing a bond which otherwise
stabilizes the position of the first molecule within the layer of
plaque.
[0006] There is also provided a method for removing molecules in a
layer of plaque positioned along a wall of a blood vessel through
which blood flows in a first direction. A magnetic field is applied
which includes a component having a direction predominantly
orthogonal to the direction of the flow of blood through the
vessel. The field generates a Lorentz force, in response to which
charge separation of conductive carriers in the blood results in an
electric field which balances the Lorentz force. In one
implementation of the method an orientation of a portion of the
blood vessel under treatment is determined. Based on the determined
orientation, a magnetic field is applied which includes a component
having a direction predominantly orthogonal to the direction of the
flow of blood through the vessel.
[0007] A system is provided for removing plaque from a blood
vessel. The system includes a plurality of winding configurations
each positioned about a central axis along which a body region of a
patient may be placed. Each winding configuration is designed to
generate a magnetic field in a direction which passes through the
body region. A first of the winding configurations is capable of
generating a first magnetic field component perpendicular to a
second magnetic field component generated by the second winding
configuration.
[0008] According to another series of embodiments, a system is
provided for removing plaque from a blood vessel. The system
includes first and second components which generate a field and a
C-arm configured to support the components in spaced apart relation
while a patient is disposed between the components and along a
first axis. A chassis supports the C-arm and the C-arm is moveable
about the axis to rotate the components about the first axis.
[0009] In another method according to the invention molecules are
removed in a layer of plaque from a position along a wall of a
blood vessel through which blood flows in a first direction. An
electric field is applied which has a net direction predominantly
orthogonal to the direction of the flow of blood through the
vessel. The field is of sufficient strength to dissociate a first
molecule in the layer of plaque from another molecule in the layer,
or from a molecule which forms the blood vessel wall, by severing a
bond which otherwise stabilizes the position of the first molecule
within the layer of plaque.
[0010] In still another method molecules are removed from in a
layer of plaque positioned along a wall of a blood vessel through
which blood flows in a first direction. An electric field is
applied which has a component having a direction predominantly
orthogonal to the direction of the flow of blood through the
vessel, in response to which charge separation of conductive
carriers in the blood results in an electric field.
BRIEF DESCRIPTION OF THE FIGURES
[0011] FIG. 1A is a partial perspective view of a blood vessel of a
patient under treatment, illustrating a magnetic field and an
electric field vector relative to a direction of a flow of blood
through the vessel;
[0012] FIG. 1B is a view in cross section taken through a central
axis of the blood vessel shown in FIG. 1A under a condition where
plaque is formed completely around the vessel;
[0013] FIG. 2A illustrates a system for removal of plaque from the
blood vessel of FIG. 1 according to a series of embodiments of the
invention where an electric field which passes into or through the
blood vessel is generated with one or more magnetic coils;
[0014] FIG. 2B illustrates a system for removal of plaque from the
blood vessel of FIG. 1 according to another series of embodiments
of the invention where an electric field which passes into or
through the blood vessel is generated with field plates between
which the field is created;
[0015] FIG. 3A illustrates a system for removal of plaque from a
blood vessel according to another series of embodiments of the
invention where an electric field which passes into or through the
blood vessel of FIG. 1 is generated with one or more magnetic coils
in a limited volume of the patient's body and which can be
translated along and rotated about the body of the patient;
[0016] FIG. 3B illustrates system for removal of plaque from a
blood vessel according to still another series of embodiments of
the invention where an electric field which passes into or through
the blood vessel of FIG. 1 is generated with field plates in only a
limited volume of the patient's body;
[0017] FIG. 4A is a view in cross section of three pairs of
double-helix coils in a system that allows adjusting a magnetic
field vector to point in any direction;
[0018] FIG. 4B further illustrates the system of FIG. 4A wherein
double helix coil windings are operable to rotate a magnetic
field;
[0019] FIG. 5A is a view in cross section of coils in a system
according to another embodiment that allow adjusting a magnetic
field vector to point in any direction; and
[0020] FIG. 5B illustrates the system of FIG. 5A according to still
another embodiment wherein the coils are operable to rotate a
magnetic field.
[0021] Like reference characters denote like elements throughout
the figures and text.
DETAILED DESCRIPTION OF THE INVENTION
[0022] Before describing in detail exemplary systems and methods
relating to the invention, it should be observed that, so as to not
obscure the disclosure with details that will be readily apparent
to those skilled in the art, certain conventional elements and
steps have been presented with lesser detail, while the drawings
and the specification describe in greater detail other elements and
steps pertinent to understanding the invention. Also, the following
embodiments are exemplary constructions which do not define limits
as to structural arrangements or methods according to the
invention. The embodiments are permissive rather than mandatory and
are illustrative rather than exhaustive.
[0023] The compounds that constitute plaque along the walls of
blood vessels are varied. Non-calcified plaques have been reported
as comprising about 15 to about 35 percent cholesterol, which is an
alcohol having a molecular composition of C.sub.27H.sub.45OH; and
calcified plaques have been reported as comprising about 10 to
about 30 percent cholesterol. Thus, a major component of plaque
build-up in arteries is organic material.
[0024] Although the theory is not well established, build-up of
plaque material, which may comprise a combination of organic and
inorganic compounds, may relate to the presence of large molecular
chain configurations characteristic of complex organic molecules
and crystallization. Cholesterol molecules are carbon chains with
substantially no significant electrical polarity or formal charges.
It is believed that bonding of these molecules to each other or to
the blood vessel walls is predominantly based on London dispersion
forces. These attractive forces result when the electrons in atoms
of two adjacent molecules occupy positions that form temporary
dipoles. The bonds result when the momenta of the atoms or
molecules are within a very narrow range. When the momenta are
outside of this range, i.e., being either too small or too large,
molecules in the flow do not bind together or with molecules which
form the surrounding blood vessel walls. According to the
invention, due to stringent requirements that momenta be within a
limited range in order for the attractive forces to appear, bond
formation between the adjacent molecules can be prevented and
established bonds can be overcome with application of
electromagnetic fields. That is, under the influence of a changing
electrical potential, the process of bonding or aggregation of the
molecules to form a thick layer of plaque can be hampered and any
already existing weak bonds which otherwise stabilize a thick layer
of plaque can be overcome thereby allowing the molecules to be
carried away in the flow of blood.
[0025] A proposed understanding of this process is based on
recognition that blood is a fluid having conductive constituents,
plus other components some of which deposit to form plaque. Many of
the constituents of blood are susceptible to magnetic fields. An
electric field can be established by impressing a magnetic field
across flowing blood. See FIG. 1A which provides a schematic view
of a blood vessel through which a magnetic field is applied in
accord with an embodiment of the invention. The magnetic field is
generated in a direction perpendicular to the direction of the flow
of blood and the direction of the resulting electric field is
perpendicular to both the direction of the flow of blood and the
direction of the magnetic field. This result, based on a
magneto-hydrodynamic effect occurs because the blood, having a
non-zero conductivity, flows through the magnetic field. Lorentz
forces, which are perpendicular to both the direction of the blood
flow and the direction of the magnetic field, act on the charge
carriers in the liquid. Generally, the level of conductivity of the
blood is a function of the concentration of red blood cells and
certain electrolytes.
[0026] Under the influence of a proposed magnetic field, charge
carriers in the flowing blood, resulting from dissociation, are
displaced in the direction of the Lorentz forces. As charge
carriers of opposite polarity migrate in different directions in
response to the Lorentz forces, there is sufficient charge
separation to create an electric field that counters the Lorentz
forces. For a blood vessel having a 1 mm inside diameter, in which
there is a blood flow velocity of one cm/sec in the presence of a
magnetic flux density of about 0.1 Tesla, the charge separation of
conductive carriers in the blood can balance with the Lorentz
forces. This net charge separation results in a
magneto-hydrodynamic voltage across the vessel which is on the
order of a few microvolts. As best understood, the net electric
field resulting from the Lorentz forces influences the association
of the slightly polar or non-polar molecules which have accumulated
along the wall of the blood vessel. That is, because these
relatively large molecules are held together with a relatively low
amount of binding energy, e.g., possibly caused by London
Dispersion Forces, the relatively small magneto-hydrodynamic
voltage is sufficient to cause dissociation of the molecules which
form the plaque.
[0027] In one series of embodiments a magnetic system is provided
which can prevent or reverse the build-up of plaque in tissue
structures. Exemplary magnetic systems may generate pulsed or DC
magnetic fields, e.g., ranging from 0.01 Tesla to several Tesla,
or, in some embodiments in a range from less than 0.01 Tesla to
more than several Tesla. There is also provided a completely
non-invasive method for removing plaque from blood vessels in the
heart and other parts of the human body, e.g., the brain. FIG. 1A
provides a partial cut-away view of an exemplary blood vessel 2
having deposits of plaque 4 along an interior wall 6 thereof. A
magnetic field 8 passes through the vessel 2. As further
illustrated by the view in cross section of the blood vessel 2,
shown in FIG. 1B, the magnetic field 8 is substantially
perpendicular to the general direction 10 of blood flow. The
resulting electric field 12 is perpendicular to both the direction
10 of blood flow and the magnetic field 8. The plaque 4 is shown in
FIG. 1A to be predominantly only along one portion of the interior
wall 6. It is to be understood that along other portions of the
blood vessel, such as along the plane through which the view of
FIG. 1B is shown, the plaque may cover the entire circumference of
the interior wall 6.
[0028] Static or pulsed magnetic fields with flux densities in the
desired range can be generated based on selection of appropriate
coil designs and the level of current passed through the coils. In
a magnetic system according to one series of embodiments, the
direction of the field generated by these coils can be aligned as
needed with respect to bloods vessel of interest. A system 20
configured for removal of plaque is shown in FIG. 2A. The system 20
comprises a pair of large Helmholtz coils 22 that can generate a
field which surrounds substantially or entirely the whole body 16
of a patient 18. The Helmholtz coils 22 according to this example
have a substantially circular shape and are parallel to one
another. The coils 22 are symmetrically aligned with one another to
produce a relatively uniform magnetic field 8 in a direction
parallel to a central axis 24 along which the patient is
positioned, i.e., in this example the axis 24 is in a direction
extending from the head 26 to the feet 28 of the patient 18, and
the axis 24 also passes through the center of the circular shape
formed by each coil 22.
[0029] In other embodiments one or more magnetic coils of arbitrary
shape may be arranged about the patient 18 to generate a magnetic
fields in multiple orthogonal directions in order to assure that a
magnetic field can be pointed in a direction which passes through
one or more blood vessels of interest as shown for field 8 of FIG.
1B.
[0030] With reference to FIG. 3A, in another embodiment a system 30
comprises a smaller pair of Helmholtz coils 32 aligned in parallel
with one another in a configuration similar to that shown for the
embodiment of FIG. 2. The coils 32 are positioned to produce a
desired magnetic field in only a limited volume of the patient's
body 16. In this example the coils 32 are positioned about the
patient's body to pass the magnetic field 8 through coronary blood
vessels about the heart, e.g., the left main coronary artery, in
order to remove plaque deposits 4 formed along the vessel walls 6.
A feature of this embodiment is the ability to move the coils 32 of
the system 30 along, for example, the axis 24 of the patient's
body, and to rotate the magnetic field 8 around the axis in, for
example, a plane which passes through the axis 24, while the field
passes through the body 16 of the patient. The system 30 includes
an electromechanical subsystem, details of which are not shown,
comprising a conventional C-arm 34 which supports the magnetic
coils 32 in spaced apart relation while a patient is disposed
between the coils and along a central axis 24. The C-arm is
moveable along the axis 24 to translate the coils 32 along a
direction parallel to the axis 24. The C-arm is also moveable about
the axis 24 to rotate the coils 32 about the axis 24. To effect
such movements the C-arm is mounted on a moveable chassis 36 which
may be displaced along a track (not shown) to provide movement of
the coils 32 in directions parallel to the axis 24. The chassis 36
also permits rotational movement of the C-arm about the axis 24 in
a conventional manner. The subsystem includes conventional
motorized mechanisms (not shown) which provide automated
translational and rotational movement of the C-arm. Although the
coils 32 are illustrated as being relatively small in comparison to
the coils 22 of the system 20 shown in FIG. 2A, the coils 32 of the
system 30 may be relatively large with the system 30 performing the
same afore described function but extending imposition of the
magnetic field over a much larger portion of the patient's body 16
or over the entire length of the body 16. With such a mechanical
arrangement it is possible to select a field orientation in any
desired direction.
[0031] Implementation of the disclosed methods for removing plaque
is facilitated by assuring that the direction of the magnetic field
has a significant component perpendicular to the direction of blood
flow through the blood vessels being treated. In order to effect
removal of the plaque in a particular blood vessel in a human body,
which vessel can extend in multiple directions, it is desirable
that the system be capable of adjusting the magnetic field
direction to provide a net field orientation approximately
perpendicular to the blood vessel under treatment. As described for
the embodiments of the systems 20 and 30, the direction of the
magnetic field can be adjusted by moving the field generating
coils, thereby adjusting the direction of the electric field
created by charge separation.
[0032] As an alternative to physically rotating coils or other
components to adjust the directions of the magnetic and electric
fields, embodiments according to the invention may employ winding
configurations which enable pointing of a magnetic or electric
field vector in any direction without changing the physical
orientation of the system components relative to the patient's
body.
[0033] An example of a magnetic field winding configuration which
generates such a rotatable field vector comprises a set of three
superimposed coils or a set of three superimposed pairs of coils.
Each coil or coil pair generates a magnetic field perpendicular to
the field generated by the other two coils or coil pairs. One
example configuration comprises two concentric pairs of
double-helix coils positioned along a common axis (e.g., the axis
24 of FIGS. 2 and 3) which each generate a dipole field in a
direction transverse to the common axis to the two coils. A third
coil or pair of coils, concentric with the two double helix coils
is used to generate a field in the direction of the common axis.
The system thus has the capability of generating three field
vectors, each in one of three orthogonal directions. By adjusting
the currents in each coil set, a net field vector can be created in
any direction. For a given field direction the magnitude of the
field can also be adjusted by adjusting the currents in each of the
coils appropriately. The three orthogonal magnetic field components
can also be generated with three pairs of double helix coils, three
pairs of saddle coils or three pairs of Helmholtz coils or
combinations of these coil types. Moreover, individual ones of the
desired field components can be generated with a single coil. By
powering the individual coils or pairs of coils associated with
each of the three field directions with a separately adjustable
power supply, the coil currents can be temporally varied to
generate a net field that dynamically changes in magnitude or
rotates in direction. That is, by independently changing the
current amplitudes and/or the current direction in the coils as a
function of time, the field vector will move accordingly.
[0034] By way of example, FIGS. 4 and 5 provide examples in a
series of embodiments where the direction of the magnetic field 8
can be rotated without rotating the spatial orientation of the coil
systems which generate the component magnetic fields.
[0035] FIG. 4A is a view in cross section of an exemplary system 50
having a configuration in which three double helix coil winding
sets 52, 54, 56 are operable to rotate the magnetic field 8 shown
in FIG. 1. As further illustrated in the partial view of the system
50 shown in FIG. 4B, the winding sets 52, 54 and 56 are formed
about an aperture 58 in which the patient 16 is positioned. A
central axis 60 of the winding sets 52, 54 and 56 is shown to
coincide with the central axis 24 of the body 18 when the patient
is centrally positioned in the aperture 58 as shown in the figures.
As indicated schematically in FIG. 4A, the coil set 52 comprises a
pair of coils a,a', the coil set 54 comprises a pair of coils b, b'
and the coil set 56 comprises a pair of coils c, c'.
[0036] Each of the three coil sets 52, 54, 56 may be separately
powered to generate one of three magnetic field vectors, designated
B.sub.52, B.sub.54 or B.sub.56, each pointing in one specific
direction. Accordingly, the system 50 includes three separate
current supply controls: control 52s for coil set 52; control 54s
for coil set 54; and control 56s for coil set 56. Each control can
control the current level in each coil in the double helix pair
which it powers.
[0037] The direction of the field vector generated by each pair of
the double helix coils can be made orthogonal to the direction of
the field vector generated by each of the other pairs of double
helix coils. By modulating the relative current input to one or
both of the coils in each coil pair, the magnitude of the magnetic
field in each of three orthogonal directions can be adjusted to
provide a desired field strength and net field direction. By
superimposing three such fields of appropriate strengths, each
generated by one of the three pairs of windings, net magnetic
fields of desired strength and direction can be generated. The
resulting field may be static, pulsed or time dependent in
magnitude and direction and the field may be rotated as desired.
For example, with respect to a central axis 10a, parallel to the
direction 10 of blood flow in the vessel 2 of the patient body 16,
a field of constant magnitude may be rotated 360 degrees about the
vessel axis to remove the relatively weak bonds which bind
individual molecules into the layer of plaque 4 along the wall 6 of
the blood vessel 2.
[0038] Exemplary double helix coil designs suitable for this
application are described in the following U.S. patent applications
which are now incorporated herein by reference: U.S. Ser. No.
12/133,760 "Conductor Assembly Having An Axial Field In Combination
With Quality Main Transverse Field", filed 5 Jun., 2008; and
12/061,782, "Wiring Assembly and Method For Positioning Conductor
in a Channel Having a Flat Surface", filed 3 Apr., 2008. See, also,
U.S. Pat. No. 6,921,042 also incorporated herein by reference.
[0039] The three coil sets of the system 50 surround a volume 62
within the aperture 58, in which the patient 18, or a portion of
the body 16 of the patient, is positioned. The magnetic field 8,
resulting from superposition of the magnetic field vectors
B.sub.52, B.sub.54 or B.sub.56, extends in a direction which is not
necessarily orthogonal to the axis 24, but which can be positioned
orthogonal to an arbitrary direction corresponding to the direction
10 of the flow of blood in the vessel 2 under treatment to remove
the plaque 4. Thus, with reference also to FIG. 1, the system 50
generates a net magnetic field vector orthogonal to the axis 10a
along the portion of any vessel 2 under treatment, i.e., in any
arbitrary orientation with respect to the axis 24 and the central
axis of the coil sets. In this simplified example and in other
embodiments, the field source may be static or time varying, e.g.,
sinusoidal or pulsed.
[0040] FIG. 5A is a view in cross section of an exemplary system 70
having a configuration in which two double helix coil winding sets
52, 54, and a solenoid winding 76 are operable to rotate the
magnetic field 8 shown in FIG. 1. As further illustrated in the
partial view of the system 70 shown in FIG. 5B, the winding sets
52, 54 and the solenoid winding 76 are formed about an aperture 68
in which a patient is positioned. A central axis 80 of the winding
sets 52, 54 and the solenoid winding 66 is shown to coincide with
the central axis 24 of the body 18 when the patient is centrally
positioned in the aperture 68 as shown in the figures. As indicated
schematically in FIG. 5, the coil set 52 comprises a pair of coils
a,a', the coil set 54 comprises a pair of coils b, b' and the coil
66 comprises a single solenoid coil.
[0041] Each of the two coil sets 52, 54 and the coil 66 may be
separately powered to generate one of three magnetic field vectors,
designated B.sub.52, B.sub.54 or B.sub.66, each pointing in one
specific direction. Accordingly, the system 50 includes three
separate current supply controls: control 52s for coil set 52;
control 54s for coil set 54; and control 66s for the coil 66. Each
control 52s, 54s can control the current level in each coil in the
double helix pair which it powers.
[0042] The vectors B.sub.52 and B.sub.54 are in a plane orthogonal
to the axis 80 and the direction of the field vector generated by
each pair of the double helix coils can be made orthogonal to the
direction of the field vector generated by the other pair of double
helix coils. The field vector B.sub.66 is parallel with the axis
80. By modulating the relative current input to one or both of the
coils in each coil set 52, 54 and the solenoid winding 56, the
magnitude of the magnetic field in each of three orthogonal
directions can be adjusted to provide a desired field strength and
net field direction. By superimposing three such fields of
appropriate strengths, each generated by one of the coil sets 52,
54 or the winding 56, net magnetic fields of desired strength and
direction can be generated in the aperture 68. The resulting field
may be static, pulsed or time dependent in magnitude and direction
and the field may be rotated as desired. For example, with respect
to a central axis 10a, parallel to the direction 10 of blood flow
in the vessel 2 of the patient body 16, a field of constant
magnitude may be rotated 360 degrees about the vessel axis to lyse
the relatively weak bonds which form a layer of plaque 4 along the
wall 6 of the blood vessel 2.
[0043] The three coil sets of the system 50 surround a volume 72 in
which the patient 18, or a portion of the body 16 of the patient,
is positioned. The magnetic field 8, resulting from superposition
of the magnetic field vectors B.sub.52, B.sub.54 or B.sub.56,
extends in a direction which is not necessarily orthogonal to the
axis 24, but which can be positioned orthogonal to an arbitrary
direction corresponding to the direction 10 of the flow of blood in
any vessel 2 under treatment to remove the plaque 4. Thus the
system 50 generates a net magnetic field vector orthogonal to the
axis 10a along the portion of any vessel 2 under treatment, i.e.,
in any arbitrary orientation with respect to the axis 24 and the
central axis of the coil sets. In this simplified example and in
other embodiments, the field source may be static, or time varying,
e.g., sinusoidal or pulsed.
[0044] With regard to the several magnetic coil configurations
which have been illustrated, it is noted that numerous other
configurations can be assembled. For example, in lieu of the
arrangement shown in FIGS. 2A and 3A, multiple pairs of Helmholtz
coils can be assembled where each pair directs a magnetic field in
a different direction about a region of a patient's body. Also, to
effect generation of a magnetic field similar to that shown in FIG.
2A or FIG. 3A, the Helmholtz coil pair may be replaced with a
single coil which may exhibit a less uniform field pattern but
which nonetheless generates a field having a significant component
orthogonal to the direction of blood flow within the vessel 2. That
is, each of three component field vectors (e.g., similar to the
component vectors B.sub.52, B.sub.54 and B.sub.56) can each be
generated with a single coil. Also, arrangements of two or three
coils can be assembled in lieu of multiple pairs of Helmholtz coils
to generate multiple magnetic field components, each in a different
direction about a region of the patient's body. A gradient in the
field, resulting from generating the components with single coils,
may be advantageous. As one example, for a blood vessel which
exhibits significant curvature, a somewhat non-uniform field may
improve the ability to simultaneously provide magnetic field
components, each of which can be orthogonal to a different
direction of blood flow at each of two or more positions in the
blood vessel.
[0045] Another series of embodiments according to the invention is
based on recognition that the electric field, which facilitates
severing of bonds between molecules in a layer of plaque, may be
established without requiring generation of a magnetic field. While
in some applications it may be advantageous to generate the
electric field based on use of magnetic coils to create a Lorentz
force, in other instances, in lieu of generating the magnetic field
8, an electric field can otherwise established across a blood
vessel, e.g., in a direction orthogonal to the direction of blood
flow. For example, a similar or identical result can be had by
forming an electric potential across the blood vessel 2 with, for
example, a pair of parallel plates. The field may be static or time
varying, e.g., sinusoidal or pulsed. An advantage of generating the
electric field without a magnetic field is that this can avoid
creation of eddy currents which may be undesirable in, for example,
tissue of the brain.
[0046] In this regard, FIG. 2B illustrates a system 20a having an
arrangement analogous to the Helmholtz coil arrangement of FIG. 2A
wherein the Helmholtz coils 22 are replaced with a pair of parallel
plates 22a. A voltage may be applied across the plates 22a to
establish a uniform electric field 8a between the plates. FIG. 3B
illustrates a system 30a having an arrangement analogous to the
configuration of FIG. 3A wherein, in lieu of incorporating the
smaller pair of Helmholtz coils 32, the system 30a comprises
relatively small parallel plates 32a aligned in parallel with one
another in a configuration similar to that shown for the coils 32
of FIG. 2A, but with the coils 32a positioned to produce a desired
electric field 8a in only a limited volume of the patient's body
16. In this example the plates 32a are positioned about the
patient's body to pass the electric field 8a through blood vessels
about the heart in order to remove plaque deposits 4 formed along
the vessel wall 6. A feature of this embodiment is the ability to
displace the plates 32a of the system 30a (e.g., along the axis 24
of the patient's body 16), and to rotate the electric field 8a
around the axis 24 (e.g., in a plane which passes through the axis
24) while the electric field passes through the body 16 of the
patient 18. The system 30a includes an electromechanical subsystem,
details of which are not shown, similar or identical to that of the
system 30, comprising a conventional C-arm 34 which translates the
plates 32 along a direction parallel to the axis 24 and also
rotates the plates 32a about the axis 34. The C-arm is mounted on a
moveable chassis 36 which may be displaced along a track (not
shown) to provide the movement in directions parallel to the axis
24. The chassis 36 also permits rotational movement of the C-arm
about the axis 24 in a conventional manner. Conventional motorized
mechanisms (not shown) provide for automated translational and
rotational movement of the C-arm.
[0047] Although the plates 32a are illustrated as being relatively
small in comparison to the plates 22a of FIG. 2B, the plates 32a of
the system 30a may be relatively large with the system 30a
performing the same aforedescribed function but extending
imposition of the electric field over a much larger portion of the
patient's body 16 or over the entire length of the body 16. With
such a mechanical arrangement it is possible to select a field
orientation in any desired direction.
[0048] The concepts disclosed for removal of plaque can be applied
to specific blood vessels or segments of a blood vessel based on a
determination of blood vessel orientation. For example, recognizing
that blood vessels follow paths in many directions, orientation of
a segment of a blood vessel under treatment can first be determined
by conventional means such as use of two dimensional or three
dimensional radiography techniques, including the techniques used
for angioplasty or atherectomy. Accordingly, when applying the
disclosed concepts to remove plaque from a segment of a specific
blood vessel (e.g., a segment of a coronary blood vessel), an
orientation of the segment is established to determine the
direction of blood flow. Then, based on the determined orientation,
a magnetic field is applied which includes a component having a
direction predominantly orthogonal to the direction of the flow of
blood through the vessel segment, the field generating a Lorentz
force, in response to which charge separation of conductive
carriers in the blood results in an electric field which balances
the Lorentz force. Similarly, when applying the concepts with
application of an electric field, e.g., with parallel plates such
as shown in FIGS. 2B and 3B, the vessel orientation is first
determined in order to orient the electric field in a direction
which is orthogonal to the direction of the flow of blood through
the segment of the vessel. More generally, when applying the
concepts to treat blood vessels of multiple orientations, one may
sequentially rotate the magnetic or electric fields to assure that
the direction of the applied field is made orthogonal to the
direction of blood flow in vessels of different orientations. In
embodiments where the orientation of each vessel segment of
interest is not first determined. The treatment procedure may
include a field rotation through a large number of directions to
assure that during the rotation each vessel segment of interest
receives a field orthogonal to the direction of the flow of blood
therethrough. In some arrangements field components may be
established in three orthogonal directions about a limited region
of interest or about the entire body of the patient with
recognition that provision of field components of sufficient
strength there is no need to predetermine the orientation of the
vessel.
[0049] A feature of embodiments of the afore described treatment
methods is that while the direction of blood flow through a vessel
of interest may be orthogonal to an axis along which the patient is
positioned for treatment, a magnetic field is applied which has a
net field direction is variable and not limited to a direction
predominantly determined by an axial field component parallel to
the axis along which the patient is positioned. This feature is
distinguished from what is achievable with prior art coil designs
where the magnetic fields generated primarily exhibit axial field
components, e.g., such as created with solenoidal windings along
the direction in which a patient is positioned. That is, field
configurations according to the invention depart from those
generated in systems designed to generate a predominant or
invariable axial field along the direction in which the patient is
positioned, e.g., along the central axis 24. Thus treatment can
include selection of a magnetic field direction which is
predominantly orthogonal to the direction of the flow of blood
through a vessel of interest. The orthogonal field is of sufficient
strength to cause dissociation of a first molecule in the layer of
plaque from another molecule in the layer, or from a molecule which
forms the blood vessel wall, by severing a bond which otherwise
stabilizes the position of the first molecule within the layer of
plaque.
[0050] Also in accord with embodiments of the invention, a
treatment method has been described which is not dependent on
mechanical movement of field generating components in order to vary
the net field direction. Recognizing that in removing a deposit of
plaque from a position along a wall of a blood vessel in a patient
through which blood flows in a first direction, the first direction
may be orthogonal to an axis along which the patient is positioned
for treatment, e.g., the axis 24, but according to embodiments of
the invention the net direction of the applied magnetic field may
be based on contributions from a plurality of components (e.g., two
or three coils or coil sets) whose individual field strengths are
variable. Consequently, the net field direction is selectable and
not limited to a direction orthogonal to the axis along which the
patient is positioned (e.g., the axis 24), this enabling both a
selection of a net field direction parallel with the axis along
which the patient is positioned and selection of a net field
direction orthogonal to the axis along which the patient is
positioned.
[0051] Consequently it can be assured that treatment can include
provision of a magnetic field which is orthogonal to an arbitrary
direction of flow of blood through a vessel of interest.
[0052] Although specific coil designs and plate geometries and
methods have been illustrated for implementing concepts according
to the invention, numerous other designs, geometries and methods
are contemplated. For example, it is possible to provide rotating
field configurations with one or more coils in configurations other
than those of a double helix design, e.g., with a series of saddle
coils or, as noted, with rotating Helmholtz coils. Further,
although embodiments refer to arrangements where the fields are
translated or displaced, it is also contemplated that the body of
the patient under treatment may be moved along the direction of the
axis 24 or rotated, e.g., in a plane, and that axial translation
and rotation may be effected by combinations of movement of the
fields and the patient.
[0053] The disclosed concepts and the invention as claimed are not
limited to any particular theory. Further, there is no basis to
conclude that the effects responsible for the prevention and
removal of plaque from blood vessels will become inactive
immediately upon removal of a magnetic or electric field. Rather,
the effects responsible for the prevention and removal of plaque
from blood vessels may be active for a significant period of time
after the time at which the actual presence of the applied magnetic
or electrical fields ceases. Part of this extended duration may be
attributable to a weakening of the bonds between molecules of the
accumulated plaque such that the plaque slowly assimilates into the
blood stream.
[0054] While the invention has been described with reference to
particular embodiments, it will be understood by those skilled in
the art that various changes may be made and equivalents may be
substituted for elements thereof without departing from the scope
of the invention.
* * * * *