Apparatus is provided that is configured to be deployed in a lumen of a blood vessel of a subject. The apparatus includes a pump portion, including an anchor configured to engage a wall of the blood vessel in order to maintain the apparatus in place within the blood vessel, and a reciprocating valve coupled to the anchor and including a set of one or more leaflets. A valve driver is configured to drive the reciprocating valve in a reciprocating pattern between (i) a first state in which the leaflets are in an open configuration allowing blood flow through the reciprocating valve, and (ii) a second state in which the leaflets are in a closed configuration inhibiting blood flow through the reciprocating valve. Other embodiments are also described.

The invention comprises an apparatus and a method for operating a cardiac assist pump, comprising the steps of: (1) providing a cardiac monitor comprising: a cardiac output sensor including an activity sensor and at least two of: a pulse oximeter; an electrocardiogram meter; and a blood pressure monitor; (2) receiving time-varying cardiovascular input data, from the cardiac output sensor, related to a transient hemodynamic state of a cardiovascular system; (3) receiving and operating on time-varying activity input data, from the activity sensor, to generate cardiovascular state information; (4) sensing activity with the activity sensor to generate a target cardiovascular state; (5) repeating both the steps of receiving and operating to update the transient cardiovascular state information and the step of sensing to update the target cardiovascular state; and (6) directing the cardiac assist pump to adjust assisted blood flow, yielding the updated transient cardiovascular state, toward the target cardiovascular state.

The invention comprises an apparatus and a method for aiding function of a heart, comprising the steps of: (1) sensing a pulse; (2) providing a blood flow assist device, comprising: a first electroactive polymer sleeve segment circumferentially positioned about a portion of a first body part and a second electroactive polymer sleeve segment circumferentially positioned about a segment of a second body part; (3) sequentially constricting, timed to the pulse, the first electroactive polymer sleeve segment and the second electroactive polymer sleeve segment to aid the heart in circulation of blood; and (4) repeating the step of sensing the pulse and the step of constricting.

A blood pump system is implantable in a patient for ventricular support. A pumping chamber has an inlet for receiving blood from a ventricle of the patient. An impeller is received in the pumping chamber. A motor is coupled to the impeller for driving rotation of the impeller. A motor controller is provided for tracking systolic and diastolic phases of a cardiac cycle of the patient and supplying a variable voltage signal to the motor in a variable speed mode to produce a variable impeller speed linked to the cardiac cycle. The impeller speed comprises a ramping up to an elevated speed during the diastolic phase in order to reduce a load on the ventricle at the beginning of the systolic phase.

A control circuit for controlling a pump speed of a blood pump implanted in a patient including a processor in communication with the implanted blood pump, the processor having processing circuitry configured to reduce a pump speed relative to a standard set speed based on a timing of a systole phase of the patient, the systole phase including a first segment during which a ventricular pressure is at its greatest and a second segment occurring after the first segment during which the ventricular pressure is at its lowest, the pump speed being reduced during the second segment.

A ventricular assist device including a frame having a proximal end and an outer surface, and an anchor having a base and a brace coupled to the base. The base is attached to the proximal end of the frame. The device also includes a stator assembly coupled to the frame, a rotor assembly disposed between the stator assembly and the frame, and a power source operatively coupled to the stator assembly. The anchor is moveable between a collapsed configuration in which an inner surface of the brace contacts the outer surface of the frame, and an expanded configuration, in which the inner surface of the brace is offset from the outer surface of the frame and an outer surface of the brace engages a portion of the blood vessel to secure the frame within the blood vessel.

Mechanical circulatory assist systems and related methods produce a pulsatile blood flow in synchronization with heart activity. A mechanical circulatory assist system includes a continuous-flow pump and a controller. The continuous-flow pump is implantable in fluid communication with a left ventricle of a heart of a patient and an aorta of the patient to assist blood flow from the left ventricle to the aorta. The controller includes a sensor that generates a signal indicative of an activity of the heart. The controller is operatively connected to the continuous-flow pump and configured to operate the continuous-flow pump in an artificial pulse mode in synchronization with the activity of the heart.

A heart pump includes a rotative impeller partly inserted into the systemic ventricle, this rotative impeller being equipped with a membrane sutured to the outer wall of the heart in such a way as to secure the rotative impeller to the wall of the heart, a housing arranged inside the systemic ventricle in such a way as to draw up then discharge blood, a motor connected to the housing and arranged partly outside the systemic ventricle in such a way as to facilitate maintenance; an integrated management unit in the epigastric region including a power supply and a rotative impeller control unit; and a wired link between the management unit and the rotative impeller.

An arrangement for extracorporeal life support is further developed in such a way that a pump actuating signal produces a wave-like surging and subsiding pump output for a pulsatile flow. The pump is preferably a non-occlusive blood pump, such as a diagonal pump, for example. In a preferred variant of embodiment the control signal is provided by an ECG. This allows the diastolic pressure to be increased in order to improve the oxygen balance of the heart muscle.

A ventricle assist device comprising a device body with a housing having an inlet and an outlet. A centrifugal pump is disposed in a portion of the housing. The inlet is adapted to allow a flow of blood into the device body housing and an outlet adapted to allow the flow of blood from the device body housing. The flow of blood from the device body housing is primarily directed into the left ventricle, and the inlet and the outlet are positionable in a ventricle.