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一种用于气动驱动左心室辅助装置的容积传感器。

A volume sensor for a pneumatically driven LVAD.

作者信息

Buck K E, Hill J D, Robinson T C, Litwak P, Fountain G

出版信息

Trans Am Soc Artif Intern Organs. 1979;25:260-5. doi: 10.1097/00002480-197902500-00047.

Abstract

The volume sensor has proven to be a valuable tool in the operation and characterization of our pneumatically driven LVAD. It compensates for the decoupling between driver and LVAD that occurs in pneumatically actuated LVADs due to gas compressibility. Uses to which we have put the volume sensor represent only a small fraction of the potential applications. Additional uses contemplated include: Use as an alternate or backup for the R-wave detection network currently used to achieve synchronization with the natural heart. This could be done by starting the LVAD ejection phase when the filling flow rate drops below a given threshold, indicating that the left ventricle has finished filling the LVAD. Use for feedback for closed loop control of plate motion. Such control could reduce actuation delays without overdriving the LVAD. Use as a diagnostic tool to aid in the study of the LVAD and its interaction with the cardiovascular system. When used in conjunction with information on left ventricular, aortic, and drive pressures, it is possible to determine the resistance, inertia and compliant characteristics of the major elements of the LVAD and the vascular system to which it is joined.

摘要

体积传感器已被证明是我们的气动左心室辅助装置(LVAD)操作和特性分析中的一个有价值的工具。它补偿了由于气体可压缩性而在气动驱动的LVAD中驱动装置与LVAD之间发生的解耦。我们对体积传感器的应用仅占潜在应用的一小部分。设想的其他用途包括:用作当前用于与自然心脏实现同步的R波检测网络的替代或备用方案。这可以通过在充盈流速降至给定阈值以下时启动LVAD射血阶段来实现,这表明左心室已完成对LVAD的充盈。用于平板运动闭环控制的反馈。这种控制可以减少驱动延迟而不会过度驱动LVAD。用作诊断工具,以帮助研究LVAD及其与心血管系统的相互作用。当与左心室、主动脉和驱动压力信息结合使用时,可以确定LVAD及其连接的血管系统主要元件的阻力、惯性和顺应性特征。

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