Literature DB >> 24061069

Concept and first experimental results of a new ferromagnetic assist device for extra-aortic counterpulsation.

Christoph T Starck1, Jakob Becker, Roland Fuhrer, Simon Sündermann, Jan Wendelin Stark, Volkmar Falk.   

Abstract

OBJECTIVES: Based on a ferromagnetic silicone cuff for extra-aortic counterpulsation, a new assist device concept was developed. The driving force is generated by an external magnetic field, which leads to contraction of a soft magnetic cuff. The force generation capacity of the device was tested in a silicone aorta model.
METHODS: Magnetic elastomers can be constructed through dispersion of micro- or nanoparticles in polymer matrices and were designed to act as soft actuators. Two magnetically active silicone cuffs were produced with a nanomagnet loading of 250 wt% (Cuff 1) and a micromagnet loading of 67 wt% (Cuff 2). The magnetic cuffs were applied on a silicone aorta model and contracted against hydrostatic pressure.
RESULTS: A full contraction of Cuff 1 was possible against a maximal hydrostatic pressure of 30 cmH₂O (22 mmHg) at a magnetic flux density of 0.4 T (Tesla) and 65 cmH₂O (48 mmHg) at a magnetic flux density of 1.2 T. A 50% contraction of Cuff 2 was possible against a maximal hydrostatic pressure of 80 cmH₂O (59 mmHg) at a magnet-cuff-distance (MCD) of 0 cm. At MCDs of 1 and 2 cm a 50% contraction was possible against 33 cmH₂O (24 mmHg) and 10 cmH₂O (7 mmHg), respectively.
CONCLUSIONS: Combining the advantages of magnetic elastomers with the principle of extra-aortic counterpulsation in a new assist device concept avoids the need for anticoagulation (no contact with bloodstream). With regard to the magnetic principle of action, no intra- to extracorporeal connection is needed. More experimental work is needed to further increase the force generated by the silicone cuff and to transfer the device concept into an in vivo setting.

Entities:  

Keywords:  Assist device; Extra-aortic counterpulsation; Heart failure

Mesh:

Substances:

Year:  2013        PMID: 24061069      PMCID: PMC3867034          DOI: 10.1093/icvts/ivt416

Source DB:  PubMed          Journal:  Interact Cardiovasc Thorac Surg        ISSN: 1569-9285


  12 in total

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Authors:  William L Holman; Soon J Park; James W Long; Alan Weinberg; Lopa Gupta; Anita R Tierney; Robert M Adamson; John D Watson; Edward P Raines; Gregory S Couper; Francis D Pagani; Nelson A Burton; Leslie W Miller; Yoshifumi Naka
Journal:  J Heart Lung Transplant       Date:  2004-12       Impact factor: 10.247

9.  Relation between aortic dicrotic notch pressure and mean aortic pressure in adults.

Authors:  J L Hébert; Y Lecarpentier; K Zamani; C Coirault; G Daccache; D Chemla
Journal:  Am J Cardiol       Date:  1995-08-01       Impact factor: 2.778

10.  Outcomes of left ventricular assist device implantation as destination therapy in the post-REMATCH era: implications for patient selection.

Authors:  Katherine Lietz; James W Long; Abdallah G Kfoury; Mark S Slaughter; Marc A Silver; Carmelo A Milano; Joseph G Rogers; Yoshifumi Naka; Donna Mancini; Leslie W Miller
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