A catheter assembly can include a cannula disposed at a distal portion of the catheter assembly. The cannula can have a collapsed configuration and an expanded configuration. The cannula can be arranged to permit the flow of blood therethrough when in the expanded configuration. The catheter assembly can comprise a tip member coupled with a distal portion of the cannula. A guide feature can be configured to receive a guidewire through a guide lumen formed through the guide feature. The catheter assembly can be configured such that, when the catheter assembly is inserted into a patient with the guidewire, the guidewire passes through the guide lumen and along at least a portion of an outer surface of the catheter assembly.

Described are systems and methods for administration of nitric oxide (NO) with use of left ventricular assists devices (LVADs), as well as systems and methods for monitoring the NO delivery devices and/or the LVAD.

A blood pump has a hollow body in which an impeller with a spiral blading produces an axial propulsion of blood along the impeller, as well as an at least partly actively stabilized magnetic bearing device and a hydrodynamic bearing device for the impeller. The impeller may be set into a rotation about a rotation axis of the impeller with a motor stator located outside the hollow body. The hollow body has an inlet for the flow of blood into the hollow body in an inflow direction which is essentially parallel to the rotation axis, and an outlet for the outflow of the blood out of the hollow body in an outflow direction which is offset to the rotation axis of the impeller to produce a non-zero outflow angle (α) between the inflow direction and the outflow direction. A total artificial heart can be formed from two such blood pumps.

A system and a method for starting a rotor of an implantable blood pump are described. For example, a blood pump system includes a rotary motor having a stator and a rotor. The rotor has permanent magnetic poles for magnetic levitation of the rotor, and the stator has a plurality of pole pieces arranged circumferentially at intervals. The blood pump system includes a controller configured to control a start phase of the rotor, wherein the start phase is prior to the rotor being positioned in a predefined geometric volume for pumping blood and wherein the start phase includes performing a rotation of the rotor by an angle larger than an angle corresponding to a quarter of an angular distance between two neighboring magnetic poles of the rotor.

A surgical tunneler assembly is used to pass a cable or other elongate member through the skin. A surgical tunneler may include a lance including a first segment, a second end segment, and a connector on each one of the first end segment and the second end segment. A cable adapter includes a lance connection portion and a cable connection portion. The lance connection portion engages and disengages the connectors. The cable connection portion engages and disengages a cable. A handle engages and disengages the lance.

A blood pumping device comprising at least a first pump and a second pump, and a first and second pump actuating means for inducing a blood flow in a body's circulatory system is disclosed. Each pump comprises one upper chamber having an inlet channel and one lower chamber having an outlet channel. The upper and lower chambers are separated by a movable valve plane provided with a valve. The pump actuating means are configured to apply a movement to said valve plane in an upward and downward direction between said upper and lower chambers in response to control signals from a control unit, such that when said valve plane moves in an upward direction the valve provided in the valve plane is in an open position allowing a flow of blood from the upper chamber to the lower chamber, and when the valve plane moves in a downward direction the valve is in the closed position and blood is ejected from the lower chamber through the outlet channel. The bottom part of the lower chamber is provided with a bag-like portion.

A method of estimating an amount of work available to be performed by a blood pump implanted in a patient includes calculating a first coordinate value characterizing a volume of blood impelled in the pump and a second coordinate value characterizing a differential pressure across the pump for each of a plurality of flow rate data points of a given cardiac cycle of the patient, each flow rate data point indicative of a flow rate of blood through the pump. An area enclosed by the first and second coordinate values of the plurality of flow rate data points is determined, the determined area being indicative of an amount of work available to be performed by the blood pump.

A by-pass shunt for use with a bodily fluid pump. The by-pass shunt includes an inflow conduit, an outflow conduit, and an intermediate conduit fluidically coupling the inflow and outflow conduits. A flow restrictor is operably coupled to a portion of the intermediate conduit and is configured to reduce a fluid flow from the outflow conduit, through the intermediate conduit, and into the inflow conduit.

A ventricular assist device includes a stent for placement within a cardiac artery and arranged for placement, the stent arranged to have an open configuration defining a flow path, a rotor sized to fit within the stent and arranged for percutaneous placement the flow path, the rotor including a surface disposed about a central portion and angled with respect to the flow path and having a first plurality of magnets. A collar is sized for placement about the cardiac artery and includes a stator. A power source is coupled to the stator, and the stator and the rotor are arranged to rotate the rotor about an axis. A timing control module controls a rotational speed of the rotor. Accordingly, the surface of the rotor is arranged to move blood along the flow path in response to rotation of the rotor.

A cannula supporting a percutaneous pump can include a proximal section with a first flexural modulus. The cannula can include one or more distal sections with a flexural modulus that is different than the first flexural modulus. The material and its arrangement along the length of the cannula can be selected so as to influence bending properties. This can, for example, allow efficient positioning of the cannula in a desired location without displacing the guidewire.