An introducer sheath for the insertion of a medical device into a blood vessel having an expandable sheath. The sheath has a length, a thickness, and proximal and distal ends. The expandable sheath has a frame extending longitudinally between the proximal and the distal ends, and having an exterior surface and an interior surface that forms an interior lumen along the length of the frame. The frame is configured to achieve an expanded state and a contracted state, the expanded state forming an expanded cross-section in the lumen for passing a medical device therethrough. The frame has a smooth coating about the exterior surface and protrusions extending into the lumen along the interior surface. The introducer sheath can be introduced into a patient in the contracted state, with the distal end of the introducer sheath prevented from moving in the proximal direction by an abutment against a dilator end surface.

Embodiments in the present disclosure relate to an anchoring and centering device for a circulatory support pump. An exemplary apparatus comprises an expandable anchoring device extending along a longitudinal axis, wherein the expandable anchoring device is arranged about a central axis. A distal portion of the expandable anchoring device defines an annulus through which the cardiac pump can be arranged and to which the cardiac pump can be releasable coupled. A proximal portion of the expandable anchoring device is configured to circumferentially expand to an unconstrained configuration that has a cross-sectional diameter greater than a diameter of the annulus. The exemplary apparatus also includes a constraining member arranged over the expandable anchoring device to constrain the expandable anchoring device in a constrained configuration for delivery of the anchoring apparatus.

This invention is directed to a corrosion-resistant permanent magnet, to a method for producing a corrosion-resistant permanent magnet, and to an intravascular blood pump comprising the magnet. The magnet is surrounded by a composite coating, the composite coating comprising, in the order recited, a first metal oxide layer, a metal layer, a second metal oxide layer, a linker layer, and a layer formed from poly(2-chloro-p-xylylene). In an alternative embodiment, a further metal layer and, optionally, a further metal oxide layer may be provided between the second metal oxide layer and the linker layer. In a further alternative embodiment, the metal layer may be omitted, and a further layer structure comprising at least one metal oxide layer, a linker layer, and a layer formed from poly(2-chloro-p-xylylene) may be provided instead.

An apparatus is disclosed including: an intracardiac pump device having a path for a guidewire extending through the pump device from a first opening to a second opening; and a lumen which extends from a first end located outside of the pump device, into the pump device through the first opening in the pump device, along the path for the guidewire, out of the pump device through the second opening, and to a second end located outside of the pump device. The lumen is configured to receive the guidewire such that when the guidewire passes through the lumen from the first end to the second end, the guidewire is positioned along the path.

An apparatus is disclosed including: an intracardiac pump device having a path for a guidewire extending through the pump device from a first opening to a second opening; and a lumen which extends from a first end located outside of the pump device, into the pump device through the first opening in the pump device, along the path for the guidewire, out of the pump device through the second opening, and to a second end located outside of the pump device. The lumen is configured to receive the guidewire such that when the guidewire passes through the lumen from the first end to the second end, the guidewire is positioned along the path.

The invention relates to a fluid pump comprising at least one impeller blade (1, 1′, 1″) which is rotatable about an axis of rotation (3) and conveys a fluid in operation and comprising a support device (4, 6, 7, 8, 9, 10, 12, 12′, 13, 13′, 14, 14′, 15, 17) which supports the at least one impeller blade (1, 1′, 1″) in at least one support region, wherein the support device is change-able between a first state in which the rotor is radially compressed and a second state in which the rotor is radially expanded; and wherein at least one impeller blade extends at least partly radially inwardly with respect to the axis of rotation (3) from the support region/support regions in the radially expanded state of the rotor.

An intravascular blood pump having a rotatable shaft carrying an impeller and a housing with an opening through which the shaft extends with the impeller positioned outside the housing. The shaft and the housing have surfaces forming a circumferential gap which converges towards the impeller-side end of the gap and which has a minimum gap width of preferably no more than 5 μm, more preferably no more than 2 μm.

An intravascular blood pump having a rotatable shaft carrying an impeller and a housing with an opening through which the shaft extends with the impeller positioned outside the housing. The shaft and the housing have surfaces forming a circumferential gap which converges towards the impeller-side end of the gap and which has a minimum gap width of preferably no more than 5 μm, more preferably no more than 2 μm.

Methods of using an intracardiac blood pump in association with medical procedures. In some cases, patients may be turned down for a medical procedure based on a risk that the procedure itself may cause the patient to experience a cardiac event during and/or following the procedure. In some examples, an intracardiac blood pump may be used to support the heart before, during, and/or after the medical procedure so as to minimize such risks, and thus enable the patient to receive critical treatment that might otherwise be denied.

Methods of using an intracardiac blood pump in association with medical procedures. In some cases, patients may be turned down for a medical procedure based on a risk that the procedure itself may cause the patient to experience a cardiac event during and/or following the procedure. In some examples, an intracardiac blood pump may be used to support the heart before, during, and/or after the medical procedure so as to minimize such risks, and thus enable the patient to receive critical treatment that might otherwise be denied.