Circulatory assist pump
A minimally invasive circulatory support platform that utilizes an aortic stent pump or pumps. The platform uses a low profile catheter-based techniques and provides temporary and chronic circulatory support depending on the needs of the patient. Also described is a catheter-based temporary assist pump to treat patients with acute decompensated heart failure and provide circulatory support to subjects undergoing high risk percutaneous coronary intervention (“PCI”). Further described is a wirelessly powered circulatory assist pump for providing chronic circulatory support for heart failure patients. The platform and system are relatively easy to place, have higher flow rates than existing systems, and provide improvements in the patient's renal function.
1. A system for a circulatory assist pump, which system maintains arterial pulsatility, the system comprising:
a circulatory assist pump, comprising:
a distal tip; and
a proximal end opposite the distal tip, the proximal end removably connectable to a catheter; and
an impeller system between and connected to the distal tip and the proximal end, the impeller system including pivotally mounted arm-like impeller blades, which are foldable and retractable, which arm-like impeller blades, during operation rotate to draw blood down a subject's aorta from the subject's heart; and
a stent cage encaging the circulatory assist pump, the stent cage comprising wire-like elements having ends secured to the distal tip and the proximal end of the circulatory assist pump, wherein the stent cage expands and compresses and is of a size and shape to allow a highly open flow of blood therethrough when placed within the subject's aorta, and further having an expanded circumference sized to be stable against the subject's aortic wall wherein the wire-like elements of the stent cage distend the subject's aortic wall to positionally affix the stent cage to the subject's aorta during operation of the impeller system while allowing the subject's aorta to maintain its natural pulsatility;
wherein, when the system is positioned and operated in the aorta proximal and above the renal arteries of the subject, natural aortic wall pulsatility is maintained.
2. A method of treating a subject suffering from heart disease, the method comprising:
implanting the system of claim 1 into the subject and utilizing the impeller system of arm-like impeller blades to draw blood down the aorta from the subject's heart.
3. The method according to claim 2 , wherein the system is controllable wirelessly.
4. The method according to claim 3 , wherein the wireless control controls pulsatility, speed, and/or impeller angle of the system.
5. The method according to claim 2 , wherein, after implantation, the impeller rotates at less than 10,000 RPM.
6. The method according to claim 5 , wherein, in operation, the impeller rotates on the order of 4,500 RPM to achieve 4.5 liters flow at the level of the subject's renal arteries.
7. The method according to claim 2 , wherein the impeller system is powered wirelessly.
8. A method of treating a subject suffering from heart disease, the method comprising:
utilizing the system of claim 1 to treat the subject.
9. The method according to claim 8 , further comprising:
implanting at least one sensor into the subject.
10. The method according to claim 9 , wherein the sensor(s) monitor(s) fluid flow in the aorta and provides feedback and data to the system, and wherein the feedback and data are used to adjust the speed and/or angle of the arm-like impeller blades in the subject's aorta and/or to increase or decrease fluid flow and pressure in the subject's aorta.
11. The method according to claim 8 , further comprising:
promoting protein expression and or release within the subject's aorta.
12. The method according to claim 8 , further comprising:
utilizing vibrating harmonic resonance to reduce blood clots in the subject.
13. The system of claim 1 , wherein the system is controllable wirelessly.
14. The system of claim 13 , wherein the wireless control controls pulsatility, speed, and/or impeller angle of the system.
15. The system of claim 13 , further comprising:
an external belt, for placement about the subject, for controlling and/or powering the system.
16. The system of claim 1 , further comprising a drive shaft for the impeller system.
17. The system of claim 16 , wherein the impeller system has an ePTFE liner.
18. The system of claim 1 , wherein the circulatory assist pump comprises a cam that extends and withdraws the arm-like impeller blades into and out of a catheter associated with the cam.
19. The system of claim 1 , further comprising a pulsating cuff for placement upstream the stent cage in the aorta.
20. The system of claim 1 , wherein the impeller system is powered wirelessly.