WO2003105669A3 - Method and system for detecting ventricular suction - Google Patents

Method and system for detecting ventricular suction Download PDF

Info

Publication number
WO2003105669A3
WO2003105669A3 PCT/US2003/018859 US0318859W WO03105669A3 WO 2003105669 A3 WO2003105669 A3 WO 2003105669A3 US 0318859 W US0318859 W US 0318859W WO 03105669 A3 WO03105669 A3 WO 03105669A3
Authority
WO
WIPO (PCT)
Prior art keywords
flow
suction
waveform
detection methods
accordance
Prior art date
Application number
PCT/US2003/018859
Other languages
French (fr)
Other versions
WO2003105669A2 (en
Inventor
Michael Vollkron
Heinrich Schima
Gino F Morello
Robert J Benkowski
Original Assignee
Michael Vollkron
Heinrich Schima
Gino F Morello
Robert J Benkowski
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Michael Vollkron, Heinrich Schima, Gino F Morello, Robert J Benkowski filed Critical Michael Vollkron
Priority to EP03760376A priority Critical patent/EP1558303A4/en
Priority to AU2003243576A priority patent/AU2003243576A1/en
Priority to US10/675,669 priority patent/US7396327B2/en
Publication of WO2003105669A2 publication Critical patent/WO2003105669A2/en
Publication of WO2003105669A3 publication Critical patent/WO2003105669A3/en
Priority to US12/134,084 priority patent/US7951062B2/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/026—Measuring blood flow
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/10—Location thereof with respect to the patient's body
    • A61M60/122—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
    • A61M60/165—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable in, on, or around the heart
    • A61M60/178—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable in, on, or around the heart drawing blood from a ventricle and returning the blood to the arterial system via a cannula external to the ventricle, e.g. left or right ventricular assist devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/20—Type thereof
    • A61M60/205—Non-positive displacement blood pumps
    • A61M60/216—Non-positive displacement blood pumps including a rotating member acting on the blood, e.g. impeller
    • A61M60/237—Non-positive displacement blood pumps including a rotating member acting on the blood, e.g. impeller the blood flow through the rotating member having mainly axial components, e.g. axial flow pumps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/40—Details relating to driving
    • A61M60/403—Details relating to driving for non-positive displacement blood pumps
    • A61M60/408—Details relating to driving for non-positive displacement blood pumps the force acting on the blood contacting member being mechanical, e.g. transmitted by a shaft or cable
    • A61M60/411—Details relating to driving for non-positive displacement blood pumps the force acting on the blood contacting member being mechanical, e.g. transmitted by a shaft or cable generated by an electromotor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/50—Details relating to control
    • A61M60/508—Electronic control means, e.g. for feedback regulation
    • A61M60/515—Regulation using real-time patient data
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/50—Details relating to control
    • A61M60/508—Electronic control means, e.g. for feedback regulation
    • A61M60/538—Regulation using real-time blood pump operational parameter data, e.g. motor current
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/50—Details relating to control
    • A61M60/508—Electronic control means, e.g. for feedback regulation
    • A61M60/562—Electronic control means, e.g. for feedback regulation for making blood flow pulsatile in blood pumps that do not intrinsically create pulsatile flow
    • A61M60/569—Electronic control means, e.g. for feedback regulation for making blood flow pulsatile in blood pumps that do not intrinsically create pulsatile flow synchronous with the native heart beat
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3331—Pressure; Flow
    • A61M2205/3334—Measuring or controlling the flow rate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/10—Location thereof with respect to the patient's body
    • A61M60/122—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
    • A61M60/126—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel
    • A61M60/148—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel in line with a blood vessel using resection or like techniques, e.g. permanent endovascular heart assist devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/40—Details relating to driving
    • A61M60/403—Details relating to driving for non-positive displacement blood pumps
    • A61M60/422—Details relating to driving for non-positive displacement blood pumps the force acting on the blood contacting member being electromagnetic, e.g. using canned motor pumps

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Hematology (AREA)
  • Mechanical Engineering (AREA)
  • Anesthesiology (AREA)
  • Medical Informatics (AREA)
  • Physiology (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • External Artificial Organs (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)

Abstract

In a ventricular assist device system (VAD) (10), ventricular suction detection methods monitor or derive the blood flow waveform and analyze the waveform to detect suction. Suction is determined based on asymmetry of the flow waveform, plateaus in the flow waveform, and the slew rate of the flow waveform. Additionally, in accordance with other detection methods, the blood flow rate is analyzed to determine suction based on the mean flow rate falling to a predetermined low level and/or the relationship between minimum, mean and minimum flow. In accordance with still further detection methods, suchtion is determined bases on saddle sequences (i.e. localized minimums or notches) in the falling arch of the flow peak.
PCT/US2003/018859 2002-01-07 2003-06-13 Method and system for detecting ventricular suction WO2003105669A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
EP03760376A EP1558303A4 (en) 2002-06-14 2003-06-13 Method and system for detecting ventricular suction
AU2003243576A AU2003243576A1 (en) 2002-06-14 2003-06-13 Method and system for detecting ventricular suction
US10/675,669 US7396327B2 (en) 2002-01-07 2003-09-30 Blood pump system and method of operation
US12/134,084 US7951062B2 (en) 2002-01-07 2008-06-05 Blood pump system and method of operation

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US31931802P 2002-06-14 2002-06-14
US60/319,318 2002-06-14

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2003/000516 Continuation-In-Part WO2003057013A2 (en) 2002-01-07 2003-01-08 Method and system for detecting ventricular collapse

Related Child Applications (2)

Application Number Title Priority Date Filing Date
PCT/US2003/020268 Continuation-In-Part WO2004002552A1 (en) 2002-01-07 2003-06-26 Method and system for physiologic control of a blood pump
US10/675,669 Continuation-In-Part US7396327B2 (en) 2002-01-07 2003-09-30 Blood pump system and method of operation

Publications (2)

Publication Number Publication Date
WO2003105669A2 WO2003105669A2 (en) 2003-12-24
WO2003105669A3 true WO2003105669A3 (en) 2004-03-25

Family

ID=29735884

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2003/018859 WO2003105669A2 (en) 2002-01-07 2003-06-13 Method and system for detecting ventricular suction

Country Status (3)

Country Link
EP (1) EP1558303A4 (en)
AU (1) AU2003243576A1 (en)
WO (1) WO2003105669A2 (en)

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102005017546A1 (en) * 2005-04-16 2006-10-19 Impella Cardiosystems Gmbh Method for controlling a blood pump
JP2017518862A (en) 2014-06-18 2017-07-13 ハートウェア, インコーポレイテッドHeartware, Inc. Method and device for identifying suction events
US20160058930A1 (en) * 2014-08-26 2016-03-03 Thoratec Corporation Blood pump and method of suction detection
WO2016130846A1 (en) 2015-02-11 2016-08-18 Thoratec Corporation Heart beat identification and pump speed synchronization
IL245775A0 (en) 2016-05-22 2016-08-31 Joshua Ben Nun Hybrid accommodating intraocular lens
GB2578639A (en) 2018-11-02 2020-05-20 Rayner Intraocular Lenses Ltd Hybrid accommodating intraocular lens assemblages including discrete lens unit with segmented lens haptics

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6066086A (en) * 1996-11-01 2000-05-23 Nimbus, Inc. Speed control system for implanted blood pumps
US6139487A (en) * 1997-04-02 2000-10-31 Impella Cardiotechnik Ag Intracardiac pump device
US6183412B1 (en) * 1997-10-02 2001-02-06 Micromed Technology, Inc. Implantable pump system
US20030045772A1 (en) * 2001-08-16 2003-03-06 Sanford Reich Physiological heart pump control

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2404636A1 (en) * 2000-03-27 2001-10-04 The Cleveland Clinic Foundation Chronic performance control system for rotodynamic blood pumps

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6066086A (en) * 1996-11-01 2000-05-23 Nimbus, Inc. Speed control system for implanted blood pumps
US6139487A (en) * 1997-04-02 2000-10-31 Impella Cardiotechnik Ag Intracardiac pump device
US6183412B1 (en) * 1997-10-02 2001-02-06 Micromed Technology, Inc. Implantable pump system
US20030045772A1 (en) * 2001-08-16 2003-03-06 Sanford Reich Physiological heart pump control

Also Published As

Publication number Publication date
WO2003105669A2 (en) 2003-12-24
AU2003243576A8 (en) 2003-12-31
EP1558303A2 (en) 2005-08-03
AU2003243576A1 (en) 2003-12-31
EP1558303A4 (en) 2010-12-08

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