A61M60/538

System and method for extracorporeal temperature control

Improved systems and methods for extracorporeal blood temperature control and patient temperature control, e.g., for induced hypothermia and optional normothermia, may include or otherwise employ a heat exchanger for cooling/warming of a fluid, a thermal exchange module having fluidly-isolated first and second volumes, and a fluid pump for circulating the fluid through the heat exchanger and the first volume of the thermal exchange module. A blood pump may be provided for the flow of blood through the second volume of the thermal exchange module, and a first controller may be provided for providing output signals for use in operation of the heat exchanger to selectively control thermal exchange between the fluid circulated through the first volume of the thermal exchange module and the blood flowed through the second volume of the thermal exchange module, thereby providing for selective cooling/warming of the blood. A multi-lumen catheter may be utilized for the flow of blood from a patient vascular system to the second volume of the thermal exchange module, and for flow of blood from the second volume of the thermal exchange module back to the patient vascular system. The circulated fluid may be optionally circulated through a patient contact pad(s) for contact cooling/warming, wherein patient cooling/warming may be provided in a first mode via blood cooling/warming in the thermal exchange module, and patient cooling/warming may be provided in a second mode via thermal exchange by the contact pad(s).

DETECTION OF HYPERTENSION IN LVAD PATIENTS USING SPEED CHANGE
20230277136 · 2023-09-07 ·

A method of detecting hypertension in a patient having an implantable blood pump, the method includes operating the implantable blood pump at a first pump set speed during a first period of time. A first flow rate minimum during a cardiac cycle of the patient is measured. during the first period of time. The first pump set speed is reduced by at least 200 rpm during a second period of time after the first period of time to a second pump set speed, the second period of time being less than the first period of time. A second flow rate minimum is measured during a cardiac cycle during the second period of time. If the second flow rate minimum decreases during the second period of time at the second pump set speed by more than a predetermined amount, an alert is generated indicating a presence of hypertension.

DETECTION OF HYPERTENSION IN LVAD PATIENTS USING SPEED CHANGE
20230277136 · 2023-09-07 ·

A method of detecting hypertension in a patient having an implantable blood pump, the method includes operating the implantable blood pump at a first pump set speed during a first period of time. A first flow rate minimum during a cardiac cycle of the patient is measured. during the first period of time. The first pump set speed is reduced by at least 200 rpm during a second period of time after the first period of time to a second pump set speed, the second period of time being less than the first period of time. A second flow rate minimum is measured during a cardiac cycle during the second period of time. If the second flow rate minimum decreases during the second period of time at the second pump set speed by more than a predetermined amount, an alert is generated indicating a presence of hypertension.

MAP estimation on VAD patients
11653841 · 2023-05-23 · ·

A method of determining a mean arterial pressure index of a patient having an implantable blood pump including determining a pump speed and a pump flow value; analyzing the pump speed and the pump flow value to a pump loss constant value; determining a graft hydraulic resistance value during a systolic phase of a cardiac cycle based on the analysis of the pump speed and the pump flow value to the pump loss constant value; determining a mean arterial pressure index during a diastolic phase of the cardiac cycle based on the determined graft hydraulic resistance value; comparing the mean arterial pressure index of the patient to a mean arterial pressure index range; and generating an alert when the mean arterial pressure index varies with respect to a mean arterial pressure index range.

MAP estimation on VAD patients
11653841 · 2023-05-23 · ·

A method of determining a mean arterial pressure index of a patient having an implantable blood pump including determining a pump speed and a pump flow value; analyzing the pump speed and the pump flow value to a pump loss constant value; determining a graft hydraulic resistance value during a systolic phase of a cardiac cycle based on the analysis of the pump speed and the pump flow value to the pump loss constant value; determining a mean arterial pressure index during a diastolic phase of the cardiac cycle based on the determined graft hydraulic resistance value; comparing the mean arterial pressure index of the patient to a mean arterial pressure index range; and generating an alert when the mean arterial pressure index varies with respect to a mean arterial pressure index range.

Detecting pump suction, pump thrombus, and other adverse VAD motor events
11617877 · 2023-04-04 · ·

A controller for an implantable blood pump including processing circuitry configured to operate the implantable blood pump and a piezoelectric element in communication with the implantable blood pump.

Diagnostic metric for cumulative presence of suction conditions
11617878 · 2023-04-04 · ·

A method of determining a cumulative presence of suction in a patient having an implanted blood pump including determining whether at least one suction event occurred during a predetermined time interval for a predetermined number of time intervals and determining the cumulative presence of suction by dividing a sum of a number of predetermined time intervals in which at least one suction event occurred by the predetermined number of time intervals.

CONTROLLED PURGE RECOVERY USING TISSUE PLASMINOGEN ACTIVATOR (tPA)

A method for controlled purging of a blood pump and a blood pump assembly for implementing the method are provided. The blood pump is in fluid communication with a purging device. The purging device comprises a purge reservoir and a supplemental reservoir configured to be fluidically connected to the blood pump. The purge reservoir is configured to receive a purge fluid and the supplemental reservoir configured to receive a supplemental purge fluid. At least a portion of the blood pump is inserted into a patient and operated. A flow of the purge fluid is provided from the purge reservoir to the blood pump. A purge flow parameter at the blood pump is measured using a measuring device and when it is determined by a controller that the purge flow parameter meets a predetermined threshold, a remediation protocol is identified.

CONTROLLED PURGE RECOVERY USING TISSUE PLASMINOGEN ACTIVATOR (tPA)

A method for controlled purging of a blood pump and a blood pump assembly for implementing the method are provided. The blood pump is in fluid communication with a purging device. The purging device comprises a purge reservoir and a supplemental reservoir configured to be fluidically connected to the blood pump. The purge reservoir is configured to receive a purge fluid and the supplemental reservoir configured to receive a supplemental purge fluid. At least a portion of the blood pump is inserted into a patient and operated. A flow of the purge fluid is provided from the purge reservoir to the blood pump. A purge flow parameter at the blood pump is measured using a measuring device and when it is determined by a controller that the purge flow parameter meets a predetermined threshold, a remediation protocol is identified.

BLOOD PUMP SYSTEM FOR CAUSING PERSISTENT INCREASE IN THE OVERALL DIAMETER OF A TARGET VESSEL
20230028966 · 2023-01-26 ·

A blood pump system for persistently increasing the overall diameter and lumen diameter of peripheral veins and arteries by persistently increasing the speed of blood and the wall shear stress in a peripheral vein or artery for a period of time sufficient to result in a persistent increase in the overall diameter and lumen diameter of the vessel is provided. The blood pump system includes a blood pump, blood conduit(s), a control system with optional sensors, and a power source. The pump system is configured to connect to the vascular system in a patient and pump blood at a desired rate and pulsatility. The pumping of blood is monitored and adjusted, as necessary, to maintain the desired elevated blood speed, wall shear stress, and desired pulsatility in the target vessel to optimize the rate and extent of persistent increase in the overall diameter and lumen diameter of the target vessel.