Prevention of aortic valve fusion

• US 9,687,596 B2
• Filed: 09/10/2013
• Issued: 06/27/2017
• Est. Priority Date: 02/27/2009
• Status: Active Grant

• Current Assignee: TC1 LLC (Abbott Laboratories Incorporated)
• Original Assignee: TCI, LLC (Allient, Inc.)
• Inventors: Poirier, Victor
• Primary Examiner(s): PATTON, AMANDA K
• Application Number:
  US14/022,312
• Publication Number:
  US 20140012067A1
• Time in Patent Office: 1,386 Days
• Field of Search: 600 16- 17, 623 31, 623 328
• CPC Class Codes: A61M 2205/3334 Measuring or controlling the flow rate
• CPC Class Codes: A61M 2205/3344 Measuring or controlling pressure at the body treatment site
• CPC Class Codes: A61M 2205/3351 Controlling upstream pump pressure
• CPC Class Codes: A61M 2205/3355 Controlling downstream pump pressure
• 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 60/216 including a rotating member acting on the blood, e.g. impeller
• CPC Class Codes: A61M 60/411 generated by an electromotor
• 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

Abstract

Materials and methods related to blood pump systems are described. These can be used in patients to, for example, monitor arterial pressure, measure blood flow, maintain left ventricular pressure within a particular range, avoid left ventricular collapse, prevent fusion of the aortic valve in a subject having a blood pump, and provide a means to wean a patient from a blood pump.

Claims

1. A controller for a blood pump, the controller comprising:

an input configured to receive blood pressure information;

a processing device configured to generate a control signal based on the received blood pressure information, wherein the control signal is configured to cause the speed of the blood pump to be;

adjusted at a particular interval such that a pressure differential across an inflow conduit and an outflow conduit of the blood pump is adjusted to open the aortic valve; and

maintained at the adjusted speed for a predetermined length of time to permit washing of the aortic valve sinus or for 4-5 heart beats; and

an output configured to transmit the control signal to the blood pump.

2. The controller of claim 1, wherein the processing device is configured to generate the control signal to cause the speed of the blood pump to be reduced at the particular interval.

3. The controller of claim 2, wherein the processing device is further configured to generate the control signal to cause the speed of the blood pump to be increased after the predetermined length of time.

4. The controller of claim 1, wherein the particular interval comprises blood pump speed adjustment once every 5 to 20 minutes or 300 to 1200 heart beats.

5. The controller of claim 1, wherein the predetermined length of time comprises a range from 5 seconds to 30 seconds.

6. A controller for a blood pump, the controller comprising:

an input configured to receive blood pressure information, wherein the input is configured to receive, from the blood pump, information that indicates a difference in pressure between an inflow conduit of the blood pump and an outflow conduit of the blood pump;

a processing device configured to generate a control signal based on the received blood pressure information, wherein the control signal is configured to cause the speed of the blood pump to be;

adjusted at a particular interval such that a pressure differential across the inflow conduit and the outflow conduit of the blood pump is adjusted to open the aortic valve; and

maintained at the adjusted speed for a predetermined length of time;

wherein the processing device is configured to generate the control signal based on the information that indicates the difference in pressure between the inflow conduit of the blood pump and the outflow conduit of the blood pump; and

an output configured to transmit the control signal to the blood pump.

7. The controller of claim 6, wherein the processing device is configured to generate the control signal to cause the speed of the blood pump to be reduced at the particular interval.

8. A controller for a blood pump, the controller comprising:

an input configured to receive blood pressure information, wherein the input is configured to receive information indicating an inflow conduit pressure that is substantially equivalent to ventricular pressure and an outflow conduit pressure that is substantially equivalent to arterial pressure;

a processing device configured to generate a control signal based on the received blood pressure information, wherein the control signal is configured to cause the speed of the blood pump to be;

adjusted at a particular interval such that a pressure differential across the inflow conduit and the outflow conduit of the blood pump is adjusted to open the aortic valve; and

maintained at the adjusted speed for a predetermined length of time;

wherein the processing device is configured to generate the control signal based on the information indicating the inflow conduit pressure that is substantially equivalent to ventricular pressure and the outflow conduit pressure that is substantially equivalent to arterial pressure; and

an output configured to transmit the control signal to the blood pump.

9. The controller of claim 8, wherein the processing device is configured to generate the control signal to cause the speed of the blood pump to be adjusted such that, during systole, the ventricular pressure is equal to or exceeds the arterial pressure.

10. The controller of claim 8, wherein the processing device is configured to generate the control signal to cause the speed of the blood pump to be adjusted such that such that the ventricular pressure exceeds the arterial pressure.

11. The controller of claim 8, wherein the processing device is configured to generate the control signal to cause the speed of the blood pump to be reduced at the particular interval.

12. A machine-readable storage device storing instructions that, when executed by one or more processors, cause the one or more processors to perform operations comprising:

receiving blood pressure information; and

sending a control signal to a blood pump based on the received blood pressure information, the control signal causing the speed of the blood pump to be;

adjusted at a particular interval such that a pressure differential across an inflow conduit and an outflow conduit of the blood pump is adjusted to open the aortic valve; and

maintained at the adjusted speed for a predetermined length of time to permit washing of the aortic valve sinus or for 4-5 heart beats.

13. The machine-readable storage device of claim 12, wherein sending the control signal causing the speed of the blood pump to be adjusted comprises sending a signal causing the speed of the blood pump to be reduced at the particular interval.

14. The machine-readable storage device of claim 13, further comprising sending a signal causing the speed of the blood pump to be increased after the predetermined length of time.

15. The machine-readable storage device of claim 12, wherein the particular interval comprises blood pump speed adjustment once every 5 to 20 minutes or 300 to 1200 heart beats.

16. The machine-readable storage device of claim 12, wherein the predetermined length of time comprises a range from 5 seconds to 30 seconds.

17. A machine-readable storage device storing instructions that, when executed by one or more processors, cause the one or more processors to perform operations comprising:

receiving blood pressure information, wherein receiving the blood pressure information comprises receiving, from a blood pump, information that indicates a pressure differential between an inflow conduit of the blood pump and an outflow conduit of the blood pump; and

sending a control signal to the blood pump based on the received blood pressure information, the control signal causing the speed of the blood pump to be;

adjusted at a particular interval such that a pressure differential across the inflow conduit and the outflow conduit of the blood pump is adjusted to open the aortic valve; and

maintained at the adjusted speed for a predetermined length of time.

18. The machine-readable storage device of claim 17, wherein sending the control signal causing the speed of the blood pump to be adjusted comprises sending a signal causing the speed of the blood pump to be reduced at the particular interval.

19. A machine-readable storage device storing instructions that, when executed by one or more processors, cause the one or more processors to perform operations comprising:

receiving blood pressure information, wherein receiving blood pressure information comprises receiving information indicating an inflow conduit pressure that is substantially equivalent to ventricular pressure and an outflow conduit pressure that is substantially equivalent to arterial pressure; and

sending a control signal to a blood pump based on the received blood pressure information, the control signal causing the speed of the blood pump to be;

adjusted at a particular interval such that a pressure differential across the inflow conduit and the outflow conduit of the blood pump is adjusted to open the aortic valve; and

maintained at the adjusted speed for a predetermined length of time.

20. The machine-readable storage device of claim 19, wherein sending the control signal causing the speed of the blood pump to be adjusted comprises sending a signal causing the speed of the blood pump to be adjusted such that, during systole, the ventricular pressure is equal to or exceeds the arterial pressure.

21. The machine-readable storage device of claim 19, wherein sending the control signal causing the speed of the blood pump to be adjusted comprises sending a signal causing the speed of the blood pump to be adjusted such that such that the ventricular pressure exceeds the arterial pressure.

22. The machine-readable storage device of claim 19, wherein sending the control signal causing the speed of the blood pump to be adjusted comprises sending a signal causing the speed of the blood pump to be reduced at the particular interval.