Miura H, Shiraishi Y, Yambe T, Chen J X, Sugai T K
Institute of Development, Aging and Cancer, Tohoku University, Sendai 9808575, JPN.
Annu Int Conf IEEE Eng Med Biol Soc. 2011;2011:1351-4. doi: 10.1109/IEMBS.2011.6090318.
Rotary blood pumps which have contact-less suspension are small, durable and widely used for left ventricular assist devices (LVADs). In order to design a total artificial heart (TAH) with rotary blood pumps, two pumps one for each ventricle, are controlled independently. Some of the challenges for the development of a TAH includes the requirement of a small size and the anatomical fitting of inlets and outlets which should be arranged closely on the circumference in the same direction. And they should be combined into a unit. In this paper, a helical flow total artificial heart (HFTAH) combing two centrifugal pumps with helical inlet in face is proposed in order to achieve a smaller TAH. To examine the pump performance, a preliminary test model for left ventricle was built, the size of the pump was 69.0mm in diameter and 45.0mm height. The size of the impeller was 44.0mm in diameter and 23.0mm height including a 15.0mm-height hydrodynamic bearing. The pump was externally driven by a direct current motor. 5.0L/min flow rate against 100mmHg pressure difference was obtained, where the total power consumption was 5.0W, the system efficiency was 23% with a rotational speed of 2070rpm. In this system, maximum pressure head, flow rate and efficiency were 420mmHg, 15.0L/min and 26%, respectively. In acute animal experiments with three healthy adult goats, the total biventricular bypass assist system using the pumps was able to maintain the maximum aortic flow at approximately 5.0L/min, and the pulmonary arterial flow at approximately 4.6L/min, the mean aorta pressure was 105mmHg, and the mean pulmonary artery pressure was 51mmHg. The development of the control method is undergoing, and a driving system and the pump aiming at the chronic animal experiments will be developed.
具有非接触式悬浮的旋转血泵体积小、耐用,广泛应用于左心室辅助装置(LVAD)。为了设计一种采用旋转血泵的全人工心脏(TAH),两个泵分别用于每个心室,独立控制。TAH开发面临的一些挑战包括尺寸小的要求以及入口和出口的解剖学适配,它们应在圆周上沿同一方向紧密排列。并且它们应组合成一个单元。本文提出了一种将两个带有螺旋形入口的离心泵面对面组合的螺旋流全人工心脏(HFTAH),以实现更小的TAH。为了测试泵的性能,构建了左心室的初步测试模型,泵的尺寸为直径69.0mm,高度45.0mm。叶轮尺寸为直径44.0mm,高度23.0mm,包括一个15.0mm高的流体动力轴承。该泵由直流电机外部驱动。在100mmHg的压差下获得了5.0L/min的流速,总功耗为5.0W,系统效率为23%,转速为2070rpm。在该系统中,最大压头、流速和效率分别为420mmHg、15.0L/min和26%。在对三只健康成年山羊进行的急性动物实验中,使用该泵的双心室全旁路辅助系统能够将最大主动脉流量维持在约5.0L/min,肺动脉流量维持在约4.6L/min,平均主动脉压力为105mmHg,平均肺动脉压力为51mmHg。控制方法的开发正在进行中,将开发用于慢性动物实验的驱动系统和泵。