U.S. patent number 3,570,476 [Application Number 04/776,575] was granted by the patent office on 1971-03-16 for magnetostrictive medical instrument.
Invention is credited to David Paul Gregg.
United States Patent |
3,570,476 |
Gregg |
March 16, 1971 |
MAGNETOSTRICTIVE MEDICAL INSTRUMENT
Abstract
A medical instrument which may be inserted into an artery of a
patient, and which includes a magnetostrictive element that serves
to remove cholesterol or other fatty deposits from the interior
wall of the artery. The term "magnetostrictive" as used herein is
intended to embrace the equivalent elements, such as
"piezoelectric" and "electrostrictive" in which mechanical
vibrations may be set up by the application of electrical
energy.
Inventors: |
Gregg; David Paul (Los Angeles,
CA) |
Family
ID: |
25107793 |
Appl.
No.: |
04/776,575 |
Filed: |
November 18, 1968 |
Current U.S.
Class: |
601/2 |
Current CPC
Class: |
A61M
5/00 (20130101); A61B 17/22012 (20130101); A61B
17/2202 (20130101); A61M 3/0283 (20130101); A61F
2002/30668 (20130101); A61F 2250/0001 (20130101) |
Current International
Class: |
A61B
17/22 (20060101); A61M 5/00 (20060101); A61F
2/02 (20060101); A61M 3/00 (20060101); A61M
3/02 (20060101); A61h 001/00 (); A61b 017/00 () |
Field of
Search: |
;128/2,24,303 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Trapp; L. W.
Claims
I claim:
1. A medical instrument for removing deposits from the interior
wall of an artery, or the like, of a subject, including: an element
composed of magnetostrictive material configured to be received
into the interior of the artery and can be moved therealong so as
to establish mechanical vibrations within said artery with respect
to an applied signal; an electrical winding mounted on said element
to establish the aforesaid magnetostrictions therein upon the
passage of an alternating current of ultrasonic frequency through
said winding; a magnetic core of magnetizable material physically
separated from said element and positioned externally of the
subject; a primary winding mounted on said magnetic core and
inductively coupled to the aforesaid electrical winding on said
element; and means for causing an alternating current of ultrasonic
frequency to flow in said primary winding.
2. The instrument defined in claim 1, and which includes a
ring-shaped core of magnetizable material supporting said primary
winding and having an airgap therein.
3. The instrument defined in claim 1 and which includes a power
source coupled to said primary winding for producing said
alternating current in said primary winding, and an indicating
meter coupled to said source to indicate the position of the
aforesaid element with respect to said primary winding.
4. A medical instrument for removing deposits from the interior
wall of an artery, or the like, including: an element composed of
material configured to be received into the interior of the artery
and to be moved therealong and to establish mechanical vibrations
in response to an applied signal; and means coupled to said element
for applying a signal thereto for establishing said vibrations
therein as said element moves along the interior of the artery so
as to cause the element to remove deposits from the interior wall
of the artery, in which said element has an elongated rodlike
configuration, and which includes electrical contacts mounted on
the ends of said element, and which includes an electrical winding
mounted on said element and having ends connected to said contacts
to establish mechanical vibrations in said element upon the passage
of an alternating current of ultrasonic frequency through said
winding.
5. The medical instrument defined in claim 4, in which said element
is composed of electrostrictive material.
6. The medical instrument defined in claim 4, in which said element
is composed of piezoelectric material.
7. A medical instrument for removing deposits from the interior
wall of an artery, or the like, including: an element composed of
magnetostrictive material configured to be received into the
interior of the artery and to be moved therealong and to establish
mechanical vibrations in response to an applied signal; means
coupled to said element for applying a signal thereto for
establishing said vibrations therein as said element moves along
the interior of the artery so as to cause the element to remove
deposits from the interior wall of the artery, and which includes a
biasing permanent magnet coupled to said element.
8. The medical instrument defined in claim 7, and which includes a
damping member mounted on said element, and in which said biasing
permanent magnet is mounted on said element and interposed between
said damping member and one end of said element.
9. The medical instrument defined in claim 7, and which includes a
damping member mounted on said element, and in which said biasing
permanent magnet extends into a slot in said element.
Description
BACKGROUND OF THE INVENTION
As is well known, the arteries are the vascular tubes which carry
the blood away from the heart. The larger arteries normally have a
smooth endothelial lining. The blood flow through the arteries is
often impeded by the partial occlusion thereof, and this occlusion
often is caused by the deposit of cholesterol or other fatty
materials on the endothelial lining of the arteries. Prior to the
advent of the present invention, the aforesaid deposits were
usually removed from the arterial walls by inserting a catheter
type of instrument and scraping the deposits from the arterial
wall. This technique, however, is not entirely satisfactory, since
it may dislodge particles, or damage the arterial lining.
The instrument of the present invention, as mentioned above,
includes a magnetostrictive element which is inserted through an
incision into the artery to be treated, and which can be moved
along the interior of the artery, for example, by a stainless steel
wire, or the like, which is attached to the element and which
extends out through the incision. The instrument further includes,
for example, a secondary winding which is wound about the
magnetostrictive element. This secondary winding is excited by a
high frequency ultrasonic signal by means of a primary winding, for
example, which may be positioned externally of the patient and yet
in an inductively coupled relationship with the secondary
winding.
The excitation of the aforesaid secondary winding by the ultrasonic
current in the primary winding, sets up high frequency ultrasonic
vibrations in the magnetostrictive element. Suitable damping means
may be provided at one end of the magnetostrictive element, so that
when the element is moved along the interior of the artery, the
ultrasonic vibrations of its other end cause the deposits on the
arterial wall to be dislodged and washed away by an externally
introduced solution.
BRIEF DESCRIPTION OF THE DRAWING
FIG. 1 is a representation of the arm of a patient, and showing the
instrument of the invention inserted into an artery for
accomplishing the stated purpose of the invention;
FIG. 2 is a view of the magnetostrictive element which is included
in the embodiment of the invention to be described;
FIG. 3 is the structure which is used to excite the element of FIG.
2 and which, i n the illustrated embodiment, may be positioned
externally of the patient;
FIG. 4 is a representation of a second embodiment; and
FIG. 5 is a third embodiment of the invention.
DETAILED DESCRIPTION OF THE ILLUSTRATED EMBODIMENTS
In the practice of the invention, insofar as the illustrated
embodiment is concerned, and as shown in FIG. 1, the instrument of
the invention may be inserted through an incision 10 in, for
example, the arm 12 of the patient. The magnetostrictive element 14
of the instrument of the invention is inserted through the incision
10, and into the interior of an artery 16 by means, for example, of
a stainless steel wire 18 which extends through a tubular catheter
19. The wire may have sufficient rigidity, so that it may be used
to push the element 14 along the interior of the artery 16. The
magnetostrictive element 14 may be excited in the manner to be
described; or it may carry its own primary and secondary exciting
coils, or other excitation means, which may be energized through
electrical conductors in the wirelike element 18.
In the illustrated embodiment, and as shown in FIG. 2, the internal
element 14 may be composed of a rod of magnetostrictive material,
such as nickel, a ferrite formed, for example, of sintered oxides
or iron, nickel, copper, or any other suitable magnetostrictive
material. The rod, for example, may have a diameter of 1
millimeter. A damper 20 is mounted at one end of the rod 14. The
damper 20 may be composed of any appropriate material, and should
exhibit a relatively large mass with respect to the element 14, so
that magnetostrictions set up in the element 14 result in a rapid
movement of the end of the element remote from the damper 20. A
biasing permanent magnet 21, formed of Alnico, ferrite or other
appropriate permanent magnet material, should be interposed between
the damper and the rod, as shown. In this way, the latter end of
the element is caused to vibrate so as to dislodge and disperse
cholesterol and other fatty deposits which have formed on the
arterial wall. However, the dispersion is very fine, rather than in
particles which could cause embolisms. These deposits become
partially dissolved and are washed away by an externally introduced
solution, introduced upstream of the point at which the rod is
located.
The magnetostrictive effect is set up in the illustrated embodiment
by a secondary winding 22 which is wound about the periphery of the
magnetostrictive element 14 and around the permanent magnet 21, and
which has its ends short circuited, so that an appreciable current
flows through the winding 22 when it is excited. The winding 22 may
be excited by an external primary winding assembly including, for
example, a ring core 26 having a primary winding 28 wound about
it.
The core 26 has an airgap formed in it as shown. As shown in FIG.
1, for example, the core may be positioned over the arm of the
patient so that the artery 16 being treated passes through the
airgap even though the core 26 and primary winding are positioned
externally of the patient.
The primary winding 28 may be energized by an appropriate high
frequency signal from a signal generator 30 of any suitable design.
The frequency of the signal generated by the generator 30 may, for
example, be in the range of from 25 kilohertz to 1 megahertz. Peak
displacements of the order of 1 micrometer may be attained in the
rod 22 when such parameters are used.
A millivoltmeter 32 may be included in the circuit, and its peak
reading may serve as a detection indicator to indicate the proper
position of the external core 26 and primary winding 28 with
respect to the internal moving element 14 and its secondary winding
22. That is, the external primary winding 28 and core 26 should be
moved along the exterior of the artery 16 and turned as necessary
as the element 14 is moved along its interior, with an optimum
coupling relationship between the two being indicated by a maximum
power flow through the meter 32. Furthermore, the meter 32
indicates the power level of the cleansing process, and it also
indicates any tendency for the core temperature to rise to a level
at which it would injure the artery. Such a temperature rise may be
offset by increasing the flow of solution introduced into the
artery through the catheter 19 by means of a tube 21. The solution
is carried out of the artery to a filtering device through a second
catheter 23 and tube 25. The catheter 23 extends through a second
incision 27. This permits the fatty or other removed material to be
studied and analyzed.
Although the element 14 is shown as directed and guided by the wire
18, the element could be configured so as to be inserted into the
artery, and to move within the artery independently of any external
guides, and by the arterial fluid itself. The movement of the
element 14 could then be followed by the external coil 28 and core
26, as indicated by the deflection of the meter 32.
It will be appreciated, of course, that the embodiment illustrated
in the drawing and described above is merely one aspect of the
structural concept of the invention. For example, electrostrictive
material such as barium titenate may be used, as will be described
in conjunction with FIG. 5, and appropriate electrostatic fields
produced by the voltage developed across an open secondary winding,
rather than the current through a closed secondary winding as in
the embodiment of FIG. 2. Moreover, a piezoelectric crystal may be
used with plate contacts, and with the secondary winding connected
to the plate contacts and establishing control voltages across the
crystal. The piezoelectric and electrostrictive rods do not require
biasing.
In the embodiment of FIG. 4, the magnetostrictive element 14a is
split, as shown, to have a U-shape defining a longitudinal slot
therein. The biasing permanent magnet 21a extends into the slot,
out of contact with the element 14a. The permanent magnet 21a is
mounted on a disc 50 attached to the end of the push rod, or wire,
18. The element 14a may be attached to the disc 50 by compliant
cement 20a which also forms the aforesaid damper. The secondary
winding 22a is closed, as before, and is wound in a series-aiding
relationship on the element 14a, as shown.
In the embodiment of FIG. 5, a piezoelectric or electrostrictive
rod 14b is used, and the ends of the rod are metallized by
electrical contacts 52 and 54. The secondary winding 22b has its
ends connected to the contacts 52 and 54 so as to provide an open
circuit, with a voltage being applied across the contacts when the
primary induces such a voltage in the secondary winding. A damper
20b is provided between the rod 14b and the head 50b of the push
rod or wire 18. The secondary winding in the embodiment of FIG. 5,
as in the previous embodiments may be gold plated, nickel wire, or
any other electrically conductive material which will not adversely
affect the patient.
* * * * *