阅读说明：本技术 一种可植入电磁搏动式人工心脏血泵 (Implantable electromagnetic pulsation type artificial heart blood pump ) 是由 曾建新 曾俊达 于 2021-03-22 设计创作，主要内容包括：本发明涉及医疗器械技术领域,具体是一种可植入电磁搏动式人工心脏血泵,包括泵体和电磁驱动装置,泵体使用时植入体内,泵体内设有一个软质的第一隔膜,第一隔膜的外周连接泵体的内腔壁从而把泵体内腔分隔成相互密封隔离的第一腔室和第二腔室,第一腔室为人工心腔,人工心腔上设有分别供血液吸入和排出的入口和出口；通过电磁力作为驱动力来驱动第一隔膜往复运动,进而实现人工心腔的排血功能,人工心腔内没有其他机械运动部件,不会对血液造成损伤,且没有过多的机械运动部件占用空间,使得泵体的空间利用率非常高,体积可以做到非常小巧,可以胸腔镜下植入,操作简单,医生病人易接受。(The invention relates to the technical field of medical instruments, in particular to an implantable electromagnetic pulsation type artificial heart blood pump, which comprises a pump body and an electromagnetic driving device, wherein the pump body is implanted into the body when in use, a soft first diaphragm is arranged in the pump body, the periphery of the first diaphragm is connected with the inner cavity wall of the pump body so as to divide the inner cavity of the pump body into a first cavity and a second cavity which are mutually sealed and isolated, the first cavity is an artificial heart cavity, and an inlet and an outlet for respectively sucking and discharging blood are arranged on the artificial heart cavity; drive first diaphragm reciprocating motion through the electromagnetic force as drive power, and then realize the function of arranging blood in artifical heart chamber, do not have other mechanical motion parts in the artifical heart chamber, can not cause the damage to blood, and do not have too much mechanical motion part occupation space for the space utilization of the pump body is very high, and the volume can accomplish very small and exquisite, can implant under the thoracoscope, easy operation, doctor patient easily accepts.)

1. The implantable electromagnetic pulsation type artificial heart blood pump is characterized by comprising a pump body and an electromagnetic driving device, wherein the pump body is implanted into the body when in use, a soft first diaphragm is arranged in the pump body, the periphery of the first diaphragm is connected with the inner cavity wall of the pump body so as to divide the inner cavity of the pump body into a first cavity and a second cavity which are mutually sealed and isolated, the first cavity is an artificial heart cavity, the artificial heart cavity is provided with an inlet and an outlet for respectively sucking and discharging blood, the inlet is provided with a first one-way valve for one-way inflow of blood into the artificial heart cavity, the outlet is provided with a second one-way valve for one-way outflow of blood from the artificial heart cavity, the tail end of the inlet is provided with a first connecting mechanism for connecting a left ventricle or a left auricle of a human body, the tail end of the outlet is provided with a second connecting mechanism for connecting a rising aorta of the human body, and the electromagnetic driving device, Set up and can be relative electromagnet reciprocating motion's permanent magnet with the electro-magnet relatively, a power for the electro-magnet power supply, and be used for controlling current size and current direction's controlling means, thereby can drive the relative electro-magnet reciprocating motion of permanent magnet through the magnetic force between electro-magnet and the permanent magnet, the permanent magnet is directly connected or indirect connection with first diaphragm, thereby can drive first diaphragm reciprocating motion in pump body inner chamber so that artifical heart chamber's shrink and diastole, realize artifical heart chamber and inhale blood from left ventricle or left atrial appendage, the pulsating formula function of bleeding of ascending aorta exhaust blood, and can adjust discharge blood volume size and discharge blood frequency through controlling means regulation electric current size and current direction conversion frequency.

2. The implantable electro-magnetic pulsating artificial heart blood pump as claimed in claim 1, wherein said permanent magnet is directly connected to the bottom of said first diaphragm so as to drive the first diaphragm to reciprocate in the inner cavity of said pump body, said electromagnet is fixedly disposed at the bottom of said pump body, both the permanent magnet and the electromagnet are located in said second cavity, both said power source and said control device are located outside said pump body and connected to said electromagnet through wires.

3. An implantable electro-magnetic pulsatile artificial heart blood pump according to claim 1, wherein the permanent magnet is indirectly connected to the first diaphragm by a fluid, by: the electromagnetic driving device comprises a shell, a soft second diaphragm is arranged in the shell, the periphery of the second diaphragm is connected with the inner cavity wall of the shell, so that the inner cavity of the shell is divided into a third cavity and a fourth cavity which are sealed and isolated from each other, a permanent magnet is directly connected with the second diaphragm, an electromagnet is fixedly arranged in the fourth cavity, the third cavity is communicated with the second cavity through a guide pipe, fluid is filled in the second cavity, the third cavity and the guide pipe, the permanent magnet moves in a reciprocating mode relative to the electromagnet, the second diaphragm can be driven to reciprocate, and therefore the first diaphragm can be driven to reciprocate in the pump body through the fluid.

4. The implantable electro-magnetic pulsating artificial heart blood pump as claimed in claim 1, further comprising an electro-magnetic monitoring sensor connected to the control device, wherein the electro-magnetic monitoring sensor is capable of monitoring the pulsation rhythm of the human heart in real time and sending data to the control device, so that the control device can control the artificial heart chamber to discharge blood according to the pulsation rhythm of the human heart when the human heart is pulsating, and can control the artificial heart chamber to increase the blood discharge frequency when the human heart stops pulsating to maintain the normal heart blood discharge.

5. The implantable electro-magnetic pulsating artificial heart blood pump as claimed in claim 1, further comprising a pressure sensor connected to the control device, wherein the pressure sensor is capable of monitoring the pressure in the left atrium of the human body in real time, so that the control device can control the amount of blood discharged from the artificial heart chamber during a single pulsation to maintain the pressure in the left atrium of the human body within a normal range.

6. The implantable electro-magnetic pulsated artificial heart blood pump as claimed in claim 1, wherein the first connection mechanism and/or the second connection mechanism comprises a slip-off preventing ring and a rotating outer ring, the outer side of the slip-off preventing ring is provided with barb-shaped protrusions to facilitate suture and fixation with the connection portion, and the rotating outer ring is screwed at the inlet or the outlet and covers the outer side of the slip-off preventing ring to facilitate sealing and fixation of the connection portion and prevent blood from oozing out.

7. The implantable electro-magnetic pulsating artificial heart blood pump as claimed in claim 1, wherein the pump body, the first diaphragm, the inlet and the outlet are all made of artificial blood vessel material.

8. The implantable electro-magnetic pulsated artificial heart blood pump according to claim 1, characterized in that the volume of the artificial heart chamber is 30-50 ml.

Technical Field

The invention relates to the technical field of medical instruments, in particular to an implantable electromagnetic pulsation type artificial heart blood pump.

Background

Heart failure (heart failure) refers to a heart circulatory disturbance syndrome caused by insufficient discharge of venous return blood volume from the heart due to the failure of the systolic function and/or diastolic function of the heart, resulting in venous system blood stasis and arterial system blood perfusion deficiency, wherein the disturbance syndrome is manifested as pulmonary congestion and vena cava congestion. Heart failure is not an independent disease but the terminal stage of progression of heart disease. Most of these heart failures begin with left heart failure, which manifests itself primarily as pulmonary circulation congestion. The survival rate of the heart failure treatment drug for two years is about 80 percent, and the survival rate for five years is only about 50 percent. The treatment of heart failure must seek a breakthrough to save a large number of people who die frequently. At present, the intra-aortic balloon counterpulsation is effective for patients with low cardiac output and heart failure especially combined with cardiogenic shock, but is not suitable for long-term use because the equipment is heavy and cannot be carried. Most of foreign artificial heart research focuses on simulating heart structures, the heart of a patient needs to be replaced and cut off, due to insufficient energy supply, although the artificial heart is applied to clinic, the death risk of the patient is high, the life is short, and finally the artificial heart is difficult to popularize because the service life is short, the complications are many and are not accepted by the patient. Heart transplantation is often difficult to implement widely due to donor shortage, large surgical trauma, high cost, and high immune rejection.

The Chinese invention patent with the patent number of 201010174301.8 and the patent name of 'implantable magnetic liquid suspension type centrifugal blood pump' discloses a centrifugal blood pump for assisting or replacing the heart of a human body to discharge blood, but has the problems that blood cells are damaged by shearing of rotating blades, the axis of the centrifugal blood pump stops due to the leakage of the blood to the periphery of a suspension shaft, titanium alloy is compatible with the blood, the price is high, and the centrifugal blood pump is difficult to popularize and use.

Disclosure of Invention

In order to solve the problems, the invention aims to provide an implantable electromagnetic pulsation type artificial heart blood pump which can assist or replace the blood discharge function of the human heart, has strong controllability, can simulate the pulsating blood discharge of the human heart, has a protection effect on the elasticity of the artery, does not cause damage to blood cells due to blade stirring or other mechanical abrasion, does not cause anemia, has adjustable blood discharge amount, can discharge blood according to the heart rhythm, has small volume, can be implanted under a thoracoscope, is simple to operate and is easy to accept by doctors and patients.

The task of the invention is realized by the following technical scheme:

the implantable electromagnetic pulsation type artificial heart blood pump comprises a pump body and an electromagnetic driving device, wherein the pump body is implanted into the body when in use, a soft first diaphragm is arranged in the pump body, the periphery of the first diaphragm is connected with the inner cavity wall of the pump body so as to divide the inner cavity of the pump body into a first cavity and a second cavity which are mutually sealed and isolated, the first cavity is an artificial heart cavity, the artificial heart cavity is provided with an inlet and an outlet for respectively sucking and discharging blood, the inlet is provided with a first one-way valve for one-way inflow of blood into the artificial heart cavity, the outlet is provided with a second one-way valve for one-way outflow of blood from the artificial heart cavity, the tail end of the inlet is provided with a first connecting mechanism for connecting a left ventricle or a left auricle of a human body, the tail end of the outlet is provided with a second connecting mechanism for connecting the ascending aorta of the human body, the electromagnetic driving device comprises a fixedly arranged electromagnet and a permanent magnet which is arranged opposite, The utility model provides a power for the electro-magnet power supply, and be used for controlling current size and current direction's controlling means, thereby can drive the relative electro-magnet reciprocating motion of permanent magnet through the magnetic force between electro-magnet and the permanent magnet, permanent magnet and first diaphragm direct connection or indirect connection, thereby can drive first diaphragm reciprocating motion in pump body inner chamber so that the shrink and the diastole of artificial heart chamber, realize artificial heart chamber and inhale blood from left ventricle or left atrial appendage, the pulsation formula function of arranging blood to ascending aorta exhaust blood, and can adjust the volume of arranging blood size and arrange blood frequency through controlling means regulation electric current size and current direction conversion frequency.

According to a preferable technical scheme, the permanent magnet is directly connected to the bottom of the first diaphragm so as to drive the first diaphragm to reciprocate in the inner cavity of the pump body, the electromagnet is fixedly arranged at the bottom of the pump body, the permanent magnet and the electromagnet are both located in the second cavity, and the power supply and the control device are both located outside the pump body and are connected with the electromagnet through leads.

As a preferred technical scheme, the permanent magnet is indirectly connected with the first diaphragm through a fluid, and the specific mode is as follows: the electromagnetic driving device comprises a shell, a soft second diaphragm is arranged in the shell, the periphery of the second diaphragm is connected with the inner cavity wall of the shell, so that the inner cavity of the shell is divided into a third cavity and a fourth cavity which are sealed and isolated from each other, a permanent magnet is directly connected with the second diaphragm, an electromagnet is fixedly arranged in the fourth cavity, the third cavity is communicated with the second cavity through a guide pipe, fluid is filled in the second cavity, the third cavity and the guide pipe, the permanent magnet moves in a reciprocating mode relative to the electromagnet, the second diaphragm can be driven to reciprocate, and therefore the first diaphragm can be driven to reciprocate in the pump body through the fluid.

As a preferable technical scheme, the implantable electromagnetic pulsation type artificial heart blood pump further comprises an electrocardio monitoring sensor, the electrocardio monitoring sensor is connected with the control device, the electrocardio monitoring sensor can monitor the heart pulsation rhythm of the human body in real time and send data to the control device, so that the control device can control the artificial heart cavity to discharge blood according to the heart pulsation rhythm of the human body when the heart of the human body beats, and can control the artificial heart cavity to improve the blood discharge frequency to maintain the normal heart blood discharge when the heart of the human body stops beating.

As a preferable technical scheme, the implantable electromagnetic pulsation type artificial heart blood pump further comprises a pressure sensor, the pressure sensor is connected with the control device, and the pressure sensor can monitor the pressure in the left atrium of the human body in real time, so that the control device can control the blood discharge amount of the artificial heart chamber during single pulsation, and the pressure in the left atrium of the human body is maintained in a normal range.

Preferably, the first connecting mechanism and/or the second connecting mechanism comprise a falling-off prevention ring and a rotating outer sleeve, the outer side of the falling-off prevention ring is provided with a barb-shaped protrusion so as to be convenient to sew and fix with the connecting part, and the rotating outer sleeve is in threaded connection with the inlet or the outlet and covers the outer side of the falling-off prevention ring, so that the connecting part is convenient to seal and fix, and blood is prevented from leaking.

Preferably, the pump body, the first diaphragm, the inlet and the outlet are all made of artificial blood vessel materials.

As a preferred technical scheme, the capacity of the artificial heart cavity is 30-50 ml.

The invention has the beneficial effects that: the first diaphragm is driven to reciprocate by taking electromagnetic force as driving force, so that the blood discharging function of the artificial heart cavity is realized, other mechanical moving parts are not arranged in the artificial heart cavity, blood cannot be damaged, and too many mechanical moving parts occupy space, so that the space utilization rate of the pump body is very high, the volume can be very small and exquisite, the pump can be implanted under a thoracoscope, the operation is simple, and doctors and patients can easily accept the pump; moreover, the size and the direction of the electromagnetic force are easy to accurately and rapidly adjust, and the controllability is strong, so that the blood discharge amount and the blood discharge frequency of the artificial heart cavity can be conveniently adjusted, pulsatile blood discharge of the human heart can be simulated, and the elasticity of the artery is protected; simple structure, the material of the pump body, first diaphragm, entry, export is can adopt present comparatively ripe artificial blood vessel material, adds the special material that prevents thrombosis, and the security is high, implants human back, can need not anticoagulant treatment, and artifical heart chamber, entry, export whole form a closed pipeline, can not be to external seepage, have fine security.

Drawings

FIG. 1 is a schematic structural view of an implantable electromagnetic pulsation type artificial heart blood pump in embodiment 1;

fig. 2 is a schematic structural view of an implantable electromagnetic pulsation type artificial heart blood pump in embodiment 2.

The heart valve control device comprises a pump body 1, a first diaphragm 11, a heart chamber prosthesis 12, an inlet 121, an outlet 122, a release preventing ring 123, a rotating outer collar 124, a second chamber 13, a first one-way valve 131, a second one-way valve 132, a shell 21, a second diaphragm 211, a third chamber 212, a fourth chamber 213, a catheter 214, an electromagnetic driving device 2, the shell 21, an electromagnet 22, a permanent magnet 23, a battery 24, a control device 25, an electrocardio monitoring sensor 26 and a pressure sensor 27.

Detailed Description

In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is described in further detail below with reference to the accompanying drawings and embodiments. It should be understood that the description of the specific embodiments is intended to be illustrative of the invention and is not intended to limit the invention.

Example 1:

as shown in figure 1, an implantable electromagnetic pulsation type artificial heart blood pump comprises a pump body 1 and an electromagnetic driving device 2, the pump body 1 is implanted in the body when in use, a soft first diaphragm 11 is arranged in the pump body 1, the periphery of the first diaphragm 11 is connected with the inner cavity wall of the pump body 1 so as to divide the inner cavity of the pump body 1 into a first cavity and a second cavity 13 which are mutually sealed and isolated, the first cavity is an artificial heart cavity 12, preferably the volume of the artificial heart cavity 12 is about 40ml, an inlet 121 and an outlet 122 for respectively sucking and discharging blood are arranged on the artificial heart cavity 12, wherein the inlet 121 is provided with a first one-way valve 131 for supplying blood to the artificial heart cavity 12 in a one-way flow, the outlet 122 is provided with a second one-way valve 132 for supplying blood to the artificial heart cavity 12 in a one-way flow, the first one-way valve 131 and the second one-way valve 132 are both artificial two-way valves mature at present, and can, preventing blood from flowing backwards; the tail end of the inlet 121 is provided with a first connecting mechanism for connecting a left ventricle or a left auricle of a human body, and the tail end of the outlet 122 is provided with a second connecting mechanism for connecting an ascending aorta of the human body; for all patients, the outlet 122 is connected with the ascending aorta, for the patient with heart failure with reduced ejection fraction, the inlet 121 can be connected with the left ventricle and also can be connected with the left auricle, for the patient with heart failure with preserved ejection fraction, the inlet 121 is connected with the left auricle, the method can ensure that the cardiac output is normal, meanwhile, the left atrial pulmonary vein pressure is at a lower level, the pulmonary blood stasis symptom disappears, the comfort level of the patient is good, the method is suitable for the patient with late heart failure and the patient in middle stage, and the method has a prevention effect on sudden cardiac death; the electromagnetic driving device 2 comprises a shell 21, an electromagnet 22 and a permanent magnet 23 which are arranged in the shell 21, a battery 24 for supplying power to the electromagnet 22, and a control device 25 for controlling the current magnitude and the current direction, wherein a soft second diaphragm 211 is arranged in the shell 21, the periphery of the second diaphragm 211 is connected with the inner cavity wall of the shell 21 so as to divide the inner cavity of the shell 21 into a third cavity 212 and a fourth cavity 213 which are sealed and isolated from each other, the permanent magnet 23 is directly connected with the second diaphragm 211, the electromagnet 22 is fixedly arranged in the fourth cavity 213, the electromagnet 22 is arranged opposite to the permanent magnet 23, the third cavity 212 is communicated with the second cavity 13 of the pump body 1 through a conduit 214, the second cavity 13, the third cavity 212 and the conduit 214 are filled with fluid (liquid or gas), and the permanent magnet 23 can be driven by the magnetic force between the electromagnet 22 and the permanent magnet 23 to reciprocate relative to the electromagnet 22, the second diaphragm 211 can be driven to reciprocate, so that the first diaphragm 11 can be driven to reciprocate in the pump body 1 through fluid, the artificial heart chamber 12 can contract and relax, the pulsating type blood discharging function that the artificial heart chamber 12 sucks blood from a left ventricle or a left atrial appendage and discharges the blood to an ascending aorta is realized, the blood discharging amount and the blood discharging frequency can be adjusted by adjusting the current magnitude and the current direction conversion frequency through the control device 25, for a patient with a pulsating human heart, the artificial heart chamber 12 can be controlled by the control device 25 to discharge the blood according to the pulsating rhythm of the human heart, the blood discharging of the human heart is not influenced, the blood discharging of the human heart is assisted, and the normal blood discharging amount of the heart can be easily maintained; for the patient whose heart stops beating, the control device 25 can control the artificial heart chamber 12 to increase the blood discharge frequency to maintain the normal cardiac blood discharge, taking the volume of the artificial heart chamber 12 as 40ml as an example, if beating 100 times per minute, the blood discharge 4L can be realized, and the human body requirement can be met.

When the thoracoscope implantation type electromagnetic driving device is used, the pump body 1 is implanted into a body, the electromagnetic driving device is arranged outside the body, the pump body 1 is communicated with the electromagnetic driving device outside the body through the guide pipe 214, other mechanical moving parts are not arranged in the pump body 1, blood cannot be damaged, and too many mechanical moving parts occupy space, so that the space utilization rate of the pump body 1 is very high, the volume can be very small and exquisite, the thoracoscope implantation type electromagnetic driving device can be implanted under a thoracoscope, the operation is simple, a doctor and a patient can easily accept the thoracoscope, and by taking the volume of the artificial heart chamber 12 as 40ml as an example, the size of the pump body 1 can be a disc-shaped structure with; moreover, the size and the direction of the electromagnetic force are easy to accurately and rapidly adjust, and the controllability is strong, so that the blood discharge amount and the blood discharge frequency of the artificial heart cavity 12 can be conveniently adjusted, pulsatile blood discharge of a human heart can be simulated, and the elasticity of an artery is protected; the artificial heart chamber 12, the inlet 121 and the outlet 122 form a closed pipeline, so that the leakage to the outside is avoided, and the safety is good.

As a preferable technical scheme, the implantable electromagnetic pulsation type artificial heart blood pump further comprises an electrocardio monitoring sensor 26, the electrocardio monitoring sensor 26 is connected with the control device 25, the electrocardio monitoring sensor 26 can monitor the heart pulsation rhythm of the human body in real time and send data to the control device 25, so that the control device 25 can control the artificial heart cavity 12 to discharge blood according to the heart pulsation rhythm of the human body when the heart of the human body beats, and can control the artificial heart cavity 12 to improve the blood discharge frequency to maintain the normal heart blood discharge when the heart of the human body stops beating.

Preferably, the implantable electromagnetic pulsation type artificial heart blood pump further comprises a pressure sensor 27, the pressure sensor 27 is connected with the control device 25, and the pressure sensor 27 can monitor the pressure in the left atrium of the human body in real time, so that the control device 25 can control the blood discharge amount of the artificial heart chamber 12 during single pulsation, and the left atrium pressure of the human body is maintained in a normal range.

Preferably, the first connecting mechanism and the second connecting mechanism are the same and each include a falling-off prevention ring 123 and a rotating outer collar 124, a barb-shaped protrusion is arranged on the outer side of the falling-off prevention ring 123 so as to facilitate suture and fixation with the connecting portion, and the rotating outer collar 124 is screwed on the inlet 121 or the outlet 122 and covers the outer side of the falling-off prevention ring 123 so as to facilitate sealing and fixation of the connecting portion and prevent blood from leaking out.

Preferably, the pump body 1, the first diaphragm 11, the inlet 121 and the outlet 122 are all made of artificial blood vessel material, and special material for preventing thrombosis is added, so that the safety is high, and after the pump body is implanted into a human body, anticoagulation therapy is not needed.

Example 2:

on the basis of the technical scheme of the embodiment 1, the following improvements are carried out:

as shown in fig. 2, an electromagnet 22 and a permanent magnet 23 in the electromagnetic driving device are both disposed in the second cavity of the pump body 1, the electromagnet 22 is fixedly disposed at the bottom of the pump body 1, the permanent magnet 23 is directly connected to the bottom of the first diaphragm 11 so as to drive the first diaphragm 11 to reciprocate in the inner cavity of the pump body 1, and the battery 24 and the control device 25 are both located outside the pump body 1 and connected to the electromagnet 22 through a lead. When the pump body is used, the pump body 1 is implanted in a body, the battery 24 is a small isotope nuclear battery 24 or a rechargeable lithium polymer battery 24, the battery 24 can be arranged outside the body or under the skin, the control device 25 is arranged outside the body, the battery 24 is connected with the electromagnet 22 and the control device 25 through leads, and the permanent magnet 23 and the electromagnet 22 are both in a flat structure, so that the occupied space is small, the space utilization rate of the pump body 1 is very high, the volume can be very small and exquisite, and the implantation is convenient.

The above description is only a preferred embodiment of the application and is illustrative of the principles of the technology employed. It will be appreciated by those skilled in the art that the scope of the invention herein disclosed is not limited to the particular combination of features described above, but also encompasses other arrangements formed by any combination of the above features or their equivalents without departing from the inventive concept. For example, the above features may be replaced with (but not limited to) features having similar functions disclosed in the present application.