Expandable impeller pump

Abstract

An impeller includes a hub, and a plurality of blades supported by the hub, the blades being arranged in at least two blade rows. The impeller has a deployed configuration in which the blades extend away from the hub, and a stored configuration in which at least one of the blades is radially compressed, for example by folding the blade towards the hub. The impeller may also have an operational configuration in which at least some of the blades are deformed from the deployed configuration upon rotation of the impeller when in the deployed configuration. The outer edge of one or more blades may have a winglet, and the base of the blades may have an associated indentation to facilitate folding of the blades.

1 . A catheter heart pump comprising:
 an elongate catheter body having a proximal end, and a distal end configured to be advanced to a heart of a patient;   an expandable sleeve coupled to the distal end, the expandable sleeve having a stored configuration in which the expandable sleeve is advanced to the heart, and an expanded configuration, and further comprising a distal inlet port and a proximal outlet port;   an expandable impeller configured to be disposed within the expandable sleeve between the distal inlet port and the proximal outlet port when in the expanded configuration, and configured to turn on a shaft to generate a fluid flow from the distal inlet port to the proximal outlet port; and   a storage sleeve configured to house both the expandable sleeve and the expandable impeller therein.   
     
     
         2 . The catheter heart pump of  claim 1 , wherein the impeller and the expandable sleeve are configured to expand when urged out of the storage sleeve. 
     
     
         3 . The catheter heart pump of  claim 1 , wherein the storage sleeve is configured to compress the expandable sleeve into the stored configuration for insertion into the patient and advancement to the heart. 
     
     
         4 . The catheter heart pump of  claim 2 , wherein the expandable sleeve is configured for insertion into the storage sleeve. 
     
     
         5 . The catheter heart pump of  claim 1 , wherein the storage sleeve is configured to translate proximally relative to the expandable sleeve such that the expandable sleeve exits the storage sleeve and expands to the expanded configuration. 
     
     
         6 . The catheter heart pump of  claim 1 , wherein the storage sleeve comprises a metal tube. 
     
     
         7 . The catheter heart pump of  claim 1 , wherein the expandable sleeve defines a first diameter and the storage sleeve defines a second diameter that is less than or equal to half the first diameter. 
     
     
         8 - 14 . (canceled)