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A NON-BLOOD CONTACTING MECHANICAL DEVICE THAT IMPROVES HEART FUNCTION AFTER INJURY

机译:一种非血液污染的机械装置,可提高受伤后的心脏功能

摘要

A method and device are provided for non-blood contact mechanically assisting an injured (e.g., infarcted) ventricle by coupling an inflatable bladder or other volume adjustable device to the injured ventricle and selectively inflating the bladder or increasing the size of the volume in systole to apply force against the injured ventricle and deflating the bladder or reducing the size of the volume in diastole to remove force against the injured ventricle. When no mechanical assistance is being provided to the injured ventricle, the inflatable bladder or volume adjustable device is preferably maintained at a predetermined pressure so as to selectively stiffen the injured tissue and alter ventricular geometry a desired amount. The method is implemented by a mechanical assist device including the volume adjustable device, a coupling means that couples the volume adjustable device to the injured ventricle, a pulsatile device that selectively increases and decreases the volume of the volume adjustable device, and a controller responsive to the pace of the heart and adapted to selectively change the size of the volume adjusting device in different modes of operation.
机译:提供了一种方法和装置,用于通过将可充气的膀胱或其他容积可调节的装置联接至受伤的心室并选择性地使膀胱膨胀或增加其膨胀来非血液接触以机械方式辅助受伤的(例如,梗死的)心室。收缩期的体积大小,以向受伤的心室施加力并使膀胱放气,或减小舒张期的体积,以消除对受伤的心室的作用力。当不向受伤的心室提供机械辅助时,可膨胀的膀胱或容积可调节装置优选地保持在预定压力下,以便选择性地使受伤的组织变硬并且将心室的几何形状改变为期望的量。该方法由机械辅助装置实现,该机械辅助装置包括音量可调装置,将音量可调装置耦接到受伤的心室的耦接装置,选择性地增加和减小音量可调装置的音量的搏动装置以及响应于心脏的速度,并适于在不同的操作模式下选择性地改变音量调节装置的尺寸。

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