Guidable intravascular blood pump and related methods

• US 7,022,100 B1
• Filed: 09/01/2000
• Issued: 04/04/2006
• Est. Priority Date: 09/03/1999
• Status: Expired due to Term

• Current Assignee: Maquet Cardiovascular LLC (Getinge AB)
• Original Assignee: A-Med Systems, Inc.
• Inventors: Baker, Bruce, Kanz, William R, Aboul-Hosn, Walid N
• Primary Examiner(s): Bianco, Patricia
• Application Number:
  US10/070,178
• Time in Patent Office: 2,041 Days
• Field of Search: 604/4.01, 604/6.11, 604/6.16, 604/8, 604/19, 604/27, 604/28, 604 39- 45, 604/151, 604154- 5, 623/3.1, 623/3.13, 623 326- 328, 600/16, 600/17, 417/45, 417/244, 417/246, 417/348, 417/356, 417/366
• US Class Current: 604/6.11
• CPC Class Codes: A61M 2025/0177 having external means for receiving guide wires, wires or stiffening members, e.g. loops, clamps or lateral tubes
• CPC Class Codes: A61M 2025/0183 Rapid exchange or monorail catheters
• CPC Class Codes: A61M 2205/3348 Pressure measurement using a water column
• CPC Class Codes: A61M 25/09 Guide wires
• CPC Class Codes: A61M 60/13 by means of a catheter allowing explantation, e.g. catheter pumps temporarily introduced via the vascular system
• 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 60/221 the blood flow through the rotating member having both radial and axial components, e.g. mixed flow 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 60/414 transmitted by a rotating cable, e.g. for blood pumps mounted on a catheter
• CPC Class Codes: A61M 60/422 the force acting on the blood contacting member being electromagnetic, e.g. using canned motor pumps
• CPC Class Codes: A61M 60/523 using blood flow data, e.g. from blood flow transducers
• CPC Class Codes: A61M 60/531 using blood pressure data, e.g. from blood pressure sensors
• CPC Class Codes: A61M 60/825 Contact bearings, e.g. ball-and-cup or pivot bearings
• CPC Class Codes: A61M 60/827 Sealings between moving parts
• CPC Class Codes: A61M 60/829 having a purge fluid supply
• CPC Class Codes: A61M 60/857 Implantable blood tubes
• CPC Class Codes: A61M 60/865 Devices for guiding or inserting pumps or pumping devices into the patient's body
• 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

An improved intravascular blood pump system (10) and related methods involving the broad inventive concept of equipping the intravascular blood pump (12) with guiding features such that the intravascular blood pump can be selectively positioned at a predetermined location within the circulatory system of a patient.

Claims

1. An intravascular blood pump system comprising:

an intravascular blood pump having a cannula coupled thereto, said intravascular blood pump including a rotor, a shroud for receiving said rotor, and a drive cable coupled to said rotor for driving said rotor within said shroud, said cannula being coupled to said shroud of said intravascular blood pump, and

a guide mechanism adapted to guide said intravascular blood pump and cannula to a predetermined location within the circulatory system of a patient, wherein said guide mechanism comprises a guide catheter coupled to said shroud.

2. The intravascular blood pump system of claim 1 and further, wherein a perfusion assembly is provided communicatively coupled to said guide catheter for selectively rerouting blood from within said guide catheter to a point downstream from the introduction site of said guide catheter into the vasculature of said patient.

3. The intravascular blood pump system of claim 2 and further, wherein said perfusion assembly includes a first conduit communicatively coupled to said guide catheter, a second conduit dimensioned to be introduced into the vasculature of the patient, and a selectively operable valve disposed in between said first conduit and said second conduit.

4. The intravascular blood pump system of claim 1 and further, wherein said guide mechanism further includes guide element for passage through the guide catheter to facilitate placement of said shroud and said cannula at said predetermined location within the vasculature of the patient.

5. The intravascular blood pump system of claim 4 and further, wherein said guide element comprises at least one of a guide wire and a balloon catheter.

6. The intravascular blood pump system of claim 1 and further, wherein said guide mechanism further includes a guide element for passage through a side lumen formed along at least a portion of said guide catheter.

7. The intravascular blood pump system of claim 6 and further, wherein said guide element comprises at least one of a guide wire and a balloon catheter.

8. The intravascular blood pump system of claim 1 and further, wherein said guide catheter may be used to guide said shroud and cannula to said predetermined location within the circulatory system of said patient, after which point said rotor and drive cable of said intravascular blood pump may be docked within said shroud for pump operation.

9. An intravascular blood pump system comprising:

an intravascular blood pump having a cannula coupled thereto, said intravascular blood pump including a rotor, a shroud for receiving said rotor, and a drive cable coupled to said rotor for driving said rotor within said shroud, and

a guide mechanism adapted to guide said intravascular blood pump and cannula to a predetermined location within the circulatory system of a patient,

wherein a drive cable sheath is provided having a central lumen for receiving said drive cable, and

wherein a purge fluid delivery system is coupled to said drive cable sheath to deliver purge fluid to said rotor.

10. The intravascular blood pump system of claim 9 and further, wherein said guide mechanism comprises a guide element disposed at least partially within said cannula.

11. The intravascular blood pump system of claim 10 and further, wherein said guide element comprises a guide wire for passage through a side lumen formed in said cannula.

12. The intravascular blood pump system of claim 11 and further, wherein said intravascular blood pump and cannula may be selectively advanced to said predetermined location within the vasculature of the patient by first passing said guide wire to said predetermined location and thereafter sliding said intravascular blood pump and cannula along said guide wire to said predetermined location.

13. The intravascular blood pump system of claim 10 and further, wherein said guide element comprises a selectively deformable element disposed at least partially within said cannula.

14. The intravascular blood pump system of claim 9 and further, wherein said drive cable sheath includes at least one side lumen for delivering said purge fluid towards said rotor.

15. The intravascular blood pump system of claim 14 and further, wherein a portion of said purge fluid is delivered through said at least one side lumen and past said rotor, and a portion of purge fluid is rerouted back from said rotor through said central lumen of said drive cable.

16. An intravascular blood pump system comprising:

an intravascular blood pump having a cannula coupled thereto,

a guide mechanism adapted to guide said intravascular blood pump and cannula to a predetermined location within the circulatory system of a patient, and

a blood pressure detection mechanism to detect the pressure of the blood proximate at least one of the intravascular blood pump and cannula.

17. The intravascular blood pump system of claim 16 and further, wherein said blood pressure detection mechanism comprises at least one of fluid filled column disposed within at least a portion of said cannula, a piezoelectric element coupled to at least one of the intravascular blood pump and cannula, and a strain gauge coupled to at least one of the intravascular blood pump and cannula.

18. The intravascular blood pump system of claim 16 and further, wherein said blood pressure detection mechanism involves calculating blood pressure based on the relationship between the torque and motor current of a motor used to drive said rotor.

19. An intravascular blood pump system comprising:

an intravascular blood pump having a cannula coupled thereto, said intravascular blood pump including a rotor, a shroud for receiving said rotor, and a drive cable coupled to said rotor for driving said rotor within said shroud, and

a guide mechanism adapted to guide said intravascular blood pump and cannula to a predetermined location within the circulatory system of a patient,

said guide element comprising a guide wire for passage through a lumen extending through said drive cable and rotor.

20. The intravascular blood pump system of claim 19 and further, wherein said intravascular blood pump and cannula may be selectively advanced to said predetermined location within the vasculature of the patient by first passing said guide wire to said predetermined location and thereafter sliding said intravascular blood pump and cannula along said guide wire to said predetermine location.