Mechanical circulatory support systems and methods are disclosed herein. In some examples, the present technology comprises a system for providing cardiac support to a patient where the system comprises a first elongated shaft configured to receive a delivery catheter therethrough, a second elongated shaft, and a pressure source coupled to the first and second elongated shafts. The first elongated shaft may have a distal end portion configured to be intravascularly positioned at a first cardiovascular location, and the second elongated shaft may have a distal end portion configured to be intravascularly positioned at a second cardiovascular location downstream of the first location. Pressure generated by the pressure source pulls blood from the first location proximally through the first shaft to the pressure source, then pushes the blood distally through the second shaft and into circulatory flow at the second cardiovascular location, thereby providing mechanical circulatory support to the patient.

A dual lumen coaxial cannula assembly including a first infusion tube having a proximal end, a distal end, and a sidewall extending circumferentially therebetween, as well as a second drainage tube co-axially aligned with the first infusion tube, the second drainage tube having a proximal end, a distal end, and a sidewall extending circumferentially therebetween. The assembly also includes a connector assembly, which has an inlet portion through which a portion of the first infusion tube is configured to extend and an outlet portion through which a portion of the second drainage tube is configured to extend. The connector assembly is configured to enable selective axial displacement of the first infusion tube through the second drainage tube.

A system and method of unloading a heart chamber is described. The chamber can be a ventricle and the system can unload the ventricle during or after a heart attack. The ventricular unloading system includes a transthoracic needle insertable into the ventricle, a vascular access cannula insertable into a blood vessel, and a pump to move blood from the ventricle to the blood vessel through the transthoracic needle and the vascular access cannula. The ventricular unloading system can be used by an emergency medical technician in a non-hospital setting. Accordingly, the ventricular unloading system can provide early protection against infarct to improve clinical outcomes for a patient. Other embodiments are also described and claimed.

Intravascular blood pumps and methods of use. The blood pump include a pump portion that includes a collapsible blood conduit defining a blood flow lumen between an inflow and an outflow. The pump portion includes a distal collapsible impeller axially spaced from a proximal collapsible impeller, at least a portion of each of the distal and proximal collapsible impellers disposed between the inflow and the outflow.

Intravascular blood pumps and methods of use. The blood pump include a pump portion that includes a collapsible blood conduit defining a blood flow lumen between an inflow and an outflow. The pump portion includes a distal collapsible impeller axially spaced from a proximal collapsible impeller, at least a portion of each of the distal and proximal collapsible impellers disposed between the inflow and the outflow.

A drive unit for a diaphragm pump may be provided, wherein the drive unit comprises a hollow body and a piston which is arranged so as to be movable in the first hollow body along an axis of the hollow body, wherein the piston divides the hollow body into a first chamber, which is connectable to the diaphragm pump, and a second chamber, which is coupleable to a gas reservoir. The second chamber comprises an inlet valve and an outlet valve, such that a gas flow is drawn into the chamber via the inlet valve and is forced out of the chamber via the outlet valve.

A drive unit for a diaphragm pump may be provided, wherein the drive unit comprises a hollow body and a piston which is arranged so as to be movable in the first hollow body along an axis of the hollow body, wherein the piston divides the hollow body into a first chamber, which is connectable to the diaphragm pump, and a second chamber, which is coupleable to a gas reservoir. The second chamber comprises an inlet valve and an outlet valve, such that a gas flow is drawn into the chamber via the inlet valve and is forced out of the chamber via the outlet valve.

A spring (3, 3′) comprising a plurality of elements (30), each element (3) comprising a rigid portion (31) and a flexible beam (32), the extremities (320, 321) of the flexible beam being supported by the rigid portion (31), the flexible beam (32) having a single stable position, so that the flexible beam can be deformed when a pressure is exerted between said extremities in the direction of the rigid portion (31), and returns to said single stable position when the pressure is released, and wherein the rigid portion (31) of at least one element (30) is in contact with the flexible beam (32) of the next element between said extremities (320, 321) of the flexible beam (32), so that the spring has a negative stiffness over an operating range. The arrangement ensures a pure radial compression/expansion of the spring.

An extracorporeal cardiac assistance system, comprising a pump being configured to create a fluid flow from a suction line to a pressure line of the system; further comprising a control device configured to control the pump and/or an adjustable flow limiter to provide an adjustable flow rate and/or a pressure, wherein the control device is configured to execute a support mode with a plurality of consecutive support flow rate pulses and/or support pressure pulses interposed on the fluid flow and to execute a weaning mode with a plurality of such pulses, wherein an amount of energy provided to the fluid flow with each pulse is lower in the weaning mode than in the support mode.

An extracorporeal cardiac assistance system, comprising a pump being configured to create a fluid flow from a suction line to a pressure line of the system; further comprising a control device configured to control the pump and/or an adjustable flow limiter to provide an adjustable flow rate and/or a pressure, wherein the control device is configured to execute a support mode with a plurality of consecutive support flow rate pulses and/or support pressure pulses interposed on the fluid flow and to execute a weaning mode with a plurality of such pulses, wherein an amount of energy provided to the fluid flow with each pulse is lower in the weaning mode than in the support mode.