Single port cardiac support apparatus

• US 6,123,725 A
• Filed: 07/11/1997
• Issued: 09/26/2000
• Est. Priority Date: 07/11/1997
• Status: Expired due to Term

• Current Assignee: Maquet Cardiovascular LLC (Getinge AB)
• Original Assignee: A-Med Systems, Inc.
• Inventors: Aboul-Hosn, Walid N.
• Primary Examiner(s): Milano, Michael J.
• Assistant Examiner(s): Nguyen, Tram A.
• Application Number:
  US08/891,456
• Time in Patent Office: 1,173 Days
• Field of Search: 623/1, 623/11, 623/12, 623/3, 623/3.25, 623/3.26, 606/191, 606/194, 606/195, 606/198, 604/4, 604/43, 604/284
• US Class Current: 623/3.25
• CPC Class Codes: A61M 1/3653 Interfaces between patient blood circulation and extra-corporal blood circuit
• CPC Class Codes: A61M 1/3659 Cannulae pertaining to extracorporeal circulation
• CPC Class Codes: A61M 2205/32 with radio-opaque indicia
• CPC Class Codes: A61M 2205/3334 Measuring or controlling the flow rate
• CPC Class Codes: A61M 60/117 for assisting the heart, e.g. transcutaneous or external ventricular assist devices
• CPC Class Codes: A61M 60/135 inside a blood vessel, e.g. using grafting
• 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 60/232 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 60/279 Peristaltic pumps, e.g. roller pumps
• CPC Class Codes: A61M 60/35 for specific surgeries, e.g. for Fontan procedure
• CPC Class Codes: A61M 60/414 transmitted by a rotating cable, e.g. for blood pumps mounted on a catheter
• CPC Class Codes: A61M 60/441 generated by an electromotor
• CPC Class Codes: A61M 60/531 using blood pressure data, e.g. from blood pressure sensors
• CPC Class Codes: A61M 60/546 of blood flow, e.g. by adapting rotor speed
• CPC Class Codes: A61M 60/859 Connections therefor
• CPC Class Codes: A61M 60/867 using position detection during deployment, e.g. for blood pumps mounted on and driven through a catheter
• CPC Class Codes: A61M 60/894 Passive valves, i.e. valves actuated by the blood
• CPC Class Codes: Y10S 415/90 Rotary blood pump

Abstract

A reverse flow pump comprising two concentric passageways and an interior compartment having cut out portions in communication with a pump passageway for the directional flow of fluid relative to the pump, and a rotor positioned within the interior compartment for reversing the directional flow of fluid through a region in communication with another pump passageway. A reverse flow pump and cannula system is further provided comprising an inner cannula adjoining a pump passageway, and an outer conduit adjoining another pump passageway for the reverse flow of fluid relative to the pump. A method of transporting fluid between body cavities is also provided comprising the steps of selecting a reverse flow pump and cannula system, forming an opening in a body passageway, positioning the outer conduit through the opening, inserting the inner cannula into the outer conduit so that the distal openings of the inner cannula and the outer conduit are positioned in separated portions of the body, connecting the inlet and the outlet passageways of the pump to the proximal ends of the inner cannula and the outer conduit, and activating the pump to transport fluid between the separated portions of the body.

Claims

1. A dual lumen cannula, comprising:

a pair of generally concentric conduits formed of biocompatible material, each of said conduits having a proximal end and a distal end, said distal ends being disposed a distance from one another; and

wherein said proximal ends are communicatively coupled together such that a fluid may be simultaneously transported in a first direction within one of said conduits and in a generally reverse direction within the other of said conduits.

2. The dual lumen cannula as recited in claim 1, wherein said pair of conduits comprises an inner cannula disposed generally concentrically within an outer cannula.

3. The dual lumen cannula as recited in claim 2, wherein said distal end of said outer cannula is dimensioned for insertion through a portal formed in one of a pulmonary artery and an aorta connected to a heart.

4. The dual lumen cannula as recited in claim 2 wherein inner cannula further includes material responsive to X-ray radiation.

5. The dual lumen cannula as recited in claim 2 wherein said distal end of said inner cannula includes a flexible tip.

6. The dual lumen cannula as recited in claim 2 wherein said inner cannula is formed with a permanent bend to facilitate installation and positioning of said inner cannula.

7. The dual lumen cannula as recited in claim 2 wherein said outer cannula is a vascular graft.

8. A dual lumen cannula, comprising:

an inner cannula disposed generally concentrically within an outer cannula, each of said inner and outer cannulas formed of biocompatible material and having a proximal end and a distal end, said distal ends being disposed a distance from one another;

wherein said proximal ends are communicatively coupled together such that a fluid may be simultaneously transported in a first direction within said inner cannula and in a generally reverse direction within said outer cannula; and

wherein said distal end of said inner cannula includes a plurality of openings to further allow transport of fluid to or from said inner cannula.

9. A dual lumen cannula, comprising:

a first conduit formed of biocompatible material having a lumen extending between a distal end and a proximal end;

a second conduit formed of biocompatible material having a lumen extending between a distal end and a proximal end, said distal end of said second conduit dimensioned for insertion through a portal formed in a vessel connected to a heart;

said first conduit disposed generally concentrically within said second conduit and positioned such that said distal end of said first conduit extends past said distal end of said second conduit; and

wherein said proximal ends of said first and second conduits are communicatively coupled to provide a simultaneous reverse flow of fluid between said first and second conduits.

10. The dual lumen cannula as recited in claim 9 wherein said portal is formed in one of a pulmonary artery and an aorta connected to said heart.

11. The dual lumen cannula as recited in claim 9 wherein said first conduit includes a radiopaque material for visualization from an exterior of the body.

12. The dual lumen cannula as recited in claim 9 wherein said distal end of said first conduit includes a flexible tip.

13. The dual lumen cannula as recited in claim 9 wherein said distal end of said first conduit includes a plurality of openings to further allow transport of fluid into said first conduit.

14. The dual lumen cannula as recited in claim 9 wherein said first conduit is formed with a permanent bend to facilitate installation and positioning of said first cannula.

15. The dual lumen cannula as recited in claim 9 wherein said proximal ends of said first and second conduits are coupled to a pumping system capable of creating an outflow of blood from said heart through said lumen of said first conduit and an inflow of blood into said vessel connected to said heart through said lumen of said second conduit.

16. The dual lumen cannula as recited in claim 15 wherein said pumping system comprises a reverse flow pump.

17. A dual lumen cannula comprising:

a first conduit formed of biocompatible material disposed generally concentrically within a second conduit formed of biocompatible material such that a distal end of said first conduit extends past a distal end of said second conduit, said distal end of said second conduit dimensioned for introduction through a portal formed in a vessel connected to a heart; and

each of said first and second conduits including proximal ends communicatively coupled together to provide a simultaneous reverse flow of blood through said first and second conduits.

18. The dual lumen cannula as recited in claim 17, wherein the simultaneous reverse flow of blood through said first and second conduits is provided by a pump apparatus coupled between said proximal ends of said first and second conduits.

19. The dual lumen cannula as recited in claim 18, wherein said pump apparatus comprises a reverse flow pump.