WO2023280245A1 - 一种心脏辅助装置的叶轮及心脏辅助装置 - Google Patents
一种心脏辅助装置的叶轮及心脏辅助装置 Download PDFInfo
- Publication number
- WO2023280245A1 WO2023280245A1 PCT/CN2022/104252 CN2022104252W WO2023280245A1 WO 2023280245 A1 WO2023280245 A1 WO 2023280245A1 CN 2022104252 W CN2022104252 W CN 2022104252W WO 2023280245 A1 WO2023280245 A1 WO 2023280245A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- impeller
- assist device
- blade
- angle
- heart assist
- Prior art date
Links
- 230000000747 cardiac effect Effects 0.000 title claims abstract description 14
- 230000004323 axial length Effects 0.000 claims description 4
- 230000002596 correlated effect Effects 0.000 claims description 3
- 239000008280 blood Substances 0.000 abstract description 14
- 210000004369 blood Anatomy 0.000 abstract description 14
- 230000002861 ventricular Effects 0.000 description 9
- 238000010586 diagram Methods 0.000 description 5
- 230000017531 blood circulation Effects 0.000 description 4
- 230000000875 corresponding effect Effects 0.000 description 3
- 210000001105 femoral artery Anatomy 0.000 description 3
- 210000000709 aorta Anatomy 0.000 description 2
- 210000005240 left ventricle Anatomy 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 206010019280 Heart failures Diseases 0.000 description 1
- 238000009098 adjuvant therapy Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000001816 cooling Methods 0.000 description 1
- 239000008358 core component Substances 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 238000013178 mathematical model Methods 0.000 description 1
- 238000005086 pumping Methods 0.000 description 1
- 238000002627 tracheal intubation Methods 0.000 description 1
Images
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
- A61M60/10—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
- A61M60/13—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 by means of a catheter allowing explantation, e.g. catheter pumps temporarily introduced via the vascular system
-
- 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
-
- 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
- A61M60/17—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable in, on, or around the heart inside a ventricle, e.g. intraventricular balloon 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
-
- 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
- A61M60/221—Non-positive displacement blood pumps including a rotating member acting on the blood, e.g. impeller the blood flow through the rotating member having both radial and axial components, e.g. mixed 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
- A61M60/80—Constructional details other than related to driving
- A61M60/802—Constructional details other than related to driving of non-positive displacement blood pumps
- A61M60/804—Impellers
- A61M60/806—Vanes or blades
Definitions
- the invention relates to the technical field of medical devices, in particular to an impeller of a heart assist device and the heart assist device.
- Percutaneous ventricular assist device is a newer product compared to traditional ventricular assist devices or cardiac blood pumps. Its main advantage is that it does not require chest surgery and can be implanted into the heart through minimally invasive methods such as femoral artery puncture or incision. , greatly reducing the risk of surgery. This advantage allows it to be used to maintain the vital signs of patients with severe heart failure, or as an adjuvant treatment in high-risk PCI operations to reduce surgical risks.
- the size of the percutaneous ventricular assist device needs to be smaller than that of traditional ventricular assist devices to meet the needs of passing through the femoral artery and aorta smoothly.
- the outer diameter of the percutaneous ventricular assist device needs to be less than 21Fr/7mm.
- the axial flow pump has a built-in impeller that can pump blood from the left ventricle to the aorta at high speed, so the impeller plays a very important role.
- the impeller is located in the pump box which is consistent with the outer diameter of the product, so the size of the impeller is smaller than the outer diameter of the product.
- the diameter of the impeller is less than 6mm.
- existing impellers cannot meet the requirements of miniature size and achieve sufficient flow to help ventricular assist devices maintain the patient's vital signs.
- the invention discloses an impeller of a heart assist device and the heart assist device, which are used to solve the problem that the impeller of the heart assist device cannot meet the requirements of miniature size in the prior art, and can also achieve sufficient flow to help the ventricular assist device maintain the patient's Questions about vital signs.
- the present invention adopts the following technical solutions:
- An impeller for a cardiac assist device comprising an impeller shaft and blades;
- the shape of the blade is set as follows: the cascade of the blade is in the shape of an arc concave to the same side, and the cascade conforms to the function:
- r * is the radius of the cylinder where the function is located
- ⁇ is the angular strain
- z is the axial strain
- t is the independent variable
- a and b are the coefficients
- the cascade is the The planar unfolded shape of the intersection line where the face intersects the blade.
- the rotational speed of the impeller is 30000-90000 RPM.
- the value range of the coefficient b is 20-78.
- the rotational speed of the impeller is 35000 RPM.
- the value of the coefficient b is 60.
- the coefficient a is positively correlated with the flow rate of the impeller.
- the flow rate of the impeller is 4L/min.
- the value of the coefficient a is 3.5.
- the outer diameter of the impeller is 5mm.
- the diameter of the middle part of the impeller shaft is 2.5 mm, and the hub ratio is 0.5.
- the axial length of the blade is equal to the height of the cascade, and neither exceeds 6mm.
- the inflow end and the outflow end of the cascade are respectively connected by a first straight line and a second straight line
- the included angle between the first straight line and the first tangent line of the first arc is a first angle
- the included angle between the second straight line and the second tangent of the second arc is a second angle
- the range of the first angle is 10°-20°
- the range of the second angle is 40°-50° .
- the blades are two pieces.
- the inflow end of the impeller shaft is a cone
- the middle part is a cylinder
- the outflow end is an inwardly concave arc surface
- the present invention also provides a heart assist device, including the impeller described in any one of the above schemes, and further including:
- the sleeve is arranged on the outer circumference of the cannula, the impeller and the motor, the end of the sleeve close to the cannula is an inflow chamber, and the end close to the motor is an outflow chamber.
- the arc at the tail of the impeller is continuous with the arc at the front of the motor.
- the traditional airfoil cascade is changed, and the cascade is curved to the same side.
- This design makes the blood pass through the impeller with a smaller inflow angle and a larger outflow angle.
- the smaller the inflow angle can produce the larger head, so that the impeller can obtain greater output power, and at the same time, it can avoid the rotating flow at the inflow port, so that the blood can flow into the impeller stably.
- a larger outflow angle can convert the rotational energy of the blood at the outflow port into axial kinetic energy to obtain a greater axial velocity and improve the efficiency of the impeller.
- Fig. 1 is a side view of the impeller of the heart assist device disclosed in Embodiment 1 of the present invention
- Fig. 2 is a schematic diagram of another perspective of the impeller of the heart assist device disclosed in Embodiment 1 of the present invention.
- Fig. 3 is a schematic diagram of the cascade of the heart assist device disclosed in Embodiment 1 of the present invention.
- Fig. 5 is a linear relationship diagram between the flow rate and the coefficient a of the impeller disclosed in Embodiment 1 of the present invention.
- Fig. 6 is a schematic diagram of the overall structure of the heart assist device disclosed in Embodiment 2 of the present invention.
- Fig. 7 is an enlarged view of the internal structure at A of Fig. 4;
- Fig. 8 is a schematic diagram of the connection between the impeller and the motor of the heart assist device disclosed in Embodiment 2 of the present invention.
- Impeller-10 motor-20; blade-11; impeller shaft-12; cascade-13.
- the impeller of the heart assist device includes an impeller shaft 12 and blades 11;
- the shape of the blade 11 is set as follows: the cascade 13 of the blade 11 is in the shape of an arc concave to the same side, and the cascade 13 conforms to the function:
- r * is the radius of the cylinder where the function is located, ⁇ is the angular strain, z is the axial strain, t is the independent variable, and 0 ⁇ ? ⁇ 1, a and b are coefficients; the cascade 13 is the plane expanded shape of the intersection line between the cylinder and the blade 11 .
- the present invention changes the traditional airfoil cascade.
- the cascade 13 is designed in a concave arc shape to the same side. This design makes the blood pass through the impeller 10 with a smaller inflow angle and a larger outflow angle. The smaller the inflow The angle can generate a larger head, so that the impeller 10 can obtain greater output power, and can also prevent the inflow port from generating swirling flow, so that the blood can flow into the impeller 10 stably.
- a larger outflow angle can convert the rotational energy of the blood at the outflow port into axial kinetic energy to obtain a greater axial velocity and improve the efficiency of the impeller 10 .
- t represents an abstract concept of time.
- the axial strain z is 0 to represent the initial position of the blade 11.
- the value of the axial strain z is the axial length of the blade 11 .
- the coefficient b is mainly related to the rotational speed of the impeller 10 and the radius of the impeller 10 , and there is an arccosine relationship.
- the coefficient b is a real value, and the corresponding value range is 20-78.
- the rotational speed of the impeller 10 is 35000 RPM.
- the value of coefficient b is 60.
- the coefficient a is positively correlated with the flow rate of the impeller 10 . Therefore, after calculating the value of the coefficient b at a fixed rotational speed, the mathematical relationship between the coefficient a and the flow rate of the impeller 10 can be obtained. Under the specific rotation speed of the impeller 10 and the corresponding value of the coefficient b, there is a linear relationship between the coefficient a and the flow rate of the impeller 10 in mathematics. In this embodiment, preferably, the flow rate is 4.0 L/min, and the value of the coefficient a is about 3.5.
- the outer diameter of the impeller 10 is 5mm.
- the diameter of the middle part of the impeller shaft 12 is 2.5mm, and the hub ratio is 0.5.
- the value of z brought in is the axial length of the blade 11 and the height of the cascade 13, which is preferably about 6 mm in this embodiment.
- the inflow end and the outflow end of the cascade 13 are respectively connected by a first straight line and a second straight line, the angle between the first straight line and the first tangent of the first arc is ⁇ , and the angle between the second straight line and the second arc is The included angle of the second tangent is ⁇ , ⁇ ranges from 10° to 20°, and ⁇ ranges from 40° to 50°.
- the inflow end of the impeller shaft 12 is a cone, the middle part is a cylinder, and the outflow end is an inwardly concave arc surface; the inflow end of the impeller shaft 12 is a cone so that the blood flow can flow into the impeller 10 smoothly,
- the side surface of the outflow end is an inwardly concave arc surface so that the blood flow can pass along the arc.
- the projection of the outer edge of the blade 11 at the center of the impeller shaft 12 is always perpendicular to the axis of the impeller shaft 12.
- the present invention also discloses a heart assist device, including the impeller 10 in Embodiment 1, and further including:
- the intubation tube is connected with the inflow end of the impeller 10; the motor 20 is connected with the outflow end of the impeller 10; One end of the motor 20 is an outflow chamber.
- the arc at the tail of the impeller 10 is continuous with the arc at the front of the motor 20 . It is ensured that the blood flow passes along the arc, and can flow on the surface of the motor 20 after flowing out from the impeller 10 , thereby cooling the surface of the motor 20 through the flow of blood.
- the present invention changes the traditional airfoil cascade.
- the cascade is curved to the same side.
- This design makes the blood flow through the impeller with a smaller inflow angle and a larger outflow angle.
- the smaller the inflow angle can produce The larger the lift, the greater the output power of the impeller, and at the same time, it can avoid the rotating flow at the inflow port, so that the blood can flow into the impeller stably.
- a larger outflow angle can convert the rotational energy of the blood at the outflow port into axial kinetic energy to obtain a greater axial velocity and improve the efficiency of the impeller.
Abstract
Description
Claims (18)
- 根据权利要求1所述的心脏辅助装置的叶轮,其特征在于,所述叶轮的转速和所述叶轮的半径与系数b存在反余弦关系。
- 根据权利要求2所述的心脏辅助装置的叶轮,其特征在于,所述叶轮的转速为30000~90000RPM。
- 根据权利要求3所述的心脏辅助装置的叶轮,其特征在于,所述系数b的取值范围为20~78。
- 根据权利要求2所述的心脏辅助装置的叶轮,其特征在于,所述叶轮的转速为35000RPM。
- 根据权利要求5所述的心脏辅助装置的叶轮,其特征在于,所述系数b的取值为60。
- 根据权利要求6所述的心脏辅助装置的叶轮,其特征在于,系数a与所述叶轮的流量正相关。
- 根据权利要求7所述的心脏辅助装置的叶轮,其特征在于,所述叶轮的流量为4L/min。
- 根据权利要求8所述的心脏辅助装置的叶轮,其特征在于,所述系数a的取值为3.5。
- 根据权利要求9所述的心脏辅助装置的叶轮,其特征在于,所述叶轮的外径为5mm。
- 根据权利要求10所述的心脏辅助装置的叶轮,其特征在于,所述叶轮轴中间部分的直径为2.5mm,轮毂比为0.5。
- 根据权利要求12所述的心脏辅助装置的叶轮,其特征在于,所述叶片的轴向长度与所述叶栅的高度相等,均不超过6mm。
- 根据权利要求12所述的心脏辅助装置的叶轮,其特征在于,所述叶栅的流入端和流出端分别通过第一直线和第二直线连接,所述第一直线与第一弧线的第一切线的夹角为第一角度,所述第二直线与第二弧线的第二切线的夹角为第二角度,所述第一角度的范围为10°~20°,所述第二角度的范围为40°~50°。
- 根据权利要求12所述的心脏辅助装置的叶轮,其特征在于,所述叶片为两片。
- 根据权利要求1所述的心脏辅助装置的叶轮,其特征在于,所述叶轮轴的流入端为圆锥体,中间部分为圆柱体,流出端为向内凹陷的弧面。
- 一种心脏辅助装置,其特征在于,包括权利要求1-16任一项所述的叶轮,还包括:插管,与所述叶轮的流入端连接;马达,与所述叶轮的流出端连接;套管,设置在所述插管、所述叶轮和所述马达的外周,所述套管靠近所述插管的一端为流入室,靠近所述马达的一端为流出室。
- 根据权利要求17所述的心脏辅助装置,其特征在于,所述叶轮的尾部的弧线与所述马达的前端的弧线具有连续性。
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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EP22836990.6A EP4344727A1 (en) | 2021-07-07 | 2022-07-07 | Impeller of cardiac assistance device, and cardiac assistance device |
Applications Claiming Priority (2)
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CN202110766881.8A CN115591105B (zh) | 2021-07-07 | 2021-07-07 | 一种心脏辅助装置的叶轮及心脏辅助装置 |
CN202110766881.8 | 2021-07-07 |
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WO2023280245A1 true WO2023280245A1 (zh) | 2023-01-12 |
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EP (1) | EP4344727A1 (zh) |
CN (1) | CN115591105B (zh) |
WO (1) | WO2023280245A1 (zh) |
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2021
- 2021-07-07 CN CN202110766881.8A patent/CN115591105B/zh active Active
-
2022
- 2022-07-07 EP EP22836990.6A patent/EP4344727A1/en active Pending
- 2022-07-07 WO PCT/CN2022/104252 patent/WO2023280245A1/zh active Application Filing
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CN201539437U (zh) * | 2009-06-23 | 2010-08-04 | 江苏大学 | 一种高效轴流泵叶轮 |
CN101822854A (zh) * | 2010-05-06 | 2010-09-08 | 北京航空航天大学 | 人工心脏血液泵的带分流叶片的前导流式转子结构 |
CN101822855A (zh) * | 2010-05-06 | 2010-09-08 | 北京航空航天大学 | 人工心脏血液泵的串列叶栅静子结构 |
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US20140341726A1 (en) * | 2013-05-14 | 2014-11-20 | Heartware, Inc. | Blood pump with separate mixed-flow and axial-flow impeller stages and multi-stage stators |
CN206443963U (zh) * | 2016-10-09 | 2017-08-29 | 丰凯医疗器械(上海)有限公司 | 柔性传动系统、经皮辅助泵血装置及血管内血栓抽吸系统 |
Also Published As
Publication number | Publication date |
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CN115591105A (zh) | 2023-01-13 |
CN115591105B (zh) | 2023-08-15 |
EP4344727A1 (en) | 2024-04-03 |
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