Methods and systems for controlling a blood pump

• US 9,694,123 B2
• Filed: 04/15/2015
• Issued: 07/04/2017
• Est. Priority Date: 04/15/2014
• Status: Active Grant

• Current Assignee: TC1 LLC (Abbott Laboratories Incorporated)
• Original Assignee: TC1 LLC (Abbott Laboratories Incorporated)
• Inventors: Kimball, Brian, Bourque, Kevin, Dague, Charles P.
• Primary Examiner(s): Fairchild, Mallika D
• Application Number:
  US14/687,643
• Publication Number:
  US 20150290374A1
• Time in Patent Office: 811 Days
• CPC Class Codes: A61M 2205/3334 Measuring or controlling the flow rate
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2205/8212 with means or measures taken for minimising energy consumption
• CPC Class Codes: A61M 2205/8243 by induction
• CPC Class Codes: A61M 2205/8262 connectable to external power source, e.g. connecting to automobile battery through the cigarette lighter
• 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 60/232 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 60/422 the force acting on the blood contacting member being electromagnetic, e.g. using canned motor pumps
• CPC Class Codes: A61M 60/569 synchronous with the native heart beat
• CPC Class Codes: A61M 60/81 Pump housings
• CPC Class Codes: A61M 60/857 Implantable blood tubes
• CPC Class Codes: A61M 60/873 specially adapted for wireless or transcutaneous energy transfer [TET], e.g. inductive charging
• CPC Class Codes: A61M 60/876 Implantable batteries

Abstract

The present invention generally relates to ventricular assist device power monitoring and conservation. In some embodiments, a pump controller may transition the pump to operate in a power-saving operational mode when a power source and/or a power source condition indicate a need to conserve power. In some embodiments, when the power source is an emergency battery and when the emergency battery has powered the pump for an extended period of time, the controller may signal the pump to operate in the power saving-operational mode. In some embodiments, when a low power hazard condition is triggered by signals from one or more external power sources, the controller may signal the pump to transition to the power-saving operational mode if the condition lasts for an extended period of time. In some embodiments, the controller may trigger the power-saving mode when the emergency backup battery is below a voltage threshold.

Claims

1. A method for controlling an implantable blood pump with an external controller, the method comprising:

identifying a status of one or more power sources for the implantable blood pump that is indicative of a mode to conserve power; and

transmitting, from the external controller, a command signal to the implantable blood pump to transition the implantable blood pump from a pulsatile pumping operation to a constant speed operation, the constant speed operation consuming less power than the pulsatile pumping operation; and

receiving and processing, with electronics of the implantable blood pump, the command signal to transition the implantable blood pump from the pulsatile pumping operation to the constant speed operation;

wherein identifying the power source status that is indicative of the mode to conserve power comprises;

identifying a low power hazard condition status;

identifying a duration of time in which the implantable blood pump is operated in the low power hazard condition; and

comparing the duration of time to a threshold time period; and

transmitting the command signal to the implantable blood pump when the duration of time exceeds the threshold time period.

2. The method of claim 1, wherein the low power hazard condition is identified by monitoring a status of a first cable and a second cable coupled to the external controller of the implantable blood pump.

3. The method of claim 2, wherein the first cable and the second cable are assigned:

a first fault status when;

     1) relative state of charge information associated with the respective cable is indicative of a rechargeable battery power source below a first threshold charge, or

     2) relative state of charge information associated with the respective cable is indicative of a power module and voltage information is below a first power module threshold voltage;

a second fault status when;

     1) relative state of charge information associated with the respective cable is indicative of a rechargeable battery power source below a second threshold charge, the second threshold charge being lower than the first threshold charge, or

     2) relative state of charge information associated with the respective cable is indicative of a rechargeable battery power source and voltage information is below a battery threshold voltage, or

     3) relative state of charge information associated with the respective cable is indicative of a power module and voltage information is below a second power module threshold voltage, the second power module threshold voltage being lower than the first power module threshold voltage;

an unknown fault status when relative state of charge of the respective cable is indicative of an unknown power source;

a disconnect fault status when voltage information associated with the respective cable is indicative of a disconnected cable; and

a third status when the first cable or second cable are not assigned a first fault status, a second fault status, an unknown fault status, or a disconnect fault status.

4. The method of claim 3, wherein the low power hazard condition is triggered when the first cable is assigned the first fault status, the second fault status, or the unknown fault status, while the second cable is assigned the disconnect fault status, the unknown fault status, or the second fault status.

5. The method of claim 3, further comprising transmitting a second signal to the implantable blood pump to transition back to the pulsatile pumping operation when the first cable or second cable is assigned the third status or when the first cable and the second cable are assigned the second fault status.

6. The method of claim 1, wherein identifying the power source status that is indicative of the mode to conserve power comprises identifying the power source as an emergency battery which has powered the pump for greater than a threshold time period.

7. The method of claim 6, wherein the threshold time period is at least 15 minutes.

8. The method of claim 1, wherein identifying the power source status that is indicative of the mode to conserve power comprises identifying the power source as an emergency battery which is below a threshold voltage.

9. The method of claim 8, wherein the threshold voltage is equal to or less than 10.4 volts.

10. The method of claim 1, wherein the electronics of the implantable blood pump are on-board the pump.

11. The method of claim 1, wherein the electronics of the implantable blood pump include a processor.

12. The method of claim 1, wherein the electronics of the implantable blood pump execute software for transitioning the implantable blood pump from the pulsatile pumping operation to the constant speed operation in response to the command signal.

13. A method for controlling an implantable blood pump with a controller, the method comprising:

identifying a status of one or more power sources for the implantable blood pump that is indicative of a mode to conserve power; and

transmitting a signal to the implantable blood pump from the controller-to transition from a pulsatile pumping operation to a constant speed operation, the constant speed operation consuming less power than the pulsatile pumping operation;

wherein identifying the power source status that is indicative of the mode to conserve power comprises identifying a disconnection between the controller and one or more external power sources or a low power hazard condition status;

wherein identifying the power source status that is indicative of the mode to conserve power comprises;

identifying a duration of time in which the controller is disconnected from the one or more external power sources or a duration of time in which the implantable blood pump is operated in the low power hazard condition; and

comparing the duration of time to a threshold time period; and

transmitting the signal to the implantable blood pump when the duration of time exceeds the threshold time period.

14. The method of claim 13, wherein the threshold time period is at least 15 minutes.

15. A method of controlling an implantable blood pump with an external controller, the implantable blood pump being powered by one or more power sources, the method comprising:

determining a type of one or more power sources that are powering the implantable blood pump;

identifying an operating condition associated with the type of one or more power sources that is indicative of a mode to conserve power;

transmitting, from the external controller, a command signal to the implantable blood pump to transition the implantable blood pump from a first operational mode to a second operational mode upon the identification of the operating condition associated with the type of one or more power sources that is indicative of the mode to conserve power, the second operational mode consuming less power than the first operational mode;

receiving and processing, with electronics of the implantable blood pump, the command signal to transition the implantable blood pump from the first operational mode to the second operational mode;

wherein identifying the operating condition that is indicative of the mode to conserve power comprises;

identifying a low power hazard condition status;

identifying a duration of time in which the implantable blood pump is operated in the low power hazard condition; and

comparing the duration of time to a threshold time period; and

transmitting the command signal to the implantable blood pump when the duration of time exceeds the threshold time period.

16. The method of claim 15, wherein the external controller determines the one or more power sources as an emergency battery housed within the external controller when the external controller is disconnected from external power sources.

17. The method of claim 16, wherein the operating condition associated with the emergency battery that is indicative of the mode to conserve power comprises a voltage of the emergency battery below a threshold voltage or the emergency battery powering the implantable blood pump a duration of time that exceeds a threshold time period.

18. The method of claim 15, wherein determining the type of one or more power sources comprises determining whether a first cable and a second cable couple one or more external power sources to the external controller.

19. The method of claim 18, wherein determining whether the first cable and the second cable are connected to one or more external power sources comprises:

monitoring voltage information associated with the first cable and the second cable;

comparing the voltage information to a connection threshold;

determining that the first or second cable is connected when the associated voltage information is greater than or equal to the connection threshold;

determining that the first or second cable is disconnected when the associated voltage information is less than the connection threshold; and

reporting a disconnect fault status to the first or second cable when the first or second cable are determined to be disconnected from the external controller.

20. The method of claim 19, wherein the signal is transmitted to the implantable blood pump when the first and second cable are determined to be disconnected from the external controller for a time period greater than greater than or equal to 10 minutes.

21. The method of claim 19, wherein, when the first or second cable are determined to be connected, the one or more power sources may be categorized as an external battery or a power module based on relative state of charge information associated with the first or second cable.

22. The method of claim 21, wherein the one or more power sources are determined to be a rechargeable battery when the relative state of charge information associated with the first or second cable is greater than a minimum battery threshold and less than or equal to a maximum battery threshold.

23. The method of claim 21, wherein the one or more power sources are determined to be a power module when the relative state of charge information associated with the first or second cable is greater than a power module threshold.

24. The method of claim 21, wherein the one or more power sources are determined to be an unknown power source when the relative state of charge information associated with the first or second cable falls outside relative state of charge ranges associated with the external battery and the power module;

and

wherein the method further comprises reporting an unknown fault status to the first or second cable when the external power source is categorized as an unknown power source.

25. The method of claim 24, further comprising monitoring relative state of charge information and the voltage information associated with the first and second cables to identify the operating condition that is indicative of a mode to conserve power;

and

reporting fault statuses to the first or second cable based on the relative state of charge information and the voltage information.

26. The method of claim 25, wherein reporting fault statuses comprises:

reporting a first fault status to the first and/or second cable when a relative state of charge is less than 1130 mV and greater than or equal to 330 mV;

reporting the first fault status to the first and/or second cable when the external power source is characterized as the rechargeable battery and the voltage is greater than 1000 mV and less than or equal to 13200 mV or when the external power source is characterized as the power module and the voltage is greater than 1000 mV and less than 10400 mV;

reporting a second fault status to the first and/or second cable when the relative state of charge is less than 1930 mV and greater than or equal to 1130 mV;

reporting the second fault status to the first and/or second cable when the external power source is characterized as the power module and the voltage is greater than 10400 mV and less than or equal to 11200 mV; and

reporting a third status to the first and/or second cable when the first and/or second cable is not issued the first fault status, the second fault status, the unknown fault status, or the disconnected fault status.

27. The method of claim 26, wherein the operating condition that is indicative of the mode to conserve power comprises operating the implantable blood pump for a time period greater than 10 minutes when the first cable is assigned the first fault status, the second fault status, or the unknown fault status while the second cable is assigned the first fault status, unknown fault status, or the disconnected fault status.

28. The method of claim 27, further comprising transmitting a second signal to the implantable blood pump to transition back to the first operational mode when the first cable or second cable is assigned the third status or when the first cable and the second cable are assigned the second fault status.

29. The method of claim 15, wherein the first operational mode is a pulsatile operational mode, and wherein the second operational mode is a constant speed operational mode.

30. The method of claim 15, wherein the first operational mode and the second operational mode are pulsatile operational modes, and the second operational mode consuming less power than the first operational mode by operating at a lower flow rate.

31. The method of claim 15, wherein the first operational mode and the second operational mode are constant speed modes, the second operational mode consuming less power than the first operational mode by operating at a lower flow rate.

32. A implantable blood pump system, comprising:

an implantable blood pump configured to supplement or replace the pumping function of a heart and;

an external controller communicatively coupled with the implantable blood pump and configured to identify a status of one or more power sources for the implantable blood pump that is indicative of a mode to conserve power, and transmit a command signal to the implantable blood pump to transition from a pulsatile pumping mode to a constant speed mode, the constant speed mode consuming less power than the pulsatile pumping operation; and

wherein the implantable blood pump includes associated electronics for receiving and processing the command signal to transition the implantable blood pump from the pulsatile pumping mode to the constant speed mode;

wherein the external controller is configured to identify a low power hazard condition status as being indicative of the mode to conserve power;

wherein the external controller is configured to identify a duration of time in which the implantable pump is operated in the low power hazard condition; and

wherein the external controller is configured to compare the duration of time to a threshold time period; and

wherein the controller is configured to transmit the command signal to the implantable blood pump to transition from the pulsatile pumping mode to the constant speed mode when the duration of time exceeds the threshold time period.

33. The system of claim 32, wherein the external controller is configured to couple to one or more external power sources for powering the implantable blood pump and wherein the external controller comprises an emergency battery for powering the implantable blood pump when the external controller is disconnected from the external power source;

wherein the external controller is configured to transmit the signal when the external controller determines that the emergency battery is powering the implantable blood pump for greater than a threshold time period.

34. The system of claim 33, wherein the threshold time period is greater than 10 minutes.

35. The system of claim 32, wherein the external controller is configured to couple to one or more external power sources for powering the implantable blood pump and wherein the external controller comprises an emergency battery for powering the implantable blood pump when the external controller is disconnected from the external power source;

wherein the external controller is configured to transmit the signal when the external controller determines that the emergency battery is below a threshold voltage.

36. The system of claim 35, wherein the threshold voltage is equal to or less than 10.4 volts.

37. The system of claim 32, wherein the external controller is configured to couple to one or more external power sources by a first cable and a second cable, and wherein the external controller is configured to monitor the first cable and the second cable and to report fault statuses to the first cable and the second cable based on relative state of charge information and voltage information associated with the first cable and associated with the second cable;

and wherein the low power hazard condition is triggered by one or more fault statuses issued to the first and/or second cable by the external controller.

38. The system of claim 37, wherein the threshold time period is 10 minutes or more.