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一种磁悬浮离心泵。体外和体内评估。

A magnetically suspended centrifugal pump. In vitro and in vivo assessment.

作者信息

Park C H, Nishimura K, Yamada T, Mizuhara H, Akamatsu T, Tsukiya T, Matsuda K, Ban T

机构信息

Department of Cardiovascular Surgery, Kyoto University Faculty of Medicine, Japan.

出版信息

ASAIO J. 1995 Jul-Sep;41(3):M345-50.

PMID:8573822
Abstract

To overcome problems derived from the shaft within conventional centrifugal pumps, we have developed a new centrifugal pump, the magnetically suspended centrifugal pump (MSCP), which has no shaft and operates as a bearingless centrifugal pump. The impeller is suspended freely and centrally by magnetic force within the pump. Hemolysis tests were performed in comparison with the Biopump. Index of hemolysis and destruction of platelets were significantly lower in the MSCP than in the Biopump. Animal studies were designed to evaluate the durability and antithrombogenicity of the MSCP. Short-term animal studies were performed using two mongrel dogs. Left heart bypass was established with the MSCP. After 3 hr, the layer of thrombus adherent to the surface of the polycarbonate impeller impaired pumping efficiency. However, using the impeller coated with silicone, no thrombus was observed on the impeller after continuous pumping for 24 hr. In addition, long-term animal studies were performed using two sheep. Left heart bypass was established with the MSCP containing an impeller coated with silicone. In one sheep, the MSCP ran for 14 days without problems in pumping performance and showed no thrombus within the pump. In the other sheep, the MSCP ran for 15 days, and showed no thrombus on the impeller. During each experiment, plasma free hemoglobin levels were less than 15 mg/dl. The MSCP induced less hemolysis than did the Biopump, and the MSCP containing an impeller coated with silicone demonstrated the potential to run for 14 days without thrombus formation within the pump.

摘要

为克服传统离心泵中轴带来的问题,我们研发了一种新型离心泵——磁悬浮离心泵(MSCP),它没有轴,作为无轴承离心泵运行。叶轮通过磁力自由且居中地悬浮在泵内。与生物泵相比进行了溶血试验。MSCP的溶血指数和血小板破坏程度明显低于生物泵。设计动物研究以评估MSCP的耐久性和抗血栓形成性。使用两只杂种狗进行了短期动物研究。用MSCP建立左心旁路。3小时后,附着在聚碳酸酯叶轮表面的血栓层降低了泵血效率。然而,使用涂有硅酮的叶轮,连续泵血24小时后,叶轮上未观察到血栓。此外,使用两只绵羊进行了长期动物研究。用装有涂有硅酮叶轮的MSCP建立左心旁路。在一只绵羊中,MSCP运行14天,泵血性能无问题,泵内未出现血栓。在另一只绵羊中,MSCP运行15天,叶轮上未出现血栓。在每个实验过程中,血浆游离血红蛋白水平低于15mg/dl。MSCP引起的溶血比生物泵少,装有涂有硅酮叶轮的MSCP显示出在泵内无血栓形成的情况下运行14天的潜力。

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