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; and
a tether extending away from the pump housing, the tether configured to oppose loads applied in opposite directions at opposite ends thereof,
wherein a longitudinal component of the thrust force generated by the impeller directed along the longitudinal axis of the pump is opposed by the tether, the tether configured to maintain a position of the pump within the blood vessel without requiring contact between the pump and a blood vessel wall of the blood vessel.
2. The blood flow assist system of claim 1 , further comprising a support structure coupled to or formed with the pump housing, the support structure configured to at least intermittently contact the blood vessel wall to maintain spacing of the pump housing from the blood vessel wall in which the pump housing is disposed.
3. The blood flow assist system of claim 2 , wherein the support structure comprises a plurality of elongate struts having a first end coupled with the pump housing and a second end opposite the first end, each elongate strut of the plurality of struts having a slender body and extending between the first end and the second end.
4. The blood flow assist system of claim 3 , further comprising convex contact pads disposed at respective distal portions of the plurality of struts, the convex contact pads configured to at least intermittently contact the blood vessel wall to maintain spacing of the pump housing from a blood vessel wall in which the pump housing is disposed.
5. The blood flow assist system of claim 4 , wherein the plurality of struts includes a first plurality of struts and a second plurality of struts, wherein, when the plurality of struts are in an expanded configuration, first contact pads of the first plurality of struts are configured to engage with the blood vessel wall at a first longitudinal position and second contact pads of the second plurality of struts are configured to engage with the blood vessel wall at a second longitudinal position that is spaced from the first longitudinal position.
6. The blood flow assist system of claim 1 , wherein the contact pads are configured to be disposed distal and radially outward of the pump housing and to be reversibly deflectable to hold the pump housing within the blood vessel to hold the pump housing away from the blood vessel wall.
7. The blood flow assist system of claim 1 , wherein the contact pads comprise a convex periphery surrounding a convex blood vessel engagement surface.
8. The blood flow assist system of claim 1 , wherein the contact pads comprise a convex profile in a cross-sectional plane disposed transverse to a longitudinal axis of the pump.
9. The blood flow assist system of claim 1 , wherein the tether comprises a conductor configured to convey current to a motor operatively coupled to the impeller from a source connectable to a proximal end of the tether.
10. The blood flow assist system of claim 9 , wherein the pump further comprises a motor housing coupled to a proximal portion of the pump housing, the motor disposed in the motor housing.
11. The blood flow assist system of claim 1 , wherein the tether comprises a rotatable drive shaft connected to a motor to be disposed outside a body of the patient.
12. A kit comprising the blood flow assist system of claim 1 , and a sheath sized and shaped to receive the pump housing, the tether, and the support structure.
13. A method of operating a blood flow assist system, the method comprising:
providing a pump at a treatment location within a blood vessel of a patient, the pump including a pump housing disposed in a sheath, an impeller disposed in the pump housing, and a tether extending proximally from the pump housing to outside the patient, the tether configured to oppose loads applied in opposite directions at opposite ends thereof;
providing relative motion between the sheath and the pump to remove the pump from the sheath;
rotating the impeller to pump blood and to generate a thrust force,
wherein a longitudinal component of the thrust force generated by the impeller directed along a longitudinal axis of the pump is opposed by the tether, the tether configured to maintain a position of the pump within the blood vessel without requiring contact between the pump and a blood vessel wall of the blood vessel.
14. The method of claim 13 , wherein the pump includes a plurality of elongate struts extending distally from the pump housing in a collapsed configuration, each elongate strut of the plurality of struts including a convex contact pad at a distal end thereof, wherein providing relative motion comprises causing the plurality of elongate struts to radially self-expand to an expanded configuration in which at least one convex contact pad makes at least intermittent contact with a vessel wall of the blood vessel to maintain spacing of the pump from the vessel wall.