Support structures for intravascular blood pumps
An improved system for supporting (e.g., localization and/or positioning of) intravascular devices discussed herein provides for example a multi-element arrangement. A set of struts optionally projects from the intravascular device and contacts the vessel walls. The localization and positioning of the pump may be provided by the struts and/or by use of a tether opposing a propulsive force to ensure localization.
1. A blood flow assist system comprising:
an impeller disposed in a pump housing of a pump, the pump comprising a longitudinal axis, the impeller generating a thrust force when operating in a blood vessel to pump blood;
a motor operatively coupled with the impeller;
a tether coupled with a first end of the pump, the tether comprising a hollow, elongate member enclosing a conductor disposed therein, the conductor configured to convey current to and from the motor from a source connectable to a proximal end of the tether, the tether configured to oppose loads applied in opposite directions at opposite ends thereof;
a plurality of elongate struts having a first end coupled with a second end of the pump and a second end opposite the first end, each elongate strut of the plurality of elongate struts comprising a slender body extending between the first end and the second end, each strut of the plurality of elongate struts being configured to store strain energy when a transverse load is applied;
a contact pad disposed at the second end of each of the elongate struts of the plurality of elongate struts, each contact pad having an enlarged width compared to a width of the immediately adjacent expanse of the corresponding elongate strut of the plurality of elongate struts;
wherein, in use, a longitudinal component of the thrust force generated by the impeller directed along the longitudinal axis of the pump is opposed by a tension member of the tether.
2. The blood flow assist system of claim 1 , wherein the contact pad comprises a generally circular pad having a diameter greater than the width of the immediately adjacent expanse of the corresponding elongate struts.
3. The blood flow assist system of claim 1 , wherein the elongate struts comprise at least one inflection along the slender body thereof to facilitate folding of the struts into a lumen of a sheath.
4. The blood flow assist system of claim 1 , wherein each of the contact pads comprises a smooth surface free of sharp edges or hooks.
5. The blood flow assist system of claim 1 , wherein each of the contact pads comprises a convex cross-sectional profile on a blood vessel facing side thereof.
6. The blood flow assist system of claim 5 , wherein each of the contact pads comprises a spherical portion.
7. The blood flow assist system of claim 1 , wherein the contact pad comprises a hole configured to allow blood vessel wall tissue to be received therein.
8. The blood flow assist system of claim 1 , wherein each of the contact pads comprises one or more scalloped edges to allow blood vessel wall tissue to be received therein.
9. The blood flow assist system of claim 1 , wherein each of the contact pads comprises a domed portion.
10. The blood flow assist system of claim 1 , wherein the hollow, elongate member is configured to receive a stiffening member to facilitate introduction of the pump housing.
11. The blood flow assist system of claim 1 , wherein the pump further comprises a motor housing coupled to a proximal portion of the pump housing, the motor disposed in the motor housing.
12. The blood flow assist system of claim 1 , wherein a transverse component of the thrust force directed transverse to the longitudinal axis of the pump is opposed by strain energy stored in at least one of the elongate struts of the plurality of elongate struts upon deflection of one or more of the elongate struts of the plurality of struts.
13. A kit comprising the blood flow assist system of claim 1 , and a sheath sized and shaped to receive the pump housing, the motor, the tether, and the plurality of elongate struts.
14. The blood flow assist system of claim 1 , wherein the contact pad of each of the plurality of elongate struts is configured to at least intermittently contact a wall of the blood vessel to maintain spacing of the pump housing from the wall in which the pump housing is disposed.
15. The blood flow assist system of claim 14 , wherein the contact pad of each of the plurality of elongate struts is configured to only intermittently contact the wall of the blood vessel, such that, throughout a procedure, the contact pad contacts the wall and moves away from the wall.
16. The blood flow assist system of claim 1 , wherein each strut of the plurality of elongate struts tapers radially outwardly and distally from the pump housing to a free end thereof.
17. The blood flow assist system of claim 1 , wherein the second end of each strut is disposed distal the first end of each strut.
18. The blood flow assist system of claim 5 , wherein the convex cross-sectional profile comprises a convexity transverse to a length the strut.
19. The blood flow assist system of claim 1 , further comprising a blood inlet port and a blood outlet port, the blood outlet port disposed between the blood inlet port and the tether.