U.S. patent number 3,731,322 [Application Number 05/104,857] was granted by the patent office on 1973-05-08 for implantable artificial heart with externally worn fluid pressure energy transmitter.
This patent grant is currently assigned to Siemens Aktiengesellschaft. Invention is credited to Heinz Kresse.
United States Patent |
3,731,322 |
Kresse |
May 8, 1973 |
IMPLANTABLE ARTIFICIAL HEART WITH EXTERNALLY WORN FLUID PRESSURE
ENERGY TRANSMITTER
Abstract
An artificial heart has an implanted pneumatic or hydraulic
blood pump as well as an also implanted energy receiver serving as
a source of energy for the blood pump, energy being transmitted
from the outside through the undamaged skin of the patient. The
invention is particularly characterized by the provision of at
least one compressible elastic bag serving as the energy receiver,
filled with liquid or gas, connected with the blood pump and
preferably implanted between the peritoneum and the fascia
transversalis; it is subjected to pressure change acting from the
outside.
Inventors: |
Kresse; Heinz (Erlangen,
DT) |
Assignee: |
Siemens Aktiengesellschaft
(Erlangen, DT)
|
Family
ID: |
5767393 |
Appl.
No.: |
05/104,857 |
Filed: |
January 8, 1971 |
Foreign Application Priority Data
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Apr 8, 1970 [DT] |
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P 20 16 651.2 |
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Current U.S.
Class: |
623/3.21 |
Current CPC
Class: |
A61M
60/40 (20210101); A61M 60/882 (20210101); A61M
60/871 (20210101); A61M 60/148 (20210101); A61M
60/268 (20210101) |
Current International
Class: |
A61M
1/10 (20060101); A61f 001/24 () |
Field of
Search: |
;3/1,DIG.2
;128/214R,1R,273,30 |
References Cited
[Referenced By]
U.S. Patent Documents
Other References
"The Development of an Electrohydraulic Implantable Artificial
Heart" by W. H. Burns et al., Trans. Amer. Soc. Artif. Int. Organs,
Vol. XI, 1965, pages 265-268. .
A.P.C. Application of E. Dienna, Nee Bruno, Ser. No. 347,414,
Published May 11, 1943..
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Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Frinks; Ronald L.
Claims
I claim:
1. An artificial heart, comprising a two-chamber blood pump, two
spaced compressible inner bags, separate conduits connecting each
chamber of the pump to a separate bag, said pump, said bags and
said conduits constituting an implantable closed system, a belt
adapted to be worn upon the body of a patient, two outer bags
carried by said belt and located opposite said inner bags to
produce pressure changes therein, a compressed air bottle carried
by said belt, and means connecting said bottle with said outer
bags.
Description
This invention relates to an artificial heart having an implanted
pneumatic or hydraulic blood pump, as well as an also implanted
energy receiver serving as the energy source for the blood pump for
the energy to be transmitted from the outside through the undamaged
skin of the patient.
Existing artificial hearts operate by the use of an implanted
electromotor which drives an implanted pneumatically or
hydraulically operating blood pump and which receives its energy
inductively from the outside through the skin. To operate the
artificial heat the electrical primary energy (battery or network)
must be therefore transformed initially into magnetic energy which
is sent through the skin of the patient and is again transformed
into electrical energy inside the body. Then electrical energy is
transformed into mechanical energy in the electromotor which drives
the pneumatic or hydraulic blood pump. These changes and transfers
of energy have substantial losses, so that a substantially large
amount of electrical primary energy is required. The required
energy can be easily provided from the electric network. However,
the heart patient should be able to move freely independently from
a network connection. At the present time electrical energy sources
which are independent from a network require dimensions which are
so large and heavy that they cannot be carried by heart patients.
Thus these artificial hearts cannot be used at the present
time.
However, the main drawback of existing artificial hearts consists
in that a simple emergency operation of the blood pump is not
possible. When, for example, the supply of the outer primary energy
is interrupted or disturbances take place in the implanted
receiving part or the electromotor, it is necessary to carry out
servicing operations.
An object of the present invention is to provide an artificial
heart of the described type which will not have the above-mentioned
drawbacks.
Another object is the provision of an artificial heart wherein
energy losses are maintained as low as possible and wherein in case
of emergency the blood pump can be also operated by hand.
Other objects of the present invention will become apparent in the
course of the following specification.
In the accomplishment of the objectives of the present invention it
was found desirable to use as the energy receiver at least one
compressible bag filled with liquid or gas, connected with the
blood pump and preferably implanted between the peritoneum and the
fascia transversalis. The bag is subjected to pressure change
acting from the outside.
The implanted bag can be rhythmically compressed and de-aerated by
a compression device automatically operating through the undamaged
skin, or in case of emergency by hand. In accordance with the
present invention it is possible to operate the compression device
by compressed air which can be stored in sufficient quantity at low
weight. The energy of compressed air does not have to be changed
into other forms of energy, but can be used directly to provide
pressure changing procedures. For this purpose in accordance with
the present invention an outer bag is located opposite the
implanted bag at the outer skin side of the patient, which produces
the desired pressure change through a regulating and controlling
device with the use of compressed air as primary energy. In case of
emergency, changes in pressure are produced by hand and are
transmitted through the skin to the implanted bag.
So-called two chamber blood pumps are used as a blood pump for
artificial hearts. In accordance with the present invention it is
advantageous to provide a separate bag for each chamber and to
implant the two bags spaced from each other between the peritoneum
and the fascia transversalis. In that case two outer bags are also
provided and are arranged opposite the implanted ones. If the two
bags are alternately actuated, a perfect operation of the
two-chamber blood pump is attained. However, in accordance with the
present invention it is also possible to use a single bag if an
automatically operating switch-over valve is provided between it
and the chambers of the blood pump or between means providing
compressed air and the outer bag.
Preferably, the outer bag or the outer bags are provided in a belt
to be carried around the body. This belt serves at the same time as
a carrier for the compressed air bottle, regulating and controlling
device and possibly for the switch valve.
To provide an exchange of bottles without friction the supply
conduit to the outer bag terminates in two separate joints capable
of being closed for attaching two compressed air bottles. Due to
the flexibility of the thorax and the softness of the abdominal
section there is a limit to forces which can be effectively used
and to maximum forces which can be transmitted. However, pressures
are transmitted to the blood pump which correspond to blood
pressure of healthy persons. To attain these pressures the surfaces
of at least the inner bags are made as large as possible. The limit
to the size of the bags (surface and volume) is provided by the
anatomical conditions and by the medical requirement that a foreign
body to be implanted should be as small as possible. In accordance
with the present invention an increase in pressure produced by the
bags is attained by the use of hydraulic or pneumatic pressure
changers to increase pressure upon the side of the pump.
An operating, regulating and controlling device is connected to the
outer pneumatic system for the setting and maintaining of pump
frequency, pump pressure and the like.
The invention will appear more clearly from the following detailed
description when taken in connection with the accompanying drawings
showing by way of example only, a preferred embodiment of the
inventive idea.
In the drawings:
FIG. 1 shows in top view partly in section an artificial heart
constructed in accordance with the principles of the present
invention.
FIG. 2 illustrates diagrammatically the application of the
artificial heart to a human body.
Broken lines in FIG. 1 illustrate diagrammatically the stomach
muscles of a human body. A pneumatic two chamber blood pump 1 has
chambers 2 and 3 connected by pressure transmitting conduits 4 and
5 with elastic bags 6 and 7. The bags are imbedded between the
peritoneum 8 shown by broken lines and the fascia transversalis 9
within a human body 10 the stomach muscles of which are indicated
at 11. Pressure changers 12 and 13 are switched into the pressure
conduits 4 and 5 to supply to the pump side a higher pressure
corresponding to the requirements. The patient 10 carries around
his waist a belt 14 provided with two outer rubber blow up bags 15
and 16 which, when the belt is carried, are located precisely
opposite the implanted bags 6 and 7. Furthermore, the belt 14
carries an operating, regulating and controlling device 17 which
also includes an automatically operating pneumatic flip-flop
serving as switch for the bags 6 and 7. The device is provided with
pneumatic outlets 18 and 19 for the bags 15 and 16 which are
connected with them by connecting conduits 20 and 21. Furthermore,
the belt serves as a carrier for the compressed air bottle 22 which
provides the energy supply for the artificial heart. The device 17
has a pneumatic inlet 23 to which the compressed air bottle is
connected by a conduit 24.
Preferably the conduit can be closed directly in front of its
connection to the bottle and can be provided with another side
conduit (not shown) adapted to be closed and to be connected to a
second compressed air bottle. This makes possible an easy exchange
of bottles which does not require the interruption of the operation
of the artificial heart.
The belt 14 consists of two parts 14a and 14b at least within the
range of the outer bags, whereby the part 14a lying against the
skin consists of an elastic material while the other part 14b
consists of a non-elastic material. The outer bags 15 and 16 and
possibly also their connections 20 and 21 are located between these
belt parts.
The operating, regulating and controlling device 17 operates by
alternatively blowing up and emptying the outer bags in the desired
rythm and with the desired pressure in a manner similar to that of
bellows. The pressure change which is thus produced is transmitted
through the uninjured skin to the inner bags which actuate
correspondingly the blood pump. The device can raise an alarm if
pressure drop in the compressed air bottle becomes dangerous.
Obviously the implanted bags constitute a closed system with the
pump chamber, while compressed air of the outer system expands the
outer bags for a short time period to produce the pressure change,
whereupon air is immediately withdrawn. The outer bags themselves
can be provided with means opening them to outer air. However, it
is also possible to operate the pressure transmitting conduit for
the bag in the device 17 by a switching device so that the conduit
will be alternately connected to compressed air and then deaerated.
In that case the device 17 is provided with deaerating openings
(not shown). Devices of this type are well known in prior art
compressed air drives.
The present invention provides the advantage that a pneumatic
energy source which, as is known, has an advantageous
output-weight, can be used from the outside without it being
necessary to cut the surface of the human body, thus eliminating
the danger of infection. A further advantage of the present
invention consists in that the entire device has an advantageous
degree of efficiency, since when the usual pneumatic or hydraulic
pumps are used no consumption of energy is required. Furthermore,
it is advantageous that should the outer system break down, for
example, by drop in energy or errors in the outer bags or actuating
device, it is possible to maintain by hand an emergency operation.
There is also the further advantage that the implanted system can
be provided additionally with an artificial heart wherein, for
example, the energy source (atomic battery, chemical transformers)
the pump drive and the blood pump are jointly embedded, so that in
this case also if there is any breakdown an emergency operation by
hand is possible.
* * * * *