• Journal of Chest Surgery
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• 제25권5호
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• pp.451-457
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• 1992

The hollow fiber oxygenator is the most advanced one for the cardiopulmoanry bypass. They have two different types of the hollow fiber systems according to the way how the blood go through the fibers. One is inside blood flow type and the other outside type. In order to find out which is better to prevent blood cell destruction, we selected 40 valve replacing patients and divided them into 2 groups prospectively. In group I [n=20], inside blood flow type[BCM-7a], CO2 excretion is more effective than group II, that is partly because of the relative large surface area of the BCM-7. In group II [n=20], outside blood flow type [MAXIMAa], they have better quality to preserve platelet count. We also studied about several other items such as SaO2, Hemoglobin and RBC, WBC, fibrinogen, LDH, plasma hemoglobin, haptoglobulin and so on. But we cannot find any differences between two groups with any statistical meanings [p<0.05]. We conclude that both of two oxygenators are excellent in the aspects of gas exchange and blood cell preservation.

• 한국가시화정보학회지
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• 제3권1호
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• pp.20-25
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• 2005

An x-ray PIV (Particle Image Velocimetry) technique was developed fur measuring quantitative information on flows inside opaque conduits and/or opaque-fluid flows. To check the performance of the x-ray PIV technique developed, it was applied to a liquid flow in an opaque Teflon tube. To acquire x-ray images suitable for PIV velocity field measurements, the refraction-based edge enhancement mechanism was employed with seeding detectable tracer particles. The amassed velocity field data obtained were in a reasonable agreement with the theoretical prediction. The x-ray PIV technique was also applied to get velocity fields of blood flow and to measure size and velocity of micro-bubbles simultaneously, and to visualize the water refilling process in bamboo leaves. The x-ray PIV was found to be a powerful transmission-type flow imaging technique fur measuring quantitative information of flows inside opaque objects and various opaque-fluid flows.

• 대한의용생체공학회:의공학회지
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• 제14권4호
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• pp.307-314
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• 1993

Plasma protein adsorption is the first event in the blood-material interaction and influenc- es subsequent platelet adhesion towards thlㅈombus formation. Thiㅈomboembolic events are strongly influenced by surface characteristics of materials and fluid dynamics inside the blood pump. In vitro flow visualizaion and an amimal experiment with the moving actuator type TAH were Performed in order to investigate fluid dynamic effects on the protein adsorption. The diffel'encl level, j of shear rate inside the ventricle Lvere determined by consid- ering the direction of the major opening of four healt valves in the implanted TAH and the visualized flow patterns as well. Each ventricle of the explanted TAH was sectionalized into 12 segments according to the shear rate level. The adsorbed protein on each segment was quantified using the ELISA method after soaking in 2% (wye)SDS/PBS for two days. Adsorbed protein layer thicknesses Itvere measured by the Immunogotd method under TEM. The SEM observation show that right ventricle (RV) , immobilized with albumin, displayed different degrees of platelet adhesion on each segment, whereas the left ventricle (LV), grafted by PEO-sulronate, indicated nearly , iame platelet adhesion behavior, regardless of shear rates. The surface concentrations of adsorbed proteins in the low shear rate region are hlghel'than those in the high region, which was confirmed statistically. A modified adsorption model of plasma protein onto polyurethane surface was suggested by considering the effect of the fluid dynamic characteristics.

• 대한의용생체공학회:의공학회지
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• 제25권6호
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• pp.489-496
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• 2004

혈액이 케뉼라를 통과할 때 생리적인 범위를 벋어나는 기계적인 하중이나 전단응력을 받게 되며, 그 결과로 용혈의 발생기전이 되는 ADP(Adenosine Diphospate)를 증가 시키게 된다. 저자는 수치해석적인 방법을 이용하여 사이드 홀을 가진 케뉼라의 3차원 유동을 해석하였다. 연구의 대상이 되는 케뉼라는 환자의 대퇴정맥에 삽입되어 혈액을 배출하는 배액 케뉼라이다. 이러한 배액 케뉼라는 배출 성능을 높이기 위해 일반적으로 사이드 홀을 장착한다. 4개, 12개, 20개인 사이드 홀을 가진 케뉼라에 대하여 경우에 대하여, 각각 엇갈림 배열, 직렬 배열. 변형된 직렬배열을 적용하여, 총 9가지 서로 다른 모델을 시뮬레이션 해보았으며 이것을 사이드 홀이 없는 케뉼라와 더불어 비교하였다. 유량, 벽면전단응력(Wail Shear Stress. WSS), 전단율(Shear Rate. SR) 값을 구하여 분석하므로 사이드 홀의 영향을 알아보았다. 연구를 통하여 사이드 홀의 개수와 배열이 모두 혈류 역학적인 변수들에 영향을 주는 것을 확인하였다. 유량이 사이드 홀의 개수에 비례하지 않는 것을 확인 하였고 사이드 홀의 개수가 많을 수로 평균 전단율을 줄이는 것을 확인 하였다.