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一种基于吸力检测的旋转式血泵控制系统。

A control system for rotary blood pumps based on suction detection.

作者信息

Ferreira Antonio, Boston J Robert, Antaki James F

机构信息

Department of Mathematics, Federal University of Maranhão, Sao Luis 65.080-040, Brazil.

出版信息

IEEE Trans Biomed Eng. 2009 Mar;56(3):656-65. doi: 10.1109/TBME.2008.2005960. Epub 2008 Oct 3.

Abstract

A control system for rotary ventricular assist devices was developed to automatically regulate the pumping speed of the device to avoid ventricular suction. The control system comprises a suction detector and a fuzzy logic controller (FLC). The suction detector can correctly classify pump flow patterns, using a discriminant analysis (DA) model that combines several indices derived from the pump flow signal, to classify the pump status as one of the following: no suction (NS), moderate suction (MS), and severe suction (SS). The discriminant scores, which are the output of the suction detector, were used as inputs to the FLC. Based on this information, the controller updates pump speed, providing adequate flow and pressure perfusion to the patient. The performance of the control system was tested in simulations over a wide range of physiological conditions, including hypertension, exercise, and strenuous exercising for healthy, sick, and very sick hearts, using a lumped parameter model of the circulatory system coupled with a left ventricular assist device. The controller was able to maintain cardiac output and mean arterial pressure within acceptable physiologic ranges, while avoiding suction, demonstrating the feasibility of the proposed control system.

摘要

开发了一种用于旋转式心室辅助装置的控制系统,以自动调节该装置的泵送速度,避免心室抽吸。该控制系统包括一个抽吸检测器和一个模糊逻辑控制器(FLC)。抽吸检测器能够利用一种判别分析(DA)模型正确地对泵的血流模式进行分类,该模型结合了从泵血流信号中得出的几个指标,将泵的状态分类为以下之一:无抽吸(NS)、中度抽吸(MS)和重度抽吸(SS)。作为抽吸检测器输出的判别分数被用作FLC的输入。基于此信息,控制器更新泵速,为患者提供足够的血流和压力灌注。使用与左心室辅助装置耦合的循环系统集总参数模型,在包括高血压、运动以及健康、患病和重病心脏的剧烈运动等广泛生理条件下的模拟中测试了该控制系统的性能。该控制器能够将心输出量和平均动脉压维持在可接受的生理范围内,同时避免抽吸,证明了所提出的控制系统的可行性。

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