RESUMO
INTRODUÇÃO: O uso da circulação extracorpórea (CEC) no período neonatal reserva muitos desafios, desde a quantidade de volume para iniciar a CEC até o grau de reação inflamatória desencadeada pelo método. O uso de oxigenadores com volume inicial reduzido e barreiras para diminuir a resposta inflamatória sistêmica nesses pacientes é mandatório e deve ser sempre nosso objetivo. Com isso em mente, um novo oxigenador foi desenhado com o intuito de reduzir ao máximo o volume inicial necessário e diminuir a exposição do sangue aos componentes que podem aumentar a ativação da cascata inflamatória, como microcoágulos, fibrina e materiais exógenos (talco, cera para osso, tecidos) presentes no campo cirúrgico. OBJETIVO: Avaliar a performance desse novo modelo de oxigenador em um cenário clínico real em relação a suas capacidades de fluxo sanguíneo, troca gasosa, eficácia e segurança. MÉTODOS: O trabalho foi conduzido para avaliar a segurança e a eficácia desse novo oxigenador. Um total de 36 pacientes submetidos a cirurgias com CEC foram avaliados. Os critérios de inclusão foram neonatos e lactentes até um ano de idade com peso de até 5 kg. Os dados coletados nessa fase do protocolo foram: tempo de CEC; fluxo sanguíneo; fluxo de gases; concentração de oxigênio; dados gasométricos; dados hematimétricos; peso; idade; diagnóstico de base e tipo de cirurgia realizada. O desenho desse oxigenador não permite que o sangue aspirado do campo e o sangue drenado para o reservatório fiquem em contato com o filtro, protegendo o sangue dos fatores ativadores das cascatas de coagulação e inflamatória e outros resíduos presentes no campo cirúrgico, que ficam retidos em um filtro de 10 microns. RESULTADOS: Os principais procedimentos foram: cirurgia de Jatene em 12 pacientes; correção de comunicação interventricular em 6; correção de tetralogia de Fallot em 4. Outros procedimentos, como truncus arteriosus, drenagem anômala de veias pulmonares e cirurgia de Norwood-Sano, também foram realizados. A idade média foi de 85 dias (5-240), o peso médio na cirurgia foi de 4 kg (2,5-4,8). O tempo médio de CEC foi de 101 minutos (45-220), a concentração média de pCO2 foi de 31,5 (12-61), a concentração média de O2 foi de 190,4 (21,9-368), a concentração média de potássio sérico foi de 3,9 (2,2-8,3) e o hematócrito médio foi de 34,2 (25-56). Todas as cirurgias foram conduzidas sem complicações relacionadas ao oxigenador ou seu funcionamento. Nenhum caso de resposta inflamatória sistêmica complicações relacionadas ao oxigenador ou seu funcionamento. Nenhum caso de resposta inflamatória sistêmica exacerbada ou síndrome vasoplégica foi diagnosticado no período pós-operatório. Não houve nenhum óbito hospitalar e os tempos de ventilação mecânica, dias na Unidade de Terapia Intensiva (UTI) e dias de internação foram compatíveis com os esperados para a gravidade de cada caso. CONCLUSÃO: Os resultados obtidos comprovam a segurança e a eficácia desse oxigenador em um cenário clínico real. Os parâmetros avaliados, como fluxo sanguíneo e as trocas gasosas, se mostraram adequados durante todo o período. Nenhuma complicação ou intercorrência em relação ao oxigenador foi verificada.
Assuntos
Tetralogia de FallotRESUMO
This study presents an assessment for longterm use of the apical aortic blood pump (AABP), focusing on wear reduction in the bearing system. AABP is a centrifugal left ventricle assist device initially developed for bridge to transplant application. To analyze AABP performance in longterm applications, a durability test was performed. This test indicated that wear in the lower bearing pivot causes device failure in longterm. A wear test in the bearing system was conducted to demonstrate the correlation of the load in the bearing system with wear. Results from the wear test showed a direct correlation between load and wear at the lower bearing pivot. In order to reduce load, thus reducing wear, a new stator topology has been proposed. In this topology, a radial stator would replace the axial stator previously used. Another durability test with the new stator has accounted twice the time without failure when compared with the original model.
Assuntos
Circulação Assistida/instrumentação , Bombas de Infusão , Coração Artificial , Fatores de Tempo , Aprovação de EquipamentosRESUMO
This study presents an assessment for long-term use of the apical aortic blood pump (AABP), focusing on wear reduction in the bearing system. AABP is a centrifugal left ventricle assist device initially developed for bridge to transplant application. To analyze AABP performance in long-term applications, a durability test was performed. This test indicated that wear in the lower bearing pivot causes device failure in long-term. A wear test in the bearing system was conducted to demonstrate the correlation of the load in the bearing system with wear. Results from the wear test showed a direct correlation between load and wear at the lower bearing pivot. In order to reduce load, thus reducing wear, a new stator topology has been proposed. In this topology, a radial stator would replace the axial stator previously used. Another durability test with the new stator has accounted twice the time without failure when compared with the original model.
Assuntos
Coração Auxiliar , Aorta/fisiologia , Análise de Falha de Equipamento , Coração Auxiliar/efeitos adversos , Humanos , Desenho de Prótese , Falha de Prótese , Fatores de TempoRESUMO
OBJECTIVE: The objective of this paper is to present the results from Spiral Pump clinical trial after design modifications performed at its previous project. This pump applies axial end centrifugal hydraulic effects for blood pumping during cardiopulmonary bypass for patients under cardiac surgery. METHODS: This study was performed in 52 patients (51% males), between 20 to 80 (67±14.4) years old weighing 53 to 102 (71.7±12.6) kg, mostly under myocardial revascularization surgery (34.6%) and valvular surgery (32.8%). Besides the routine evaluation of the data observed in these cases, we monitored pump rotational speed, blood flow, cardiopulmonary bypass duration, urine free hemoglobin for blood cell trauma analysis (+ to 4+), lactate desidrogenase (UI/L), fibrinogen level (mg/dL) and platelet count (nº/mm3). RESULTS: Besides maintaining appropriate blood pressure and metabolic parameters it was also observed that the Free Hemoglobin levels remained normal, with a slight increase after 90 minutes of cardiopulmonary bypass. The Lactate Dehydrogenase showed an increase, with medians varying between 550-770 IU/L, whereas the decrease in Fibrinogen showed medians of 130-100 mg/dl. The number of platelets showed a slight decrease with the medians ranging from 240,000 to 200,000/mm3. No difficulty was observed during perfusion terminations, nor were there any immediate deaths, and all patients except one, were discharged in good condition. CONCLUSION: The Spiral Pump, as blood propeller during cardiopulmonary bypass, demonstrated to be reliable and safe, comprising in a good option as original and national product for this kind of application.
Assuntos
Procedimentos Cirúrgicos Cardíacos/instrumentação , Ponte Cardiopulmonar/instrumentação , Coração Auxiliar/normas , Adulto , Idoso , Idoso de 80 Anos ou mais , Procedimentos Cirúrgicos Cardíacos/métodos , Ponte Cardiopulmonar/métodos , Desenho de Equipamento/normas , Segurança de Equipamentos , Feminino , Fibrinogênio/análise , Humanos , L-Lactato Desidrogenase/sangue , Masculino , Ilustração Médica , Pessoa de Meia-Idade , Modelos Cardiovasculares , Contagem de Plaquetas , Reprodutibilidade dos Testes , Estatísticas não Paramétricas , Fatores de Tempo , Resultado do Tratamento , Adulto JovemRESUMO
Objective: The objective of this paper is to present the results from Spiral Pump clinical trial after design modifications performed at its previous project. This pump applies axial end centrifugal hydraulic effects for blood pumping during cardiopulmonary bypass for patients under cardiac surgery. Methods: This study was performed in 52 patients (51% males), between 20 to 80 (67±14.4) years old weighing 53 to 102 (71.7±12.6) kg, mostly under myocardial revascularization surgery (34.6%) and valvular surgery (32.8%). Besides the routine evaluation of the data observed in these cases, we monitored pump rotational speed, blood flow, cardiopulmonary bypass duration, urine free hemoglobin for blood cell trauma analysis (+ to 4+), lactate desidrogenase (UI/L), fibrinogen level (mg/dL) and platelet count (nº/mm3). Results: Besides maintaining appropriate blood pressure and metabolic parameters it was also observed that the Free Hemoglobin levels remained normal, with a slight increase after 90 minutes of cardiopulmonary bypass. The Lactate Dehydrogenase showed an increase, with medians varying between 550-770 IU/L, whereas the decrease in Fibrinogen showed medians of 130-100 mg/dl. The number of platelets showed a slight decrease with the medians ranging from 240,000 to 200,000/mm3. No difficulty was observed during perfusion terminations, nor were there any immediate deaths, and all patients except one, were discharged in good condition. CONCLUSION: The Spiral Pump, as blood propeller during cardiopulmonary bypass, demonstrated to be reliable and safe, comprising in a good option as original and national product for this kind of application. .
Objetivos: Apresentar resultados da aplicação da bomba espiral que emprega efeitos hidráulicos centrífugo e axial de bombeamento como elemento propulsor do circuito de circulação extracorpórea em pacientes submetidos a cirurgias cardíacas após modificações introduzidas no design do projeto original. Métodos: O estudo foi realizado em 52 pacientes (51% masculinos), com idade entre 20 a 80 (67±14,4) anos, peso 53 a 102 (71,7±12,6) kg, submetidos na maioria a cirurgia de revascularização miocárdica (34,6%) e Orovalvar (32,8%). Além das avaliações rotineiras, foram registrados rotação, tempo de CEC e para análise do impacto traumático à crase sanguínea, hemoglobina livre na urina (+ a 4+), desidrogenase láctica, fibrinogênio (mg/dL) e contagem de plaquetas (nº/mm3). Resultados: Observou-se a manutenção de parâmetros pressóricos e metabólicos adequados. Quanto aos marcadores de danos à crase sanguínea, as alterações estiveram proporcionais ao tempo maior de circulação extracorpórea. Os níveis de Hemoglobina Livre permaneceram com valores normais, com ligeiro aumento a partir dos 90 minutos de circulação extracorpórea. A Desidrogenase Láctica mostrou aumento, variando as medianas entre 550 a 770 UI/L enquanto o Fibrinogênio mostrou queda das medianas de 130 a 100 mg/dl. O número de plaquetas mostrou ligeira queda das medianas variando entre 240.000 a 200.000/mm3. Não ocorreram dificuldades de saída de perfusão, não se observou óbito imediato e todos os pacientes, exceto 1, obtiveram alta hospitalar. Conclusão: A bomba espiral aplicada como bomba propulsora de sangue durante cirurgia cardíaca se mostrou confiável e segura, não causou impacto traumático ...
Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Adulto Jovem , Procedimentos Cirúrgicos Cardíacos/instrumentação , Ponte Cardiopulmonar/instrumentação , Coração Auxiliar/normas , Procedimentos Cirúrgicos Cardíacos/métodos , Ponte Cardiopulmonar/métodos , Desenho de Equipamento/normas , Segurança de Equipamentos , Fibrinogênio/análise , L-Lactato Desidrogenase/sangue , Ilustração Médica , Modelos Cardiovasculares , Contagem de Plaquetas , Reprodutibilidade dos Testes , Estatísticas não Paramétricas , Fatores de Tempo , Resultado do TratamentoRESUMO
The Spiral Pump (SP), a centrifugal blood pump for cardiopulmonary bypass (CPB), has been developed at the Dante Pazzanese Institute of Cardiology/Adib Jatene Foundation laboratories, with support from Sintegra Company (Pompeia, Brazil). The SP is a disposable pump with an internal rotor-a conically shaped fuse with double entrance threads. This rotor is supported by two ball bearings, attached to a stainless steel shaft fixed to the housing base. Worm gears provide axial motion to the blood column, and the rotational motion of the conically shaped impeller generates a centrifugal pumping effect, improving pump efficiency without increasing hemolysis. In vitro tests were performed to evaluate the SP's hydrodynamic performance, and in vivo experiments were performed to evaluate hemodynamic impact during usual CPB. A commercially available centrifugal blood pump was used as reference. In vivo experiments were conducted in six male pigs weighing between 60 and 90 kg, placed on CPB for 6 h each. Blood samples were collected just before CPB (T0) and after every hour of CPB (T1-T6) for hemolysis determination and laboratory tests (hematological and biochemical). Values of blood pressure, mean flow, pump rotational speed, and corporeal temperature were recorded. Also, ergonomic conditions were recorded: presence of noise, difficulty in removing air bubbles, trouble in installing the pump in the drive module (console), and difficulties in mounting the CPB circuit. Comparing the laboratory and hemolysis results for the SP with those of the reference pump, we can conclude that there is no significant difference between the two devices. In addition, reports made by medical staff and perfusionists described a close similarity between the two devices. During in vivo experiments, the SP maintained blood flow and pressure at physiological levels, consistent with those applied in cardiac surgery with CPB, without presenting any malfunction. Also, the SP needed lower rotational speed to obtain average blood flow and pressure, compared with the reference pump.
Assuntos
Circulação Assistida/instrumentação , Ponte Cardiopulmonar/instrumentação , Animais , Circulação Assistida/efeitos adversos , Ponte Cardiopulmonar/efeitos adversos , Desenho de Equipamento , Hemólise , Hidrodinâmica , Masculino , SuínosRESUMO
A new model of centrifugal blood pump for temporary ventricular assist devices has been developed and evaluated. The design of the device is based on centrifugal pumping principles and the usage of ceramic bearings, resulting in a pump with reduced priming (35 ± 2 mL) that can be applied for up to 30 days. Computational fluid dynamic (CFD) analysis is an efficient tool to optimize flow path geometry, maximize hydraulic performance, and minimize shear stress, consequently decreasing hemolysis. Initial studies were conducted by analyzing flow behavior with different impellers, aiming to determine the best impeller design. After CFD studies, rapid prototyping technology was used for production of pump prototypes with three different impellers. In vitro experiments were performed with those prototypes, using a mock loop system composed of Tygon tubes, oxygenator, digital flow meter, pressure monitor, electronic driver, and adjustable clamp for flow control, filled with a solution (1/3 water, 1/3 glycerin, 1/3 alcohol) simulating blood viscosity and density. Flow-versus-pressure curves were obtained for rotational speeds of 1000, 1500, 2000, 2500, and 3000 rpm. As the next step, the CFD analysis and hydrodynamic performance results will be compared with the results of flow visualization studies and hemolysis tests.
Assuntos
Coração Auxiliar , Centrifugação , Cerâmica/química , Coração Auxiliar/efeitos adversos , Hemólise , Humanos , Hidrodinâmica , Desenho de PróteseRESUMO
A new model of centrifugal blood pump for temporaryventricular assist devices has been developed andevaluated. The design of the device is based on centrifugalpumping principles and the usage of ceramic bearings,resulting in a pump with reduced priming (35 ± 2 mL) thatcan be applied for up to 30 days. Computational fluiddynamic (CFD) analysis is an efficient tool to optimizeflow path geometry, maximize hydraulic performance, andminimize shear stress, consequently decreasing hemolysis.Initial studies were conducted by analyzing flow behaviorwith different impellers, aiming to determine the bestimpeller design.After CFD studies, rapid prototyping technologywas used for production of pump prototypes withthree different impellers. In vitro experiments were performedwith those prototypes, using a mock loop systemcomposed of Tygon tubes, oxygenator, digital flow meter,pressure monitor, electronic driver, and adjustable clampfor flow control, filled with a solution (1/3 water, 1/3 glycerin,1/3 alcohol) simulating blood viscosity and density.Flow-versus-pressure curves were obtained for rotationalspeeds of 1000, 1500, 2000, 2500, and 3000 rpm.As the nextstep, the CFD analysis and hydrodynamic performanceresults will be compared with the results of flow visualizationstudies and hemolysis tests.
Assuntos
Bombas Centrífugas , SangueRESUMO
An implantable centrifugal blood pump has been developed with original features for a left ventricular assist device. This pump is part of a multicenter and international study with the objective to offer simple, affordable, and reliable devices to developing countries. Previous computational fluid dynamics investigations and wear evaluation in bearing system were performed followed by prototyping and in vitro tests. In addition, previous blood tests for assessment of normalized index of hemolysis show results of 0.0054±2.46 × 10⻳ mg/100 L. An electromechanical actuator was tested in order to define the best motor topology and controller configuration. Three different topologies of brushless direct current motor (BLDCM) were analyzed. An electronic driver was tested in different situations, and the BLDCM had its mechanical properties tested in a dynamometer. Prior to evaluation of performance during in vivo animal studies, anatomical studies were necessary to achieve the best configuration and cannulation for left ventricular assistance. The results were considered satisfactory, and the next step is to test the performance of the device in vivo.
Assuntos
Coração Auxiliar , Hemodinâmica , Implantação de Prótese , Função Ventricular Esquerda , Animais , Fenômenos Biomecânicos , Brasil , Bovinos , Masculino , Teste de Materiais , Desenho de PróteseRESUMO
A new model of blood pump for cardiopulmonary bypass (CPB) application has been developed and evaluated in our laboratories. Inside the pump housing is a spiral impeller that is conically shaped and has threads on its surface. Worm gears provide an axial motion of the blood column. Rotational motion of the conical shape generates a centrifugal pumping effect and improves pumping performance. One annular magnet with six poles is inside the impeller, providing magnetic coupling to a brushless direct current motor. In order to study the pumping performance, a mock loop system was assembled. Mock loop was composed of Tygon tubes (Saint-Gobain Corporation, Courbevoie, France), oxygenator, digital flowmeter, pressure monitor, electronic driver, and adjustable clamp for flow control. Experiments were performed on six prototypes with small differences in their design. Each prototype was tested and flow and pressure data were obtained for rotational speed of 1000, 1500, 2000, 2500, and 3000 rpm. Hemolysis was studied using pumps with different internal gap sizes (1.35, 1.45, 1.55, and 1.7 mm). Hemolysis tests simulated CPB application with flow rate of 5 L/min against total pressure head of 350 mm Hg. The results from six prototypes were satisfactory, compared to the results from the literature. However, prototype #6 showed the best results. Best hemolysis results were observed with a gap of 1.45 mm, and showed a normalized index of hemolysis of 0.013 g/100 L. When combined, axial and centrifugal pumping principles produce better hydrodynamic performance without increasing hemolysis.
Assuntos
Ponte Cardiopulmonar/instrumentação , Coração Auxiliar , Hemólise , Animais , Velocidade do Fluxo Sanguíneo , Ponte Cardiopulmonar/efeitos adversos , Bovinos , Coração Auxiliar/efeitos adversos , Hemorreologia , Hidrodinâmica , Magnetismo , Teste de Materiais , Pressão , Desenho de Prótese , RotaçãoRESUMO
This article presents improvement on a physical cardiovascular simulator (PCS) system. Intraventricular pressure versus intraventricular volume (PxV) loop was obtained to evaluate performance of a pulsatile chamber mimicking the human left ventricle. PxV loop shows heart contractility and is normally used to evaluate heart performance. In many heart diseases, the stroke volume decreases because of low heart contractility. This pathological situation must be simulated by the PCS in order to evaluate the assistance provided by a ventricular assist device (VAD). The PCS system is automatically controlled by a computer and is an auxiliary tool for VAD control strategies development. This PCS system is according to a Windkessel model where lumped parameters are used for cardiovascular system analysis. Peripheral resistance, arteries compliance, and fluid inertance are simulated. The simulator has an actuator with a roller screw and brushless direct current motor, and the stroke volume is regulated by the actuator displacement. Internal pressure and volume measurements are monitored to obtain the PxV loop. Left chamber internal pressure is directly obtained by pressure transducer; however, internal volume has been obtained indirectly by using a linear variable differential transformer, which senses the diaphragm displacement. Correlations between the internal volume and diaphragm position are made. LabVIEW integrates these signals and shows the pressure versus internal volume loop. The results that have been obtained from the PCS system show PxV loops at different ventricle elastances, making possible the simulation of pathological situations. A preliminary test with a pulsatile VAD attached to PCS system was made.
Assuntos
Cardiopatias/fisiopatologia , Hemodinâmica , Modelos Cardiovasculares , Volume Sistólico , Função Ventricular Esquerda , Pressão Ventricular , Complacência (Medida de Distensibilidade) , Cardiopatias/terapia , Coração Auxiliar , Humanos , Teste de Materiais , Microcomputadores , Contração Miocárdica , Desenho de Prótese , Fluxo Pulsátil , Fatores de Tempo , Transdutores de Pressão , Resistência VascularRESUMO
This article presents improvement on a physical cardiovascular simulator (PCS) system. Intraventricular pressure versus intraventricular volume (PxV) loop was obtained to evaluate performance of a pulsatile chambermimicking the human left ventricle. PxV loop shows heart contractility and is normally used to evaluate heartperformance. In many heart diseases, the stroke volume decreases because of low heart contractility.This pathologicalsituation must be simulated by the PCS in order to evaluate the assistance provided by a ventricular assistdevice (VAD).The PCS system is automatically controlled by a computer and is an auxiliary tool for VAD controlstrategies development. This PCS system is according to a Windkessel model where lumped parameters are used for cardiovascular system analysis. Peripheral resistance, arteriescompliance, and fluid inertance are simulated.The simulator has an actuator with a roller screw and brushlessdirect current motor, and the stroke volume is regulated by the actuator displacement. Internal pressure and volume measurements are monitored to obtain the PxV loop. Left chamber internal pressure is directly obtained by pressure transducer; however, internal volume has been obtained indirectly by using a linear variable differential transformer, which senses the diaphragm displacement. Correlationsbetween the internal volume and diaphragm position are made. LabVIEW integrates these signals and shows the pressure versus internal volume loop. The results that have been obtained from the PCS system show PxV loops at different ventricle elastances, makingpossible the simulation of pathological situations. A preliminary test with a pulsatile VAD attached to PCS systemwas made.
Assuntos
Cardiologia , Pressão ArterialRESUMO
An implantable centrifugal blood pump hasbeen developed with original features for a left ventricularassist device. This pump is part of a multicenter and internationalstudy with the objective to offer simple, affordable,and reliable devices to developing countries. Previous computationalfluid dynamics investigations and wear evaluationin bearing system were performed followed byprototyping and in vitro tests. In addition, previous bloodtests for assessment of normalized index of hemolysis showresults of 0.0054 2.46 ¥ 10-3 mg/100 L. An electromechanicalactuator was tested in order to define the bestmotor topology and controller configuration. Three differenttopologies of brushless direct current motor (BLDCM)were analyzed.An electronic driver was tested in differentsituations, and the BLDCM had its mechanical propertiestested in a dynamometer. Prior to evaluation of performanceduring in vivo animal studies, anatomical studieswere necessary to achieve the best configuration and cannulationfor left ventricular assistance. The results wereconsidered satisfactory, and the next step is to test theperformance of the device in vivo.
Assuntos
Coração AuxiliarRESUMO
A new model of blood pump for cardiopulmonary bypass (CPB) application has been developed and evaluated in our laboratories. Inside the pump housing is a spiral impeller that is conically shaped and has threads on its surface. Worm gears provide an axial motion of the blood column. Rotational motion of the conical shape generates a centrifugal pumping effect and improves pumping performance. One annular magnet with six poles is inside the impeller, providing magnetic coupling to a brushless direct current motor. In order to study the pumping performance, a mock loop system was assembled. Mock loop was composed of Tygon tubes (Saint-Gobain Corporation, Courbevoie, France), oxygenator, digital flowmeter, pressure monitor, electronic driver, and adjustable clamp for flow control. Experiments were performed on six prototypes with small differences in their design. Each prototype was tested and flow and pressure data were obtained for rotational speed of 1000, 1500, 2000, 2500, and 3000 rpm. Hemolysis was studied using pumps with different internal gap sizes (1.35, 1.45, 1.55, and 1.7 mm). Hemolysis tests simulated CPB application with flow rate of 5 L/min against total pressure head of 350 mm Hg. The results from six prototypes were satisfactory, compared to the results from the literature. However, prototype #6 showed the best results. Best hemolysis results were observed with a gap of 1.45 mm, and showed a normalized index of hemolysis of 0.013 g/100 L. When combined, axial and centrifugal pumping principles produce better hydrodynamic performance without increasing hemolysis.
Assuntos
Bombas Centrífugas , Hemólise , SangueRESUMO
A new digital computer mock circulatory system has been developed in order to replicate the physiologic and pathophysiologic characteristics of the human cardiovascular system. The computer performs the acquisition of pressure, flow, and temperature in an open loop system. A computer program has been developed in Labview programing environment to evaluate all these physical parameters. The acquisition system was composed of pressure, flow, and temperature sensors and also signal conditioning modules. In this study, some results of flow, cardiac frequencies, pressures, and temperature were evaluated according to physiologic ventricular states.The results were compared with literature data. In further works, performance investigations will be conducted on a ventricular assist device and endoprosthesis. Also, this device should allow for evaluation of several kinds of vascular diseases.
Assuntos
Circulação Sanguínea , Fluxo Pulsátil , HemodinâmicaRESUMO
A new digital computer mock circulatory system has been developed in order to replicate the physiologic and pathophysiologic characteristics of the human cardiovascular system. The computer performs the acquisition of pressure, flow, and temperature in an open loop system. A computer program has been developed in Labview programming environment to evaluate all these physical parameters. The acquisition system was composed of pressure, flow, and temperature sensors and also signal conditioning modules. In this study, some results of flow, cardiac frequencies, pressures, and temperature were evaluated according to physiologic ventricular states. The results were compared with literature data. In further works, performance investigations will be conducted on a ventricular assist device and endoprosthesis. Also, this device should allow for evaluation of several kinds of vascular diseases.
Assuntos
Simulação por Computador , Modelos Cardiovasculares , Processamento de Sinais Assistido por Computador/instrumentação , Software , Circulação Sanguínea/fisiologia , Pressão Sanguínea/fisiologia , Prótese Vascular , Sistema Cardiovascular/fisiopatologia , Complacência (Medida de Distensibilidade) , Fluxômetros , Frequência Cardíaca/fisiologia , Coração Auxiliar , Hemodinâmica/fisiologia , Humanos , Fluxo Pulsátil , Reologia , Temperatura , Doenças Vasculares/fisiopatologia , Resistência Vascular/fisiologia , ViscosidadeRESUMO
In the development of a ventricular assist device, computational fluid dynamics (CFD) analysis is an efficient tool to obtain the best design before making the final prototype. In this study, different designs of a centrifugal blood pump were developed to investigate flow characteristics and performance. This study assumed the blood flow as being an incompressible homogeneous Newtonian fluid. A constant velocity was applied at the inlet; no slip boundary conditions were applied at device wall; and pressure boundary conditions were applied at the outlet. The CFD code used in this work was based on the finite volume method. In the future, the results of CFD analysis can be compared with flow visualization and hemolysis tests.
Assuntos
Bombas Centrífugas , HemodinâmicaRESUMO
This article presents a back-electromotive force (BEMF)-based technique of detection for sensorless brushless direct current motor (BLDCM) drivers. The BLDCM has been chosen as the energy converter in rotary or pulsatile blood pumps that use electrical motors for pumping. However, in order to operate properly, the BLDCM driver needs to know the shaft position. Usually, that information is obtained through a set of Hall sensors assembled close to the rotor and connected to the electronic controller by wires. Sometimes, a large distance between the motor and controller makes the system susceptible to interference on the sensor signal because of winding current switching. Thus, the goal of the sensorless technique presented in this study is to avoid this problem. First, the operation of BLDCM was evaluated on the electronic simulator PSpice. Then, a BEMF detector circuitry was assembled in our laboratories. For the tests, a sensordependent system was assembled where the direct comparison between the Hall sensors signals and the detected signals was performed. The obtained results showed that the output sensorless detector signals are very similar to the Hall signals at speeds of more than 2500 rpm. Therefore, the sensorless technique is recommended as a responsible or redundant system to be used in rotary blood pumps.
Assuntos
Coração ArtificialRESUMO
A new dual impeller centrifugal blood pump has been developed as a research collaboration between Baylor College of Medicine and Institute Dante Pazzanese of Cardiology for long-term left ventricle assist device (LVAD). A design feature of this new pump is a dual impeller that aims to minimize a stagnant flow pattern around the inlet port. Several different materials were tested in order to adopt a double pivot bearing design originally developed by Prof. Dr. Yukihiko Nosé from Baylor College of Medicine. Hydraulic performance tests were conducted with two different inlet ports' angle configurations 30 degrees and 45 degrees . Pump with inlet port angle of 45 degrees achieved best values of pressure ahead and flow after 1800 rpm. Preliminary hemolysis tests were conducted using human blood. The pump showed good performance results and no alarming trace of hemolysis, proving to be a feasible long-term LVAD.
Assuntos
Materiais Biocompatíveis , Cerâmica/química , Coração Auxiliar/efeitos adversos , Hemólise , Polímeros/química , Centrifugação , Desenho de Equipamento , Estudos de Viabilidade , Hemorreologia , Humanos , Teste de Materiais , Projetos Piloto , Pressão , Rotação , Estresse Mecânico , Fatores de TempoRESUMO
In the development of a ventricular assist device, computational fluid dynamics (CFD) analysis is an efficient tool to obtain the best design before making the final prototype. In this study, different designs of a centrifugal blood pump were developed to investigate flow characteristics and performance. This study assumed the blood flow as being an incompressible homogeneous Newtonian fluid. A constant velocity was applied at the inlet; no slip boundary conditions were applied at device wall; and pressure boundary conditions were applied at the outlet. The CFD code used in this work was based on the finite volume method. In the future, the results of CFD analysis can be compared with flow visualization and hemolysis tests.