Parallel aorta balloon pump and method of using same

• US 4,195,623 A
• Filed: 07/21/1977
• Issued: 04/01/1980
• Est. Priority Date: 07/21/1977
• Status: Expired due to Term

• Current Assignee: Robert H. Zeff, Steven J Phillips
• Original Assignee: Robert H. Zeff, Steven J Phillips
• Inventors: Phillips, Steven J., Zeff, Robert H.
• Primary Examiner(s): Truluck, Dalton L.
• Application Number:
  US05/817,728
• Time in Patent Office: 985 Days
• Field of Search: 128/1 D, 128/214 R, 128/273, 128/DIG. 3, 417/474, 417/479, 417/384, 3/1.7
• US Class Current: 600/18
• 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 60/152 branching on and drawing blood from a blood vessel
• CPC Class Codes: A61M 60/274 the inlet and outlet being the same, e.g. para-aortic counter-pulsation blood pumps
• CPC Class Codes: A61M 60/295 Balloon pumps for circulatory assistance
• CPC Class Codes: A61M 60/497 for balloon pumps for circulatory assistance
• CPC Class Codes: A61M 60/843 Balloon aspects, e.g. shapes or materials
• CPC Class Codes: A61M 60/859 Connections therefor

Abstract

A parallel aorta passageway is provided with its upper end being connected to the aorta in close proximity to the heart. The opposite ends of the parallel aorta are grafted to the aorta without interrupting the blood flow through the heart and circulatory system. The parallel aorta is received in an outer tube with a balloon being positioned between the inner and outer tubes. An air line extends from the lower end of the balloon through the ribs under the flesh and out of the body through a hole drilled in the iliac crest. The tube is connected to an external control unit synchronized with the heart to provide counter pulsations 180° out of phase with the heart pulsations.

Claims

1. An implantable parallel aorta balloon pump for pumping blood from the descending aorta to the ascending aorta comprising,

a valveless open flexible substantially straight inner tube positioned in a flexible substantially straight outer tube,

connecting means on the one end of said inner tube for connecting said one end to a descending aorta,

connecting means on the other end of said inner tube for connecting said other end to an ascending aorta,

a balloon positioned between the walls of the inner and outer tubes for engagement against only one side of the inner tube wall, and said balloon having one end adjacent said one end of said inner tube and an opposite end positioned adjacent the other end of said inner tube,

an air drive means connected to said one end of said balloon alternately inflating and deflating said balloon whereby said one side of the inner tube wall is collapsed when said balloon is inflated thereby providing a pumping action in said inner tube in direction towards the other end of said balloon to move blood from said one end of said inner tube to the other end of said inner tube.

2. The structure of claim 1 wherein said inner and outer tubes are made of woven Dacron material.

3. The structure of claim 2 wherein said air drive means connected to said balloon is connected by a tube wrapped in Dacron Velour material.

4. A method of assisting the heart comprising the steps of,

implanting in the body without interrupting the flow of blood through the heart and its circulation system a balloon pump including a substantially straight open and flexible passageway parallel to and connected between the ascending aorta and descending aorta and positioning an inflatable balloon on one outside wall of the parallel passageway and providing a flexible outer tube on an inner tube with the balloon therebetween,

connecting an external gas drive means to the pump and extending a tube from the lower end of the balloon to outside the body, and

synchronizing the pumping action to provide pulsations 180°

out of phase with the heart thereby producing upwardly moving pressure waves in the parallel passageway as the balloon fills from the lower end to the upper end.

5. The method of claim 4 wherein the step of connecting a drive means to the pump is further defined as connecting an external air source to the pump.

6. The method of claim 5 wherein the step of connecting an external air source to the pump is further defined by extending a tube from the balloon to outside the body through a bone in close proximity to an outer body skin.

7. The method of claim 6 wherein the step of extending the tube through a bone is further defined as extending the tube through the iliac crest.

8. The method of claim 6 wherein the step of extending a tube from the balloon to the outside of the body through a bone in close proximity to an outer body skin is further defined to include wrapping the tube in a biocompatible Dacron Velour material.

9. The method of claim 4 wherein the step of providing a passageway parallel to the aorta is further defined as providing a passageway having a volume capacity substantially equal to the aorta.

10. The method of claim 4 wherein the step of synchronizing the pumping action is further defined as providing a pumping action of approximately 30-45 cc.

11. The method of claim 4 wherein the step of connecting opposite ends of the passageway to the aorta is further defined as grafting a tube of woven Dacron material to the aorta.

12. The method of claim 11 wherein the step of grafting opposite ends of a tube to the aorta is further defined as providing incisions in the aorta no larger in size than is necessary to provide unrestricted flow into the tube passageway.

13. A method of assisting the heart comprising the steps of,

providing a passageway parallel to and connected at opposite ends to the aorta and positioning an inflatable balloon on the outside wall of the parallel passageway and providing an outer tube on an inner tube providing the passageway with the balloon therebetween,

connecting a pump operatively to the parallel passageway,

connecting an external air source drive means to the pump and extending a tube from the balloon to outside the body through a bone in close proximity to an outer body skin, and

synchronizing the pumping action to provide pulsations 180°

out of phase with the heart.

14. The method of claim 13 wherein the step of extending the tube through a bone is further defined as extending the tube through the iliac crest.

15. The method of claim 14 wherein the step of connecting a passageway to the aorta is further defined by connecting the upper end to the aorta in close proximity to the heart.

16. The method of claim 15 wherein the step of providing a passageway parallel to the aorta is further defined as providing a passageway having a volume capacity substantially equal to the aorta.

17. The method of claim 15 wherein the step of synchronizing the pumping action is further defined as providing a pumping action of approximately 30-45 cc.

18. The method of claim 15 wherein the step of connecting opposite ends of the passageway to the aorta is further defined as grafting a tube of woven Dacron material to the aorta.

19. The method of claim 18 wherein the step of grafting opposite ends of a tube to the aorta is further defined as providing incisions in the aorta no larger in size than is necessary to provide unrestricted flow into the tube passageway.

20. The method of claim 13 wherein the step of connecting the opposite ends of the passageway to the aorta is performed without interrupting the flow of blood through the heart and its circulatory system.

21. The method of claim 13 wherein the step of extending a tube from the balloon to the outside of the body through a bone in close proximity to an outer body skin is further defined to include wrapping the tube in a biocompatible Dacron Velour material.

22. A method of assisting the heart comprising the steps of,

implanting a balloon pump in the body,

connecting a gas drive means to the pump, and

connecting an external gas source to the pump by extending a tube from the pump to outside the body through a bone in close proximity to an outer body skin.

23. The method of claim 22 wherein the step of extending the tube through a bone is further defined as extending the tube through the iliac crest.

24. The method of claim 22 wherein the step of implanting the balloon pump is further defined as connecting the inlet to the descending aorta and the outlet to the ascending aorta.

25. The method of claim 24 and further providing the balloon pump as a substantially straight and open passageway parallel to the aorta and having substantially equal volume capacity with the inlet and outlet having tubes grafted to the aorta by providing incisions in the aorta no larger in size than is necessary to provide unrestricted flow into the tube passageway and without interrupting the flow of blood through the heart and its circulatory system.

26. The method of claim 25 wherein the pumping by the balloon pump is further defined by compressing one side only of the passageway and introducing gas into the balloon at one end adjacent the inlet end of the passageway.