Blood pumping catheter and method of use

• US 4,753,221 A
• Filed: 10/22/1986
• Issued: 06/28/1988
• Est. Priority Date: 10/22/1986
• Status: Expired due to Term

• Current Assignee: Kensey Nash Corporation (DSM-Firmenich AG)
• Original Assignee: Intravascular Surgical Instruments Incorporated
• Inventors: Nash, John, Kensey, Kenneth
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): KRUTER, JEROME
• Application Number:
  US06/921,987
• Time in Patent Office: 615 Days
• Field of Search: 604/267, 604/151, 604/93, 604/102, 604/104, 27/24 A, 27/24 R, 415/DIG. 4, 415/126-128, 128/1 D
• US Class Current: 600/16
• CPC Class Codes: A61M 25/00 Catheters; Hollow probes dilators A61M29/00; peritoneal catheters A61M1/285; tracheal tubes A61M16/04; for drainage A61M27/00; for uterus, vagina or rectum A61M31/00 ; for measuring or testing A61B; materials for catheters A61L29/00
• CPC Class Codes: A61M 60/13 by means of a catheter allowing explantation, e.g. catheter pumps temporarily introduced via the vascular system
• 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 60/174 discharging the blood to the ventricle or arterial system via a cannula internal to the ventricle or arterial system
• 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 60/414 transmitted by a rotating cable, e.g. for blood pumps mounted on a catheter
• CPC Class Codes: A61M 60/806 Vanes or blades
• CPC Class Codes: A61M 60/833 Occluders for preventing backflow
• CPC Class Codes: Y10S 415/90 Rotary blood pump

Abstract

An elongated catheter for pumping blood through at least a portion of a being'"'"'s vascular system. The catheter is of sufficiently small diameter and flexiblility to enable it to be passed through the vascular system so that the distal end portion of the catheter is located within or adjacent the being'"'"' heart. A rotatable pump is located at the distal end of the catheter and is rotated by drive means in the catheter. The distal end portion of the catheter includes an inlet for blood to flow therein and an outlet for blood to flow thereout. The catheter is arranged so that blood is pumped by the catheter'"'"'s pump through the heart and into the vascular system without requiring any pumping action of the heart.

Claims

1. Apparatus for disposition within the body of a living being to effect the pumping of blood through at least a portion of the being'"'"'s vascular system, said apparatus comprising an elongated catheter having a distal end portion, said catheter being positionable within the vascular system of said being so that its distal end portion is located at an operative position within or adjacent said being'"'"'s heart, said catheter including pump means located at said distal end portion, said pump means including a rotatable portion of a predetermined, first configuration, said first configuration being sufficiently compact to enable said catheter to be passed longitudinally through a portion of said vascular system to said operative position, said rotatable portion being alterable in configuration to a second, enlarged configuration at said operative position, and drive means for effecting the rotation of said rotatable portion of said pump means at said operative position such that when said rotatable portion of said pump means is in said enlarged configuration blood is pumped by the rotation of said rotatable portion of said pump means through the heart and into said portion of said vascular system.

2. The catheter of claim 1 wherein said distal end portion includes an inlet for blood to flow therein and an outlet for blood to flow thereout, said inlet being in fluid communication with the right ventricle of the heart and said outlet being in fluid communication with the pulmonary artery.

3. The catheter of claim 2 wherein said pump is a centrifugal pump.

4. The catheter of claim 2 wherein said pump is an axial pump.

5. The catheter of claim 2 wherein said distal end portion extends through the being'"'"'s pulmonary valve.

6. The catheter of claim 5 wherein said pump is a centrifugal pump.

7. The catheter of claim 5 wherein said pump is an axial pump.

8. The catheter of claim 6 additionally comprising expandable means at said distal end portion for holding said distal end portion in place through said pulmonary valve.

9. The catheter of claim 8 wherrein said pump comprises a member having at least one blade arranged to be rotated by said drive means.

10. The catheter of claim 8 wherein said pump comprises a member having a pair of flexible tubes, each of said tubes having an open free end, said tubes being connected together at a common tubular base, said member having a central axis, said base being arranged to be rotated about said axis to cause said free end of said tubes to flex in a direction having a radially outward component, said tubular base being in fluid communication with said inlet and the free ends of said flexible tubes being in fluid communication with said outlet.

11. The catheter of claim 8 wherein said expandable means comprises a balloon.

12. The catheter of claim 1 wherein said distal end portion includes an inlet for blood to flow therein and an outlet for blood to flow thereout, said inlet being adapted so as to be in fluid communication with the left ventricle of said heart, and said outlet being adapted so as to be in fluid communication with the aorta of said vascular system.

13. The catheter of claim 12 wherein said pump is a centrifugal pump.

14. The catheter of claim 12 wherein said pump is an axial pump.

15. The catheter of claim 12 wherein said distal end portion extends through the aortic valve.

16. The catheter of claim 14 additionally comprising expandable means at said distal end portion for holding said distal end portion in place through said aortic valve.

17. The catheter of claim 16 wherein said pump comprises a member having at least one blade arranged to be rotated by said drive means.

18. The catheter of claim 16 wherein said pump comprises a member having a pair of flexible tubes, each of said tubes having an open free end, said tubes being connected together at a common tubular base, said member having a central axis, said member being arranged to be rotated about said axis by said drive means to cause said free end of said tubes to flex in a direction having radially outward component, said tubular base being in fluid communication with said inlet and said free ends of said flexible tubes being in fluid communication with said outlet.

19. The catheter of claim 16 wherein said pump comprises a member having at least one blade arranged to be rotated by said drive means.

20. The catheter of claim 16 wherein said expandable means comprises a balloon.

21. The catheter of claim 12 wherein said distal end portion additionally comprises means located at said distal end portion for engaging the wall of the aorta for holding said distal end portion in place adjacent the aortic valve of said being.

22. The catheter of claim 21 wherein said pump comprises a member having a pair of flexible tubes, each of said tubes having an open free end, said tubes being connected together at a common tubular base, said member having a central axis and being arranged to be rotated about said axis by said drive means to cause said free ends of said tubes to flex in a direction having a radially outward component, said tubular base being in fluid communication with said inlet and said free ends of said flexible tubes being in fluid communication with said outlet.

23. The catheter of claim 12 additionally comprising cover means, said cover means including said inlet and said outlets, said cover means being arranged for disposition within the aorta and adjacent the aortic valve, whereupon blood can flow from said left ventricle through said aortic valve into said inlet in said cover means and through the outlet in said cover means into the aorta.

24. The catheter of claim 23 wherein said pump is located within said cover means between said inlet and said outlet.

25. The catheter of claim 24 wherein said pump means comprises a member having a pair of flexible tubes, each of said tubes having an open free end, said tubes being connected together at a common tubular base, said member having a central axis about which said member is arranged to be rotated by said drive means to cause said free ends of said tubes to flex in a direction having a radially outward component, said tubular base being in fluid communication with said inlet and said free ends of said flexible tubes being in fluid communication with said outlet.

26. The catheter of claim 24 wherein said rotatable portion of said pump means comprises a member having at least one blade arranged to be rotated by said drive means.

27. The catheter of claim 23 wherein said cover means comprises an elastomeric tubular member.

33. The catheter of claim 1 wherein said catheter is of sufficient flexibility to enable it to be freely passed longitudinally through a portion of the vascular system of said being.

28. The method of pumping blood into the vascular system of a living being without requiring operation of the being'"'"'s heart by means of a catheter, said catheter having a distal end at which a pump having a rotatable, blood engaging portion is located, said method comprising the steps of introducing said catheter into and through a portion of the vascular system of said being until said pump means is located at an operative position within or closely adjacent the heart of said being, expanding said rotatable portion of said pump from a compact inoperative configuration to an enlarged, operative configuration at said operative position, and causing said rotatable portion of said pump to rotate while in said enlarged operative configuration at said operative position, whereupon blood is pumped into said system through said heart by said rotation.

29. The method of claim 28 wherein said distal end portion of said catheter comprises an inlet for blood to flow therein and an outlet for blood to flow thereout, and wherein said catheter is positioned so that its distal end portion is located such that said inlet is in fluid communication with the left ventricle of said being and said outlet is in fluid communication with the aorta of said being.

30. The method of claim 28 wherein said distal end portion of said catheter comprises an inlet for blood to flow therein and an outlet for blood to flow thereout, and wherein said catheter is positioned so that its distal end portion is located at a position wherein said inlet is in fluid communication with said right ventricle and said outlet is in fluid communication with the pulmonary artery of said being.

31. The method of claim 29 wherein said distal end portion is extended through the aortic valve.

32. The method of claim 30 wherein said distal end portion is extended through the pulmonary valve.

34. The method of claim 30 wherein said catheter is of a small diameter and sufficient flexibility to enable it to be introduced percutaneously and passed through a portion of the vascular system of said being to said operative position.