JP2020151493A - カテーテルポンプ - Google Patents
カテーテルポンプ Download PDFInfo
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- JP2020151493A JP2020151493A JP2020092840A JP2020092840A JP2020151493A JP 2020151493 A JP2020151493 A JP 2020151493A JP 2020092840 A JP2020092840 A JP 2020092840A JP 2020092840 A JP2020092840 A JP 2020092840A JP 2020151493 A JP2020151493 A JP 2020151493A
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- pump
- conduit
- liquid
- pumps
- pressure
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Classifications
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F04—POSITIVE - DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS FOR LIQUIDS OR ELASTIC FLUIDS
- F04B—POSITIVE-DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS
- F04B43/00—Machines, pumps, or pumping installations having flexible working members
- F04B43/02—Machines, pumps, or pumping installations having flexible working members having plate-like flexible members, e.g. diaphragms
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F04—POSITIVE - DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS FOR LIQUIDS OR ELASTIC FLUIDS
- F04B—POSITIVE-DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS
- F04B43/00—Machines, pumps, or pumping installations having flexible working members
- F04B43/08—Machines, pumps, or pumping installations having flexible working members having tubular flexible members
-
- 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
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
-
- 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
- A61M60/10—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
- A61M60/165—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable in, on, or around the heart
- A61M60/17—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable in, on, or around the heart inside a ventricle, e.g. intraventricular balloon pumps
- A61M60/174—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable in, on, or around the heart inside a ventricle, e.g. intraventricular balloon pumps discharging the blood to the ventricle or arterial system via a cannula internal to the ventricle or arterial 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
- A61M60/40—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
- A61M60/50—Details relating to control
- A61M60/508—Electronic control means, e.g. for feedback regulation
- A61M60/562—Electronic control means, e.g. for feedback regulation for making blood flow pulsatile in blood pumps that do not intrinsically create pulsatile flow
-
- 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
- A61M60/825—Contact bearings, e.g. ball-and-cup or pivot bearings
-
- 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
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F04—POSITIVE - DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS FOR LIQUIDS OR ELASTIC FLUIDS
- F04B—POSITIVE-DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS
- F04B43/00—Machines, pumps, or pumping installations having flexible working members
- F04B43/02—Machines, pumps, or pumping installations having flexible working members having plate-like flexible members, e.g. diaphragms
- F04B43/04—Pumps having electric drive
-
- 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3334—Measuring or controlling the flow rate
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Mechanical Engineering (AREA)
- Cardiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Anesthesiology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- General Engineering & Computer Science (AREA)
- Vascular Medicine (AREA)
- External Artificial Organs (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Reciprocating Pumps (AREA)
Abstract
Description
少なくとも1つの膜型ポンプ(10、19)を有し、生成される圧力および/または送出速度の点でポンプを制御する制御装置(11)を有する、導管(8)に液体を供給する供給装置。
[2]
導管(8)の相互に離れた地点に配置された少なくとも2つのポンプ(10、19)、特に膜型ポンプを有し、また、生成される圧力および/または送出速度の点でポンプを個別に制御する制御装置(11)を有する、[1]に記載の供給装置。
[3]
[1]または[1]に記載の供給装置において、
各ポンプに液体圧力センサ(15、22)が割り当てられることを特徴とする供給装置。
[4]
[1]、[2]または[3]に記載の供給装置において、
各ポンプにポンプの電力消費量、特に電流消費量を検出する電気センサが割り当てられることを特徴とする供給装置。
[5]
[1]〜[4]のうちの1つに記載の供給装置において、
各ポンプに流速センサ(15、22)が割り当てられることを特徴とする供給装置。
[6]
導管に液体を供給し、膜型ポンプを有する供給装置の動作方法において、
膜型ポンプが生成される圧力および/または送出速度の点で制御されることを特徴とする方法。
[7]
導管に液体を供給し、導管の相互に離れた地点に配置された2つのポンプ(10、19)を有する供給装置の動作方法において、
両方のポンプ(10、19)の少なくとも1つの動作パラメータのパラメータ値が相互に調整された方法で制御されることを特徴とする方法。
[8]
[6]または[7]に記載の方法において、
液体圧力が導管内の1地点、または相互に離れた複数の異なる地点で検出されることを特徴とする方法。
[9]
[7]に記載の方法において、
2つのポンプ(10、19)の調整されたパラメータ値が一定の方式に従って経時的に可変であり、特に始動期間以降しばらく周期的に変化することを特徴とする方法。
[10]
[7]、[8]または[9]に記載の方法において、
2つのポンプ(10、19)の調整されたパラメータ値が、導管内の液体圧力の検出値に所定の方法で依存する相互のある比率をとることを特徴とする方法。
[11]
[7]〜[10]のうちの1つに記載の方法において、
両方のポンプ(10、19)の調整された動作パラメータがそれぞれの送出能力であることを特徴とする方法。
[12]
[7]〜[11]のうちの1つに記載の方法において、
両方のポンプ(10、19)の調整された動作パラメータが、ポンプにより生成される液体圧力のそれぞれの値であることを特徴とする方法。
[13]
[7]〜[12]のうちの1つに記載の方法において、
両方のポンプ(10、19)の調整された動作パラメータがポンプのそれぞれの送出能力であることを特徴とする方法。
[14]
[7]〜[13]のうちの1つに記載の方法において、
両方のポンプ(10、19)の調整された動作パラメータがポンプのそれぞれの流速であることを特徴とする方法。
[15]
[7]〜[14]のうちの1つに記載の方法において、
一定の圧力差および/または一定の流速差が2つのポンプ(10、19)間で設定されることを特徴とする方法。
[16]
[15]に記載の方法において、
両方のポンプ(10、19)の流速の差が毎日100ミリリットル未満、特に毎日10ミリリットル未満、特に毎日1ミリリットル未満であることを特徴とする方法。
[17]
[6]〜[16]のうちの1つに記載の方法において、
ポンプ(10、19)は、液体の移動方向が逆転されるように制御されることを特徴とする方法。
[18]
[1]〜[5]のうちの1つに記載の供給装置を有する中空カテーテル。
[19]
中空カテーテル内で回転可能なシャフトを含む、[18]に記載の中空カテーテル。
[20]
[18]または[19]に記載の中空カテーテルにおいて、
中空カテーテル内に柔軟なシャフトが配置されることを特徴とする中空カテーテル。
[21]
[18]〜[20]のうちの1つに記載の中空カテーテルを含むカテーテルポンプ、特に心室内手術のためのカテーテルポンプ。
Claims (1)
- 遠位端の外側に配置された血液ポンプを駆動する柔軟なシャフト(2)が挿通されると共に、液体が前記遠位端に向かって流れる第1の導管領域(8a)と液体が近位端に向かって流れる第2の導管領域(8b)とを含む導管(8)と、
液体を前記第1の導管領域(8a)に供給する第1のポンプ(10)と、
液体を前記第2の導管領域(8b)から吸引する第2のポンプ(19)と、
前記第1、第2のポンプ(10,19)のそれぞれが生成する液体圧力または送出流量のいずれか一方または両方を制御する制御装置(11)と、を有するカテーテルポンプであって、
前記第1のポンプ(10)と前記第2のポンプ(19)のいずれか一方又は両方が膜型ポンプであること、
を特徴とするカテーテルポンプ。
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2022053014A JP7372378B2 (ja) | 2013-10-14 | 2022-03-29 | カテーテルポンプ |
JP2023180085A JP2023174897A (ja) | 2013-10-14 | 2023-10-19 | カテーテルポンプ |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP20130188579 EP2860399A1 (de) | 2013-10-14 | 2013-10-14 | Verfahren zum Betrieb einer Versorgungseinrichtung, die einen Kanal mit einer Flüssigkeit beaufschlagt, sowie Versorgungseinrichtung |
EP13188579.0 | 2013-10-14 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016523279A Division JP6758181B2 (ja) | 2013-10-14 | 2014-10-09 | カテーテルポンプ |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2022053014A Division JP7372378B2 (ja) | 2013-10-14 | 2022-03-29 | カテーテルポンプ |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2020151493A true JP2020151493A (ja) | 2020-09-24 |
JP7050854B2 JP7050854B2 (ja) | 2022-04-08 |
Family
ID=49488465
Family Applications (4)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016523279A Active JP6758181B2 (ja) | 2013-10-14 | 2014-10-09 | カテーテルポンプ |
JP2020092840A Active JP7050854B2 (ja) | 2013-10-14 | 2020-05-28 | カテーテルポンプ |
JP2022053014A Active JP7372378B2 (ja) | 2013-10-14 | 2022-03-29 | カテーテルポンプ |
JP2023180085A Pending JP2023174897A (ja) | 2013-10-14 | 2023-10-19 | カテーテルポンプ |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016523279A Active JP6758181B2 (ja) | 2013-10-14 | 2014-10-09 | カテーテルポンプ |
Family Applications After (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2022053014A Active JP7372378B2 (ja) | 2013-10-14 | 2022-03-29 | カテーテルポンプ |
JP2023180085A Pending JP2023174897A (ja) | 2013-10-14 | 2023-10-19 | カテーテルポンプ |
Country Status (10)
Country | Link |
---|---|
US (3) | US10195323B2 (ja) |
EP (4) | EP2860399A1 (ja) |
JP (4) | JP6758181B2 (ja) |
KR (3) | KR20230038595A (ja) |
CN (2) | CN108457844B (ja) |
CA (1) | CA2925422A1 (ja) |
DK (2) | DK3594500T3 (ja) |
ES (2) | ES2916710T3 (ja) |
HK (2) | HK1223670A1 (ja) |
WO (1) | WO2015055515A1 (ja) |
Families Citing this family (41)
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