Heart wall actuation system for the natural heart with shape limiting elements

Abstract

An actuation system for assisting the operation of the natural heart includes an actuator element adapted to be positioned proximate a portion of a heart wall. The actuator element is operable for acting on the heart wall portion to effect a change in the shape of the heart. A shape-limiting element is configured for being positioned proximate a heart wall. The shape-limiting element is operable for flexing to assume a curvature no greater than a predetermined curvature when the heart wall is acted upon and maintaining that predetermined curvature to control the shape of the actuated heart.

1 . An actuation system for assisting the operation of the natural heart, the actuation system comprising: 
 an actuator element configured for being positioned proximate a portion of a heart wall and operable for acting on the heart wall portion to effect a change in the shape of the heart;    a shape-limiting element configured for being positioned proximate a heart wall, the shape-limiting element operable for flexing to assume a predetermined curvature when the heart wall is acted upon and maintaining that predetermined curvature to control the shape of the heart.    
   
   
       2 . The actuation system of  claim 1  wherein shape-limiting element is coupled to the actuator element.  
   
   
       3 . The actuation system of  claim 1  wherein the shape-limiting element comprises: 
 a plurality of discrete links positioned to form a band, the links hingedly coupled together to hinge with respect to each other for varying the shape of the band;    at least two adjacent links being shaped to interfere with each other, when the adjacent links are hinged in a direction for a predetermined distance, to limit hinging and to maintain a predetermined curvature of the band.    
   
   
       4 . The actuation system of  claim 3  wherein the adjacent links include projections extending outwardly from a longitudinal axis of the band, the projections configured for interfering with each other.  
   
   
       5 . The actuation system of  claim 3  wherein said adjacent links are shaped to interfere with each other when hinged in both one direction and another direction.  
   
   
       6 . The actuation system of  claim 5  wherein the adjacent links are further configured to maintain one predetermined curvature when hinged in the one direction and to maintain a different predetermined curvature when hinged in the another direction.  
   
   
       7 . The actuation system of  claim 1  wherein the shape-limiting element comprises: 
 a plurality of discrete links positioned to form a band, the links hingedly coupled together to hinge with respect to each other for varying the shape of the band;    a tether spanning between at least two links, the tether having limited extensibility to limit hinging when the links are hinged in a direction for a predetermined distance to thereby maintain a predetermined curvature of the band.    
   
   
       8 . The actuation system of  claim 1  wherein the shape-limiting element comprises: 
 an elongated, flexible belt;    a plurality of projections extending outwardly from a longitudinal axis of the belt, the protrusions configured for interfering with each other, when the belt is flexed in a direction for a predetermined distance, to limit flexing and to maintain a predetermined curvature of the belt.    
   
   
       9 . The actuation system of  claim 1  wherein the shape-limiting element comprises: 
 an elongated, flexible belt,    a tether fixed to the belt in at least two positions spaced along a longitudinal axis of the belt, the tether having limited extensibility to limit flexing of the belt when the belt is flexed in a direction for a predetermined distance to thereby maintain a predetermined curvature of the belt.    
   
   
       10 . The actuation system of  claim 1  wherein the shape-limiting element comprises: 
 a plurality of discrete links positioned to form a band, the links hingedly coupled together to hinge with respect to each other for varying the shape of the band;    a rigid stop element spanning between at least two links, the stop element configured to engage the links and limit hinging, when the links are hinged in a direction for a predetermined distance, to thereby maintain a predetermined curvature of the band.    
   
   
       11 . The actuation system of  claim 10  further comprising a rigid stop element spanning the links on opposite sides thereof and limiting hinging in both one direction and another direction.  
   
   
       12 . The actuation system of  claim 11  wherein the stop elements on the opposite sides of the links are further configured to maintain one predetermined curvature when the links are hinged in the one direction and to maintain a different predetermined curvature when the links are hinged in the another direction.  
   
   
       13 . The actuation system of  claim 11  wherein the stop elements on the opposite sides are coupled together between the links.  
   
   
       14 . The actuation system of  claim 13  wherein the stop elements are coupled together to form a generally unitary structure.  
   
   
       15 . The actuation system of  claim 1  wherein the shape-limiting element comprises: 
 a plurality of discrete links positioned to form a band, the links hingedly coupled together to hinge with respect to each other for varying the shape of the band;    a tubular stop element surrounding portions of at least two links and generally coaxial with a longitudinal axis of the band, the stop element configured to engage the links and limit hinging, when the adjacent links are hinged in a direction for a predetermined distance, to thereby maintain a predetermined curvature of the band.    
   
   
       16 . A method for assisting the operation of the natural heart, the method comprising: 
 positioning an actuator element proximate to a heart and operating the actuator element to act on a heart wall portion to effect a change in the shape of the heart;    with a shape-limiting element configured for being positioned proximate a heart wall, allowing the shape-limiting element to flex to a predetermined curvature when the heart wall portion is acted upon and maintaining that predetermined curvature to control the shape of the actuated heart.    
   
   
       17 . The method of  claim 16  further comprising flexing the shape-limiting element with the operation of the actuator element.  
   
   
       18 . The method of  claim 16  wherein the shape-limiting element comprises a plurality of discrete links positioned to form a band, the links hingedly coupled together to hinge with respect to each other for varying the shape of the band, the method further comprising limiting the hinging of links of the band to maintain a predetermined curvature of the band.  
   
   
       19 . The method of  claim 18  further comprising limiting the hinging of the links with projections on at least two links wherein the projections interfere with each other when the links are hinged.  
   
   
       20 . The method of  claim 18  further comprising limiting the hinging of the links with at least one tether spanning between at least two links and having limited extensibility.  
   
   
       21 . The method of  claim 16  wherein the shape-limiting element comprises an elongated, flexible belt, the method further comprising limiting the flexing of the belt to maintain a predetermined curvature of the belt.  
   
   
       22 . The method of  claim 21  further comprising limiting the flexing of the belt with a at least one tether fixed to the belt in at least two spaced positions along the belt, the tether having limited extensibility.  
   
   
       23 . The method of  claim 18  further comprising limiting the hinging of the links with at least one rigid stop element spanning between at least two links, the stop element configured to engage the links and limit hinging.  
   
   
       24 . The method of  claim 18  further comprising limiting the hinging of the links with at least one tubular stop element surrounding portions of at least two links, the stop element configured to engage the links and limit hinging.  
   
   
       25 . The method of  claim 16  wherein the shape-limiting element comprises a spring structure including a plurality of turns and at least one link configured to couple with turns of the spring structure to limit the separation of the turns when the spring structure is flexed.