Set forth are the structure, function, placement, and applications of vascular valves and servovalves. In the vascular tree, the diversion, shunting, and bypass of flow these provide allow solid organ transplantation which eliminates anoxia and graft organ degradation following harvesting and storage, likely including late term cardiac allograft vasculopathy. Along the lower urinary tract, the diversion of urine from damaged ureters to the native or an artificial bladder or collection bag alleviates problems of intractable urinary incontinence, nocturia, overactive bladder, and frequent urination. Where the lower tract is missing, the synthetics in a valve-based prosthesis preclude infection and degenerative metaplastic transition which can result in malignancy when gut is used to construct a neobladder and/or high maintenance stoma. Accessory channels in side-entry valves and servovalves allow the direct pipe-targeting of medication to sites of disease, anastomoses, or any other trouble spots.

A control system for a cardiac support device and the method of supporting the functionality and synchronized contraction of a heart. An optimal strain profile is calculated for a healthy heart. The cardiac support device is attached to the heart and a true ventricular strain profile is measured. The cardiac support device applies external forces to the heart, therein altering said ventricular strain profile of said heart to be closer to the optimal strain profile. The cardiac support device is dynamically controlled to synchronize with the beating rhythm of the heart. The external forces have an applied strain profile. The applied strain profile has a peak strain, a time to peak strain, and a cycle time. These variables can be adjusted either individually or in combinations to fine tune the cardiac support device and cause the altered strain profile of the heart to be closer to the optimal strain profile.

A control system for a cardiac support device and the method of supporting the functionality and synchronized contraction of a heart. An optimal strain profile is calculated for a healthy heart. The cardiac support device is attached to the heart and a true ventricular strain profile is measured. The cardiac support device applies external forces to the heart, therein altering said ventricular strain profile of said heart to be closer to the optimal strain profile. The cardiac support device is dynamically controlled to synchronize with the beating rhythm of the heart. The external forces have an applied strain profile. The applied strain profile has a peak strain, a time to peak strain, and a cycle time. These variables can be adjusted either individually or in combinations to fine tune the cardiac support device and cause the altered strain profile of the heart to be closer to the optimal strain profile.

Methods and devices that prevent stasis in the LAA by either increasing the flow through the LAA or by closing off or sealing the LAA. Increasing the flow is accomplished through shunts, flow diverters, agitators, or by increasing the size of the ostium. Closing off the LAA is accomplished using seals or by cinching the LAA.

A smart cardiac assist device which may aid in ventricular recovery. The device proactively assists the left and the right ventricular chambers to contract and relax better. The device includes a plurality of sensors to understand the native cardiac function in real time and assist the heart as per its requirement and support required in real time.

A smart cardiac assist device which may aid in ventricular recovery. The device proactively assists the left and the right ventricular chambers to contract and relax better. The device includes a plurality of sensors to understand the native cardiac function in real time and assist the heart as per its requirement and support required in real time.

Disclosed are techniques to generate ideal or near ideal profiles for regulation of the volume of fluid flow in a drive system of a pump for an externally mechanically supported heart, pressure in or near the pump, or measured strain/strain rates of the supported heart, based on an estimate/measurement of the heart's size. A part of the techniques for regulation may focus on achieving mechanical synchrony with the intrinsic cyclic pump function of a partially functional heart. The techniques do not fundamentally rely on hemodynamic measurements to function. However, when hemodynamic measures are available, those measures can be fed to control algorithms to increase the efficacy of regulation to restore the heart's pump function.

An operable implant adapted to be implanted in the body of a patient. The operable implant comprising an operation device and a body engaging portion, the operation device comprises an electrical motor comprising a static part comprising a plurality of coils and a movable part comprising a plurality of magnets, such that sequential energizing of said coils magnetically propels the magnets and thus propels the movable part. The operation device further comprises an enclosure adapted to hermetically enclose the coils of the static part, such that a seal is created between the static part and the propelled moving part with the included magnets, such that the coils of the static part are sealed from the bodily fluids, when implanted.

A first drive unit, in a state where a top end of a tubular joint is interposed into a chest of a target person and is located at a lower heart part, pushes a diaphragm out from the top end of the tubular joint while pressing a gas into the diaphragm, and simultaneously causes the diaphragm to start flexing to cover and wrap the lower heart part, and then stops pressing the gas into the diaphragm at a time point where compression balloons are positioned at atriums and ventricles of a heart, respectively; and second drive units support a pumping function of the heart by alternately repeating an ejecting operation to fill each of the compression balloons with a fluid and cause each compression balloon to expand and an absorbing operation to cause each compression balloon to discharge the fluid and contract.

A first drive unit, in a state where a top end of a tubular joint is interposed into a chest of a target person and is located at a lower heart part, pushes a diaphragm out from the top end of the tubular joint while pressing a gas into the diaphragm, and simultaneously causes the diaphragm to start flexing to cover and wrap the lower heart part, and then stops pressing the gas into the diaphragm at a time point where compression balloons are positioned at atriums and ventricles of a heart, respectively; and second drive units support a pumping function of the heart by alternately repeating an ejecting operation to fill each of the compression balloons with a fluid and cause each compression balloon to expand and an absorbing operation to cause each compression balloon to discharge the fluid and contract.