Flow-balanced cardiac wrap
First Claim
1. A flow-balanced cardiac wrap that encloses a ventricular region of a heart comprising:
- a first section that applies a first variable assist force to the left ventricular region; and
a second section that applies a second variable assist force to the right ventricular region;
wherein the first section applies the first variable assist force over a first area on the left ventricular region and the second section applies the second variable assist force over a second area on the right ventricular region and wherein the second area is smaller than the first area.
2 Assignments
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Accused Products
Abstract
A flow-balanced cardiac wrap that assists the right and left ventricles of an affected heart to differing, and adjustable degrees is provided. The wrap generally applies an assist to the left ventricle that is greater than that applied to the right, or that reduces blood output from the right relative to the left. In one embodiment, the wrap comprises a material covering that is applied around the right and left ventricles of the heart, so that the left ventricle is assisted over a larger surface area than the right. The positioning of the right ventricular portion or the wrap is chosen so that desired pumping characteristics for the right ventricle are achieved.
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Citations
37 Claims
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1. A flow-balanced cardiac wrap that encloses a ventricular region of a heart comprising:
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a first section that applies a first variable assist force to the left ventricular region; and
a second section that applies a second variable assist force to the right ventricular region;
wherein the first section applies the first variable assist force over a first area on the left ventricular region and the second section applies the second variable assist force over a second area on the right ventricular region and wherein the second area is smaller than the first area. - View Dependent Claims (2)
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3. A flow-balanced cardiac wrap that encloses a ventricular region of a heart comprising:
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a first section that applies a first variable assist force to the left ventricular region; and
a second section that applies a second variable assist force to the right ventricular region;
wherein the first section applies the first variable assist force over a first area on the left ventricular region and the second section applies the second variable assist force over a second area on the right ventricular region and wherein the second area is located closer to an apex of the heart than the first area.
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4. A flow-balanced cardiac wrap that encloses a ventricular region of a heart comprising:
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a first section that applies a first variable assist force to the left ventricular region;
a second section that applies a second variable assist force to the right ventricular region; and
a pump for directing inflation pressure to each of the first section and the second section, the pump including a controller that causes the first section to apply the first assist force at a first time and the second section to apply the second assist force at a second time, the first time being different from the second time. - View Dependent Claims (5)
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6. A flow-balanced cardiac wrap that encloses a ventricular region of a heart comprising:
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a first section that applies a first variable assist force to the left ventricular region; and
a second section that applies a second variable assist force to the right ventricular region;
wherein each of the first section and the second section include inflation elements, the inflation elements of the first section each being larger in volume at a predetermined inflation pressure than the inflation elements of the second section at the predetermined inflation pressure.
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7. A flow-balanced cardiac wrap that encloses a ventricular region of a heart comprising:
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a first section that applies a first variable assist force to the left ventricular region; and
a second section that applies a second variable assist force to the right ventricular region;
wherein each of the first section and the second section include inflation elements, a number of inflation elements in the first section each being greater than a number of inflation elements in the second section.
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8. A flow-balanced cardiac wrap that encloses a ventricular region of a heart comprising:
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a first section that applies a first variable assist force to the left ventricular region; and
a second section that applies a second variable assist force to the right ventricular region;
wherein each of the first section and the second section include inflation elements, the inflation elements in the second section having dead spaces therebetween that are non-distensible.
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9. A flow-balanced cardiac wrap that encloses a ventricular region of a heart comprising:
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a first section that applies a first variable assist force to the left ventricular region; and
a second section that applies a second variable assist force to the right ventricular region;
wherein each of the first section and the second section include inflation elements, the inflation elements of the first section extending from a top wrap edge to a first bottom edge in a direction toward an apex of the heart for a first distance, the inflation elements of the second section extending from the top wrap edge to a second bottom edge in a direction toward the apex for a second distance, the first distance being greater than the second distance and a first non-distensible member being attached to the second bottom edge to cover a portion of the right ventricle adjacent to the apex. - View Dependent Claims (10)
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11. A flow-balanced cardiac wrap that encloses a ventricular region of a heart comprising:
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a first section that applies a first variable assist force to the left ventricular region; and
a second section that applies a second variable assist force to the right ventricular region;
wherein the second section and the first section are joined at attachment locations, the attachment locations including interconnection elements for variably positioning the second section with respect to the first section. - View Dependent Claims (12, 13)
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14. A flow-balanced cardiac wrap that encloses a ventricular region of a heart comprising:
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a first section that applies a first variable assist force to the left ventricular region; and
a second section that applies a second variable assist force to the right ventricular region;
wherein the first section and the second section include a plurality of inflation elements for applying pressure and at least one pair of inflation elements being connected to opposing sides non-distensible dead space, the dead space being adapted to be clinched together to vary a spacing distance and angle between each of the pair of inflation elements. - View Dependent Claims (15, 16)
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17. A flow-balanced cardiac wrap that encloses a ventricular region of a heart comprising:
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a first section that applies a first variable assist force to the left ventricular region; and
a second section that applies a second variable assist force to the right ventricular region;
wherein the left section and the right section each include inflation elements to apply the first variable assist force to the left ventricular region and the second variable assist force to the right ventricular region, respectively, and wherein the inflation elements in the right section are sized and arranged to apply a displacement force that displaces a middle portion of the right ventricular region so as to divide blood in a left ventricle of the heart into an ejected portion directed out of the ventricle and a retained portion that remains in the ventricle after application of the second variable assist force.
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18. A method for providing cardiac assistance with a cardiac wrap that engages an affected heart comprising:
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engaging a ventricular region of the heart with a wrap having a first section and a second section;
applying a first variable assist force to the left ventricular region with the first section; and
applying a second variable assist force to the right ventricular region with the second section;
wherein the step of applying the second variable assist force includes applying the second variable assist force to an area of the right ventricular region that is less than an area of the left ventricular region to which the first variable assist force is applied. - View Dependent Claims (19)
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20. A method for providing cardiac assistance with a cardiac wrap that engages an affected heart comprising:
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engaging a ventricular region of the heart with a wrap having a first section and a second section;
applying a first variable assist force to the left ventricular region with the first section; and
applying a second variable assist force to the right ventricular region with the second section;
wherein the first variable assist force applies a different magnitude of pressure than a magnitude of pressure applied by the second variable assist force.
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21. A method for providing cardiac assistance with a cardiac wrap that engages an affected heart comprising:
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engaging a ventricular region of the heart with a wrap having a first section and a second section;
applying a first variable assist force to the left ventricular region with the first section; and
applying a second variable assist force to the right ventricular region with the second section;
wherein the first variable assist force is applied at a time different than an application of the second variable assist force.
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22. A method for providing cardiac assistance with a cardiac wrap that engages an affected heart comprising:
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engaging a ventricular region of the heart with a wrap having a first section and a second section;
applying a first variable assist force to the left ventricular region with the first section; and
applying a second variable assist force to the right ventricular region with the second section;
wherein the step of engaging includes adjusting a cone angle of the wrap so as to fit the ventricular region in a predetermined orientation. - View Dependent Claims (23)
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24. A method for providing cardiac assistance with a cardiac wrap that engages an affected heart comprising:
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engaging a ventricular region of the heart with a wrap having a first section and a second section;
applying a first variable assist force to the left ventricular region with the first section and applying a second variable assist force to the right ventricular region with the second section;
wherein the step of engaging includes providing inflation elements in each of the first section and the second section that respectively apply the first variable assist force and the second variable assist force, and the step of providing includes sizing the inflation elements in the first section larger than the inflation elements in the second section. - View Dependent Claims (25)
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26. A method for providing cardiac assistance with a cardiac wrap that engages an affected heart comprising:
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engaging a ventricular region of the heart with a wrap having a first section and a second section;
applying a first variable assist force to the left ventricular region with the first section; and
applying a second variable assist force to the right ventricular region with the second section;
wherein the step of engaging includes providing inflation elements in each of the first section and the second section that respectively apply the first variable assist force and the second variable assist force;
the method further comprising inflating the inflation elements in the first section at a first time and inflating the inflation elements in the second section at a second time, wherein the first time is different from the second time.- View Dependent Claims (27, 28)
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29. A flow-balanced cardiac wrap for assisting a ventricular region of an affected heart comprising:
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a first section having a first set of inflation elements that variably displace a left ventricular region of the heart over a first area;
a second section having a second set of inflation elements that variably displace a right ventricular region of the heart over a second area; and
wherein the first area is greater than the second area. - View Dependent Claims (30)
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31. A flow-balanced cardiac wrap for assisting a ventricular region of an affected heart comprising:
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a first section having a first set of inflation elements that variably displace a left ventricular region of the heart over a first area;
a second section having a second set of inflation elements that variably displace a right ventricular region of the heart over a second area; and
at least one dead space located between predetermined of the inflation elements on the second section so as to reduce displacement of the right ventricular region.
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32. A flow-balanced cardiac wrap for assisting a ventricular region of an affected heart comprising:
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a first section having a first set of inflation elements that variably displace a left ventricular region of the heart over a first area, each of the inflation elements of the first set defining a first internal cross-sectional area;
a second section having a second set of inflation elements that variably displace a right ventricular region of the heart over a second area, each of the inflation elements of the second set defining a second internal cross-sectional area; and
the first internal cross-sectional area is greater than the second internal cross-sectional area.
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33. A flow-balanced cardiac wrap for assisting a ventricular region of an affected heart comprising:
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a wrap body having a plurality of parallel inflation elements for displacing the ventricular region to assist the ventricular region; and
a plurality of non-distensible dead spaces between predetermined of the plurality of inflation elements, the dead spaces being adapted to be clinched together to define a plurality of shapes for the respective of the dead spaces and spacings between inflation elements adjacent the respective of the dead spaces, whereby fit of the wrap body to the ventricular region can be adjusted by cinching the dead spaces.
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34. A flow-balanced cardiac wrap for assisting a ventricular region of an affected heart comprising:
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a first section having a first set of inflation elements that variably displace a left ventricular region of the heart over a first area;
a second section having a second set of inflation elements that variably displace a right ventricular region of the heart over a second area; and
a first connector set on each of a pair of free ends of the first section and second connector set on each of a pair of free ends of the second section, the first connector set being adapted to interconnect with the second connector set at each of the free ends at a plurality of positions therebetween so as to enable a plurality of discrete configurations for the second section with respect to the first section. - View Dependent Claims (35, 36, 37)
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Specification