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EP4387708A4 - Procédé et appareil pour assister un coeur - Google Patents

Procédé et appareil pour assister un coeur

Info

Publication number
EP4387708A4
EP4387708A4 EP22858966.9A EP22858966A EP4387708A4 EP 4387708 A4 EP4387708 A4 EP 4387708A4 EP 22858966 A EP22858966 A EP 22858966A EP 4387708 A4 EP4387708 A4 EP 4387708A4
Authority
EP
European Patent Office
Prior art keywords
assisting
heart
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
EP22858966.9A
Other languages
German (de)
English (en)
Other versions
EP4387708A1 (fr
Inventor
Marc David FELDMAN
John Porterfield
Clay HEIGHTEN
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Cardiovol LLC
University of Texas System
University of Texas at Austin
Cardiovol LLC
Original Assignee
Cardiovol LLC
University of Texas System
University of Texas at Austin
Cardiovol LLC
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US17/407,138 external-priority patent/US12290675B2/en
Application filed by Cardiovol LLC, University of Texas System, University of Texas at Austin, Cardiovol LLC filed Critical Cardiovol LLC
Publication of EP4387708A1 publication Critical patent/EP4387708A1/fr
Publication of EP4387708A4 publication Critical patent/EP4387708A4/fr
Pending legal-status Critical Current

Links

Classifications

    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/026—Measuring blood flow
    • A61B5/029—Measuring blood output from the heart, e.g. minute volume
    • 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
    • A61M60/104—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body
    • A61M60/109—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body incorporated within extracorporeal blood circuits or systems
    • 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
    • A61M60/20—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
    • A61M60/237—Non-positive displacement blood pumps including a rotating member acting on the blood, e.g. impeller the blood flow through the rotating member having mainly axial components, e.g. axial flow 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
    • A61M60/20—Type thereof
    • A61M60/295—Balloon pumps for circulatory assistance
    • 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
    • A61M60/30—Medical purposes thereof other than the enhancement of the cardiac output
    • A61M60/36—Medical purposes thereof other than the enhancement of the cardiac output for specific blood treatment; for specific therapy
    • A61M60/38—Blood oxygenation
    • 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
    • A61M60/515—Regulation using real-time patient data
    • 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
    • A61M60/515—Regulation using real-time patient data
    • A61M60/531—Regulation using real-time patient data using blood pressure data, e.g. from blood pressure sensors
    • 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
    • A61M60/81—Pump housings
    • A61M60/816—Sensors arranged on or in the housing, e.g. ultrasound flow sensors
    • 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
    • A61M60/855—Constructional details other than related to driving of implantable pumps or pumping devices
    • A61M60/865—Devices for guiding or inserting pumps or pumping devices into the patient's body
    • A61M60/867—Devices for guiding or inserting pumps or pumping devices into the patient's body using position detection during deployment, e.g. for blood pumps mounted on and driven through a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0538—Measuring electrical impedance or conductance of a portion of the body invasively, e.g. using 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3317—Electromagnetic, inductive or dielectric measuring means

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Hematology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Anesthesiology (AREA)
  • Mechanical Engineering (AREA)
  • Medical Informatics (AREA)
  • Physiology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Emergency Medicine (AREA)
  • Vascular Medicine (AREA)
  • External Artificial Organs (AREA)
EP22858966.9A 2021-08-19 2022-08-11 Procédé et appareil pour assister un coeur Pending EP4387708A4 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US17/407,138 US12290675B2 (en) 2021-04-22 2021-08-19 Method and apparatus for assisting a heart
PCT/US2022/040109 WO2023022923A1 (fr) 2021-08-19 2022-08-11 Procédé et appareil pour assister un cœur

Publications (2)

Publication Number Publication Date
EP4387708A1 EP4387708A1 (fr) 2024-06-26
EP4387708A4 true EP4387708A4 (fr) 2025-05-21

Family

ID=85239673

Family Applications (1)

Application Number Title Priority Date Filing Date
EP22858966.9A Pending EP4387708A4 (fr) 2021-08-19 2022-08-11 Procédé et appareil pour assister un coeur

Country Status (2)

Country Link
EP (1) EP4387708A4 (fr)
WO (1) WO2023022923A1 (fr)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2024254606A2 (fr) * 2023-06-09 2024-12-12 Board Of Regents, The University Of Texas System Capteur conducteur pour cathéter d'artère pulmonaire
CN116920267B (zh) * 2023-06-26 2025-10-17 安徽通灵仿生科技有限公司 一种心室导管泵的位置检测方法及装置

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014173527A1 (fr) * 2013-04-24 2014-10-30 Eth Zurich Appareil biomédical destiné à pomper le sang d'un patient humain ou animal dans un circuit sanguin secondaire intra- ou extracorporel
WO2019234148A1 (fr) * 2018-06-06 2019-12-12 Kardion Gmbh Système de support ventriculaire implantable ainsi que procédé pour son fonctionnement
WO2021076631A1 (fr) * 2019-10-14 2021-04-22 Duke University Système de cathéter de ventilation et d'anti-coagulation inséré de manière périphérique dans le ventricule gauche
WO2022074136A1 (fr) * 2020-10-07 2022-04-14 Abiomed Europe Gmbh Ensemble d'électrodes pour mesures de conductance et d'admittance
WO2023037162A1 (fr) * 2021-09-10 2023-03-16 Abiomed Europe Gmbh Système et procédé de support d'assistance ventriculaire pendant une oxygénation par membrane extracorporelle

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4951682A (en) * 1988-06-22 1990-08-28 The Cleveland Clinic Foundation Continuous cardiac output by impedance measurements in the heart
US5376114A (en) * 1992-10-30 1994-12-27 Jarvik; Robert Cannula pumps for temporary cardiac support and methods of their application and use
US5851174A (en) * 1996-09-17 1998-12-22 Robert Jarvik Cardiac support device
US5964694A (en) * 1997-04-02 1999-10-12 Guidant Corporation Method and apparatus for cardiac blood flow assistance
US6494832B1 (en) 1999-03-09 2002-12-17 Conductance Technologies, Inc. Multifrequency conductance catheter-based system and method to determine LV function in a patient
US7783345B2 (en) * 2002-10-07 2010-08-24 Cnsystems Medizintechnik Gmbh Impedance-based measuring method for hemodynamic parameters
EP1667577B1 (fr) 2003-09-09 2013-11-06 Board of Regents, The University of Texas System Procédé et appareil permettant de mesurer la puissance cardiaque chez un patient au moyen d'un cathéter à conductance
US8706219B2 (en) 2005-12-22 2014-04-22 Board Of Regents, The University Of Texas System Method and apparatus for monitoring an organ of a patient
US20110152661A1 (en) 2005-12-22 2011-06-23 Board Of Regents, The University Of Texas System Method and apparatus for identifying the viability of ischemic myocardium of a patient
EP2648801B1 (fr) 2010-12-10 2022-03-16 Admittance Technologies, Inc. Mesure d'impédance pour le réglage de stimulateurs cardiaques bi-ventriculaires
EP2691019B1 (fr) 2011-03-30 2022-08-31 Admittance Technologies, Inc. Appareil de faible puissance et méthode de mesure d'une admittance ou d'une impédance électrique complexe
US10420952B2 (en) 2012-10-10 2019-09-24 Board Of Regents, The University Of Texas System Method and apparatus for treating a patient's heart using hemodynamics
US9713662B2 (en) * 2012-11-30 2017-07-25 The Penn State Research Foundation Smart tip LVAD inlet cannula

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014173527A1 (fr) * 2013-04-24 2014-10-30 Eth Zurich Appareil biomédical destiné à pomper le sang d'un patient humain ou animal dans un circuit sanguin secondaire intra- ou extracorporel
WO2019234148A1 (fr) * 2018-06-06 2019-12-12 Kardion Gmbh Système de support ventriculaire implantable ainsi que procédé pour son fonctionnement
WO2021076631A1 (fr) * 2019-10-14 2021-04-22 Duke University Système de cathéter de ventilation et d'anti-coagulation inséré de manière périphérique dans le ventricule gauche
WO2022074136A1 (fr) * 2020-10-07 2022-04-14 Abiomed Europe Gmbh Ensemble d'électrodes pour mesures de conductance et d'admittance
WO2023037162A1 (fr) * 2021-09-10 2023-03-16 Abiomed Europe Gmbh Système et procédé de support d'assistance ventriculaire pendant une oxygénation par membrane extracorporelle

Non-Patent Citations (3)

* Cited by examiner, † Cited by third party
Title
MEANI PAOLO ET AL: "The step forward for VA ECMO: left ventricular unloading!", JOURNAL OF THORACIC DISEASE, vol. 9, no. 11, 1 November 2017 (2017-11-01), China, pages 4149 - 4151, XP093268196, ISSN: 2072-1439, DOI: 10.21037/jtd.2017.10.14 *
PAPPALARDO FEDERICO ET AL: "Concomitant implantation of Impella ? on top of veno-arterial extracorporeal membrane oxygenation may improve survival of patients with cardiogenic shock", EUROPEAN JOURNAL OF HEART FAILURE, vol. 19, no. 3, 6 October 2016 (2016-10-06), NL, pages 404 - 412, XP093268230, ISSN: 1388-9842, Retrieved from the Internet <URL:https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fejhf.668> DOI: 10.1002/ejhf.668 *
See also references of WO2023022923A1 *

Also Published As

Publication number Publication date
WO2023022923A1 (fr) 2023-02-23
EP4387708A1 (fr) 2024-06-26

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