WO2002063169A1 - Pulsatile pump - Google Patents

Pulsatile pump Download PDF

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Publication number
WO2002063169A1
WO2002063169A1 PCT/GB2002/000518 GB0200518W WO02063169A1 WO 2002063169 A1 WO2002063169 A1 WO 2002063169A1 GB 0200518 W GB0200518 W GB 0200518W WO 02063169 A1 WO02063169 A1 WO 02063169A1
Authority
WO
WIPO (PCT)
Prior art keywords
pump according
fluid
pump
chamber
internal
Prior art date
Application number
PCT/GB2002/000518
Other languages
French (fr)
Inventor
J. Graeme Houston
Peter A. Stonebridge
John Bruce Cameron Dick
Robert Gordon Hood
Allana Johnstone
Christophe Emmanuel Sarran
Craig Mcleod Duff
Original Assignee
Tayside Flow Technologies Limited
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 Tayside Flow Technologies Limited filed Critical Tayside Flow Technologies Limited
Publication of WO2002063169A1 publication Critical patent/WO2002063169A1/en

Links

Classifications

    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F04POSITIVE - DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS FOR LIQUIDS OR ELASTIC FLUIDS
    • F04BPOSITIVE-DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS
    • F04B43/00Machines, pumps, or pumping installations having flexible working members
    • F04B43/08Machines, pumps, or pumping installations having flexible working members having tubular flexible members
    • F04B43/10Pumps having fluid drive
    • F04B43/107Pumps having fluid drive the fluid being actuated directly by a piston
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/10Location thereof with respect to the patient's body
    • A61M60/104Extracorporeal pumps, i.e. the blood being pumped outside the patient's body
    • A61M60/109Extracorporeal pumps, i.e. the blood being pumped outside the patient's body incorporated within extracorporeal blood circuits or systems
    • A61M60/113Extracorporeal 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/10Location thereof with respect to the patient's body
    • A61M60/122Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
    • A61M60/126Implantable 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
    • A61M60/148Implantable 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/20Type thereof
    • A61M60/247Positive displacement blood pumps
    • A61M60/253Positive displacement blood pumps including a displacement member directly acting on the blood
    • A61M60/258Piston pumps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/30Medical purposes thereof other than the enhancement of the cardiac output
    • A61M60/36Medical purposes thereof other than the enhancement of the cardiac output for specific blood treatment; for specific therapy
    • A61M60/37Haemodialysis, haemofiltration or diafiltration
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/40Details relating to driving
    • A61M60/424Details relating to driving for positive displacement blood pumps
    • A61M60/427Details relating to driving for positive displacement blood pumps the force acting on the blood contacting member being hydraulic or pneumatic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/20Type thereof
    • A61M60/247Positive displacement blood pumps
    • A61M60/253Positive displacement blood pumps including a displacement member directly acting on the blood
    • A61M60/268Positive displacement blood pumps including a displacement member directly acting on the blood the displacement member being flexible, e.g. membranes, diaphragms or bladders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/80Constructional details other than related to driving
    • A61M60/855Constructional details other than related to driving of implantable pumps or pumping devices
    • A61M60/89Valves
    • A61M60/892Active valves, i.e. actuated by an external force
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/80Constructional details other than related to driving
    • A61M60/855Constructional details other than related to driving of implantable pumps or pumping devices
    • A61M60/89Valves
    • A61M60/894Passive valves, i.e. valves actuated by the blood

Definitions

  • This invention relates to pumps, more particularly to pulsatile pumps such as might be used as prosthetic hearts or heart-assist pumps.
  • tubing especially blood flow tubing, which induces helical flow in such fashion as to eliminate or substantially reduce turbulence and dead flow regions in the tubing, with the aim of eliminating or substantially reducing tendency to thrombus and plaque formation.
  • helical formation in stents with the same end in view. It is natural to suppose that, the vascular system being the primary source of clots and plaques, it is sufficient to protect it, or at least whatever part of it is being replaced, by conditioning flow through it by means of formations within the system itself.
  • the invention comprises a pulsatile pump having an internal configuration and/or action such as to induce helical flow in the fluid being pumped.
  • a pulsatile pump as a prosthetic heart, or a heart assist device, assumes surgery at the site of the heart. Surgery inevitably involves anastomosis of blood vessels, which involves modification, almost certainly not for the better, to the pattern of blood flow and increased risk of plaque and thrombus formation at or near that site.
  • helical flow is not induced until the blood enters the vascular system from the heart pump, and almost certainly not straight away.
  • the pump may have an internal helical configuration.
  • Such configuration may be a static such configuration, the helical flow being induced by the fluid's passing along it.
  • the helical configuration may be of a core with an external helix.
  • a distendable chamber may surround the core and be alternately expanded to fill with fluid and contracted to expel fluid.
  • the internal helical configuration may, however, be of a chamber with an internal helix.
  • a distendable body may expand and contract within the said chamber alternately to expel fluid from the chamber and fill the chamber.
  • the internal helical formation may be distendable and comprise a variable volume chamber, expansion and contraction of which expels the fluid therefrom and draws fluid thereinto.
  • Expansion and contraction in any event, may be effected by means of a driving fluid, itself pumped by a mechanical pump. Contraction may be effected by elastic recovery from an expanded condition.
  • the pump may have valving determining the direction of flow through the pump.
  • the pump may have an electrically driven prime mover, which (or any other prime mover) may drive a piston-in-cylinder or like arrangement to expand and contract a pumping volume.
  • Figure 1 is a diagrammatic lengthwise section of a first embodiment
  • Figure 2 is a section like Figure 1 of a second embodiment
  • Figure 3 is a section like Figure 1 of a third embodiment.
  • the drawings illustrate pulsatile pumps 11 having an internal configuration and/or action such as to induce helical flow in the fluid being pumped.
  • the pump 11 has an internal helical configuration 12.
  • the internal helical configuration 12 is static, and the helical flow is induced by the fluid's passing along it.
  • the internal helical configuration 12 is of a core 13 with an external helix 14.
  • a distendable chamber 15 surrounds the core and is alternately expanded (solid line) to fill with the fluid being pumped and contracted (broken line) to expel the fluid.
  • the internal helical configuration is of a chamber 21 with an internal helix 22.
  • a distendable body 23 expands (solid line) and contracts (broken line) within the chamber 21 alternately to expel fluid from the chamber 21 and fill the chamber 21.
  • Figure 3 illustrates an embodiment in which the internal helical formation
  • variable volume chamber 31 which has a lengthwise corrugated shape and which is twisted. Expansion (solid line) draws the fluid into the chamber 31 and contraction (broken line) expels it, the helical formation 12 imparting a helical component to the flow.
  • expansion and contraction is effected by means of a driving fluid 16, itself pumped by an electrically driven mechanical pump 17, contraction being effected by elastic recovery of the distendable component from an expanded condition.
  • the distendable component is in each case contained within a rigid vessel 18 into which the driving fluid 16 is pumped.
  • the mechanical pump 17 is shown as a piston-in-cylinder arrangement.
  • Valving 19 at the inlet and outlet of the pump 11 determines direction of fluid flow through the pump.
  • the valving 19 could itself have an internal helical formation to augment the rotational component of flow induced by the pumping action.
  • the pumps 11 will be fashioned in biocompatible materials.
  • the action of the embodiments described with reference to the drawings is such as not to apply shear forces and undue compression through a small space such as might damage blood components, but other arrangements could be designed based on different pumping principles with those aims in view.
  • the pumps can be made small enough to be accommodated within the chest cavity in place of or alongside a natural heart to substitute for or assist same.
  • the pumps may be driven otherwise, of course, than electrically, and, particularly in the case of a heart-assist pump, may be driven by muscular contraction, surgically arranged.
  • Pumps according to the invention may find numerous other uses, both within and outwith the clinical field. Such pumps might well find application in dialysis, for example, being kinder to blood than some rotary pumps.
  • the inducement of a helical flow within the pump may well improve flow at pump-pipeline interfaces in pumping oil and other industrial products, especially where flow is required to be, or will benefit from being, pulsatile, or where piston-in-cylinder pumps are used in any event.
  • Rotary pumps will usually impart rotation to a flow, but this may be simply regarded as an artefact of the pumping method rather than as something deliberately introduced, and the rotation may be totally unsuitable to the circumstances, it being generally desirable, according to WO 00/38591, to reduce turbulence and eliminate dead regions in the flow. It may be that rotary pumps could benefit from modification to the helical flow they necessarily induce, as by having a flow modifying section after an impeller.

Abstract

There is disclosed a pulsatile pump having an internal configuration and/or action such as to induce helical flow in the fluid being pumped.

Description

PULSATILE PUMP
This invention relates to pumps, more particularly to pulsatile pumps such as might be used as prosthetic hearts or heart-assist pumps.
In WO 00/38591 there is disclosed tubing, especially blood flow tubing, which induces helical flow in such fashion as to eliminate or substantially reduce turbulence and dead flow regions in the tubing, with the aim of eliminating or substantially reducing tendency to thrombus and plaque formation. There is also disclosed helical formation in stents, with the same end in view. It is natural to suppose that, the vascular system being the primary source of clots and plaques, it is sufficient to protect it, or at least whatever part of it is being replaced, by conditioning flow through it by means of formations within the system itself.
It now appears, however, that further measures will lead to further improvements, and the invention provides such further measures.
The invention comprises a pulsatile pump having an internal configuration and/or action such as to induce helical flow in the fluid being pumped.
The use of a pulsatile pump as a prosthetic heart, or a heart assist device, assumes surgery at the site of the heart. Surgery inevitably involves anastomosis of blood vessels, which involves modification, almost certainly not for the better, to the pattern of blood flow and increased risk of plaque and thrombus formation at or near that site. Using the teachings of WO 00/38591 aforementioned, helical flow is not induced until the blood enters the vascular system from the heart pump, and almost certainly not straight away. There is now seen to be considerable advantage in having the blood already flowing with a helical component as it enters the vascular system, and the pro vision of an internal configuration to the pump according to the invention can ensure that the blood already has a helical flow component on leaving the pump.
The pump may have an internal helical configuration.
Such configuration may be a static such configuration, the helical flow being induced by the fluid's passing along it.
The helical configuration may be of a core with an external helix. A distendable chamber may surround the core and be alternately expanded to fill with fluid and contracted to expel fluid.
The internal helical configuration may, however, be of a chamber with an internal helix. A distendable body may expand and contract within the said chamber alternately to expel fluid from the chamber and fill the chamber.
However, the internal helical formation may be distendable and comprise a variable volume chamber, expansion and contraction of which expels the fluid therefrom and draws fluid thereinto.
Expansion and contraction, in any event, may be effected by means of a driving fluid, itself pumped by a mechanical pump. Contraction may be effected by elastic recovery from an expanded condition.
The pump may have valving determining the direction of flow through the pump. The pump may have an electrically driven prime mover, which (or any other prime mover) may drive a piston-in-cylinder or like arrangement to expand and contract a pumping volume.
Embodiments of pumps according to the invention will now be described with reference to the accompanying drawings, in which:
Figure 1 is a diagrammatic lengthwise section of a first embodiment;
Figure 2 is a section like Figure 1 of a second embodiment; and
Figure 3 is a section like Figure 1 of a third embodiment.
The drawings illustrate pulsatile pumps 11 having an internal configuration and/or action such as to induce helical flow in the fluid being pumped. In each case, the pump 11 has an internal helical configuration 12.
In the embodiments of Figures 1 and 2, the internal helical configuration 12 is static, and the helical flow is induced by the fluid's passing along it.
In Figure 1, the internal helical configuration 12 is of a core 13 with an external helix 14. A distendable chamber 15 surrounds the core and is alternately expanded (solid line) to fill with the fluid being pumped and contracted (broken line) to expel the fluid.
In Figure 2, the internal helical configuration is of a chamber 21 with an internal helix 22. A distendable body 23 expands (solid line) and contracts (broken line) within the chamber 21 alternately to expel fluid from the chamber 21 and fill the chamber 21. Figure 3 illustrates an embodiment in which the internal helical formation
12 is itself distendable and comprises a variable volume chamber 31 which has a lengthwise corrugated shape and which is twisted. Expansion (solid line) draws the fluid into the chamber 31 and contraction (broken line) expels it, the helical formation 12 imparting a helical component to the flow.
In each embodiment, expansion and contraction is effected by means of a driving fluid 16, itself pumped by an electrically driven mechanical pump 17, contraction being effected by elastic recovery of the distendable component from an expanded condition. The distendable component is in each case contained within a rigid vessel 18 into which the driving fluid 16 is pumped. The mechanical pump 17 is shown as a piston-in-cylinder arrangement.
Valving 19 at the inlet and outlet of the pump 11 determines direction of fluid flow through the pump. The valving 19 could itself have an internal helical formation to augment the rotational component of flow induced by the pumping action.
For use as prosthetic hearts, the pumps 11 will be fashioned in biocompatible materials. The action of the embodiments described with reference to the drawings is such as not to apply shear forces and undue compression through a small space such as might damage blood components, but other arrangements could be designed based on different pumping principles with those aims in view. The pumps can be made small enough to be accommodated within the chest cavity in place of or alongside a natural heart to substitute for or assist same. The pumps may be driven otherwise, of course, than electrically, and, particularly in the case of a heart-assist pump, may be driven by muscular contraction, surgically arranged.
Pumps according to the invention may find numerous other uses, both within and outwith the clinical field. Such pumps might well find application in dialysis, for example, being kinder to blood than some rotary pumps. The inducement of a helical flow within the pump may well improve flow at pump-pipeline interfaces in pumping oil and other industrial products, especially where flow is required to be, or will benefit from being, pulsatile, or where piston-in-cylinder pumps are used in any event.
Rotary pumps will usually impart rotation to a flow, but this may be simply regarded as an artefact of the pumping method rather than as something deliberately introduced, and the rotation may be totally unsuitable to the circumstances, it being generally desirable, according to WO 00/38591, to reduce turbulence and eliminate dead regions in the flow. It may be that rotary pumps could benefit from modification to the helical flow they necessarily induce, as by having a flow modifying section after an impeller.

Claims

1. A pulsatile pump having an internal configuration and/or action such as to induce helical flow in the fluid being pumped.
2. A pump according to claim 1, in which the pump has an internal helical configuration.
3. A pump according to claim 2, in which the internal helical configurations is a static such configuration, and the helical flow is induced by the fluid's passing along it.
4. A pump according to claim 2, in which the internal helical configuration is of a core with an external helix.
5. A pump according to claim 4, in which a distendable chamber surrounds the core and is alternately expanded to fill with fluid and contracted to expel fluid.
6. A pump according to claim 3, in which the internal helical configuration is of a chamber is an internal helix.
7. A pump according to claim 6, in which a distendable body expands and contracts within the said chamber alternately to expel fluid from the chamber and fill the chamber.
8. A pump according to claim 1 or claim 2, in which the internal helical formation is distendable and comprises a variable volume chamber expansion and contraction of which expels fluid therefrom and draws liquid thereinto.
9. A pump according to any one of claims 3 to 8, in which expansion and contraction is effected by means of a driving fluid, itself pumped by a mechanical pump.
10. A pump according to any one of claims 3 to 9, in which contraction is effected by elastic recovery from an expanded condition.
11. A pump according to any one of claims 1 to 10, comprising valving determining direction of fluid flow through the pump.
12. A pump according to any one of claims 1 to 11, comprising an electrically driven prime mover.
13. A pump according to any one of claims 1 to 12, in which a prime mover drives a piston-in-cylinder arrangement to expand and contract a pumping volume.
PCT/GB2002/000518 2001-02-08 2002-02-07 Pulsatile pump WO2002063169A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB0103077A GB2371230B (en) 2001-02-08 2001-02-08 Pumps
GB0103077.4 2001-02-08

Publications (1)

Publication Number Publication Date
WO2002063169A1 true WO2002063169A1 (en) 2002-08-15

Family

ID=9908324

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB2002/000518 WO2002063169A1 (en) 2001-02-08 2002-02-07 Pulsatile pump

Country Status (2)

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GB (1) GB2371230B (en)
WO (1) WO2002063169A1 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2005016393A1 (en) 2003-07-31 2005-02-24 Kimberly-Clark Worldwide, Inc. Absorbent materials and articles

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102004053583A1 (en) * 2004-10-01 2006-04-13 Universitätsklinikum Freiburg Peristaltic pump
US8123670B2 (en) 2007-08-09 2012-02-28 Leo Antonovich Bokeriya Method for forming a blood flow in surgically reconstituted segments of the blood circulatory system and devices for carrying out said method
RU2523700C1 (en) * 2012-12-04 2014-07-20 Федеральное государственное бюджетное учреждение "Научный центр сердечно-сосудистой хирургии имени А.Н. Бакулева" Российской академии медицинских наук Pump unit for pulmonary heart in complex congenital heart diseases requiring fontan procedure - right neoventricle
US11052179B2 (en) * 2014-05-26 2021-07-06 Zammi Instrumental Ltda Chamber for artificial circulatory assistance and membrane
CN108917241A (en) * 2018-08-03 2018-11-30 蚌埠市昊源压缩机制造有限公司 A kind of compressor gas-liquid separation device

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB1242418A (en) * 1967-09-15 1971-08-11 Susquehanna Corp Flexible chamber pumps
DE2342836A1 (en) * 1973-08-24 1975-03-06 Tuchenhagen Otto Combined flexible hose and diaphragm pump - has a cylinder with reciprocating piston for actuation
US4383921A (en) * 1979-11-21 1983-05-17 Bellhouse Brian John Apparatus for heat or mass transfer
US5458468A (en) * 1988-12-29 1995-10-17 Victor Peter Chang Diaphragm pump
FR2767874A1 (en) * 1997-08-26 1999-02-26 Commissariat Energie Atomique Fluid actuator for implantable cardiac assist operating in counter pulse mode.
WO2000038591A2 (en) * 1998-12-29 2000-07-06 Tayside University Hospitals Nhs Trust Blood-flow tubing

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4957504A (en) * 1988-12-02 1990-09-18 Chardack William M Implantable blood pump
JP3081639B2 (en) * 1989-06-20 2000-08-28 ビーティージー・インターナショナル・リミテッド Improve blood flow
GB2254655A (en) * 1991-04-13 1992-10-14 Russell William James Millner Muscle powered blood pump.

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB1242418A (en) * 1967-09-15 1971-08-11 Susquehanna Corp Flexible chamber pumps
DE2342836A1 (en) * 1973-08-24 1975-03-06 Tuchenhagen Otto Combined flexible hose and diaphragm pump - has a cylinder with reciprocating piston for actuation
US4383921A (en) * 1979-11-21 1983-05-17 Bellhouse Brian John Apparatus for heat or mass transfer
US5458468A (en) * 1988-12-29 1995-10-17 Victor Peter Chang Diaphragm pump
FR2767874A1 (en) * 1997-08-26 1999-02-26 Commissariat Energie Atomique Fluid actuator for implantable cardiac assist operating in counter pulse mode.
WO2000038591A2 (en) * 1998-12-29 2000-07-06 Tayside University Hospitals Nhs Trust Blood-flow tubing

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2005016393A1 (en) 2003-07-31 2005-02-24 Kimberly-Clark Worldwide, Inc. Absorbent materials and articles

Also Published As

Publication number Publication date
GB2371230A (en) 2002-07-24
GB2371230B (en) 2002-10-16
GB0103077D0 (en) 2001-03-28

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