The present invention relates to an implantable heart help device for assisting the pump function of the heart by exerting an external force on the heart. The device is provided with a first fixating member adapted to be fixate the device to a part of the human body comprising bone, a heart pump device having a surface adapted to contact and exert an external force on the heart, a second fixating member in contact with the heart pump device. The second fixating member is displaceable in relation to the first fixating member for changing the position of the surface of the heart pump device, to allow the surface of the heart pump device to contact and exert the external force on at least two different positions on the heart.

An operable implant for hydraulically constricting the urethra of a patient for treating urinary incontinence, the operable implant comprising: a hydraulic constriction device for constricting the urethra, an operation device for operating the hydraulic constriction device, a connecting portion for connecting the operation device to the hydraulic constriction device, the connecting portion comprising at least one conduit for transferring hydraulic fluid from the operation device to the hydraulic constriction device, wherein the operation device comprises a reservoir for holding the hydraulic fluid to be transferred to the hydraulic constriction device, the reservoir comprising a movable wall portion for pumping fluid from the reservoir to the hydraulic constriction device.

An operable implant for hydraulically constricting the urethra of a patient for treating urinary incontinence, the operable implant comprising: a hydraulic constriction device for constricting the urethra, an operation device for operating the hydraulic constriction device, a connecting portion for connecting the operation device to the hydraulic constriction device, the connecting portion comprising at least one conduit for transferring hydraulic fluid from the operation device to the hydraulic constriction device, wherein the operation device comprises a reservoir for holding the hydraulic fluid to be transferred to the hydraulic constriction device, the reservoir comprising a movable wall portion for pumping fluid from the reservoir to the hydraulic constriction device.

A system and method for the installation and operation of a cardiac assist device. Flexible guides are advanced into a prepared space using minimally invasive techniques. A heart pump construct is advanced into position in the pericardial area along the flexible guides. Once in position, the heart pump construct is activated while still engaged with the flexible guides. The flexible guides provide structural integrity to the heart pump construct needed in order for the heart pump construct to function properly. The forces supplied to the heart by the heart pump construct are affected by the presence of the flexible guides. The structure of the flexible guides, the position of the flexible guides and the structure of the heart pump construct are customized to supply the forces needed by a particular heart in order to assist the heart in pumping more efficiently.

A system and method for the installation and operation of a cardiac assist device. Flexible guides are advanced into a prepared space using minimally invasive techniques. A heart pump construct is advanced into position in the pericardial area along the flexible guides. Once in position, the heart pump construct is activated while still engaged with the flexible guides. The flexible guides provide structural integrity to the heart pump construct needed in order for the heart pump construct to function properly. The forces supplied to the heart by the heart pump construct are affected by the presence of the flexible guides. The structure of the flexible guides, the position of the flexible guides and the structure of the heart pump construct are customized to supply the forces needed by a particular heart in order to assist the heart in pumping more efficiently.

An implantable heart help method for implantation in a human patient is provided. The device comprising a fixating member adapted to fixate said device to a part of the human body comprising bone. A method of fixating an implantable heart help device in a human patient is provided. The method comprises the steps of: cutting the skin of said human patient, dissecting an area of the body comprising bone, and fixating said implantable heart help device to said part of the body comprising bone.

An implantable heart help method for implantation in a human patient is provided. The device comprising a fixating member adapted to fixate said device to a part of the human body comprising bone. A method of fixating an implantable heart help device in a human patient is provided. The method comprises the steps of: cutting the skin of said human patient, dissecting an area of the body comprising bone, and fixating said implantable heart help device to said part of the body comprising bone.

A physiological augmentation device for improving heart function includes an actuator configured to augment displacement of an atrioventricular plane of a heart. A method for improving heart function and a transcatheter method for improving heart function are also disclosed.

A physiological augmentation device for improving heart function includes an actuator configured to augment displacement of an atrioventricular plane of a heart. A method for improving heart function and a transcatheter method for improving heart function are also disclosed.

An access device for a heart chamber, a removable hemostatic valve unit, and a system including a cardiac assist unit are disclosed. In examples, the access device includes an apical base plate and a sealing unit configured to provide a separation of a wet zone from a heart chamber and a dry zone with a gaseous environment outside of said heart chamber inside a patient body at the same time.