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: The various embodiments herein relate to pumps for use with various medical devices. The pumps can be positive displacement pumps or gear pumps. Each pump has at least one fluid transfer opening defined in the pump that allows for transfer of fluid at a predetermined flow rate that provides for deflation of the device in a predetermined amount of time.

Abstract: In a catheter (2) to assist the performance of a heart (1) with at least one pump (7), the pump is formed as a rotary pump at the distal end of the catheter (2), the rotor (6) lying distally on the outer side being coupled via a magneto coupling with a drive wheel (21), formed as a hydraulically or pneumatically operated paddle wheel, arranged inside the catheter (2). The driving fluid is supplied to the paddle wheel via a lumen (22) of the catheter (2) and is carried off via a further lumen (23) of the catheter.

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 system and method for cardiac assist of a heart in a beating stage comprising a double balloon catheter having a proximal end and a distal end, the catheter having at least one lumen; an inflatable intra-ventricular balloon mounted on the catheter near the distal end of the catheter, the balloon having a lumen in fluid communication with the lumen of the catheter and being configured for inflation in a ventricle; and an intra-aortic balloon mounted on the catheter proximally to the intra-ventricular balloon; a control unit comprising a bidirectional pump; a fluid reservoir; and a processor configured to activate the pump; wherein the proximal end of the catheter is configured for attachment to the control unit to form a fluid conduction system in which fluid is configured to be pumped by the pump between the fluid reservoir and the intra-ventricular balloon and the intra-aortic balloon; and systolic augmentation comprising a new pressure wave which is generated when said balloon is inflated at the end of th

Abstract: The present invention relates to providing counter-pulsation heart assist by deforming the aorta. In a preferred embodiment, the deformation pressure is applied by cyclically, preferably in synchrony with the diastolic period of the heart. The deformation pressure may be applied to the outer wall of the aorta or to a patch covering a resected opening in the wall of the aorta.

Abstract: A method for improving tissue uptake of beneficial agent and ejection fraction.

Abstract: An actuator (10) for a heart assist device. The actuator (10) includes an inflatable balloon (12) and a shroud or wrap (14). The inflatable balloon (12) has a first body portion (22), a second body portion (26) and a flexure region joining (24) the first (22) and second (26) body portions. The shroud or wrap (14) is positioned adjacent the first body portion (24) and has a peripheral extent at least equal to the peripheral extent of the balloon flexure region (24). The balloon (12) and the shroud or wrap (14) are shaped such that the shroud or wrap (14) restrains a part of the balloon first body portion (22) at or near the flexure region (24) against displacement towards the shroud or wrap (outward displacement) past a predetermined limit but allows unrestrained displacement away from the shroud or wrap (inward displacement).

Abstract: A cardiovascular device (11), adapted to be fitted into a cardiac ventricular cavity (2) having a volume with blood flowing therethrough, which is bounded by walls (8) and has a larger longitudinal dimension (D1) and a smaller transverse dimension (D2). The device includes a diaphragm (16) that can be disposed in the ventricular cavity (2) substantially transverse to the larger longitudinal dimension (D1), in such an arrangement as to reduce ventricular volume, the diaphragm (16) having a peripheral edge (15) which can be sealingly engaged with the ventricle walls (8) and being adapted to be alternately driven between an active blood pushing displacement and an inactive return displacement.

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

Abstract: An aortic blood pump is described that is secured to a patient aorta that can be inflated and deflated in response to selective communication with a source of pressurized fluid or air. An expanded stent creates an area in with the pump and inflate and deflate. A system is also detailed including the pump and an external air line external to a patient body.

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: 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.

Abstract: The devices and method described herein allow for therapeutic damage to increase volume in these hyperdynamic hearts to allow improved physiology and ventricular filling and to reduce diastolic filling pressure by making the ventricle less stiff. For example, improving a diastolic heart function in a heart by creating at least one incision in cardiac muscle forming an interior heart wall of the interior chamber where the at least one incision extends into one or more layers of the interior heart wall without puncturing through the interior heart wall and the incision is sufficient to reduce a stiffness of the interior chamber to increase volume of the chamber and reduce diastolic filing pressure.

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: A circulatory assist system is disclosed, the system including an implantable electrical device having an electric motor, an implantable controller connected to the implantable electrical device, and an implantable power source connected to the controller for supplying power to the controller. The controller is attachable to a first side of a percutaneous connector. A second side of the percutaneous connector, opposite to the first side, allows external connectivity to said controller.

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

Abstract: An apparatus and method for use in assisting a human heart are disclosed. The apparatus comprises an aortic compression means which may be fully implanatable, a fluid reservoir and a pump means adapted to pump a fluid from the reservoir to the aortic compression means so as to actuate the aortic compression means at least partly in counterpulsation with the patient's heart. In addition, the device is adapted to be wholly positioned within the right chest cavity of the patient. The aortic compression means of the device may be curved along its length so as to substantially replicate the curve of the ascending aorta.

Abstract: Devices, systems and methods for treating disorders characterized by low cardiac output. The devices, systems and methods use intra-aortic balloon counterpulsation in combination with hypothermia of all or a portion of a human or veterinary patient's body to improve coronary perfusion and cardiac output. To effect the hypothermia, a heat exchange catheter may be positioned in the a patient's vasculature separately from the intra-aortic balloon counterpulsation catheter. Alternatively, a combination Intra-aortic balloon counterpulsation/heat exchange catheter may be utilized. Such combination catheter comprises a) a catheter sized for insertion into the aorta, b) a counterpulsation balloon and c) a heat exchanger. A drive/control system receives temperature and electrocardiograph signals and drives the inflation/deflation of the counterpulsation balloon as well as the heating/cooling of the heat exchanger.

Abstract: A cardiac assist device (100) comprises a stent 103, 403) which is implantable into a blood vessel of a patient. The stent (103, 403) encloses an inner volume (119, 419). At least one inflatable element (104, 409-413) is attached to the stent (103). The at least one inflatable element (104, 409-413) is provided in the inner volume (119, 419) of the stent (103, 403), wherein the ai least one inflatable element (104, 409-413) annularly encloses a central opening (118, 418) being parallel to a longitudinal axis of said stent (103, 403). The cardiac assist device (100) further comprises a fluid supply adapted for periodically inflating and deflating the at least one inflatable element (104, 409-413), wherein said fluid supply comprises at least one fluid supply line (105, 405) connectable to the at least one inflatable element (104, 409-413) and implantable into a blood vessel of the patient.

Abstract: A system for assisting the right heart of a patient includes a PA cannula adapted for insertion into a PA of a patient through the right internal jugular vein of the patient. The system includes a percutaneous RA cannula adapted for insertion into an RA of the patient. The system includes a blood pump disposed outside of the patient to which the RA cannula and the PA cannula are connected to provide right ventricular circulatory support to the patient without any left ventricular assist. A method for assisting the right heart of a patient includes the steps of inserting a PA cannula into a PA of a patient. There is the step of inserting an RA cannula into an RA of the patient. There is the step of connecting the RA cannula and the PA cannula to a blood pump disposed outside of the patient. There is the step of activating the blood pump to provide right ventricular circulatory support to assist the heart of the patient.

Abstract: A balloon pumping method of inflating and deflating a balloon includes the steps of setting a pressure in the balloon at a first pressure value, which is higher than a minimum pressure value and is substantially equal to or lower than a maximum pressure value, when the balloon is shifted from a deflated condition to an inflated condition, and setting the pressure in the balloon at a second pressure value, which is substantially equal to or higher than the minimum pressure value and lower than the first pressure value, when the balloon is estimated to have completely inflated at the first pressure value.

Abstract: An aortic blood pump is described that can be inflated and deflated in response to selective communication with a source of pressurized fluid or air. The pump includes a structure adapted to maintain implant stability in the face of mechanical and fluid forces to which it is exposed in situ. The pump may include a wall adapted to maintain implant stability by connection of the wall to a stiffening element, such as a stent, a brace, a stiffener or any combination of these. Additionally, the pump optionally includes a wall adapted to maintain implant stability by configuring the interior volume to generally follow the contour of the native human aorta.

Abstract: The proposed device includes two segments adapted to enclose a body part in a form-fitting manner. Each segment contains an electroactive-material-based actuator, which is adapted to receive an electrical control signal and in response thereto adjust the actuator's morphology, so as to cause the segment to apply a basic pressure profile to the body part. A pressure transition is adapted to redistribute the basic pressure profiles between the first and second segments. A control signal in respect of the first segment causes the pressure transition system to apply a first adjusted pressure profile to at least part of the second portion of the body part, and vice versa, a control signal in respect of the second segment causes the pressure transition system to apply a second adjusted pressure profile to at least a part of the first portion of the body part.

Abstract: A system and method for cardiac assist of a heart in a beating stage comprising a double balloon catheter having a proximal end and a distal end, the catheter having at least one lumen; an inflatable intra-ventricular balloon mounted on the catheter near the distal end of the catheter, the balloon having a lumen in fluid communication with the lumen of the catheter and being configured for inflation in a ventricle; and an intra-aortic balloon mounted on the catheter proximally to the intra-ventricular balloon; a control unit comprising a bidirectional pump; a fluid reservoir; and a processor configured to activate the pump; wherein the proximal end of the catheter is configured for attachment to the control unit to form a fluid conduction system in which fluid is configured to be pumped by the pump between the fluid reservoir and the intra-ventricular balloon and the intra-aortic balloon; and systolic augmentation comprising a new pressure wave which is generated when said balloon is inflated at the end of th

Abstract: A pump system is disclosed for pumping blood from a patient's right atrium or right ventricle to a patient's pulmonary artery, the pump system including a distal section having at least one outlet; a pumping section in fluid communication with the distal section to provide blood to the outlet of the distal section, the pumping section having at least one inlet valve to receive blood; and a pump constructed and arranged to be positioned within the pumping section to draw blood into the pumping section in a first phase of operation and to pump blood out of the outlet of the distal section in a second phase of operation.

Abstract: A supplemental blood flow system for assisting with blood circulation in a patient. The system includes a supplemental blood flow device implantable in the patient and a controller for directing electrical power to the supplemental blood flow device and controlling the flow rate of blood through the device. The controller includes first and second power inlets and a power outlet. The power outlet is adapted to be coupled to an electrical line leading to the supplemental blood flow device. A portable programming module may be coupled to at least one of the first and second power inlets and operable to allow pump operating parameters stored in the controller to be changed according to the needs of the patient.

Abstract: A cardiac assist device is provided that can be deployed in any region of the aorta by minimally invasive techniques by the way of an inventive fastener that affixes the device to the aorta wall at the site of an aortonomy. The devices and methods described herein allow for improved patient outcome.

Abstract: Devices, systems and methods for treating disorders characterized by low cardiac output. The devices, systems and methods use intra-aortic balloon counterpulsation in combination with hypothermia of all or a portion of a human or veterinary patient's body to improve coronary perfusion and cardiac output. To effect the hypothermia, a heat exchange catheter may be positioned in the a patient's vasculature separately from the intra-aortic balloon counterpulsation catheter. Alternatively, a combination Intra-aortic balloon counterpulsation/heat exchange catheter may be utilized. Such combination catheter comprises a) a catheter sized for insertion into the aorta, b) a counterpulsation balloon and c) a heat exchanger. A drive/control system receives temperature and electrocardiograph signals and drives the inflation/deflation of the counterpulsation balloon as well as the heating/cooling of the heat exchanger.

Abstract: A percutaneous gas-line (10) for a medical device (14). The gas-line including a first gas-line part (10a) and a second gas-line part (10b). The first gas-line part (10a) is adapted to be wholly implanted in a patient and has a first end (10a?) adapted for sealing connection to the medical device (14) and a second end (10a?) with a connection fitting (20). The second gas-line part (10b) is adapted to be part-implanted and part-external and has a first (external) end (10b?) adapted for sealing connection to an external driver (12) and a second (implanted) end (10b?) adapted for removable sealing connection with the connection fitting (20) on the second end (10a?) of the first gas-line part (10a).

Abstract: A cannulation system for perfusing a patient's circulatory system, includes an inflow cannula having a first end adapted to be connected to said circulatory system and a second end adapted to be connected to a blood pump, an outflow cannula having a first end adapted to be connected to the blood pump and a second end adapted to be connected to said circulatory system at a location downstream of the first end of the inflow cannula. The flow of blood from the pump is in series with the normal blood flow of the circulatory system of the patient and creates a localized region of hypertension.

Abstract: A cardiovascular device (11), adapted to be fitted into a cardiac ventricular cavity (2) having a volume with blood flowing therethrough, which is bounded by walls (8) and has a larger longitudinal dimension (D1) and a smaller transverse dimension (D2), characterized in that it comprises diaphragm means (16) that can be disposed in said ventricular cavity (2) substantially transverse to said larger longitudinal dimension (D1), in such an arrangement as to reduce said volume, said diaphragm means (16) having a peripheral edge (15) which can be sealingly engaged with said walls (8) and being adapted to be alternately driven between an active blood pushing displacement and an inactive return displacement.

Abstract: The present invention provides a system for improving diastolic function of the heart comprising elastic elements and attachment elements, wherein said elastic elements and said attachment elements are configured such that they are capable of being interconnected to form a chain formed of an alternating series of said elastic elements and said attachment elements, and wherein said attachment elements are adapted to be anchored in the wall of the heart and with option for drug delivery to the wall of the heart. The invention further provides devices, methods and kits, for mounting the ventricular function assisting device of the invention.

Abstract: Devices, systems, and methods for accessing tissue, including the internal and external tissues of the heart, are disclosed. At least some of the embodiments disclosed herein provide access to the internal and external tissues of the heart to assist heart function. In at least one embodiment, a suction/infusion catheter is used to deliver gas to a pericardial space surrounding a heart.

Abstract: A pump system is disclosed for pumping blood from a patient's right atrium or right ventricle to a patient's pulmonary artery, the pump system including a distal section having at least one outlet; a pumping section in fluid communication with the distal section to provide blood to the outlet of the distal section, the pumping section having at least one inlet valve to receive blood; and a pump constructed and arranged to be positioned within the pumping section to draw blood into the pumping section in a first phase of operation and to pump blood out of the outlet of the distal section in a second phase of operation.

Abstract: A therapy delivery device for modulating cardiac function in a subject includes a counterpulsation component, an endovascular lead, and at least one electrode that is physically coupled with the endovascular lead. Each of the counterpulsation component and the endovascular lead includes a proximal end and a distal end. The proximal end of the endovascular lead is physically connected to the distal end of the counterpulsation component.

Abstract: A transseptal cannula assembly for directing blood from the heart of a patient and a minimally invasive method of implanting the same. The transseptal cannula assembly includes a flexible cannula body having proximal and distal portions with a lumen therebetween, a tip coupled to the distal portion of the flexible cannula body, and first and second anchors coupled to the tip. The anchors can be configured to be deployed from a contracted state to an expanded state and are configured to engage opposite sides of the heart tissue when in the expanded state. The anchors resist movement of the cannula assembly along a lengthwise central axis of the flexible cannula body.

Abstract: In a catheter (2) to assist the performance of a heart (1) with at least one pump (7), the pump is formed as a rotary pump at the distal end of the catheter (2), the rotor (6) lying distally on the outer side being coupled via a magneto coupling with a drive wheel (21), formed as a hydraulically or pneumatically operated paddle wheel, arranged inside the catheter (2). The driving fluid is supplied to the paddle wheel via a lumen (22) of the catheter (2) and is carried off via a further lumen (23) of the catheter.

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

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

Abstract: The devices and method described herein allow for therapeutic damage to increase volume in these hyperdynamic hearts to allow improved physiology and ventricular filling and to reduce diastolic filling pressure by making the ventricle less stiff.

Abstract: A medical device, such as an intra-aortic balloon pump or carrier with an extendable wheel track and handle configured to be removably carried and integrated with a cart. The wheel track is configured to extend upon extension of the handle and to return to its original position upon retraction of the handle.

Abstract: One embodiment of the invention provides a cardiac assist device that is in direct blood contact with blood in the heart. It is linked to the heart by surgically coring a hole into the wall tissue of a pumping chamber of the heart, typically the left ventricle. The device includes a contractile element that is linked to the hole in the heart's pumping chamber. The contractile element comprises either an electroactive polymer or (ii) one or more pneumatic or hydraulic bladders. In the contracted state, the contractile element displaces fluid from the pumping chamber of the heart to assist with pumping of the heart and increase the ejection fraction of the pumping chamber.

Abstract: Devices and methods for assisting heart function. In at least one embodiment of a device for assisting heart function, the device comprises at least two electromagnetic plates having an inner surface, a cardiac processor electrically coupled to at least one of the at least two electromagnetic plates, a bladder having an inner chamber, the bladder attached to an inner surface of at least one of the at least two electromagnetic plates, a source of gas in communication with the inner chamber of the bladder, and at least one catheter having a proximal end and a distal end and having a lumen therethrough, the at least one catheter defining at least one aperture positioned therethrough at or near the distal end of the at least one catheter and comprising a pericardial balloon coupled to the at least one catheter at or near the distal end of the at least one catheter, the proximal end of the at least one catheter in communication with the inner chamber of the bladder.

Abstract: A multiple power-source housing adapted to prevent simultaneous removal of more than a single power source, such as a battery, at a time. In an example embodiment, the power-source housing is used to house batteries for an intra-aortic balloon pump, which use battery power during transport. The power-source housing holds a first and second power source. When the first power source is removed, a mechanism, such as a knob, prevents simultaneous removal of the second power source or removal of the second power source until the first power source is replaced. Similarly, when the second power source is removed the mechanism prevents simultaneous removal of the first power source or removal of the first power source until the second power source is replaced.

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: An apparatus and method for use in assisting a human heart are disclosed. The apparatus comprises an aortic compression means which may be fully implanatable, a fluid reservoir and a pump means adapted to pump a fluid from the reservoir to the aortic compression means so as to actuate the aortic compression means at least partly in counterpulsation with the patient's heart. In addition, the device is adapted to be wholly positioned within the right chest cavity of the patient. The aortic compression means of the device may be curved along its length so as to substantially replicate the curve of the ascending aorta.

Abstract: At least one aspect of the invention is directed to a pump system for pumping blood though a body passageway. The pump system includes a distal section having at least one inlet to receive blood, a pumping section in fluid communication with the distal section to receive blood from the distal section, and a pump constructed and arranged to be positioned within the pumping section to draw blood into the pumping section in a first phase of operation and to pump blood out of the at least one outlet valve in a second phase of operation. The pump system may be configured such that the at least one inlet is in fluid communication with the pumping section in both the first phase of operation and the second phase of operation. At least one other aspect of the invention is directed to a pump system for pumping blood from one of the right atrium and the right ventricle to the pulmonary artery.

Abstract: A medical device may include a gas delivery apparatus, a patient interface, a connection system, and an electrical circuit. The gas delivery apparatus may be configured to deliver gas to a patient. The patient interface may be configured to interface with the patient to deliver gas communicated by the gas delivery apparatus to the patient. The connection system may be configured to communicate gas from the gas delivery apparatus to the patient interface. The electrical circuit may be configured to communicate electrical signals between the patient interface and the gas delivery apparatus, and may including one or more first electrical conductors at least partially integral with the patient interface and one or more second electrical conductors at least partially integral with the connection system.

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