Center for Regenerative Medicine, Department of Surgery, Massachusetts General Hospital, Boston, MA 02114, USA.
Lab Chip. 2011 Feb 21;11(4):700-7. doi: 10.1039/c0lc00158a. Epub 2010 Dec 13.
There is no technology available to support failing lung function for patients outside the hospital. An implantable lung assist device would augment lung function as a bridge to transplant or possible destination therapy. Utilizing biomimetic design principles, a microfluidic vascular network was developed for blood inflow from the pulmonary artery and blood return to the left atrium. Computational fluid dynamics analysis was used to optimize blood flow within the vascular network. A micro milled variable depth mold with 3D features was created to achieve both physiologic blood flow and shear stress. Gas exchange occurs across a thin silicone membrane between the vascular network and adjacent alveolar chamber with flowing oxygen. The device had a surface area of 23.1 cm(2) and respiratory membrane thickness of 8.7 ± 1.2 μm. Carbon dioxide transfer within the device was 156 ml min(-1) m(-2) and the oxygen transfer was 34 ml min(-1) m(-2). A lung assist device based on tissue engineering architecture achieves gas exchange comparable to hollow fiber oxygenators yet does so while maintaining physiologic blood flow. This device may be scaled up to create an implantable ambulatory lung assist device.
目前尚无技术可用于支持医院外的肺功能衰竭患者。植入式肺辅助装置可作为移植或可能的治疗目的地的桥梁来增强肺功能。利用仿生设计原理,开发了一个微流控血管网络,用于从肺动脉流入血液和血液回流到左心房。使用计算流体动力学分析来优化血管网络内的血流。创建了具有 3D 特征的微铣削可变深度模具,以实现生理血流和剪切力。血管网络和相邻肺泡腔之间的薄硅橡胶膜可实现气体交换,并使氧气流动。该装置的表面积为 23.1 cm²,呼吸膜厚度为 8.7 ± 1.2 μm。该装置内的二氧化碳转移速率为 156 ml min⁻¹ m⁻²,氧气转移速率为 34 ml min⁻¹ m⁻²。基于组织工程结构的肺辅助装置可实现与中空纤维氧合器相当的气体交换,但同时保持生理血流。该装置可以放大,以创建可植入的可移动肺辅助装置。