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表面粗糙度对枢轴轴承支撑的陀螺离心泵(C1E3)溶血的影响。

Effect of surface roughness on hemolysis in a pivot bearing supported Gyro centrifugal pump (C1E3).

作者信息

Takami Y, Makinouchi K, Nakazawa T, Glueck J, Benkowski R, Nosé Y

机构信息

Baylor College of Medicine, Department of Surgery, Houston, Texas, USA.

出版信息

Artif Organs. 1996 Nov;20(11):1155-61. doi: 10.1111/j.1525-1594.1996.tb00655.x.

Abstract

The blood contacting surface quality is an important pump parameter for blood compatibility and cell damage. This study investigates the surface roughness and the effect it has on hemolysis in a centrifugal blood pump. In vitro hemolysis tests were performed with a pivot bearing supported Gyro centrifugal pump (C1E3) simulating cardiopulmonary bypass (CPB; 5 L/min, 350 mm Hg) and left ventricular assist device (LVAD; 5 L/min, 100 mm Hg) conditions. To produce 4 different grades of surface roughness, the impellers and housings were subjected to vapor polishing, sand papering, fine sand blasting, or coarse sand blasting. Seven pumps were assembled with different impeller and housing surfaces. These surfaces were then examined by a surface profile instrument and a scanning electron microscope. The results of this study are as follows. First, the effect of surface roughness on hemolysis was significantly greater in the CPB condition than in the LVAD condition. Second, surface roughness, regardless of whether it is the impeller or pump housing, had little effect on hemolysis in the LVAD condition. Third, in the CPB condition, the surface roughness of the pump housing has a greater effect on hemolysis than does that of the impeller. From a hemolytic point of view, an extremely smooth pump housing is required for use of an impeller type centrifugal pump as a CPB device. In contrast, it is conceivable that a smooth surface is not always essential for an impeller type centrifugal pump that is used as an LVAD.

摘要

血液接触表面质量是影响血液相容性和细胞损伤的一个重要泵参数。本研究调查了离心血泵的表面粗糙度及其对溶血的影响。使用枢轴轴承支撑的陀螺离心泵(C1E3)进行体外溶血试验,模拟体外循环(CPB;5 L/分钟,350毫米汞柱)和左心室辅助装置(LVAD;5 L/分钟,100毫米汞柱)的工况。为了产生4种不同等级的表面粗糙度,对叶轮和泵壳进行了蒸汽抛光、砂纸打磨、精细喷砂或粗喷砂处理。组装了7台具有不同叶轮和泵壳表面的泵。然后用表面轮廓仪和扫描电子显微镜对这些表面进行检查。本研究结果如下。第一,在CPB工况下,表面粗糙度对溶血的影响显著大于LVAD工况。第二,无论表面粗糙度是在叶轮还是泵壳上,在LVAD工况下对溶血的影响都很小。第三,在CPB工况下,泵壳的表面粗糙度对溶血的影响大于叶轮。从溶血的角度来看,将叶轮式离心泵用作CPB装置时需要一个极其光滑的泵壳。相比之下,可以想象,对于用作LVAD的叶轮式离心泵来说,光滑表面并非总是必不可少的。

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