The systems and methods described herein determine metrics of cardiac or vascular performance, such as cardiac output, and can use the metrics to determine appropriate levels of mechanical circulatory support to be provided to the patient. The systems and methods described determine cardiac performance by determining aortic pressure measurements (or other physiologic measurements) within a single heartbeat or across multiple heartbeats and using such measurements in conjunction with flow estimations or flow measurements made during the single heartbeat or multiple heartbeats to determine the cardiac performance, including determining the cardiac output. By utilizing a mechanical circulatory support system placed within the vasculature, the need to place a separate measurement device within a patient is reduced or eliminated. The system and methods described herein may characterize cardiac performance without altering the operation of the heart pump (e.g., without increasing or decreasing pump speed).

The systems and methods described herein determine metrics of cardiac or vascular performance, such as cardiac output, and can use the metrics to determine appropriate levels of mechanical circulatory support to be provided to the patient. The systems and methods described determine cardiac performance by determining aortic pressure measurements (or other physiologic measurements) within a single heartbeat or across multiple heartbeats and using such measurements in conjunction with flow estimations or flow measurements made during the single heartbeat or multiple heartbeats to determine the cardiac performance, including determining the cardiac output. By utilizing a mechanical circulatory support system placed within the vasculature, the need to place a separate measurement device within a patient is reduced or eliminated. The system and methods described herein may characterize cardiac performance without altering the operation of the heart pump (e.g., without increasing or decreasing pump speed).

Apparatus and methods are described for manufacturing a housing for an impeller of a blood pump. A frame is treated in order to enhance bonding between an inner surface of the frame and an inner lining. Subsequently, the inner lining is coupled to the inner surface of the frame along at least a portion of a central cylindrical portion of the frame. Subsequent to coupling the inner lining to the inner surface of the frame along at least a portion of the central cylindrical portion of the frame, a portion of an elongate tube is placed around at least a portion of the frame. While heating the inner lining, the frame, and the portion of the elongate tube, pressure is applied such as to cause the portion of the elongate tube to become coupled to the frame. Other applications are also described.

A rotor for a pump has a housing and a rotor, and has at least one blade. The rotor is able to be actuated to rotate about an axis of rotation in order to convey a fluid in the axial or radial direction, and the rotor is able to be deformed in the radial direction between a first, radially compressed state and a second, radially expanded state. At a maximum speed of rotation of the rotor at which the power of the pump is at a maximum, the blade is essentially radially oriented, and/or the rotor has its maximum diameter.

A rotor for a pump has a housing and a rotor, and has at least one blade. The rotor is able to be actuated to rotate about an axis of rotation in order to convey a fluid in the axial or radial direction, and the rotor is able to be deformed in the radial direction between a first, radially compressed state and a second, radially expanded state. At a maximum speed of rotation of the rotor at which the power of the pump is at a maximum, the blade is essentially radially oriented, and/or the rotor has its maximum diameter.

Apparatus and methods are described for manufacturing a housing for an impeller of a blood pump. A mandrel is placed inside an inner lining, with a central cylindrical portion of a frame disposed around the inner lining, the mandrel being shorter than a length of the inner lining. A portion of an elongate tube is placed around at least a portion of the frame. The inner lining, the frame and the portion of the elongate tube are heated, via the mandrel, and, while heating the inner lining, the frame, and the portion of the elongate tube, pressure is applied from outside the portion of the elongate tube, such as to cause the portion of the elongate tube to become coupled to the frame. Other applications are also described.

The present invention provides an intravascular blood pump comprising an impeller housing and/or impeller blade(s) that may be expandable and collapsible. The blade(s) and/or impeller housing may be biased to expand or may be expanded by centrifugal forces generated during rotation of the impeller and blades with an operatively connected rotational motor.

The present invention provides an intravascular blood pump comprising an impeller housing and/or impeller blade(s) that may be expandable and collapsible. The blade(s) and/or impeller housing may be biased to expand or may be expanded by centrifugal forces generated during rotation of the impeller and blades with an operatively connected rotational motor.

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.

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.