无线心室辅助装置经皮通讯延迟分析

Shaetrun Pathmanathan, Amir Hakemibarabadi, M. Vilathgamuwa
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摘要

越来越多的心力衰竭患者需要医疗干预,而不是等待移植。心室辅助装置(VAD)已被证明是一种初步成功的桥接治疗直到移植。VADs的发展使其成为一种最终治疗方法,在移植等待名单上可能避免危及生命的情况。驱动、控制和测量VAD性能所需的经皮传动系统威胁着延长生命的前提。无线供电和数据传输被证明是一个很有前途的解决方案。为了实现其需求的灵活性,需要一个能够在植入物环境并发症的情况下发挥作用的反馈回路。本研究探讨了无线电力传输辅助反馈通信的发展和分析,以揭示由植入环境和硬件本身引起的反馈环路延迟。数值估计和有限元模拟(FES)建立了医疗植入通信服务(MICS)频段射频信号延迟的存在。实验测量证实了环境固有延迟的存在。信号测量表明明显较大的系统延迟。感应功率传输(IPT)仿真表明,反馈回路中的系统延迟会对IPT系统的性能产生不利影响。系统被调整以对抗对手延迟的影响。调整前和调整后的响应表明系统延迟不可避免的影响。
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Analysis of Transcutaneous Communication Delays in a Wirelessly Powered Ventricular Assist Device
A growing heart failure population necessitates medical interventions beyond which waiting for transplants can provide. Ventricular Assist Devices (VAD) have proven a preliminarily successful bridging therapy until transplantation. Developments have enabled VADs as a destination therapy, potentially avoiding life threatening circumstances while on the transplant waiting list. The percutaneous driveline required to power, control and measure VAD performance threatens life extension premise with infections. Wireless power and data transfer proves a promising solution. To enable its demand flexibility, a feedback loop that can function despite implant environment complications, is required. This research explores the development and analysis of wireless power transfer assistive feedback communications, to reveal feedback loop delays caused by the implant environment and the hardware itself.Numerical estimates and Finite Element Simulations (FES) establish the presence of delay to a Medical Implant Communications Service (MICS) band radiofrequency signal. Experimental measurements, confirm the presence of environmentally inherent delays. Signaled measurements indicate significantly larger systemic delays. Inductive Power Transmission (IPT) simulations indicate adverse effects to the IPT system’s performance from systemic delays applied to the feedback loop. The system is adjusted to counter the effects of the adversary delay. Pre-and post-tuned responses indicate unavoidable effects of systemic delays.
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