Blood flow meter

• US 8,449,444 B2
• Filed: 02/27/2009
• Issued: 05/28/2013
• Est. Priority Date: 02/27/2009
• Status: Active Grant

• Current Assignee: TC1 LLC (Abbott Laboratories Incorporated)
• Original Assignee: Thoratec LLC
• Inventors: Poirier, Victor
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): VOORHEES, CATHERINE M
• Application Number:
  US12/394,244
• Publication Number:
  US 20100222634A1
• Time in Patent Office: 1,551 Days
• Field of Search: 600 16- 18, 600485-486
• US Class Current: 600/17
• 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 60/216 including a rotating member acting on the blood, e.g. impeller
• CPC Class Codes: A61M 60/531 using blood pressure data, e.g. from blood pressure sensors
• CPC Class Codes: A61M 60/554 of blood pressure
• CPC Class Codes: A61M 60/857 Implantable blood tubes

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 blood pump system, comprising:

a blood pump having an inflow conduit for receiving blood from a left ventricle of a heart and an outflow conduit for returning blood to a circulatory system; and

a controller operably connected to the blood pump;

wherein the inflow conduit comprises a first sensor located on or within the inflow conduit, the first sensor being located to detect an inflow conduit pressure that is substantially the same as left ventricular pressure, wherein the first sensor is configured to send a signal regarding the inflow conduit pressure to the controller,

wherein said outflow conduit comprises a second sensor located on or within the inflow conduit, the second sensor being located to detect an outflow conduit pressure that is substantially the same as arterial pressure, wherein the second sensor is configured to send a signal regarding the outflow conduit pressure to the controller, and

wherein the controller is configured to;

calculate blood flow through the blood pump; and

periodically reduce the flow of blood through the blood pump based on the inflow conduit pressure and the outflow conduit pressure to cause the inflow conduit pressure to be substantially equal to or greater than the outflow conduit pressure.

2. The blood pump system of claim 1, wherein the controller is configured to output information regarding the calculated blood flow for display.

3. The blood pump system of claim 1, wherein the blood flow calculation is based on the detected left ventricular pressure and the detected arterial pressure.

4. The blood pump system of claim 1, wherein the blood flow calculation is based on detected pressure changes within the blood pump.

5. The blood pump system of claim 1, wherein the blood flow calculation is based on a motor speed of the pump and the pressure drop across the pump.

6. The blood pump system of claim 1, wherein the blood flow is calculated using the following formula:

Flow=(pump outlet pressure−

pump inlet pressure)×

C,

where C=an empirically derived constant describing the pump geometry, surface conditions, and viscosity.

7. The blood pump system of claim 1, wherein the first and second sensors are configured to detect left ventricular pressure and arterial pressure, respectively, on a continuous basis.

8. The blood pump system of claim 1, wherein the first and second sensors are configured to detect left ventricular pressure and arterial pressure, respectively, on a periodic basis.

9. The blood pump system of claim 1, wherein the first and second sensors are configured to detect left ventricular pressure and arterial pressure, respectively, on an on-demand basis.

10. The blood pump system of claim 1, wherein to periodically reduce the flow of blood through the blood pump, the controller is configured to adjust the speed of the blood pump to cause the inflow conduit pressure to equal or exceed the outflow conduit pressure during systole.

11. The blood pump system of claim 1, wherein to periodically reduce the flow of blood through the blood pump, the controller is configured to repeatedly cause, at an interval, an adjustment to the speed of the blood pump that increases the inflow pressure relative to the outflow pressure.

12. The blood pump system of claim 1, wherein to periodically reduce the flow of blood through the blood pump, the controller is configured to, at an interval:

reduce the speed of the blood pump, and

maintain the reduced speed for a predetermined length of time.

13. The blood pump system of claim 1, wherein to periodically reduce the flow of blood through the blood pump, the controller is configured to send a signal to the blood pump that adjusts the speed of the blood pump to permit washing of an aortic valve sinus.

14. A blood pump system, comprising:

a blood pump having an inflow conduit for receiving blood from a left ventricle of a heart and an outflow conduit for returning blood to a circulatory system; and

a controller operably connected to the blood pump;

wherein the inflow conduit comprises a first sensor located on or within the inflow conduit, the first sensor being located to detect an inflow conduit pressure that is substantially the same as left ventricular pressure, wherein the first sensor is configured to send a signal regarding the inflow conduit pressure to the controller,

wherein said outflow conduit comprises a second sensor located on or within the inflow conduit, the second sensor being located to detect an outflow conduit pressure that is substantially the same as arterial pressure, wherein the second sensor is configured to send a signal regarding the outflow conduit pressure to the controller, and

wherein the controller is configured to;

calculate blood flow through the blood pump; and

cause periodic reductions in blood flow through the blood pump that occur at an interval, each of the reductions in blood flow increasing the inflow conduit pressure to substantially equal to or greater than the outflow conduit pressure.

15. The blood pump system of claim 14, wherein to cause the periodic reductions in blood flow through the blood pump, the controller is configured to, at the interval, decrease the speed of the blood pump to cause an aortic valve to open.