Attachment device and method

• US 20110118829A1
• Filed: 11/15/2009
• Published: 05/19/2011
• Est. Priority Date: 11/15/2009
• Status: Abandoned Application

• Current Assignee: Thoratec LLC
• Original Assignee: Thoratec LLC
• Inventors: Badia, James Luis, Hoarau, Carine, Reichenbach, Steven H., Costa, Ruth Eleanor, Hannula, Donald Lee
• Application Number:
  US12/590,864
• Publication Number:
  US 20110118829A1
• Time in Patent Office: Days
• US Class Current: 623/2.11
• CPC Class Codes: A61M 60/148 in line with a blood vessel using resection or like techniques, e.g. permanent endovascular heart assist devices
• CPC Class Codes: A61M 60/178 drawing blood from a ventricle and returning the blood to the arterial system via a cannula external to the ventricle, e.g. left or right ventricular assist devices
• CPC Class Codes: A61M 60/232 Centrifugal pumps
• CPC Class Codes: A61M 60/237 the blood flow through the rotating member having mainly axial components, e.g. axial flow pumps
• CPC Class Codes: A61M 60/863 Apex rings
• CPC Class Codes: A61M 60/894 Passive valves, i.e. valves actuated by the blood
• CPC Class Codes: A61M 60/896 having flexible or resilient parts, e.g. flap valves

Abstract

A ventricular assist system and a method of implanting the system are disclosed. The system can have a pump, an inflow conduit, an outflow conduit, and attachment ring and a valvular structure. The attachment ring can be attached to the apex of the heart. The valvular structure can have a flexible, one-way valve in a rigid housing. The inflow conduit can be passed through the valvular structure and the attachment ring into a beating heart with minimal loss of blood.

Claims

1. A method for implanting a heart assist device for use in a patient comprising:

coupling a valvular structure to a heart;

creating an opening in the heart at a location coaxial with the valvular structure, wherein the heart is pumping blood during the creating of the opening;

inserting an inflow conduit through the valvular structure; and

removing the valvular structure.

2. The method of claim 1, wherein the valvular structure comprises a removable valve positioned against the inflow conduit when the inflow conduit is inserted through the valvular structure, and wherein the method further comprises removing the valve from against the inflow conduit.

3. The method of claim 2, wherein the removable valve has a lateral perimeter surface and a valve seam defined by a first side of the valve seam and a second side of the valve seam, wherein the valve seam extends through the lateral perimeter surface of the valve, and wherein removing the valve comprises pulling a first side of the valve seam away from the second side of the valve seam.

4. The method of claim 1, wherein the removing comprises rotating a first portion of the valvular structure with respect to a second portion of the valvular structure.

5. The method of claim 1, wherein inserting the inflow conduit through the valvular structure further comprises sealing between the valvular structure and the inflow conduit, wherein sealing comprises limiting blood flow out of the opening in the heart when the inflow conduit is inserted into the valvular structure.

6. The method of claim 1, further comprising attaching a heart connector to the heart and inserting an inflow conduit through the heart connector, wherein inserting the inflow conduit through the heart connector further comprises sealing between the heart connector and the inflow conduit, wherein sealing comprises limiting blood flow out of the opening in the heart when the inflow conduit is inserted into the heart connector.

7. The method of claim 1, wherein the valvular structure is configured to allow removal of air in the valvular structure, wherein the method further comprises removing the air from the valvular structure before creating the opening in the heart.

8. The method of claim 1, further comprising attaching a heart connector to the heart, inserting an inflow conduit through the heart connector, and compressing the heart connector onto the inflow conduit, wherein the opening created in the heart is at a location coaxial with the heart connector.

9. The method of claim 1, wherein creating the opening in the heart further comprises utilizing a tool to cut an opening in the heart, and removably attaching the tool to the valvular structure.

10. The method of claim 1, further comprising attaching a heart connector to the heart and inserting an inflow conduit through the heart connector, wherein coupling the valvular structure to the heart comprises coupling the valvular structure to the heart connector, and wherein the opening created in the heart is at a location coaxial with the heart connector.

11. An implantation system for implanting a heart assist device for use in a patient comprising:

a valvular structure removably attached to the heart, wherein the valvular structure comprises a valve and a housing, wherein the valve allows substantial flow in a first direction and insubstantial flow in a second direction opposite to the first direction, and wherein the valve is in the housing.

12. The system of claim 11, wherein the housing comprises a first housing portion and a second housing portion, and wherein the first housing portion is rotatably attached to the second housing portion.

13. The system of claim 11, wherein the valve has a lateral perimeter surface and a seam extending through the lateral perimeter surface of the valve.

14. The system of claim 11, wherein the valvular structure comprises a seal configured to limit blood flow when an object is inserted into the valvular structure.

15. The system of claim 11, further comprising a heart connector configured to attach to the heart, wherein the heart connector comprises a seal configured to limit blood flow when an object is inserted into the heart connector.

16. The system of claim 11, wherein the housing comprises a de-airing channel passing through a wall of the housing and in fluid communication between an inner channel of the housing and an external environment outside of the housing.

17. The system of claim 11, further comprising:

an inflow conduit configured to pass through the valve and to be in fluid communication with the heart;

a pump configured to be in fluid communication with the inflow conduit; and

an outflow conduit configured to be in fluid communication with the pump.

18. The system of claim 17, further comprising a heart connector configured to attach to the heart, and further comprising a clamp configured to compress the heart connector onto the inflow conduit.

19. The system of claim 17, further comprising a tool configured to cut the heart, and wherein the valvular structure is configured to attach to the tool.

20. An implantation system for implanting a heart assist device for use in a patient comprising:

an inflow conduit; and

a valvular structure removably attached to the inflow conduit, wherein the valvular structure comprises a valve and a housing, wherein the valve allows substantial flow in a first direction and insubstantial flow in a second direction opposite to the first direction, and wherein the valve is in the housing;

wherein the inflow conduit is configured to pass through the valve and to be in fluid communication with the heart.