Search

Heart failure (HF),a chronic progressive disease,is a global health problem and the leading cause of deaths in the global population.The pathophysiological abnormalities of HF mainly include abnormal cardiac structure (myocardium and valves),disturbance of electrophysiological activities,and weakened myocardial contractility.In addition to drug therapy and heart transplantation,interventional therapies can be employed for advanced-stage HF,including transcatheter interventions and mechanical circulatory assist devices.This article introduces the devices used for advanced HF that have been marketed or certified as innovative or breakthrough devices around the world and summarizes the research status and prospects the trend in this field.As diversified combinations of HF devices are used for the treatment of advanced HF,considerations regarding individualized HF therapy,risk-benefit evaluation on device design,medical insurance payment,post-market supervision system,and protection of intellectual property rights of high-end technology are needed,which will boost the development of the technology and industry and benefit the patients.

Stainless steel has been widely used in non-active surgical implantable medical device of cardiovascular, orthopedics, dental and ophthalmology. In this paper, we mainly focused on development of stainless steel, as well as the material-related standard evolution. We further summarized the recent advancement of stainless steel use in surgical implantable medical device. Insight and regulatory perspective has been further demonstrated.

A coupling system of nonthermal plasma and a biotrickling filter was used to remove a gas mixture of chlorobenzene (CB) and dichloromethane (DCE). The effects of inlet gas concentration and gas flow rate on the removal of the target pollutants in the coupling system were investigated at the frequency of 10000 Hz and specific input energy (SIE) of 6111 J·L -1 . Furthermore, the advantages of the plasma-bio-coupled system were revealed by analyzing the relationship between the degradation products and SIE, biomass, or biodiversity in the biotrickling filter. The results showed that when the SIE and gas flow rate were constant, increasing the initial concentration would decrease the removal efficiency of the mixed gas. The optimal appropriate gas flow rate was 0.71 L·min -1 when considering the cost. The CO 2 production amount, CO 2 selectivity, and chloride ion concentration increased with the increase of SIE when both the CB and DCE concentrations were 500 mg·m -3 and the gas flow rate was 0.71 L·min -1 . The protein content of the biofilter column gradually increased as the reactor operation progressed, and the biomass of the lower layer was higher than that of the upper layer. The high-throughput sequencing analysis showed that the biological community in the biotrickling filter keeped rich and diversified.

Non-thermal plasma was used as a pretreatment technology for bio-trickling filter, employing chlorobenzene and dichloroethane as target pollutants. This experiment was conducted to study the purification effect and degradation product in NTP under different frequency power supply,to provide a theoretical basis for coupling with biotechnology. The results showed that the removal efficiency for mixed waste gas in the plasma first increased and then decreased with the increase of the SIE. The maximum energy efficiency was obtained at 6111 J·L -1 under high frequency power and 7167 J·L -1 under low frequency condition, respectively. Extending residence time caused a rise in mixed gas removal efficiency, but the removal load didn't always increase and the highest removal load was observed with the residence time of 5 s, so 5 s was regarded as the optimal reaction condition for the subsequent analysis in this study. The degradation products were analyzed under the specific conditions. Experimental results showed that the amount and the selectivity of carbon dioxide both increased with the increase of SIE in the plasma reactor. The amount of ozone increased to a maximum value and then decreased with the increase of SIE in the plasma reactor, and the amount of ozone produced in low-frequency power plasma was lower than that in high-frequency power. The trend of TOC values was similar to the trend of ozone generation, indicating that the best water solubility was obtained at the highest energy efficiency.