Blood pump

Abstract

It is an object of the present invention to provide a blood pump in which the hydrodynamic resistance of the pumped blood is reduced.SOLUTION: The present invention relates to an endovascular blood pump comprising a pump housing (2) having a primary blood flow inlet (211) and a primary blood flow outlet (22), a primary impeller (31) configured to convey a primary blood flow (1BF) from the primary blood flow inlet (211) to the primary blood flow outlet (22), a drive unit (4) configured to rotate the primary impeller (31), impeller bearings (37) supporting an upstream end of the primary impeller (31), a central opening (262) extending in an axial direction through the impeller bearings (37), and a secondary blood flow path (321) in the primary impeller (31) comprising: And a secondary blood flow path 321 configured to convey secondary blood flow 2BF from the secondary blood flow inlet 212 to the secondary blood flow outlet 213, wherein the secondary blood flow outlet 213 connects the secondary blood flow path 321 to the primary blood flow path 30 at a location axially between the upstream and downstream ends of the primary impeller 31.SELECTED DRAWING: Figure 1

Description

[Technical Field]

[0001] The present invention relates to an intravascular blood pump that assists or replaces the function of the heart by creating additional blood flow in a patient's blood vessels. [Background technology]

[0002] Various types of blood pumps are known, such as axial flow blood pumps, centrifugal blood pumps, or mixed or diagonal blood pumps in which blood flow is provided by both axial and radial forces. Intravascular blood pumps are typically inserted percutaneously, such as through the femoral artery into the left ventricle to bridge the aortic valve, or through the femoral vein into the right ventricle.

[0003] A rotary blood pump has a rotating shaft. In this patent application, the terms "radial" and "axial" refer to the axis of rotation and mean "radially relative to the axis of rotation" and "along the axis of rotation," respectively. The term "inner" means radially toward the axis of rotation, and the term "outer" means radially away from the axis of rotation.

[0004] Intravascular blood pumps typically include a pumping device as a main component, which has a pump section including a primary impeller for pumping blood from a blood inlet to a blood outlet, and a drive section including a motor for driving the primary impeller. The pump section may include a flexibly bendable cannula between the blood inlet and the blood outlet.

[0005] The pumping device includes a pump section end located on the pump side of the pumping device. The pumping device further includes a drive section end located on the drive side of the pumping device. The blood pump may further include a catheter connected to the pumping device to supply, for example, energy and / or a purge fluid to the pumping device. The catheter may be connected to the pump section end, but is more often connected to the drive section end of the pumping device. It is also conceivable to rotate the impeller in both forward and reverse directions. In this case, the blood inlet and blood outlet of the pump section may be interchanged.

[0006] Typically, the impeller is supported in the pumping device by at least one impeller bearing. Various types of rotor bearings are known, such as plain bearings, especially fluid plain bearings, pivot bearings, hydrostatic bearings, ball bearings, etc., and combinations thereof. In particular, contact-type bearings can be realized as "blood-immersed bearings" in which the bearing surface is in contact with the blood. Problems during operation can include friction and heat. In the case of blood-immersed bearings, a further problem can be blood clotting due to heat or insufficient cleaning procedures.

[0007] One example of a blood-purged radial plain rotor bearing is disclosed in International Publication No. 2017 / 021465, which describes an intravascular blood pump with a generally cylindrical primary impeller and a generally cylindrical secondary impeller that rotate together. The secondary impeller is positioned radially centrally of the primary impeller. The blades of the secondary impeller extend toward the axis of rotation of both impellers. The tips of the blades of the secondary impeller form the outer bearing surface of the plain bearing. The cylindrical outer surface of a centrally located pin of the secondary impeller forms the inner bearing surface of the plain bearing. In another embodiment, blood from the center of the incoming blood stream can enter the blood pump through a central axial passage in the impeller. In all embodiments, the primary and secondary impellers are mounted on a non-rotating central pin, which increases the hydrodynamic resistance of the secondary blood flow. Summary of the Invention [Problem to be solved by the invention]

[0008] SUMMARY OF THE INVENTION It is an object of the present invention to provide a blood pump in which the hydrodynamic resistance of the blood being pumped is reduced. [Means for solving the problem]

[0009] According to the invention, this object is achieved by a blood pump having the features of independent claim 1. Preferred embodiments and further developments of the invention are specified in the claims dependent on independent claim 1.

[0010] According to a first aspect of the present invention, an intravascular blood pump includes a pumping device having a pump housing with a primary blood flow inlet and a primary blood flow outlet fluidically connected by a primary blood flow path, and a primary impeller having an upstream end and a downstream end and configured to convey a primary blood flow from the primary blood flow inlet to the primary blood flow outlet along the primary blood flow path. The pumping device further includes a drive unit configured to rotate the primary impeller about a rotation axis. An impeller bearing supports the upstream end of the primary impeller, and a central opening extends axially through the impeller bearing. The pumping device further includes at least one secondary blood flow path in the primary impeller, the at least one secondary blood flow path having a secondary blood flow inlet axially aligned with the central opening of the impeller bearing. Each secondary blood flow path has a secondary blood flow outlet and is configured to convey the secondary blood flow from the secondary blood flow inlet to the secondary blood flow outlet. The secondary blood flow outlet connects the at least one secondary blood flow path to the primary blood flow path at a location axially between the upstream and downstream ends of the primary impeller.

[0011] In other words, one or more secondary blood flow paths extend diagonally through the primary impeller, starting from the center of the distal tip of the impeller and terminating at a lateral surface of the impeller, so that the secondary blood flow is captured from the center of the arriving blood stream (where the blood stream is fastest and has the greatest kinetic energy), leading to and supporting the primary blood flow in the primary blood flow path.

[0012] By extending diagonally, the secondary blood flow path also generates pressure in the secondary blood flow due to centrifugal force, so that blood can be more easily pumped through an intravascular blood pump.

[0013] Therefore, the secondary blood flow outlet is not located at the downstream end of the primary impeller. In such a case, the secondary blood flow mixes with the primary blood flow further downstream from the primary impeller. This requires a relatively long secondary blood flow path with increased hydrodynamic resistance.

[0014] An additional advantage of this configuration is that there are no static parts along the secondary blood flow path, which reduces the hydrodynamic resistance of the blood pump.

[0015] The blood flow rate can be utilized since it is not slowed down by a stationary pin bearing as in the state of the art.

[0016] One or more secondary blood flow paths may be envisioned as forming a secondary impeller within the primary impeller, the primary and secondary impellers rotating together, and the secondary impeller may be realized completely or partially as an inlay part at the tip of the primary impeller.

[0017] Preferably, at least a portion of the secondary impeller is disposed inside the central opening, in which case the arriving blood can be immediately transported by the secondary impeller. The impeller bearing can be disposed on the outer periphery of the secondary impeller.

[0018] The central opening may define an outer impeller bearing surface of the impeller bearing. A portion of the primary or secondary impeller may be disposed within the central opening to form a corresponding inner impeller bearing surface. Preferably, at least one secondary blood flow path extends within the central opening. For example, the inner impeller bearing surface may be formed by the outer periphery of one or more secondary impeller vanes defined by the secondary blood flow path.

[0019] However, it is also possible for the inner impeller bearing surface to be located on the outer periphery of a portion of the primary impeller that is not the secondary impeller, which portion may be located inside the central opening.

[0020] Preferably, the primary blood inlet is separated from the secondary blood inlet by an inlet separator. The inlet separator preferably has a ring shape. Thus, blood arriving at the blood pump is divided and flows into either the primary blood inlet or the secondary blood inlet. Preferably, the inlet separator is stationary. The inlet separator may then form the outer impeller bearing surface of the impeller bearing. Alternatively, the outer surface of the inlet separator may form the inner impeller bearing surface of the impeller bearing. The impeller bearing radially supports the primary impeller. The primary impeller can be attached to the impeller bearing by the secondary impeller or a part of it.

[0021] The inflow separator may comprise an additional impeller bearing ring as a separate component. The impeller bearing ring may form the outer or inner impeller bearing surface of the impeller bearing, but is preferably arranged inside the inflow separator so as to form the inner impeller bearing surface. The impeller bearing ring may be made of a material different from the material of the inflow separator. In particular, the impeller bearing ring may be made of a ceramic material, in particular silicon carbide.

[0022] The inflow separator may be supported by at least one strut connecting the inflow separator to the pump housing. Preferably, a minimum of three struts are provided. The strut may extend across the primary blood inlet. Preferably, the strut is configured to have low hydrodynamic resistance.

[0023] The inflow separator preferably includes at least one cutout at its downstream end. Preferably, the cutout has a circumferential width comparable to that of the secondary blood flow path. In this manner, the rotational position of the primary impeller can be defined by at least one secondary blood flow path extending to and coinciding with the circumferential position of the cutout. In this case, when the inner (or outer) impeller bearing surface rotates over the cutout, the edges of the cutout can remove blood clots that begin to build up on the inner (or outer) impeller bearing surface. If the corresponding outer (or inner) impeller bearing surface, such as the tip of a blade defined by the secondary blood flow path of the secondary impeller, is discontinuous, the outer (or inner) impeller bearing surface of the inflow separator can be similarly cleaned by the edges of such blades. A further advantage of the cutout is that the cleaning edges of the cutout can be washed away by blood flowing through the cutout, preventing the accumulation of blood clots or debris. The inner or outer impeller bearing surface formed by the primary or secondary impeller preferably overlaps the cutout in the axial direction so that the entire impeller bearing surface of the primary or secondary impeller is cleaned. Preferably, the outer impeller bearing surface of the inlet separator preferably overlaps in the axial direction with the end faces of the blades of the secondary impeller that form the inner impeller bearing surface so that the entire outer impeller bearing surface is cleaned. Preferably, the tips of the blades of the secondary impeller have an axial length that is greater than the circumferential length of the cutout. Preferably, at least one cutout extends between two struts.

[0024] The cutout is preferably located in the inlet separator, but also extends through the aforementioned impeller bearing ring, which may optionally be present, in which case the cutout is completely open on both sides so that it can be effectively washed.

[0025] The impeller bearing may be a plain bearing, preferably a blood-purged plain bearing, which has the advantage that blood from the blood stream can be used to purge the bearing and thereby also cool it.

[0026] Preferably, the mathematical center of the area of ​​the primary blood inlet, i.e., the center of a particular area, is located at the secondary blood inlet. The primary blood inlet is positioned around the secondary blood inlet so that the center of the blood stream arriving at the blood pump enters the blood pump through the secondary blood inlet. The center of the laminar blood stream has the highest flow velocity and is therefore supplied to the secondary blood stream.

[0027] After passing through the primary and secondary blood flow inlets, the blood enters the primary and secondary impellers at the primary and secondary channel inlets into the primary and secondary blood flow paths, respectively. Preferably, at least one secondary channel inlet is located at the axis of rotation. Typically, the impeller tips do not have reasonable speeds, so blood can clot due to adhesion and buildup at stationary solid tips. However, with the proposed configuration, the center of the blood stream flows into the secondary blood flow path inlet. Therefore, blood clots cannot occur.

[0028] The secondary channel inlet is preferably located upstream of the primary channel inlet. The end of the secondary impeller may then be located inside the impeller bearing.

[0029] The primary impeller includes at least one blade having a primary pitch at an upstream end of the primary impeller, and the secondary blood flow passage has a secondary pitch that is approximately or exactly the same as the primary pitch, and the pitches may be offset from one another by as much as necessary to prevent undesirable flow conditions, such as turbulence.

[0030] Preferably, at least two of the at least one secondary blood flow path are arranged asymmetrically with respect to the axis of rotation, which allows the secondary channel inlets to be arranged at the axis of rotation.

[0031] Preferably, the two secondary blood flow paths are arranged opposite each other with respect to the axis of rotation, which allows for a compact design of the secondary impeller.

[0032] Preferably, as already mentioned, the secondary blood flow path defines an edge that moves over the outer impeller bearing surface upon rotation of the secondary impeller so as to clean the outer impeller bearing surface, the edge acting as a wiper for the outer impeller bearing surface so that blood clots or debris can be removed in this way.

[0033] As also briefly mentioned above, the primary impeller may include an inlay in which at least one secondary blood flow passage is formed. In this case, the secondary impeller may be made of a different material from the primary impeller. For example, the secondary impeller may be made of a ceramic material. This is advantageous for the inner impeller bearing surface. Alternatively, the primary impeller and the secondary impeller may form one integral part.

[0034] The foregoing summary, as well as the following detailed description of the preferred embodiments, will be better understood when read in conjunction with the appended drawings. However, the scope of the present disclosure is not limited to the specific embodiments disclosed in the drawings. [Brief explanation of the drawings]

[0035] [Figure 1] 1 is a cross-sectional view of a first embodiment of a blood pump according to the present invention. [Figure 2] FIG. 2 shows a portion of FIG. 1 with an enlarged view of the pump section. [Figure 3] FIG. 2 shows a portion of FIG. 1 with an enlarged view of the drive section. [Figure 4] 1 is a perspective view toward the pump section end of a first embodiment of a blood pump. FIG. [Figure 5] 5 is essentially the same as FIG. 4, but with a transparent pump housing. [Figure 6] FIG. 6 is essentially the same view as FIG. 5, but showing a second embodiment of the blood pump. [Figure 7] FIG. 10 is a perspective view of an embodiment of a secondary impeller. [Figure 8]FIG. 2 is a perspective view of a separator ring of the first embodiment of the blood pump. [Figure 9] FIG. 10 is a perspective view of a separator ring of a second embodiment of a blood pump. [Figure 10] FIG. 10 shows a cross section of the drive section end of the blood pump in a perspective view showing the auxiliary impeller. [Figure 11A] FIG. 10 is a perspective view of an auxiliary impeller and rotor bearing ring. [Figure 11B] FIG. 1 is a perspective view of a rotor bearing ring having a cutout portion. [Figure 12] FIG. 1 is a perspective view of a tertiary impeller of the first or second embodiment. DETAILED DESCRIPTION OF THE INVENTION

[0036] In Figure 1, a cross-sectional view of a first embodiment of an intravascular blood pump is shown. Rotating parts are omitted and not shown. The intravascular blood pump 1 comprises a pumping device 11 and a supply line in the form of a catheter 5 attached thereto.

[0037] The pumping device 11 comprises a pump housing 2 that is generally cylindrical in shape at least in its middle portion. The pump housing 2 comprises a blood inlet 21 and a blood outlet 22. In Figure 1, the pump housing 2 appears to comprise two separate sections, but these sections are integral or connected to form a single piece.

[0038] As can be better seen in the enlarged view of the pump section shown in FIG. 2 and the front perspective views shown in FIGS. 4 and 5, the blood inlet 21 includes a primary blood inlet 211 and a secondary blood inlet 212. The primary blood inlet 211 surrounds the secondary blood inlet 212. The primary blood inlet 211 and the secondary blood inlet 212 are separated by an inlet separator 26. Inside the inlet separator 26, the inlet separator 26 includes an impeller bearing ring 27, which is shown separately in FIG. 8. Furthermore, the pumping device 11 includes a primary impeller 31 having a secondary impeller 32 integrated therein. The primary and secondary impellers 31, 32 are rotatable together about the rotation axis 10. The secondary impeller 32 may have the form of an inlay and may be disposed inside a secondary impeller cavity 312 of the primary impeller 31, as shown in FIG. 7. The secondary impeller cavity 312 is open towards the pump section end PSE of the pumping device 11. Alternatively, the primary and secondary impellers 31, 32 are integrally formed.

[0039] Primary blood flow 1BF flows from primary blood inlet 211 to primary impeller 31 outside inlet separator 26, and is further conveyed by primary impeller 31 through primary blood flow channel 30 to primary blood outlet 22. Secondary blood flow 2BF flows from secondary blood inlet 212 through inlet separator 26 to secondary impeller 32, and is further conveyed by secondary impeller 32 through multiple secondary blood flow channels 321 to primary blood flow channel 30.

[0040] Thus, the blood stream arriving at the pumping device 11 at the pump section end, preferably over almost the entire cross section of the pumping device 11, can flow into the primary and secondary blood inlet ports 211, 212 without significant deflection. The central location of the secondary blood inlet port 212 also allows blood from the center of the blood stream to enter the pumping device 11 without deflection. This is advantageous because blood streams are typically laminar flows with the highest flow velocity in the center.

[0041] The primary impeller 31 comprises primary impeller vanes 313 extending into the primary blood flow path 30, with a primary impeller channel 311 disposed therebetween. The primary impeller channel 311 has a primary pitch at a primary channel inlet 314 at each end of the primary impeller channel 311 toward the pump section end PSE. The secondary impeller 32 comprises at least one, and in particular exactly two, secondary blood flow paths 321 in the form of channels, and is therefore also referred to hereinafter as secondary impeller channel 321 (see also FIG. 7 ). The secondary impeller channel 321 has a secondary pitch at a secondary channel inlet 324 disposed at the upstream end of the secondary impeller channel 321. The secondary pitch is preferably the same as the primary pitch, or may differ to some extent, as long as undesired flow conditions, such as turbulence, are prevented. At the end of the secondary impeller 32 toward the drive section end DSE, a connecting through-hole 315 is disposed between the secondary impeller cavity 312 and one of the primary blood flow channels 311. The end of this connecting through-hole 315 in the direction of blood flow defines a secondary blood flow outlet 213. The secondary blood flow outlet 213 is disposed further radially outward with respect to the rotation axis 10. Thus, blood is moved radially outward by centrifugal force generated by the rotation of the secondary impeller 32. In this manner, the secondary blood flow 2BF passes through the secondary blood flow inlet 212 and is conveyed further through the secondary impeller channel 321 of the secondary impeller 32, where it merges with the primary blood flow 1BF flowing through the primary impeller channel 311 of the primary impeller 31. In this manner, a pumped blood flow PBF is formed. The pumped blood flow PBF exits the pumping device 11 at the blood flow outlet 22.

[0042] The primary and secondary impellers 31, 32 are mounted together in an impeller bearing 37. They are connected via a secondary impeller cavity 312 or are integrally formed as a single part. The inlet separator 26 includes an impeller bearing ring 27 disposed inside the inlet separator 26. An outer impeller bearing surface 277 of the impeller bearing 37 is disposed inside the impeller bearing ring 27. The impeller bearing 37 further includes an inner impeller bearing surface 327 disposed on the outer periphery of the secondary impeller 32.

[0043] The primary impeller 31 is fixedly connected to a tapered section 314 that leads to the blood flow outlet 22. The tapered section 314 directs the pumped blood flow PBF in a radially outward direction relative to the rotation axis 10. The blood then reaches the blood flow outlet 22.

[0044] From the tapered section 314 in the direction toward the pump section end PSE, the drive section 4 is arranged inside the pump housing 2 of the pumping device 11 and includes a stator 40 and a rotor 41. An axial gap 401 is arranged between the stator 40 and the rotor 41. To cool the stator 40 and the rotor 41, the axial gap 401 is blood-purged. For this purpose, the auxiliary blood flow ABF enters the drive section 4 through an auxiliary blood inlet 23 arranged at the drive section end DSE. The blood is then conveyed by the auxiliary impeller 42 through an auxiliary pump gap 423 arranged between the auxiliary impeller 42 and the inner wall of the pump housing 2. From here, the blood continues to flow into the axial gap 401. From the axial gap 401, the auxiliary blood flow ABF enters a radial gap 241. An auxiliary blood outlet 24 is arranged at the radially outer end of the radial gap 241. The auxiliary blood flow ABF flows in the axial gap 401 in a direction opposite to the pumping direction of the primary and secondary impellers 31, 32. The auxiliary blood flow ABF inside the drive section 4 also flows in a direction substantially opposite to the overall blood flow GBF flowing around the blood pump 1.

[0045] As can be better seen with reference to the enlarged view shown in FIG. 3 , the rotor bearing ring 43 surrounds the auxiliary impeller 42. The auxiliary impeller 42 includes auxiliary impeller vanes 421 that protrude toward the drive section end DSE of the pumping device 11 in the direction of the rotation axis 10. A radial rotor bearing 47 is disposed at the drive section end DSE and includes an outer rotor bearing surface 4211 and an inner rotor bearing surface 4311, with an axially extending bearing gap disposed therebetween. The outer rotor bearing surface 4311 is disposed on the rotor bearing ring 43. Blood conveyed by the auxiliary impeller 42 flows through the bearing gap and further into the axial gap 401 between the rotor 41 and the stator 40. From the axial gap 401, the blood flows into the radial gap 241. The radial gap 241 extends between the tapered section 314 of the primary impeller 31 and the stator 40. The auxiliary blood flow outlet 24 is located at the transition between the radial gap 241 and the periphery of the pumping device 11. The auxiliary blood flow outlet 24 is positioned perpendicular to the axis of rotation 10. Here, blood from the auxiliary blood flow ABF merges with the pumping blood flow PBF from the pump section 2 and the surrounding global blood flow GBF. As shown, when the auxiliary blood flow outlet 24 is located near the outer diameter of the pump housing 2 and near the primary blood flow outlet 22, the pumping blood flow PBF and the global blood flow GBF assist in drawing blood from the radial gap 241 due to their flow velocities. This increases the auxiliary blood flow ABF through the axial gap 401.

[0046] A bump 422 is arranged in the center of the auxiliary impeller 42, through which the rotation axis 10 extends, on the side of the auxiliary impeller 42 opposite the rotor 41. A bearing pin 44 is arranged adjacent to the bump 422, toward the drive section end DSE in the direction of the rotation axis 10. The bearing pin 44 is connected to the pump housing 2. The axial bearing surface of the bearing pin 44 facing the auxiliary impeller 42 has a convex shape. The rotation axis 10 extends through the top of the axial bearing surface of the bearing pin 44 and the top of the axial bearing surface of the bump 422. In this way, the bearing pin 44 interacts with the bump 422 to form a thrust bearing for transmitting axial forces with respect to the rotation axis between the bump 422 and the bearing pin 44, and the aforementioned parts can rotate relative to each other. Obviously, the contact surface is small and the rotational friction is low.

[0047] The drive section end of the blood pump 1 includes one or more, preferably three, auxiliary inlet through-holes 231. The auxiliary inlet through-holes 231 extend from the auxiliary blood inlet 23 to an auxiliary impeller cavity 232 in which the auxiliary impeller 42 is located. Thus, blood flows from the auxiliary blood inlet 23 to the auxiliary impeller 42 via the auxiliary inlet through-holes 231.

[0048] At least one wire through-hole 25 is disposed at the drive section end DSE of the pumping device 11. The wire through-hole 25 may extend from the catheter 5 to the stator 40. Preferably, three wire through-holes 25 are disposed about the rotation axis 10. One wire through-hole 25 may be disposed between two auxiliary inlet through-holes 231. At least one supply line 51, 52, and / or 53 may extend through the wire through-hole 25 and be connected to the stator 40. Preferably, as shown, the supply wires 51, 52, and / or 53 extend through the inside of the catheter 5 to the outside of the patient's body. The supply wires 51, 52, and / or 53 extend from the catheter 5 to the stator 40 without contacting the blood.

[0049] FIG. 4 shows a perspective front view of the pump section end PSE of the pump section 3. As shown, the secondary impeller 32 is disposed inside the impeller bearing ring 27. The impeller bearing ring 27 is disposed inside the inlet separator 26. As an alternative to this embodiment, the additional impeller bearing ring 27 can be omitted, so that the outer impeller bearing surface 277 is formed by the inlet separator 26. Here, the inlet separator 26 is attached between the primary blood flow 1BF and the secondary blood flow 2BF by three struts 28. The secondary blood flow 2BF is shown entering the secondary impeller 32 through a secondary blood flow inlet 212 located at the inlet into the impeller bearing ring 27. In the secondary impeller 32, blood flows along the secondary impeller channel 321 and then through the through opening 315 to the secondary blood flow outlet 213. Here, the secondary blood flow 2BF merges with the primary blood flow 1BF to form the pumping blood flow PBF.

[0050] FIG. 5 shows the pump section end PSE of the pump section 3 in a perspective view, with the pump housing 2 shown transparent. The through opening 315 and the secondary blood outlet 213 can be seen positioned between the two primary impeller vanes 313. As shown, the struts 28 are connected by an outer strut connecting ring 29. The strut connecting ring 29 is positioned inside the inner circumferential surface of the pump housing 2 at the pump section end PSE. The impeller bearing ring 27 is supported by the struts 28. It is conceivable to manufacture the strut connecting ring 29 and the struts 28 as one component. Preferably, the impeller bearing ring 27 is also part of this component. This component may be formed integrally with the pump housing 2.

[0051] FIG. 6 shows a perspective view of the pump section end PSE of the pump section 3. Unlike the embodiment shown in FIGS. 3 to 5, the pump housing 2 is shown transparent. The inlet separator 26 has at least one, preferably three, cutouts 261 at its downstream end. The cutouts 261 are located between two struts 28. The impeller bearing ring 27 is part of the inlet separator 26 or is fixedly connected thereto, and the cutouts 261 also extend through the impeller bearing ring 27. Due to the cutouts 261, the secondary impeller channel 321 increases in cross section when aligned with the cutouts 261 during rotation of the secondary impeller. The secondary impeller 32 extends inside the impeller bearing ring 27 in a direction toward the pump section end PSE up to the end of the cutouts 261. This has the effect that during operation, the edges of the cutouts 261 extend above the inner impeller bearing surface 327, removing blood clots as they begin to form, or preferably preventing them from forming, since the mating portion of the rotating axial thrust bearing surface 328 in the cutouts 261 is in direct contact with the blood. This helps to avoid blood pooling in the axial thrust bearing. Also, as can be seen in Figure 7, the inner impeller bearing surface 327 has edges 325, which have the effect of removing blood clots from the outer impeller bearing surface 277 (Figures 8 and 9).

[0052] FIG. 7 shows the secondary impeller 32 in detail in a perspective view. Here, the secondary impeller 32 is configured as an inlay and has a roughly cylindrical shape. It can be made of a different material from the primary impeller 31, for example, a ceramic material. The inlay has a cylindrical section 323 arranged inside the secondary impeller cavity 312 of the primary impeller 21. A circumferential protrusion 329 forms an axial stop for the secondary impeller 32 in the secondary impeller cavity 312. An inner impeller bearing surface 327 is arranged on the outer periphery of the secondary impeller 32. Two secondary impeller channels 321 are arranged at the end of the secondary impeller 32 toward the pump section end PSE. The secondary impeller channels 321 have their largest cross-section at the upstream end of the secondary impeller 32. Thus, the cross-section of the channels 321 decreases with increasing distance from the blood inlet 21. In this way, blood is pumped primarily from an axial to an axial-radial direction as it flows through the secondary impeller channel 321 .

[0053] The secondary impeller channels 321 are arranged asymmetrically with respect to the rotation axis 10 of the secondary impeller 32. At the end of the secondary impeller 32 facing the blood inlet 21, the rotation axis 10 extends through one of the secondary impeller channels 321. In this way, the center of rotation located at the rotation axis 10 does not coincide with a solid part of the secondary impeller 32. This has the advantage that blood clotting can be avoided at the center of rotation where there is no differential speed relative to the adjacent blood flows.

[0054] A lip 325 is located at the transition between the secondary impeller channel 321 and the inner impeller bearing surface 327. As described above, such lip 325 serves to prevent blood clots from forming on the outer impeller bearing surface 277. The inner impeller bearing surface 327 provides the inner surface of a radial bearing at the pump section end PSE. The secondary impeller 32 further includes an axial impeller bearing surface 328, which is located on the circumferential protrusion 329. The axial impeller bearing surface 328 forms part of the axial stop or axial thrust bearing described above. The axial stop may be configured as an axial bearing capable of transmitting force from the secondary impeller 32 to the bearing ring 27 during impeller rotation. The axial bearing is necessary to handle axial forces resulting from the impeller purging action.

[0055] 8 shows an enlarged view of the impeller bearing ring 27. An outer impeller bearing surface 277 is disposed inside the impeller bearing ring 27. The impeller bearing ring 27 includes an axial bearing ring surface 278. As shown, the axial bearing ring surface 278 may be disposed at an axial end of the impeller bearing ring 27.

[0056] Figure 9 shows a perspective view of an impeller bearing ring 27 according to a further embodiment different from that shown in Figure 8, which comprises the previously mentioned cutouts 261, which are arranged at the downstream end of the impeller bearing ring 27. The number of cutouts 261 preferably corresponds to the number of struts 28.

[0057] 10 shows a perspective view of a cross section through the drive section end DSE of the drive section 4. The rotating parts are omitted and not shown. As shown, auxiliary blood flow ABF enters the pump housing 2 at auxiliary blood inlet 23. Auxiliary impeller 42 accelerates the blood, which continues to flow into axial gap 401. As indicated by the arrows ABF inside axial gap 401, the blood has a strong circumferential flow component such that it flows helically along axial gap 401 rather than directly toward the axis of rotation 10.

[0058] FIG. 11 shows a perspective view of the end of the rotor 41 at the drive section end DSE of the pumping device 11. The auxiliary vanes 421 of the auxiliary impeller 42 are clearly visible and extend linearly in the radial direction. The auxiliary impeller vanes 421 provide, at their outer peripheries, inner rotor bearing surfaces 4211 for the radial rotor bearings 47. Furthermore, each of the auxiliary impeller vanes 421 has a chamfer 4212. This chamfer 4212 is advantageous for constructing the tapered drive section end DSE of the pumping device 11 as shown in FIG. 10. Furthermore, the auxiliary impeller vanes 421 have a radially extending end face 4214 at the axial end of the secondary impeller 42. A ridge 422 is formed in the center of the axial end of the secondary impeller 42. As shown in FIG. 10, the ridge 422 interacts with the bearing pin 44.

[0059] 11A further shows a rotor bearing ring 43 disposed about the inner rotor bearing surface 4211 of the secondary impeller 42. The outer rotor bearing surface 4311 of the rotor bearing ring 43 forms a rotor bearing 47 with the inner rotor bearing surface 4211 of the auxiliary impeller 42. The auxiliary impeller 42 has an axial length L and a diameter D. Alternatively, as shown in FIG. 11B, the rotor bearing ring 43 may have a cutout having a form, function, and configuration similar to the cutout 261 of the impeller bearing ring 27 described above.

[0060] FIG. 12 shows a perspective view of the end of the rotor 41 connected to the tapered section 314 of the primary impeller 31. A tertiary impeller 242 is disposed between the tapered section 314 and the pump section end of the rotor 41 and extends radially from the outer diameter of the rotor 41 to the outer diameter of the tapered section 314, forming a shoulder. The axial plane of this shoulder forms a rotatable wall 2411 of the radial gap 24. Tertiary impeller vanes 2412 protrude from the rotatable wall 2411 toward the drive section end DSE of the pumping device 11. Preferably, the tertiary impeller vanes 2412 extend axially along the rotation axis 10. In particular, the tertiary impeller vanes 2412 are straight and extend radially relative to the rotation axis 10. Furthermore, in an alternative embodiment, the tertiary impeller vanes 2412 may be omitted (not shown).

Claims

1. The pumping device (11) comprises: a pump housing (2) having a primary blood flow inlet (211) and a primary blood flow outlet (22) fluidically connected by a primary blood flow path (30); a primary impeller (31) having an upstream end and a downstream end, configured to convey a primary blood flow (1BF) along the primary blood flow path (30) from the primary blood flow inlet (211) to the primary blood flow outlet (22); a drive unit (4) configured to rotate the primary impeller (31) about a rotation axis (10); an impeller bearing (37) that supports the upstream end of the primary impeller (31); a central opening (262) extending axially through said impeller bearing (37); at least one secondary blood flow path (321) in the primary impeller (31), the at least one secondary blood flow path (321) having a secondary blood flow inlet (212) axially aligned with the central opening (262) of the impeller bearing (37), each of the at least one secondary blood flow path (321) having a secondary blood flow outlet (213), the at least one secondary blood flow path (321) configured to convey a secondary blood flow (2BF) from the secondary blood flow inlet (212) to the secondary blood flow outlet (213); and 1. An intravascular blood pump comprising a pumping device (11), characterized in that the secondary blood flow outlet (213) connects the at least one secondary blood flow path (321) to the primary blood flow path (30) at a location axially between the upstream and downstream ends of the primary impeller (31).

2. 2. The intravascular blood pump of claim 1, wherein the central opening (262) defines an outer impeller bearing surface (277) of the impeller bearing (37), by which the primary impeller (31) is rotatably supported.

3. 3. The intravascular blood pump according to claim 1, wherein the primary blood inlet (211) is spaced from the secondary blood inlet (212) by a non-rotating inlet separator (26), the inlet separator (26) forming the outer impeller bearing surface (277) of the impeller bearing (37).

4. 4. The intravascular blood pump according to claim 3, wherein the inflow separator (26) comprises an impeller bearing ring (27) as a separate component forming the outer impeller bearing surface (277) of the impeller bearing (37).

5. 5. An intravascular blood pump according to claim 3 or 4, characterized in that the inflow separator (26) is supported by at least one, preferably three struts (28) extending across the primary blood inlet (211).

6. 6. An intravascular blood pump according to claim 5, characterized in that said at least one strut (28) connects said inflow separator (26) to said pump housing (2).

7. 7. An intravascular blood pump according to claim 3, wherein the inflow separator (26) comprises at least one cutout (261) at the downstream end of the inflow separator (26).

8. 8. An intravascular blood pump according to any one of claims 3 to 7, characterized in that the inflow separator (26) has at least one cutout (261) in the outer impeller bearing surface (277).

9. 9. An intravascular blood pump according to claim 2, wherein one or more of the at least one secondary blood flow path (321) defines an edge (325) that moves onto the outer impeller bearing surface (277) upon rotation of the primary impeller (31) so as to clean the outer impeller bearing surface (277).

10. 10. An intravascular blood pump according to any one of claims 1 to 9, characterized in that the impeller bearing (37) is a plain bearing.

11. 11. An intravascular blood pump according to claim 10, characterized in that the impeller bearing (37) is a blood-purged plain bearing.

12. 12. An intravascular blood pump according to any one of claims 1 to 11, characterized in that the area of ​​the primary blood inlet (211) is centrally located at the spaced apart secondary blood inlet (212).

13. 13. An intravascular blood pump according to any one of claims 1 to 12, characterized in that one secondary blood flow inlet (212) of the at least one secondary blood flow path (321) is positioned at the position of the rotation axis (10).

14. 14. An intravascular blood pump according to any one of claims 1 to 13, characterized in that a secondary channel inlet (324) forming part of the at least one secondary blood flow path (321) is arranged upstream of a primary channel inlet (314) forming part of a primary impeller channel (311) in the primary blood flow path (30).

15. 15. An intravascular blood pump according to any one of claims 1 to 14, characterized in that the primary impeller (31) comprises at least one blade (313) having a primary pitch at the upstream end of the primary impeller (31), and the at least one secondary blood flow path (321) has a secondary pitch, the secondary pitch being approximately or exactly the same as the primary pitch.

16. 16. An intravascular blood pump according to any one of claims 1 to 15, characterized in that exactly one of the at least one secondary blood flow path (321) has an upstream end located at the position of the axis of rotation (10).

17. 17. An intravascular blood pump according to any one of claims 1 to 16, characterized in that at least two of the at least one secondary blood flow path (321) are arranged asymmetrically with respect to the axis of rotation (10).

18. 18. An intravascular blood pump according to any one of claims 1 to 17, characterized in that two of the at least one secondary blood flow path (321) are arranged on opposite sides of the rotation axis (10).

19. 19. An intravascular blood pump according to any one of claims 1 to 18, characterized in that it comprises exactly two of said at least one secondary blood flow path (321).

20. 20. An intravascular blood pump according to any one of claims 1 to 19, characterized in that the primary impeller (31) comprises an inlay in which the at least one secondary blood flow path (321) is formed.

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