Apparatus comprising: an impeller (50) comprising: at least one helical elongate element (52); a spring (54), the spring (54) being disposed inside of, and coaxially with, the helical elongate element (52), and the spring defining a lumen (62) therethrough; proximal and distal bushings (64, 58); and a film of material (56) supported between the helical elongate element (52) and the spring (54); and a rigid shaft (63) configured to extend from the proximal bushing (64) to the distal bushing (58) of the impeller (50) via the lumen (62) defined by the spring (54).