• 대한의용생체공학회:의공학회지
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• 제28권5호
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• pp.684-693
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• 2007

Previous trials for development of a pulsatile-Extracorporeal Life Support had some defects such as insufficient blood flow, high pressure at its membrane oxygenator and the high risk of blood cell damage. To solve those problems of previous pulsatile-ECLSs, we suggest dual pulsatile blood pump structure for the new pulsatile-ECLS. Two pulsatile pumps areconnected in a parallel manner and this new structure raises the inflow capacity and efficiency and it decreases the high blood pressure at membrane oxygenator. In in-vitro experiments, The Energy Equivalent Pressure Increment(EEP inc.) was 10%, and it showed that its pulsatilty was $5{\sim}10$ times higher than other commercial ECLS In in-vivo experiments, we had applied a new pulsatile-ECLS to 30 Kg pigs and a new pulsatile-ECLS couldsupport high blood flow and pulsatility above 2 L/min, 10% EEP inc.

• 한국정밀공학회지
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• 제28권4호
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• pp.526-533
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• 2011

This research is about the pulsatile pump system utilized in the perfusion bioreactor for the in vitro human tissue culture. A pulsatile pump system which can be applied to the culture of the vascular tissues including blood vessel is developed by using the idea of human heart's blood pumping into organs as followings: culture chamber, a pressurizing device which generates laminar pulsatile flow by controlling the x-sectional area of the culture media delivering tubing, a compliance chamber which supplies the pressuring device with a constant pressure, and a peristaltic pump which circulates the culture media in a circuit ranging from the culture chamber to the compliance chamber. The developed pulsatile pump system shows that a physiology of the human heart's blood pumping including pulsatile pressure waveform of systolic-diastolic pressure is well represented. Not only time domain but also frequency domain characteristics of pulsatile pump system which are necessary for the vascular tissue culture such as pulsatile pressure waveform's shape, the frequency, and the magnitude can be easily generated and manipulated by using the proposed system.

• 유체기계공업학회:학술대회논문집
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• 유체기계공업학회 2004년도 유체기계 연구개발 발표회 논문집
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• pp.641-647
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• 2004

Characteristics of the high frequency pulsatile flow have been investigated experimentally to understand the flow phenomena in the hydraulic system. The accumulator in high frequency hydraulic system but that is not effective all frequency zone. Therefore, a hydraulic damper used with accumulator is suggested to reduce the high frequency pulsatile where the accumulator is not effective. The pulsating pressure obtained by Pressure measurement system are analyzed to power spectral density distribution. According to the variations of pump input pressure and actuator acceleration frequency, the pressure is measured with or without an accumulator or pulsatile damper The amplitude of pressure with damper is very lower than those without accumulator or damper due to absorbing function of damper. As the frequency of actuator acceleration is increased, the effect of damper becomes very important to decrease the amplitude of pulsatile Pressure waveform with high frequencies.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2000년도 춘계학술대회논문집B
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• pp.531-534
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• 2000

The objective of this investigation is to find effects of the pulsatile flow on the morphological changes of the endothelial cell(E.C.) in blood vessel. The shear flow experiment system is used to get the morphological changes of the E.C. The shapes of E.C. are simulated by the cosine curves and computer simulation is used to calculate the pressure and shear stress fields on the E.C. The inlet boundary condition is given from the measured velocity data of femoral artery. The endothelial cells reduce their heights in the flow field so as to reduce the pressure and wall shear stress on the surface. As the exposed time increases, the shear stress and pressure on the E.C. are reduced under the pulsatile flow. The shear stresses on the cell surface show the minimum values during the deceleration phase.

• Journal of Chest Surgery
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• 제37권1호
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• pp.1-10
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• 2004

배경: 기존에 사용되고 있는 인공심폐기는 비박동성 펌프로 회로 내부에 형성되는 압력이 낮고 혈구 손상이 적어서 표준 인공 심폐기로 선호되고 있다. 그러나 많은 실험적 연구들을 보면 박동성 관류가 혈역학, 대사, 장기의 기능, 미세 순환에 대하여 비박동성 관류보다 유익함을 알 수 있다. 그러나 박동성 인공심폐기는 높은 회로 내부 압력과 혈구손상이 해결되어야 할 문제점으로 개발이 어려웠다. 이 연구의 목적은 국내에서 제작된 이중 박동성 인공심폐기의 안전성 및 유효성을 알아보는 것이다. 대상 및 방법: 6마리의 송아지를 대상으로 이중 박동성 인공 심폐기 실험을 하였으며, 완전체외순환을 시켰다. 체외순환은 상,하 대정맥과 대동맥 사이를 우회하였으며, 막형 산화기를 사용하여 혈액을 산화시켰다. 산화기는 좌우측 펌프 중간에 위치시켰다. 순환 시간은 4시간이었다. 동맥혈가스분석, 혈액검사, 혈장 유리 혈색소를 측정하였으며, 맥압과 회로 내부압력을 관찰하였다. 측정은 인공 심폐기 구동 전과 순환 1, 2, 3, 4시간째에 측정하였다. 결과: 동맥혈 가스분석상 pH, 이산화 탄소분압은 모두 정상 범위였으며, 동맥혈 산소 분압은 100 mmHg 이상의 충분한 산화를 보였다. 혈장 유리혈색소는 완전 체외순환하여 4시간이 경과하면서 15.87 $\pm$5.63 mg/㎗로 점차 증가소견을 보였으나 20 mg/㎗ 이내였다. 혈액검사소견상 뚜렷한 이상소견은 없었다. 순환전 수축기 혈압은 97.5$\pm$5.7 mmHg이었으며 시간 경과하여도 100 mmHg 이상의 혈압을 유지하였다. 확장기 혈압은 72.2$\pm$7.7 mmHg이었으며 시간 경과하여도 잘 유지되었다. 평균 혈압은 순환 전 83$\pm$9.2 mmHg이었으며, 시간 경과 시 증가된 소견을 보였다. 펌프의 유량은 3.3 L/min이상을 유지할 수 있었다. 완전체외순환 동안의 혈압의 변화를 보면 순환 전 심장과 유사한 동맥혈압을 보였다. 결론: 이중 박동 구조를 이용한 박동성 인공심폐기는 효과적인 박동성 혈류를 제공하면서 혈구 세포손상도 적었으며, 혈액학적 및 혈역학적인 면에서도 우수한 결과를 보였다. 따라서 모든 심장수술의 인공심폐기로 사용되어질 경우 말초장기에 생리적이고 안정적인 혈류를 공급할 수 있을 것으로 기대된다.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2003년도 춘계학술대회
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• pp.1936-1941
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• 2003

Characteristics of the high frequency and pulsatile flow investigated experimentally to understand the flow phenomena in the hydraulic system. In the study, I axis fatigue tester which are widely used for automobile filed are selected. 4 Pressure transducer, amplifier, A/D convertor are used to analyse and to obtain the pulsatle pressure waveform with high frequencies in hydraulic system. Matlab are used. to analyse the characteristics of frequency. Variation of pump input pressure and actuator acceleration frequency, pressure wave are measured with or without accumulators. For with accumulator, frequency amplitude of pressure are very lower than those of without accumulator due to absorbing function of accumulator. As the actuator acceleration frequency increased, effect of accumulator are very important to decrease the pulsatile pressure waveform with high frequencies.

• Journal of Chest Surgery
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• 제18권2호
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• pp.182-192
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• 1985

[here are so many reports that pulsatile blood flow provides physiologic organ perfusions during cardiopulmonary bypass. So, we compared the recent 30 cases undergoing cardiac surgery by Cobe-Stckert pulsatile roller pump with another 30 cases by Polystan nonpulsatile roller pump. Pulsatile flow was applied during aortic-cross clamping period when synchronized to internal EKG simulator, and perfusion mode was changed to continuous nonpulsatile flow after declamping of aorta. Age, sex, weight, and disease entities were comparable and operative techniques were similar between two groups. 1. There were no differences in average ACC time, ECC time, and Operation time. 2. Postoperative artificial respiration time was 6hrs 30mins in nonpulsatile group and 4hrs 48mins in pulsatile group, and detubation time after ventilator weaning was 2hrs 44mins in nonpulsatile group and 1hrs 43mins in pulsatile group. 3. Average pulse pressure was 8mmHg in nonpulsatile group and 55mmHg in pulsatile group, and a mean arterial pressure was 66.0mmHg in nonpulsatile group and 60.7mmHg in pulsatile group. 4. Mean urine-output during ACC;ECC period was 9.717.3;9.913.2ml/kg/hr in nonpulsatile group and 14.215.0;15.817.5 in pulsatile group [p<0, 05], and thereafter progressive decrease of differences in urine output between two groups until POD 2, and lesser amounts of diuretics was needed in pulsatile group during same postoperative period. Serum BUN/Cr level showed no specific difference and urine concentration power was well preserved in both groups. 5. Plasma proteins and other Enzymes showed no differences between two groups, but serum GOT/GPT level was higher in nonpulsatile group till POD 2. 6. Serum Electrolytes showed no differences between two groups. 7. WBC, RBC, Platelet counts, Hgb and Hct were not different and Coagulogram was well preserved in both groups. 8. Plasma free Hgb level was 7.09mg% in pulsatile group compared with 3.48mg% in pulsatile group on POD 1 but was normalized on POD 2. Gross hemoglobinuria after ECC was noted in 6 cases [20%] of pulsatile group and 4 cases [13%] of nonpulsatile group. 9. In both groups, most patients were included in NYHA class III to IV [28 cases;93% in nonpulsatile group, 22 cases;73% in pulsatile group] preoperatively, and well improved to class I to 11[22 cases; 73% in nonpulsatile group, 30 cases; 100% in pulsatile group] postoperatively. There were 7 operative mortalities in nonpulsatile group only, which were 5 cases of TOF with hepatic failure, 1 case of multiple VSDs with low out-put syndrome, and 1 case of mitral valvular heart disease with cardiomyopathy. We concluded that the new, commercially available Cobe-Stckert pulsatile roller pump device was safe, simple, and reliable.

• Journal of Advanced Marine Engineering and Technology
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• 제37권2호
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• pp.149-155
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• 2013

혈류 유동 연구를 위해서는 심장의 맥동 유동을 만들어 내는 것이 중요하다. 본 연구에서는 동맥혈류의 유동 해석을 위해 새롭게 설계된 심장 박동 모사 맥동펌프의 제작 및 그 성능에 관하여 시험을 수행하였다. 피스톤 펌프를 이용한 기본몸체 설계를 수행하였고 직류모터와 엔코더를 사용하여 회전수와 가속비를 설정할 수 있도록 하였으며, 시험결과는 전 영역에서 맥동 유동의 분포를 잘 따르고, 반복되는 맥동 주기의 편차도 작게 나타남을 확인하였다.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2001년도 추계학술대회논문집B
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• pp.318-323
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• 2001

Characteristics of the pulsatile flow in a 3-dimensional elastic blood vessel are investigated to understand the blood flow phenomena in the human body arteries. In this study, a model for the elastic blood vessel is proposed. The finite volume prediction is used to analyse the pulsatile flow in the elastic blood vessel. Variations of the pressure, velocity and wall shear stress of the pulsatile flow in the elastic blood vessel are obtained. The magnitudes of the velocity waveforms in the elastic blood vessel model are larger than those in the rigid blood vessel model. The wall shear stresses on the elastic vessel vary with the blood vessel motions. Amplitude indices of the wall shear stress for blood in the elastic blood vessel are $4\sim5$ times larger than those of the Newtonian fluid. As the phase angle increased, point of the phase angle is are moved forward and the wall shear stresses are increased for blood and the Newtonian fluid.

• 한국유체기계학회 논문집
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• 제6권3호
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• pp.51-57
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• 2003

Characteristics of the high frequency pulsatile flow have been investigated experimentally to understand the flow phenomena in the hydraulic system. One axis fatigue test bed, which is widely used for automobile field test, is used. Four pressure transducers, an amplifier and a A/D convertor are used to obtain the high frequency pulsatile pressure waveform in hydraulic system. The characteristics of frequency are analyzed by power spectrum method. According to the variations of pump input pressure and actuator acceleration frequency, the pressure is measured with or without an accumulator. The amplitude of pressure with accumulator is very lower than those without accumulator due to absorbing function of accumulator. As the frequency of actuator acceleration is increased, the effect of accumulator become very important to decrease the amplitude of pulsatile pressure waveform with high frequencies.