Impact of Impeller Speed Adjustment Interval on Hemolysis Performance of an Intravascular Micro-Axial Blood Pump.

BACKGROUND: In recent years, intravascular micro-axial blood pumps have been increasingly used in the treatment of patients with cardiogenic shock. The flow rate of such blood pumps requires adjustment based on the patient's physiological condition. Compared to a stable flow state with fixed rotation speed, adjusting the speed of blood pump impeller to alter flow rate may lead to additional hemolysis. This study aimed at elucidating the relationship between adjusting interval of a blood pump's impeller speed and the hemolysis index. METHODS: By comparing simulation results with P-Q characteristic curves of the blood pump measured by experiments, the accuracy of the blood pump flow field simulation model was confirmed. In this study, a drainage tube was employed as the device analogous to an intravascular micro-axial blood pump for achieving similar shear stress levels and residence times. The hemolysis finite element prediction method based on a power-law model was validated through hemolysis testing of porcine blood flow through the drainage tube. The validated models were subsequently utilized to investigate the impact of impeller speed adjusting intervals on hemolysis in the blood pump. RESULTS: Compared to steady flow, the results demonstrate that the hemolysis index increased to 6.3% when changing the blood pump flow rate from 2 L/min to 2.5 L/min by adjusting the impeller speed within 0.072 s. CONCLUSIONS: An adjustment time of impeller speed longer than 0.072 s can avoid extra hemolysis when adjusting the intravascular micro-axial blood pump flow rate from 2 L/min to 2.5 L/min.

[Progress in the analysis of hemolysis and coagulation models for interventional micro-axial flow blood pumps].

Interventional micro-axial flow blood pump is widely used as an effective treatment for patients with cardiogenic shock. Hemolysis and coagulation are vital concerns in the clinical application of interventional micro-axial flow pumps. This paper reviewed hemolysis and coagulation models for micro-axial flow blood pumps. Firstly, the structural characteristics of commercial interventional micro-axial flow blood pumps and issues related to clinical applications were introduced. Then the basic mechanisms of hemolysis and coagulation were used to study the factors affecting erythrocyte damage and platelet activation in interventional micro-axial flow blood pumps, focusing on the current models of hemolysis and coagulation on different scales (macroscopic, mesoscopic, and microscopic). Since models at different scales have different perspectives on the study of hemolysis and coagulation, a comprehensive analysis combined with multi-scale models is required to fully consider the influence of complex factors of interventional pumps on hemolysis and coagulation.

Push-Pull Inverter Using Amplitude Control and Frequency Tracking for Piezoelectric Transducers.

Frequency tracking and amplitude control are essential for piezoelectric transducers. Frequency tracking ensures the piezoelectric transducer operates at the resonant frequency for maximum power output, and amplitude control regulates the mechanical motion of the output. This paper presents a novel driver based on a push-pull inverter for piezoelectric transducers. The proposed driver realizes the frequency tracking and amplitude control scheme by a voltage sensing bridge in the case of transformer secondary matching, guaranteeing automatic frequency tracking and precise mechanical functions regardless of environmental and load variations. The proposed scheme is verified by the ultrasonic scalpel and the ultrasonic motor (USM). The experimental results show that this scheme reduces the build-up time from 10 ms to 3 ms and loaded frequency variations from 250 Hz to 200 Hz. In addition, the amplitude control performance was further observed on USM for various loads. The overshoot is less than 5.4% under different load torques. Therefore, the proposed scheme improves the load adaptability and stability of piezoelectric transducers and promotes the application of piezoelectric transducers under various conditions.