Linear cardiac assist pulsatile pump
Described herein are pumps that linearly reciprocate to assist with circulating blood within the body of a patient. Red blood cell damage may be avoided or minimized by such linear pump movement. The linearly reciprocating movement may also generate a pulsatile pumping cycle that mimics the natural pumping cycle of the heart. The pumps may be configured to reside at various body locations. For example, the pumps may be situated within the right ventricle, the left ventricle, the ascending aorta, the descending aorta, the thoracic aorta, or the abdominal aorta. In some instances, the pump may be deployed within the venous circulation. In other instances, the pump may reside outside the patient.
1 . A method of pumping blood comprising:
advancing a pump to a target location within the circulatory system of a patient, the pump comprising:
an expandable housing comprising an interior surface, an expanded configuration, and a collapsed configuration;
a valve member comprising an umbrella structure disposed within the expandable housing, the umbrella structure comprising a membrane having a rim and a plurality of struts, each of the plurality of struts having a distal end, wherein the umbrella structure has an expanded configuration, and a collapsed configuration; and
expanding the expandable housing from the collapsed configuration to the expanded configuration at the target location; and
linearly reciprocating the umbrella structure within the expandable housing to generate a fill stroke and a pump stroke.
2 . The method of claim 1 , further comprising maintaining contact between the rim of the umbrella structure and the interior surface of the expandable housing during the pump stroke.
3 . A pump for assisting blood circulation comprising:
a housing comprising an interior surface and an expanded configuration;
a valve member comprising an umbrella structure disposed within the expandable housing, the umbrella structure comprising a membrane having a body and a rim and a plurality of struts, each of the plurality of struts having a distal end, wherein the umbrella structure has an expanded configuration and a collapsed configuration; and
an actuator coupled to the umbrella structure, wherein the actuator is configured to linearly reciprocate the umbrella structure within the housing to generate a pump stroke and a fill stroke of the pump.
4 . The pump of claim 3 , wherein the rim of the membrane is configured to maintain contact with the interior surface of the housing during the pump stroke.
5 . The pump of claim 3 , wherein the membrane comprises an elastomeric polymer.
6 . The pump of claim 5 , wherein the elastomeric polymer comprises a silicone, a polyester, a polyurethane, a fluoropolymer, or a combination thereof.
7 . The pump of claim 6 , wherein the fluoropolymer comprises polytetrafluoroethylene (PTFE) or expanded polytetrafluoroethylene (ePTFE).
8 . The pump of claim 3 , wherein the plurality of struts comprises between six struts and ten struts.
9 . The pump of claim 3 , wherein at least one strut of the plurality of struts comprises a bend.
10 . The pump of claim 9 , wherein the bend comprises a bend angle ranging from about 5 degrees to about 15 degrees.
11 . The pump of claim 3 , wherein each of the struts of the plurality of struts has a strut angle ranging from about 30 degrees to about 60 degrees.
12 . The pump of claim 3 , wherein the distal end of each of the plurality of struts comprises an opening.
13 . The pump of claim 3 , wherein the distal end of each of the plurality of struts comprises a circular shape or an ovular shape.
14 . The pump of claim 3 , wherein the plurality of struts are configured to be inverted about an anchor.
15 . The pump of claim 3 , wherein at least a portion of the housing or the valve member comprises a polymer coating.
16 . The pump of claim 15 , wherein the polymer coating comprises polytetrafluoroethylene (PTFE) or expanded polytetrafluoroethylene (ePTFE).
17 . The pump of claim 3 , wherein a thickness of the rim is greater than a thickness of the body.
18 . The pump of claim 3 , wherein the plurality of struts comprises stainless steel, nickel, titanium, or an alloy thereof.
19 . The pump of claim 3 , wherein the rim has a thickness ranging from about 0.20 mm to about 1.5 mm.
20 . The pump of claim 3 , further comprising a cannula.