A blood pump for supporting the heart may be provided that includes: a rotor with delivery elements; a rotor drive; a pressure sensor; and a regulating device that regulates a pressure or a hemodynamic parameter by means of control of the rotor drive. The pressure and/or the hemodynamic parameter may be determined by means of one or a plurality of hemodynamic sensors and/or from operating parameters of the pump. The regulating device may be suitable for regulating a hemodynamic parameter successively, such as periodically, to different target values. Using such regulation, the blood pump may be operated in an optimized manner, and operation of the blood pump may be varied in a targeted and patient-protective manner in order to attain certain goals.

A blood pump for supporting the heart may be provided that includes: a rotor with delivery elements; a rotor drive; a pressure sensor; and a regulating device that regulates a pressure or a hemodynamic parameter by means of control of the rotor drive. The pressure and/or the hemodynamic parameter may be determined by means of one or a plurality of hemodynamic sensors and/or from operating parameters of the pump. The regulating device may be suitable for regulating a hemodynamic parameter successively, such as periodically, to different target values. Using such regulation, the blood pump may be operated in an optimized manner, and operation of the blood pump may be varied in a targeted and patient-protective manner in order to attain certain goals.

A control circuit includes a pump shutdown module responsive to one or more inputs indicating at least from the group consisting of an operational error at the implantable blood pump and an adverse physiological state of a user of the implantable blood pump. The pump shutdown module ceases operation of the implantable blood pump in response to the one or more inputs. A pump restart module configured to resume operation of the implantable blood pump in response to a first pump restart input and a second pump restart input is included. A pump restart lockout module configured to initiate a pump lockout mode in response to a lockout input is included. The pump lockout mode prevents resumption of operation of the implantable blood pump in response to the first pump restart input and allows resumption of operation of the implantable blood pump in response to the second pump restart input.

In a method for intermittently occluding the coronary sinus, in which the coronary sinus is occluded using an occlusion device, the fluid pressure in the occluded coronary sinus is continuously measured and stored, the fluid pressure curve is determined as a function of time, and the occlusion of the coronary sinus is triggered and/or released as a function of at least one characteristic value derived from the measured pressure values. The pressure increase and/or pressure decrease per time unit each occurring at a heart beat are used as characteristic values.

In a method for intermittently occluding the coronary sinus, in which the coronary sinus is occluded using an occlusion device, the fluid pressure in the occluded coronary sinus is continuously measured and stored, the fluid pressure curve is determined as a function of time, and the occlusion of the coronary sinus is triggered and/or released as a function of at least one characteristic value derived from the measured pressure values. The pressure increase and/or pressure decrease per time unit each occurring at a heart beat are used as characteristic values.

The invention relates to a membrane pump device 2 for conveying fluids, in particular medical liquids for blood treatment. The invention furthermore relates to a membrane pump with a membrane pump device 2 and an actuating device 1 for the membrane pump device 2. The membrane pump device 2 has a pump chamber body 253 in which a recess, which is closed by an elastic membrane 201 to form a pump chamber 252, is constructed. The membrane pump device 2 moreover comprises an inward flow path 219 which connects an entry connection 204 to an inlet opening 215 of the pump chamber 252, and an outward flow path 223 which connects an outlet opening 216 of the pump chamber 252 to an exit connection 205. An inlet valve 202 is provided in the inward flow path 219 and an outlet valve 203 is provided in the outward flow path 223. The outlet valve 203 is a membrane valve which has a valve body 254A in which a recess is constructed which is closed by an elastic membrane 201 to form a valve chamber 218 in which a valve seat 225 is arranged, the front face of which faces the membrane and in the open position of the outlet valve is arranged at a distance from the valve seat, wherein a valve channel 240 passes through the valve seat. The outward flow path 223 comprises a first outward flow channel 214 which connects the outlet opening 216 of the pump chamber 252 to the outlet valve chamber 218, and a second outward flow channel 214A which connects the outlet valve chamber 240 to the exit connection 205, wherein the cross-section area of the outlet valve channel 240 is smaller than the cross-section area of the region of the valve chamber 218 surrounding the outlet valve seat 225.

A control circuit includes a pump shutdown module responsive to one or more inputs indicating at least from the group consisting of an operational error at the implantable blood pump and an adverse physiological state of a user of the implantable blood pump. The pump shutdown module ceases operation of the implantable blood pump in response to the one or more inputs. A pump restart module configured to resume operation of the implantable blood pump in response to a first pump restart input and a second pump restart input is included. A pump restart lockout module configured to initiate a pump lockout mode in response to a lockout input is included. The pump lockout mode prevents resumption of operation of the implantable blood pump in response to the first pump restart input and allows resumption of operation of the implantable blood pump in response to the second pump restart input.

Apparatus and methods are described including a blood pump that includes an impeller that has proximal and distal bushings, and is configured to pump blood through a subject's body. A frame, which includes proximal and distal bearings, is disposed around the impeller. An axial shaft passes through the proximal and distal bearings of the frame and the proximal and distal bushings of the impeller. The axial shaft is coupled to at least one of the proximal and distal bushings of the impeller, such that the at least one bushing is held in an axially-fixed position with respect to the axial shaft, and is not held in an axially-fixed position with respect to the proximal and distal bearings. Other applications are also described.

A component for conducting a fluid having a sensor, wherein the component comprises an inner and an outer wall, where-in the inner wall is configured to conduct the fluid, the outer wall terminates the component to the outside, and a wall region is formed between the inner and outer walls. The component in accordance with the invention is characterized in that the sensor has an electromechanical element and is arranged in the wall region at the inner wall, wherein the sensor is adapted to measure a degree of deformation of the inner wall in the region of the sensor by means of the sensor element and to output it as an electrical signal, wherein the sensor element preferably has a length and/or a width of ≤50 μm.

A component for conducting a fluid having a sensor, wherein the component comprises an inner and an outer wall, where-in the inner wall is configured to conduct the fluid, the outer wall terminates the component to the outside, and a wall region is formed between the inner and outer walls. The component in accordance with the invention is characterized in that the sensor has an electromechanical element and is arranged in the wall region at the inner wall, wherein the sensor is adapted to measure a degree of deformation of the inner wall in the region of the sensor by means of the sensor element and to output it as an electrical signal, wherein the sensor element preferably has a length and/or a width of ≤50 μm.