Thermoform cannula with variable cannula body stiffness

Abstract

A cannula supporting a percutaneous pump can include a proximal section with a first flexural modulus. The cannula can include one or more distal sections with a flexural modulus that is different than the first flexural modulus. The material and its arrangement along the length of the cannula can be selected so as to influence bending properties. This can, for example, allow efficient positioning of the cannula in a desired location without displacing the guidewire.

1 . A percutaneous pump system, the system comprising:
 a cannula having a proximal opening, a proximal section, a first distal section, a distal opening, and a lumen extending between the distal and proximal openings; and   an impeller configured to pump blood through the lumen of the cannula when the impeller is disposed in a vasculature of a patient,   wherein the proximal section of the cannula has a first flexural modulus that is constant along its length, and the first distal section of the cannula has a second flexural modulus that is constant along its length and which is smaller than the first flexural modulus,   wherein the proximal section of the cannula forms a first curve in a first plane, the first distal section of the cannula forms a second curve in a second plane different from the first plane, and   wherein the proximal section of the cannula includes a proximal inner wall made of a first material and a proximal outer wall made of a second material that is different than the first material.   
     
     
         2 . The system of  claim 1 , further comprising a transition zone between the proximal section and the first distal section. 
     
     
         3 . The system of  claim 1 , further comprising:
 a guidewire having a third flexural modulus along at least a portion of its length,   wherein the first flexural modulus is configured to increase a buckling resistance of the cannula and the second flexural modulus is less than or equal to the third flexural modulus.   
     
     
         4 . The system of  claim 1 , wherein the distal opening is configured to be inserted in a right ventricle of a heart. 
     
     
         5 . The system of  claim 1 , wherein the first distal section of the cannula includes a first distal inner wall made of a third material that is different than the first material, and a first distal outer wall made of a fourth material that is different than the second material and the third material. 
     
     
         6 . The system of  claim 1 , wherein the first flexural modulus is equal to or greater than 23,000 psi, and the second flexural modulus is equal to or lower than 15,000 psi. 
     
     
         7 . The system of  claim 1 , wherein the first flexural modulus is greater than 10,000 psi, and the second flexural modulus is smaller than 10,000 psi. 
     
     
         8 . The system of  claim 1 , wherein the first distal section of the cannula includes a first distal inner wall made of the first material and a first distal outer wall made of a third material that is different than the second material. 
     
     
         9 . The system of  claim 1 , wherein the cannula includes an inner wall and an outer wall and a reinforced coil located between the inner wall and the outer wall. 
     
     
         10 . The system of  claim 9 , wherein at least a portion of the reinforced coil has a variable pitch length. 
     
     
         11 . The system of  claim 1 , wherein a length of the proximal section is between 10%-50% of a length of the cannula. 
     
     
         12 . The system of  claim 1 , wherein the cannula includes a second distal section between the first distal section and a distal end. 
     
     
         13 . The system of  claim 12 , wherein the second distal section includes a second distal inner wall made of a third material and a second distal outer wall made of a fourth material,
 wherein a flexural modulus of the fourth material is greater than a flexural modulus of the third material.   
     
     
         14 . The system of  claim 12 , wherein the second distal section includes a second distal inner wall made of the first material and a second distal outer wall made of a fourth material,
 wherein a flexural modulus of the fourth material is greater than a flexural modulus of the first material.   
     
     
         15 . The system of  claim 12 , wherein a length of the second distal section is between 10-40% of a length of the cannula. 
     
     
         16 . The system of  claim 1 , wherein each of the first and second curves forms an ‘S’ shape. 
     
     
         17 . A cannula for a percutaneous pump, the cannula comprising:
 a proximal opening;   a distal opening;   a lumen configured to carry blood between the distal and proximal openings when the percutaneous pump is disposed in a vasculature of a patient;   a proximal section having a first flexural modulus that is constant along its length; and   a first distal section having a second flexural modulus that is constant along its length and which is smaller than the first flexural modulus,   wherein the proximal section forms a first curve in a first plane, and the first distal section forms a second curve in a second plane different from the first plane, and   wherein the proximal section of the cannula includes a proximal inner wall made of a first material and a proximal outer wall made of a second material that is different than the first material.   
     
     
         18 . The cannula of  claim 17 , further comprising:
 a guidewire having a third flexural modulus along at least a portion of its length,   wherein the first flexural modulus is configured to increase a buckling resistance of the cannula and the second flexural modulus is less than or equal to the third flexural modulus.   
     
     
         19 . The cannula of  claim 17 , wherein the distal opening of the cannula is configured to be inserted in a right ventricle of a heart. 
     
     
         20 . The cannula of  claim 17 , wherein each of the first and second curves forms an ‘S’ shape.