A cavalpulmonary assist device utilising impedance pumping enhanced by peristaltic effect

Arthur P Burns-Cox1, Lian Gan1, Ashraf W Khir1

  • 1Department of Engineering, Durham University, Durham, UK.

Insights

A novel rotary pump shows promise for pediatric cavopulmonary support, addressing Fontan procedure complications. This pulsatile device is non-invasive to blood and suitable for children, warranting further development.

Area of Science:

  • Biomedical Engineering
  • Pediatric Cardiology
  • Medical Device Development

Background:

  • The Fontan procedure, a standard treatment for single ventricular defects, leads to long-term systemic complications due to inadequate pumping at the cavopulmonary junction.
  • Current ventricular assist devices (VADs) are often unsuitable for pediatric use, causing high shear rates in blood.

Purpose of the Study:

  • To demonstrate the feasibility of a novel, small, valveless, pulsatile rotary pump designed for cavopulmonary support.
  • The pump integrates impedance and peristaltic effects for non-invasive blood handling.

Main Methods:

  • A prototype pump was designed and fabricated in-house.
  • In vitro testing evaluated the effects of pumping frequency, pressure differences, and pump size on performance.

Main Results:

  • Net flow rate and pressure head delivery were linearly dependent on pumping frequency within physiological ranges.
  • The pump effectively regulated flow against favorable and adverse pressure gradients.
  • Performance was insensitive to device size.

Conclusions:

  • The feasibility of the novel rotary pump for pediatric cavopulmonary support is demonstrated under physiological conditions.
  • The device shows promise for future applications, with further investigation needed for miniaturization and hemolysis.
  • This innovative pump offers a potential solution for children with single ventricular defects.
Abstract

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