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Updated: Jun 14, 2025

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Published on: July 20, 2022
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.
Background:
Fontan procedure, the standard surgical palliation to treat children with single ventricular defects, causes systemic complications over years due to lack of pumping at cavopulmonary junction. A device developed specifically for cavopulmonary support is thus considered, while current commercial ventricular assist devices (VAD) induce high shear rates to blood, and have issues with paediatric suitability.
Aim:
To demonstrate the feasibility of a small, valveless, non-invasive to blood and pulsatile rotary pump, which integrates impedance and peristaltic effects.
Methods:
A prototype pump was designed and fabricated in-house without any effort to optimise its specification. It was then tested in vitro, in terms of effect of pumping frequency, background pressure differences and pump size on output performance.
Results:
Net flow rate (NFR) and maximum pressure head delivery are both reasonably linearly dependent on pumping frequency within normal physiological range. Positive linearity is also observed between NFR and the extent of asymmetric pumping. The device regulates NFR in favourable pressure head difference and overcomes significant adverse pressure head difference. Additionally, performance is shown to be insensitive to device size.
Conclusions:
The feasibility of the novel rotary pump integrating impedance and peristaltic effects is demonstrated to perform in normal physiological conditions without any optimisation effort. It provides promising results for possible future paediatric cavopulmonary support and warrants further investigation of miniaturisation and possible haemolysis.
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