A circulatory support device includes a flexible cannula having a fluid outlet at a proximal end; and a pump assembly disposed at a distal end of the flexible cannula. The pump assembly includes a pump housing having a fluid inlet defined therein; a motor disposed within a distal end of the housing; and an impeller, driven to rotate by the motor, and configured to push blood toward the fluid outlet.

Apparatus and methods are described including a ventricular assist device that includes an impeller disposed within a frame and configured to pump blood through a pump-outlet tube and out of one of more blood outlet openings. The frame includes an inner lining. A protective braid is disposed over a distal portion of the frame and configured to block structures from the subject's left ventricle from entering into the frame. A proximal end of the protective braid is embedded between the pump-outlet tube and the inner lining, such that, during crimping of the frame, the braid becomes crimped with the pump-outlet tube and the inner lining, thereby preventing the braid from moving with respect to pump-outlet tube or the inner lining. Other applications are also described.

Apparatus and methods are described including a ventricular assist device that includes an impeller disposed within a frame and configured to pump blood through a pump-outlet tube and out of one of more blood outlet openings. The frame includes an inner lining. A protective braid is disposed over a distal portion of the frame and configured to block structures from the subject's left ventricle from entering into the frame. A proximal end of the protective braid is embedded between the pump-outlet tube and the inner lining, such that, during crimping of the frame, the braid becomes crimped with the pump-outlet tube and the inner lining, thereby preventing the braid from moving with respect to pump-outlet tube or the inner lining. Other applications are also described.

A catheter system includes a catheter including an elongate body having an expandable medical device coupled with a distal end thereof, and an introducer sheath assembly disposed over a proximal section of the catheter. The introducer sheath assembly includes an introducer sheath disposed over the catheter to form a gap therebetween, and a tubular plug. The introducer sheath includes an elongate body extending from a proximal end to a distal end and defining a lumen therein. The tubular plug extends through the lumen and includes an elongate body extending from a proximal end to a distal end that protrudes from the introducer sheath distal end. The plug is disposed between the catheter and the introducer sheath to occlude the gap. The plug is releasably fixed relative to the introducer sheath such that the plug is removable from the lumen to allow the expandable medical device to pass therethrough.

A catheter system includes a catheter including an elongate body having an expandable medical device coupled with a distal end thereof, and an introducer sheath assembly disposed over a proximal section of the catheter. The introducer sheath assembly includes an introducer sheath disposed over the catheter to form a gap therebetween, and a tubular plug. The introducer sheath includes an elongate body extending from a proximal end to a distal end and defining a lumen therein. The tubular plug extends through the lumen and includes an elongate body extending from a proximal end to a distal end that protrudes from the introducer sheath distal end. The plug is disposed between the catheter and the introducer sheath to occlude the gap. The plug is releasably fixed relative to the introducer sheath such that the plug is removable from the lumen to allow the expandable medical device to pass therethrough.

A medical device for anchoring a cardiac pump in an opening of a ventricular wall of a heart, including a connector to be fitted to the ventricular wall. The connector includes a connection flange and a support skirt. The skirt is to be placed outside the heart when the flange is joined to the ventricular wall. The connector defines a first opening for a part of the body of an insert to pass through. The insert is rigid and defines a second opening for the body of the pump to pass through. The insert includes a distal end that is to be placed inside the heart and a proximal end that is to be placed outside the heart when the insert is joined to the connector. At least one element locks/unlocks the insert in position with respect to the connector when the insert has been introduced into the connector.

An intravascular blood pump having a rotatable shaft carrying an impeller and a housing with an opening through which the shaft extends with the impeller positioned outside the housing. The shaft and the housing have surfaces forming a circumferential gap which converges towards the impeller-side end of the gap and which has a minimum gap width of preferably no more than 5 μm, more preferably no more than 2 μm.

An intravascular blood pump having a rotatable shaft carrying an impeller and a housing with an opening through which the shaft extends with the impeller positioned outside the housing. The shaft and the housing have surfaces forming a circumferential gap which converges towards the impeller-side end of the gap and which has a minimum gap width of preferably no more than 5 μm, more preferably no more than 2 μm.

Methods of using an intracardiac blood pump in association with medical procedures. In some cases, patients may be turned down for a medical procedure based on a risk that the procedure itself may cause the patient to experience a cardiac event during and/or following the procedure. In some examples, an intracardiac blood pump may be used to support the heart before, during, and/or after the medical procedure so as to minimize such risks, and thus enable the patient to receive critical treatment that might otherwise be denied.

Methods of using an intracardiac blood pump in association with medical procedures. In some cases, patients may be turned down for a medical procedure based on a risk that the procedure itself may cause the patient to experience a cardiac event during and/or following the procedure. In some examples, an intracardiac blood pump may be used to support the heart before, during, and/or after the medical procedure so as to minimize such risks, and thus enable the patient to receive critical treatment that might otherwise be denied.