JP2011525385A - 循環補助のためのカテーテルポンプ - Google Patents
循環補助のためのカテーテルポンプ Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/40—Details relating to driving
- A61M60/403—Details relating to driving for non-positive displacement blood pumps
- A61M60/408—Details relating to driving for non-positive displacement blood pumps the force acting on the blood contacting member being mechanical, e.g. transmitted by a shaft or cable
- A61M60/411—Details relating to driving for non-positive displacement blood pumps the force acting on the blood contacting member being mechanical, e.g. transmitted by a shaft or cable generated by an electromotor
- A61M60/414—Details relating to driving for non-positive displacement blood pumps the force acting on the blood contacting member being mechanical, e.g. transmitted by a shaft or cable generated by an electromotor transmitted by a rotating cable, e.g. for blood pumps mounted on a catheter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/10—Location thereof with respect to the patient's body
- A61M60/122—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
- A61M60/126—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel
- A61M60/13—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel by means of a catheter allowing explantation, e.g. catheter pumps temporarily introduced via the vascular system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/20—Type thereof
- A61M60/205—Non-positive displacement blood pumps
- A61M60/216—Non-positive displacement blood pumps including a rotating member acting on the blood, e.g. impeller
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/80—Constructional details other than related to driving
- A61M60/802—Constructional details other than related to driving of non-positive displacement blood pumps
- A61M60/804—Impellers
- A61M60/806—Vanes or blades
- A61M60/808—Vanes or blades specially adapted for deformable impellers, e.g. expandable impellers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/80—Constructional details other than related to driving
- A61M60/802—Constructional details other than related to driving of non-positive displacement blood pumps
- A61M60/827—Sealings between moving parts
- A61M60/829—Sealings between moving parts having a purge fluid supply
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/10—Location thereof with respect to the patient's body
- A61M60/122—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
- A61M60/126—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel
- A61M60/148—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel in line with a blood vessel using resection or like techniques, e.g. permanent endovascular heart assist devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/80—Constructional details other than related to driving
- A61M60/802—Constructional details other than related to driving of non-positive displacement blood pumps
- A61M60/818—Bearings
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- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Cardiology (AREA)
- Animal Behavior & Ethology (AREA)
- Mechanical Engineering (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Vascular Medicine (AREA)
- External Artificial Organs (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Surgical Instruments (AREA)
Abstract
【選択図】図1C
Description
1.カテーテルポンプヘッド
2.駆動ユニット
3.コンソール
4.パージセット
Claims (15)
- 中空カテーテル(2)と、
前記中空カテーテル(2)の内腔(6)に配設された駆動ケーブル(1)と、
前記駆動ケーブルによって回転されるように前記駆動ケーブル(1)の遠位端に接続された駆動シャフト(5)と、
前記駆動シャフトに配設されたプロペラ(4)と、
を備える、心臓等を補助するために哺乳類の循環系に挿入するように意図されたカテーテルポンプにおいて、
前記駆動シャフトの遠位端および近位端に配設された遠位軸受(24)および近位軸受(25)と、
前記近位軸受の潤滑およびパージのために流体を前記中空カテーテル(2)に沿って前記近位軸受(25)まで通過させるパージシステムと、
前記遠位軸受の潤滑およびパージのために流体を前記近位軸受から前記遠位軸受(24)まで通過させる流路手段(22)と、
を備えることを特徴とするカテーテルポンプ。 - 前記流路手段(22)が前記駆動シャフト(5)内に配設されることを特徴とする、請求項1に記載のカテーテルポンプ。
- 前記駆動シャフト(5)がスリーブ(8)によって囲繞され、前記流路手段が前記駆動シャフトと前記スリーブとの間に、前記シャフトおよび/または前記スリーブにおける溝として配設されることを特徴とする、請求項1または2に記載のカテーテルポンプ。
- 前記パージシステムが前記中空カテーテルに専用の穴(7)を備え、前記穴が前記流体を前記中空カテーテルの近位端からその遠位端まで通過させる目的のためにだけ使用されることを特徴とする、請求項1〜3のいずれか一項に記載のカテーテルポンプ。
- 前記遠位軸受がリップシール(23)を介して周囲の空間に接続されることを特徴とする、請求項1〜4のいずれか一項に記載のカテーテルポンプ。
- 前記流体が前記内腔(6)内の駆動ワイヤの外側を前記遠位端から前記近位端の方向に通過することを特徴とする、請求項1〜5のいずれか一項に記載のカテーテルポンプ。
- 前記中空カテーテル(2)を取り囲むシース(3)であって、複数本の線条体(11)およびプロペラブレード(4)から構成されるケージを前記駆動シャフトに近接する折畳み位置から展開位置に展開するために軸線方向に移動可能であるシース(3)を備えることを特徴とする、請求項1〜6のいずれか一項に記載のカテーテルポンプ。
- 前記プロペラが帯状体(17)によって取り囲まれることを特徴とする、請求項1〜7のいずれか一項に記載のカテーテルポンプ。
- 前記帯状体が膨張可能なリングを備えることを特徴とする、請求項8に記載のカテーテルポンプ。
- 前記シース(3)が前記ケージを展開するために第1距離で移動可能であり、かつ前記プロペラブレード(4)を展開するために第2距離で移動可能であることを特徴とする、請求項9に記載のカテーテルポンプ。
- 中空カテーテル(2)と、
前記中空カテーテル(2)を囲繞し、前記中空カテーテル(2)に対して軸線方向に移動可能であるシース(3)と、
前記カテーテル(2)の内腔(6)に配設された駆動ケーブル(1)と、
前記駆動ケーブルによって回転されるように前記駆動ケーブル(1)の遠位端に接続された駆動シャフト(5)と、
前記駆動シャフトに配設されたプロペラ(4)と、
前記駆動シャフト(5)の近位端および遠位端に配設された近位ハウジング(9)および遠位ハウジング(10)と、
前記近位ハウジングと前記遠位ハウジングとの間に延びる複数本の線条体(11)と、
を備える、例えば心臓を補助するために哺乳類の循環系に挿入するように意図されたカテーテルポンプにおいて、
前記近位ハウジング(9)が前記中空カテーテル(2)に接続され、前記遠位ハウジングが遠位ハウジング(10)に接続され、それによって前記中空カテーテル(2)に対する前記シース(3)の軸線方向の移動の結果、遠位ハウジングが近位ハウジングに近づき、その結果前記線条体が展開されてケージを形成すること、および
前記プロペラが前記駆動シャフトと平行である第1折畳み位置とプロペラが駆動シャフトと直角になる展開位置との間で前記プロペラが枢動自在であるように配設されたプロペラピン(13)を前記駆動シャフトが備えること、
を特徴とするカテーテルポンプ。 - 前記シース(3)の前記軸線方向の移動が、第1の移動で前記ケージを展開させ、かつその後の第2の移動で前記プロペラ(4)を展開させることを特徴とする、請求項11に記載のカテーテルポンプ。
- 前記駆動シャフト(5)がスリーブ(8)によって囲繞され、前記スリーブが、前記プロペラを展開するために前記プロペラのカム面(12b)と協働するように軸線方向に移動可能である作動ピン(15)を備えることを特徴とする、請求項11または12に記載のカテーテルポンプ。
- 前記プロペラ(4)のカム面(12a、12c)と協働するように配設されたばね付勢ボルト(14)を備えることを特徴とする、請求項11〜13のいずれか一項に記載のカテーテルポンプ。
- 流体を前記駆動シャフト(5)の近位側の近位軸受に提供するための前記中空カテーテル(2)内の軸線方向内腔(7)と、
流体を前記駆動シャフトの遠位側の遠位軸受に提供するための前記駆動シャフト内の流路(22)と、
流体を前記遠位軸受から周囲に通過させるためのリップシール(23)と、
を備えたパージ流体システムを具備することを特徴とする、請求項11〜14のいずれか一項に記載のカテーテルポンプ。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
SE0801459-9 | 2008-06-23 | ||
SE0801459 | 2008-06-23 | ||
SE0801460 | 2008-06-23 | ||
SE0801460-7 | 2008-06-23 | ||
PCT/SE2009/000318 WO2009157840A1 (en) | 2008-06-23 | 2009-06-22 | Catheter pump for circulatory support |
Related Child Applications (1)
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JP2012267412A Division JP5539484B2 (ja) | 2008-06-23 | 2012-12-06 | 循環補助のためのカテーテルポンプ |
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JP2011525385A true JP2011525385A (ja) | 2011-09-22 |
JP5473085B2 JP5473085B2 (ja) | 2014-04-16 |
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JP2011514529A Active JP5473085B2 (ja) | 2008-06-23 | 2009-06-22 | 循環補助のためのカテーテルポンプ |
JP2012267412A Active JP5539484B2 (ja) | 2008-06-23 | 2012-12-06 | 循環補助のためのカテーテルポンプ |
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JP2012267412A Active JP5539484B2 (ja) | 2008-06-23 | 2012-12-06 | 循環補助のためのカテーテルポンプ |
Country Status (9)
Country | Link |
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US (2) | US8579858B2 (ja) |
EP (2) | EP2308422B1 (ja) |
JP (2) | JP5473085B2 (ja) |
CN (1) | CN102065924B (ja) |
BR (1) | BRPI0911493B8 (ja) |
DE (1) | DE202009018145U1 (ja) |
ES (2) | ES2449221T3 (ja) |
RU (2) | RU2519757C2 (ja) |
WO (1) | WO2009157840A1 (ja) |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2015508678A (ja) * | 2012-02-16 | 2015-03-23 | アビオメド オイローパ ゲーエムベーハー | 血管内血液ポンプ |
JP2020507393A (ja) * | 2017-02-13 | 2020-03-12 | カーディオブリッジ ゲーエムベーハー | 駆動ユニット及びカテーテルを備えたカテーテルポンプ |
JP2020507407A (ja) * | 2017-02-13 | 2020-03-12 | カーディオブリッジ ゲーエムベーハー | 駆動ユニットおよびカテーテルを含むカテーテルポンプ |
JP2020507370A (ja) * | 2017-02-13 | 2020-03-12 | カーディオブリッジ ゲーエムベーハー | 動脈血管に挿入するためのポンプヘッドを有するカテーテルポンプ |
JP2020507368A (ja) * | 2017-02-13 | 2020-03-12 | カーディオブリッジ ゲーエムベーハー | 動脈血管に導入するためのポンプヘッドを有するカテーテルポンプ |
JP2021518249A (ja) * | 2018-03-20 | 2021-08-02 | セカンド・ハート・アシスト・インコーポレイテッド | 循環補助ポンプ |
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ES2449221T3 (es) * | 2008-06-23 | 2014-03-18 | Cardiobridge Gmbh | Bomba de catéter para apoyo circulatorio |
WO2011003043A1 (en) | 2009-07-01 | 2011-01-06 | The Penn State Research Foundation | Blood pump with expandable cannula |
US8690749B1 (en) | 2009-11-02 | 2014-04-08 | Anthony Nunez | Wireless compressible heart pump |
EP2353626A1 (de) * | 2010-01-27 | 2011-08-10 | ECP Entwicklungsgesellschaft mbH | Fördereinrichtung für ein Fluid |
US8828246B2 (en) * | 2010-02-18 | 2014-09-09 | Anpac Bio-Medical Science Co., Ltd. | Method of fabricating micro-devices |
EP2407185A1 (de) * | 2010-07-15 | 2012-01-18 | ECP Entwicklungsgesellschaft mbH | Radial komprimierbarer und expandierbarer Rotor für eine Pumpe mit einem Schaufelblatt |
US8597170B2 (en) | 2011-01-05 | 2013-12-03 | Thoratec Corporation | Catheter pump |
US8485961B2 (en) | 2011-01-05 | 2013-07-16 | Thoratec Corporation | Impeller housing for percutaneous heart pump |
US9138518B2 (en) | 2011-01-06 | 2015-09-22 | Thoratec Corporation | Percutaneous heart pump |
US8591393B2 (en) | 2011-01-06 | 2013-11-26 | Thoratec Corporation | Catheter pump |
US11389638B2 (en) | 2012-02-07 | 2022-07-19 | Hridaya, Inc. | Hemodynamic assist device |
CA2863234C (en) * | 2012-02-07 | 2021-12-21 | Hridaya, Inc. | Hemodynamic assist device |
US8721517B2 (en) | 2012-05-14 | 2014-05-13 | Thoratec Corporation | Impeller for catheter pump |
DE102013008168A1 (de) | 2012-05-14 | 2013-11-14 | Thoratec Corporation | Laufrad für Katheterpumpe |
US9872947B2 (en) | 2012-05-14 | 2018-01-23 | Tc1 Llc | Sheath system for catheter pump |
US9446179B2 (en) | 2012-05-14 | 2016-09-20 | Thoratec Corporation | Distal bearing support |
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BRPI0911493A2 (pt) | 2016-01-05 |
CN102065924B (zh) | 2013-08-14 |
RU2013136776A (ru) | 2015-02-20 |
RU2519757C2 (ru) | 2014-06-20 |
DE202009018145U1 (de) | 2011-05-05 |
RU2011101444A (ru) | 2012-07-27 |
CN102065924A (zh) | 2011-05-18 |
BRPI0911493B8 (pt) | 2021-06-22 |
JP5473085B2 (ja) | 2014-04-16 |
WO2009157840A8 (en) | 2010-02-11 |
ES2449221T3 (es) | 2014-03-18 |
BRPI0911493B1 (pt) | 2020-01-07 |
JP5539484B2 (ja) | 2014-07-02 |
US20110282128A1 (en) | 2011-11-17 |
ES2426726T3 (es) | 2013-10-24 |
EP2308422B1 (en) | 2013-06-05 |
EP2288392B1 (en) | 2013-11-27 |
EP2288392A1 (en) | 2011-03-02 |
WO2009157840A1 (en) | 2009-12-30 |
JP2013063314A (ja) | 2013-04-11 |
US20110034874A1 (en) | 2011-02-10 |
EP2308422A1 (en) | 2011-04-13 |
US8579858B2 (en) | 2013-11-12 |
EP2288392A4 (en) | 2013-01-09 |
US8727959B2 (en) | 2014-05-20 |
RU2607302C2 (ru) | 2017-01-10 |
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