Development of a centrifugal flow left ventricular assist device through hydrodynamic simulation and in vitro experimentation

Pulak Kumar Ray, Sumanta Laha, Arup Kumar Das, Prasanta Kumar Das
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Abstract

Left ventricular assist devices (LVADs) have proven to be the best alternative treatment to address the increasing number of heart failures, while donors are in short supply. However, ventricular assist devices (VADs) have been linked to thrombosis, hemolysis, and other postoperative complications. Despite significant technological advancements, blood damage caused by high shear stress generation has remained a serious concern, which is greatly attributed to the VAD's geometry. The goal of this research is to develop a centrifugal pump design using computational fluid dynamics (CFD) and experimental evaluation. Based on characteristics such as pressure head generation, flow rate, maximum wall shear stress, and hydraulic efficiency, the simulations produce a pump design suitable for mechanical circulatory support. The subsequent experimental testing for pressure head and flow rates validate the CFD outcomes. Further, the pump is installed in an indigenously designed mock circulation loop to examine its capability as an LVAD. The outcomes of CFD and experimental studies reveal that the developed pump is well capable of delivering blood with a flow rate at the required pressure as per desired physiological requirements. Also, the wall shear stress values are within the limit (< 300 N/m2) to avoid any blood damage.

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通过流体力学模拟和体外实验开发离心流左心室辅助装置
左心室辅助装置(LVAD)已被证明是解决日益增多的心力衰竭患者的最佳替代治疗方法,而供体却供不应求。然而,心室辅助装置(VAD)与血栓形成、溶血和其他术后并发症有关。尽管在技术上取得了重大进步,但高剪切应力造成的血液损伤仍是一个令人严重关切的问题,而这在很大程度上要归咎于 VAD 的几何形状。本研究的目标是利用计算流体动力学(CFD)和实验评估开发一种离心泵设计。根据产生的压头、流量、最大壁面剪应力和水力效率等特性,模拟得出了适合机械循环支持的泵设计。随后的压头和流速实验测试验证了 CFD 的结果。此外,该泵还被安装在一个自主设计的模拟循环回路中,以检验其作为 LVAD 的能力。CFD 和实验研究结果表明,所开发的泵能以所需的压力和流量输送血液,符合预期的生理要求。此外,壁剪应力值也在限制范围内(300 N/m2),可避免任何血液损伤。
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