K. Yamazaki et al., AN IMPLANTABLE CENTRIFUGAL BLOOD PUMP WITH A RECIRCULATING PURGE SYSTEM (COOL-SEAL SYSTEM), Artificial organs, 22(6), 1998, pp. 466-474
A compact centrifugal blood pump has been developed as an implantable
left ventricular assist system. The impeller diameter is 40 mm, and pu
mp dimensions are 55 x 64 mm. This first prototype, fabricated from ti
tanium alloy, resulted in a pump weight of 400 g including a brushless
DC motor. The weight of a second prototype pump was reduced to 280 g.
The entire blood contacting surface is coated with diamond like carbo
n (DLC) to improve blood compatibility. Flow rates of over 7 L/min aga
inst 100 mm Hg pressure at 2,500 rpm with 9 MI total power consumption
have been measured. A newly designed mechanical seal with a recircula
ting purge system (Cool-Seal) is used for the shaft seal. In this seal
system, the seal temperature is kept under 40 degrees C to prevent he
at denaturation of blood proteins. Purge fluid also cools the pump mot
or coil and journal bearing. Purge fluid is continuously purified and
sterilized by an ultrafiltration unit which is incorporated in the par
acorporeal drive console. In vitro experiments with bovine blood demon
strated an acceptably low hemolysis rate (normalized index of hemolysi
s = 0.005 +/- 0.002 g/100 L). In vivo experiments are currently ongoin
g using calves. Via left thoracotomy, left ventricular (LV) apex desce
nding aorta bypass was performed utilizing an expanded polytetrafluoro
ethylene (ePTFE) vascular graft with the pump placed in the left thora
cic cavity, In 2 in vivo experiments, the pump flow I-ate was maintain
ed at 5-9 L/min. and pump power consumption remained stable at 9-10 W.
AIL plasma free Hb levels were measured at less than 15 mg/dl. The se
al system has demonstrated good seal capability with negligible purge
fluid consumption (<0.5 ml/day). In both calves, the pumps demon strat
ed trouble free continuous function over 6 month (200 days and 222 day
s).