A sutureless securing device for securing on an opening in a ventricular wall, includes: a hollow main body with an outer surface; a ring received at a first end of the hollow body, this ring being mobile along part of the outer surface of the hollow body; a tubular membrane covering the outer surface, whilst extending between the ring and the second end of the hollow body; a distal end of this tubular membrane, placed on the side of this second end, being self-expandable between a first configuration in which it has a tubular form, and a second configuration in which it defines a first flange extending radially, starting from the hollow body; the other end of this tubular membrane being able to be deformed by the displacement of the ring, such as to form a retention flange, the position of which can vary relative to the first flange.

A blood pump for supporting a patient's heart includes a flow cannula having a distal portion including a distal end and a proximal portion including a proximal end opposite the distal end, the distal end of the flow cannula configured to be connected to the patient's heart or a blood vessel to establish fluid communication between the blood pump and the patient's heart and blood vessel, respectively. The flow cannula further includes an intermediate portion attached to the distal portion and the proximal portion, wherein the intermediate portion allows twisting thereof with a lower force than the distal portion and the proximal portion. The intermediate portion can be fully occluded by twisting it. At least a portion of the intermediate portion either alone or in combination with the distal portion is adapted to be permanently attached to the patient's heart or a blood vessel.

A non-occluding intravascular pump comprises a shroud providing an inlet for incoming blood flow and an outlet for outgoing blood flow, wherein the shroud is a cylindrical housing; an impeller positioned within shroud, wherein a central axis of the shroud and impeller are shared; a motor coupled to the impeller, wherein the motor rotates the impeller to causes blood to be drawn through the inlet and output to the outlet, and the motor is centrally disposed and shares the central axis with the shroud and the impeller; and a plurality of pillars coupling the motor to the shroud, wherein the pillars secure the shroud in close proximity to the impeller. Various design features of the pump may be optimized to reduce hemolysis, such as, but not limited to, inlet length, impeller design, pillar angle, and outlet design.

A non-occluding intravascular pump comprises a shroud providing an inlet for incoming blood flow and an outlet for outgoing blood flow, wherein the shroud is a cylindrical housing; an impeller positioned within shroud, wherein a central axis of the shroud and impeller are shared; a motor coupled to the impeller, wherein the motor rotates the impeller to causes blood to be drawn through the inlet and output to the outlet, and the motor is centrally disposed and shares the central axis with the shroud and the impeller; and a plurality of pillars coupling the motor to the shroud, wherein the pillars secure the shroud in close proximity to the impeller. Various design features of the pump may be optimized to reduce hemolysis, such as, but not limited to, inlet length, impeller design, pillar angle, and outlet design.

A cannula supporting a percutaneous pump can include a proximal section with a first flexural modulus. The cannula can include one or more distal sections with a flexural modulus that is different than the first flexural modulus. The material and its arrangement along the length of the cannula can be selected so as to influence bending properties. This can, for example, allow efficient positioning of the cannula in a desired location without displacing the guidewire.

The invention provides an introducer assembly for delivering a blood pump into vasculature of a subject, as well as a method for utilizing the assembly.

Methods and devices for implanting a ventricular assist device employ a coupler that engages an aperture formed in a heart wall and provides a conduit by which blood is pumped from the ventricle via the ventricular assist device. A method includes penetrating a distal end of a delivery device through a wall of a heart into a ventricle of the heart to form an aperture having a diameter in the wall. A coupler is deployed from the delivery device so that the coupler engages the aperture, expands the diameter of the aperture, and forms a conduit for a flow of blood from the ventricle. The delivery device is removed from the ventricle by retracting the delivery device through the conduit. The ventricular assist device is coupled to the coupler to receive the flow of blood from the ventricle and pump the flow of blood to assist circulation in the patient.

Methods and devices for implanting a ventricular assist device employ a coupler that engages an aperture formed in a heart wall and provides a conduit by which blood is pumped from the ventricle via the ventricular assist device. A method includes penetrating a distal end of a delivery device through a wall of a heart into a ventricle of the heart to form an aperture having a diameter in the wall. A coupler is deployed from the delivery device so that the coupler engages the aperture, expands the diameter of the aperture, and forms a conduit for a flow of blood from the ventricle. The delivery device is removed from the ventricle by retracting the delivery device through the conduit. The ventricular assist device is coupled to the coupler to receive the flow of blood from the ventricle and pump the flow of blood to assist circulation in the patient.

An apparatus is disclosed including: a cannula having a shape closely matched to the anatomy of the right ventricle of the human heart, where the cannula has an outflow port configured to be located proximal the pulmonary artery and an inflow port located proximal the inferior vena cava. In some embodiments, the cannula is a close fit to the anatomy of at least 90%, 95%, or more of the population.

Cannula assemblies and methods of manufacturing cannula assemblies are provided. The cannula assembly includes a cannula and a pigtail extension coupled to the cannula. The pigtail extension includes a proximal section having a first stiffness and a distal section having a second stiffness, the first stiffness greater than the second stiffness. The proximal section of the pigtail extension is positioned between the cannula and at least a portion of the distal section.