Abstract: A method for providing at least partial bypass of the heart to supplement the pumping function of the heart to thereby enable the surgeon to perform various surgical procedures thereon includes providing a circulatory assist system having a portable extracorporeal axial flow pump with a pump housing, a rotating pumping member disposed in the pump housing and inlet and outlet cannulated tubes respectively connected to inlet and outlet ports of the pump housing, accessing the patient's left atrium of the heart with the inlet cannulated tube, accessing the aorta with the outlet cannulated tube, actuating the rotating pumping member to draw oxygenated blood from the left atrium of the heart through the lumen of the inlet cannulated tube and into the inlet port of the pump housing whereby the pumping member imparts mechanical energy to the oxygenated blood passing through the pump housing and directs the oxygenated blood through the outlet port and through the lumen of the outlet cannulated tube to be transferred

Abstract: A tiny electrically powered hydrodynamic blood pump is disclosed which occupies one third of the aortic or pulmonary valve position, and pumps directly from the left ventricle to the aorta or from the right ventricle to the pulmonary artery. The device is configured to exactly match or approximate the space of one leaflet and sinus of valsalva, with part of the device supported in the outflow tract of the ventricular cavity adjacent to the valve. In the configuration used, two leaflets of the natural tri-leaflet valve remain functional and the pump resides where the third leaflet had been. When implanted, the outer surface of the device includes two faces against which the two valve leaflets seal when closed. To obtain the best valve function, the shape of these faces may be custom fabricated to match the individual patient's valve geometry based on high resolution three dimensional CT or MRI images.

Abstract: The present invention provides a human engineered power and control system for artificial hearts or assist devices configured for ease of use, ruggedness, and high reliability. Battery powered systems of the prior art have required multiple cables and connectors that are subject to failure due to damage or wear. In the present invention, direct connection of the batteries to the control system eliminates multiple cables and connectors used with previous designs. A novel method of connecting batteries to the control system and exchanging batteries without interruption of power is provided in a compact user friendly configuration. The control system may provide periodic reductions in assist device flow to permit the natural ventricle to eject blood through the natural outflow valve, open the valve leaflets to prevent them from adhering together, and achieve sufficient washout to prevent thrombosis.

Abstract: A method for providing at least partial bypass of the heart to supplement the pumping function of the heart to thereby enable the surgeon to perform various surgical procedures thereon includes providing a circulatory assist system having a portable extracorporeal axial flow pump with a pump housing, a rotating pumping member disposed in the pump housing and inlet and outlet cannulated tubes respectively connected to inlet and outlet ports of the pump housing, accessing the patient's left atrium of the heart with the inlet cannulated tube, accessing the aorta with the outlet cannulated tube, actuating the rotating pumping member to draw oxygenated blood from the left atrium of the heart through the lumen of the inlet cannulated tube and into the inlet port of the pump housing whereby the pumping member imparts mechanical energy to the oxygenated blood passing through the pump housing and directs the oxygenated blood through the outlet port and through the lumen of the outlet cannulated tube to be transferred

Abstract: A method for providing at least partial bypass of the heart to supplement the pumping function of the heart to thereby enable the surgeon to perform various surgical procedures thereon includes providing a circulatory assist system having a portable extracorporeal axial flow pump with a pump housing, a rotating pumping member disposed in the pump housing and inlet and outlet cannulated tubes respectively connected to inlet and outlet ports of the pump housing, accessing the patient's left atrium of the heart with the inlet cannulated tube, accessing the aorta with the outlet cannulated tube, actuating the rotating pumping member to draw oxygenated blood from the left atrium of the heart through the lumen of the inlet cannulated tube and into the inlet port of the pump housing whereby the pumping member imparts mechanical energy to the oxygenated blood passing through the pump housing and directs the oxygenated blood through the outlet port and through the lumen of the outlet cannulated tube to be transfe

Abstract: During coronary artery bypass grafting (CABG) surgery in cases when cardio-pulmonary bypass is not used, at times when the heart is manipulated or lifted the inflow to the right ventricle may be kinked and obstructed. Then flow across the lungs will decrease and left ventricular filling may output will be diminished. To avoid this problem a passive shunt, which in the preferred embodiment is a valved shunt, is used to conduct blood from the inferior vena cava (IVC) via the right atrium to the pulmonary artery (PA) bypassing the right ventricle. The shunt uses large diameter cannulae to keep its resistance low. The valve prevents blood from flowing from the PA into the IVC. The shunt may also use a manually actuated shutoff valve or may have a portion which can be clamped. During surgery, the patient may be fluid loaded so that the right atrial pressure is high, such as 25 mmHg.

Abstract: A generally cylindrical rotor very closely confined between two rigid thrust bearing surfaces is radially suspended by an array of attracting or repelling magnets or by a combination of permanent magnets and ring shaped members composed of ferromagnetic material. The geometry permits very small spacing between magnetic components to achieve high radial stiffness. High magnetic axial forces exerted between the rotor and stationary component on one end of the rotor are counter-balanced by equal and opposite forces at the other end of the rotor. Precise positioning of the rotor in the location where the opposing axial magnetic forces counterballance each other yields a net magnetic axial force on the rotor of near zero, hence the reference to this as the null position. Wear resistant mechanical thrust bearings confine the rotor axially to maintain this position during rotatioin. Precisely balance the magnetic axial forces in the proper geometry with relation to the mechanical thrust bearings.

Abstract: A method for providing at least partial bypass of the heart to supplement the pumping function of the heart to thereby enable the surgeon to perform various surgical procedures thereon includes providing a circulatory assist system having a portable extracorporeal axial flow pump with a pump housing, a rotating pumping member disposed in the pump housing and inlet and outlet cannulated tubes respectively connected to inlet and outlet ports of the pump housing, accessing the patient's left atrium of the heart with the inlet cannulated tube, accessing the aorta with the outlet cannulated tube, actuating the rotating pumping member to draw oxygenated blood from the left atrium of the heart through the lumen of the inlet cannulated tube and into the inlet port of the pump housing whereby the pumping member imparts mechanical energy to the oxygenated blood passing through the pump housing and directs the oxygenated blood through the outlet port and through the lumen of the outlet cannulated tube to be transferred

Abstract: Implanted medical devices such as heart assist devices powered by electric motors or solenoids require a high amount of power compared to other electric implants such as pacemakers which do not use motors. A percutaneous power transmission system for use with implanted motors includes a skull-mounted post and a highly flexible array of wires implanted in a serpentine configuration to enhance flex life and prevent failure due to excessive longitudinal tension. In the preferred embodiment, a cable passed across the neck in zig-zag fashion includes a separable implanted connector removably attachable within a post fixed by bone screws and a flange to the skull. The implanted connector is passed through smaller incisions and a smaller subcutaneous tunnel then would be required to fit the flange. This reduces surgical trauma, and facilitates healing without infection and with minimal scarring on the neck.

Abstract: A cannula pump is provided which incorporates a miniature rotary pump into a cardiac cannula of essentially the same size as currently utilized with routine cardiopulmonary bypass. The pump may be inserted via a single small incision in the heart to obtain both inflow and outflow cannulation simultaneously, and provide sufficient flow to completely unload the ventricle during its use. Because application of the device is extraordinarily simplified, it is suitable for rapid emergency insertion in any setting where the chest can be safely opened, including emergency room and battlefield applications. A small electric motor, implanted within the heart, provides power to the impeller via a small shaft supported on blood immersed bearings. A disposable cannula pump utilized with a reusable motor provides an inexpensive device for routine surgical use.

Abstract: An apparatus for pumping blood includes an elongated housing dimensioned to be at least partially positioned within the heart of a patient, a rotating member supported for rotational movement within the elongated housing and a drive mechanism for imparting rotational movement to the rotating member. The elongated housing includes an outer wall, a first inlet port for permitting blood to enter the elongated housing through a first end of the elongated housing and a second inlet port defined in the outer wall of the elongated housing for permitting blood to enter through the outer wall. The rotating member is rotatable to impart pumping energy to the blood entering through the first and second inlet ports to direct the blood through an outlet opening of the elongated housing. The rotating member preferably includes first and second blood pumping blade arrangements. The first blade arrangement is dimensioned to impart pump energy to the blood entering the elongated housing through the first inlet port.

Abstract: A novel hydrodynamic blood pump with a very clean flow path free of outflow stator blades which have been found to be a site of blood clot formation is introduced. The invention combines an axial flow pump impeller with a bladeless volute structure typical of centrifugal pumps to obtain a miniaturized hybrid blood pump configured to be surgically implanted such that the axial flow pump impeller is located within the heart and the spiral volute portion of the device is located outside the heart.

Abstract: A cannula pump is provided which incorporates a miniature rotary pump into a cardiac cannula of essentially the same size as currently utilized with routine cardiopulmonary bypass. The pump may be inserted via a single small incision in the heart to obtain both inflow and outflow cannulation simultaneously, and provide sufficient flow to completely unload the ventricle during its use. Because application of the device is extraordinarily simplified, it is suitable for rapid emergency insertion in any setting where the chest can be safely opened, including emergency room and battlefield applications. A small electric motor, implanted within the heart, provides power to the impeller via a small shaft supported on blood immersed bearings. A disposable cannula pump utilized with a reusable motor provides an inexpensive device for routine surgical use.

Abstract: A cannula pump is provided which incorporates a miniature rotary pump into a cardiac cannula of essentially the same size as currently utilized with routine cardiopulmonary bypass. The pump may be inserted via a single small incision in the heart to obtain both inflow and outflow cannulation simultaneously, and provide sufficient flow to completely unload the ventricle during its use. Because application of the device is extraordinarily simplified, it is suitable for rapid emergency insertion in any setting where the chest can be safely opened, including emergency room and battlefield applications. A small electric motor, implanted within the heart, provides power to the impeller via a small shaft supported on blood immersed bearings. A disposable cannula pump utilized with a reusable motor provides an inexpensive device for routine surgical use.

Abstract: Cardiomyoplasty is a high mortality procedure (fifty percent two year mortality) with limited hemodynamic benefit. Excision of left ventricular myocardium in dilated congestive heart failure is also a high mortality procedure (forty percent one year mortality), but is one which may produce significant hemodynamic improvement in some patients although it can produce fatal hemodynamic deterioration in other patients. Use of cardiomyoplasty following the resection of ventricular myocardial tissue to reduce the diameter of the ventricular chamber provides replacement muscle mass and permits the cardiomyoplasty to function more effectively. The invention provides a new operation to achieve low mortality, which combines the previous two procedures described above in such a way that the strengths of each procedure overcomes the weaknesses of the other.

Abstract: A high reliability cardiac assist system is provided for permanent use. An electric motor having dual sets of coils rotates the impeller of an intraventricular axial flow pump in the preferred embodiment. The dual motor coils are powered by separate redundant battery and electronics systems configured such that if any wire breaks or if any electrical system component fails the pump will continue to run and sustain the life of the patient powered by the other electronics and battery system. High reliability pump bearings, pump structure to prevent failure due to thrombus, high reliability power cable conduits and connectors, high reliability redundant transcutaneous power transmission systems, and other sub-systems are provided which interact together in an integrated fashion to permit function for more than a decade following surgical implantation of the system without re-operation.

Abstract: Heart failure may be treated by grafting a skeletal muscle around the heart in a procedure called cardiomyoplasty. The muscle graft is stimulated to contract in synchrony with the heart by a burst stimulator, and the procedure has been shown to have some benefits. However, the operative and early mortality is high (nearly 50% 2-year mortality). The present invention recognizes a fundamental limitation to the effectiveness of cardiomyoplasty when applied to a markedly enlarged heart, due to the length tension characteristics of muscle. A two-stage procedure is provided, whereby the enlarged heart is first treated with a mechanical cardiac assist pump to reduce it to near normal size. Then a second surgical procedure, in which an optimal length of muscle is grafted to the heart, is performed about 4-6 weeks later.

Abstract: This invention relates to computer controlled exercise machines and provides the user with a wide variety of interactive exercise options controlled by software. A virtual reality hybrid of virtual and real environments is provided which permits the user to perform significant physical exertion by applying forces to the machine while viewing images on a head mounted display. The invention permits the user to view his own hands and body superimposed over a computer generated image of objects that are not actually present while maintaining parts of the exercise machine that the user physically contacts, such as a handle, superimposed over the computer generated image. As the user exerts forces against the machine (such as the handle) he perceives that he is exerting forces against the objects the images represent.

Abstract: Highly-miniaturized rotary artificial hearts small enough to be implanted within the natural heart are provided. The entire radial load of a high-speed pump rotor and most of the axial load is carried by a radially stable arrangement of high-energy-product permanent magnets. The rotor is fully suspended and rotated magnetically, with the exception of a single thrust-bearing contact point which utilizes ultra-hard, wear-resistant material, preferentially diamond, located at the axis of rotation in a high-flow region of the pump. No sensors or electromagnets are required for the bearings. One preferred embodiment utilizes dual mirror-image axial or mixed flow impellers mounted on a single axis so as to pump from a central inflow port out both ends of the device.

Abstract: A cannula pump is provided which incorporates a miniature rotary pump into a cardiac cannula of essentially the same size as currently utilized with routine cardiopulmonary bypass. The pump may be inserted via a single small incision in the heart to obtain both inflow and outflow cannulation simultaneously, and provide sufficient flow to completely unload the ventricle during its use. Because application of the device is extraordinarily simplified, it is suitable for rapid emergency insertion in any setting where the chest can be safely opened, including emergency room and battlefield applications. A small electric motor, implanted within the heart, provides power to the impeller via a small shaft supported on blood immersed bearings. A disposable cannula pump utilized with a reusable motor provides an inexpensive device for routine surgical use.