Navigating tethered instruments through the vasculatures to reach deeper physiological locations presently inaccessible would extend the applicability of many medical interventions, including but not limited to local diagnostics, imaging, and therapies. Navigation through narrower vessels requires minimizing the diameter of the instrument, resulting in a decrease of its stiffness until steerability becomes unpractical, while pushing the instrument at the insertion site to counteract the friction forces from the vessel walls caused by the bending of the instrument. To reach beyond the limit of using a pushing force alone, we report a method relying on a complementary directional pulling force at the tip created by gradients resulting from the magnetic fringe field emanating outside a clinical magnetic resonance imaging (MRI) scanner. The pulling force resulting from gradients exceeding 2 tesla per meter in a space that supports human-scale interventions allows the use of smaller magnets, such as the deformable spring as described here, at the tip of the instrument. Directional forces are achieved by robotically positioning the patient at predetermined successive locations inside the fringe field, a method that we refer to as fringe field navigation (FFN). We show through in vitro and in vivo experiments that x-ray–guided FFN could navigate microguidewires through complex vasculatures well beyond the limit of manual procedures and existing magnetic platforms. Our approach facilitated miniaturization of the instrument by replacing the torque from a relatively weak magnetic field with a configuration designed to exploit the superconducting magnet-based directional forces available in clinical MRI rooms.
Large numbers of ring-billed gulls, herring gulls, and greater black-backed gulls roost each night on a municipal drinking water source in Maine and have been identified as the primary source of elevated fecal coliform bacteria levels. The lake has a resident gull population of approximately 800, while more than 3,000 gulls have been observed during seasonal migration. To alleviate this public health concern, the U.S. Department of Agriculture APHIS Wildlife Services program implemented an Integrated Wildlife Damage Management program in 2005. The program included the use of pyrotechnics and watercraft to harass gulls, as well as shooting to reinforce and enhance the effectiveness of non-lethal methods. Management activities were effective in keeping gulls off the drinking water source and lowering coliform bacteria levels to within EPA water quality standards. Additionally, the integrated program also involves an ongoing survey in areas surrounding the lake to identify feeding, loafing, and roosting areas that may affect gull movement. Information collected from the survey will result in more effective management practices and contribute to the long-term goal of reducing gull use on the lake.
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