The failure of the orthotopic implantation of a totally implantable ar
tificial heart (TAH) was due mainly to anatomic mismatches in the cond
uits of the conventional TAH system. To overcome this anatomic incompa
tibility, a custom design and fabrication process was designed using t
he rapid prototyping (RP) technique. After three dimensional reconstru
ction of magnetic resonance imaging of the thoracic cavity and vascula
r remnants of the recipient, study of anatomic fit was done using the
reconstructed thoracic model and three dimensional computer aided desi
gn (CAD) model. The direction of the inflow and outflow conduits of th
e blood sac was changed with a Unigraphics CAD. The RP model of the de
signed chamber was fabricated and examined for anatomic compatibility.
Through this approach, the minute directional mismatch of the inflow
and outflow conduits was improved. Thus, a new custom designed moving
actuator Korean TAH with CAD and RP techniques was developed.