Hayashi K, Snow J, Washizu T, Jacobs G B, Kiraly R J, Nosé Y
Med Instrum. 1977 Jul-Aug;11(4):202-7.
The design of an intrathoracic left ventricular assist device (LVAD) is briefly described. The unique feature of the LVAD is that all blood-contacting surfaces are biolized, having either chemically treated natural tissues or protein coatings. The blood-contacting surface of the housing is glutaraldehyde-treated pericardium and is covered with natural rubber and polyurethane. Tri-leaflet valves fabricated from human dura mater are used at the pump inlet; glutaraldehyde-treated bovine aortic valves are used at the outlet. The pumping diaphragm, made of polyolefin rubber with a textured surface, is coated with gelatin and treated with glutaraldehyde. Anticoagulants are not used with this device. Extensive in vivo and in vitro testing in the development of the pumps led to the current configuration having good performance, long life, and improved blood compatibility.
简要介绍了一种胸腔内左心室辅助装置(LVAD)的设计。该LVAD的独特之处在于,所有与血液接触的表面都经过生物化处理,采用了化学处理的天然组织或蛋白质涂层。外壳的血液接触表面是经戊二醛处理的心包,并覆盖有天然橡胶和聚氨酯。泵的入口使用由人硬脑膜制成的三叶瓣膜;出口使用经戊二醛处理的牛主动脉瓣膜。由具有纹理表面的聚烯烃橡胶制成的泵膜片涂有明胶并经戊二醛处理。该装置不使用抗凝剂。在泵的研发过程中进行了广泛的体内和体外测试,使得当前配置具有良好的性能、长寿命和改善的血液相容性。