Computational fluid dynamics analysis of the pediatric tiny centrifugal blood pump (TinyPump).

We have developed a tiny rotary centrifugal blood pump for the purpose of supporting circulation of children and infants. The pump is designed to provide a flow of 0.1-4.0 L/min against a head pressure of 50-120 mm Hg. The diameter of the impeller is 30 mm with six straight vanes. The impeller is supported by a hydrodynamic bearing at its center and rotated with a radial coupled magnetic driver. The bearing that supports rotation of the impeller of the tiny centrifugal blood pump is very critical to achieve durability, and clot-free and antihemolytic performance. In this study, computational fluid dynamics (CFD) analysis was performed to quantify the secondary flow through the hydrodynamic bearing at the center of the impeller and investigated the effects of bearing clearance on shear stress to optimize hemolytic performance of the pump. Two types of bearing clearance (0.1 and 0.2 mm) were studied. The wall shear stress of the 0.1-mm bearing clearance was lower than that of 0.2-mm bearing clearance at 2 L/min and 3000 rpm. This was because the axial component of the shear rate significantly decreased due to the narrower clearance even though the circumferential component of the shear rate increased. Hemolysis tests showed that the normalized index of hemolysis was reduced to 0.0076 g/100 L when the bearing clearance was reduced to 0.1 mm. It was found that the CFD prediction supported the experimental trend. The CFD is a useful tool for optimization of the hydrodynamic bearing design of the centrifugal rotary blood pump to optimize the performance of the pump in terms of mechanical effect on blood cell elements, durability of the bearing, and antithrombogenic performance.

[1]  R. Hetzer,et al.  Pneumatic pulsatile ventricular assist devices in children under 1 year of age. , 2005, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[2]  R. Hetzer,et al.  Consumption of blood products during mechanical circulatory support in children: comparison between ECMO and a pulsatile ventricular assist device , 2004, Intensive Care Medicine.

[3]  R. Novick,et al.  The Registry of the International Society for Heart and Lung Transplantation: Fourth Official Pediatric Report--2000. , 2001, The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation.

[4]  H Reul,et al.  Assessment of hemolysis related quantities in a microaxial blood pump by computational fluid dynamics. , 2001, Artificial organs.

[5]  R. Paul,et al.  Shear stress related blood damage in laminar couette flow. , 2003, Artificial organs.

[6]  Tadahiko Shinshi,et al.  Magnetically Suspended Centrifugal Blood Pump With a Radial Magnetic Driver , 2005, ASAIO journal.

[7]  D. Farrar,et al.  Current Clinical Status of Pulsatile Pediatric Circulatory Support , 2002, ASAIO journal.

[8]  William A. Smith,et al.  The PediPump®: a versatile, implantable pediatric ventricular assist device , 2006 .

[9]  Y Nosé,et al.  The need for standardizing the index of hemolysis. , 1994, Artificial organs.

[10]  Kiyotaka Fukamachi,et al.  The PediPump: Development Status of a New Pediatric Ventricular Assist Device , 2005, ASAIO journal.

[11]  Setsuo Takatani,et al.  Feasibility of a Miniature Centrifugal Rotary Blood Pump for Low-Flow Circulation in Children and Infants , 2005, ASAIO journal.

[12]  R. Hetzer,et al.  Preoperative extracorporeal membrane oxygenation in newborns with total anomalous pulmonary venous connection. , 1999, Cardiovascular surgery.

[13]  R. Hetzer,et al.  Circulatory support with paracorporeal pneumatic ventricular assist device (VAD) in infants and children. , 1997, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[14]  R. B. Cain,et al.  Effects of hypothermia, hemodilution, and pump oxygenation on organ water content, blood flow and oxygen delivery, and renal function. , 1981, The Annals of thoracic surgery.

[15]  Christopher S Lucci,et al.  INITIAL IN VITRO PERFORMANCE RESULTS FOR THE 4??? AND 3??? PCAS PEDIATRIC ASSIST DEVICE , 2005 .

[16]  B. Griffith,et al.  INITIAL RESULTS WITH THE PEDIATRIC JARVIK 2000 HEART , 2005 .

[17]  J. Gaynor The effect of modified ultrafiltration on the postoperative course in patients with congenital heart disease. , 2003, Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual.

[18]  William J Weiss,et al.  Pulsatile Pediatric Ventricular Assist Devices , 2005, ASAIO journal.

[19]  R. Hetzer,et al.  Circulatory support with pneumatic paracorporeal ventricular assist device in infants and children. , 1998, The Annals of thoracic surgery.

[20]  Kiyotaka Fukamachi,et al.  The PediPump: a new ventricular assist device for children. , 2005, Artificial organs.

[21]  Natalie L James,et al.  Evaluation of hemolysis in the VentrAssist implantable rotary blood pump. , 2003, Artificial organs.