Preliminary design of the internal geometry in a minimally invasive left ventricular assist device under pulsatile-flow conditions

Int J Artif Organs. 2018 Mar;41(3):144-151. doi: 10.1177/0391398817752291. Epub 2018 Feb 11.

Abstract

Purpose: A minimally invasive, partial-assist, intra-atrial blood pump has been proposed, which would unload the left ventricle with a flow path from the left atrium to the arterial system. Flow modulation is a common strategy for ensuring washout in the pump, but it can increase power consumption because it is typically achieved through motor-speed variation. However, if a pump's performance curve had the proper gradient, flow modulation could be realized passively. To achieve this goal, we propose a pump performance operating curve as an alternative to the more standard operating point.

Methods and results: Mean-line theory was employed to generate an initial set of geometries that were then tested on a hydraulic test rig at ~20,000 r/min. Experimental results show that the intra-atrial blood pump performed below the operating region; however, it was determined that smaller hub diameter and longer chord length bring the performance of the intra-atrial blood pump device closer to the operating curve.

Conclusion: We found that it is possible to shape the pump performance curve for specifically targeted gradients over the operating region through geometric variations inside the pump.

Keywords: Cardiac device; flow modulation; hydraulic design; left ventricular assist device; partial support; rotary blood pump.

MeSH terms

  • Equipment Design
  • Heart Ventricles / physiopathology*
  • Heart-Assist Devices
  • Humans
  • Materials Testing / methods
  • Prosthesis Implantation / methods
  • Pulsatile Flow / physiology