Method and apparatus for long-term assisting a left ventricle to pump blood
A method and apparatus for long-term assisting the left ventricle of a heart to pump blood is disclosed which includes at least one transluminally deliverable pump and a transluminally deliverable support structure which secures the at least one pump within the aorta for long-term use.
1. A blood flow assist system comprising:
a pump housing, wherein the pump housing has an upper end and a lower end;
a pump disposed within the housing, wherein the pump provides axial blood flow; and
a support structure configured to secure the pump in a desired location in a circulatory system of a patient, wherein the support structure comprises:
a plurality of support members, wherein the support members are a plurality of struts, at least two struts are disposed at the upper end of the pump housing and at least two struts are disposed at the lower end of the pump housing, each strut of the at least two struts comprising an anchor element disposed on a distal end of the strut, the struts are configurable between a collapsed position disengaged from a vessel wall or an expanded configuration where an outer end of the struts contact the vessel wall,
wherein the outer end of the struts are at a first tip of a first terminal end of the struts, an inner end of the struts are secured to the pump housing, and the inner end of the struts are at second tip of the struts at a second terminal end of the strut opposite the first terminal end, and
wherein the blood flow assist system allows native blood flow between an entirety of the pump housing and the vessel wall at all times in the expanded configuration.
2. The system of claim 1 , wherein the support members are formed as a leaf-spring.
3. The system of claim 1 , wherein the support members have a first configuration where an overall diameter of the pump, the pump housing, and the support structure is reduced to permit transluminal delivery.
4. The system of claim 1 , wherein the support structure is centrally disposed relative to the vessel wall.
5. The system of claim 1 , wherein the pump is a first pump, and the system further comprises a second pump, wherein the second pump is placed in parallel with the first pump.
6. The system of claim 1 further comprising a controller, wherein the controller senses a paced rhythm of a patient, and varies pump speed based on the paced rhythm.
7. The system of claim 1 , wherein the system receives electrical energy from a transcutaneous energy coil or a power wire connected to a power source external to a patient's body.
8. A method for providing blood flow assistance to a circulatory system, the method comprising the steps of:
preparing a patient for a heart catheterization;
making a small incision near a blood vessel in a patient's body and performing a Seldinger technique;
passing a sheath over a guidewire, wherein the sheath restrains a blood flow assist system of claim 1 in the collapsed configuration; and
delivering a tip of the sheath to a desired position and deploying the blood flow assist system to the expanded configuration.
9. The method of claim 8 , wherein the struts are members that are thin, elongated, and narrow in width.
10. The method of claim 8 , wherein the delivering and deploying step further comprises de-airing the sheath and withdrawing the sheath to anchor the system in the desired position.
11. The method of claim 8 , wherein the system is implanted for greater than ten days.
12. The method of claim 8 further comprising the steps of sensing a paced rhythm of a patient, and varying pump speed based on the paced rhythm.