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.).

Cardiac chamber prosthesis configured to be implanted in a cardiac chamber (10; 20; 30; 40) comprising a native outlet valve (50; 60; 70; 80) and at least one inlet aperture (50; 70) selected from the group comprising a native inlet valve (50; 70) and one or more outlet mouths of venae cavae or pulmonary veins (120; 125; 130), wherein the cardiac chamber prosthesis comprises: an inner elastic membrane (250; 255; 260; 650; 750; 850), a reference support elastic membrane structure (200; 205, 225, 290A; 600; 700; 800) comprising or consisting of an outer elastic membrane (200; 205; 600; 700; 800) provided with a plurality of clips (210) configured to grip an inner wall (45) of the cardiac chamber (10; 20; 30; 40), wherein the elastic inner and outer membranes (250, 200; 255, 205; 260, 200; 650, 600; 750, 700; 850, 800) form an outlet border (285; 675; 785; 885) configured to surround and be sutured on the native outlet valve (50; 60; 70; 80) and at least one inlet border (275; 685; 775; 875A, 875B) configured to surround and be sutured on said at least one inlet aperture (50; 70), wherein the inner elastic membrane (250; 255; 260; 650; 750; 850) and the reference support elastic membrane structure (200; 205, 225, 290A; 600; 700; 800) are connected to each other by means of a plurality of primary variable connection elements (290; 290B), whereby the inner elastic membrane (250; 255; 260; 650; 750; 850) and the reference support elastic membrane structure (200; 205, 225, 290A; 600; 700; 800) delimit a primary interspace (230; 230B; 630; 730; 830) between them that is configured to receive a fluid with varying amount and/or pressure so as to dynamically modify a volume of the primary interspace (230; 2303; 630; 730; 830) and said elastically variable volume delimited by the inner surface (254; 654; 754; 854) of the inner elastic membrane (250; 255; 260; 650; 750; 850).

Cardiac chamber prosthesis configured to be implanted in a cardiac chamber (10; 20; 30; 40) comprising a native outlet valve (50; 60; 70; 80) and at least one inlet aperture (50; 70) selected from the group comprising a native inlet valve (50; 70) and one or more outlet mouths of venae cavae or pulmonary veins (120; 125; 130), wherein the cardiac chamber prosthesis comprises: an inner elastic membrane (250; 255; 260; 650; 750; 850), a reference support elastic membrane structure (200; 205, 225, 290A; 600; 700; 800) comprising or consisting of an outer elastic membrane (200; 205; 600; 700; 800) provided with a plurality of clips (210) configured to grip an inner wall (45) of the cardiac chamber (10; 20; 30; 40), wherein the elastic inner and outer membranes (250, 200; 255, 205; 260, 200; 650, 600; 750, 700; 850, 800) form an outlet border (285; 675; 785; 885) configured to surround and be sutured on the native outlet valve (50; 60; 70; 80) and at least one inlet border (275; 685; 775; 875A, 875B) configured to surround and be sutured on said at least one inlet aperture (50; 70), wherein the inner elastic membrane (250; 255; 260; 650; 750; 850) and the reference support elastic membrane structure (200; 205, 225, 290A; 600; 700; 800) are connected to each other by means of a plurality of primary variable connection elements (290; 290B), whereby the inner elastic membrane (250; 255; 260; 650; 750; 850) and the reference support elastic membrane structure (200; 205, 225, 290A; 600; 700; 800) delimit a primary interspace (230; 230B; 630; 730; 830) between them that is configured to receive a fluid with varying amount and/or pressure so as to dynamically modify a volume of the primary interspace (230; 2303; 630; 730; 830) and said elastically variable volume delimited by the inner surface (254; 654; 754; 854) of the inner elastic membrane (250; 255; 260; 650; 750; 850).

The subject matter of the present invention is a pump arrangement (1, 10, 20, 30, 40, 50), in particular for use in the body's own vessels, having a pump (11, 41, 51) and a sheath (12, 42, 52) receiving the pump, bounding a flow passage (S) and having a distal intake opening (13, 43, 53) and a proximal outflow opening (14, 29, 39, 44, 54) for producing a driving flow by means of the pump, wherein the pump is arranged in a first fluid-tight section (12a, 42a, 52a) having the distal intake opening and a second fluid-tight section (12b, 42b, 52b) includes the proximal outflow opening. In accordance with the invention, a further inlet opening (15) is present between the first section and the second section and is arranged between the intake opening and the outflow opening, with the first section and the second section being arranged with respect to one another such that the inlet opening opens into the flow proximal to the pump.

A method for repairing a heart includes identifying a heart of a patient as having a reduced ejection fraction. In response to the identifying, wall stress of a ventricle of the heart is reduced by implanting apparatus that facilitates cyclical moving of fluid that is not blood of the patient into and out of the ventricle of the heart. During ventricular diastole, a volume of the fluid is moved into the ventricle in a manner that produces a corresponding decrease in a total volume of blood that fills the ventricle during diastole. During ventricular systole, the volume of the fluid is moved out of the ventricle in a manner that produces a corresponding decrease in a total volume of the ventricle during isovolumetric contraction of the ventricle. Other embodiments are also described.

A method for repairing a heart includes identifying a heart of a patient as having a reduced ejection fraction. In response to the identifying, wall stress of a ventricle of the heart is reduced by implanting apparatus that facilitates cyclical moving of fluid that is not blood of the patient into and out of the ventricle of the heart. During ventricular diastole, a volume of the fluid is moved into the ventricle in a manner that produces a corresponding decrease in a total volume of blood that fills the ventricle during diastole. During ventricular systole, the volume of the fluid is moved out of the ventricle in a manner that produces a corresponding decrease in a total volume of the ventricle during isovolumetric contraction of the ventricle. Other embodiments are also described.

Ventricular assist devices configured to be placed in a ventricle of a heart are described. In one embodiment, a ventricular assist device may include a pumping pouch. The pumping pouch may have an opening. The pumping pouch may be flexible, and may define an internal volume configured to fill with blood in through the opening. The ventricular assist device may also include a contraction element coupled to the contraction pouch. The contraction element may be capable of squeezing at least a portion of the pumping pouch to force at least a portion of the blood out through the opening. The ventricular assist device may also include a frame coupled to the pumping pouch. The frame may be configured to be coupled to a wall of the heart.

Ventricular assist devices configured to be placed in a ventricle of a heart are described. In one embodiment, a ventricular assist device may include a pumping pouch. The pumping pouch may have an opening. The pumping pouch may be flexible, and may define an internal volume configured to fill with blood in through the opening. The ventricular assist device may also include a contraction element coupled to the contraction pouch. The contraction element may be capable of squeezing at least a portion of the pumping pouch to force at least a portion of the blood out through the opening. The ventricular assist device may also include a frame coupled to the pumping pouch. The frame may be configured to be coupled to a wall of the heart.

A controller for an implantable blood pump including processing circuitry in communication with the implantable blood pump and configured to generate at least one preventative alert

A controller for an implantable blood pump including processing circuitry in communication with the implantable blood pump and configured to generate at least one preventative alert