Intracardiac pumping device
The invention relates to an intercardiac pump device comprising a pump ( 11 ) whose distal end ( 13 ) is connected to a cannula ( 15 ) which is provided with a suction head ( 16 ) for sucking blood. Said strainer is provided with a non-sucking extension ( 20 ) for stabilising the position of said pump device in the heart and mechanically prolonging the cannula ( 15 ) without deteriorating hydraulic conditions. Said extension is also used in the form of a spacer in order to avoid that the suction head ( 16 ) adheres to a cardiac wall.
1. A method for providing an intracardiac percutaneous blood pump to a patient comprising:
inserting a guide wire into the patient;
inserting an intracardiac percutaneous blood pump into the patient over the guide wire, wherein the intracardiac percutaneous blood pump comprises a catheter having an outer diameter, a proximal region, and a distal region;
positioning a cannula at least partially within a heart of the patient, wherein the cannula is coupled to the distal region of the catheter and configured to extend across a heart valve when the cannula is positioned inside the heart of the patient, and wherein the cannula further comprises an expansible suction head with a blood inlet and a plurality of flexible struts; and
removing the guide wire after the cannula is positioned at least partially within the heart of the patient,
wherein the intracardiac percutaneous blood pump further comprises an impeller for pumping blood into the blood inlet.
2. The method of claim 1 , wherein the cannula has a preformed bend.
3. The method of claim 2 , wherein the intracardiac percutaneous blood pump further comprises a plurality of outlet apertures proximal of the impeller.
4. The method of claim 3 , wherein the guide wire is inserted into the patient along a guide wire path extending through the cannula from the plurality of outlet apertures, along the preformed bend, and through a distal end of the cannula.
5. The method of claim 1 , wherein the catheter and cannula share a common longitudinal axis.
6. The method of claim 1 , wherein the cannula has an outer diameter that is the same as an outer diameter of the intracardiac percutaneous blood pump.
7. The method of claim 1 , wherein the plurality of flexible struts are self-expandable from an initial state into an expanded state.
8. The method of claim 7 , wherein the expansible suction head includes a blood outlet positioned between the distal region of the catheter and the blood inlet.
9. The method of claim 8 , wherein the blood outlet is disposed within the cannula.
10. The method of claim 9 , wherein the blood outlet is positioned distal of the impeller.
11. The method of claim 7 , wherein, when the expansible suction head is in the expanded state, the plurality of flexible struts are spaced apart from each other to form openings between the plurality of flexible struts, and wherein the openings comprise the blood inlet.
12. The method of claim 11 , wherein the expansible suction head further comprises a flexible polymer screen spanning between the plurality of flexible struts.
13. The method of claim 12 , wherein, when the expansible suction head is in the expanded state, the plurality of flexible struts in the expanded state and the flexible polymer screen form a funnel for directing blood flow into the expansible suction head.
14. The method of claim 13 , wherein the plurality of flexible struts have a first proximal end and a first distal end, with a first length extending therebetween, and the flexible polymer screen has a second proximal end and a second distal end with a second length that extends between the second proximal end and the second distal ends, and wherein the second length is less than the first length.
15. The method of claim 14 , wherein the plurality of flexible struts in the expanded state form a bulge having a proximal ascending side, a distal descending side and an apex disposed between the proximal ascending and distal descending sides.
16. The method of claim 15 , wherein the second distal end of the flexible polymer screen extends along the proximal ascending side of the bulge to an axial position proximal of the apex.
17. The method of claim 16 , wherein the flexible polymer screen covers a proximal portion of the bulge.
18. The method of claim 11 , wherein the cannula has proximal and distal regions, wherein the expansible suction head is disposed at a distal region of the cannula, and wherein the proximal region of the cannula couples to the catheter and has an outer diameter that is substantially non-expanding.
19. The method of claim 7 , wherein the plurality of flexible struts are flared and converge in a hub.
20. The method of claim 19 , wherein the hub connects the plurality of flexible struts.
21. The method of claim 20 , wherein the hub is cylindrical.