Abstract: An expandable medical sheath can include a sheath body having a lumen that extends between proximal and distal ends of the sheath. The sheath can have first and second members where the first member has a different elastic modulus than the second member such that one provides elasticity to the sheath and the other provides column strength. The first and second members can be coupled together in alternating sections to form the tubular sheath or the stiffer members can be embedded in the elastic member along all or a portion of the longitudinal length of the sheath. The sheath can automatically move to an expanded state to allow a larger diameter medical device to pass through the lumen, and once through the sheath can automatically return to its initial diameter.

Abstract: Methods and systems are disclosed for creating and using a neural network model to estimate a cardiac parameter of a patient, and using the estimated parameter in providing blood pump support to improve patient cardiac performance and heart health. Particular adaptations include adjusting blood pump parameters and determining whether and how to increase or decrease support, or wean the patient from the blood pump altogether. The model is created based on neural network processing of data from a first patient set and includes measured hemodynamic and pump parameters compared to a cardiac parameter measured in situ, for example the left ventricular volume measured by millar (in animals) or inca (in human) catheter. After development of a model based on the first set of patients, the model is applied to a patient in a second set to estimate the cardiac parameter without use of an additional catheter or direct measurement.

Abstract: An intravascular heart pump assembly can include a rotor with at least one impeller blade, and a cannula. The present application describes various cannulas that can be manufactured from multiple layers of material to improve flexibility, manufacturability, and durability without increasing an outer diameter of the cannula. In one embodiment, the cannula includes an inflow section having a sheet formed of a shape memory material embedded within a polymer and having at least one lateral hole or aperture in the inflow section. The at least one lateral hole is defined by a first hole in the sheet and a second hole in the outer polymer layer of the cannula. The first hole and the second hole overlap so that blood can enter the cannula through the holes.

Abstract: A web-based interface enables medical personnel to remotely monitor medical devices. A monitoring system records operational data and alarms from the medical devices in a file. However, since network connections between the medical devices and the monitoring system are intermittent, the file does not contain a contiguous stream of data for each medical device. The file pauses recording during gaps in network connectivity. The system displays current data, as well as a list of alarms. If medical personnel wish to view more detail about an earlier time or one of the alarms, the system calculates where in the file the medical device data was recorded. This calculation accounts for the discontiguous nature of the data. The system uses times the network connection is made and broken to calculate an index into the file that corresponds to the time of the user-selected alarm.

Abstract: Methods and systems are provided that utilize smart hemodynamic support devices positioned in one area of the body, in combination with machine learning to infer and/or detect conditions in other areas of the body operably connected via blood flow.

Abstract: A blood pump system including an optical sensor configured to detect an optical signal during pumping operation of the blood pump, and an optical fiber configured to transmit the optical signal from the optical fiber sensor to an evaluation device communicatively coupled to the optical fiber sensor. The evaluation device is configured to receive as inputs the transmitted optical signal and a signal indicative of the motor current and determine a mechanical failure event associated with the blood pump based on the motor current and the optical signal.

Abstract: Techniques and systems for using spectroscopy- and/or image-based sensing with an intravascular blood pump may be provided. The techniques generally include capturing a spectral response to light of a measured tissue and/or blood. Based on the specific needs, the method may include, e.g., determining a type of the measured tissue based on the spectral response, determining if the type of the measured tissue matches a target tissue type, determining a health of the measured tissue based on the spectral response, determining a treatment plan based on the health of the measured tissue, determining a type and/or quantity of components and/or characteristics in the blood, and/or determining a degree of heart recovery based on the type and/or quantity of the components and/or characteristics in the blood.

Abstract: An apparatus is disclosed including: an intracardiac pump device having a path for a guidewire extending through the pump device from a first opening to a second opening; and a lumen which extends from a first end located outside of the pump device, into the pump device through the first opening in the pump device, along the path for the guidewire, out of the pump device through the second opening, and to a second end located outside of the pump device. The lumen is configured to receive the guidewire such that when the guidewire passes through the lumen from the first end to the second end, the guidewire is positioned along the path.

Abstract: A method for automatically classifying clinical descriptions of patients by a computer processor using natural language processing is provided. The clinical descriptions relate to the use of a ventricular assist device to treat the patient. The method comprises receiving at least one clinical description comprising text. The method also then comprises determining the position of a target word within the text. Further the method comprises determining the existence of at least one negation word within an active region, the active region comprising a predetermined number of words within the text occurring immediately before and immediately after the target word, including the target word. The method then comprises determining the existence of at least one body-part word within the active region. Lastly, the method comprises determining that the clinical description is to be disregarded if the active region contains either a negation word or a body-part word.

Abstract: A user interface to a medical database stores context information from previous queries and uses the context information as part of information selection criteria for a current query, without requiring the users to fully specify the information selection criteria in each query. The context information is automatically stored as a profile for each user, for each group of users and, optionally, for each institution to which a user is affiliated. In response to a current user query, a combination of the information selection criterion currently entered by the user and one or more information selection criteria previously entered by the user, group and (optionally) institution is used to query the medical database. Optionally, a user's group membership may be automatically determined, based on current physical location of the user and potential groups, for example as estimated from a meeting calendar or signals received by a wireless access point.

Abstract: An expandable introducer sheath with an interlock dilator. The present technology provides an expandable sheath with a step feature inside its distal opening, and a dilator with an interlock that includes a catch surface configured to engage with the step feature and resist further relative movement so that the body of the dilator is prevented from exiting the distal end of the expandable sheath. This interlocking engagement may allow the dilator to be used to extend and maintain tension on the expandable sheath during insertion into a patient, and then to be retracted from the expandable sheath by pulling the dilator in the opposite direction. The present technology also provides a dilator hub with a spring mechanism configured to achieve and maintain a desired tension on the expandable sheath and to prevent overextension of the expandable sheath when the dilator is being inserted into the expandable sheath.

Abstract: A persistent perfusion sheath assembly can be used for the passage of an intravascular medical device while maintain a flow passage in the vessel. The sheath assembly passes through an arteriotomy and can include a first lumen configured for the passage of a medical device, a second lumen configured to allow a flow of fluid from a location in the blood vessel upstream of the arteriotomy to a location downstream of the arteriotomy. The sheath assembly can further include a stylet, a sleeve or an additional sheath configured to selectively open and close the flow of blood between upstream and downstream of the arteriotomy. The sheath assembly can further include a closure device distal of the arteriotomy, the closure device configured to control blood flow through the arteriotomy.

Abstract: The systems, devices, and methods presented herein use a blood pump to obtain measurements of cardiac function. The system can quantify the functioning of the native heart by measuring certain parameters/signals such as aortic pressure or motor current, then calculate and display one or more cardiac parameters and heart function parameters, such as left ventricular pressure, left ventricular end diastolic pressure, or cardiac power output. These parameters provide valuable information to a user regarding current cardiac function, as well as positioning and function of the blood pump. In some embodiments, the system can act as a diagnostic and therapeutic tool.

Abstract: A system that includes a cannula and a flexible hypotube attached to the cannula configured to slidably receive an optical fiber. The system may be configured to have a ratio R1 of a diameter of the outer surface of the hypotube to a diameter of the inner surface of the cannula is 1:5>R1>1:25, and/or where the flexible hypotube comprises a tubular portion containing at least one cut extending from the outer surface at least partially through the sidewall of the flexible hypotube, each cut having a maximum width of between 0.01 and 0.1 mm.

Abstract: A blood pump system includes a catheter, a pump housing disposed distal of a distal end of the catheter, a rotor positioned at least partially in the pump housing, a controller, and an electrode coupled a distal region of the blood pump. The electrode can be used to sense electrocardiogram (EKG) signals and transmit the signals to a controller of the blood pump. The operation of the blood pump can be adjusted based on the EKG signal and on cardiac parameters derived from the EKG signal. Further, the controller can determine a need for defibrillation or pacing of the patient's heart based on the signal and can administer treatment with electrical shocks to the heart via the electrode coupled to the blood pump. The use of an electrode with a blood pump already in place in the heart allows for more efficient and safer treatment of serious cardiac conditions.

Abstract: Disclosed is a system and method for supporting and monitoring mechanical blood pumps in use with a subject. The system includes (i) a mechanical blood pump; (ii) sensors configured to detect a movement and a physiological condition of the subject; and (iii) one or more processors. The one or more processors may be configured to enable the adjustment of the support provided by the blood pump, such as via the following steps: (i) receiving input from the one or more sensors; (ii) determining an activity type, an activity intensity, or both an activity type and intensity based on the input; (iii) determining a value representative of cardiac recovery based on the input and the determined activity type, intensity, or both type and intensity; and (iv) generating a response based on the determinations and/or the received input.

Abstract: There is provided an intravascular blood pump for insertion into a patient's heart. The blood pump comprises a slotless permanent magnet motor contained within a housing, the motor having p magnet pole pairs and n phases, where p is an integer greater than zero, and n is an integer ?3. The motor comprises a stator extending along a longitudinal axis of the housing and having 2np coils wound to form two coils per phase per magnet pole pair. The stator comprises inner and outer windings each comprising np coils electrically connected such that the current flowing through the coils is in the same direction, the coils of the outer winding arranged on an outer surface of the coils of the inner winding.

Abstract: A ventricular support system including a light source, a fiber optic splitter, two or more filters, an intravascular blood pump having two or more sensor heads, and a photodetector is disclosed. At least some of the light transmitted by the light source is split by the fiber optic splitter such that a portion is transmitted to each of the two or more filters. Each portion of light is filtered by one of the two or more filters and transmitted to one of the two or more sensor heads. Light beams reflected from each of the two or more sensor heads are combined by the fiber optic splitter. At least some of the combined light beams are received by the photodetector. By only using a single light source and a single photodetector with the two or more sensor heads, the ventricular support system may have improved portability.

Abstract: A cable that includes a first tubular body defining a first lumen therethrough, a tubular purge body disposed within the first lumen and extending along at least a portion of a length of the first lumen, the tubular purge body defining a purge lumen arranged to transfer a fluid therethrough, and at least one tubular electrical wire body disposed within the first lumen, each tubular electrical wire body defining an electrical wire lumen therethrough for receiving one or more electrical wires. The cable may also include one or more overmolds and one or more cases. The cable may be operably connected between a handle for a medical device and a controller.

Abstract: The disclosed system and method generally involve using guidewire imaging technology to create a three-dimensional image or map of the vessels all the way from an insertion site to the heart. This imaging provides useful landmarks and information about tortuosity and position. The method then measures pump and/or pump catheter position during insertion using direct or indirect techniques. This pump position can then be overlayed onto the three-dimensional image or map created by the guidewire to determine inflow position in the vessel, the proximity to key landmarks, and assist in the delivery without fluoroscopy.