In vivo performance of a muscle-powered drive system for implantable blood pumps.
A unique biomechanical implant has been developed to convert muscle power into hydraulic energy for the purpose of driving an implanted blood pump. This device, called a muscle energy converter (MEC), is designed to attach to the humeral insertion of the latissimus dorsi (LD) muscle, so that stimulated contractions cause a rotary cam to compress a fluid-filled bellows. Here we report results from the latest in a series of canine implant trials where the MEC was connected to an adjustable pressure load to measure power output and assess long-term function. Full-length (2 cm) actuator strokes were maintained for a period of 1 month with no discernable discomfort to the animal. Load conditions were cycled periodically to measure stroke work capacity and pressure production. The peak driveline pressure recorded in this experiment was 1743 mm Hg. Steady state power generation was measured to 478 +/- 21 mJ/stroke (mean +/- SD) with stroke work levels reaching 785 mJ in one test. Normal left and right ventricular stroke work levels in dogs this size (35 kg) are 700 and 150 mJ, respectively. These data confirm that MEC/LD power levels--maintained in tandem with an appropriate cardiac assist device--are sufficient to provide significant long-term circulatory support. Further testing, however, is still needed to demonstrate the long-term stability of this drive system.
Trumble
Dennis R
DR
Cardiovascular Surgery Research, Allegheny General Hospital, Pittsburgh, Pennsylvania 15212-4772, USA.
Melvin
David B
DB
Dean
David A
DA
Magovern
James A
JA
D000818:Animals; D001674:Bioelectric Energy Sources / Q000009:adverse effects; D001696:Biomechanical Phenomena; D001698:Biomedical Engineering; D004285:Dogs; D004558:Electric Stimulation; D004867:Equipment Design; D004868:Equipment Failure; D006353:Heart-Assist Devices / Q000009:adverse effects; D009119:Muscle Contraction / Q000502:physiology; D018482:Muscle, Skeletal / Q000098:blood supply / Q000502:physiology* / Q000601:surgery; D013997:Time Factors