# US 5,344,385 A · Step-down skeletal muscle energy conversion system

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- Number: US 5,344,385 A
- Document ID: US5344385A
- Status: Granted
- Kind: A
- Application number: 07/767,789
- Filed: 1991-09-30
- Granted: 1994-09-06
- Earliest claimed: 1991-09-30
- Assignees: Thoratec Laboratories Corporation
- Inventors: Keith E. Buck; David J. Farrar; Robert J. Harvey; Philip Litwak; John R. Rueff
- Web page: https://patentgrep.com/patent/US5344385A

## CPC

- A61M 60/882: Devices powered by the patient, e.g. skeletal muscle powered devices
- A61M 60/139: inside the aorta, e.g. intra-aortic balloon pumps
- A61M 60/17: inside a ventricle, e.g. intraventricular balloon pumps
- A61M 60/178: drawing blood from a ventricle and returning the blood to the arterial system via a cannula external to the ventricle, e.g. left or right ventricular assist devices
- A61M 60/183: drawing blood from both ventricles, e.g. bi-ventricular assist devices [BiVAD]
- A61M 60/196: replacing the entire heart, e.g. total artificial hearts [TAH]
- A61M 60/232: Centrifugal pumps
- A61M 60/258: Piston pumps
- A61M 60/268: the displacement member being flexible, e.g. membranes, diaphragms or bladders
- A61M 60/295: Balloon pumps for circulatory assistance
- A61M 60/427: the force acting on the blood contacting member being hydraulic or pneumatic
- A61M 60/495: Electromagnetic force
- A61M 60/148: in line with a blood vessel using resection or like techniques, e.g. permanent endovascular heart assist devices
- A61M 60/274: the inlet and outlet being the same, e.g. para-aortic counter-pulsation blood pumps
- A61M 60/405: the force acting on the blood contacting member being hydraulic or pneumatic
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}

## Abstract

This invention provides a simple skeletal muscle linear pull energy convertor which can harness the maximal amount of muscle power for a wide variety of implantable medical devices, including the full range of circulatory support devices. The muscle powered system provides completely implantable circulatory support as an alternative to cardiac transplantation, with a quality of life relatively free from external batteries, transcutaneous energy transmission and other electromechanical hardware.

## Claims

### Claim 1

A dual access port comprising:
a housing having a generally cubical body with a cylindrical recess in one side;
a plurality of housing fluid passages within said housing;
a housing end cap disposed over an upper surface of said housing and having a plurality of housing ports, each of said housing ports communicating with one of said plurality of housing fluid passages, respectively;
a rotatable cylinder disposed within said recess in said housing, said cylinder having an internal planar surface adjacent said recess and an external planar surface generally coplanar with an exterior surface of said housing;
a plurality of first cylinder fluid passages forming an internal passageway within said cylinder such that fluid both enters and exits said cylinder on the side of said external planar surface;
a plurality of second cylinder fluid passages passing through said cylinder;
a cylinder end cap disposed over said external planar surface of said cylinder in said recess, said cylinder end cap having a plurality of cylinder ports, each of said cylinder ports communicating with one of said plurality of first and second cylinder fluid passages, respectively; and
rotation means for rotating said cylinder between at least a first position and a second position;
wherein rotation of said cylinder to said first position places at least one of said cylinder ports in communication with one of said first cylinder fluid passages such that fluid entering said at least one cylinder port exists another of said plurality of cylinder ports; and
wherein rotation of said cylinder to said second position places at least one of said cylinder ports in communication with one of said second cylinder fluid passages, and said one of said second cylinder fluid passages is in communication with one of said housing fluid passages such that fluid entering said at least one cylinder port exits one of said housing ports.

### Claim 2 (depends on 1)

The dual access port of claim 1 wherein said housing fluid passages extend from an external surface of said housing to said cylindrical recess.

### Claim 3 (depends on 2)

The dual access port of claim 2 wherein said housing fluid passages make an approximately 90.degree. bend between said upper surface of said housing and said cylindrical recess.

### Claim 4 (depends on 1)

The dual access port of claim 1 wherein said first cylinder fluid passages include a plurality of 90.degree. bends.

### Claim 5 (depends on 1)

The dual access port of claim 1 wherein said rotation means comprises a side arm post connected to said cylinder and extending upwards through said housing and a groove in said housing allowing the movement of said post between said first position and said second position.

### Claim 6 (depends on 1)

The dual access port of claim 1 wherein said housing cap including said housing ports is removable.

### Claim 7 (depends on 6)

The dual access port of claim 6 wherein when said housing cap is removed, said access port further includes a sealing cap disposed over the openings of said housing fluid passages to thereby seal off said passages.

### Claim 8 (depends on 1)

The dual access port of claim 1 further comprising a retainer ring disposed around said housing cap securing said cap to said housing.

### Claim 9 (depends on 1)

The dual access port of claim 1 wherein said housing further comprises an O-ring seal between said upper surface of said housing and said housing cap such that leakage from said housing fluid passages is thereby prevented.

### Claim 10

An access port adapted to be used in a hydraulic muscle energy conversion system including a high pressure hydraulic transmission line between a muscle energy conversion means and an implantable medical device and an alternate source of hydraulic power; said access port comprising:
an access port housing having a cylindrical recess;
at least one housing fluid passage in said housing;
a rotatable cylinder disposed within said recess in said housing;
at least one cylinder fluid passage in said cylinder;
rotation means for rotating said cylinder between a first position and a second position;
wherein said access port housing is adapted to be disposed in the high pressure hydraulic transmission line between the conversion means and the implantable medical device such that rotation of said cylinder to said first position allows fluid communication between the energy conversion means and the implantable medical device and rotation of said cylinder to said second position blocks fluid communication between the energy conversion means and the implantable medical device while allowing fluid communication between the implantable medical and the alternate source of hydraulic power.

### Claim 11 (depends on 10)

The access port of claim 10 wherein said housing further comprises a removable housing end cap including at least one housing port, said at least one housing port being aligned with said at least one housing passage.

### Claim 12 (depends on 11)

The access port of claim 11 wherein said housing further comprises a cylinder end cap including at least one cylinder port, said at least one cylinder port being aligned with said at least one cylinder fluid passage in said cylinder.

### Claim 13 (depends on 12)

The access port of claim 12 wherein said at least one cylinder fluid passage includes at least one first cylinder fluid passage and at least one second cylinder fluid passage.

### Claim 14 (depends on 13)

The access port of claim 13 wherein rotation of said cylinder to said first position aligns said at least one cylinder port with said at least one first cylinder fluid passage and rotation of said cylinder to said second position aligns said at least one cylinder port with said at least one second cylinder fluid passage.

### Claim 15 (depends on 14)

The access port of claim 14 further including another said at least one cylinder port wherein said at least one first cylinder fluid passage includes a first opening aligned with said at least one cylinder port, a second opening aligned with another said at least one cylinder port, and an internal passageway within said cylinder thereby allowing fluid communication between said at least one cylinder port and said another cylinder port when said cylinder is in said first position.

### Claim 16 (depends on 14)

The access port of claim 14 wherein said at least one second cylinder fluid passage includes a first opening aligned with said at least one cylinder port, a second opening aligned with said at least one housing fluid passage, and an internal passageway therebetween thereby allowing fluid communication between said at least one cylinder port and said at least one housing port when said cylinder is in said second position.

### Claim 17 (depends on 11)

The access port of claim 11 wherein when said removable housing end cap including at least one housing port is removed, a housing sealing cap is disposed over said housing such that said at least one housing fluid passage is thereby sealed from an external environment.

### Claim 18

A dual access port for use in an implantable hydraulic muscle energy conversion system including a high pressure hydraulic convertor connected to a muscle, a two-stage hydraulic actuator for transforming high pressure hydraulic energy into low pressure hydraulic energy which operates an implantable medical device, and a high pressure hydraulic transmission line interconnecting the convertor and actuator, said dual access port comprising:
a housing having a generally cubical body with a cylindrical recess in one side, said housing being disposed in the high pressure hydraulic transmission line and having means adapted to connect said housing between the convertor and the activator;
a plurality of housing fluid passages within said housing;
a housing end cap disposed over an upper surface of said housing and having a plurality of housing ports, each of said housing ports communicating with one of said plurality of housing fluid passages;
a rotatable cylinder disposed within said recess in said housing, said cylinder having an internal planar surface adjacent said recess and an external planar surface generally coplanar with an exterior surface of said housing;
a plurality of first cylinder fluid passages forming an internal passageway within said cylinder such that fluid both enters and exits said cylinder on the side of said eternal planar surface;
a plurality of second cylinder fluid passages passing through said cylinder;
a cylinder end cap disposed over said external planar surface of said cylinder in said recess, said cylinder end cap having a plurality of cylinder ports, each of said cylinder ports communicating with one of said plurality of first and second cylinder fluid passages; and
rotation means for rotating said cylinder between at least a first position and a second position;
wherein rotation of said cylinder to said first position places at least one of said cylinder ports in communication with one of said first cylinder fluid passages such that fluid entering said at least one cylinder port exits another of said plurality of cylinder ports; and
wherein rotation of said cylinder to said second position places at least one of said cylinder ports in communication with one of said second cylinder fluid passages, and said one of said second cylinder fluid passages is in communication with one of said housing fluid passages such that fluid entering said at least one cylinder port exits one of said housing ports.

### Claim 19 (depends on 18)

The dual access port of claim 18 further comprising a percutaneous cuff to which said plurality of housing ports are connected by small diameter hydraulic lines.

### Claim 20 (depends on 19)

The dual access port of claim 19 wherein said percutaneous cuff connects said housing ports to an external source of hydraulic energy.

### Claim 21 (depends on 20)

The dual access port of claim 20 further comprising at least a first cylinder port of said plurality of cylinder ports which is connected to the hydraulic convertor by a first end of the high pressure hydraulic transmission line and at least a second cylinder port of said plurality of cylinder ports which is connected to the two-stage hydraulic actuator by a second end of the high pressure hydraulic line.

### Claim 22 (depends on 21)

(amended) The dual access port of claim 21 further comprising an internal passageway between said first and second cylinder ports when said cylinder ports are connected by one of said first cylinder fluid passages and said cylinder is in said first position.

### Claim 23 (depends on 21)

The dual access port of claim 21 wherein said second cylinder port is connected to one of said second cylinder fluid passages which is aligned with one of said plurality of housing fluid passages such that said second cylinder port connected to the actuator is in fluid communication with the external source of hydraulic energy through said percutaneous cuff, when said cylinder is in said second position.

### Claim 24 (depends on 21)

The dual access port of claim 21 wherein further comprising an external monitoring device to which said percutaneous cuff is connected by said housing ports.

### Claim 25 (depends on 24)

The dual access port of claim 24 wherein said first cylinder port is connected to one of said second cylinder fluid passages which is aligned with one of said plurality of housing fluid passages such that said first cylinder port connected to the convertor is in fluid communication with the external monitoring device through said percutaneous cuff, when said cylinder is in said second position.