Ventricular assist device for intraventricular placement

• US 9,579,437 B2
• Filed: 09/28/2015
• Issued: 02/28/2017
• Est. Priority Date: 02/08/2008
• Status: Active Grant

• Current Assignee: Heartware,Inc. (Medtronic Plc)
• Original Assignee: Medtronic Heartware Incorporated
• Inventors: LaRose, Jeffrey A., Shambaugh, Charles R. Jr., White, Steve A., Tamez, Daniel
• Primary Examiner(s): FAIRCHILD, MALLIKA DIPAYAN
• Application Number:
  US14/867,696
• Publication Number:
  US 20160015880A1
• Time in Patent Office: 519 Days
• US Class Current: 1/1
• CPC Class Codes: A61M 2205/04 implanted
• CPC Class Codes: A61M 2205/103 rotating
• CPC Class Codes: A61M 2210/125 Heart
• 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 60/174 discharging the blood to the ventricle or arterial system via a cannula internal to the ventricle or arterial system
• 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 60/237 the blood flow through the rotating member having mainly axial components, e.g. axial flow pumps
• CPC Class Codes: A61M 60/419 the force acting on the blood contacting member being permanent magnetic, e.g. from a rotating magnetic coupling between driving and driven magnets
• 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 60/824 Hydrodynamic or fluid film bearings
• CPC Class Codes: A61M 60/857 Implantable blood tubes
• CPC Class Codes: A61M 60/863 Apex rings

Abstract

The present invention, in one embodiment, is a blood pump for intraventricular placement inside a heart of a mammalian subject including a rigid elongate member having a length between proximal and distal ends and a bore extending along the length, an anchor element connected towards the proximal end of the rigid elongate member and mounted to the subject'"'"'s heart, a pump having an inlet and an outlet, a rotor and at least one electric drive coil for magnetically driving the rotor, the pump connected at or adjacent to the distal end of the rigid elongate member remote from the anchor element and wiring extending through the bore to the pump, wherein the proximal end of the rigid elongate member extends past the anchor element to a position outside of the subject'"'"'s heart. Additional embodiments of a blood pump, and various methods of intraventricular placement inside a heart of a mammalian subject are also considered.

Claims

1. A blood pump for intraventricular placement inside a heart of a mammalian subject comprising:

a rigid elongate member having a length extending along a member axis between proximal and distal ends and a bore extending along the length;

an anchor element connected towards the proximal end of the rigid elongate member and adapted to be mounted to the subject'"'"'s heart, the elongate member and anchor element pivotable relative to one another;

a pump comprising an inlet at a first end and an outlet at a second end, the inlet and outlet positioned on a pump axis, a rotor having a rotor axis coincident with the pump axis, and at least one electric drive coil, spaced laterally from the pump and rotor axes, for magnetically driving the rotor, the pump connected at or adjacent to the distal end of the rigid elongate member remote from the anchor element, the rotor and pump axes offset from the member axis; and

wiring extending through the bore to the pump,

wherein the proximal end of the rigid elongate member is adapted to extend past the anchor element to a position outside of the subject'"'"'s heart.

2. The pump of claim 1, wherein the proximal end of the rigid elongate member includes a fitting through which the wiring passes into the bore of the rigid elongate member.

3. The pump of claim 2, wherein the wiring extends from a source of electrical power, through the fitting of the rigid elongate member, through the bore of the rigid elongate member, and to the at least one electric drive coil to drive the rotor of the pump.

4. The pump of claim 2, wherein the fitting is a fluid-tight feedthrough.

5. The pump of claim 1, wherein the rigid elongate member includes at least one curve along at least a portion of its length.

6. The pump of claim 1, wherein the rigid elongate member is connected to the inlet of the pump without occluding blood flow into the inlet of the pump.

7. The pump of claim 6, wherein the rigid elongate member is C-shaped forming an inner channel, and the bore has a cross-sectional shape of a partial annulus, wherein an inner diameter of the channel is similar to a diameter of the inlet of the pump such that blood can pass longitudinally along the channel and into the pump inlet.

8. The pump of claim 6, wherein the rigid elongate member has an outer surface having a cross-sectional shape of a teardrop, wherein the outer surface of the rigid elongate member is streamlined to facilitate fluid flow across the rigid elongate member.

9. The pump of claim 1, wherein the bore of the rigid elongate member has a cross-sectional shape of a circle, partial annulus, or teardrop.

10. A blood pump for intraventricular placement inside a heart of a mammalian subject comprising:

a pump adapted to be positioned within the heart, the pump comprising an inlet and an outlet, the inlet and the outlet positioned on a pump axis, a rotor and at least one electric drive coil for magnetically driving the rotor; and

wiring extending along a defined pathway from a location outside of the heart, through a wall of the heart and into a chamber of the heart, and to the at least one electric drive coil, the defined pathway offset from the pump axis and including a pivotable connection with the wall of the heart.

11. The Hood pump of claim 10, wherein the defined pathway is in communication with the inlet of the pump without occluding blood flow into the inlet of the pump.

12. The blood pump of claim 10, wherein the defined pathway comprises a bore through a conduit extending from the wall of the heart to the pump.

13. The blood pump of claim 12, wherein the bore is in communication with the inlet of the pump without occluding blood flow into the inlet of the pump.

14. A method for intraventricular placement inside a heart of a mammalian subject comprising:

providing a pump having a housing defined between an inlet and an outlet, the inlet and outlet positioned on a pump axis;

advancing the entirety of the pump housing through a wall of the subject'"'"'s heart and into a chamber of the subject'"'"'s heart;

extending wiring along a defined pathway from a location outside of the subject'"'"'s heart, through the wall of the subject'"'"'s heart, and to the pump to power the pump, wherein the defined pathway is offset from the pump axis;

mounting an anchor element to the wall of the subject'"'"'s heart; and

after the advancing and extending steps, pivoting the defined pathway relative to the anchor element.

15. The method of claim 14, wherein the step of extending the wiring includes extending the wiring along the defined pathway to one of the inlet or outlet of the pump without occluding blood flow through the inlet or outlet of the pump.

16. The method of claim 15, wherein the defined pathway is a bore extending axially through a rigid elongate member extending from the pump to the anchor element, wherein the pivoting step adjusts the position of the pump within the chamber of the subject'"'"'s heart.

17. The method of claim 16, wherein the wiring is extended through the wall of the subject'"'"'s heart through a passage in the anchor element through which the rigid elongate member extends.

18. A method for intraventricular placement inside a heart of a mammalian subject comprising:

providing an anchor element and a pump connected to a rigid elongate member remote from one another, the pump having an inlet and an outlet positioned on a pump axis and an outflow cannula, and the rigid elongate member including a member axis and wiring extending through the rigid elongate member, the pump axis offset from the member axis;

advancing the pump through a wall in an apex of the subject'"'"'s heart and into the left ventricle of the subject'"'"'s heart such that the outflow cannula extends from within the left ventricle through the aortic valve but terminates short of the arch of the aorta such that, other than the portion of the outflow cannula extending through the aortic valve, the pump is positioned entirely within the left ventricle;

mounting the anchor element to the apex of the subject'"'"'s heart; and

pivoting the elongated member relative to the anchor element to adjust the position of the pump within the left ventricle,

wherein the wiring extends from a location outside of the subject'"'"'s heart, through the anchor element at the apex of the subject'"'"'s heart, and to the pump to power the pump.

19. The method of claim 18, further comprising a bore extending axially through the rigid elongate member, wherein the step of extending the wiring includes extending the wiring through the bore of the rigid elongate member and to the pump.

20. The method of claim 19, wherein one end of the rigid elongate member extends past the anchor element to a position outside of the subject'"'"'s heart such that the portion of the wiring extending from a location outside of the subject'"'"'s heart and through the anchor element is positioned within the rigid elongate member therealong.

21. The method of claim 19, wherein the bore of the rigid elongate member is in communication with the inlet of the pump without occluding blood flow into the inlet of the pump.