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[0001] The present invention relates to rotary blood pumps and more particularly to rotary blood pumps configured to minimize thrombus formation. As is known in the art, blood pumps are used to assist in bumping blood through the body. Blood pumps are often configured as rotary blood bumps of which there are two general categories: centrifugal and axial. In each of these categories of blood pumps, an impellor element rotates with respect to a stationary housing in order to impart motive power to the blood.
[0002] An exemplary rotary blood pump of the centrifugal category is disclosed in U.S. Pat. No. 5,017,103(which is hereby incorporated by reference). This pump, known as the St. Jude pump after its developing institution, has a broad, relatively flat impellor situated within a housing that has inlet and outlet tube connector ports. The impellor has a generally disc-shaped lower body portion with vanes on its upper surface and an inlet at the center, so that blood entering at the inlet along a central rotation axis is urged radially outward by the vanes to exit at higher pressure along an outflow path at the disc periphery. A shaft extending through the bottom of the disc on the opposite side from the vaned top surface centers the assembly, with the shaft and corresponding bearings being located out of the blood flow path and shielded therefrom by seals. Multiple circumferentially-spaced ferromagnetic plates are embedded in the disc body portion, and the pump assembly is driven by a separate driver unit that fastens to the housing and rotates a similarly-poled magnetic disc positioned directly below and closely parallel to the impellor so that the driver disc magnetically engages the plates on the rotor.
[0003] In general, rotary pumps have low flow in regions proximate to the center of rotation of their impellor component. For the exemplary pump of U.S. Pat. No. 5,017,103, this region is the region closest to the rotating shaft and bearings that support the rotating centrifugal impellor, however, such regions can also be present in axial flow pumps and in bearingless rotary pumps that do not employ rotating shafts. Regions of low flow in blood conducting elements give rise to the possibility of detrimental blood stagnation and thrombus formation. Accordingly, it is one goal of the present invention to ensure that such low flow regions in a rotary blood pump become washed by blood during the pumping process to reduce the possibility of these detrimental effects.
[0004] In accordance with the present invention, a rotary blood pump is provided having a housing and a rotor. The housing includes a blood inlet, a blood outlet, a blood flow conduit disposed between the blood inlet and the blood outlet, and a rotary bearing assembly disposed within the housing. The rotor is rotatably disposed within the housing and includes one or more impellor blades located within the blood flow conduit for pumping blood through the conduit, and a shaft affixed to and rotating with the rotor. The shaft rotatably engages the bearing assembly to define an intersection between the rotor and the housing and to provide relative rotation between the rotor and the housing. In addition, the shaft farther defines an axis of rotation for the rotor. In the rotary pump of the invention, at least one of the rotor and the housing defines a swirl region proximate to the intersection between the rotor and the housing. The swirl region includes a curved surface adapted to cause blood being pumped through the blood flow conduit to swirl about an axis that is transverse to and spaced apart from the axis of rotation of the rotor. This swirl washes the intersection between the housing and the rotor, and further provides blood flow in a region that would otherwise have low flow.
[0005] The rotor can also include a thick central region extending along the axis of rotation of the rotor in the direction of the shaft. The thick central region can have a predetermined thickness extending outward from the axis of rotation to fill a low flow region along the axis of rotation which can resemble the “eye” of a storm. The thick central region can also define at least a portion of the swirl region.
[0006] In further embodiments, the impellor can include a central hub located on the axis of rotation of the rotor and a plurality of impellor blades extending outwardly from the central hub, the impellor blades being separated by channels that allow blood to flow through the rotor in a direction along the axis of rotation of the rotor. The impellor blades in this configuration can have a cross-sectional shape proximate to the central hub designed to encourage blood to flow in a direction parallel to the axis of rotation of the rotor— down into the swirl region. Still further, the blood inlet can be disposed proximate to the axis of rotation of the rotor and angled so as to direct blood flowing into the rotary pump in a direction parallel to the axis of rotation of the rotor. The cross-sectional shape of the impellor blades proximate to the central hub can be tilted to match the velocity of the blood flowing from the blood inlet into the rotor, thus further encouraging blood to flow over the hub and into the swirl zone.
[0007] A further flow enhancing feature that can be included in a rotary pump of the invention is to provide a cross-sectional flow area through an intermediate portion of the blood flow conduit that is smaller than a cross-sectional flow area of the blood inlet. This encourages blood flowing through the pump to speed up regardless of the effects of the impellor blades. In one embodiment, the cross-sectional flow areas through the intermediate portion of the blood flow conduit and blood inlet are sized so that for a nominal blood flow of approximately 5 liters per minute through the rotary blood pump, flow velocity of blood through the intermediate portion of the blood flow conduit is approximately 2 meters per second.
[0008] These and other features of the invention may be combined or used singly to enhance blood flow through a rotary blood pump and to reduce low flow regions that can lead to problematic thrombosis.
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[0018] The present invention provides structures and techniques for improving the flow of fluid within a rotary pump so as to reduce or eliminate low flow regions, particularly in areas where rotating portions (such as a rotating impellor) of the rotary pump are proximate to a stationary portion of the rotary pump (such as a housing containing the impellor). These structures and techniques can be particularly important in a blood pump as regions of low flow can give rise to thrombus formation. While the primary embodiment disclosed below is a centrifugal pump having an impellor supported by a shaft and bearing arrangement with a housing, the principles of the invention can readily be applied to axial flow pumps and to rotary pumps not having supporting shafts as well.
[0019]
[0020] Exemplary rotor
[0021] Rotor
[0022] An exemplary motor is provided integrally with the housing
[0023] These motor arrangements are provided for illustrative purposes only as a person of ordinary skill in the art will be able to vary the motor configuration in a variety of ways consistent with the spirit of the invention, including for example the motor configurations provided with the centrifugal pump of Hart et al. as described in U.S. Pat. No. 6,071,093 which is hereby incorporated by reference. Where pump
[0024] Pump
[0025] One such feature illustrated in pump
[0026] Another feature designed to reduce low flow regions is the definition of a swirl zone
[0027] Still another such feature is the configuration of cross-sectional flow areas through blood flow conduit
[0028] Another feature for reducing low flow regions is illustrated in
[0029] Another characteristic of rotary pumps addressed by the present invention is the location of, and fluid flow across, any gaps that might exist at junctions between rotating and stationary parts. While some rotary pumps will not have such gaps (for example those supported solely by hydrodynamic or magnetic bearings), pumps having shaft
[0030] The distance across gap
[0031] In the illustrated embodiments, no seal is provided to isolate bearing
[0032] Exemplary bearing assembly
[0033] Three possible configurations for axial bearing
[0034] A second illustrated axial bearing
[0035] A third potential axial bearing
[0036] Each of the three illustrated axial bearing
[0037] Referring again to
[0038] A person of ordinary skill in the art will appreciate further features and advantages of the invention based on the above-described embodiments. Accordingly, the invention is not to be limited by what has been particularly shown and described, except as indicated by the appended claims. All publication and references cited herein are expressly incorporated herein by reference in their entity.