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Evaluation of real‐time thrombus detection method in a magnetically levitated centrifugal blood pump using a porcine left ventricular assist circulation model
- Source :
- Artificial Organs. 45(No. 7):726-735
- Publication Year :
- 2021
-
Abstract
- Pump thrombosis induces significant complications and requires timely detection. We proposed real-time monitoring of pump thrombus in a magnetically levitated centrifugal blood pump (mag-lev pump) without using additional sensors, by focusing on the changes in the displacement of the pump impeller. The phase difference between the current and displacement of the impeller increases with pump thrombus. This thrombus detection method was previously evaluated through simulated circuit experiments using porcine blood. Evaluation of real-time thrombus detection in a mag-lev blood pump was performed using a porcine left ventricular assist circulation model in this study. Acute animal experiments were performed five times using five Japanese domestic pigs. To create thrombogenic conditions, fibrinogen coating that induces thrombus formation in a short time was applied to the inner surfaces of the pump. An inflow and an outflow cannula were inserted into the apex of the left ventricle and the carotid artery, respectively, by a minimally invasive surgical procedure that allowed minimal bleeding and hypothermia. Pump flow was maintained at 1 L/min without anticoagulation. The vibrational frequency of the impeller (70 Hz) and its vibrational amplitude (30 μm) were kept constant. The thrombus was detected based on the fact that the phase difference between the impeller displacement and input current to the magnetic bearing increases when a thrombus is formed inside a pump. The experiment was terminated when the phase difference increased by over 1° from the lowest value or when the phase difference was at the lowest value 12 hours after commencing measurements. The phase difference increased by over 1° in three cases. The pump was stopped after 12 hours in two cases. Pump thrombi were found in the pump in three cases in which the phase difference increased by over 1°. No pump thrombus was found in the other two cases in which the phase difference did not increase. We succeeded in real-time thrombus monitoring of a mag-lev pump in acute animal experiments.
- Subjects :
- Materials science
Swine
0206 medical engineering
Biomedical Engineering
Medicine (miscellaneous)
Centrifugation
Bioengineering
02 engineering and technology
030204 cardiovascular system & hematology
Biomaterials
Magnetics
03 medical and health sciences
Impeller
0302 clinical medicine
medicine
Animals
Centrifugal blood pump
cardiovascular diseases
Thrombus
Phase difference
Fibrinogen
Thrombosis
Equipment Design
General Medicine
medicine.disease
020601 biomedical engineering
Cannula
Blood pump
Disease Models, Animal
medicine.anatomical_structure
Circulation (fluid dynamics)
Ventricle
cardiovascular system
Heart-Assist Devices
Biomedical engineering
Subjects
Details
- Language :
- English
- Volume :
- 45
- Issue :
- No. 7
- Database :
- OpenAIRE
- Journal :
- Artificial Organs
- Accession number :
- edsair.doi.dedup.....1e9425493fe4399dd8fe13ced09ef13d