Prevention of aortic valve fusion

• US 10,046,098 B2
• Filed: 05/22/2017
• Issued: 08/14/2018
• Est. Priority Date: 02/27/2009
• Status: Active Grant

• Current Assignee: TC1 LLC (Abbott Laboratories Incorporated)
• Original Assignee: TC1 LLC (Abbott Laboratories Incorporated)
• Inventors: Poirier, Victor
• Primary Examiner(s): Patton, Amanda
• Application Number:
  US15/601,781
• Publication Number:
  US 20170258974A1
• Time in Patent Office: 449 Days
• 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 controlling a blood pump, the controller comprising:

an input configured to receive (i) information indicating a left ventricular pressure of a heart, and (ii) information indicating an arterial pressure;

a processing device configured to generate a control signal to reduce a speed of the blood pump based on the left ventricular pressure and the arterial pressure such that left ventricular pressure is increased to open an aortic valve of the heart at a particular interval, wherein the reduced speed is maintained for a predetermined length of time comprising a range of 5 seconds to 30 seconds; and

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

2. The controller of claim 1, wherein the input is configured to receive (i) information indicating a left ventricular pressure detected by a sensor at an inflow conduit of the blood pump, and (ii) information indicating an arterial pressure detected by a sensor at an outflow conduit of the blood pump.

4. The controller of claim 1, wherein the processing device is configured to generate the control signal to reduce the speed of the blood pump such that the left ventricular pressure substantially equals the arterial pressure.

5. The controller of claim 1, wherein the processing device is configured to generate the control signal to reduce the speed of the blood pump such that the left ventricular pressure exceeds the arterial pressure.

7. The controller of claim 1, wherein the processing device is further configured to generate the control signal to increase the speed of the blood pump after the predetermined length of time to reduce left ventricular pressure to a pressure level present before the speed was reduced.

15. The controller of claim 1, wherein the particular interval comprises periodically reducing blood pump speed once every 5 to 20 minutes.

16. The controller of claim 1, wherein the particular interval comprises periodically reducing blood pump speed once every 300 to 1200 heart beats.

17. The controller of claim 1, wherein the particular interval is intermittent.

18. The controller of claim 1, wherein the speed is reduced to permit washing of the aortic valve sinus or for 5 to 30 heart beats.

3. A controller for controlling a blood pump, the controller comprising:

an input configured to receive (i) information indicating a left ventricular pressure of a heart, and (ii) information indicating an arterial pressure;

a processing device configured to generate a control signal to adjust a speed of the blood pump based on the left ventricular pressure and the arterial pressure such that left ventricular pressure is increased to open an aortic valve of the heart at a particular interval, wherein the control signal maintains the adjusted speed of the blood pump for 5 to 10 beats or a period that permits washing of an aortic valve sinus of the heart; and

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

6. The controller of claim 3, wherein the processing device is configured to generate the control signal to adjust the speed of the blood pump such that the left ventricular pressure equals or exceeds the arterial pressure during systole.

19. The controller of claim 3, 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.

20. The controller of claim 19, wherein the processing device is further configured to generate the control signal to increase the speed of the blood pump to a previously set level so that the left ventricular pressure decreases relative to the arterial pressure.

8. 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 information indicating a left ventricular pressure of a patient;

receiving information indicating an arterial pressure of the patient;

reducing a speed of a blood pump based on the left ventricular pressure and the arterial pressure such that left ventricular pressure is increased to open an aortic valve of the heart at a particular interval; and

maintaining the reduced speed for a predetermined length of time comprising a range of 5 seconds to 30 seconds.

9. The machine-readable storage device of claim 8, wherein receiving information indicating the left ventricular pressure of the heart comprises receiving information indicating a left ventricular pressure detected by a sensor at an inflow conduit of the blood pump;

and

wherein receiving information indicating an arterial pressure comprises receiving information indicating an arterial pressure detected by a sensor at an outflow conduit of the blood pump.

10. The machine-readable storage device of claim 8, wherein the operations further comprise maintaining the reduced speed of the blood pump for 5 to 10 beats or a period that permits washing of an aortic valve sinus of the heart.

11. The machine-readable storage device of claim 8, wherein the speed of the blood pump is reduced such that the left ventricular pressure substantially equals the arterial pressure.

12. The machine-readable storage device of claim 8, wherein the speed of the blood pump is reduced such that the left ventricular pressure exceeds the arterial pressure.

13. The machine-readable storage device of claim 8, wherein the speed of the blood pump is reduced such that the left ventricular pressure equals or exceeds the arterial pressure during systole.

14. The machine-readable storage device of claim 8, further comprising increasing the speed of the blood pump after the predetermined length of time to reduce left ventricular pressure to a pressure level present before the speed was reduced.