Skip to main content
Log in

Development of a flow rate monitoring method for the wearable ventricular assist device driver

  • Original Article
  • Artificial Heart (Basic)
  • Published:
Journal of Artificial Organs Aims and scope Submit manuscript

Abstract

Our research institute has been working on the development of a compact wearable drive unit for an extracorporeal ventricular assist device (VAD) with a pneumatically driven pump. A method for checking the pump blood flow on the side of the drive unit without modifying the existing blood pump and impairing the portability of it will be useful. In this study, to calculate the pump flow rate indirectly from measuring the flow rate of the driving air of the VAD air chamber, we conducted experiments using a mock circuit to investigate the correlation between the air flow rate and the pump flow rate as well as its accuracy and error factors. The pump flow rate was measured using an ultrasonic flow meter at the inflow and outflow tube, and the air flow was measured using a thermal mass flow meter at the driveline. Similarity in the instantaneous waveform was confirmed between the air flow rate in the driveline and the pump flow rate. Some limitations of this technique were indicated by consideration of the error factors. A significant correlation was found between the average pump flow rate in the ejecting direction and the average air flow rate in the ejecting direction (R 2 = 0.704–0.856), and the air flow rate in the filling direction (R 2 = 0.947–0.971). It was demonstrated that the average pump flow rate was estimated exactly in a wide range of drive conditions using the air flow of the filling phase.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Stewart GC, Givertz MM. Mechanical circulatory support for advanced heart failure: patients and technology in evolution. Circulation. 2012;125(10):1304–15.

    Article  PubMed  Google Scholar 

  2. Slaughter MS, Pagani FD, Rogers JG, Miller LW, Sun B, Russell SD, Starling RC, Chen L, Boyle AJ, Chillcott S, Adamson RM, Blood MS, Camacho MT, Idrissi KA, Petty M, Sobieski M, Wright S, Myers TJ, Farrar DJ. Clinical management of continuous-flow left ventricular assist devices in advanced heart failure. J Heart Lung Transplant. 2010;29(45):S1–39.

    Article  PubMed  Google Scholar 

  3. Kirklin JK, Naftel DC, Kormos RL, Stevenson LW, Pagani FD, Miller MA, Baldwin JT, Young JB. The fourth INTERMACS annual report: 4,000 implants and counting. J Heart Lung Transplant. 2012;31(2):117–26.

    Article  PubMed  Google Scholar 

  4. Kirklin JK, Naftel DC, Kormos RL, Stevenson LW, Pagani FD, Miller MA, Baldwin JT, Young JB. Fifth INTERMACS annual report: risk factor analysis from more than 6,000 mechanical circulatory support patients. J Heart Lung Transplant. 2013;32(2):141–56.

    Article  PubMed  Google Scholar 

  5. Ishii M, Hamamoto M. Bioethics and organ transplantation in Japan. JMAJ. 2009;52(5):289–92.

    Google Scholar 

  6. Kyo S, Minami T, Nishimura T, Gojo S, Ono M. New era for therapeutic strategy for heart failure: destination therapy by left ventricular assist device. J Cardiol. 2012;59(2):101–9.

    Article  PubMed  Google Scholar 

  7. Shiga T, Kinugawa K, Hatano M, Yao A, Nishimura T, Endo M, Kato N, Hirata Y, Kyo S, Ono M, Nagai R. Age and preoperative total bilirubin level can stratify prognosis after extracorporeal pulsatile left ventricular assist device implantation. Circ J. 2011;75(1):121–8.

    Article  CAS  PubMed  Google Scholar 

  8. Takano H, Taenaka Y, Noda H, Kinoshita M, Yagura A, Tatsumi E, Sekii H, Umezu M, Nakatani T. Multi-institutional studies of the national cardiovascular center ventricular assist system: use in 92 patients. ASAIO Trans. 1989;35:541–4.

    Article  CAS  PubMed  Google Scholar 

  9. Takano H, Nakatani T, Taenaka Y. Clinical experience with ventricular assist systems in Japan. Ann Thorac Surg. 1993;55:250–5.

    Article  CAS  PubMed  Google Scholar 

  10. Saito S, Matsumiya G, Sakaguchi T, Fujita T, Kuratani T, Ichikawa H, Sawa Y. Fifteen-year experience with Toyobo paracorporeal left ventricular assist system. J Artif Organs. 2009;12:27–34.

    Article  PubMed  Google Scholar 

  11. Takatani S, Matsuda H, Hanatani A, Nojiri C, Yamazaki K, Motomura T, Ohuchi K, Sakamoto T, Yamane T. Mechanical circulatory support devices (MCSD) in Japan: current status and future directions. J Artif Organs. 2005;8:13–27.

    Article  PubMed  Google Scholar 

  12. Japanese Association for Clinical Ventricular Assist Systems. Japanese Registry for ventricular assist device. 2013. http://www.jacvas.com/VAS_registry2012.pdf. Accessed 28 May 2014. (in Japanese).

  13. Nishinaka T, Taenaka Y, Tatsumi E, Ohnishi H, Homma A, Shioya K, Mizuno T, Tsukiya T, Mushika S, Hashiguchi Y, Suzuki A, Kitamura S. Development of a compact portable driver for a pneumatic ventricular assist device. J Airtif Organs. 2007;10:236–9.

    Article  Google Scholar 

  14. Homma A, Taenaka Y, Tatsumi E, Akagawa E, Lee H, Nishinaka T, Takewa Y, Mizuno T, Tsukiya T, Kakuta Y, Katagiri N, Shimosaki I, Hamada S, Mukaibayashi H, Iwaoka W. Development of a compact wearable pneumatic drive unit for a ventricular assist device. J Artif Organs. 2008;11:182–90.

    Article  PubMed  Google Scholar 

  15. Gawlikowski M, Darłak M, Pustelny T, Kustosz R. Preliminary investigations regarding the possibility of acoustic resonant application for blood volume measurement in pneumatic ventricular assist device. Mol Quantum Acoust. 2006;27:89–96.

    Google Scholar 

  16. Gawlikowski M, Pustelny T, Kustosz R, Darłak M. Non invasive blood volume measurement in pneumatic ventricular assist device POLVAD. Mol Quantum Acoust. 2006;27:97–106.

    Google Scholar 

  17. Kamimura T, Homma A, Tsukiya T, Kakuta Y, Lee H, Tatsumi E, Taenaka Y, Kitamura S. Monitoring of diaphragm position in pulsatile pneumatic ventricular assisted device by ultrasound sensor (a new method for flow measurement in VAD). JSME Int J Ser C. 2004;47:1124–7.

    Article  Google Scholar 

  18. Sasaki E, Nakatani T, Taenaka Y, Takano H, Hirose H. Novel method to determine instantaneous blood volume in pulsatile blood pump using electrical impedance. Artif Organs. 1994;18:603–10.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

This study was supported in part by Grant-in-Aid for Scientific Research (B) (No. 24390308) and Grant-in-Aid for Challenging Exploratory Research (No. 25670563) from the Japan Society for the Promotion of Science and the Ministry of Education, Culture, Sports, Science and Technology of Japan.

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kentaro Ohnuma.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ohnuma, K., Homma, A., Sumikura, H. et al. Development of a flow rate monitoring method for the wearable ventricular assist device driver. J Artif Organs 18, 106–113 (2015). https://doi.org/10.1007/s10047-014-0811-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10047-014-0811-z

Keywords

Navigation