Vascor, Inc.

Other

Arco Medical Products Company

Steve Andrew Kolenik

Marlin S Heilman

Edward Karl Prem

Christopher David Capone

Carl Michael Parisi

Richard Andrew Sofranko

Daniel Richard Moore

Robert A Walters

Vernon L Speicher

Mir A Imran

Alois A Langer

Morton M Mower

James F Antaki

Stanley M Bach, Jr

Mieczyslaw Mirowski

John Andrew Holmes

Ralph Scott Hebbert

Zhongjun Wu

David C Borzelleca

Ruey C Dempsey

Greg Burgreen

An inflow conduit of a ventricular assist device configured to prevent formation of recirculation and stagnation zones as well as collapse due to external forces or pump induced suction can be rigid and have a funnel like shape with an elbow to accommodate a patient anatomy. Stiffening elements and pressure sensing devices can also be provided associated with the inflow conduit.

Inflow conduit for ventricular assist device

A blood pump having rotor and/or stator touch down zones to prevent pump failure or hemolysis which can occur if the rotor comes into contact with the stator due to power failure or mechanical shock. The touch down zones can include forming, or coating, portions of adjacent surfaces of the stator and rotor which can come into contact if a rotor touch down occurs. The materials used to form or coat the touch down zones can have properties which ensure that no consequential damage to the contacting surfaces occurs.

Touch down of blood pump impellers

A blood pump for assisting a heart is provided having a stator and a rotor. The rotor is magnetically radially supported creating a suspension gap between the stator and the rotor. The rotor can be supported axially by a Lorentz force bearing and can be magnetically rotated. The stator can have a single or double volute pump chamber and the rotor can have an impeller portion for pumping blood. The rotor can have a center bore as a primary blood flowpath. The suspension gap can be a secondary blood flowpath. The blood pump can also have an axial position controller and a flow rate controller. The axial position controller can cause the axial bearing to adjust the position of the rotor. The flow rate controller can have a member for measuring a dimension of a heart ventricle to control the flow rate to avoid overly distending or contracting the ventricle. A method of operating the flow rate controller to create a pulsatile flow rate is also provided. Additionally, the blood pump can be part of a cardiac assist and arrhythmia control system. Moreover, a method of operating the flow rate controller can be provided which reduces the amount of energy needed to treat fibrillation. The method can include operating the flow rate controller to reduce a radial dimension of the ventricle prior to delivering defibrillation energy such that the ventricle contains less blood which absorbs less energy so that a larger fraction of the energy is delivered to the heart.

Magnetically suspended fluid pump and control system with defibrillator

Magnetically suspended fluid pump and control system

A blood pump apparatus can include a pump housing having a drive chamber containing a drive mechanism. A cupped member can be connected to the housing and the drive mechanism can include a motor for rotating an eccentric shaft. A pumping arm can be provided having one end riding on the eccentric shaft, an intermediate portion pivotably attached to the housing and another end connected to a movable plate. A roller bearing can be mounted on the eccentric shaft on which the arm can ride. A compressible blood chamber having an inlet and an outlet connected can be provided sandwiched between the cupped portion and the movable plate. The motor thus rotates the cam causing the pumping arm to pivot which cycles the movable plate against the blood chamber to pump blood. The movable plate can be implanted adjacent a lung such that the lung moves with the plate as blood is pumped and thereby functions as a compliance chamber. A speed reducer can be provided between the motor and the eccentric shaft. A hermetically sealing bellows can be provided to seal the drive chamber and the end of the pumping arm from body fluids. An enclosure bag can be provided surrounding all or a portion of the blood pump to provide a tissue friendly surface and to prevent tissue from becoming caught in the moving parts of the blood pump. A position sensor can be included for determining a volume of blood in the chamber for use by an electronic controller to control the speed of the motor to optimize pumping action.

Single chamber blood pump

A ventricular assist device for a heart includes a compression band-stay-pad assembly for encircling substantially the heart perimeter and comprising an elongated band member or chain disposed in a sealed protective structure filled with a lubricating medium. The band member may be fixed at one end and wound upon, or unwound from, a rotatable spool by a drive motor through a speed reducer. Force-transmitting support or stay assemblies are disposed in the protective structure between the band member and a resilient pad assembly for encircling the heart and promoting heart tissue ingrowth therein. The force-transmitting stay assemblies are biased circumferentially, and thus radially outward, by compression return springs disposed therebetween. The resilient pad assembly includes a corrugated surface provided with vertical coil springs, which help prevent damage to heart tissue and facilitate return of the pad assembly to an initial condition, embedded defibrillator electrodes and relatively soft portions to prevent damage to coronary arteries. The device may be constructed so that it can be surgically removed, except for a sealing film and an ingrown pad assembly, which remain in situ on the heart. A net structure suspended below the device supports the apical portion of the heart. In certain embodiments, power or motor devices are provided between respective ones of the force-transmitting stay assemblies to contract and expand the device. The circumferential length of the assembly may be adjustable and/or may comprise two band members movable in opposite directions.

Cardiac compression band-stay-pad assembly and method of replacing the

A ventricular assist device for a heart includes a compression band-stay-pad assembly for encircling substantially the entire heart perimeter and comprising an elongated band member or chain disposed in a sealed protective structure filled with a lubricating medium. The band member may be fixed at one end and wound upon, or unwound from, a rotatable spool by a drive motor through a speed reducer. Force-transmitting support or stay assemblies are disposed in the protective structure between the band member and a resilient pad assembly for encircling the heart and promoting heart tissue ingrowth therein. The force-transmitting stay assemblies are biased circumferentially, and thus radially outward, by compression return springs disposed therebetween. The resilient pad assembly includes a corrugated surface provided with vertical coil springs, which help prevent damage to heart tissue and facilitate return of the pad assembly to an initial condition, embedded defibrillator electrodes and relatively soft portions to prevent damage to coronary arteries. The device may be constructed so that it can be surgically removed, except for a sealing film and an ingrown pad of the resilient pad assembly, which remain in situ on the heart. A net structure suspended below the device supports the apical portion of the heart.

Biocompatible ventricular assist and arrhythmia control device including

A ventricular assist device may include a cardiac compression assembly which comprises a gel-filled pad of generally concave configuration, mounted on a pressure plate with peripheral portions of the pad extending beyond the periphery of the plate, to preclude damage to the heart by the peripheral edges of the plate. The gel-filled pad may have undulating opposite sides formed by intersecting rows of raised dimples. The pad also includes portions for suturing the pad to a heart ventricle, and at least some of the dimples on the side of the pad facing the heart ventricle are provided with ventricle tissue growth-promoting islands. An electrode, in the form of a grid having intersecting strips which define dimple-receiving openings therebetween, also may be mounted on the venticle side of the pad. As many as eight circumferentially arranged cardiac compression assemblies, having lower ends pivotally mounted on a support member adapted to be located adjacent the apex of a heart ventricle, may be provided. Operating systems for operating the cardiac compression assemblies may include a motor-driven camming mechanism; a mechanism comprising a device for converting electrical energy to hydraulic fluid energy, two sealed fluid systems, a reversible pump, two bellows and a safety solenoid pump-bypass fluid return valve; or a closed loop system comprising a reversible pump in a fluid supply casing, a hydraulic fluid manifold including a plurality of miniature fluid actuators which may be of arcuate construction to conserve space, and a mechanism for collecting fluid leaking from the actuators and returning it to the fluid supply casing.

A device for compressing a ventricle of a heart from one or more sides in synchronism with the natural contraction of the ventricle (systole), and providing arrhythmia control of the heart, is completely implantable in the body of a patient user externally of the heart. Compression of the ventricle is produced by a plurality of spaced compression plate assemblies and a ventricle apex-compression plate, a single compression plate-band assembly or tightenable bands. The compression plate assemblies comprise suitably located electrodes for heart monitoring purposes. A power supply of the implanted device can be recharged transcutaneously, and various other components of the device can be noninvasively programmed and interrogated by external circuits. The compression plate assemblies may be operated by a small brushless DC motor. An implantable manual pump mechanism, for operating the compression plate assemblies, also is provided for emergency purposes. The components of the implanted device also include a cardiac pacer, a defibrillator/cardioverter, a recorder and an alarm.

Biocompatible ventricular assist and arrhythmia control device

An implantable cardioversion system employing a bipolar electrode for R-wave sensing, the system utilizing heart rate averaging and probability density function techniques in determining whether or not the heart of a patient is to be automatically cardioverted. An improved bipolar electrode facilitates acquisition of a highly accurate R-wave. The implantable system is further provided with the capabilities of (1) providing, upon magnet-type interrogation, an audible indication of proper placement of the bipolar electrode in the body of a patient, (2) providing an audible indication to verify the status of the implanted device (activated or deactivated), (3) the capability of providing, upon request, a transmitted signal modulated with stored information corresponding to the number of times cardioversion of the patient has taken place, (4) the capability of preventing external cardioversion shock from being shunted across the electrodes, and (5) the capability of detecting average heart rate.

Implantable cardiac defibrillator employing bipolar sensing and

An implantable heart stimulator and related method calls for the determination of a given heart condition from among a plurality of conditions, the selection of at least one mode of operation for treating the determined condition, and the execution of the mode of operation selected, so as to treat the determined condition. In one embodiment of the invention, wherein a plurality of modes of operation for treating the various conditions are provided, the implantable heart stimulator includes processors, each processor being designed to efficiently execute a respective group of modes of operation. A further embodiment of the present invention calls for the implantable heart stimulator to be implemented by at least one programmable microprocessor. A still further embodiment calls for the provision of a data input/output channel, by means of which data can be provided to and retrieved from the implantable heart stimulator. Operations carried out by the implantable heart stimulator includes cardiac pacing, cardioversion, and automatic defibrillation. In a further embodiment of the implantable heart stimulator and related method, sensing circuitry is provided to determine the presence or absence of an R-wave of the heart, the absence of which causes a pacing operation to be implemented, further sensing circuitry being provided to determine the presence or absence of a forced R-wave of the heart, the absence of a forced R-wave causing ventricular defibrillation to be implemented.

Implantable heart stimulator and stimulation method

A heart rate detector apparatus, particularly for use in an implantable defibrillator, is disclosed. The heart rate detector apparatus includes two distinct detector circuits each responsive to ECG waveforms of different characteristics. One of the detector circuits is responsive to ECG waves having slew rates above a predetermined threshold. The other detector circuit is responsive to ECG waves having lower slew rates, such as ECG waves of more sinusoidal shape. A coupling circuit automatically couples one of the two detector circuits to an output circuit, such as a heart rate comparator. In a specific embodiment, the heart rate comparator determines the heart rate, compares the heart rate with a predetermined rate, and, if the heart rate exceeds the predetermined rate for a predetermined time period, provides an output signal. The output signal may be used to enable a defibrillating circuit to deliver a defibrillating shock to the patient.

Heart rate detector

A method and apparatus for effecting automatic ventricular defibrillation and/or demand cardioversion comprises an implanted automatic defibrillator having a normal (ventricular defibrillation) mode of operation and a cardioverting (demand cardioversion) mode of operation. One embodiment of the invention includes a simulated fibrillation source, externally located, for applying a simulated fibrillation signal to the patient via corresponding electrodes, the internal automatic defibrillator detecting the simulated fibrillation signal and responding thereto so as to apply a defibrillating voltage (in the normal mode) or a cardioverting voltage (in the cardioverting mode) to the heart of the patient. Another embodiment of the invention also includes an external command system, by means of which the implanted automatic defibrillator is actuated from the normal mode to the cardioverting mode, to reduce the discharge energy level, to cardiovert in synchronization with the QRS complex, or both.

Method and apparatus for effecting automatic ventricular defibrillation

A programmable implantable pacer is provided for performing the dual functions of demand pacing as well as standby tachycardia breakup. A command parameter control is used for programmably controlling parameters of the pacer operation as well as of the tachycardia recognition and response to same. Upon recognition of tachycardia, a series of stimulus pulses of predetermined rate and number are delivered, the tachycardia breakup pulses being generated and delivered through an output circuit utilized commonly with the demand pacer circuitry.

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Leechburg, PA, United States of America

Steve Andrew Kolenik