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Study of Flow-Induced Hemolysis Using Novel Couette-Type Blood-Shearing Devices

机译:使用新型库埃特型血液剪切装置进行血流诱导溶血的研究

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To assist the development and application of blood-contacting medical devices, two novel flow-through Couette-type blood-shearing devices have been developed to study the quantitative relationship between blood damage indexes and flow-dependent parameters. One device is an axial flow-through Couette-type device supported by a pair of pin bearings adapted from the adult Jarvik 2000 blood pump. The other is a centrifugal flow-through Couette-type device supported with magnetic bearings adapted from the CentriMag blood pump. In both devices, a rotor spindle was used to replace the original impeller blades so that a small gap was created between the housing and the rotating spindle surface. Computational fluid dynamics simulations have shown that a uniform, high shear stress region can be generated inside the small gap while the shear stresses elsewhere are relatively low. The possibility of secondary blood damage caused by mechanical seals was eliminated due to the use of a magnetic rotor system. Blood flow through the gap was driven by an externally pressurized reservoir. By adjusting the rotational speed and blood flow rate, shear-induced hemolysis was quantified at a matrix of exposure time (0.039 to 1.48?s) and shear stress (50 to 320?Pa). All of the experiments were conducted at room temperature using heparinized ovine blood with a hematocrit value of 30%. The measured hemolysis levels were much lower than those published in the literature, and the overestimation of those earlier studies may be attributable to device-related secondary blood-damaging effects. A new set of coefficients for the power law model was derived from the regression of the experimental data.
机译:为了辅助血液接触医疗设备的开发和应用,已经开发了两种新型的流通式库埃特(Couette)型血液剪切设备,以研究血液损害指数与流量相关参数之间的定量关系。一种设备是轴向流通的库埃特(Couette)型设备,由一对适用于成年Jarvik 2000血泵的销轴承支撑。另一个是离心式流通式库埃特(Couette)型装置,该装置配有由CentriMag血泵改装而成的磁性轴承。在这两种设备中,都使用转子主轴来替换原始的叶轮叶片,以便在壳体和旋转主轴表面之间形成一个小的间隙。计算流体动力学模拟表明,在小间隙内可以生成均匀的高切应力区域,而其他位置的切应力相对较低。由于使用了磁性转子系统,消除了由机械密封引起的继发性血液损害的可能性。通过缝隙的血流是由外部加压储液器驱动的。通过调节转速和血流量,可以在暴露时间(0.039至1.48?s)和剪切应力(50至320?Pa)的矩阵中对剪切诱导的溶血进行定量。所有实验均在室温下使用肝素化的羊血细胞进行,血细胞比容值为30%。测得的溶血水平远低于文献中公布的溶血水平,对这些早期研究的高估可能归因于与设备相关的继发性血液破坏作用。从实验数据的回归中得出了幂律模型的一组新系数。

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