DESIGN OF IMPLANTABLE AXIAL-FLOW BLOOD PUMP AND NUMERICAL STUDIES ON ITS PERFORMANCE

This article presents the design of a new implantable axial-flow blood pump. The special feature of the flow channel inside the blood pump is that the blood is driven by a big-small tandem impeller installed in the inner hole of the cylinder magnet of a brushless direct current motor. The inner hole makes the main flow channel possible, while the gap between the inner end of the stator and the outer end of the cylinder magnet gives the shape of the tributary flow channel. There is no motor magnet inside the main flow channel, therefore, more blood can pass through it. The gap of the tributary flow channel is very small, but the blood flow in it is not blocked. Thus, the efficiency is increased and the volume and weight of blood pump can be reduced greatly. The outer diameter, length and weight of the manufactured implantable axial-flow blood pump are 29.6 mm, 76 mm and 158 g, respectively. The impeller spins at the speed of 9000 rpm and can generate a pressure head of 100 mmHg and a flow rate of 8 L/rain. In an animal experiment, the blood pump has been successfully applied as a Ventricular Assist Device （VAD） in the chest of a small cow. Besides a mathematical model is established to simulate the flow inside an axial-flow blood pump of implantable VAD. The numerical studies on the performance of the implantable axial-flow blood pump are carried out by combining this mathematical model and the Fluent software. The numerical results agree well with those of experiments, with the maximum error less than 10%.

Numerical and Experimental Investigation of High-efficiency Axial-flow Pump

The experimental investigation of axial-flow pump has been rapidly developed to meet the needs of South-to-North Water Diversion Project of China. Owing to the boundary conditions of hub, blade tip clearance, much of the physical phenomena and laws involved in this complex flow field can＇t be fully determined. The flow characteristics of the high efficiency axial-flow pump have been simulated by RNG k-e turbulence model and SIMPLEC arithmetic based on FLUENT software. Numerical results indicate that the data from the prediction show agreement with the experimental results, static pressure on pressure side of blades increases slightly at circumferential direction with radius increasing, and keep almost constant at the same radial while increasing gradually from inlet to exit on the suction side along flow direction at design conditions. The static pressure, total pressure and velocity at inlet, impeller outlet and vane outlet were measured by a five-hole probe, and a contrastive experiment was done to investigate the influence of hub leakage. The experimental results show that inlet flow is almost axial and the prerotation is very small at various conditions. The meridional velocity and circulation distribution are almost identical at impeller outlet at design conditions due to steady flow and high efficiency. The residual circulation exits at downstream of the guide vane, and the circumferential velocity component increases linearly from hub to tip at small flow rate conditions. Hub leakage in adjustable blades results in the decrease of the meridional velocity and circulation at blade exit near hub. The results of numerical simulation and experiments supply important flow structure information for the high-efficiency axial-flow pump.

Experimental Study of Cavitation Phenomenon in a Centrifugal Blood Pump Induced by the Failure of Inlet Cannula

Cavitation of centrifugal blood pump is a serious problem accompany with the blocking failure of short inlet cannula. However, hardly any work has been seen in published literature on this complex cavitation phenomenon caused by the coupling effect of inlet cannula blocking and pumps suction. Even for cavitation studies on ordinary centrifugal pumps, similar researches on this issue are rare. In this paper, the roles of throttling, rotation speed and fluid viscosity on bubble inception and intensity in a centrifugal blood pump are studied, on the basis of experimental observations. An adjustable throttle valve installed just upstream blood pump inlet is used to simulate the throttling effect of the narrowed inlet cannula. The rotation speed is adjusted from 2 600 r/rain to 3 200 r/min. Glycerin water solutions are used to investigate the influences of kinetic viscosity. Bubbles are recorded with a high-speed video camera. Direct observation shows that different from cavitation in industrial centrifugal pumps, gas nuclei appears at the nearby of vane leading edges while throttling is light, then moves upstream to the joint position of inlet pipe and pump with the closing of the valve. It＇s found that the critical inlet pressure, obtained when bubbles are first observed, decreases linearly with viscosity and the slope is independent with rotation speeds; the critical inlet pressure and the inlet extreme pressure which is obtained when the throttle valve is nearly closed, fall linearly with rotation speed respectively and the relative pressure between them is independent with rotation speed and fluid viscosity. This paper studies experimentally on cavitation in centrifugal blood pump that caused by the failure of assembled short inlet cannula, which mav beneficial the desima of centrifugal blood Dumo with inlet cannula.

Numerical Simulation and Experimental Research on Passive Hydrodynamic Bearing in a Blood Pump

The current research of hydrodynamic bearing in blood pump mainly focuses on the bearing structure design.Compared with the typical plane slider bearing and Rayleigh step bearing,spiral groove bearing has excellent performance in load-carrying capacity.However,the load-carrying capacity would decrease significantly with increasing flow rate in conventional designs.In this paper,the special treatment is made to the upper spiral groove bearing to make sure that both the circulatory flowing and load-carrying capacity are high.Three-dimensional computational fluid dynamics(CFD) models in the space between rotor and shaft are developed by using FLUENT software.Effects of groove number,film height and groove depth on load-carrying capacity of the spiral groove bearings are investigated by orthogonal experiment design.The experimental results show that film height is the most remarkable factor to the load-carrying capacity.The variation tendency of load-carrying capacity reveals that the best combination of geometry is the one with groove number of 8,film height 0.03 mm and groove depth 0.08 mm.The velocity and pressure distributions in spiral groove bearings are also analyzed,and the analysis result shows that the distributions are in conformity with the design of the blood pump based on the principle of hydrodynamic bearing.The displacement of the rotor with the best combination parameters is tested by using laser displacement sensors,the testing result shows that the suspending performance is satisfactory both in axial and radial directions.This research proposes a bearing design method which has sufficient load-carrying capacity to support rotor as an effective passive hydrodynamic bearing.

Computational Fluid Dynamics Analysis of Shroud Design on Hemodynamic Performance and Blood Damage in a Centrifugal Blood Pump

Patients with extracorporeal membrane oxygenation still suffer from high rates of complication that linked to the flow field within the blood pump.So it is essential to optimise the geometry of the pump.The specification of shroud design is arguably the necessary design parameter in the centrifugal pump.However,the hemodynamic performances of the different shroud designs have not been studied extensively.In this study,ten different shroud designs were made and divided into two groups as the different covering locations(A:Covering the blade leading edge,B:Covering the blade trailing edge).In every group,six shroud designs with the covering proportions of 0,1/5,2/5,3/5,4/5,1 were made.Detailed computational fluid dynamics(CFD)analyses were performed to investigate their effects on hemodynamics and hydraulic performance at the constant flow condition(4000 rpm,5 L/min).The percentage volumes of the scalar shear stress in specific threshold(τ<1 Pa:Thrombosis,τ>9 Pa:the destruction of von Willebrand factor,τ>50 Pa:Platelet activation,τ>150 Pa:Break of red blood)were used to compare the blood damage of the different shroud designs.Also,the modified index of hemolysis(MIH)were calculated based on a Eulerian approach for different pumps.CFD simulations predicted an increase in the pump head,hydraulic efficiency,a fraction of fluid volume with scalar shear stress values above a threshold(9 Pa,50 Pa,150 Pa)and MIH with increasing shroud covering proportions from 0 to 1 in the same covering location.Also,these above results were higher in group B than group A.This means that the risks of the hemolysis,thrombosis and bleeding increased as the rise of the covering proportion and they were higher in the pump whose shroud covers the blade trailing edge.

Numerical Analyses of Idealized Total Cavopulmonary Connection Physiologies with Single and Bilateral Superior Vena Cava Assisted by an Axial Blood Pump

Our study evaluated the hemodynamic performance of an axial flow blood pump surgically implanted in idealized total cavopulmonary connection(TCPC)models.This blood pump was designed to augment pressure from the inferior vena cava(IVC)to the pulmonary circulation.Two Fontan procedures with single and bilateral superior vena cava(SVC)were compared to fit the mechanical supported TCPC physiologies.Computational fluid dynamics(CFD)analyses of two Pump-TCPC models were performed in the analyses.Pressure-flow characteristics,energy efficiency,fluid streamlines,hemolysis and thrombosis analyses were implemented.Numerical simulations indicate that the pump produces pressure generations of 1 mm to 24 mm Hg for rotational speeds ranging from 2000 RPM to 5000 RPM and flow rates of 2 LPM to 4 LPM.Two surgical models incorporated with the pump were found to be insignificant in pressure augmentation and energy boost.The risk assessment of blood trauma and thrombosis generation was evaluated representatively through blood damage index(BDI),particle resident time(PRT)and relative resistant time(RRT).The hemolysis and thrombosis analyses declare the advantage of the pump supported bilateral SVC surgical scheme in balancing flow distribution and reducing the risk of endothelial cell destruction and trauma generation.

Improved Hemolytic Performance of Blood Pump with Fluorine-Doped Hydrogenated Amorphous Carbon Coating

Fluorine-doped hydrogenated amorphous carbon (a-C:H:F) film was deposited on a flow-straightener, impeller and diffuser surface (SUS 304) of an enclosed-impeller type flow blood pump using the ionization deposition method with a source gas of C6F5H. The surface characteristics of the a-C:H:F film were examined using atomic force microscopy, X-ray photoelectron spectroscopy, and measurements of surface roughness, friction and surface potential. The a-C:H:F film tends to increase surface roughness and the negative surface charge. In addition, the surface energy and friction decrease with fluorine dopant in the a-C:H film. To estimate the hemolytic performance of a blood pump with the a-C:H:F film coating, the amount of hemolysis was measured using a mock circulatory system (in vitro test) with 500 mL of pig blood containing sodium citrate. In vitro test was conducted for 180 min with the blood flow and pump head maintained at 5 L/min and 100 mmHg, respectively. The a-C:H:F film coating reduced the amount of hemolysis and improved the hemolytic performance. Decreasing the surface energy and negative surface charge of the a-C:H:F film contributes to the improvement of the hemolytic performance. The a-C:H:F film coating is thus expected to be utilized in medical technology as a surface coating technology for artificial heart blood pumps.

Epidural Blood Patch for Treatment of Postdural Puncture Headache in a Patient with Spinal Fusion and Recent Implantation of Intrathecal Pain Pump

We present an interesting case report of a 49-year-old female who presented with symptoms of post-dural puncture headache following implantation of an intrathecal pain pump. Her history was complicated by previous multi-level spinal fusion with hardware. The patient was evaluated and felt to be a candidate for epidural blood patch, which she elected to proceed with. Under fluoroscopic guidance epidural blood patch was successfully performed. Immediately following the procedure the patient noted significant improvement in the headache and six hours following the procedure was headache free and remained so at follow up three weeks later.

Subdural Hematoma and Postdural Puncture Headache from Intrathecal Pump Placement Resolved with Lumbar Epidural Blood Patch

Intrathecal drug delivery systems are commonly used in the management of chronic pain, cancer pain and neuromuscular disorders with muscle spasticity. The complications associated with in-trathecal pump placement include persistent cerebrospinal fluid (CSF) leak, hygroma, meningitis, and granuloma formation. A severe persistent CSF leak may cause postdural puncture headache along with acute intracranial subdural hematoma, which can be potentially life threatening. Surgical exploration with dural repair is required to treat this severe complication when conservative treatments fail. We present a case report of severe persistent CSF leak after intrathecal pump revision that resulted in a subdural hematoma and postdural puncture headache. In this case, an epidural blood patch was performed using epidural catheter under fluoroscopic guidance to target the site of CSF leak and to avoid damaging the intrathecal catheter. This patient’s headache was resolved and intrathecal catheter remained intact after this blood patch.

Numerical Investigation of an Idealized Total Cavopulmonary Connection Physiology Assisted by the Axial Blood Pump With and Without Diffuser

In order to improve the surgical treatment of the congenital heart disease patient with single ventricle defect,two axial flow blood pumps,one with diffuser and the other without diffuser,were designed and virtually implanted into an idealized total cavopulmonary connection(TCPC)model to form two types of Pump-TCPC physiological structure.Computational fluid dynamics(CFD)simulationswere performed to analyze the variations of the hemodynamic characteristics,such as flow field,wall shear stress(WSS),oscillatory shear index(OSI),relative residence time(RRT),between the two Pump-TCPC models.Numerical results indicate that the Pump-TCPC with diffuser has better flow field stability,less damage on endothelial cell of vessel wall,and lower risk of vascular injury and thrombosis formation than that without diffuser.

Effect of ultraviolet blood irradiation and oxygenation on nerve function and function of the red blood cell membrane pump in patients with acute cerebral infarction

BACKGROUND： Ultraviolet blood irradiation and oxygenation （UBIO） has obtained better clinical effect in treating acute cerebral infarction, but the mechanism underlying this effect remains unclear. OBJECTIVE： To observe the effect of UBIO on the nerve function and activities of K^＋-Na^＋-ATPase and Ca2^＋-Mg2^＋-ATPase activities on the red blood cell （RBC） membrane of patients with acute cerebral infarction. DESIGN： A randomized and controlled study.SETTING： Department of Neurology, Xiangfan Central Hospital.PARTICIPANTS： From January 2000 to December 2001, excluding those above 70 years old, 58 cases of 700 patients with acute cerebral infarction admitted in the Department of Neurology, Xiangfan Central Hospital, were recruited and divided into two groups according to the random number table： UBIO treated group （n=28）, including 17 males and 11 females, aged 40-68 years; and control group （n=30）, including 20 males and 10 females, aged 44-69 years. All the patients agreed to participate in the therapeutic program and detected items. The general informations were comparable without obvious differences between the two groups （P 〉 0.05）.METHODS： ① The patients in both groups received routine treatments, besides, those in the UBIO treated group were given UBIO treatment by using the XL-200 type therapeutic apparatus produced in Shijiazhuang, whose ultraviolet wave was set at 253.7 nm with the energy density of 0.568 J/m^2 per second, UBIO treatment started from the second day after admission, once every other day, with a single course consisting of 5-7 treatments. ② In the UBIO treated group, the venous blood was sampled before and after the first, third and the completion of the treatment course respectively, the venous blood was taken at each corresponding time point in the control group. After centrifugation of the blood at 10 000 rounds per minute, the RBC membrane was separated and then the activities of K^＋-Na^＋-ATPase and Ca2^＋-Mg2^＋-ATPase were detected by means of phosphorus determination.③ The nerve function was scored before and after treatment in both groups with European stroke scale, which included 13 items, the total score was 0-100 points, the higher the score, the better the nerve function. MAIN OUTCOME MEASURES ：①Score of European stroke scale before and after treatment in both groups.② Comparison of the activities of K^＋-Na^＋-ATPase and Ca2^＋-Mg2^＋-ATPase on RBC membrane between the two groups before treatment and after the first, third and the completion of the treatment. RESULTS： All the 58 patients with cerebral infarction were involved in the analysis of results.① The score of European stroke scale had no obvious difference between the two groups [（49.31±11.48）, （50.58±12.63）, P 〉 0.05], and it was obviously higher in the UBIO treated group than in the control group after treatment [84.66±13.75）, （77.05±11.17）, P 〈 0.05].②The activity of K^＋-Na^＋-ATPase on RBC membrane in the UBIO treated group was significantly increased after the first and third treatment as compared with before treatment [（31.56±19.25）, （27.64±15.83）, （17.67±13.83）, P 〈 0.01], it was still higher after the completion of the treatment than before treatment without obvious difference [（20.86±14.53）, P 〉 0.05]. After the first and third treatment, it was obviously higher in the UBIO treated group than in the control group [19.31±11.88）, （17.44±10.42）, P 〈 0.01]. ③ In the UBIO treated group, Ca2^＋-Mg2^＋-ATPase activity on RBC membrane significantly increased after the first treatment and remained higher than the pre-treatment level throughout the treatment [（27.49±14.72）, （17.41±4.82）, P 〈 0.01]. The activity of Ca2^＋-Mg2^＋-ATPase on RBC membrane was markedly higher in the UBIO treated group than in the control group after after the first, third and the completion of treatment respectively [（24.83±12.88）, （17.70±5.69）; （28.08±13.44）, （16.32±5.29）; （17.42±6.04）, P〈 0.05-0.01]. CONCLUSION： The effect of UBIO treatment against acute cerebral infarction may be mediated by the increased K^＋-Na^＋ ATPase and Ca2^＋-Mg2^＋-ATPase activities on RBC membrane, which enhances the RBC transformation ability so as to lower RBC aggregation and correct high blood viscosity.

A New Magnetic Sealless Coupling Axial Flow Blood Pump

For rotating blood pump, the sealing problem is a very important one to solve. In this paper, it was introduced that we designed and made a small axial flow pump, applying the magnetic coupling method. The pump consisted of two pump housings, a brushless DC motor, an impeller with five wanes, a pair of magnetic discs, a spacer, an inlet and an outlet areas , bearings, a support frame, and etc. The pump is made of titanium and is 125 mm length, 147 ml volume, total 380g of weight. Performances of outputting, sealing, heat creating and damage to blood by the pump were investigated in vitro experiment. Results showed for external experiment that: (1)The pressure created by the pump was 90 mmHg, the flow rates were 1.2 L/min, 4 L/min, 5.9 L/min and 7.8 L/min correspondingly to 5000 rpm, 6000 rpm, 7000 rpm and 8000rpm rotation speeds. The hydrodynamic performance of the axial flow blood pump was enough to meet a patient need when the blood pump was used as a left ventricular assistant device. (2)The hemolysis test was studied by the normalized index of hemolysis(NIH). The NIH result of the axial flow pump was 0.08 g/100 L. (3)The outside temperature of the pump didnt change obviously in 120 hours of rotation, and the sealing function was very well.

The Characteristics of a Spiral Blood Pump

From 1997 to 1999, we developed a spiral blood pump. The spiral pump consists of a brushless DC motor, the pump housing, a magnetic-fluid seal, bearings and a spiral impeller. The maximum diameter of the impeller is 21.8 mm and minimum is 9.8 mm, the cone angle of the impeller threads is 41.8 degrees. The housing has a maximum diameter of 30 mm. The pump was made from Titanium alloy, the total volume of pump housing and motor was 76 ml and its weight 220g. Methods used: The hydrodynamic performance of the spiral pump was examined from 8 000 to 10 000rpm rotation speeds in a closed circuit loop. This circuit consists of a reservoir, a clamp, two pressure transducers, an electric-magnetic flow rate transducer and glycerin-water solution. The damage test to blood was studied in a smaller circuit loop, that used fresh sheep blood and polyvinyl chloride bag instead of the glycerin-water solution and the reservoir. In this test, the damage of the spiral pump was compared with an axial flow blood pump. Furthermore the simulated condition was 5.0 L/ min flow rate and 100 mmHg pressure. Summarize Results: 1. The flow rate was 4.0 L/min against 120 mmHg pressure when pump rotated 10000 rpm. So the hydrodynamic performance of the spiral blood pump was enough to meet a patient’s need when the blood pump was used as a left ventricular assistant device. 2. The NIH results of three gaps were 0.074±0.022g/100L,0.086±.026g/100L and 0.111±0.034g/100L(n=40) respectively. The best hemolysis result was been at the gap of 0.14 mm. 3. The NIH result of the spiral pump with 0.40gap was 0.111±0.034g/100L, n=40; and the axial flow pump was 0.131±0.030g/100L, n=40 respectively; The mean fibrinogen decreases of two pumps between half of an hour were 4.281±2.098mg/100L and 9.625±5.630mg/100L(n=40). So we can conclude that the damage of the spiral pump to blood was less than the axial flow pump. (P<0.05).

主动脉穿刺型轴流血泵折边结构叶轮的数值模拟及溶血分析

为解决血泵因叶顶间隙泄漏而造成溶血和血栓等问题,引入了一种折边不等间距叶轮,采用计算流体力学(computational fluid dynamics, CFD)进行内部流场的数值模拟,并与非折边不等间距叶轮及折边等间距叶轮进行对比分析,研究了它们的内流场动力学特性和血液相容性.结果表明:折边叶片结构血泵避免了叶顶间隙泄漏流的产生,同时折边不等间距叶轮减少了叶轮入口和出口处的回流和涡流,流道内整体切应力低于其他2种叶轮;3种叶轮的溶血指数HI均满足血泵的溶血设计指标,其中,折边不等间距叶轮血泵壁面切应力在0~150 Pa的占比达96.84%,曝光时间相对集中且满足人工血泵设计要求,溶血指数较非折边不等间距叶轮血泵下降了3.50%,较折边等间距叶轮血泵下降了12.50%,溶血性能最优.提出的折边不等间距叶轮血泵可有效降低红细胞破损概率,减少溶血和血栓的发生,可为轴流血泵的结构设计和优化提供一定参考.

Short term in vivo thrombosis evaluation of FW-Ⅱaxial blood pump for left ventricular assist

Objective To evaluate in vivo antithrombosis property of optimized FW-Ⅱaxial blood pump and provide evidence for future clinical use. Methods A left ventriclepump-descending aorta bypass model was established in five healthy sheep (60 70 kg) and the circulation ofthese sheep was assisted by FW-Ⅱaxial blood pump for 2 weeks. At preoperative and postoperative day 1,2,3,7。

Correlation of Blood Lactate and Mixed Venous Oxygen Saturation in Off-Pump CABG

Aim: To evaluate the correlation of blood lactate and mixed venous oxygen saturation to predict outcome in off-pump coronary artery bypass grafting. Method: This is a randomized study including 30 patients. Blood lactate and mixed venous oxygen saturation were measured in 4 groups of patients—number of grafts, presence or absence of left main coronary artery disease, ejection fraction and serum creatinine. Blood samples were taken before induction, after grafting, on intensive care unit admission, 24 hours and 48 hours after surgery. The measured blood lactate and mixed venous oxygen saturation are compared to assess the outcomes in terms of duration of ventilation and intensive care unit stay. Results: The blood lactate and mixed venous oxygen saturation values increased post operatively but no statistically significant difference in three groups— number of grafts, left main coronary artery disease and ejection fraction. In serum creatinine group, the blood lactate value was found to be statistically significant after grafting in patients with creatinine <1.5 mg/dl, however, there was a significant disparity in numbers. Conclusion: Mixed venous oxygen saturation is a better predictor of morbidity than blood lactate in terms of intensive care unit stay in patients undergoing off pump coronary artery bypass grafting.

胰岛素不同注射方式对糖尿病血糖控制效果的影响研究

目的分析胰岛素不同注射方式对2型糖尿病患者血糖控制情况的影响。方法选取2021年9月—2023年9月安溪县医院收治的186例2型糖尿病患者为研究对象,利用最新统计学软件生成随机序列后将其分为对照组、观察组,各93例。两组研究对象均选用门冬胰岛素治疗,其中对照组注射方式为多次胰岛素皮下注射,观察组注射方式为胰岛素泵持续泵注。对比两组血糖控制情况、胰岛素使用剂量、血糖达标情况以及胰岛β细胞功能。结果观察组空腹血糖、餐后2 h血糖及糖化血红蛋白水平均低于对照组,差异有统计学意义(P均<0.05)。观察组平均每天胰岛素使用量低于对照组,血糖达标时间短于对照组,且在达标即刻使用的胰岛素总量少于对照组,差异有统计学意义(P均<0.05)。观察组胰岛β细胞功能优于对照组,差异有统计学意义(P<0.05)。结论对于2型糖尿病患者,采用胰岛素泵持续泵注这一注射方式,有利于改善血糖、血压及血脂水平,同时改善胰岛β细胞功能,且使用胰岛素剂量更低,能够更快速地达到控糖标准。

基于FPCB绕组的导管泵用电动机设计及损耗分析

基于无槽无刷直流电动机具有体积小、功率密度高、无齿槽转矩的特点,采用柔性印刷电路板(FPCB)技术设计了一种导管泵用无槽无刷微型直流电动机,提出了基于3D多物理场耦合模型分析方法,对导管泵用无槽无刷微型直流电动机进行了损耗分析和优化设计.结果表明:导管泵用无槽无刷微型直流电动机的铜损占整个电动机损耗的88%左右,是导致电动机发热的主要原因;在温度场仿真中,温度变化会改变电动机损耗,影响电动机输出转矩;在流场仿真模型中,电动机温度会使人体血液温度升高,影响血液相容性;流动的血液会带走部分热量,降低电动机温度;绕组优化后的导管泵用电动机输出转矩得到提高,损耗得以降低.