# Development of a Minimally Invasive Single Cannulation, Compact Single Port Pulsatile Ventricular Assist Device (sppVAD) for Total LV Support

> **NIH NIH R43** · W-Z BIOTECH, LLC · 2021 · $225,000

## Abstract

Cardiogenic shock (CS) is a serious condition of reduced cardiac output (CO) with a mortality as high as
40-50%. In severe CS, end organ hypoperfusion from low CO causes multi-organ failure and elevated left
ventricle (LV) preload increases LV wall stress. For severe CS, venoarterial extracorporeal membrane
oxygenation is most often used and is fastest way to reestablish circulation, but it fails to unload LV in > 50% of
these patients. Percutaneous mechanical circulatory support (MCS) devices are used in severe CS but may
not fully stabilize circulation. Non-percutaneous MCS devices supply total cardiac support but require open
chest surgery for installation. Our goal is to develop a compact, single port, pulsatile ventricular assist device
(sppVAD) for total LV support that employs a minimally invasive single cannulation technique for implantation.
Compared to a continuous flow LVAD, our sppVAD system may further unload the LV when synchronized with
the native heart for counterpulsation. Our enabling technologies that form the sppVAD system are a valved
single lumen cannula (VSLC) and a valveless single port diaphragm displacement pump (spDDP). Our
innovative sppVAD system features: 1) Minimally invasive trans-apical to aorta installation by one VSLC
cannulation through small left thoracotomy; 2) Smaller spDDP without inlet/outlet valves and large dead space;
3) Lower blood resistance due to shorter pathway through LV via the VSLC that serves as both inlet and outlet
cannula; 4) Dependable total LV unloading; 5) Potential LV internal/stroke work decrease with counterpulsation
pumping. W-Z Biotech made an initial prototype of sppVAD system, which had 3.1 L/min pumping flow against
80 mm Hg afterload in mock loop testing. Our objective in this Phase I SBIR is to develop/fabricate new
working prototype of sppVAD system (VSLC and spDDP) and to test sppVAD system prototype in mock loop
and severe CS sheep model. Specific Aim 1: To develop/fabricate/bench test new working prototype of
sppVAD system (VSLC and spDDP). The 22 Fr VSLC main body will be memory alloy wire reinforced
polyurethane (PU). Two one-way inlet valves on VSLC wall will be in LV for blood withdrawal. Two one-way
outlet valves on VSLC wall near tip and a one-way outlet valve on VSLC tip will be in ascending aorta for blood
delivery. The spDDP will have rigid PU housing, a soft, flexible PU diaphragm membrane, and a 50 mL pump
volume. Only one 3/8” blood port will be made on spDDP for direct connection to VSLC. This sppVAD system
will be tested in a bench mock loop. Specific Aim 2: To test sppVAD system prototype in a severe CS
sheep model. Our severe CS sheep model will be used to test our sppVAD system prototype for ease of
insertion/deployment, LV unloading performance, counterpulsation capacity, and 6 hr reliability (n=5). The
sppVAD system prototype design/fabrication/in vitro testing will be done at W-Z Biotech while the in vivo
animal studies will be done at University of Kentu...

## Key facts

- **NIH application ID:** 10259308
- **Project number:** 1R43HL158430-01
- **Recipient organization:** W-Z BIOTECH, LLC
- **Principal Investigator:** Stephen R Topaz
- **Activity code:** R43 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $225,000
- **Award type:** 1
- **Project period:** 2021-04-01 → 2023-09-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10259308

## Citation

> US National Institutes of Health, RePORTER application 10259308, Development of a Minimally Invasive Single Cannulation, Compact Single Port Pulsatile Ventricular Assist Device (sppVAD) for Total LV Support (1R43HL158430-01). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10259308. Licensed CC0.

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