Prototype and Evaluation of High-Hydrous Gel Phantom for 100 kHz to 1 MHz Using ATO/TiO2.

This paper describes the development of a human electrical phantom in the low-frequency band. Conventional high-hydrous gel phantoms cannot mimic the electrical properties of the human body in the low-frequency band. Titanium oxide coated with antimony-doped tin oxide (ATO/TiO2) was added to the high-hydrous gel phantom, and the electrical properties were evaluated in terms of the amount of material added. The developed phantom had an error of less than 10% in the range of 100 kHz to 1 MHz, which conforms with the electrical properties of human muscles. Particularly, at 125 kHz, the error was 2.71% and 4.35% for relative permittivity and conductivity, respectively. The variation in the electrical properties of the developed phantom was evaluated, and it was confirmed that sufficient reproducibility could be obtained.

Development of a high-hydrous gel phantom for human body communication based on electrical anisotropy.

In this study, we investigated a highly hydrated gel phantom with electrical anisotropy that can be used at 18.375 MHz to 23.625 MHz. This is one of the frequency bands used for human body communication. To achieve the communication, the electrical characteristics of the quadriceps femoris muscle of the rat were measured immediately after sacrifice. These were used to obtain an indicator of electrical characteristics to be satisfied by the phantom. Electrical anisotropy was realized by adding carbon fiber to the phantom and controlling its direction. We were able to develop a high hydrated gel phantom for human body communication with a maximum error of 8.1% assuming its use at 18.735 MHz to 23.625 MHz.

Development of electromagnetic phantom at low-frequency band.

This paper describes the development of a human electrical phantom at a low-frequency band. The conventional highly hydrous electromagnetic phantom does not mimic the electrical properties of a living body. The electrical properties of the newly developed phantom, by adding a carbon microcoil (CMC) and NaCl to the conventional phantom, are in good agreement with those of a living body. In addition, the electrical properties of the phantom with a CMC and twice the amount of NaCl added are evaluated at frequency bands above 300 MHz, similar to the conventional highly hydrous gel phantom. The results show that the newly developed phantom can effectively function in the conventional target frequency band by a simple mechanism.

A transcutaneous energy transmission system with rechargeable internal back-up battery for a totally implantable total artificial heart.

We have been developing an externally coupled transcutaneous energy transmission system (ECTETS) for a totally implantable total artificial heart (TITAH). When the ECTETS is unable to supply the energy to drive the TITAH from outside the body, a rechargeable internal back-up battery (RIBB) implanted inside the body is used as a back-up to supply the required energy. This paper reports on the performance characteristics of our ECTETS with an RIBB. In this study, a lithium-ion (Li+) secondary battery was used as the RIBB. The transcutaneous energy transmission and the charging control characteristics of the ECTETS, while simultaneously supplying energy to the TITAH and the RIBB, were evaluated in an in vitro experiment. The output power and transmission efficiency of the ECTETS operating in this mode were found to vary from 20 W to 34 W and from 84% to 71%, respectively. It was also found that a sufficient power of more than 20 W could be supplied to the TITAH. The time needed to fully charge the RIBB was 117 minutes, and a fully charged RIBB could drive the TITAH, consuming 20 W for 62 minutes. It may, therefore, reasonably be concluded that the ECTETS with the RIBB is sufficient to drive the TITAH.

Progress of an electrohydraulic total artificial heart system with a separate energy converter.

We have been developing an electrohydraulic total artificial heart (EHTAH) system. The system consists of diaphragm blood pumps, an abdominally placed energy converter, an internal controller, a transcutaneous energy transfer (TET) system, a transcutaneous optical information transfer system, and internal and external lithium-ion (Li-ion) batteries. The energy converter was optimized to obtain better oil transfer. Maximum cardiac output and efficiency of the EHTAH were increased from 8 L/min to 10 L/min and from 10% to 12%, respectively. The volume of the energy converter was reduced from 280 to 210 ml. The pumping unit was successfully implanted in 68-85 kg calves without anatomic problems, and the calves survived up to 10 days with good circulatory results. The maximum temperature rise of the implanted energy converter was only 1 degrees C. Stable performance of the TET system was confirmed in goats for more than 1 month. DC-DC energy transfer efficiency with 20 W of energy transmission remained within the range of 80% to 85%, and no significant temperature rise was observed in the implanted circuit. The internal Li-ion battery was also evaluated in a goat, and the maximum temperature rise during the charging period was 1.5 degrees C, while the charging and discharging times were 72 and 58 min, respectively. We conclude that our system has progressed in its development as a practical implantable system.

Selection of a rechargeable internal back-up battery for a totally implantable artificial heart.

Three kinds of rechargeable batteries, NiCd, NiMH, and Li+, were compared for the purpose of selecting the most appropriate battery for use in a Rechargeable Internal Back-up Battery (RIBB) unit for a Totally Implantable Artificial Heart. Batteries of each kind were connected in series to obtain the required driving voltage of 24 V. The NiCd and NiMH batteries were charged by a constant current of 1 C, and the Li+ batteries were charged first by a constant current of 1 C and later by a constant voltage of 28.7 V. All three types of batteries were discharged using a dummy electronic pulsatile load consuming 20 W of power. The tests showed that the Li+ batteries were capable of supplying the required energy for more than 60 minutes. The Li+ batteries had a specific energy of 121.5 Wh/kg, which was more than 3x that of the NiCd and NiMH, and an energy density of 282.5 Wh/L more than double that of the other two. In addition, the Li+ batteries recorded the least temperature rise during charging and discharging. The results of our tests conclusively showed that the Li+ battery is the best among the three for use in an RIBB from the viewpoint of energy density and temperature rise.

Transcutaneous optical telemetry system with infrared laser diode.

A transcutaneous telemetry system is indispensable when monitoring and controlling the operation of an artificial heart totally implanted inside the body. A telemetry system using light is more useful than radio waves from the viewpoint of electromagnetic interference and power consumption. In this report, a transcutaneous optical coupler consisting of an infrared laser diode (LD) and a PIN photodiode (PINPD) was evaluated, and the transcutaneous optical coupling and information transmission characteristics were evaluated in in vitro experiments. The wavelength and directional angle of the LD used were 830 nm and 9.5 degrees, respectively. With regard to the directional angle of PINPD, the authors found that a PINPD with a larger directional angle allowed for more deviation between the axes optical axes of the LD and the PINPD. It was also found that the transcutaneous coupler had an optimum distance for the permissible deviation to be maximized. The information signals modulated by the phase shift keying (PSK) were transmitted at a rate of 9,600 bps through goat skin 4 mm thick, and demodulated by the phase locked loop (PLL) on the receiving side. As a result, the information signals were demodulated without any errors in deviation within 10.5 mm at a distance of 11 mm. In conclusion, the transcutaneous optical telemetry system using an infrared LD has sufficient characteristics to monitor and control the operation of an artificial heart totally implanted inside the body.

Set-up, improvement, and evaluation of an electrohydraulic total artificial heart with a separately placed energy converter.

The authors have been developing an electrohydraulic total artificial heart (TAH) system with a separately placed electrohydraulic energy converter to minimize anatomic constraints in the pericardial space. Improvements to the system and current status of the development are reported. The energy converter was miniaturized to improve implantability, and its thickness was reduced to 54 mm. System efficiency was increased by suppressing rush current at the time of motor reversal. Maximum cardiac output of the TAH system was 9 L/min, and maximum system efficiency increased to 10%. The blood pump system was implanted easily in the body of a 57 kg calf, and no significant temperature rise on the energy converter surface was observed. As the next step, main components were integrated into a total system. The transcutaneous energy transfer system could supply power to the TAH without a decline in pump performance, and the internal battery could support the system at 6.5 L/min of cardiac output for 1 hour without a decrease in cardiac output. The authors consider the TAH system with a separately placed energy converter the most promising approach to development of a TAH for smaller sized patients.