Abstract
Since the first clinical application of a total artificial heart (TAH) by Cooley and Liotta in Houston in 1969 and the subsequent long-term implantations by DeVries in Salt Lake City and Louisville, as well as by Semb in Stockholm in the 1980s about 250 TAHs have been used clinically, mainly in the bridge-to-transplant setting [1]. These pneumatically activated TAHs had a number of potential risk factors such as infection, thromboembolic complications, and bleeding, as well as material degradation. Many of these problems are as yet unsolved. Nevertheless, necessary future development can be clearly outlined: Fully implantable systems including the energy converter have to be developed, fluid mechanics of pump chambers and valves have to be improved, long-term biostability of materials has to be ensured, and adaptive control systems have to be developed. An important step in this direction is currently being undertaken with long-term clinical implants of ventricular assist devices such as those developed by Baxter and Thermo Cardiosystems.
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References
Pantalos GM (1993) Artificial heart: past, present and future. Artif Organs 10:826–827
Sherman C, Daly B, Dasse K et al. (1983) Research and development of systems for transmitting energy through intact skin. Final technical report (N01-HV-0–2903–3) for devices and technology branch, DHVD, NHLBI. National Institutes of Health, Washington DC
Schuder JC, Gold JH, Stephenson HE (1971) An inductively coupled RF system for the transmission of 1 kW of power through the skin. IEEE Trans Biomed Eng 18:265–273
Powers RA, Wolga AE, Ochs BD, Yu LS, Kung RTV (1993) Life testing of implantable batteries for a total artificial heart. ASAIO J 39:M663-M667
MacLean GK, Aiken PA, Adams WA, Mussivand T (1993) Evaluation of nickel-cadmium battery packs for mechanical circulatory support devices. ASAIO J 39:M423-M426
Ahn JM, Kang DW, Kim HC, Min BG (1993) In vivo performance evaluation of a transcutaneous energy and information transmission system for the total artificial heart. ASAIO J 39:M208-M212
Fujimoto LK, Jacobs GB, Przypyz J et al. (1984) Human thoracic anatomy based on computed tomography for development of a totally implantable left ventricular assist system. Artif Organs 4:436–444
Fujimoto LK, Smith WA, Jacobs GB et al. (1985) Anatomical considerations in the design of a long-term implantable human left ventricle assist system. Artif Organs 4:361–374
Carter BL, Morehead J, Wolpert SM, Hammerschlag SB, Griffiths HJ (1977) Cross-sectional anatomy, computed tomography and ultrasound correlation. Appleton Century Croft, New York
Kaufmann R, Reul H, Rau G (1992) Electromechanical artificial heart with a new gear type and angled pump chambers. Int J Artif Organs 8:481–487
Knierbein B (1990) Konstruktion, Fertigung und Test von pneumatisch angetriebenen Membranpumpen zur Herzunterstützung. Thesis, University of Aachen, p 170
Eilers R, Harbott P, Reul H, Rakhorst G, Rau G (1994) Design improvements of the HIA-VAD based on animal experiments. Artif Organs 7:473–478
Rakhorst G, Hensens AG et al. (1992) Evaluation of a protocol for animal experiments with Helmholtz left ventricular assist devices. Cor Eur 4:155–159
Kaufmann R, Reul H, Rau G, Bitdinger R (1993) Pulsierend arbeitende Blutpumpe der Forschungsgesellschaft für Biomedizinsche Technik (German patent no DE 41 29 970)
Schadebrodt G, Salomon B (1990) The piezo travelling wave motor - a new drive element in actuation. AEG Press Release (pri 9973e/1990)
Tomikawa Y, Ogasawara T (1989) Ultrasonic motors - constructions/characteristics/applications. Ferroelectrics 91:163–178
Jufer M (1992) Smart motor technology - advantages and performance comparison. Report 92/ 205 of Laboratory of Electromechanics and Electrical Machines. Swiss Federal Institute of Technology
Perriard Y (1992) Methodologie de conception d’activateurs pour ventricule d’assistance cardiaque implantable. Thesis no 1085, Ecole Polytechnique Federale de Lausanne
Ruchti TL, Brown RH, Jeutter DC, Feng X (1993) Identification for systemic arterial parameters with application to total artificial heart control. Ann Biomed Eng 21:221–236
Rosenberg G, Landis DL, Donachy JH, Brighton JA, Stallsmith J, Pierce WS (1979) Design of the Pennsylvania State University artificial heart and electronic automatic control system. In: Unger F (ed) Assisted circulation. Springer, Berlin Heidelberg New York, pp 344–352
Takatani S, Harasaki H, Suwa S, Murabayashi S, Sukalac R, Jacobs G, Kiraly G, Nosé Y (1981) Pusher-plate type TAH system operated in the left and right free-running variable rate mode. Artif Organs 2:132–142
Kung RTV, Ochs B (1991) Self-regulation of an electrohydraulic total artificial heart In: Akutsu T, Koyanagi H (eds) Artificial heart, vol 3. Springer, Berlin Heidelberg New York, pp 173–181
Knierbein B, Reul H, Eilers R, Lange R, Kaufmann R, Rau G (1992) Compact mock loops of the systemic and pulmonary circulation for blood pump testing. Int J Artif Organs 1:40–48
Kaufmann R, Reul H, Rau G (1994) The Helmholtz total artificial heart labtype. Artif Organs 7:537–542
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© 1995 Springer-Verlag Berlin Heidelberg
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Kaufmann, R., Reul, H., Rau, G. (1995). Total Artificial Heart with High-efficiency Motor-Gear Unit. In: Unger, F. (eds) Assisted Circulation 4. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79340-0_23
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DOI: https://doi.org/10.1007/978-3-642-79340-0_23
Publisher Name: Springer, Berlin, Heidelberg
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