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Hemodynamic Controller for Left Ventricular Assist Device Based on Pulsatility Ratio
Choi, Seongjin,Boston, J. Robert,Antaki, James F. WILEY-BLACKWELL PUBLISHING, INC 2007 Artificial Organs Vol.31 No.2
<P>Abstract: </P><P>Hemodynamic control of left ventricular assist devices (LVADs) is generally a complicated problem due to diverse operating environments and the variability of the patients: both the changes in the circulatory and metabolic parameters as well as disturbances that require adjustment to the operating point. This challenge is especially acute with control of turbodynamic blood pumps. This article presents a pulsatility ratio controller for LVAD that provides a proper perfusion according to the physiological demands of the patient, while avoiding adverse conditions. It utilizes the pulsatility ratio of the flow through the pump and pressure difference across the pump as a control index and adjusts the pump speed according to the reference pulsatility ratio under the different operating conditions. The simulation studies were performed to evaluate the controller in consideration of the sensitivity to afterload and preload, influence of the contractility, and effect of suction sensitivity. The controller successfully adjusts the pump speed according to the reference pulsatility ratio, and supports the natural heart under diverse pump operating conditions. The resulting safe pump operations demonstrate the solid performance of the controller in terms of sensitivity to afterload and preload, influence of the contractility, and effect of suction sensitivity. </P>
Strain Hardening of Red Blood Cells by Accumulated Cyclic Supraphysiological Stress
Lee, Sung S.,Antaki, James F.,Kameneva, Marina V.,Dobbe, Johannes G.,Hardeman, Max R.,Ahn, Kyung H.,Lee, Seung J. Blackwell Publishing Inc 2007 Artificial Organs Vol.31 No.1
<P>Abstract: </P><P>The effect of elevated shear stress upon cellular trauma has been studied for many years, but the effect of long-term cyclic stress trauma on hemorheology has never been explored systematically. This study investigated sublytic trauma of red blood cells (RBCs) caused by repeated exposure to shear stress. A suspension of bovine blood was throttled through a capillary tube (inner diameter 1 mm and length 70 mm) connected to a recirculating flow loop. Samples were withdrawn every 30 min to measure deformability and characteristic time. The deformability of the cell was measured microscopically by observing the shape of the cell during the shear flow. It was found that cyclic shear irreversibly stiffened the cell membrane while the effect was not so much as that of continuous shear. The cell deformability was dramatically reduced by 73% when the stress of 300 Pa was applied for 288 s, while it was 7% under 90 Pa. These results elucidate the need for improved models to predict cellular trauma within the unsteady flow environment of mechanical circulatory assist devices.</P>
Experimental Verification of the Feasibility of the Cardiovascular Impedance Simulator
Gwak, Kwan-Woong,Paden, Brad E.,Antaki, James F.,Ahn, Ihn-Seok IEEE 2010 IEEE Transactions on Biomedical Engineering Vol.57 No.5
<P>Mock circulatory systems (MCS) are often used for the development of cardiovascular devices and for the study of the dynamics of blood flow through the cardiovascular system. However, conventional MCS suffer from the repeatability, flexibility, and precision problems because they are typically built up with passive and linear fluidic elements such as compliance chamber, manual valve, and tube. To solve these limitations, we have developed an impedance simulator, comprised of a feedback-controlled positive displacement pump that is capable of generating analogous dynamic characteristics as the conventional fluidic elements would generate, thereby replacing the conventional passive fluidic elements that often cause problems. The impedance simulator is experimentally proven to reproduce the impedance of the various discrete elements, such as resistance and compliance of the cardiovascular system model, as well as the combined impedances of them.</P>
Kim, Nahn Ju,Diao, Chenguang,Ahn, Kyung Hyun,Lee, Seung Jong,Kameneva, Marina V.,Antaki, James F. Blackwell Publishing Inc 2009 Artificial Organs Vol.33 No.6
<P>Abstract</P><P>Phenomenological studies on mechanical hemolysis in rotary blood pumps have provided empirical relationships that predict hemoglobin release as an exponential function of shear rate and time. However, these relations are not universally valid in all flow circumstances, particularly in small gap clearances. The experiments in this study were conducted at multiple operating points based on flow rate, impeller speed, and tip gap clearance. Fresh bovine red blood cells were resuspended in phosphate-buffered saline at about 30% hematocrit, and circulated for 30 min in a centrifugal blood pump with a variable tip gap, designed specifically for these studies. Blood damage indices were found to increase with increased impeller speed or decreased flow rate. The hemolysis index for 50-µm tip gap was found to be less than 200-µm gap, despite increased shear rate. This is explained by a cell screening effect that prevents cells from entering the smaller gap. It is suggested that these parameters should be reflected in the hemolysis model not only for the design, but for the practical use of rotary blood pumps, and that further investigation is needed to explore other possible factors contributing to hemolysis.</P>