Dual-Pump Pediatric VAD Flow Switching for Growth-Adaptable Support
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Solution Overview
Problem
Current mechanical circulatory support (MCS) devices for pediatric patients with heart failure are limited in number and size, leading to off-design usage of adult devices, which can cause complications such as hemolysis, thrombosis, and neurological impairment, and lack a solution that supports patients from childhood through adolescence.
Innovation Solution
A dual-pump mechanical circulatory support device with an axial and centrifugal pump configuration, activated by a flexible mechanism, providing adjustable support through a single device that grows with the patient, using magnetic suspension to reduce blood damage and thrombosis risk.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Adaptability or versatility
If adult VAD devices are used in pediatric patients, then device availability is improved, but patient safety deteriorates due to hemolysis, thrombosis, and neurological impairment
Solution Approach 1:
The pediatric VAD is divided into two separate pumps (first axial flow pump and second centrifugal pump) that can operate independently or in combination, allowing each pump to be optimized for specific flow rate ranges and patient age groups, thereby eliminating the need to use adult devices off-label
Solution Approach 2:
The dual-pump system provides multiple operational modes (first pump only, second pump only, or both pumps in series) to accommodate different pediatric patient sizes and flow requirements, making the device universally applicable across the entire pediatric population from infancy through adolescence
2Device complexity
If a single fixed-size VAD device is used, then device simplicity is improved, but long-term support capability deteriorates as patients grow
Solution Approach 1:
The VAD system incorporates variable configuration capability where the two pumps can be connected in series or operated independently based on patient growth and flow requirements, allowing the device to dynamically adapt to changing cardiovascular demands throughout childhood and adolescence
Solution Approach 2:
The smaller first axial flow pump is positioned within the housing of the larger second centrifugal pump, creating a nested configuration that allows both pumps to coexist in a compact arrangement while providing scalable flow capacity as patients grow
3Productivity
If pump speed is increased to meet growing cardiovascular demands, then flow capacity is improved, but blood damage increases
Solution Approach 1:
The total flow requirement is divided between two pumps operating in series, allowing each pump to operate at lower, safer speeds while collectively delivering the required flow capacity, thereby reducing hemolysis and thrombosis risk compared to a single high-speed pump
Solution Approach 2:
The system changes operational parameters by switching between different pump configurations (first pump only, second pump only, or both in series) and adjusting individual pump speeds to match patient growth and cardiovascular demands while maintaining safe operating ranges for each pump
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
The device offers long-term support across the pediatric age range, reducing hemolysis and thrombosis risk while adjusting to growing cardiovascular demands, with compact size and effective pressure and flow capacity.
Implementation Method 1
the actuation mechanism includes flexible hosing
Implementation Method 2
using magnetic suspension to reduce blood damage and thrombosis risk
Data Source
AI summary
A mechanical circulatory support device is provided that includes a housing containing separate first and second pumps, each pump having an inlet, an outlet, and an impeller. The device also includes an actuation mechanism within the housing and is movable from a first position to a second position to divert blood flow within the housing to one of the pumps or to bypass blood flow relative to one of the pumps within the housing. In the first position, the actuation mechanism directs blood flow exiting the first pump into a bypass passage so that blood flow bypasses the second pump, and in the second position, the actuation mechanism directs blood flow exiting the first pump into the inlet of the second pump. The first pump is an axial flow pump and the second pump is a centrifugal pump, and the actuation mechanism includes flexible hosing.


