Intravascular blood pumps
Catheter blood pumps that include collapsible blood conduits and one or more collapsible impellers. The catheter blood pumps include an outflow and an expandable flow diverter disposed in an outflow region. The expandable flow diverters can be completely proximal to a proximal end of the collapsible blood conduit.
1 . A method of directing outflow of an intravascular blood pump, comprising:
expanding a collapsible blood pump from a collapsed configuration at a location within a subject, the expanding step including expanding a collapsible fluid conduit from a collapsed configuration and expanding one or more collapsible impellers, the one or more impellers disposed at least partially within the collapsible fluid conduit;
expanding an expandable flow diverter into an expanded configuration in which a flow diverting surface of the expandable flow diverter is axially positioned completely proximal to a proximal end of the fluid conduit and proximal to the one or more impellers; and
rotating the at least one impeller to cause blood to move from a fluid conduit distal end towards the fluid conduit proximal end.
2 . The method of claim 1 , wherein the flow diverter is rotationally uncoupled from the one or more impellers.
3 . The method of claim 1 , wherein a radial dimension of the flow diverting surface increases in an axial distal-to-proximal direction.
4 . The method of claim 1 , wherein the flow diverter includes a proximal surface proximal to the flow diverting surface, the proximal surface having a radial dimension that decreases in an axial distal-to-proximal direction.
5 . The method of claim 1 , wherein increasing the radial flow component also causes blood to flow between a plurality of pump proximal struts that extend proximally from the fluid conduit.
6 . The method of claim 5 , wherein the plurality of struts are coupled to the flow diverter along a portion of each of the struts, and wherein causing blood to flow between the plurality of struts comprises causing blood to flow between the plurality of struts at locations where the plurality of struts are not coupled to the flow diverter.
7 . The method of claim 1 , wherein expanding the flow diverter reduces a blood re-circulation zone at a location proximal to the fluid conduit proximal end.
8 . The method of claim 1 , wherein expanding a collapsible blood pump includes expanding one of the one or more impellers into an expanded position in which a portion of the one impeller extends proximally relative to the proximal end of the fluid conduit.
9 . The method of claim 1 , wherein expanding the expandable flow diverter comprises allowing the flow diverter to at least partially self-expand.
10 . The method of claim 1 , wherein expanding the expandable flow diverter comprises inflating the flow diverter with a fluid.
11 . The method of claim 1 , further comprising expanding one or more proximal fluid conduit struts, wherein expanding the one or more proximal struts causes the flow diverter to at least partially expand and/or help prevent the flow diverter from completely collapsing.
12 . The method of claim 1 , wherein expanding the expandable flow diverter comprises expanding the flow diverter into a bulbous expanded configuration.
13 . The method of claim 1 , wherein expanding the flow diverter comprises expanding the expandable flow diverter into an expanded configuration in which a radially outermost dimension of the flow diverter is at least 50% of a radially outermost dimension of the impeller, optionally at least 55%, optionally at least 60%, optionally at least 65%, optionally at least 70%, optionally at least 75%, optionally at least 80%, optionally at least 85%, optionally at least 90%, optionally at least 95%, optionally at least 100%, and optionally no more than 300%.
14 . A method of directing outflow of an intravascular blood pump >comprising:
expanding a collapsible blood pump from a collapsed configuration at a location within a subject,
the expanding step including expanding a collapsible fluid conduit from a collapsed configuration, expanding one or more collapsible impellers disposed at partially within the collapsible fluid conduit, and expanding one or more proximal fluid conduit struts;
expanding an expandable flow diverter into an expanded configuration in which at least a portion of the flow diverter is disposed proximal to the fluid conduit and at least a portion of the flow diverter is secured to the plurality of struts, whereby expanding the one or more proximal fluid conduit struts causes the flow diverter to at least partially expand towards the expanded configuration; and
rotating the at least one impeller to cause blood to move from a fluid conduit distal end towards the fluid conduit proximal end.
15 . The method of claim 14 , wherein expanding the flow diverter further comprises allowing the flow diverter to self-expand to some extent due to a material of the flow diverter.
16 . The method of claim 14 , wherein expanding the flow diverter further comprises advancing a fluid into an inner volume defined by the flow diverter.
17 . A method of directing outflow of an intravascular blood pump comprising:
expanding a collapsible blood pump from a collapsed configuration at a location within a subject, the expanding step including expanding a collapsible fluid conduit from a collapsed configuration, expanding one or more collapsible impellers disposed at partially within the collapsible fluid conduit, and optionally expanding one or more proximal fluid conduit struts;
expanding an expandable flow diverter into an expanded configuration in which at least a portion of the flow diverter is disposed proximal to the fluid conduit, wherein expanding the flow diverter comprises expanding the expandable flow diverter into an expanded configuration in which a radially outermost dimension of the flow diverter is at least 25% of a radially outermost dimension of the one or more impellers, optionally at least 50%, optionally at least 55%, optionally at least 60%, optionally at least 65%, optionally at least 70%, optionally at least 75%, optionally at least 80%, optionally at least 85%, optionally at least 90%, optionally at least 95%, optionally at least 100%, and optionally no more than 300%; and
rotating the at least one impeller to cause blood to move from a fluid conduit distal end towards the fluid conduit proximal end.