Apparatus and methods are described including a left-ventricular assist device that includes a self-expandable impeller and a pump-outlet tube. The impeller is configured to be deployed in a left ventricle of a subject and to pump blood from the subject's left ventricle to an aorta of the subject via the pump-outlet tube, for a period of more than two days. The impeller is configured to provide blood flow of more than 4.5 L/min, when pumping against a pressure gradient of 50 mmHg. Other applications are also described.

Apparatus and methods are described including a left-ventricular assist device that includes a self-expandable impeller and a pump-outlet tube. The impeller is configured to be deployed in a left ventricle of a subject and to pump blood from the subject's left ventricle to an aorta of the subject via the pump-outlet tube, for a period of more than two days. The impeller is configured to provide blood flow of more than 4.5 L/min, when pumping against a pressure gradient of 50 mmHg. Other applications are also described.

The invention relates to a temporary circulatory assistance or support device for the heart (13) of a patient (12), a first pressure sensor (50) being disposed in the admission portion (19) and this pressure sensor (50) having a measurement time constant of less than 20 milliseconds so that the control means (40) modulate or stop the pumping of the extracted blood when the pressure detected by the sensor (50) attains a threshold pressure value and/or the pressure increases/decreases above or below a threshold pressure acceleration/deceleration slope.

The invention relates to a temporary circulatory assistance or support device for the heart (13) of a patient (12), a first pressure sensor (50) being disposed in the admission portion (19) and this pressure sensor (50) having a measurement time constant of less than 20 milliseconds so that the control means (40) modulate or stop the pumping of the extracted blood when the pressure detected by the sensor (50) attains a threshold pressure value and/or the pressure increases/decreases above or below a threshold pressure acceleration/deceleration slope.

Apparatus and methods are described including a ventricular assist device that includes a frame having struts that define a plurality of cells. In its non-radially-constrained configuration, the frame includes a generally cylindrical portion. A tube defines blood outlet openings, and a portion of the tube is disposed outside the frame and is coupled to the generally cylindrical portion of the frame, such that the portion of the tube conforms with a structure of struts of the frame. An inner lining is coupled to an inside of the generally cylindrical portion of the frame, such as to provide the generally cylindrical portion of the frame with a smooth inner surface. An impeller is disposed at least partially inside the generally cylindrical portion of the frame and is configured to pump blood through the tube and out of the one of more blood outlet openings. Other applications are also described.

Apparatus and methods are described including a ventricular assist device that includes a frame having struts that define a plurality of cells. In its non-radially-constrained configuration, the frame includes a generally cylindrical portion. A tube defines blood outlet openings, and a portion of the tube is disposed outside the frame and is coupled to the generally cylindrical portion of the frame, such that the portion of the tube conforms with a structure of struts of the frame. An inner lining is coupled to an inside of the generally cylindrical portion of the frame, such as to provide the generally cylindrical portion of the frame with a smooth inner surface. An impeller is disposed at least partially inside the generally cylindrical portion of the frame and is configured to pump blood through the tube and out of the one of more blood outlet openings. Other applications are also described.

The disclosure relates to devices and methods for the treatment of edema using a purge-free system. The invention provides devices and methods useful for treating edema by means of an indwelling catheter that is placed in a blood vessel of a patient and used to pump blood to cause a decrease in pressure at an outlet of a lymphatic duct. The catheter pumps blood by means of an impeller but is purge-free in that the catheter does not include a system for purging or flushing catheter components with a purge fluid. The purge-free catheter avoids blood-related mechanical complications such as clotting or thrombosis by means of an impermeable sleeve or shroud that protects moving parts of the impeller drive system.

Catheter blood pumps that include an expandable pump portion. The pump portions include a collapsible blood conduit that defines a blood lumen. The collapsible blood conduits include a collapsible scaffold adapted to provide radial support to the blood conduit. The pump portion also includes one or more impellers.

Catheter blood pumps that include an expandable pump portion. The pump portions include a collapsible blood conduit that defines a blood lumen. The collapsible blood conduits include a collapsible scaffold adapted to provide radial support to the blood conduit. The pump portion also includes one or more impellers.

A system for inserting a collapsible blood pump into a patient. In some embodiments, the system includes an introducer, the introducer comprising an introducer hub and an introducer sheath extending distally from the introducer hub, the introducer sheath comprising an introducer sheath lumen, the introducer hub comprising a hub connector and a distal hub lumen surrounding a proximal end of the introducer shaft; and a transfer tool comprising a transfer sheath, the transfer sheath comprising a transfer sheath lumen having a diameter substantially equal to a diameter of the introducer sheath lumen and a transfer tool connector adapted to connect to the hub connector, a distal portion of the transfer sheath extending into the distal hub lumen when the transfer tool connector is connected to the hub connector.