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Development of Inspired Therapeutics Pediatric VAD: Computational Analysis and Characterization of VAD V3
Landon H Tompkins1, Barry N Gellman2, Steven R Prina3
1Department of Bioengineering, University of Louisville, Louisville, KY, 40202, USA.
Insights
The Inspired Pediatric VAD V3 shows promising computational results for pediatric heart failure patients needing mechanical circulatory support. This device aims to improve blood flow and minimize damage, with further testing planned.
Area of Science:
- Biomedical Engineering
- Cardiovascular Technology
Background:
- Pediatric heart failure patients require specialized mechanical circulatory support (MCS) devices.
- Current MCS development primarily focuses on adults, leaving a critical gap for pediatric solutions.
- The Inspired Pediatric VAD is engineered as a compact, modular MCS for up to 30-day support, potentially enabling ambulation.
Purpose of the Study:
- To computationally evaluate the hydrodynamic performance and blood compatibility of the Inspired Pediatric VAD V3.
- To assess impeller/rotor mechanical properties and flow characteristics under various operating conditions.
Main Methods:
- Utilized computational fluid dynamics (CFD) with SolidWorks Flow Simulator to analyze the Inspired Pediatric VAD V3.
- Investigated hydrodynamic performance, including flows and pressures.
- Evaluated impeller/rotor torques, forces, shear stress, and residence time distributions.
Main Results:
- The V3 design maintained comparable flow and pressure head to the V2 design.
- Improved geometry resulted in increased impeller/rotor torques and translation forces.
- Analysis showed low percentages of pump volume exposed to high shear stress ranges associated with blood damage (<1% at 150-1000 Pa at lowest operating point, 2.3% at higher operating point).
Conclusions:
- Initial computational characterization of the Inspired Pediatric VAD V3 is encouraging.
- The device demonstrates potential for safe and effective pediatric mechanical circulatory support.
- Future research will involve prototype testing in mock circulatory loops and animal models.
Purpose:
Pediatric heart failure patients remain in critical need of a dedicated mechanical circulatory support (MCS) solution as development efforts for specific pediatric devices continue to fall behind those for the adult population. The Inspired Pediatric VAD is being developed as a pediatric specific MCS solution to provide up to 30-days of circulatory or respiratory support in a compact modular package that could allow for patient ambulation during treatment.
Methods:
Hydrodynamic performance (flows, pressures), impeller/rotor mechanical properties (torques, forces), and flow shear stress and residence time distributions of the latest design version, Inspired Pediatric VAD V3, were numerically predicted and investigated using computational fluid dynamics (CFD) software (SolidWorks Flow Simulator).
Results:
Hydrodynamic performance was numerically predicted, indicating no change in flow and pressure head compared to the previous device design (V2), while displaying increased impeller/rotor torques and translation forces enabled by improved geometry. Shear stress and flow residence time volumetric distributions are presented over a range of pump rotational speeds and flow rates. At the lowest pump operating point (3000 RPM, 0.50 L/min, 75 mmHg), 79% of the pump volume was in the shear stress range of 0-10 Pa with < 1% of the volume in the critical range of 150-1000 Pa for blood damage. At higher speed and flow (5000 RPM, 3.50 L/min, 176 mmHg), 65% of the volume resided in the 0-10 Pa range compared to 2.3% at 150-1000 Pa.
Conclusions:
The initial computational characterization of the Inspired Pediatric VAD V3 is encouraging and future work will include device prototype testing in a mock circulatory loop and acute large animal model.
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