Reciprocating intravascular blood pump

Abstract

Apparatus is provided that is configured to be deployed in a lumen of a blood vessel of a subject. The apparatus includes a pump portion, including an anchor configured to engage a wall of the blood vessel in order to maintain the apparatus in place within the blood vessel, and a reciprocating valve coupled to the anchor and including a set of one or more leaflets. A valve driver is configured to drive the reciprocating valve in a reciprocating pattern between (i) a first state in which the leaflets are in an open configuration allowing blood flow through the reciprocating valve, and (ii) a second state in which the leaflets are in a closed configuration inhibiting blood flow through the reciprocating valve. Other embodiments are also described.

1 . Apparatus configured to be deployed in a lumen of a blood vessel of a subject, the apparatus comprising:
 a pump portion comprising:
 an anchor configured to engage a wall of the blood vessel in order to maintain the apparatus in place within the blood vessel; and 
 a reciprocating valve coupled to the anchor and comprising a set of one or more leaflets; and 
   a valve driver configured to drive the reciprocating valve in a reciprocating pattern between:
 (i) a first state in which the leaflets are in an open configuration allowing blood flow through the reciprocating valve, and 
 (ii) a second state in which the leaflets are in a closed configuration inhibiting blood flow through the reciprocating valve. 
   
     
     
         2 . The apparatus according to  claim 1 , wherein the blood vessel is an aorta of the subject, and wherein the apparatus is configured to be deployed in the aorta. 
     
     
         3 . The apparatus according to  claim 1 , wherein the valve driver comprises a rod (a) configured to be disposed parallel to a longitudinal axis of the blood vessel and downstream of the reciprocating valve when the apparatus is deployed in the blood vessel, and (b) configured to push the reciprocating valve upstream in the blood vessel in the first state, and to pull the reciprocating valve downstream in the blood vessel in the second state. 
     
     
         4 . The apparatus according to  claim 1 , wherein the valve driver is configured to axially move the reciprocating valve upstream in the first state, and to axially move the reciprocating valve downstream in the second state. 
     
     
         5 . The apparatus according to  claim 4 , wherein the valve driver comprises a rod (a) disposed parallel to a longitudinal axis of pump portion  124 , and (b) configured to move the reciprocating valve upstream in the first state and downstream in the second state. 
     
     
         6 . The apparatus according to  claim 5 , wherein the rod is (a) disposed downstream of the reciprocating valve, and (b) configured to push the reciprocating valve upstream in the first state, and to pull the reciprocating valve downstream in the second state. 
     
     
         7 . The apparatus according to  claim 1 , wherein the apparatus does not comprise any leaflets for allowing and inhibiting blood flow in the blood vessel in addition to the set of one or more leaflets of the reciprocating valve. 
     
     
         8 . The apparatus according to  claim 1 , wherein the apparatus does not comprise any leaflets that are configured to (a) open when the set of one or more leaflets of the reciprocating valve are in the closed configuration and (b) close when the set of one or more leaflets of the reciprocating valve are in the open configuration. 
     
     
         9 . The apparatus according to  claim 1 ,
 wherein the reciprocating valve comprises a cylindrical housing to which the set of one or more leaflets is coupled such that the leaflets in the second state inhibit the blood flow through the cylindrical housing, and   wherein the valve driver is configured to drive the cylindrical housing to move axially with respect to the anchor in the reciprocating pattern.   
     
     
         10 . The apparatus according to  claim 9 ,
 wherein the anchor comprises a generally cylindrical stent, and   wherein the pump portion further comprises a blood-proof membrane that is fixed to the stent and to the cylindrical housing so as to (a) inhibit blood flow between the cylindrical housing and the stent and (b) allow axial movement of the cylindrical housing with respect to the stent.   
     
     
         11 . The apparatus according to  claim 10 , wherein the blood-proof membrane is fixed to an external surface of the cylindrical housing. 
     
     
         12 . The apparatus according to  claim 11 ,
 wherein the valve driver is configured to axially move the cylindrical housing upstream in the first state, and to axially move the cylindrical housing downstream in the second state, and   wherein the blood-proof membrane is fixed to a downstream portion of the external surface of the cylindrical housing and is not fixed to an upstream portion of the external surface of the cylindrical housing, the upstream portion having an axial length, measured along a central longitudinal axis of the cylindrical housing, of at least 5 mm.   
     
     
         13 . The apparatus according to  claim 10 , wherein the blood-proof membrane, the cylindrical housing, and the stent are arranged such that a degree of invagination of the blood-proof membrane changes during axial movement of the cylindrical housing with respect to the anchor. 
     
     
         14 . The apparatus according to  claim 13 ,
 wherein the valve driver is configured to axially move the cylindrical housing upstream in the first state, and to axially move the cylindrical housing downstream in the second state, and   wherein the blood-proof membrane, the cylindrical housing, and the stent are arranged such that the degree of invagination of the blood-proof membrane increases during downstream movement of the cylindrical housing and decreases during upstream movement of the cylindrical housing.   
     
     
         15 . The apparatus according to  claim 13 ,
 wherein the valve driver is configured to axially move the cylindrical housing upstream in the first state, and to axially move the cylindrical housing downstream in the second state,   wherein the blood-proof membrane, the cylindrical housing, and the stent are arranged such that the blood-proof membrane is shaped so as to define an annular chamber between at least a portion of an external surface of the cylindrical housing and at least a portion of an inner surface of the generally cylindrical stent, and   wherein the annular chamber has an open downstream end and a closed upstream end defined by a curved portion of the blood-proof membrane.   
     
     
         16 . The apparatus according to  claim 9 ,
 wherein the valve driver is configured to axially move the cylindrical housing upstream in the first state, and to axially move the cylindrical housing downstream in the second state, and   wherein the valve driver is configured to drive the cylindrical housing to move axially between 10 and 20 mm in each of an upstream direction and a downstream direction during an entire cycle of the reciprocating pattern.   
     
     
         17 . The apparatus according to  claim 9 , wherein the valve driver is configured to axially move the cylindrical housing downstream in the second state, such that the reciprocating valve pushes blood at a rate of between 10 and 20 cc per second. 
     
     
         18 . The apparatus according to  claim 9 , wherein the valve driver is configured to axially move the cylindrical housing downstream in the second state, such that the reciprocating valve pushes between 10 and 20 cc during an entire operating cycle of the reciprocating pattern. 
     
     
         19 . The apparatus according to  claim 1 , wherein the valve driver is configured to drive the reciprocating valve in the reciprocating pattern at a frequency of 2-5 Hz. 
     
     
         20 . The apparatus according to  claim 1 , wherein the apparatus is not configured to coordinate the reciprocating pattern with a cardiac cycle of the subject. 
     
     
         21 . The apparatus according to  claim 1 , wherein the apparatus does not comprise any sensor of heart rate or cardiac cycle. 
     
     
         22 . A method comprising:
 deploying in a lumen of a blood vessel of a subject, in a location that is downstream of a native aortic valve of a heart of the subject, a reciprocating valve comprising a set of one or more leaflets; and   activating a valve driver to drive the reciprocating valve in a reciprocating pattern between:
 (i) a first state in which the leaflets are in an open configuration allowing blood flow through the reciprocating valve, and 
 (ii) a second state in which the leaflets are in a closed configuration inhibiting blood flow through the reciprocating valve.