JP6947411B2 - 圧力調節式血液ポンプを備えた生物医学装置 - Google Patents

圧力調節式血液ポンプを備えた生物医学装置 Download PDF

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JP6947411B2
JP6947411B2 JP2018545301A JP2018545301A JP6947411B2 JP 6947411 B2 JP6947411 B2 JP 6947411B2 JP 2018545301 A JP2018545301 A JP 2018545301A JP 2018545301 A JP2018545301 A JP 2018545301A JP 6947411 B2 JP6947411 B2 JP 6947411B2
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blood pump
blood
pressure
patient
operating point
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Expired - Fee Related
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JP2018545301A
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Japanese (ja)
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JP2019506964A5 (enExample
JP2019506964A (ja
Inventor
オクスナー グレゴール
オクスナー グレゴール
シュミット ダナーズ マリアンヌ
シュミット ダナーズ マリアンヌ
エメシェール ラファエル
エメシェール ラファエル
メボルト ミルコ
メボルト ミルコ
ファルク フォルクマール
ファルク フォルクマール
ペトルー アナスタシオス
ペトルー アナスタシオス
ヴェルヘルム マルクス
ヴェルヘルム マルクス
レールンバウアー バルバラ
レールンバウアー バルバラ
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エーテーハー チューリヒ
エーテーハー チューリヒ
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    • 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
    • A61M60/104—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body
    • A61M60/109—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body incorporated within extracorporeal blood circuits or systems
    • A61M60/113—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body incorporated within extracorporeal blood circuits or systems in other functional devices, e.g. dialysers or heart-lung machines
    • 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
    • A61M60/10—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
    • A61M60/10—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
    • A61M60/196—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body replacing the entire heart, e.g. total artificial hearts [TAH]
    • 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
    • A61M60/226—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 radial components
    • A61M60/232—Centrifugal 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
    • A61M60/20—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
    • A61M60/30—Medical purposes thereof other than the enhancement of the cardiac output
    • A61M60/36—Medical purposes thereof other than the enhancement of the cardiac output for specific blood treatment; for specific therapy
    • A61M60/37—Haemodialysis, haemofiltration or diafiltration
    • 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
    • A61M60/30—Medical purposes thereof other than the enhancement of the cardiac output
    • A61M60/36—Medical purposes thereof other than the enhancement of the cardiac output for specific blood treatment; for specific therapy
    • A61M60/38—Blood oxygenation
    • 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
    • A61M60/405—Details relating to driving for non-positive displacement blood pumps the force acting on the blood contacting member being hydraulic or pneumatic
    • 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
    • A61M60/531—Regulation using real-time patient data using blood pressure data, e.g. from blood pressure sensors
    • 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
    • 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
    • A61M60/80—Constructional details other than related to driving
    • A61M60/802—Constructional details other than related to driving of non-positive displacement blood pumps
    • A61M60/818—Bearings
    • A61M60/82—Magnetic bearings
    • 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
    • A61M60/80—Constructional details other than related to driving
    • A61M60/802—Constructional details other than related to driving of non-positive displacement blood pumps
    • A61M60/818—Bearings
    • A61M60/824—Hydrodynamic or fluid film bearings
    • 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
    • A61M60/80—Constructional details other than related to driving
    • A61M60/802—Constructional details other than related to driving of non-positive displacement blood pumps
    • A61M60/818—Bearings
    • A61M60/825—Contact bearings, e.g. ball-and-cup or pivot bearings
    • 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
    • A61M60/80—Constructional details other than related to driving
    • A61M60/855—Constructional details other than related to driving of implantable pumps or pumping devices
    • A61M60/857—Implantable blood tubes

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Cardiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Mechanical Engineering (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Vascular Medicine (AREA)
  • Pulmonology (AREA)
  • Physics & Mathematics (AREA)
  • Fluid Mechanics (AREA)
  • Medical Informatics (AREA)
  • Emergency Medicine (AREA)
  • Urology & Nephrology (AREA)
  • External Artificial Organs (AREA)
JP2018545301A 2016-03-02 2017-03-02 圧力調節式血液ポンプを備えた生物医学装置 Expired - Fee Related JP6947411B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EP16158181.4 2016-03-02
EP16158181.4A EP3213781A1 (en) 2016-03-02 2016-03-02 Biomedical apparatus with a pressure-regulated blood pump
PCT/EP2017/054929 WO2017149083A1 (en) 2016-03-02 2017-03-02 Biomedical apparatus with a pressure-regulated blood pump

Publications (3)

Publication Number Publication Date
JP2019506964A JP2019506964A (ja) 2019-03-14
JP2019506964A5 JP2019506964A5 (enExample) 2020-02-13
JP6947411B2 true JP6947411B2 (ja) 2021-10-13

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JP2018545301A Expired - Fee Related JP6947411B2 (ja) 2016-03-02 2017-03-02 圧力調節式血液ポンプを備えた生物医学装置

Country Status (4)

Country Link
US (1) US11045640B2 (enExample)
EP (2) EP3213781A1 (enExample)
JP (1) JP6947411B2 (enExample)
WO (1) WO2017149083A1 (enExample)

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EP3928830B1 (en) 2017-03-29 2024-07-10 Tc1 Llc Adjusting pump protocol based on irregular heart rhythm
WO2018183567A1 (en) 2017-03-29 2018-10-04 Tc1 Llc Communication methods and architecture for heart treatment systems
EP4424357A1 (en) * 2017-03-29 2024-09-04 Tc1 Llc Pressure sensing ventricular assist devices
US10835750B2 (en) 2018-01-08 2020-11-17 Rainbow Medical Ltd. Prosthetic aortic valve pacing system
US11065451B1 (en) 2021-01-06 2021-07-20 E-Valve Systems Ltd. Prosthetic aortic valve pacing systems
US11291844B2 (en) 2018-01-08 2022-04-05 E-Valve Systems Ltd. Prosthetic aortic valve pacing system
US11013597B2 (en) 2018-01-08 2021-05-25 E-Valve Systems Ltd. Prosthetic aortic valve pacing system
US10543083B2 (en) * 2018-01-08 2020-01-28 Rainbow Medical Ltd. Prosthetic aortic valve pacing system
US11517740B2 (en) 2018-03-15 2022-12-06 Tc1 Llc Methods for controlling a left ventricular assist device
US11167123B2 (en) 2018-03-19 2021-11-09 Tc1 Llc Coordinated ventricular assist and cardiac rhythm management devices and methods
US11241570B2 (en) 2018-07-17 2022-02-08 Tc1 Llc Systems and methods for inertial sensing for VAD diagnostics and closed loop control
US10960118B2 (en) 2018-07-31 2021-03-30 Abiomed, Inc. Systems and methods for controlling a heart pump to minimize myocardial oxygen consumption
EP3856274B1 (en) * 2018-09-25 2024-04-17 Tc1 Llc Adaptive speed control algorithms and controllers for optimizing flow in ventricular assist devices
EP3856275B1 (en) * 2018-09-27 2023-01-18 Heartware, Inc. Map estimation on vad patients
AU2020282983A1 (en) 2019-05-31 2022-02-10 Abiomed, Inc. Intra-aortic pressure forecasting
CN110404128A (zh) * 2019-07-18 2019-11-05 张海军 有反馈功能的无极变速自供能人工心脏辅助装置
CN111084674B (zh) * 2020-01-06 2024-09-24 清华大学 用于人工心脏测试的体外模拟循环系统
JP7598630B2 (ja) * 2021-02-25 2024-12-12 株式会社サンメディカル技術研究所 左室補助人工心臓システム及び血液ポンプの駆動方法
US20240316334A1 (en) * 2021-07-01 2024-09-26 Corisma Cardiovascular Devices and methods for supporting cardiac function
WO2023140806A1 (en) 2022-01-19 2023-07-27 Istanbul Bilgi Universitesi A biventricular assist system
CN115177860B (zh) * 2022-09-08 2022-12-06 深圳核心医疗科技有限公司 性能调整方法及装置
KR102851788B1 (ko) * 2022-10-28 2025-08-29 강원대학교산학협력단 체외막 산소 공급 장치용 역박동 제어 방법, 기록매체 및 체외막 산소 공급 장치
WO2024180202A1 (en) * 2023-03-01 2024-09-06 Université Libre de Bruxelles Control method and system for extracorporeal membrane oxygenation
CN116850445A (zh) * 2023-05-17 2023-10-10 中国科学院赣江创新研究院 一种心脏泵控制方法、装置、设备和存储介质
CN116999689A (zh) * 2023-06-13 2023-11-07 心擎医疗（苏州）股份有限公司 流量确定方法、流量检测模型的训练方法、设备及介质
CN116688272B (zh) * 2023-08-07 2023-10-20 遂宁市中心医院 一种控制ecmo系统的方法
US11931255B1 (en) 2023-08-18 2024-03-19 E-Valve Systems Ltd. Prosthetic aortic valve pacing systems
US11975203B1 (en) 2023-08-18 2024-05-07 E-Valve Systems Ltd. Prosthetic aortic valve pacing systems
CN117899349B (zh) * 2024-03-18 2024-06-04 生命盾医疗技术(苏州)有限公司 一种心室辅助装置控制方法、装置、电子设备及存储介质

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Also Published As

Publication number Publication date
EP3423125B1 (en) 2021-04-21
US11045640B2 (en) 2021-06-29
WO2017149083A1 (en) 2017-09-08
EP3423125A1 (en) 2019-01-09
US20190076588A1 (en) 2019-03-14
JP2019506964A (ja) 2019-03-14
EP3213781A1 (en) 2017-09-06

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