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血液相容性评估平台驱动系统设计:电机性能与溶血之间的权衡。

Hemocompatibility Assessment Platform Drive System Design: Trade-off between Motor Performance and Hemolysis.

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2021 Nov;2021:5539-5542. doi: 10.1109/EMBC46164.2021.9630400.

Abstract

Left ventricular assist devices (LVADs) have long been used to treat adults with heart failure, but LVAD options for pediatric patients with heart failure are lacking. Despite the urgent need for long-term, implantable pediatric LVADs, design challenges such as hemolysis, pump thrombosis, and bleeding persist. We have developed a Hemocompatibility Assessment Platform (HAP) to identify blood trauma from individual LVAD components. A HAP would aid in refining pump components before in vivo testing, thereby preventing unnecessary animal sacrifice and reducing development time and cost. So that the HAP does not confound hemolysis data, the HAP drive system consists of an enlarged air-gap motor coupled to a magnetic levitation system. Although it is known that an enlarged air gap motor will have diminished performance, while the larger gap in the motor will cause less blood damage, the trade-offs are not fully characterized. Therefore, in this study we evaluated these trade-offs to determine an optimal rotor diameter for the HAP drive motor. The motor performance was characterized with an experimental method by determining the torque constant for the HAP drive motor with varied rotor diameters. The torque threshold was set as 10 mNm to achieve a nominal current of 3.5A. Hemolysis in the HAP drive motor gap was estimated by calculating scalar shear stress generated in the HAP motor gap analytically and numerically. A design criterion of 30 Pa was selected for scalar shear stress to achieve minimal hemolysis and platelet activation in the HAP drive system.Clinical Relevance- We evaluated a Hemocompatibility Assessment Platform for developing LVAD prototypes that can best balance motor performance and hemocompatibility. This design method can assist with optimizing the drive system during the research stage and illustrates how motor geometry can be tuned to reduce blood trauma.

摘要

左心室辅助装置(LVAD)长期以来一直被用于治疗心力衰竭的成年人,但心力衰竭的儿科患者的 LVAD 选择有限。尽管迫切需要长期、可植入的儿科 LVAD,但仍存在溶血、泵血栓形成和出血等设计挑战。我们已经开发了一种血液相容性评估平台(HAP),以识别来自单个 LVAD 组件的血液创伤。HAP 将有助于在体内测试之前改进泵组件,从而避免不必要的动物牺牲并减少开发时间和成本。为了使 HAP 不会混淆溶血数据,HAP 驱动系统由一个与磁悬浮系统耦合的大气隙电机组成。尽管已知大气隙电机的性能会降低,而电机中的较大气隙会导致较少的血液损伤,但这些权衡尚未完全表征。因此,在这项研究中,我们评估了这些权衡,以确定 HAP 驱动电机的最佳转子直径。通过确定具有不同转子直径的 HAP 驱动电机的转矩常数,用实验方法对电机性能进行了表征。将转矩阈值设定为 10mNm,以实现标称电流 3.5A。通过在 HAP 电机间隙中分析和数值计算产生的标量剪切应力来估算 HAP 驱动电机中的溶血。选择 30Pa 的设计标准作为标量剪切应力,以在 HAP 驱动系统中实现最小的溶血和血小板激活。临床相关性-我们评估了一种血液相容性评估平台,用于开发可以最佳平衡电机性能和血液相容性的 LVAD 原型。这种设计方法可以在研究阶段协助优化驱动系统,并说明如何调整电机几何形状以减少血液创伤。

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