Cora rotary pump for implantable left ventricular assist device: biomaterial aspects.
Our group is developing a left ventricular assist device based on the principle of the Maillard-Wankel rotative compressor: it is a rotary, not centrifugal, pump that produces a pulsatile flow. Stringent requirements have been defined for construction materials. They must be light, yet sufficiently hard and rigid, and able to be machined with high precision. The friction coefficient must be low and the wear resistance high. The materials must be chemically inert and not deformable. Also, the materials must be biocompatible, and the blood contacting surface must be hemocompatible. We assessed the materials in terms of physiochemistry, mechanics, and tribology to select the best for hemocompatibility (determined by studies of protein adsorption; platelet, leukocyte, and red cell retention; and hemolysis, among other measurements) and biocompatibility (determined by measurement of complement activation and toxicity, among other criteria). Of the materials tested, for short- and middle-term assistance, we chose titanium alloy (Ti6Al4V) and alumina ceramic (Al2O3) and for long-term and permanent use, composite materials (TiN coating on graphite). We saw that the polishing process of the substrate must be improved. For the future, the best coating material would be diamond-like carbon (DLC) or crystalline diamond coating.
Montiès
J R
JR
Laboratory for Surgical Research, Faculty of Medicine, Marseilles University, France.
Dion
I
I
Havlik
P
P
Rouais
F
F
Trinkl
J
J
Baquey
C
C
D000327:Adsorption; D000497:Alloys; D000537:Aluminum Oxide / Q000737:chemistry / Q000592:standards; D001672:Biocompatible Materials / Q000737:chemistry / Q000592:standards*; D001696:Biomechanical Phenomena; D001789:Blood Group Antigens; D001792:Blood Platelets / Q000166:cytology / Q000378:metabolism; D002244:Carbon / Q000737:chemistry / Q000592:standards; D002448:Cell Adhesion / Q000502:physiology; D003167:Complement Activation / Q000502:physiology; D004912:Erythrocytes / Q000166:cytology / Q000378:metabolism; D006353:Heart-Assist Devices / Q000592:standards*; D006454:Hemoglobins / Q000378:metabolism; D006801:Humans; D007962:Leukocytes / Q000166:cytology / Q000378:metabolism; D011673:Pulsatile Flow; D011786:Quality Control; D012015:Reference Standards; D013499:Surface Properties; D014025:Titanium / Q000737:chemistry / Q000592:standards
D000497:Alloys; D001672:Biocompatible Materials; D001789:Blood Group Antigens; D006454:Hemoglobins; C041500:titanium nitride; D002244:Carbon; D014025:Titanium; D000537:Aluminum Oxide