Physiological control of rotary blood pumps is becoming increasingly necessary for clinical use. In this study, the mean oxygen partial pressure in the upper airway was first quantitatively evaluated as a control objective for a rotary blood pump. A model-free predictive controller was designed based on this control objective. Then, the quantitative evaluation of the controller was implemented with a rotary blood pump model on a complete cardiovascular model incorporated with airway mechanics and gas exchange models. The results show that the controller maintained a mean oxygen partial pressure at a normal and constant level of 138 mmHg in the left heart failure condition and restored basic haemodynamics of blood circulation. A left ventricular contractility recovery condition was also replicated to assess the response of the controller, and a stable result was obtained. This study indicates the potential use of the oxygen partial pressure index during pulmonary gas exchange when developing a multi-objective physiological controller for rotary blood pumps.
Rotary blood pumps (RBPs) are the newest generation of ventricular assist devices. Although their continuous flow characteristics have been accepted widely, more and more research has focused on the pulsatile modulation of RBPs in an attempt to provide better perfusion. In this study, we investigated the effects of an axial RBP serving as the right ventricular assist device on pulmonary hemodynamics and gas exchange using a numerical method with a complete cardiovascular model along with airway mechanics and a gas exchange model. The RBP runs in both constant speed and synchronized pulsatile modes using speed modulation. Hemodynamics and airway O2 and CO2 partial pressures were obtained under normal physiological conditions, and right ventricle failure conditions with or without RBP. Our results showed that the pulsatile mode of the RBP could support right ventricular assist to restore most hemodynamics. Using speed modulation, both pulmonary arterial pressure and flow pulsatility were increased, while there was only very little effect on alveolar O2 and CO2 partial pressures. This study could provide basic insight into the influence of pulmonary hemodynamics and gas exchange with speed modulated right ventricular assist RBPs, which is concerned when designing their pulsatile control methods.
Hydrodynamically levitated rotary blood pumps (RBPs) with noncontact bearing are effective to enhance the blood compatibility. The spiral groove bearing (SGB) is one of the key components which offer the suspension force to the RBP. Current studies focus on the suspension performance of the SGB under continuous flow condition. However, the RBP shows pulsatile characteristics in the actual clinical application, which may affect the suspension performance of the SGB. In this paper, the impact of pulsatile flow upon the suspension force from the SGB is studied. A model of the SGB with a groove formed of wedge-shaped spirals is built. Then, the CFD calculation of the hydrodynamic force offered by designed SGB under simulated pulsatile flow is introduced to obtain the pulsatile performance of the suspension force. The proposed method was validated by experiments measuring the hydrodynamic force with different bearing gaps. The results show that the suspension force of the SGB under pulsate flow is the same as under steady flow with equivalent effective pressure. This paper provides a method for suspension performance test of the SGB.
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