The interaction of flow and thrombus generation often is a crucial question for the engineer working in the field of artificial organs. However, this interaction is only incompletely known, and quantitative data under well-defined experimental conditions are especially rare. These can be attained with the stagnation point flow chamber. This flow model applies platelet-rich plasma (PRP) as fluid. Its flow conditions are assessed with the help of computational fluid mechanics. In addition, the concept of the boundary layer is introduced, which permits assessment of the platelet flow along the wall. The results of the experiment indicate that platelets are deposited at a defined shear rate.
Platelet deposition in resting blood is well researched and understood. However, the influence of hemodynamic parameters such as wall shear rate is less clear. Clinical experience and experiments show an interaction between flow and platelet deposition. But a complete understanding of the flow influence and hence a quantification has not yet been achieved. A well defined experiment of flow dependant platelet depositions is the stagnation point flow. This kind of flow is ubiquitous in the circulatory system, to be found in every bifurcation and recirculation region. These are the areas where thrombus formations are likely to occur if other conditions are also met. First, experiments were performed in a stagnation point flow chamber. A simplified blood model, platelet rich plasma, was used as a test fluid. With a microscope the platelet deposition was observed and recorded. Platelets deposit in a characteristic pattern showing the influence of the flow. An analysis of this pattern is the objective of this study and is achieved with the help of a numerical model, which is based on a convective diffusive transport. The model results in a platelet deposition pattern, which in its shape and temporal development is very similar to experimental results. Hence it is concluded that the assumed transport processes are causal for platelet depositions and thrombus formation.
An energy converting system that can function for years without maintenance is required for the drive of a left ventricular assist device (LVAD). To meet the requirements of safety, the energy converter should have a simple design with few moving elements. The design applied herein has only one moving part and thus has greater inherent safety than competing systems. The only moving part is the rotor unit, comprised of the impeller of a centrifugal pump, the rotor of an electric motor, and the rotor of an electric axial actuator. A reversal of flow of the transmitter fluid can be achieved with an axial shift of this rotor unit. This fluid acts on the outer surface of a blood chamber and enables it to draw in blood and to expel it. Valves direct the flow of blood. The energy converter performs a flow of 12 L/min at a motor speed of 6,000 rpm against a pressure head of 115 mm Hg according to an output of the pulsatile blood pump of 5 L/min.
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