Orthotopic intraventricular heart pump

• US 5,139,517 A
• Filed: 07/26/1991
• Issued: 08/18/1992
• Est. Priority Date: 11/08/1989
• Status: Expired due to Fees

• Current Assignee: David F. Corral
• Original Assignee: David F. Corral
• Inventors: Corral, David F.
• Primary Examiner(s): SHAY, RANDY CITRIN
• Application Number:
  US07/737,823
• Time in Patent Office: 389 Days
• Field of Search: 623/2, 623/3, 623/900, 600/16, 600/17, 600/18
• US Class Current: 623/3.1
• CPC Class Codes: A61M 2205/17 with redundant control systems
• 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 60/17 inside a ventricle, e.g. intraventricular balloon pumps
• CPC Class Codes: A61M 60/427 the force acting on the blood contacting member being hydraulic or pneumatic
• CPC Class Codes: A61M 60/515 Regulation using real-time patient data
• CPC Class Codes: A61M 60/861 Connections or anchorings for connecting or anchoring pumps or pumping devices to parts of the patient's body
• CPC Class Codes: A61M 60/873 specially adapted for wireless or transcutaneous energy transfer [TET], e.g. inductive charging
• CPC Class Codes: A61M 60/876 Implantable batteries
• CPC Class Codes: A61M 60/88 Percutaneous cables
• CPC Class Codes: A61M 60/894 Passive valves, i.e. valves actuated by the blood

Abstract

An intraventricular pump (IVP) is a surgically-implanted orthotoxic heart pump capable of augmenting either one or both of the heart'"'"'s ventricles. The IVP pumps blood using an internal diaphragm which is hydrualically activated by a physiologically-controlled pacemaker pump system. The entire system is contained within the human body and is powered by a rechargeable battery system. An artificial valve is incorporated into the right-sided IVP which is hydraulically-activated to work in conjunction with the IVP.

Claims

1. A method of augmenting the pumping mechanism of a heart, comprising the steps of:

forcing hydraulic fluid into a hydraulic access chamber formed between a sac of flexible material for containing blood and an outer shell disposed within a ventricle of the heart to evacuate blood from said sac through an outlet valve of the heart; and

removing hydraulic fluid from the hydraulic access chamber such that the sac may receive blood from an atrium.

2. The method of claim 1 wherein said forcing step comprises the step of forcing hydraulic fluid into the hydraulic chamber formed between the sac of flexible material for containing blood and the outer shell disposed within the ventricle and having cords disposed between the sac and the outer shell.

3. The method of claim 1 and further comprising the steps of:

closing a valve disposed between the sac and the atrium prior to said step of forcing hydraulic fluid into the hydraulic access chamber; and

opening the valve after systolic contraction, but prior to said step of removing hydraulic fluid from the hydraulic access chamber.

4. The method of claim 3 wherein said closing step comprises the step of transmitting hydraulic fluid into an expandable annular chamber disposed between the ac and the atrium.

5. The method of claim 4 wherein said opening step comprises the step of removing the hydraulic fluid from the expandable annular chamber.

6. The method of claim 4 wherein said closing step comprises the step of forcing hydraulic fluid into an expandable annular chamber having a plurality of elastic cords formed therein to maintain the annular chamber in a desired shape as hydraulic fluid is transmitted into the chamber.

7. A method of augmenting the pumping mechanism of the heart comprising the steps of:

placing a sac formed of a flexible material and an attached outer shell into a ventricle of the heart, said sac and outer shell forming a hydraulic access chamber therebetween;

transmitting hydraulic fluid into the hydraulic access chamber to evacuate blood from said sac through an outlet chamber of the heart; and

removing hydraulic fluid from the hydraulic access chamber to receive blood from an atrium into said sac.

8. The method of claim 7 and further comprising the step of maintaining a predetermined systolic shape of the hydraulic chamber.

9. The method of claim 7 wherein said maintaining step comprises the step of maintaining a predetermined systolic shape of the hydraulic chamber with a plurality of cords coupled between the sac and the outer shell.

10. The method of claim 7 and further comprising the step of selectively providing access between the sac and the atrium with a valve.

11. The method of claim 10 wherein said step of selectively providing access comprises the step of selectively providing access between the sac and the atrium with a hydraulic valve.

12. The method of claim 10 wherein said step of selectively providing access comprises the steps of:

closing the hydraulic valve prior to said transmitting step; and

opening the hydraulic valve after systolic contraction, but prior to said removing step.