Ventricular assist device
Apparatus and methods are described including a tube configured to traverse a subject's aortic valve. A frame is disposed within a portion of the tube, and a plurality of winged projections are coupled to the frame. An impeller is disposed inside the tube, the impeller including proximal and distal bushings, a helical elongate element, and a spring disposed inside of the helical elongate element, the spring defining a lumen therethrough. A film of material is supported between the helical elongate element and the spring. A rigid shaft extends from the proximal bushing to the distal bushing via the lumen defined by the spring. The impeller is rotated, such as to pump blood from the subject's left ventricle to the subject's aorta. Other applications are also described.
1. Apparatus comprising:
a rotating impeller comprising:
proximal and distal bushings;
at least one impeller blade comprising:
at least one helical elongate element;
a coil spring, the coil spring being disposed inside of the helical elongate element between the proximal and distal bushings, and the coil spring defining a lumen therethrough; and
a film of material supported between the helical elongate element and the coil spring, wherein the impeller is structured such that the film of material extends from the helical elongate element to the coil spring to thereby define the impeller blade; and
a rigid shaft configured to extend from the proximal bushing to the distal bushing via the lumen defined by the coil spring, such that the coil spring extends around the rigid shaft.
2. The apparatus according to claim 1 , wherein the impeller is configured to be placed within the subject's left ventricle.
3. The apparatus according to claim 1 , wherein the impeller comprises a plurality of helical elongate elements, and the film of material is supported between the plurality of helical elongate elements and the coil spring, such that the impeller defines a plurality of blades.
4. The apparatus according to claim 1 , wherein, when the impeller is disposed in a non-radially-constrained configuration, a pitch of the helical elongate element varies along a length of the helical elongate element.
5. The apparatus according to claim 1 , wherein the impeller is configured to be radially constrained by the helical elongate element and the coil spring being axially elongated, and wherein in response to the axial elongation of the helical elongate element and the coil spring, the film is configured to change shape without the film of material breaking.
6. The apparatus according to claim 1 , wherein the coil spring, when disposed in a non-radially-constrained configuration thereof, is configured such that there are substantially no gaps between windings of the coil spring and adjacent windings thereto.
7. The apparatus according to claim 1 ,
further comprising:
a tube configured to traverse an aortic valve of a subject, such that a proximal end of the tube is disposed within an aorta of the subject and a distal end of the tube is disposed within a left ventricle of the subject, the tube comprising a blood-impermeable material; and
a frame disposed within at least a portion of the tube,
wherein the impeller is configured to be disposed within the tube, and to rotate such as to pump blood from the left ventricle to the aorta.
8. The apparatus according to claim 7 , wherein the rigid shaft is configured to stabilize the impeller with respect to the tube, during rotation of the impeller, such that a gap between the outer edge of the impeller and the inner surface of the tube is maintained.
9. The apparatus according to claim 7 , wherein the impeller and the tube are configured such that, when the impeller and the tube are deployed within the subject, a gap between an outer edge of the impeller and an inner surface of the tube is less than 1 mm.
10. The apparatus according to claim 9 , wherein the impeller and the tube are configured such that, when the impeller and the tube are deployed within the subject, the gap between the outer edge of the impeller and the inner surface of the tube is less than 0.4 mm.
11. The apparatus according to claim 9 , wherein the impeller is configured to be stabilized with respect to the tube, such that, during rotation of the impeller, the gap between the outer edge of the impeller and the inner surface of the tube is maintained.