Heart pump having contractible guide mechanism for pusher plate

• US 5,006,104 A
• Filed: 11/07/1988
• Issued: 04/09/1991
• Est. Priority Date: 11/07/1988
• Status: Expired due to Fees

• Current Assignee: Cleveland Clinic Foundation
• Original Assignee: Cleveland Clinic Foundation
• Inventors: Chen, Ji-Feng, Smith, William A.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Schoetzle, Kennedy J.
• Application Number:
  US07/268,020
• Time in Patent Office: 883 Days
• Field of Search: 600/16, 600/17, 417/395, 417/413, 623/3
• US Class Current: 600/16
• 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 60/183 drawing blood from both ventricles, e.g. bi-ventricular assist devices [BiVAD]
• CPC Class Codes: A61M 60/427 the force acting on the blood contacting member being hydraulic or pneumatic
• CPC Class Codes: A61M 60/441 generated by an electromotor
• CPC Class Codes: A61M 60/446 the axis of both movements being parallel, e.g. roller screw actuators or cylindrical cam transmissions
• CPC Class Codes: A61M 60/538 Regulation using real-time blood pump operational parameter data, e.g. motor current
• CPC Class Codes: A61M 60/837 Aspects of flexible displacement members, e.g. shapes or materials
• CPC Class Codes: A61M 60/894 Passive valves, i.e. valves actuated by the blood
• CPC Class Codes: F04B 43/06 Pumps having fluid drive

Abstract

A blood pump is disclosed that is useful as ventricle assist or replacement device comprising a housing having a blood chamber and inlet and outlet ports for the ingress and egress of blood to and from the chamber. A deflectable diaphragm comprises a wall of the blood chamber which upon deflection collapses the blood chamber to urge blood from the chamber out the outlet port. A pusher plate is disposed in association with the diaphragm. The pusher plate includes a collapsible guide mechanism which guides the plate from a first fill position to a second eject position. The guide mechanism can comprise a telescopic guide or straight-line linkage which is collapsible to a first fill position to occupy a substantially lesser space in the housing than when extended to second eject position. The guide mechanism avoids the necessity of a projection from the housing to accommodate a stroke of a guide mechanism. The guide mechanism can be independent of or combined with the drive means.

Claims

1. A blood pump useful as a ventricle assist or replacement device comprising:

a housing having a blood chamber and a means for blood ingress and egress to and from the chamber;

a deflectable diaphragm that is continuous and has no openings therethrough comprising a wall of the blood chamber;

a pusher plate in operative association with the diaphragm;

means for selectively driving the pusher plate; and

,

a telescoping guide mechanism in operative association with the pusher plate.

2. The pump as defined in claim 1 wherein the guide mechanism is disposed within the housing.

3. The pump as defined in claim 2 wherein the guide mechanism includes a nestable sleeve in operative engagement with the pusher plate.

4. The pump as defined in claim 1 wherein the housing includes an inner housing and an outer housing, the diaphragm generally disposed intermediate the inner and outer housings to define the blood chamber and a drive chamber.

5. The pump as defined in claim 4 wherein the guide mechanism is generally disposed in the drive chamber and includes means for reciprocally guiding the diaphragm during movement thereof.

6. The pump as defined in claim 5 wherein the guide mechanism includes a base having an outer wall contiguous to an outer wall of the outer housing and generally providing a smooth outer wall for the outer housing to avoid a significant guide mechanism projection from the housing.

7. The pump as defined in claim 1 including means for sensing a travel stroke of the pusher plate.

8. The pump as defined in claim 7 wherein the sensing means comprises a Hall sensor and magnet assembly.

9. A guide mechanism for a blood pump having an elastomeric diaphragm and a pusher plate to support the diaphragm comprising a plurality of nestable sleeves disposed for selective telescopic reciprocatory movement between extended and nested positions, and including means for restricting the pusher plate stroke to a linear motion, and a maximum length.

10. A guide mechanism as defined in claim 9 wherein the plurality of sleeves are sized to occupy a minimum volume when the blood pump is in a full fill position.

11. An implantable ventricular assist or replacement device particularly useful as a blood pump comprising:

a housing having a blood chamber, means for blood ingress and egress to and from the blood chamber, a drive chamber, and a segregating elastomeric diaphragm that is continuous and has no openings therethrough;

means for selectively pressurizing the drive chamber to pump blood to and from the blood chamber;

the diaphragm including a pusher plate bonded thereto and having a plate guide mechanism comprising a plurality of nestable sleeves arranged for telescopic reciprocatory movement between extended and nested positions, said plurality of sleeves having means for limiting preselected maximum travel stroke to restrict enlargement of the drive chamber.

12. The blood pump as claimed in claim 11 wherein the plurality of sleeves is disposed in the drive chamber in both the extended and nested positions to avoid a projection from the housing.

13. The blood pump as claimed in claim 12 further including means for sensing a travel stroke of the pusher plate.

14. A blood pump useful as a ventricle assist or replacement device comprising:

a housing having a blood chamber and a means for blood ingress and egress to and from the chamber;

a deflectable diaphragm comprising a wall of the blood chamber;

a pusher plate in association with the diaphragm;

means for selectively driving the pusher plate; and

,

a collapsible guide mechanism means in association with the pusher plate for guiding the plate from a first fill position to a second eject position, said mechanism means being collapsible to the first fill position to occupy a substantially lesser space in the housing than when extended to the second eject position.

15. The blood pump as defined in claim 14 wherein the guide mechanism is collapsible at the first fill position to a stroke dimension substantially equal to a housing sidewall depth.

16. The blood pump as defined in claim 14 wherein the guide mechanism means comprises a contractible linkage means for avoiding an extension from an outer wall of the housing.

17. The blood pump as defined in claim 14 further including means for selectively extending the guide mechanism comprising a drive means in operative association with the guide mechanism whereby pressurization of the mechanism extends the mechanism and diaphragm to the eject position.

21. An implantable blood pump as defined in claim 17 wherein the guide mechanism means comprises a contractible linkage means for avoiding an extension from an outer wall of the housing.

18. An implantable blood pump comprising:

a housing having a blood chamber and a means for blood ingress and egress to and from the chamber;

a deflectable diaphragm that is continuous and has no openings therethrough comprising a wall of the blood chamber;

a pusher plate in association with the diaphragm;

means for selectively driving the pusher plate; and

,

a collapsible guide mechanism means in association with the pusher plate for guiding the plate from a first fill position to a second eject position, said mechanism means being collapsible to the first fill position to occupy a substantially lesser space in the housing than when extended to the second eject position.

19. An implantable blood pump as defined in claim 18 wherein the guide mechanism means is collapsible at the first fill position to a stroke dimension substantially equal to a housing sidewall depth.

20. The blood pump as defined in claim 18 further including means for selectively extending the guide mechanism comprising a drive means in operative association with the guide mechanism.

22. A blood pump useful as a ventricle assist or replacement device comprising:

a housing having a blood chamber, a drive chamber and a means for blood ingress and egress to and from the chamber;

a deflectable diaphragm comprising a wall of the blood chamber;

a pusher plate in operative association with the diaphragm;

means for selectively driving the pusher plate;

a telescoping guide mechanism in operative association with a pusher plate and generally disposed in the drive chamber for reciprocal movement in concert with selective operation of the diaphragm.

23. The pump as defined in claim 22 wherein the guide mechanism is disposed within the housing.

24. The pump as defined in claim 23 wherein the guide mechanism includes a nestable sleeve in operative engagement with the pusher plate.

25. The pump as defined in claim 22 wherein the housing includes an inner housing and an outer housing, the diaphragm generally disposed intermediate the inner and outer housing to define the blood chamber and the drive chamber.

26. The pump as defined in claim 22 wherein the guide mechanism includes a base having an outer wall contiguous to an outer wall of the housing and generally providing a smooth outer wall for the outer housing to avoid a significant guide mechanism projection from the housing.

27. A blood pump useful as a ventricle assist or replacement device comprising:

a housing having a blood chamber and a means for blood ingress and egress to and from the chamber;

a deflectable diaphragm comprising a wall of the blood chamber;

a pusher plate in operative association with the diaphragm;

means for selectively driving the pusher plate;

means for sensing a travel stroke of the pusher plate; and

,

a telescoping guide mechanism in operative association with a pusher plate.

28. The pump as defined in claim 27 wherein the sensing means comprises a Hall sensor and magnet assembly.

29. An implantable ventricular assist or replacement device particularly useful as a blood pump comprising:

a housing having a blood chamber, means for blood ingress and egress to and from the blood chamber, a drive chamber, and a segregating elastomeric diaphragm;

means for selectively pressurizing the drive chamber to pump blood to and from the blood chamber; and

,

the diaphragm including a pusher plate bonded thereto and having a plate guide mechanism comprising a plurality of nestable sleeves arranged for telescopic reciprocatory movement between extended and nested positions, the plurality of sleeves being disposed in the drive chamber in both the extended and nested positions to avoid a projection from the housing, said plurality of sleeves having means for limiting preselected maximum travel stroke to restrict enlargement of the drive chamber.

30. An implantable ventricular assist or replacement device particularly useful as a blood pump comprising:

a housing having a blood chamber, means for blood ingress and egress to and from the blood chamber, a drive chamber, and a segregating elastomeric diaphragm;

means for selectively pressurizing the drive chamber to pump blood to and from the blood chamber;

the diaphragm including a pusher plate bonded thereto and having a plate guide mechanism comprising a plurality of nestable sleeves arranged for telescopic reciprocatory movement between extended and nested positions, said plurality of sleeves having a means for limiting a preselected maximum travel stroke to restrict enlargement of the drive chamber; and

,

means for sensing a travel stroke of the pusher plate.