Pulsatile LVAD Linear Motor for Physiologic Blood Flow
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Solution Overview
Problem
Continuous-flow left ventricular assist devices (LVADs) cause significant side effects due to reduced pulsatility, including increased sympathetic activation, cardiovascular risks, aortic valve issues, gastrointestinal bleeding, and blood pressure measurement challenges, and can lead to malfunction and death.
Innovation Solution
A left ventricular assist device (LVAD) system with a tubular linear motor and control circuitry that provides pulsatile blood flow synchronized with cardiac cycles, using a magnetic piston and stator to mimic natural heart function, and optionally includes a spring for energy storage and release, reducing peak power consumption.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Productivity
If continuous-flow LVAD is used, then blood flow is maintained, but pulsatility is reduced causing increased sympathetic activation and peripheral vascular resistance
Solution Approach 1:
The patent implements periodic pulsatile action by using a reciprocating piston that alternates between forward and backward motion, synchronized with the cardiac cycle. This periodic motion creates pulsatile blood flow that mimics natural heart function, thereby reducing sympathetic activation and peripheral vascular resistance while maintaining adequate blood flow.
Solution Approach 2:
The patent employs dynamic adjustment of the piston motion characteristics to match the patient's cardiac cycle. The reciprocating piston's velocity and position are continuously adjusted to synchronize with natural heart beats, creating physiologic pulsatility that reduces harmful sympathetic effects while maintaining cardiac output.
2Productivity
If continuous-flow LVAD is used, then blood flow is maintained, but aortic leaflet strain increases causing valve issues
Solution Approach 1:
The reciprocating piston creates periodic pulsatile flow that mimics natural cardiac cycles. This periodic action allows the aortic valve to open and close naturally with each pulse, reducing continuous strain on the aortic leaflet and preventing fusion and regurgitation that occur with continuous-flow devices.
Solution Approach 2:
The device incorporates sensing mechanisms that detect aortic pressure and valve status, providing feedback to adjust piston motion accordingly. This feedback control ensures the piston stops or reverses when the aortic valve closes, preventing excessive strain on the aortic leaflet while maintaining adequate blood flow.
3Productivity
If continuous-flow LVAD is used, then blood flow is maintained, but gastrointestinal bleeding increases due to lack of pulsatility
Solution Approach 1:
The patent implements periodic pulsatile blood flow through reciprocating piston motion synchronized with the cardiac cycle. This pulsatility restores normal blood flow patterns to the gastrointestinal system, reducing proteolysis and preventing the coagulopathy and gastrointestinal bleeding that are common with continuous-flow devices.
Solution Approach 2:
The device changes the temporal parameters of blood flow from continuous to pulsatile by adjusting piston velocity and position. This parameter change restores physiologic blood flow patterns that protect gastrointestinal mucosa and prevent bleeding, while maintaining adequate cardiac output.
4Productivity
If continuous-flow LVAD is used, then blood flow is maintained, but blood pressure measurement becomes challenging
Solution Approach 1:
The reciprocating piston creates periodic pulsations in blood pressure that sync with the cardiac cycle. This restores measurable pulsatile pressure waves, enabling accurate blood pressure measurement using standard sphygmomanometers and arterial lines, whereas continuous-flow devices produce flat pressure traces that are difficult to measure.
Solution Approach 2:
The device incorporates pressure sensors that provide real-time feedback on aortic pressure fluctuations. This feedback enables the system to maintain physiologic pulsatility and simultaneously provides accurate pressure data for monitoring and measurement, resolving the measurement challenge of continuous-flow devices.
5Object-affected harmful factors
If pulsatile LVAD is used, then natural heart function is mimicked, but device complexity increases
Solution Approach 1:
The patent replaces complex mechanical valve mechanisms with a simpler reciprocating piston system that uses magnetic or mechanical drive to create pulsatile flow. This substitution reduces the number of moving parts and potential failure points while maintaining the ability to mimic natural heart function and reduce side effects.
Solution Approach 2:
The reciprocating piston mechanism serves multiple functions simultaneously: it drives blood flow, creates pulsatility, and can be synchronized with the cardiac cycle. This multi-functionality reduces the need for separate mechanisms for each function, thereby reducing overall device complexity while maintaining therapeutic effectiveness.
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 LVAD system reduces peak power demands, mimics natural heart function, and provides pulsatile flow to maintain normal organ function, particularly for critical organs like the kidney, liver, and brain, while minimizing side effects associated with continuous-flow devices.
Implementation Method 1
The magnets are arranged to interact with a magnetic field generated by the coiled wire when current flows therethrough, so as to axially move the reciprocating valve with respect to the stent
Implementation Method 2
a magnetic piston and a stator... The stator is configured to magnetically drive the magnetic piston with reciprocating motion
Implementation Method 3
a spring, which is arranged to store energy during upstream motion of the magnetic piston and release the stored energy during the downstream motion of the magnetic piston
Data Source
AI summary
A method is provided that includes inserting an inflow cannula of a left ventricular assist device (LVAD) of a LVAD system into a left chamber of a heart of a patient transeptally via a right atrium and a superior vena cava (SVC). An outflow cannula of the LVAD is coupled to a left subclavian artery or a left axillary artery. Other embodiments are also described.


