Ventricular assist device and related methods
A method and system are provided for percutaneously gaining access to oxygenated blood with one or more anastomosis devices and pumping such oxygenated blood directly to the aorta adjacent to the right atrium or left atrium via a VAD system. In one embodiment, a VAD system can be implanted with open surgery.
1. A system to assist a left ventricle of a heart, the system comprising:
an anastomosis device coupled to a septum between two chambers of the heart, the anastomosis device configured to provide a pathway between the two chambers;
a flow path including at least one conduit and configured to flow oxygenated blood from at least one of the left atrium and the left ventricle, through the anastomosis device, through the superior vena cava and back to an artery;
a pumping device coupled with the at least one conduit; and
a filament coupled to the anastomosis device, wherein the filament exhibits sufficient length to extend from the anastomosis device through the superior vena cava and to an access point associated with at least one of a jugular vein and a subclavian vein;
wherein the filament comprises multiple wires configured to facilitate power and control of the pumping device via a controller.
2. The system of claim 1 , wherein the at least one conduit includes:
a first conduit coupled with the anastomosis device and extending through the superior vena cava; and
a second conduit extending through one of a brachial artery, a carotid artery, a subclavian artery, and a axillary artery and having an outlet disposed in an aortic artery.
3. The system of claim 2 , wherein the pumping device is coupled between the first conduit and the second conduit.
4. The system of claim 1 , wherein the pumping device is coupled between the anastomosis device and the at least one conduit.
5. The system of claim 1 , wherein the pumping device is coupled directly to the anastomosis device.
6. The system of claim 1 , wherein the anastomosis device is shaped and configured to be substantially flush with a left wall of the septum.
7. The system of claim 1 , wherein a portion of the anastomosis device protrudes past a left wall of the septum, and wherein the portion includes a plurality of openings therein.
8. The system of claim 1 , wherein the anastomosis device comprises a tubular structure extending between a first end and a second end, the anastomosis device having a shoulder extending laterally from the first end of the tubular structure such that the shoulder is positioned substantially flush with a left atrium wall at the septum and the second end extending into the right atrium.
9. The system of claim 8 , wherein the at least one conduit is coupled directly to the second end of the tubular structure.
10. The system of claim 1 , wherein the at least one conduit comprises a lumen, wherein the filament extends through the lumen of the at least one conduit.
11. A kit for percutaneous connection of an assist device to a heart, the kit comprising:
an anastomosis device sized and configured to be installed in an opening of one of an atrial septum and a ventricular septum, the anastomosis device including a tubular structure extending between a first end and a second end;
a filament fixedly coupled to the anastomosis device; and
a snare device sized and configured to access a chamber of the heart through a superior vena cava, the snare device also being configured to grasp the fixed filament and pull the filament through the superior vena cava;
at least one conduit defining a lumen therethrough, one end of the at least one conduit sized and configured to be installed and coupled to the second end of the tubular structure of the anastomosis device; and
a pumping device configured to be installed and coupled to the at least one conduit;
wherein the filament comprises multiple wires configured to facilitate power and control of the pumping device via a controller.
12. The kit of claim 11 , wherein the filament exhibits sufficient length to extend from the anastomosis device, when installed in the septum wall, through the superior vena cava and to an access point associated with at least one of a jugular vein and a subclavian vein.
13. The kit of claim 11 , wherein the at least one conduit comprises a lumen, wherein the filament extends through the lumen of the at least one conduit.
14. The kit of claim 11 , wherein the pumping device is sized to be positioned within the heart and adjacent the anastomosis device.
15. The kit of claim 12 , wherein the pumping device is sized to be positioned adjacent the access point.
16. The kit of claim 11 , further comprising a second anastomosis device configured to be coupled between the right atrium of the heart and the aorta.