Attachment device and method

• US 20110118833A1
• 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: Costa, Ruth Eleanor, Hannula, Donald Lee, Hoarau, Carine, Reichenbach, Steven H.
• Application Number:
  US12/590,863
• Publication Number:
  US 20110118833A1
• Time in Patent Office: Days
• US Class Current: 623/3.1
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 17/3423 Access ports, e.g. toroid shape introducers for instruments or hands access sites for liquids A61M39/0247
• CPC Class Codes: A61B 17/3496 Protecting sleeves or inner probes; Retractable tips for protecting body piercing guide needles A61M25/0612
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/1107 for blood vessels
• CPC Class Codes: A61B 2017/1135 End-to-side connections, e.g. T- or Y-connections
• CPC Class Codes: A61B 2017/3443 with means for adjusting the length of a cannula
• CPC Class Codes: A61B 2017/347 Locking means, e.g. for locking instrument in cannula
• 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 60/896 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 attaching a pump to a heart for assisting blood flow comprising:

attaching a diaphragm valve to the heart;

creating an opening in the heart in fluid communication with the valve; and

placing an inflow conduit in fluid communication with the heart, wherein placing the inflow conduit comprises passing the inflow conduit through the valve.

2. The method of claim 1, wherein the valve has a valve port and wherein passing the inflow conduit through the valve comprises elastically stretching open the valve port.

3. The method of claim 1, further comprising removing the valve, wherein removing the valve comprises opening a side of the valve, wherein the first valve has a lateral perimeter surface, and wherein opening a side of the valve comprises pulling apart the lateral perimeter surface.

4. The method of claim 3, wherein the first valve has a first seam, and wherein pulling apart the lateral perimeter surface comprises pulling apart the seam.

5. The method of claim 1, further comprising attaching a heart connector to the heart, and attaching a housing to the heart connector, wherein the valve is attached to the housing, and wherein the method further comprises sealing between the housing and/or heart connector and an outer circumference of an object inserted into the valve, and wherein sealing comprises limiting blood flow when the object is inserted into the valve.

6. The method of claim 1, wherein passing the inflow conduit through the valve further comprises sealing between the valve 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 valve.

7. The method of claim 1, further comprising attaching a heart connector to the heart, 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.

9. The method of claim 1, further comprising attaching a heart connector to the heart, wherein the heart connector has a channel that contains air before the creating the opening in the heart, wherein the method further comprises removing the air from the channel of the heart connector before creating the opening in the heart.

10. The method of claim 1, further comprising attaching a heart connector to the heart, and compressing the heart connector onto the inflow conduit.

11. The method of claim 1, further comprising attaching a heart connector to the heart, wherein the valve and the heart connector form an integrated component.

12. The method of claim 1, further comprising removing the valve from the inflow conduit after the inflow conduit is placed in fluid communication with the heart.

13. The method of claim 1, further comprising:

attaching the pump in fluid communication with the inflow conduit; and

placing the pump in fluid communication with a blood vessel.

14. An apparatus configured to attach a pump to a heart for assisting blood flow comprising:

a diaphragm valve configured to minimize blood flow out of the heart.

15. The system of claim 14, further comprising a housing, and wherein the valve is positioned in the housing, and 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.

16. The system of claim 14, wherein the valve has a lateral perimeter surface and a seam extending through the lateral perimeter surface of the valve.

17. The system of claim 14, 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.

18. The apparatus of claim 14, further comprising a heart connector configured to attach to the heart, further comprising a housing comprising a housing wall, and wherein the valve is positioned in the housing, and wherein the housing has 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.

19. The apparatus 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.

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

an inflow conduit; and

a diaphragm valve attachable to the inflow conduit, wherein the valve allows substantial flow in a first direction and insubstantial flow in a second direction opposite to the first direction;

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