Abstract: This invention provides a simple skeletal muscle linear pull energy convertor which can harness the maximal amount of muscle power for a wide variety of implantable medical devices, including the full range of circulatory support devices. The muscle powered system provides completely implantable circulatory support as an alternative to cardiac transplantation, with a quality of life relatively free from external batteries, transcutaneous energy transmission and other electromechanical hardware.

Abstract: A disposable aortic perforator has an elongated stem with an exterior stem surface circular-cylindrical about a longitudinal axis and extending between a far end and a near end. A coaxial disc having an exterior circumferential cylindrical disc surface of a first predetermined diameter is separated from the remainder of the stem by an intervening groove leaving an axial shank therebetween. The coaxial disc has a near surface on said disc normal to the axis and meeting the disc peripheral surface substantially at a right angle to form a blunt outside corner that is a non-cutting edge. An elongated tube is telescoped over the stem and is slidable a predetermined distance, about one-third of an inch, on the stem. The tube has an interior, circumferential cylindrical or tube surface of a second predetermined diameter about 0.0002 inches larger than the first predetermined diameter of the stem.