Artificial heart and method of maintaining blood flow

• US 5,693,091 A
• Filed: 06/07/1995
• Issued: 12/02/1997
• Est. Priority Date: 08/06/1992
• Status: Expired due to Fees

• Current Assignee: Electric Boat Corporation (General Dynamics Corporation)
• Original Assignee: Electric Boat Corporation (General Dynamics Corporation)
• Inventors: Smith, James S., Pasque, Michael K., Franco, Alberto, Chapman, John H., Rosen, Marvin E., Brozek, Robert J., Trahan, John D., Slimon, Scot A., McGarvey, John J., Larson, Carl O. Jr.
• Primary Examiner(s): KAMM, WILLIAM E
• Application Number:
  US08/480,824
• Time in Patent Office: 909 Days
• Field of Search: 623/3
• US Class Current: 623/3.27
• CPC Class Codes: A61M 2205/8243 by induction
• 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 60/196 replacing the entire heart, e.g. total artificial hearts [TAH]
• 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 60/258 Piston pumps
• CPC Class Codes: A61M 60/441 generated by an electromotor
• CPC Class Codes: A61M 60/462 Electromagnetic force
• CPC Class Codes: A61M 60/554 of blood pressure
• CPC Class Codes: A61M 60/562 for making blood flow pulsatile in blood pumps that do not intrinsically create pulsatile flow
• CPC Class Codes: A61M 60/876 Implantable batteries
• CPC Class Codes: A61M 60/894 Passive valves, i.e. valves actuated by the blood
• CPC Class Codes: F16C 19/525 related to temperature and heat, e.g. insulation
• CPC Class Codes: H02K 41/031 of the permanent magnet type
• CPC Class Codes: H02K 7/14 Structural association with mechanical loads, e.g. with hand-held machine tools or fans with fan or impeller for cooling the machine H02K9/06

Abstract

In one embodiment described in the specification, a surgically implantable reciprocating pump employs a check valve as the piston, which is driven by a permanent magnet linear electric motor to assist either side of the natural heart. The pump is implanted in the aorta or pulmonary artery using vascular attachment cuffs such as flexible cuffs for suturing at each end with the pump output directly in line with the artery. The pump is powered by surgically implanted rechargeable batteries. In another embodiment, pairs of pumps are provided to replace or assist the natural heart or to provide temporary blood flow throughout the body, for example, during operations to correct problems with the natural heart.

Claims

1. A total artificial heart comprising a first surgically implantable pump and a second surgically implantable pump, each pump including a hollow cylinder, a piston slidably positioned in the cylinder for longitudinal movement therein, a permanent magnet member fixedly attached to the piston for movement therewith and having axially spaced magnet poles directed radially outwardly toward the outer surface of the piston, an array of electrical windings spaced axially along the hollow cylinder, and high permeability, high saturation magnetic material between the spaced electrical windings, whereby the flux produced by the permanent magnet poles links the electrical windings, the inlet end of the first pump being connectable to a right atrium, the outlet end of the first pump being connectable to a pulmonary artery, the inlet end of the second pump being connectable to a left atrium, and the outlet end of the second pump being connectable to an aorta, and

control means for sequentially energizing the electrical windings in the array in each pump in a controlled manner so as to exert an axial force on the piston in each pump causing the corresponding piston to move longitudinally through the hollow cylinder in a controlled manner in synchrony with the sequential energization of the electrical windings.

2. A total artificial heart in accordance with claim 1 wherein each pump further comprises an inflected conduit at the outlet end, and the inflected conduit at the outlet end of the first pump redirects and carries blood upwardly, to the pulmonary artery and the inflected conduit at the outlet end of the second pump redirects and carries blood upwardly to the ascending aorta.

3. A total artificial heart in accordance with claim 1 wherein each pump further comprises an inflected conduit at the inlet end and the inflected conduit at the inlet end of the first pump redirects and carries blood entering from the right atrium into the first pump inlet and the inflected conduit at the inlet end of the second pump redirects and carries blood entering from the right atriuminto the second pump inlet.

4. A total artificial heart in accordance with claim 1 further comprising one-way valves located at the outlet end of each pump wherein the one-way valves permit blood flow toward the pulmonary artery and ascending aorta and prevent blood flow toward the outlet of each pump.

5. A total artificial heart in accordance with claim 1 further comprising one-way valves located at the inlet end of each pump wherein the one-way valves permit blood flow toward each pump inlet end and prevent blood flow toward the atria.

6. A total artificial heart in accordance with claim 1 further comprising a pacemaker connected to the control means wherein the control means synchronizes the movement of the piston in each pump in response to signals provided from the pacemaker.

7. A total artificial heart in accordance with claim 1 wherein the control means includes a common lead bundle and wherein the common lead bundle includes branches which provide equivalent control signals to the array of electrical windings in each pump.

8. A total artificial heart in accordance with claim 1 including epicardial leads leading from a patient'"'"'s native heart to the control means and wherein the control means synchronizes the reciprocation of the piston in response to electrocardiogram signals from the epicardial leads.

9. A method for maintaining blood flow in a patient comprising the steps of providing a total artificial heart comprising a first surgically implantable pump and a second surgically implantable pump, each pump including a hollow cylinder, a piston slidably positioned in the cylinder for longitudinal movement therein, a permanent magnet member fixedly attached to the piston for movement therewith and having axially spaced magnet poles directed radially outwardly toward the outer surface of the piston, an array of electrical windings spaced axially along the hollow cylinder, and high permeability, high saturation magnetic material between the spaced electrical windings, whereby the flux produced by the permanent magnet poles links the electrical windings, the inlet end of the first pump being connectable to a right atrium, the outlet end of the first pump being connectable to a pulmonary artery, the inlet end of the second pump being connectable to a left atrium, and the outlet end of the second pump being connectable to an aorta, and control means for sequentially energizing the electrical windings in the array in each pump in a controlled manner so as to exert an axial force on the piston in each pump causing the corresponding piston to move longitudinally through the hollow cylinder and blood to flow into and through each pump, the piston moving in a controlled manner in synchrony with the sequential energization of the electrical windings, connecting the inlet end of the first pump to a patient'"'"'s right atrium and the outlet end of the first pump to a patient'"'"'s pulmonary artery and connecting the inlet end of the second pump to a patient'"'"'s left atrium and the outlet end of the second pump to a patient'"'"'s aorta.

10. A method for maintaining blood flow in a patient in accordance with claim 9 comprising providing an inflected conduit at the outlet end of each pump, redirecting and carrying blood through the inflected conduit at the outlet end of the first pump blood upwardly to the pulmonary artery and redirecting and carrying blood through the inflected conduit at the outlet end of the second pump upwardly to the ascending aorta.

11. A method for maintaining blood flow in a patient in accordance with claim 9 comprising providing one-way valves at the outlet end of each pump, permitting blood flow through the one-way valves toward the pulmonary artery and ascending aorta and preventing blood flow through the one-way valves toward the outlet end of each pump.

12. A method for maintaining blood flow in a patient in accordance with claim 9 comprising providing one-way valves at the inlet end of each pump, permitting blood flow thought the one-way valves toward each pump inlet end and preventing blood flow through the one-way valves toward the atria.

13. A method for maintaining blood flow in a patient in accordance with claim 9 comprising providing a pacemaker connected to the control means and synchronizing the movement of the piston with the control means in each pump in response to signals provided from the pacemaker.

14. A method for maintaining blood flow in a patient in accordance with claim 9 wherein the control means includes a common lead bundle having branches and sending equivalent control signals from the branches to the array of electrical windings in each pump.

15. A method for maintaining blood flow in a patient in accordance with claim 9 comprising providing epicardial leads, connecting the epicardial leads to a parent'"'"'s native heart and to the control means and synchronizing the reciprocation of the piston with the control means in response to electrocardiogram signals from the epicardial leads.