Hydrodynamic endurance test of the prosthetic valve used in the various types of the ventricular assist device.

S Nitta, T Yambe, Y Katahira, T Sonobe, Y Saijoh, S Naganuma, H Akiho, Y Kakinuma, M Tanaka, M Miura
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Abstract

To evaluate the various basic designs of the pump chambers used in the ventricular assist devices (VADs), hydrodynamic endurance test was performed from the viewpoint of the durability of the prosthetic valves used in the VAD. For the hydrodynamic analysis, we designed three basic types of pump (sac type, diaphragm type, and pusher plate type) using the same material and having the same capacity and shape. Prosthetic valves in these VADs were tested from the standpoint of the water hammer effect, which affects the valve durability, to determine which pump design would be most durable as a prosthetic valve in the VAD. The water-hammer phenomenon was evaluated using the maximum pressure gradient (MPG) across the prosthetic valve in the moc circulatory loop. Maximum pump output was recorded when we used the diaphragm type model, and minimum MPG in the commonly used driving condition of the VAD were recorded when we used the sac type model. The results suggest that the sac type VAD model is the most durable design for the prosthetic value.

用于各类心室辅助装置的人工瓣膜的水动力耐久性试验。
为了评价心室辅助装置(VAD)中使用的泵室的各种基本设计,从VAD中使用的假体瓣膜的耐久性角度进行了水动力耐久性试验。为了进行水动力分析,我们设计了三种基本类型的泵(囊式、隔膜式和推板式),采用相同的材料,具有相同的容量和形状。从影响阀门耐久性的水锤效应的角度对这些VAD中的假体阀进行了测试,以确定哪种泵设计作为VAD中的假体阀最耐用。利用moc循环回路中假体瓣膜的最大压力梯度(MPG)来评估水锤现象。使用隔膜型模型记录最大泵输出,使用囊型模型记录VAD常用行驶工况下的最小MPG。结果表明,囊型VAD模型是最耐用的假体设计。
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