In vivo testing of a magnetically suspended centrifugal pump designed for long-term use.
The life of currently-available centrifugal pumps is limited to no more than three days. As a magnetically suspended centrifugal pump (MSCP) contains no shaft or seal, it could be expected to have a longer life expectancy. The MSCP was evaluated in a chronic animal model using eight adult sheep. Left ventricular assist with the MSCP was instituted between the left atrium and the descending aorta. The flow rates ranged from 2.5 to 6.0 L/min. The duration of the experiments ranged from 14 to 60 days. No mechanical failure occurred. The plasma free hemoglobin levels remained within an acceptable range (3-19 mg/dL). No reduction in the counts of red blood cells or platelets was observed. Thrombus formation within the MSCP was recognized in one pump. The main reason for termination was thromboembolism derived from the circuits. Three types of regulation methods (constant rotational speed, constant motor current, and controlled motor current) were also investigated. Regulation by a constant motor current mode altered the pressure-flow (P-Q) characteristics, and thereby, a steadier pump flow was obtained compared with regulation in the constant rotational speed mode. Moreover, the controlled motor current mode can change the P-Q relationship. These results demonstrate that the MSCP is a promising device for long-term use.
Yamada
T
T
Department of Cardiovascular Surgery, Faculty of Medicine, Kyoto University, Japan.
Nishimura
K
K
Akamatsu
T
T
Tsukiya
T
T
Park
C H
CH
Kono
S
S
Matsuda
K
K
Ban
T
T
D000818:Animals; D000925:Anticoagulants / Q000494:pharmacology; D016275:Atrial Function; D006348:Cardiac Surgical Procedures; D002498:Centrifugation / Q000295:instrumentation; D004906:Erythrocyte Count; D006353:Heart-Assist Devices; D006454:Hemoglobins / Q000032:analysis; D010976:Platelet Count; D011673:Pulsatile Flow; D012756:Sheep; D013927:Thrombosis / Q000517:prevention & control*
D000925:Anticoagulants; D006454:Hemoglobins