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基于心内血流的心脏起搏电磁能量收集机制。

An Intracardiac Flow Based Electromagnetic Energy Harvesting Mechanism for Cardiac Pacing.

出版信息

IEEE Trans Biomed Eng. 2019 Feb;66(2):530-538. doi: 10.1109/TBME.2018.2849868. Epub 2018 Jun 22.

Abstract

Contemporary cardiac implantable electronic devices such as pacemakers or event recorders are powered by primary batteries. Device replacement due to battery depletion may cause complications and is costly. The goal of energy harvesting devices is to power the implant with energy from intracorporeal power sources such as vibrations and blood flow. By replacing primary batteries with energy harvesters, reinterventions can be avoided and the size of the total device might be reduced. This paper introduces a device with a lever, which is deflected by the blood stream within the right ventricular outflow tract (RVOT), an attractive site for cardiac pacing. The resulting torque is converted to electrical energy by an electromagnetic mechanism. The blood flow harvester weighs 6.4 g and has a volume of 2 cm, making the harvester small enough for catheter implantation. It was tested in an experimental setup mimicking flow conditions in the RVOT. The blood flow harvester generated a mean power of 14.39 ± 8.38 μW at 60 bpm (1 Hz) and up to 82.64 ± 17.14 μW at 200 bpm (3.33 Hz) during bench experiments at 1 m/s peak flow velocity. Therefore, it presents a viable alternative to power batteryless and leadless cardiac pacemakers.

摘要

当代心脏植入式电子设备,如起搏器或事件记录器,均由原电池供电。由于电池耗尽而导致的设备更换可能会引发并发症,且成本高昂。能量采集设备的目标是以体内电源(如振动和血流)为植入物提供能量。通过用能量采集器取代原电池,可以避免再次干预,并且整个设备的体积可能会缩小。本文介绍了一种带有杠杆的装置,该杠杆由右心室流出道(RVOT)内的血流偏转,RVOT 是心脏起搏的一个有吸引力的部位。产生的扭矩通过电磁机构转换为电能。血流采集器重 6.4 克,体积为 2 立方厘米,使其足够小,可通过导管植入。它在模拟 RVOT 中血流条件的实验装置中进行了测试。血流采集器在 1 m/s 峰值流速的台架实验中以 60 bpm(1 Hz)产生平均功率 14.39 ± 8.38 μW,以 200 bpm(3.33 Hz)产生高达 82.64 ± 17.14 μW。因此,它为无电池和无引线心脏起搏器提供了一种可行的替代方案。

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