WO2019025259A1 - Dispositif pour réaliser une liaison avec un câble d'un implant et système correspondant - Google Patents

Dispositif pour réaliser une liaison avec un câble d'un implant et système correspondant Download PDF

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Publication number
WO2019025259A1
WO2019025259A1 PCT/EP2018/070180 EP2018070180W WO2019025259A1 WO 2019025259 A1 WO2019025259 A1 WO 2019025259A1 EP 2018070180 W EP2018070180 W EP 2018070180W WO 2019025259 A1 WO2019025259 A1 WO 2019025259A1
Authority
WO
WIPO (PCT)
Prior art keywords
cable
blood vessel
connection
end piece
connecting element
Prior art date
Application number
PCT/EP2018/070180
Other languages
German (de)
English (en)
Inventor
Hardy Baumbach
Armin Schuelke
Inga Schellenberg
Tobias Bergem
Original Assignee
Robert Bosch Gmbh
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 Robert Bosch Gmbh filed Critical Robert Bosch Gmbh
Publication of WO2019025259A1 publication Critical patent/WO2019025259A1/fr

Links

Classifications

    • 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
    • A61M60/871—Energy supply devices; Converters therefor
    • A61M60/878—Electrical connections within the patient's body
    • 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
    • A61M60/135—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 inside a blood vessel, e.g. using grafting
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0001—Means for transferring electromagnetic energy to implants

Definitions

  • a heart support device also known as ventricular assist device, known in the form of a blood pump, wherein the blood pump, including cable is advanced via a catheter to the heart of a patient.
  • the invention relates to a device for connection to a cable of an implant in a blood vessel, in particular for a
  • the device has at a first end piece a first connecting element for connection to a second connecting element of the cable.
  • Under a cable can be a cable to control and / or
  • the cable can in particular one or more electrical conductors or lines for the transmission of electrical Include energy and / or electrical impulses. Further, the cable may also include conduits for transporting fluid.
  • a blood vessel is meant in particular a heart chamber, an artery or a vein. The tail is part of the device.
  • the device according to the invention advantageously makes it possible to easily connect a cable of an implant to the device.
  • the device with the first connecting element acts as a fishing rod for catching the cable.
  • the device can be used in different ways.
  • the cable may already be in the blood vessel before the first connector of the device is inserted into the blood vessel for trapping the cable.
  • the first connection element can be introduced into the blood vessel before a placement of the cable, so that a connection with the first connection element can already take place when the cable is placed.
  • the device also allows the transport of the connected cable or only a part thereof in a simple manner through an opening of a blood vessel. The device can thus be used advantageously as a device for leading the cable out of the blood vessel.
  • the lead out of the blood vessel can advantageously also take place via a hole of the blood vessel, wherein the hole is punched, for example, before pulling out into a wall of the blood vessel.
  • the first end is kabeiförmig thereby, which facilitates passage through the hole.
  • the first connection element preferably has a magnet, in particular a permanent magnet. This advantageously facilitates the connection of the first connecting element with the second
  • the first end piece comprises a connection cable for a connection to the cable.
  • the connection cable is the same type of cable. This has the advantage that the implant connected to the cable can be supplied or controlled with energy or fluid via the connecting cable of the device.
  • the first connecting element on a first part of a positive connection may be, for example, a loop-shaped, a fork-shaped or a keyhole-shaped connection, in particular a snap connection.
  • This may preferably be a barb and / or a groove for receiving a second part of the
  • Connection between the device and cable can be made even more stable.
  • the device comprises an anchoring element for fixing the device to a hole of the
  • Blood vessel For example, this may be a wire mesh for a connection of the seal with the blood vessel. This has the advantage that the device in a particularly reliable way with a hole
  • the anchoring element at least partially on a U-shape for receiving a portion of the hole of the blood vessel defining wall of the blood vessel.
  • the anchoring element may be, for example, an annular band with protruding pieces of wire.
  • the projecting pieces of wire can extend, for example, in two parallel planes, in particular in each case in a star-shaped manner, transversely to the band, so that the U-shape results.
  • Anchoring element with the rest of the device, in particular with the first end piece, slidably connected such that one of the first
  • Connecting member having part of the device, in particular the first end piece, can be pushed over the anchoring element into the blood vessel or out. This has the advantage that the device on the one hand is stably connected to the blood vessel, on the other hand, the connecting element for connection to the cable with respect to the blood vessel is movable.
  • a sealing material for example silicone, can be arranged between the anchoring element and the first end piece, for example in the form of a membrane with an opening for passing the first end piece of the device.
  • the sealing material advantageously acts both as a stabilizer for a fixation of the first end piece with respect to the anchoring element and as a seal against an escape of fluid from the blood vessel.
  • the invention also relates to a cable for an implant, in particular a supply cable for a cardiac assist device, wherein the cable has a second connection element for connection to a first
  • Connecting element of the device according to the invention comprises.
  • the second connecting element forms one end of the cable.
  • an adapter is arranged behind the second connecting element.
  • the adapter is an electrical adapter or plug for the cable, the cable comprising electrical leads connected to the adapter.
  • Blood vessel can be disconnected and thereby the adapter for electrical contacting of the cable is exposed with a controller or a power source.
  • the cable has a fold, which is held together by a rupturable web element.
  • the folded cable will cause movement of the cable due to blood flow in the cable
  • the invention also relates to a system comprising a first device according to the invention and a cable according to the invention.
  • the system further comprises an implant connected to the cable, in particular a cardiac assist device.
  • the invention further relates to a method for connecting a
  • the cable connected to the first end piece is led out of the blood vessel, in particular through a hole in the blood vessel.
  • FIGs 1 to 4 an embodiment of the device according to the invention, the cable according to the invention and the system according to the invention and
  • FIG. 5 shows a flow chart for an embodiment of the invention
  • FIG. 1 shows a blood vessel 10, for example a section of the heart or the aorta, in which an implant 300, for example a heart pump, has been inserted.
  • the implant 300 includes a cable 200 as
  • FIG. 1 shows an embodiment of the device 100 according to the invention.
  • the device 100 comprises a kabeiförmiges first end piece 110 with a first connecting element 120, which comprises a magnet 120, for example a
  • Permanent magnets for example comprising a neodymium-iron-boron
  • the magnet 120 may, for example, be in the form of a disc having a diameter of 3 millimeters and a thickness of 3 millimeters.
  • the magnet 120 may have a cube shape or a rod shape.
  • end piece 110 may be in the form of a cable or hose, such as 4.5 millimeter diameter silicone, with the end of the cable or hose comprising the magnet.
  • the device 100 comprises an anchoring element 150 with a wire mesh 151 for anchoring the device 100 in a hole 12 of the blood vessel 10.
  • the wire mesh 151 surrounds the hole 12
  • the anchoring element 150 is slidably connected to a remainder of the device 100 such that the first end piece 11 via the
  • Anchoring element 150 into the blood vessel 10 in and out can be pushed. For example, as shown in FIG. 1, this can be made possible via a sleeve-shaped configuration of a part 152 of the anchoring element 150, so that the first end piece 110 can be pushed through the sleeve 152.
  • the anchoring element 150 thus encloses the first end piece 110 of the device 100.
  • one or more membranes 153 may be arranged between the anchoring element 150 and the first end piece 110, in particular silicone membranes.
  • the diaphragms 153 have openings for the well-defined passage of the first end piece 110 of the device 100 and otherwise act as fixations for the first end piece 110 and as seals.
  • About a movement of the first end piece 110 can be fished for a second connecting element 220, wherein the second
  • Connecting element 220 is arranged on the end piece of the cable 200 of the implant 300 and in this example also comprises a magnet 221.
  • the cable 200 may be partially fixed as shown, for example, via a fold of the cable 200 held together by a rupturable web member 210 made of plastic. A crack of the
  • Stems may then be effected via the routing of the cable 200 after connection to the device 100.
  • the cable 200 may be fixed to the implant 300 at one or more locations, for example via a releasable clip connection.
  • FIG. 2 shows how the first connection element 120 and the second one
  • FIG. 1 thus also shows an exemplary embodiment of the system 1000 according to the invention, which comprises the device 100 according to the invention and the cable 200 according to the invention with the second connection element 220.
  • the cable 200 may be detachably or fixedly connected to the implant 300.
  • the system 1000 according to the invention also includes the implant 300.
  • the kabeiförmig formed first end piece 110 may be formed of the same type as the cable 200, so that the first end piece 110 a
  • Connecting cable 110 forms for the cable 200 and thus the implant can be supplied or controlled via the connecting cable depending on the type of cable 200 with energy or fluid.
  • the first end piece 110 may be provided for pulling out the cable 200 from the blood vessel 10.
  • FIG. 3 shows that the cable 200 is partially over the sleeve 152 of the
  • FIG. 4 shows a further exemplary embodiment of the invention
  • the first end piece 110 of the device 100 comprises in addition to the magnet 120 a
  • the recess 160 in this case comprises a projection 161 in
  • Shape of a hook which can engage in a groove 222 or second hook 222 of the second connecting member 220 for a snap connection between the cable 200 and the device 100.
  • a double connection in the form of a positive connection and a magnetic circuit.
  • this embodiment can also be designed without magnets.
  • the cable 200 may include an adapter 230, in this example an electrical connector, disposed behind the second connector 220.
  • Blood vessel 10 withdrawn cable 200 may be the second
  • FIG. 5 shows a flow chart for an embodiment of the invention
  • Method according to the invention 500 wherein the method can be carried out with the above-described embodiments of the device 100 according to the invention and the system 1000 according to the invention.
  • a first step 501 an introduction of the particular kabeiförmigen takes place

Abstract

L'invention concerne un dispositif (100) pour réaliser une liaison avec un câble (200) d'un implant (300) dans un vaisseau sanguin (10), notamment pour réaliser une connexion avec un câble d'alimentation d'un dispositif d'assistance cardiaque, le dispositif (100) présentant au niveau d'un premier embout (110) notamment en forme de câble, un premier élément de liaison (120) pour assurer la liaison avec un second élément de liaison (220) du câble (200). L'invention concerne par ailleurs un câble (200) correspondant, un système (1000) comprenant un dispositif (100) de ce type et un câble (200) correspondant, et un procédé (500) associé.
PCT/EP2018/070180 2017-08-03 2018-07-25 Dispositif pour réaliser une liaison avec un câble d'un implant et système correspondant WO2019025259A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102017213469.0A DE102017213469A1 (de) 2017-08-03 2017-08-03 Vorrichtung zur Verbindung mit einem Kabel eines Implantats sowie zugehöriges System
DE102017213469.0 2017-08-03

Publications (1)

Publication Number Publication Date
WO2019025259A1 true WO2019025259A1 (fr) 2019-02-07

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2018/070180 WO2019025259A1 (fr) 2017-08-03 2018-07-25 Dispositif pour réaliser une liaison avec un câble d'un implant et système correspondant

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DE (1) DE102017213469A1 (fr)
WO (1) WO2019025259A1 (fr)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11368081B2 (en) 2018-01-24 2022-06-21 Kardion Gmbh Magnetic coupling element with a magnetic bearing function
US11699551B2 (en) 2020-11-05 2023-07-11 Kardion Gmbh Device for inductive energy transmission in a human body and use of the device
US11752354B2 (en) 2018-05-02 2023-09-12 Kardion Gmbh Transmitter unit comprising a transmission coil and a temperature sensor
US11881721B2 (en) 2018-05-02 2024-01-23 Kardion Gmbh Wireless energy transfer system with fault detection

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102009007216A1 (de) 2009-02-03 2010-08-12 Siemens Aktiengesellschaft Blutpumpe und medizintechnische Vorrichtung
US20130066421A1 (en) * 2011-05-13 2013-03-14 Martin Strueber Intravascular blood pump and method of implantation
US20160175501A1 (en) * 2014-12-19 2016-06-23 Heartware, Inc. Guidewire system and method of pump installation using same
WO2017165372A1 (fr) * 2016-03-21 2017-09-28 Ramtin Agah Procédés et systèmes de déploiement, de chargement et de récupération de pompes intracardiaques
WO2018100192A1 (fr) * 2016-12-02 2018-06-07 Berlin Heart Gmbh Dispositifs de pompe aortique

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1551500A2 (fr) * 2002-06-11 2005-07-13 Walid Najib Aboul-Hosn Pompe a sang introduite par voie percutanee et procedes associes
DE102013200148A1 (de) * 2013-01-08 2014-07-10 AdjuCor GmbH Steckersystem für eine Herzunterstützungsvorrichtung
EP2787581A1 (fr) * 2013-04-04 2014-10-08 Berlin Heart GmbH Connecteur implantable

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102009007216A1 (de) 2009-02-03 2010-08-12 Siemens Aktiengesellschaft Blutpumpe und medizintechnische Vorrichtung
US20130066421A1 (en) * 2011-05-13 2013-03-14 Martin Strueber Intravascular blood pump and method of implantation
US20160175501A1 (en) * 2014-12-19 2016-06-23 Heartware, Inc. Guidewire system and method of pump installation using same
WO2017165372A1 (fr) * 2016-03-21 2017-09-28 Ramtin Agah Procédés et systèmes de déploiement, de chargement et de récupération de pompes intracardiaques
WO2018100192A1 (fr) * 2016-12-02 2018-06-07 Berlin Heart Gmbh Dispositifs de pompe aortique

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11368081B2 (en) 2018-01-24 2022-06-21 Kardion Gmbh Magnetic coupling element with a magnetic bearing function
US11804767B2 (en) 2018-01-24 2023-10-31 Kardion Gmbh Magnetic coupling element with a magnetic bearing function
US11752354B2 (en) 2018-05-02 2023-09-12 Kardion Gmbh Transmitter unit comprising a transmission coil and a temperature sensor
US11881721B2 (en) 2018-05-02 2024-01-23 Kardion Gmbh Wireless energy transfer system with fault detection
US11699551B2 (en) 2020-11-05 2023-07-11 Kardion Gmbh Device for inductive energy transmission in a human body and use of the device

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Publication number Publication date
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