Hoshi Hideo, Asama Junichi, Hijikata Wataru, Hara Chikara, Shinshi Tadahiko, Yasuda Toshitaka, Ohuchi Katsuhiro, Shimokohbe Akira, Takatani Setsuo
Department of Artificial Organs, Institute of Biomaterials and Bioengineering, Tokyo Medical and Dental University, Chiyoda, Tokyo, Japan.
Artif Organs. 2006 Dec;30(12):949-54. doi: 10.1111/j.1525-1594.2006.00332.x.
Mechanical shaft seal bearing incorporated in the centrifugal blood pumps contributes to hemolysis and thrombus formation. In addition, the problem of durability and corrosion of mechanical shaft seal bearing has been recently reported from the safety point of view. To amend the shortcomings of the blood-immersed mechanical bearings, a magnetic levitated centrifugal rotary blood pump (MedTech Dispo Model 1; Tokyo Medical and Dental University, Tokyo, Japan) has been developed for extracorporeal disposable application. In this study, the hemolytic performance of the MedTech Dispo Model 1 centrifugal blood pump system was evaluated, with special focus on the narrow blood path clearance at the magnetic bearing between rotor and stator, and on the pump housing surface roughness. A pump flow of 5 L/min against the head pressure of 100 mm Hg for 4 h was included in the hemolytic test conditions. Anticoagulated fresh porcine blood was used as a working fluid. The clearance of blood path at the magnetic bearing was in the range of 100-250 micro m. Pump housing surface roughness was controlled to be around Ra = 0.1-1.5 micro m. The lowest hemolytic results were obtained at the clearance of 250 micro m and with the polished surface (Ra = 0.1 micro m) yielding the normalized index of hemolysis (NIH) of less than 0.001 g/100 L, which was 1/5 of the Biopump BP-80 (Medtronic Inc., Minneapolis, MN, USA, and 1/4 of the BPX-80. In spite of rough surface and narrow blood path, NIH levels were less than clinically acceptable level of 0.005 g/100 L. The noncontact, levitated impeller system is useful to improve pump performance in blood environment.
离心式血泵中使用的机械轴封轴承会导致溶血和血栓形成。此外,从安全角度来看,最近有报道称机械轴封轴承存在耐久性和腐蚀问题。为了弥补血液浸没式机械轴承的缺点,已开发出一种磁悬浮离心式旋转血泵(MedTech Dispo Model 1;日本东京医科齿科大学)用于体外一次性应用。在本研究中,对MedTech Dispo Model 1离心式血泵系统的溶血性能进行了评估,特别关注转子和定子之间磁轴承处狭窄的血液路径间隙以及泵壳表面粗糙度。溶血试验条件包括在100 mmHg的扬程压力下以5 L/min的泵流量运行4小时。抗凝新鲜猪血用作工作流体。磁轴承处血液路径的间隙在100 - 250微米范围内。泵壳表面粗糙度控制在Ra = 0.1 - 1.5微米左右。在间隙为250微米且表面抛光(Ra = 0.1微米)时获得了最低的溶血结果,溶血标准化指数(NIH)小于0.001 g/100 L,这是Biopump BP - 80(美国美敦力公司,明尼阿波利斯,MN)的1/5,是BPX - 80的1/4。尽管表面粗糙且血液路径狭窄,但NIH水平低于临床可接受水平0.005 g/100 L。非接触式悬浮叶轮系统有助于改善血泵在血液环境中的性能。