A61M60/538

Left ventricular volume and cardiac output estimation using machine learning model
11694813 · 2023-07-04 · ·

Methods and systems are disclosed for creating and using a neural network model to estimate a cardiac parameter of a patient, and using the estimated parameter in providing blood pump support to improve patient cardiac performance and heart health. Particular adaptations include adjusting blood pump parameters and determining whether and how to increase or decrease support, or wean the patient from the blood pump altogether. The model is created based on neural network processing of data from a first patient set and includes measured hemodynamic and pump parameters compared to a cardiac parameter measured in situ, for example the left ventricular volume measured by millar (in animals) or inca (in human) catheter. After development of a model based on the first set of patients, the model is applied to a patient in a second set to estimate the cardiac parameter without use of an additional catheter or direct measurement.

BLOOD PUMP SYSTEM WITH MAGNETICALLY LEVITATED ROTOR

The application pertains to a blood pump system, in particular a ventricular assist device, VAD, the system including a blood pump, which comprises: a housing, including an inlet and an outlet, preferably an axial influx and a tangential outflow; a motor actuator, wherein the motor includes a plurality of motor coils (for driving an impeller); an impeller, wherein the impeller is located in the housing and includes a plurality of rotor magnets.

The system further comprises a drive line; and a control unit for controlling operation of the pump, the control unit configured to: operate the motor, such that the impeller rotates around an axis; and measure the rotor position in a direction along the axis using at least one of the plurality of the motor coils.

EXTRACORPOREAL CIRCULATOR

Provided is an extracorporeal circulator capable of judging a timing suitable for detachment with high accuracy. The extracorporeal circulator includes a blood removal side catheter with a part that can be inserted into a patient and guide the blood taken from the patient; a pump that can take the blood from the patient and return the blood to the patient; a blood transfer side catheter provided downstream of the pump, and that has a part that can be inserted into the patient and guide the blood sent out from the pump back into the patient; a pump rotation speed detection unit that can detect a rotation speed of the pump; and a control system including at least one of an extracorporeal circulation management system that can judge stability of the extracorporeal circulation and a cardiac function measurement system that can judge stability of a heart function of the patient.

Conduit tips and systems and methods for use

The present disclosure relates to a rotary blood pump system. The rotary blood pump system may comprise an inflow conduit, an outflow conduit, a control system, and a power source. The present disclosure further relates to various inflow conduit assemblies comprising a conduit tip comprised of metal or polymer having an undulating opening surface that provides improved blood flow and washing properties while minimizing regions susceptible to stagnation, and optionally a resilient tip-protecting cage structure that reduces the risk of conduit tip suction events and suction-related injury of the wall of adjacent blood vessels or other blood containing structures. The present disclosure further relates to various outflow conduit assemblies with a conduit tip comprised of metal or polymer wherein the cross-sectional area of the lumen of the conduit or conduit tip is reduced to generate a localized jet-like fluid flow in a blood vessel segment adjacent to the conduit tip.

Conduit tips and systems and methods for use

The present disclosure relates to a rotary blood pump system. The rotary blood pump system may comprise an inflow conduit, an outflow conduit, a control system, and a power source. The present disclosure further relates to various inflow conduit assemblies comprising a conduit tip comprised of metal or polymer having an undulating opening surface that provides improved blood flow and washing properties while minimizing regions susceptible to stagnation, and optionally a resilient tip-protecting cage structure that reduces the risk of conduit tip suction events and suction-related injury of the wall of adjacent blood vessels or other blood containing structures. The present disclosure further relates to various outflow conduit assemblies with a conduit tip comprised of metal or polymer wherein the cross-sectional area of the lumen of the conduit or conduit tip is reduced to generate a localized jet-like fluid flow in a blood vessel segment adjacent to the conduit tip.

Determination of cardiac parameters for modulation of blood pump support

The systems, devices, and methods presented herein use a blood pump to obtain measurements of cardiac function. The system can quantify the functioning of the native heart by measuring certain parameters/signals such as aortic pressure or motor current, then calculate and display one or more cardiac parameters and heart function parameters, such as left ventricular pressure, left ventricular end diastolic pressure, or cardiac power output. These parameters provide valuable information to a user regarding current cardiac function, as well as positioning and function of the blood pump. In some embodiments, the system can act as a diagnostic and therapeutic tool. Providing cardiac parameters in real-time, along with warnings about adverse effects and recommendations to support cardiac function, such as increasing or decreasing the volumetric flow rate of blood pumped by the device, administering pharmaceutical therapies, and/or repositioning the blood pump allow clinicians to better support and treat cardiovascular disease.

Determination of cardiac parameters for modulation of blood pump support

The systems, devices, and methods presented herein use a blood pump to obtain measurements of cardiac function. The system can quantify the functioning of the native heart by measuring certain parameters/signals such as aortic pressure or motor current, then calculate and display one or more cardiac parameters and heart function parameters, such as left ventricular pressure, left ventricular end diastolic pressure, or cardiac power output. These parameters provide valuable information to a user regarding current cardiac function, as well as positioning and function of the blood pump. In some embodiments, the system can act as a diagnostic and therapeutic tool. Providing cardiac parameters in real-time, along with warnings about adverse effects and recommendations to support cardiac function, such as increasing or decreasing the volumetric flow rate of blood pumped by the device, administering pharmaceutical therapies, and/or repositioning the blood pump allow clinicians to better support and treat cardiovascular disease.

Blood pump with capability of electrocardiogram (EKG) monitoring, defibrillation and pacing
11524165 · 2022-12-13 · ·

A blood pump system includes a catheter, a pump housing disposed distal of a distal end of the catheter, a rotor positioned at least partially in the pump housing, a controller, and an electrode coupled a distal region of the blood pump. The electrode can be used to sense electrocardiogram (EKG) signals and transmit the signals to a controller of the blood pump. The operation of the blood pump can be adjusted based on the EKG signal and on cardiac parameters derived from the EKG signal. Further, the controller can determine a need for defibrillation or pacing of the patient's heart based on the signal and can administer treatment with electrical shocks to the heart via the electrode coupled to the blood pump. The use of an electrode with a blood pump already in place in the heart allows for more efficient and safer treatment of serious cardiac conditions.

MANNER OF RAISING ALARM FOR A HEART SUPPORT SYSTEM
20220387779 · 2022-12-08 · ·

A heart support system is provided includes a control unit and sound-generating devices, said control unit configured to detect and process alarm events and to carry out control tasks in the heart support system. The heart support system further includes a storage device configured to store one or more defined alarm signal time curves and one or more alarm priorities. Each alarm signal time curve and each alarm priority is assigned to an alarm event. A sound-generation controller is configured such that when an alarm event is detected, the controller overlays a volume time curve onto the alarm signal time curve assigned to the alarm event in the storage device, said volume time curve based on the alarm priority assigned to the respective alarm event in the storage device and the length of time since the detection of the alarm event.

PUMP SYSTEM, CONTROL UNIT AND METHOD FOR OPERATING A PUMP SYSTEM

A pump system is provided comprising a diaphragm fluid pump which can be fluidically connected to a heart and/or at least one blood vessel by means of an inlet cannula and an outlet cannula and is adapted for generating a pulsatile fluid flow for supporting a cardiac activity of the heart, a working pressure source connected to the diaphragm fluid pump by means of a pressure line and adapted for providing a working pressure for driving the diaphragm fluid pump, a control unit adapted for controlling the working pressure, a first flow sensor adapted for detecting a first cannula flow signal corresponding to an inlet flow in the inlet cannula or an outlet flow in the outlet cannula, a working pressure sensor adapted for detecting a working pressure signal corresponding to the working pressure in the pressure line.