Abstract: A system for assisting blood flow in a patient includes an implantable pump system for assisting in blood flow from the heart and an implantable control system for communicative connection with the implantable pump system. The control system includes a pacemaker system that is operative to control heart rate and the pump system interdependently to achieve a determined level of blood flow assist. The control system is adapted to increase the heart rate of the patient to above a normal heart rate for the patient under the present conditions of the patient via the pacemaker while controlling the pump system to achieve the determined level of blood flow assist based upon the increased heart rate and a level of assist provided by the pump system.

Abstract: A cardiac assistance, device has a supporting component, which surrounds the heart and on the inside of which a plurality of adjacent inflatable and deflatable chambers are provided, via which an inside wall can be displaced inward. The chambers have a fluidic connection to at least one pump via lines. A plurality of supply valves on the supply side are arranged between the pump and the chambers. Some individual chambers or groups of chambers are assigned dedicated supply valves, in order to drive the chambers individually or in groups.

Abstract: A system for measuring of cardiac blood flow balance parameter between the right chamber of the heart and the left chamber of the heart includes a sensor device for measuring one of blood pressure and blood flow rate and blood constituent concentration of a patient so as to generate an arterial pulse signal. A processing unit is responsive to the arterial pulse signal for generating a full arterial pulse signal, an arterio-venous pulse signal, and a balance parameter. A computational device is responsive to the balance parameter for further generating a set of physiological parameters. A display station device is responsive to the set of physiological parameters from the computational device for displaying meaningful information.

Abstract: A ventricle assist device comprises an inlet for receiving blood, an outlet for discharging blood, and a chamber disposed between the inlet and the outlet. There is also a means for actuating the ventricle assist device between an expanded configuration and a contracted configuration. In the expanded configuration blood flows into the inlet. In the contracted configuration blood flows out of the outlet. There may be a one-way valve at the outlet for preventing blood flow back into the chamber. The one-way valve is a diaphragm valve. The chamber may have a resilient outer wall. The chamber may have an ovoid shape.

Abstract: A method of operating a counterpulsation device (CPD) in a human or animal subject is disclosed, the method including: receiving a heart beat signal indicative of the heart beat of the subject; providing counterpulsation therapy by controlling the pressure supplied to a CPD drive line in pneumatic communication with the CPD to cause the CPD to alternately fill with blood and eject blood with a timing that is determined at least in part based on the heart beat signal; while providing counterpulsation therapy, receiving a CPD drive line pressure signal indicative of the pressure in the CPD drive line; and adjusting the pressure supplied to the drive line based at least in part on the drive line pressure signal.

Abstract: A method and device are provided for non-blood contact mechanically assisting an injured (e.g., infarcted) ventricle by coupling an inflatable bladder or other volume adjustable device to the injured ventricle and selectively inflating the bladder or increasing the size of the volume in systole to apply force against the injured ventricle and deflating the bladder or reducing the size of the volume in diastole to remove force against the injured ventricle. When no mechanical assistance is being provided to the injured ventricle, the inflatable bladder or volume adjustable device is preferably maintained at a predetermined pressure so as to selectively stiffen the injured tissue and alter ventricular geometry a desired amount.

Abstract: The presence or absence of a high pressure condition in an implantable blood pump is determined at least in part based on a comparison between a determined amount of differential pressure across the pump and a pressure threshold value. The amount of differential pressure parameter may be determined based at least in part on a parameter related to flow, such as a parameter related to thrust on the rotor of the pump. In response to determining the presence of a high pressure condition, an updated speed of rotation of the rotor that is less than the rotor's initial speed may be determined. The rotor's speed may be increased when the flow rate of blood is determined to be at least equal to a flow recovery threshold value.

Abstract: An extracardiac pumping for supplementing the circulation of blood, including the cardiac output, in a patient without any component thereof being connected to the patient's heart, and methods of using same. One embodiment provides a vascular graft that has a first end that is sized and configured to couple to a non-primary blood vessel and a second end that is fluidly coupled to a pump to conduct blood between the pump and the non-primary blood vessel. An outflow conduit is also provided that has a first end sized and configured to be positioned within the same or different blood vessel, whether primary or non-primary, through the vascular graft. The outflow conduit is fluidly coupled to the pump to conduct blood between the pump and the patient. The vascular graft may be connected to the blood vessel subcutaneously to permit application of the extracardiac pumping system in a minimally-invasive procedure.

Abstract: A rotational pump capable of running at a rotational speed (n) having a system for direct or indirect measurement of pressure difference or flow rate across the pump, wherein a control system is designed to calculate an index of pulsatility (PI) of the pressure difference or flow rate, estimating the gradient of PI with respect to the rotational speed (dPI/dn) and regulating the dPI/dn to a pre-defined set-point or regulating the pump in a way that the dPI/dn is minimal.

Abstract: In one aspect, an implantable pump system for assisting blood flow in a patient includes a blood flow path comprising a flexible conduit, at least one valve in fluid connection with the flexible conduit, a drive system in operative connection with the valve to move the valve in a reciprocating manner, an implantable control system and at least one sensor in communicative connection with the control system. The sensor is adapted to measure at least one property of blood. The control system is adapted to control movement of the valve on the basis of data regarding position of the valve with respect to time or a derivative thereof (that is, position, velocity, acceleration or a derivative thereof) in combination with data of the measured at least one property of blood from the sensor.

Abstract: A blood pump system is implantable in a patient for ventricular support. A pumping chamber has an inlet for receiving blood from a ventricle of the patient. An impeller is received in the pumping chamber. A motor is coupled to the impeller for driving rotation of the impeller. A motor controller is provided for tracking systolic and diastolic phases of a cardiac cycle of the patient and supplying a variable voltage signal to the motor in a variable speed mode to produce a variable impeller speed linked to the cardiac cycle. The impeller speed comprises a ramping up to an elevated speed during the diastolic phase in order to reduce a load on the ventricle at the beginning of the systolic phase.

Abstract: A cardiac function variation evaluation apparatus includes: a continuous flow type auxiliary artificial heart 20 connected to a ventricle (10A); a pressure sensor 30 for detecting ventricle (10A) internal pressure; and means (a personal computer 40) for evaluating contractile variation of the ventricle, to which the auxiliary artificial heart 20 is connected, based on internal area APMp of a closed-loop of a relationship between the ventricle internal pressure detected by the pressure sensor 30 and a consumption power of the auxiliary artificial heart 20. Thus, the contractile variation of the ventricle, to which an auxiliary artificial heart is connected, can be continuously evaluated not by use of an ultrasonic echo apparatus or a conductance catheter but by use of a non-invasive method.

Abstract: A release mechanism (100, 100a) for releasing a medical implant (105) from an insertion device (110), comprising a body (10) having a proximal end (12) and a distal end (14), wherein between the proximal end and the distal end (12, 14) an actuator (16, 16a) is provided, wherein for generating a selective relative displacement between the first and second insertion elements (72; 74) of the insertion device (110), the actuator (16, 16a) has a first and at least a second direction of motion (18; 20), wherein in the first direction of motion (18), the first and second insertion elements (72; 74) can be displaced relative to one another in the longitudinal direction (18), and wherein in the at least second direction of motion (20), the actuator (16, 16a) effects a movement transversely to the longitudinal direction (18).

Abstract: A ventricular assist device incorporating a rotary pump such as a rotary impeller pump implantable in fluid communication with a ventricle and an artery to assist blood flow from the ventricle to the artery. The device includes a pump drive circuit supplying power to the pump, one or more sensors for sensing one or more electrophysiological signals such as electrogram signals in and a signal processing circuit connected to the sensors and to the pump drive circuit. The signal processing circuit is operative to detect the sensor signals and control power supplied to the pump from the pump drive circuit so that the pump runs in a pulsatile mode, with a varying speed synchronized with the cardiac cycle. When an arrhythmia is detected, the pump drive circuit may also run the pump in an atrial arrhythmia mode or a ventricular arrhythmia mode different from the normal pulsatile mode.

Abstract: A ventricular assist device includes a pump such as an axial flow pump, an outflow cannula connected to the outlet of the pump, and an anchor element. The anchor element is physically connected to the pump, as by an elongate element. The pump is implanted within the left ventricle with the outflow cannula projecting through the aortic valve but desirably terminating short of the aortic arch. The anchor element is fixed to the wall of the heart near the apex of the heart so that the anchor element holds the pump and outflow cannula in position.

Abstract: A blood pump system for persistently increasing the overall diameter and lumen diameter of peripheral veins and arteries by persistently increasing the speed of blood and the wall shear stress in a peripheral vein or artery for a period of time sufficient to result in a persistent increase in the overall diameter and lumen diameter of the vessel is provided. The blood pump system includes a blood pump, blood conduit(s), a control system with optional sensors, and a power source. The pump system is configured to connect to the vascular system in a patient and pump blood at a desired rate and pulsatility. The pumping of blood is monitored and adjusted, as necessary, to maintain the desired elevated blood speed, wall shear stress, and desired pulsatility in the target vessel to optimize the rate and extent of persistent increase in the overall diameter and lumen diameter of the target vessel.

Abstract: A method and system are provided for percutaneously gaining access to oxygenated blood with one or more anastomosis devices and pumping such oxygenated blood directly to the aorta adjacent to the right atrium or left atrium via a VAD system. In one embodiment, a VAD system can be implanted with open surgery.

Abstract: This embodiment suggests new approach for Endovascular Ventricular Assist Device, using the mathematical objective & principle of superposition allow design and calculation of the body response to VAD pump located in the Aorta. This new approach allows minimal invasive Endovascular VAD that result in similar relief to the heart as partial VAD. Using special power transfer technique will allow wireless power transformation into the aorta. This methods and technique should dramatic reduce VAD barrier.

Abstract: The present invention provides devices, systems, and methods for control of ventricular assist devices. The invention includes an implantable controller that is operatively programmed to direct physiological flow through a ventricular assist device that is substantially synchronized to the cardiac cycle of the subject. The implantable controller is also communicatively connected to an external control unit, such that the implantable controller can transmit data to the external control unit, and instructions can be sent from the external control unit to the implantable controller.

Abstract: A cannulation system for cardiac support uses an inner cannula disposed within an outer cannula. The outer cannula includes a fluid inlet for placement within the right atrium of a heart. The inner cannula includes a fluid inlet extending through the fluid inlet of the outer cannula and the atrial septum for placement within at least one of the left atrium and left ventricle of the heart. The cannulation system also employs a pumping assembly coupled to the inner and outer cannulas to withdraw blood from the right atrium for delivery to the pulmonary artery to provide right heart support, or to withdraw blood from at least one of the left atrium and left ventricle for delivery into the aorta to provide left heart support, or both.

Abstract: A centrifugal pump system for a cardiac assist device employs a disc-shaped impeller having an outer circumference adapted to be rotatably driven in a pumping direction. A pump housing has a pumping chamber receiving the impeller, wherein the pumping chamber defines an outlet volute having a separation edge spaced from the outer circumference to provide a limited backflow path coinciding with the pumping direction. A motor drives the impeller in response to a voltage provided to the motor. A current sensor measures current flow within the motor in response to the voltage. A controller estimates a pump flow rate in response to a predetermined relation between the measured current and the pump flow rate, wherein the predetermined relation includes a positive slope from a predetermined backflow rate to a zero pump flow rate.

Abstract: A heart support device for pulsatile delivery of blood comprising a first and a second ventricle and a pump. Both ventricles comprises a fluid chamber and a blood-conveying chamber, wherein each fluid chamber can be filled with a fluid or emptied by way of the pump in such a way that an expansion or contraction of the fluid chamber occurs. In an expansion of the fluid chamber of a ventricle, a compression of the blood-conveying chamber of the same ventricle takes place, wherein a rigid pressure plate is disposed between a fluid chamber and the respective blood-conveying chamber, said pressure plate being able to move in the direction of the respective blood-conveying chamber.

Abstract: A cannula assembly, further comprising a cannula body for directing blood from the heart of a patient, having distal and proximal ends and a lumen therebetween. A tip coupled to the distal end of the body, the tip having an opening. A pump for drawing blood into the cannula assembly and dispensing the blood from the cannula assembly and into the patient circulatory system. The lumen of the cannula body further comprises a first inner diameter at the proximal end and a second inner diameter at the distal end, the first inner diameter being larger than the second inner diameter. A tapered portion defined as a decrease in inner diameter from the first inner diameter to the second inner diameter between the proximal and distal ends, the tapered portion configured to prevent cavitation of the blood within the cannula.

Abstract: A medical device includes a sensor for sensing for an MRI gradient magnetic field and a microprocessor configured to operate in a signal processing mode in which electrical signals induced by the gradient magnetic field are not counted as cardiac events.

Abstract: In order to produce a pulsatile blood flow pattern that includes time periods of relatively high blood flow rates and time periods of relatively low blood flow rates, the operating speed of a blood pump can be selectively controlled to produce an operating speed pattern that includes time periods of relatively high rotation speeds and periods of relatively low rotation speeds. For example, the blood pump is rotated at a first speed for a first period of time. The speed of the blood pump is then decreased from the first speed to a second speed and is operated at the second speed for a second amount of time. The speed of the blood pump is then decreased to a third speed for a third amount of time. If desired, the operating speed pattern can be repeated to continue the pulsatile blood flow pattern.

Abstract: Counterpulsation methods and systems for assisting the heart of a patient involve, for example, coordinating the operation of a pulsatile pump to suction blood from an artery through a blood flow conduit while the heart is in systole and expel the blood into the blood flow conduit and the artery while the heart is in diastole.

Abstract: The invention features a method of monitoring a clotting process by measuring a signal characteristic of the NMR relaxation of water in a sample undergoing clotting to produce NMR relaxation data and determining from the NMR relaxation data a magnetic resonance parameter of water in the sample characteristic of the clots being formed.

Abstract: In a method for intermittently occluding the coronary sinus, in which the coronary sinus is occluded using an occlusion device, the fluid pressure in the occluded coronary sinus is continuously measured and stored, the fluid pressure curve is determined as a function of time, and the occlusion of the coronary sinus is triggered and/or released as a function of at least one characteristic value derived from the measured pressure values. The pressure increase and/or pressure decrease per time unit each occurring at a heart beat are used as characteristic values.

Abstract: A cannula assembly, further comprising a cannula body for directing blood from the heart of a patient, having distal and proximal ends and a lumen therebetween. A tip coupled to the distal end of the body, the tip having an opening. A pump for drawing blood into the cannula assembly and dispensing the blood from the cannula assembly and into the patient circulatory system. The lumen of the cannula body further comprises a first inner diameter at the proximal end and a second inner diameter at the distal end, the first inner diameter being larger than the second inner diameter. A tapered portion defined as a decrease in inner diameter from the first inner diameter to the second inner diameter between the proximal and distal ends, the tapered portion configured to prevent cavitation of the blood within the cannula.

Abstract: A method of sheathing a heart including inserting an expandable heart sheath into a living body with the sheath held in a collapsed state. The sheath is released to allow the sheath to expand inside the body. At least a portion of the heart within the body is surrounded by the expanded sheath. The method of forming a custom heart sheath includes determining a three-dimensional outer surface of a particular heart, determining a desired three-dimensional shape of a sheath for the particular heart, as a function of a shape of the determined outer surface of the heart and then forming a custom heart sheath to have the desired three-dimensional shape.

Abstract: A heart support system featuring a constraint sized to fit about at least a portion of an adult human heart in a living body, an expandable chamber disposed within the constraint so as to apply pressure against the heart when expanded and a connector system including a pneumatic connection port in hydraulic communication with the expandable chamber. The heart support system can include a supply unit with: a source of pressurized fluid and a pneumatic supply line extending from the pressurized fluid source. The pneumatic supply line is connectable to the pneumatic connection port.

Abstract: Provided is a ventricular assist device cannula, and more particularly, a ventricular assist device cannula with electrodes. An exemplary embodiment of the present invention provides a ventricular assist device cannula with electrodes, including: a connecting tube connecting an incision of a body tissue and a ventricular assist device so that blood can flow; and electrodes connected with the connecting tube and contacting the incision of the body tissue to transfer an electric signal to the body tissue. The ventricular assist device cannula with electrodes according to the exemplary embodiment of the present invention has effects as follows. First, a bio-signal of a patient wearing the ventricular assist device through the electrode attached to the conduit can be easily measured without a separate electrode implant and an electric stimulus can also be measured.

Abstract: A rotational pump capable of running at a rotational speed (n) having a system for direct or indirect measurement of pressure difference or flow rate across the pump, wherein a control system is designed to calculate an index of pulsatility (PI) of the pressure difference or flow rate, estimating the gradient of PI with respect to the rotational speed (dPI/dn) and regulating the dPI/dn to a pre-defined set-point or regulating the pump in a way that the dPI/dn is minimal.

Abstract: The various embodiments disclosed herein relate to combination heart assist systems, methods, and devices that include both an electrical therapy device and a mechanical heart assist device. Various operational modes can be implemented using these embodiments, including a synchronized pacing mode, an internal CPR mode, and an internal workout mode.

Abstract: The present invention generally relates to is control system for a rotary Wood pump adapted to move blood in a patient. The control system comprises a means for measuring and varying the speed of the pump and a means for measuring the pulsatility index of a patient, and the control system is adapted to maintain the pulsatility index at or near a predetermined vitae by varying the speed of the pump. The pulsatility index is derived from the amplitude of the actual pump speed over a predetermined time period. Optionally, also, the control system can calculate the second derivative of instantaneous speed of the rotary blood pomp and use the calculation of the second derivative of instantaneous speed to detect a suction event, and help prevent it.

Abstract: An implantable device for improving the pump function of the heart of a human patient by applying an external force on the heart muscle is provided. The device comprises at least one pump device having a pump. The pump comprising: a piston adapted for reciprocating movement, an operating device for operating the piston, a heart contacting organ. The movement of the piston assists the pump function of the heart through said heart contacting organ.

Abstract: A dual-balloon cardiac pump comprises a flexible catheter tube in pneumatic communication with inflatable ventricular and aortic balloons, which are inflated and deflated in accordance with a programmed sequence of pressurized inert gas into the catheter tube as regulated by a control unit. The programmed sequence rapidly inflates and deflates the ventricular balloon after left ventricular contraction is completed. The programmed sequence inflates the aortic balloon after the aortic valve closes and deflates it just before the next systolic cycle begins.

Abstract: A device for the in vivo determination of the blood flow rate in a patient's blood vessel includes a microelectrode arrangement provided for placement in the blood vessel, an electrical power source which provides excitation energy having physiologically harmless parameters for obtaining a measured signal, a signal detector for detecting an electrical measured signal resulting from the blood flow in the presence of the excitation energy at measuring electrodes of the microelectrode arrangement, and a signal evaluation device, connected to the signal detector, for determining the blood flow rate on the basis of the measured signal.

Abstract: Materials and methods related to blood pump systems are described. These can be used in patients to, for example, monitor arterial pressure, measure blood flow, maintain left ventricular pressure within a particular range, avoid left ventricular collapse, prevent fusion of the aortic valve in a subject having a blood pump, and provide a means to wean a patient from a blood pump.

Abstract: The invention relates to a blood withdrawal cannula (4) for connecting a pump (2) assisting or replacing activity of the heart to the inner volume of a heart ventricle (1), in particular the left ventricle. At the end thereof that is located in the ventricle the cannula has a pressure sensor (7a, 7b) for measuring the ventricle pressure and/or ventricle pressure differences and at the same end of the cannula has a volume sensor (3a, 3b, 5, 6) for measuring the volume and/or volume changes of the ventricle (1) in at least a partial region of the ventricle. The invention further relates to a measuring device for monitoring the ventricle contractions and/or the function of a pump replacing or assisting activity of the heart. The measuring device can be/is connected to the pressure sensor (7a, 7b) and to the volume sensor of a blood withdrawal cannula according to any one of the preceding claims and is designed to detect pressure changes and volume changes of a ventricle (1) as the heart is beating.

Abstract: Devices and methods are disclosed for implanting, positioning, removing, replacing and operating intra-aortic balloon pumps.

Abstract: In a method for the automatic control of blood pumps, an optimization of the blood flow is achieved by periodic speed interventions and flow changes thereby occurring, using a formed differential variable and a control algorithm. In addition, the location of possible flow resistances on the venous or arterial side can be ascertained.

Abstract: A TET system is operable to vary an amount of power transmitted from an external power supply to an implantable power unit in accordance with a monitored condition of the implantable power unit. The amount of power supplied to the implantable power unit for operating a pump, for example, can be varied in accordance with a cardiac cycle, so as to maintain the monitored condition in the power circuit within a desired range throughout the cardiac cycle.

Abstract: Systems and methods including a motor or electromagnets to control the movement of one or more pistons in a pumping chamber. The pumping chamber may include a pump inlet and a pump outlet in fluid communication with the pumping chamber. Surfaces on a piston or pumping chamber may include hydrodynamic bearing surfaces.

Abstract: The present invention generally relates to a control system for a rotary blood pump adapted to move blood in a patient. The control system comprises a means for measuring and varying the speed of the pump and a means for measuring the pulsatility index of a patient, and the control system is adapted to maintain the pulsatility index at or near a predetermined value by varying the speed of the pump. The pulsatility index is derived from the amplitude of the actual pump speed over a predetermined time period. Optionally, also, the control system can calculate the second derivative of instantaneous speed of the rotary blood pump and use the calculation of the second derivative of instantaneous speed to detect a suction event, and help prevent it.

Abstract: At least one aspect is directed to a totally artificial heart, and at least another aspect is directed to a method of controlling blood flow in a patient. The totally artificial heart may include a first rotary pump having an input to receive blood and an output to provide blood to a patient's lungs, a second rotary pump having an input to receive blood and an output to provide blood to the patient's body, a first sensor associated with the first rotary pump, a second sensor associated with the second rotary pump, and a control system coupled to the first sensor, the second sensor, the first rotary pump and the second rotary pump and configured to control characteristics of the first rotary pump and the second rotary pump based on signals received from at least one of the first sensor and the second sensor such that an average flow of blood through the second rotary pump is greater than an average flow of blood through the first rotary pump.

Abstract: A hemodynamic flow assist device includes a miniature pump, a basket-like cage enclosing and supporting the pump, and a motor to drive the pump. The device is implanted and retrieved in a minimally invasive manner via percutaneous access to a patient's artery. The device has a first, collapsed configuration to assist in implantation and a second, expanded configuration once deployed and active. The device is deployed within a patient's aorta and is secured in place via a self-expanding cage which engages the inner wall of the aorta. The device includes a helical screw pump with self-expanding blades. Also included is a retrieval device to remove the hemodynamic flow assist device once it is no longer needed by the patient. Also included is an arterial closure device to close the artery access point after implantation and removal of the hemodynamic flow assist device.

Abstract: The various embodiments herein relate to systems and methods for controlling the operation of a pulsatile heart assist device in a patient. The systems and methods include utilizing sounds and electrical signals produced by the heart to control the operation of the heart assist device.

Abstract: One aspect of an intravascular ventricular assist device is an implantable blood pump where the pump includes a housing defining a bore having an axis, one or more rotors disposed within the bore, each rotor including a plurality of magnetic poles, and one or more stators surrounding the bore for providing a magnetic field within the bore to induce rotation of each of the one or more rotors. Another aspect of the invention includes methods of providing cardiac assistance to a mammalian subject as, for example, a human. Further aspects of the invention include rotor bodies having helical channels formed longitudinally along the length of the body of the rotor where each helical channel is formed between peripheral support surface areas facing radially outwardly and extending generally in circumferential directions around the rotational axis of the rotor.

Abstract: Devices, systems, and methods for treating a heart of a patient may make use of structures which limit a size of a chamber of the heart, such as by deploying a tensile member to bring a wall of the heart toward (optionally into contact with) a septum of the heart. The implant may include an electrode or other structure for applying pacing signals to one or both ventricles of the heart, for defibrillating the heart, for sensing beating of the heart or the like. A wireless telemetry and control system may allowing the implant to treat congestive heart failure, monitor the results of the treatment, and apply appropriate electrical stimulation.