Linear motion, muscle-actuated cardiac assist device

• US 5,318,501 A
• Filed: 09/24/1992
• Issued: 06/07/1994
• Est. Priority Date: 09/24/1992
• Status: Expired due to Term

• Current Assignee: Gregory P. Gadson
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Colson, Michael, Gealow, Kendra, Lee, Philip H. J.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): SCHAETZLE, KENNEDY
• Application Number:
  US07/950,868
• Time in Patent Office: 621 Days
• Field of Search: 600/16, 600/17, 600/18, 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 60/191 mechanically acting upon the outside of the patient's native heart, e.g. compressive structures placed around the heart
• CPC Class Codes: A61M 60/289 Devices for mechanical circulatory actuation assisting the residual heart function by means mechanically acting upon the patient's native heart or blood vessel structure, e.g. direct cardiac compression [DCC] devices
• CPC Class Codes: A61M 60/427 the force acting on the blood contacting member being hydraulic or pneumatic
• CPC Class Codes: A61M 60/468 the force acting on the actuation means being hydraulic or pneumatic
• CPC Class Codes: A61M 60/515 Regulation using real-time patient data
• CPC Class Codes: A61M 60/882 Devices powered by the patient, e.g. skeletal muscle powered devices

Abstract

A linear motion, muscle-actuated cardiac assist device novelly uses a powering muscle whose contractions and relaxations are made in a substantially linear fashion, as opposed to the curvilinear muscle motions associated with prior art muscle-actuated cardiac assist devices. As a result, collateral circulation of the powering muscle need not be cut, theoretically leading to prevention of ischemia in the powering muscle. Other benefits include: greater energy efficiency of the powering muscle; greater available choice of powering muscles (i.e., not limited to the latissimus dorsi as the powering muscle); and reduced profile height of the cardiac assist device to reduce protrusion from the implanted area of the body.

Claims

1. A muscle-powered cardiac assist device for use in a cardiac assist system, said cardiac assist device comprising:

a flexible fluid chamber having working fluid therein;

fluid chamber support means for supporting said flexible fluid chamber;

fluid chamber contraction means coupled to said flexible fluid chamber and to said fluid chamber support means for contracting said flexible fluid chamber to pump said working fluid and further power said cardiac assist system; and

linear muscle coupling means for coupling powering muscle tissue to said fluid chamber contraction means, so that substantially linear motion of said powering muscle tissue powers said fluid chamber contraction means;

said linear muscle coupling means comprising force direction changing means for substantially changing the direction of the resulting force imparted by said powering muscle tissue to said fluid chamber contraction means.

2. The muscle-powered cardiac assist device in claim 1 further comprising:

a return mechanism coupled to said fluid chamber contraction means for substantially returning said fluid chamber contraction means to its position prior to contracting said fluid chamber.

3. The muscle-powered cardiac assist device in claim 1 wherein said fluid chamber contraction means contracts said fluid chamber when said powering muscle tissue contracts, and said fluid chamber contraction means allows said fluid chamber to expand when said powering muscle tissue relaxes.

4. A muscle-powered cardiac assist device for use in a cardiac assist system, said cardiac assist device comprising:

a flexible fluid chamber having working fluid therein;

fluid chamber support means for supporting said flexible fluid chamber;

fluid chamber contraction means coupled to said flexible fluid chamber and to said fluid chamber support means for contracting said flexible fluid chamber to pump said working fluid and further power said cardiac assist system; and

linear muscle coupling means for coupling powering muscle tissue to said fluid chamber contraction means, so that substantially linear motion of said powering muscle tissue powers said fluid chamber contraction means;

wherein said working fluid is blood.

5. A muscle-powered cardiac assist device for use in a cardiac assist system, said cardiac assist device comprising:

a flexible fluid chamber having working fluid therein;

fluid chamber support means for supporting said flexible fluid chamber;

fluid chamber contraction means coupled to said flexible fluid chamber and to said fluid chamber support means for contracting said flexible fluid chamber to pump said working fluid and further power said cardiac assist system; and

linear muscle coupling means for coupling powering muscle tissue to said fluid chamber contraction means, so that substantially linear motion of said powering muscle tissue powers said fluid chamber contraction means;

wherein said fluid chamber contraction means contracts said fluid chamber when said powering muscle tissue relaxes, and said fluid chamber contraction means allows said fluid chamber to expand when said powering muscle tissue contracts.

6. A muscle-powered cardiac assist device for use in a cardiac assist system, said cardiac assist device comprising:

a flexible fluid chamber having working fluid therein;

fluid chamber support means for supporting said flexible fluid chamber;

fluid chamber contraction means coupled to said flexible fluid chamber and to said fluid chamber support means for contracting said flexible fluid chamber to pump said working fluid and further power said cardiac assist system; and

linear muscle coupling means for coupling powering muscle tissue to said fluid chamber contraction means, so that substantially linear motion of said powering muscle tissue powers said fluid chamber contraction means;

wherein said fluid chamber contraction means further comprises a cam-shaped compression surface for impacting said fluid chamber during contraction of said fluid chamber.