• Title/Summary/Keyword: Assist device

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Application of the Total Artificial Heart as an Implantable Biventricular Assist Device by Left Thoracotomy in an Ovine Model (양에서 좌측 개흉술 하에 완전인공심장의 체내이식형 양심실 보조장치로 사용에 관한 연구)

  • 원태희;민병구;김원곤
    • Journal of Chest Surgery
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    • v.34 no.4
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    • pp.296-304
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    • 2001
  • 배경: 이번 연구의 목적은 체내이식형 양심실 보조장치의 개발을 위한 안전하고 간편한 동물실험 모델을 확립하는 것이며 이동작동형 완전 인공심장의 양심실 보조장치로의 사용 가능성을 알아보는 것이다. 대상 및 방법: 7마리의 Corridale 양을 대상으로 실험하였다. 5번째 늑간극을 통하여 좌측 개흉술을 시행하고 좌측 유출로 캐뉼라는 하행 대동맥에 Dacron graft을 사용하여 연결하였고 유입로 캐뉼라는 좌심방에 삽입하였다. 우측 유출로 캐뉼라는 하행 대동맥과 같은 방법으로 주폐동맥에 연결하였으며 유입로 캐뉼라는 혜동맥을 하방으로 젖혀 우심방이를 노출시킨 다음 우심방이에 삽입하였다. 4마리에 있어서는 양심실 보조장치를 전복막강(preperitoneal space)에 위치시켰으며 2마리에 촤측흉강 내에, 1마리에서는 외부에 위치시켰다. aPTT는 수술전 aPTT의 2∼2.5배로 맞추어 주었다 결과: 수술중 또는 수술직후 사망한 경우는 없었으며 7마리 모두 인공호흡기 이탈이 가능하였고 스스로 기립하고 음식물 섭취도 가능하였다. 1마리는 술후 2일째 혈전 색전증 및 인공호흡기 작동 잘못으로 사망하였으며 2마리의 겨우는 술후 2일째 각각 양심실 보조장치의 작동 잘못 및 호흡부전으로 사망하였고, 3마리의 경우는 술후 4일째 혈전색전증으로 인한 급성신부전 및 호흡부전 등으로 사망하였다. 1마리에 있어서는 28일간 생존하였으며 양심실 보조장치의 구동 장치에 연결된 라인의 마로로 인해 양심실 보조장치의 작동이 정지되었으나 바로 양심실 보조장치를 제거하고 살릴 수 있었다. 모든 경우에 있는 캐뉼라를 삽입하고 양심실 보조장치를 작동시키는데 큰 어려움이 없었다. 7마리 중 4마리에서 혈전이 발견되었으며 특히 판막을 연결한 부위에 혈전생성이 많았다. 그러나 캐뉼라에는 혈전생성이 없었다. 결론: 양에 있어서 좌측 개흉술 및 전복막강 공간에 양심실 보조장치를 위치시키는 이번 동물실험 모델은 체내 이식형 양심실 보조장치 개발을 위한 좋은 동물실험 모델이라고 생각된다. 또한 디동 작동기형 완전 인공심장의 혈전생성을 억제할수 있는 방법들의 연구개발이 지속된다면 장기간의 체내 이식형 양심실 보조장치로 사용할 수 있을 것으로 생각된다.

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Effect of Swirl Angle on the Atomization Characteristics in Twin-Fluid Nozzle with Dual Air Supplying (이중공기공급 2-유체 노즐의 선회각 변화에 따른 미립화 특성)

  • Woo, J.M.;Kim, E.S.;Kim, D.J.;Lee, J.K.
    • Journal of ILASS-Korea
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    • v.13 no.3
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    • pp.126-133
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    • 2008
  • The atomization characteristics of the dual air supplying two-fluid nozzle were investigated experimentally using PIV and PDA systems. The twin-fluid nozzle is composed of three main parts: the feeding injector to supply fluid that is controlled by a PWM (pulse-width modulation) mode, the adaptor as a device with the ports for supplying the carrier and assist air, and the main nozzle to produce sprays. The main nozzle has the swirler with four equally spaced tangential slots, which gives the injecting fluid an angular momentum. The swirl angle in the swirler varied with $0^{\circ}$, $30^{\circ}$, $60^{\circ}$ and $90^{\circ}$. The ratios of carrier air to assist air and ALR (total air to liquid) were 0.55 and 1.23, respectively. The macroscopic behavior of the spray was investigated using PIV system, and the AMD and SMD distributions of the sprays were measured using PDA system. As a result, the SMD distribution increases along the radial distance, and it decreases with the increase of swirl angle in swirler.

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Time-Varying Hemodynamic Characteristics Simulation using Computerized Mock Circulatory Loop System with Servo Flow Regulator

  • Moon, Youngjin;Son, Kuk Hui;Choi, Jaesoon
    • Journal of Biomedical Engineering Research
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    • v.36 no.6
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    • pp.264-270
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    • 2015
  • A mock circulatory loop system has been developed to construct a simulator for trainees in cardiopulmonary bypass systems or to simulate a test environment for cardiac-assist devices. This paper proposes a computerized mock circulatory loop system whose node is modularized by using a servo control flow regulator to simulate dynamic change of the hemodynamic status. To observe the effect of time-varying resistance, one with hemodynamic properties, the proposed system replicates the planned cross-sectional areas of the outlet of a ventricular assist device in terms of voltage input of a servo valve. The experiment is performed (1) for steady-input commands of selected area sizes and (2) for dynamic commands such as monotonous increase and decrease, and oscillatory functions of the voltage input, and a computer program based on LabVIEW (National Instruments, Austin, USA) processes every measured data and control command to the servo valve. The results show that the pressure and flow at the target points with respect to time-varying resistance match intuitive estimation: the pressure at the outlet and the pressure drop between both sides of the valve increased and the flow at the outlet decreased for increased resistance.

The Development of a New Polymer Valve for Artificial Blood Pumps (인공심장 및 심실보조장치용 고분자 인조판막의 개발)

  • Suh, S.W.;Wetering, J.E.v.d.;Park, Y.J.;Park, S.K.;Kim, I.Y.;Min, B.G.
    • Proceedings of the KOSOMBE Conference
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    • v.1993 no.11
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    • pp.104-106
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    • 1993
  • Some cardio-vascular assist systems need more inexpensive artificial heart valves for short-term use. To meet with this need, we have developed a new polymer valve that is very simple to manufacture and of which its dimensions are easy to change, depending on its application. We have tested the hydrodynamic performance of the new polymer valve using a mock circulatory testing system and studied the flow through the valve using high-speed camera combined with image processing techniques. The results show that this valve is superior in its performances to the other valves (Bjork-Shiley mechanical valve and trileaflet polymer valve) and have no stagnation points. We also have tested the hemolytic potential of the valve. The valve is less hemolytic than the Bjork-shiley mechanical valve finally, we have applied this valve to a left ventricular assist device that we are developing.

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IOT Intelligent Watering Sensor For Indoor Plant

  • Hana, Mujlid;Haneen Daifallah, Alghamdi;Hind Abdulaziz, Alkharashi;Marah Awadh, Alkhaldi
    • International Journal of Computer Science & Network Security
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    • v.22 no.12
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    • pp.171-177
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    • 2022
  • The number of people who own indoor plants is growing today, but as a result of their busy lifestyles-such as work or travel-as well as a lack of enthusiasm in caring for their plants, their plants wither. The use of an irrigation control system with a surveillance camera can assist such folks in taking care of their plants. Such a device can assist in remotely watering plants at predetermined times and checking on the health of the plants. The proprietors would be able to live comfortably without feeling bad thanks to this change. Internet access is required for this technology in order to monitor the plants and control the watering through apps. A sensor is installed in the soil to monitor soil humidity and send data to the microcontroller for irrigation, allowing the owner to schedule irrigation as they see fit and keep an eye on their plants all day. With the use of a remote irrigation control system, the plants will grow properly and be irrigated with the proper amount of water, and the owners will be so glad and delighted to watch their plants. Knowing the time and quantity of water are vital parts of the plant growth.

Algorithm of Copulsation Estimation for Counterpulsation using Pressure of VAD Outlet Cannula

  • Kang Jung-Soo;Lee Jung-Joo;Jung Min-Woo;Park Yong-Doo;Sun Kyung
    • Journal of Biomedical Engineering Research
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    • v.27 no.2
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    • pp.78-82
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    • 2006
  • The ventricular assist device(VAD) helps to reduce the overload against the patient's native heart(NH). The pulsatile VAD pumps out the ventricular blood to the aorta with pulsatile flow. If the VAD pulsates simultaneously with the NH, the ventricle of the NH could confronts abnormally elevated aortic pressure, and this could deteriorate the ventricle rather than assist to recover it. Thus counterpulsation algorithms to avoid copulsation have been adopted by many VADs, but these methods utilize electrocardiography or arterial pressure signals, which may have difficulties to acquire consistently for a long period. In this study, the copulsation estimation algorithm for the counterpulsation is developed using the VAD outlet pressure signal. The VAD outlet pressure signal is good to maintain for a long time and the sensor part could be integrated to the VAD as a built-in module. From the VAD outlet pressure signal and its pump rate information calculated with Fast Fourier Transform, pulse peaks by the VAD and the NH were extracted and the next copulsation time at which the VAD and the NH would pulsate simultaneously was estimated. This estimation algorithm was implemented by using PC MATLAB software and tested for various pump rate conditions with mock circulation system. For each condition, the copulsation time was estimated successfully. Consequently, the results showed the possibility to use the outlet cannula pressure signal in the copulsation estimation.

Unexpected Restart Failure of Durable Left Ventricular Assist Devices: A Report of Two Cases

  • Hyo Won Seo;Ga Hee Jeong;Sung Min Kim;Minjung Bak;Darae Kim;Jin-Oh Choi;Kiick Sung;Yang Hyun Cho
    • Journal of Chest Surgery
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    • v.57 no.3
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    • pp.315-318
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    • 2024
  • The HeartWare Ventricular Assist Device (HVAD) was widely used for mechanical circulatory support in patients with end-stage heart failure. However, there have been reports of a critical issue with HVAD pumps failing to restart, or experiencing delays in restarting, after being stopped. This case report describes 2 instances of HVAD failure-to-restart during heart transplantation surgery and routine outpatient care. Despite multiple attempts to restart the pump using various controllers and extensions, the HVAD failed to restart, triggering a hazard alarm for pump stoppage. In one case, the patient survived after receiving a heart transplantation, while in the other, the patient died immediately following the controller exchange. These cases highlight the rare but life-threatening complication of HVAD failure-to-restart, underscoring the importance of awareness among clinicians, patients, and caregivers, and adherence to the manufacturer's guidelines and recommendations for HVAD management.

DEVS Modeling for Interactive Motion-based Mobile Contents Authoring Tool (모바일 기기 환경의 인터렉티브 모션 기반 콘텐츠 개발 도구와 DEVS 모델링)

  • Ju, Seunghwan;Choi, Yohan;Lim, Yongsoo;Seo, Heesuk
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.11 no.2
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    • pp.121-129
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    • 2015
  • Interactive media is a method of communication in which the output from the media comes from the input of the users. The interactive media lets the user go back with the media. Interactive media works with the user's participation. The media still has the same purpose but the user's input adds the interaction and brings interesting features to the system for a better enjoyment. We need a digital content using a dynamic motion and gesture of the mobile device. We made an authoring tool for content producers to easily create interactive content. We have tried to take advantage of the interaction by using a touch screen and a gravity sensor of the mobile device. This interaction may lead to allow the user to participate in the content, it can be used as a key device to assist in engagement. Furthermore, our authoring tool can be applied to various fields of publishing content.

Application and Verification of Fully-Integrated Design Environment for Piezoelectric Energy Harvester (압전형 에너지 수확장치를 위한 통합 해석환경의 적용 및 검증)

  • Liu, Jian;Welham, Chris;Han, Seungoh
    • Journal of Sensor Science and Technology
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    • v.22 no.5
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    • pp.364-368
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    • 2013
  • Vibrational energy harvester based on piezoelectricity has been expected to be the dominant energy harvesting technology due to the advantages of high conversion efficiency, light weight and small size, night operation, etc. Its commercialization is just around the corner but the integration with power management electronics should be solved in advance. In this paper, therefore, fully-integrated design environment for piezoelectric energy harvesting systems is presented to assist co-design with the power management electronics. The proposed design environment is capable of analyzing the energy harvester including the package-induced damping effects and simulating the device and its power management electronics simultaneously. When the developed design environment was applied to the fabricated device, the simulated resonant frequency matched well with the experimental result with a difference of 2.97% only. Also, the complex transient response was completed in short simulation time of 3,001 seconds including the displacement distribution over the device geometry. Furthermore, a full-bridge power management circuit was modeled and simulated with the energy harvester simultaneously. Therefore the proposed, fully-integrated design environment is accurate and fast enough for the contribution on successful commercialization of piezoelectric energy harvester.

Gas Transfer and Hemolysis Characteristics of a New Type Intravenous Lung Assist Device (혈관 내 신형 폐보조장치의 기체전달 및 용혈 특성)

  • 김기범;권대규;정경락;이삼철
    • Journal of Biomedical Engineering Research
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    • v.24 no.2
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    • pp.121-126
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    • 2003
  • The purpose of this work was to assess and quantify whether the beneficial effects in long-term gas exchange at exciting frequency were obtained at different frequencies as well and then to develop a vibrating intravascular lung assist device(VIVLAD), for Patients suffering from acute respiratory distress syndrome(ARDS) or chronic respiratory problems. We investigate the optimal condition of the frequency band excited with new vibrator at state of limit hemolysis when blood hemolysis came to through a membrane vibration action. The experimental design and procedures were given for a device used to assess the effectiveness of membrane vibrations. Quantitative experimental measurements were performed to evaluate the performance of the device . and to identify membrane vibration dependence on blood hemolysis. We developed an analytical solution for the hydrodynamics of flow through a bundle of sinusoidally vibrated hollow fibers that is used to provide some insight into how wall vibrations might enhance the performance of the VIVLAD. In the result, it was measured that the effect of various excited frequencies in gas transfer rate and hemolysis from the maximum gas transfer rate at no vibration when the maximum gas transfer rates showed at module type 6, module type 6 consisted of 675 hollow fiber membranes The maximum oxygen transfer rate was caused by the occurrence of maximum amplitude and transfer of vibration to hollow fiber membranes when it was excited by the frequency band of 7Hz at each blood flow rate. because this frequency became the End mode resonance frequency of the flexible in blood flow. Also, when module type 6 was excited at an excited frequency of 7Hz. blood hemolysis was low. Therefore, we decided that the limit of hemolysis frequency is 7Hz . because maximum amplitude occurred at this frequency.