scholarly journals Methodology for measuring the gap size using a fiber-optic displacement sensor exemplified by a centrifugal blood pump

2020 ◽  
Vol 12 (2) ◽  
pp. 46
Author(s):  
Maciej Gawlikowski ◽  
Przemysław Kurtyka ◽  
Jerzy Zalewski ◽  
Magda Zarwańska-Doffek ◽  
Artur Kapis
Keyword(s):  
Heart Failure ◽  
Ventricular Assist Device ◽  
Fiber Optic ◽  
Displacement Sensor ◽  
Blood Pump ◽  
Rotary Blood Pump ◽  
Assist Device ◽  
Ventricular Assist ◽  
Blood Pumps ◽  
Rotary Blood Pumps

In order to avoid blood clotting, in the second generation of rotary blood pumps the impeller is suspended without mechanical bearing, using balance of magnetic and hydrodynamic forces. Reaching single tens of microns gap between pump housing and impeller is crucial for level of blood traumatization by the pump. In this paper we would like to present the method of physical measurement of this gap on a running pump with the use of commercial fiber-optic proximity sensor on the example of Polish rotary blood pump ReligaHeart ROT. We also discussed technical requirements of the construction of laboratory stand. Full Text: PDF ReferencesS. Westaby, "Rotary blood pumps as definitive treatment for severe heart failure", Future Cardiol. 9, 2 (2013). CrossRef R. Delgado, M. Bergheim, "HeartMate® II left ventricular assist device: a new device for advanced heart failure", Epert Rev. Med. Devices, 2, 5 (2005). CrossRef M. Ozban, T. Yagdi, C. Engin et al, Transplant proc., 44, 6 (2012). CrossRef A.T. Lanfear, M. Hamandi, J. Fan et al., "Trends in HeartMate 3: What we know so far", J. Card. Surg., 35, 1 (2020). CrossRef Ch. Zengsheng, S. Anqiang, W. Hongyu, "Non-physiological shear stress-induced blood damage in ventricular assist device", Medicine in Novel Technology and Devices, 3 (2019). CrossRef A. M. Robertson, A. Sequeira, R. G. Owens, Rheological models of blood In: L. Formaggia, A. Quarteroni, A Veneziani (eds) Cardiovascular Mathematics (Milano, Springer-Verlag 2009) CrossRef M. Gawlikowski et al., "Necessity of telemonitoring in patients treated by means of cardiac assist systems on the example of Polish rotary blood pump ReligaHeart ROT", Advances in Intelligent Systems and Computing, 925 (2019). CrossRef R. Kustosz, et al., "The tin coating utilisation as blood contact surface modification in implantable rotary left ventricle assist device religaheart ROT", Arch. Matall. Mater., 60, 3 (2015). CrossRef S. S. Patil, A. D. Shaligram, "Analytical study of performance variations of fiber optic micro-displacement sensor configurations using mathematical modeling and an experimental test jig", IJSER, 4, 11 (2013). DirectLink Philtec Application Note, 6, 25 (2017) CrossRef

Computational Fluid Dynamics Analyses of a Micro Pediatric Ventricular Assist Blood Pump

2011 ◽  
Author(s):  
Xiao-chen Yang ◽  
Yan Zhang ◽  
Xing-min Gui ◽  
Sheng-shou Hu
Keyword(s):  
Fluid Dynamics ◽  
Heart Failure ◽  
Computational Fluid Dynamics ◽  
Blood Pump ◽  
Ventricular Assist ◽  
Blood Pumps ◽  
Blade Tip ◽  
Hemolytic Property ◽  
Rotary Blood Pumps ◽  
Dynamics Analyses

The heart failure patients supported by the mechanical rotary blood pumps have been validated and investigated in recent decades. A series of adult blood pumps have been investigated in our research group in the last several years and one of them is currently under clinical trials. This present paper aimed at analyzing a micro pediatric blood pump (MPBP) with Computational fluid dynamics (CFD) tool. MPBP is developed to assist the ventricular according to the practice of pediatric heart failure in Fuwai Hospital of Chinese Academy of Medical Sciences. The blade tip diameter of the MPBP is 10 mm. Some advanced structures proposed in our adult blood pumps were further improved in the MPBP and a cantilevered stator applied in the blood pump is a novel try. The results of the numerical simulation show that the MPBP can generate the flow rates of 0.74–3.21 lpm at the rotational speeds of 9,000–11,000 rpm, producing the pressure rises of 36.9–89.7 mmHg. The structural advantage, hydraulic performance and hemolytic property of the MPBP were analyzed in detail. Overall, the attempt of the cantilevered stator blade improved the performance of the blood pump effectively and the MPBP deserves a promising prospect.

Investigation of Hemocompatibility of Rotary Blood Pumps: The Case of the Sputnik Ventricular Assist Device

2019 ◽  
Vol 53 (3) ◽  
pp. 181-184
Author(s):  
M. V. Denisov ◽  
D. V. Telyshev ◽  
S. V. Selishchev ◽  
A. N. Romanova
Keyword(s):  
Ventricular Assist Device ◽  
Assist Device ◽  
Ventricular Assist ◽  
Blood Pumps ◽  
Rotary Blood Pumps

scholarly journals Pediatric Palliative Care in the Heart Failure, Ventricular Assist Device and Transplant Populations: Supporting Patients, Families and Their Clinical Teams

Children ◽  
2021 ◽  
Vol 8 (6) ◽  
pp. 468
Author(s):  
Kyle D. Hope ◽  
Priya N. Bhat ◽  
William J. Dreyer ◽  
Barbara A. Elias ◽  
Jaime L. Jump ◽  
...  
Keyword(s):  
Heart Failure ◽  
Palliative Care ◽  
Heart Transplantation ◽  
Ventricular Assist Device ◽  
Mechanical Circulatory Support ◽  
Pediatric Palliative Care ◽  
Circulatory Support ◽  
Assist Device ◽  
Ventricular Assist ◽  
Patients With Heart Failure

Heart failure is a life-changing diagnosis for a child and their family. Pediatric patients with heart failure experience significant morbidity and frequent hospitalizations, and many require advanced therapies such as mechanical circulatory support and/or heart transplantation. Pediatric palliative care is an integral resource for the care of patients with heart failure along its continuum. This includes support during the grief of a new diagnosis in a child critically ill with decompensated heart failure, discussion of goals of care and the complexities of mechanical circulatory support, the pensive wait for heart transplantation, and symptom management and psychosocial support throughout the journey. In this article, we discuss the scope of pediatric palliative care in the realm of pediatric heart failure, ventricular assist device (VAD) support, and heart transplantation. We review the limited, albeit growing, literature in this field, with an added focus on difficult conversation and decision support surrounding re-transplantation, HF in young adults with congenital heart disease, the possibility of destination therapy VAD, and the grimmest decision of VAD de-activation.

833 Evolution of sleep disordered breathing types in heart failure

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A324-A325
Author(s):  
Pratibha Anne ◽  
Rupa Koothirezhi ◽  
Ugorji Okorie ◽  
Minh Tam Ho ◽  
Brittany Monceaux ◽  
...  
Keyword(s):  
Heart Failure ◽  
Sleep Apnea ◽  
Left Ventricular Assist Device ◽  
Ventricular Assist Device ◽  
Central Sleep Apnea ◽  
Sleep Apnoea ◽  
Left Ventricular ◽  
Assist Device ◽  
Ventricular Assist ◽  
Left Ventricular Assist

Abstract Introduction Central sleep apnea is commonly seen in patients with heart failure. Here we present a case demonstrating shifting of predominant apneic events from central to obstructive type after placement of left ventricular assist device (LVAD) in end stage heart failure patient. Report of case(s) Case Presentation: 66 year-old African American male has past medical history of chronic congestive heart failure diabetes, hypertension, paroxysmal atrial fibrillation, anemia, hypothyroidism, chronic kidney disease and sleep apnea. Prior to his LVAD placement, his left ventricular ejection fraction (EF) was <10%. Patient was diagnosed with central sleep apnea with AHI of 58 (with 92% of apneic events being central events), oxygen nadir of 74%. Subsequently, patient had LVAD placed for symptomatic heart failure and repeat polysomnogram repeated at six month demonstrated an improved AHI of 45.8 with predominantly obstructive and mixed apneic events, with only 12.5% being central events. Conclusion This case report highlights not only the improvement of the sleep apnea in CHF treated with LVAD but also shows the shift of apneic events from predominantly central to obstructive type post LVAD. Support (if any) 1. Henein MY, Westaby S, Poole-Wilson PA, Cowie MR, Simonds AK. Resolution of central sleep apnoea following implantation of a left ventricular assist device. Int J Cardiol. 2010 Feb 4;138(3):317–9. PMID: 18752859. 2. Köhnlein T, Welte T, Tan LB, Elliott MW. Central sleep apnoea syndrome in patients with chronic heart disease: a critical review of the current literature. Thorax. 2002 Jun;57(6):547–54. PMID: 12037232 3. Monda C, Scala O, Paolillo S, Savarese G, Cecere M, D’Amore C, Parente A, Musella F, Mosca S, Filardi PP. Apnee notturne e scompenso cardiaco: fisiopatologia, diagnosi e terapia [Sleep apnea and heart failure: pathophysiology, diagnosis and therapy]. G Ital Cardiol (Rome). 2010 Nov;11(11):815–22. Italian. PMID: 21348318.

Sign in / Sign up

Export Citation Format

Share Document