The invention relates to a catheter device, having a catheter (1), an actuation device (8) at a first end of the catheter and also a mechanical transmission element (9, 10) for transmitting a movement along the catheter to the actuation device, the actuation device having a coupling element (14) which is connected to the transmission element (9, 10) and can be actuated by the latter relative to the longitudinal direction of the catheter in a first degree of freedom, and also a conversion element (15) which can be actuated by the coupling element and which converts the actuation movement at least partially into a movement in a second degree of freedom. As a result, a combined movement at the distal end of the catheter can be produced particularly simply for compression and release of a functional element.

The invention relates to a fluid pump or rotary cutter having at least one first element (9″″, 10′″) which can be brought from a transport state into an operating state by changing at least one mechanical property. Such a pump can, for example, be a blood pump for the medical, microinvasive area. The object of achieving a transition between the transport state and the operating state which is as comfortable as possible and in so doing leaving a freedom in the design of the corresponding apparatus, in particular of a pump, which is as large as possible, is achieved using the means of the invention in that the first element at least partly comprises a material (24, 25, 26, 27) or can be filled with a material or material mixture which passes through a chemical reaction, in particular cross-linking, or a crystallization for transition into the operating state.

The present disclosure refers to a blood pump as defined in claim 1 comprising:—a pump housing with a cylindrical piston chamber;—an axially and rotatably slidable free floating piston centrally positioned within the cylindrical piston chamber thereby dividing the cylindrical piston chamber into a left chamber and a right chamber, wherein the left chamber and right chamber each include an inlet and outlet transversely arranged to and communicating with the left chamber, respectively right chamber;—a linear motor unit configured to generate an electromagnetically driven translational motion of the piston along the longitudinal axis of the piston chamber alternately between a first end position and a second end position; and—at least one rotary motor unit configured to generate an electromagnetically driven rotary motion of the piston around the longitudinal axis during the translational motion of the piston between the first end position and the second end position.

The present disclosure refers to a blood pump as defined in claim 1 comprising:—a pump housing with a cylindrical piston chamber;—an axially and rotatably slidable free floating piston centrally positioned within the cylindrical piston chamber thereby dividing the cylindrical piston chamber into a left chamber and a right chamber, wherein the left chamber and right chamber each include an inlet and outlet transversely arranged to and communicating with the left chamber, respectively right chamber;—a linear motor unit configured to generate an electromagnetically driven translational motion of the piston along the longitudinal axis of the piston chamber alternately between a first end position and a second end position; and—at least one rotary motor unit configured to generate an electromagnetically driven rotary motion of the piston around the longitudinal axis during the translational motion of the piston between the first end position and the second end position.

A device, a kit and a method are presented for permanently augmenting the pump function of the left heart. The basis for the presented innovation is an augmentation of the physiologically up and down movement of the mitral valve during each heart cycle. By means of catheter technique, minimal surgery, or open-heart surgery implants are inserted into the left ventricle, the mitral valve annulus, the left atrium and adjacent tissue in order to augment the natural up and down movement of the mitral valve and thereby increasing the left ventricular diastolic filling and the piston effect of the closed mitral valve when moving towards the apex of said heart in systole and/or away from said apex in diastole.

A device, a kit and a method are presented for permanently augmenting the pump function of the left heart. The basis for the presented innovation is an augmentation of the physiologically up and down movement of the mitral valve during each heart cycle. By means of catheter technique, minimal surgery, or open-heart surgery implants are inserted into the left ventricle, the mitral valve annulus, the left atrium and adjacent tissue in order to augment the natural up and down movement of the mitral valve and thereby increasing the left ventricular diastolic filling and the piston effect of the closed mitral valve when moving towards the apex of said heart in systole and/or away from said apex in diastole.

Systems and methods for generating blood flow with a blood pump including a membrane and an encapsulated actuator are described. The pump may be implantable and may include a stator assembly, an electromagnetic assembly supported by the stator assembly, a magnetic assembly, one or more springs attached to the stator and the magnetic assembly, and encapsulation portions that connect the magnetic assembly to the stator assembly. The magnetic assembly may further be coupled to a membrane assembly including a flexible membrane. The electromagnetic assembly may be selectively activated to cause the magnetic assembly to reciprocate, thereby causing the membrane assembly to reciprocate and inducing wavelike undulations in the flexible membrane to pump blood from an inlet to an outlet of the pump. The encapsulation portions may prevent blood from interacting with an interior moving portion of the pump thereby reducing the risk of hemolysis.

Systems and methods for generating blood flow with a blood pump including a membrane and an encapsulated actuator are described. The pump may be implantable and may include a stator assembly, an electromagnetic assembly supported by the stator assembly, a magnetic assembly, one or more springs attached to the stator and the magnetic assembly, and encapsulation portions that connect the magnetic assembly to the stator assembly. The magnetic assembly may further be coupled to a membrane assembly including a flexible membrane. The electromagnetic assembly may be selectively activated to cause the magnetic assembly to reciprocate, thereby causing the membrane assembly to reciprocate and inducing wavelike undulations in the flexible membrane to pump blood from an inlet to an outlet of the pump. The encapsulation portions may prevent blood from interacting with an interior moving portion of the pump thereby reducing the risk of hemolysis.

An implantable pump system is provided, suitable for use as a left ventricular assist device (LVAD) system, having an implantable pump, a battery, a controller, and a programmer. The implantable pump includes a flexible membrane coupled to an actuator assembly via a skirt that extends toward the inlet of the pump and curves to guide blood toward the outlet. The actuator assembly is magnetically engagable with electromagnetic coils, so that when the electromagnetic coils are energized, the actuator assembly causes wavelike undulations to propagate along the flexible membrane to propel blood from the inlet, across the skirt, and through the outlet of the implantable pump. The controller may be programmed by a programmer to operate at frequencies and duty cycles that mimic physiologic flow rates and pulsatility while operating in an efficient manner that avoids thrombus formation, hemolysis and/or platelet activation.

An implantable pump system is provided, suitable for use as a left ventricular assist device (LVAD) system, having an implantable pump, an extracorporeal battery and a controller coupled to the implantable pump, and a programmer selectively periodically coupled to the controller to configure and adjust operating parameters of the implantable pump. The implantable pump includes a flexible membrane coupled to an actuator assembly that is magnetically engagable with electromagnetic coils, so that when the electromagnetic coils are energized, the actuator assembly causes wavelike undulations to propagate along the flexible membrane to propel blood from through the implantable pump. The controller may be programmed by a programmer to operate at frequencies and duty cycles that mimic physiologic flow rates and pulsatility while operating in an efficient manner that avoids thrombus formation, hemolysis and/or platelet activation.