The invention relates to a device for circulatory support of the heart and to a corresponding method with a holding means which is configured such that it can be implanted intracardially in the left and/or right ventricular outflow tract of the heart by means of a catheter, preferably using an endovascular method, through a femoral access and/or a percutaneous transventricular, transseptal, transapical or transvenous access, wherein the holding means comprises an anchoring means which can be fixed in the subcommissural triangle underneath the aortic valve and the pulmonary valve, respectively in the flow direction of the blood on the ventricular side of the aortic valve and the pulmonary valve, respectively, a pump which is configured such that it can be fixed in the holding means by means of a catheter, preferably using an endovascular method, through a femoral access and/or a percutaneous transventricular, transseptal, transapical or transvenous access, wherein the pump (a) can either be inserted releasably into the holding means after the holding means has been fixed by means of the anchoring means in the subcommissural triangles underneath the aortic valve and the pulmonary valve, respectively or (b) is firmly connected to the collapsible and expandable anchoring means.

An introducer assembly includes an elongate sheath sized for insertion into a blood vessel of a patient and a hub. The hub can be coupled to a proximal portion of the sheath and can include a first hub portion and a second hub portion. The hub can include various features to facilitate breaking apart or separating the introducer assembly from a patient. For example, the first hub portion can have a first notch which can facilitate breaking, splitting, or fracturing the hub. The second hub portion can partially surround the first hub portion and can include two wings and an opening disposed above the first notch. The first hub portion can be formed from a first material and second hub portion can be formed from a second material. In some embodiments, the second material can be stiffer than the first material to facilitate fracturing the hub.

Several embodiments of a catheter are described, having a balloon configured to slowly inflate and then quickly deflate to create an area of low pressure in the vessels. The balloon can be cycled near the vessels of the kidneys, thereby helping to draw out blood from the kidneys and enhance fluid processing to the bladder.

A surgical tunneler assembly is used to pass a cable or other elongate member through the skin. A surgical tunneler may include a lance including a first segment, a second end segment, and a connector on each one of the first end segment and the second end segment. A cable adapter includes a lance connection portion and a cable connection portion. The lance connection portion engages and disengages the connectors. The cable connection portion engages and disengages a cable. A handle engages and disengages the lance.

Improved securement devices for use with intracardiac blood pump assemblies are provided. The present technology provides securement devices that may be used with a sheath assembly (e.g., an introducer sheath assembly, repositioning sheath assembly), and which are configured to restrict movement of an object (e.g., the catheter of the pump assembly) within the sheath assembly except when a mechanism (e.g., button) of the securement device is actively being actuated (e.g., pressed, held, etc.).

Improved securement devices for use with intracardiac blood pump assemblies are provided. The present technology provides securement devices that may be used with a sheath assembly (e.g., an introducer sheath assembly, repositioning sheath assembly), and which are configured to restrict movement of an object (e.g., the catheter of the pump assembly) within the sheath assembly except when a mechanism (e.g., button) of the securement device is actively being actuated (e.g., pressed, held, etc.).

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 impeller includes a hub and a blade supported by the hub. The impeller has a stored configuration in which the blade is compressed so that its distal end moves towards the hub, and a deployed configuration in which the blade extends away from the hub. The impeller may be part of a pump for pumping fluids, such as blood, and may include a cannula having a proximal portion with a fixed diameter, and a distal portion with an expandable diameter. The impeller may reside in the expandable portion of the cannula. The cannula may have a compressed diameter which allows it to be inserted percutaneously into a patient. Once at a desired location, the expandable portion of the cannula may be expanded and the impeller expanded to the deployed configuration. A flexible drive shaft may extend through the cannula for rotationally driving the impeller within the patient.

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.

A device, a kit and a method is presented for permanently augmenting the pump function of the left heart. The mitral valve plane is assisted in a movement along the left ventricular long axis during each heart cycle. The very close relationship between the coronary sinus and the mitral valve is used by various embodiments of a medical device providing this assisted movement. By means of catheter technique an implant is inserted into the coronary sinus, the device is augmenting the up and down movement of the mitral valve and thereby increasing the left ventricular diastolic filling when moving upwards and the piston effect of the closed mitral valve when moving downwards.