Skip to main content

Development of a Fully Controllable Real-Time Pump to Reproduce Left Ventricle Physiological Flow

  • Conference paper
  • First Online:
Proceedings of XXIV AIMETA Conference 2019 (AIMETA 2019)

Abstract

Experimental methods offer the ability to recreate physical state and conditions in a controlled environment in terms of input and output variables. In the context of the cardiovascular system, mock circulatory systems (MCSs) are important experimental tools to provide information such as blood flow and pressures at different locations that, currently, can be difficult to be measured clinically. In literature several types of MCSs were proposed for fluid dynamic investigation of different vascular districts as well as to test new medical devices. However, these MCSs suffer the main drawback of being not fully controllable for flow reproduction waveform in terms of times and amplitudes of the physiological heart cycle.

The aim of this work is to present a custom pulsatile pump system with the advantage of a full flexible flow waveform definition. The setup is composed by a piston actuated by a servomotor and controlled by a real-time processor. Our system can reproduce the entire ventricular waveform, including both the aortic and mitral flow profiles. The core of our workflow is mainly based on a B-spline interpolation algorithm (i) and the possibility by the users to set the physiological parameters directly (ii). In particular, the platform permits to independently set: heart frequency, systole/diastole duration ratio and physiologic flow peaks values and the relative time positions. To demonstrate the device versatility and to validate the waveform reproduction, three different profiles (considering both average patient data from literature and real patient cases) were imposed and the corresponding flow was measured with an ultrasound flow meter positioned at the outlet of the pump. The profiles were chosen with the objective to cover the physiological range of flow amplitudes and waveform duration. The maximum error between the ideal and the measured profile was evaluated for each case.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Shang, E.K., Nathan, D.P., Fairman, R.M., Bavaria, J.E., Gorman, R.C., Gorman III, J.H., Jackson, B.M.: Use of computational fluid dynamics studies in predicting aneurysmal degeneration of acute type B aortic dissections. J. Vasc. Surg. 62, 279–284 (2015)

    Google Scholar 

  2. Celi, S., Berti, S.: In-vivo segmentation and quantification of coronary lesions by optical coherence tomography images for a lesion type definition and stenosis grading. Med. Image Anal. 18, 1157–1168 (2014)

    Google Scholar 

  3. Celi, S., Martini, N., Pastormerlo, L., Positano, V., Berti, S.: Multimodality imaging for interventional cardiology. Curr. Pharm. Des. 23, 3285–3300 (2017)

    Google Scholar 

  4. Gasparotti, E., Vignali, E., Losi, P., Scatto, M., Fanni, B.M., Soldani, G., Landini, L., Positano, V., Celi, S.: A 3D printed melt-compounded antibiotic loaded thermoplastic polyurethane heart valve ring design: an integrated framework of experimental material tests and numerical simulations. Int. J. Polym. Mater. Polym. Biomater. 68, 1–10 (2019)

    Google Scholar 

  5. Boccadifuoco, A., Mariotti, A., Capellini, K., Celi, S., Salvetti, M.V.: Validation of numerical simulations of thoracic aorta hemodynamics: comparison with in vivo measurements and stochastic sensitivity analysis. Cardiovasc. Eng. Technol. 9, 688–706 (2018)

    Google Scholar 

  6. Capellini, K., Vignali, E., Costa, E., Gasparotti, E., Biancolini, M.E., Landini, L., Positano, V., Celi, S.: Computational fluid dynamic study for aTAA hemodynamics: an integrated image-based and radial basis functions mesh morphing approach. J. Biomech. Eng. 140 (2018)

    Google Scholar 

  7. Vignali, E., Manigrasso, Z., Gasparotti, E., Biffi, B., Landini, L., Positano, V., Capelli, C., Celi, S.: Design, simulation and fabrication of a 3D printed pump mimicking the left ventricle motion. Int. J. Artif. Organs 42, 539–547 (2019)

    Google Scholar 

  8. Toninato, R., Salmon, J., Susin, F.M., Ducci, A., Burriesci, G.: Physiological vortices in the sinuses of Valsalva: an in vitro approach for bio-prosthetic valves. J. Biomech. 49, 2635–2643 (2016)

    Google Scholar 

  9. Timms, D.L., Hayne, M., McNeil, K.K., Galbraith, A.: A complete mock circulation loop for the evaluation of left, right, and biventricular assist devices. Artif. Organs 29, 564–572 (2005)

    Google Scholar 

  10. Liu, Y., Allaire, P., Wood, H., Olsen, D.: Design and initial testing of a mock human circulatory loop for left ventricular assist device performance testing. Artif. Organs 29, 341–345 (2005)

    Google Scholar 

  11. Wong, P., Graves, M.J., Lomas, D.J.: Integrated physiological flow simulator and pulse sequence monitoring system for MRI. Med. Biol. Eng. Comput. 46, 399–406 (2008)

    Google Scholar 

  12. Tsai, W., Savaş, O.: Flow pumping system for physiological waveforms. Med. Biol. Eng. Comput. 48, 197–201 (2010)

    Google Scholar 

  13. Mechoor, R.R., Schmidt, T., Kung, E.: A real-time programmable pulsatile flow pump for in vitro cardiovascular experimentation. J. Biomech. Eng. 138 (2016)

    Google Scholar 

  14. Ferrari, G., Balasubramanian, P., Tubaldi, E., Giovanniello, F., Amabili, M.: Experiments on dynamic behaviour of a dacron aortic graft in a mock circulatory loop. J. Biomech. 86, 132–140 (2019)

    Google Scholar 

  15. Wang, D., Chayer, B., Destrempes, F., Toumoux, F., Cloutier, G.: Stiffness evaluation of aortic aneurysms using an ultrafast principal strain estimator: in vitro validation. In: 2018 IEEE International Ultrasonics Symposium (IUS) (2018)

    Google Scholar 

  16. Nagueh, S.F., Smiseth, O.A., Appleton, C.P., Byrd, B.F., Dokainish, H., Edvardsen, T., Flachskampf, F.A., Gillebert, T.C., Klein, A.L., Lancellotti, P., Marino, P., Oh, J.K., Popescu, B.A., Waggoner, A.D.: Recommendations for the evaluation of left ventricular diastolic function by echocardiography: an update from the american society of echocardiography and the European association of cardiovascular imaging. J. Am. Soc. Echocardiogr. 29, 277–314 (2016)

    Google Scholar 

  17. Crandon, S., Elbaz, M.S.M., Westenberg, J.J.M., van der Geest, R.J., Plein, S., Garg, P.: Clinical applications of intra-cardiac four-dimensional flow cardiovascular magnetic resonance: a systematic review. Int. J. Cardiol. 249, 486–493 (2017)

    Google Scholar 

Download references

Acknowledgements

This work was supported by the VIVIR (PE-2013-02357974) grant from the Minister of Health and by 3D VIRTUAL BABY HEART projec0t (GR-2016-02365072).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Simona Celi .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Vignali, E. et al. (2020). Development of a Fully Controllable Real-Time Pump to Reproduce Left Ventricle Physiological Flow. In: Carcaterra, A., Paolone, A., Graziani, G. (eds) Proceedings of XXIV AIMETA Conference 2019. AIMETA 2019. Lecture Notes in Mechanical Engineering. Springer, Cham. https://doi.org/10.1007/978-3-030-41057-5_74

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-41057-5_74

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-41056-8

  • Online ISBN: 978-3-030-41057-5

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics