Multiobjective Optimization of Rotodynamic Blood Pumps: The Use Case of a Cavopulmonary Assist Device.


Journal

ASAIO journal (American Society for Artificial Internal Organs : 1992)
ISSN: 1538-943X
Titre abrégé: ASAIO J
Pays: United States
ID NLM: 9204109

Informations de publication

Date de publication:
31 May 2024
Historique:
medline: 3 6 2024
pubmed: 3 6 2024
entrez: 3 6 2024
Statut: aheadofprint

Résumé

Comprehensive optimization of rotodynamic blood pumps (RBPs) requires the consideration of three partially conflicting objectives: size, hemocompatibility, and motor efficiency. Optimizing these individual objectives independently, the potential of multiobjective optimizations often remains untapped. This study aimed at the multiobjective optimization of an RBP for cavopulmonary support accounting for all three objectives simultaneously. Hydraulic and electromagnetic design spaces were characterized using computational fluid dynamics and computational electromagnetics, respectively. Design variables included secondary flow gap widths, impeller diameters, and stator heights. The size objective encompassed the RBP widths and heights, the hemocompatibility objective was a weighted composite measure of well-established metrics, and the motor objective was determined by motor losses. Multiobjective optimization was performed through Pareto analysis. 81 designs were considered, and 21 Pareto-optimal designs were identified. The Pareto analysis indicated that hemocompatibility performance could be improved by 72.4% with a concomitant 1.5% reduction in the baseline pump volume. This, however, entailed an increase in motor losses by 0.2 W, while still meeting design requirements, with maximum local temperature rises remaining below 0.4 K. The multiobjective optimization led to a Pareto front, demonstrating the feasibility to improve hemocompatibility at reduced pump volume, however, at the cost of a diminished yet still acceptable motor performance.

Identifiants

pubmed: 38829985
doi: 10.1097/MAT.0000000000002237
pii: 00002480-990000000-00497
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © ASAIO 2024.

Déclaration de conflit d'intérêts

Disclosure: M.G. received personal fees and grants from BerlinHeart GmbH. The other authors have no conflicts of interest to report.

Références

Teuteberg JJ, Cleveland JC, Cowger J, et al.: The society of thoracic surgeons intermacs 2019 annual report: The changing landscape of devices and indications. Ann Thorac Surg 109: 649–660, 2020.
Molina EJ, Shah P, Kiernan MS, et al.: The society of thoracic surgeons intermacs 2020 annual report. Ann Thorac Surg 111: 778–792, 2021.
Timms D: A review of clinical ventricular assist devices. Med Eng Phys 33: 1041–1047, 2011.
Kirklin JK, Xie R, Cowger J, et al.: Second annual report from the ISHLT mechanically assisted circulatory support registry. J Heart Lung Transplant 37: 685–691, 2018.
Kirklin JK, Naftel DC, Pagani FD, et al.: Seventh INTERMACS annual report: 15,000 patients and counting. J Heart Lung Transplant 34: 1495–1504, 2015.
Schlöglhofer T, Grausenburger AS, Widhalm G, et al.: It’s not only the pump: Assessment of human factors of wearable components and user experience of patients with left ventricular assist devices. J Heart Lung Transplant 42: 466–477, 2023.
Larose JA, Tamez D, Ashenuga M, Reyes C: Design concepts and principle of operation of the heartware ventricular assist system. ASAIO J 56: 285–289, 2010.
Bourque K, Cotter C, Dague C, et al.: Design rationale and preclinical evaluation of the HeartMate 3 left ventricular assist system for hemocompatibility. ASAIO J 62: 375–383, 2016.
Antaki JF, Ricci MR, Verkaik JE, et al.: PediaFlowTM maglev ventricular assist device: A prescriptive design approach. Cardiovasc Eng Technol 1: 104–121, 2010.
Wiegmann L, Boës S, de Zélicourt D, et al.: Blood pump design variations and their influence on hydraulic performance and indicators of hemocompatibility. Ann Biomed Eng 46: 417–428, 2018.
Ghadimi B, Nejat A, Nourbakhsh SA, Naderi N: Multi-objective genetic algorithm assisted by an artificial neural network metamodel for shape optimization of a centrifugal blood pump. Artif Organs 43: E76–E93, 2019.
Wu J, Antaki JF, Verkaik J, Snyder S, Ricci M: Computational fluid dynamics-based design optimization for an implantable miniature maglev pediatric ventricular assist device. J Fluids Eng Transac ASME 134: 041101-1–041101-9, 2012.
Wu J, Antaki JF, Wagner WR, Snyder TA, Paden BE, Borovetz HS: Elimination of adverse leakage flow in a miniature pediatric centrifugal blood pump by computational fluid dynamics-based design optimization. ASAIO J 51: 636–643, 2005.
Yu H, Janiga G, Thévenin D: Computational fluid dynamics-based design optimization method for Archimedes screw blood pumps. Artif Organs 40: 341–352, 2016.
Arvand A, Hahn N, Hormes M, Akdis M, Martin M, Reul H: Comparison of hydraulic and hemolytic properties of different impeller designs of an implantable rotary blood pump by computational fluid dynamics. Artif Organs 28: 892–898, 2004.
Wu P, Huo J, Dai W, Wu WT, Yin C, Li S: On the optimization of a centrifugal maglev blood pump through design variations. Front Physiol 12: 699891, 2021.
Hubmann EJ, Bortis D, Flankl M, Kolar JW, Granegger M, Hubler M: Optimization and calorimetric analysis of axial flux permanent magnet motor for implantable blood pump assisting the fontan circulation. In: 2019 22nd International Conference on Electrical Machines and Systems, ICEMS. 2019.
Neethu S, Shinoy KS, Shajilal AS: Novel design, optimization and realization of axial flux motor for implantable blood pump. 2010 Joint International Conference on Power Electronics, Drives and Energy Systems, PEDES 2010 and 2010 Power India. Published online 2010.
Wang F, Zhu Y, Wang H, Zhao D: Design and analysis of a bearingless permanent-magnet motor for axial blood pump applications. IEEE Access 8: 7622–7627, 2020.
Escher A, Strauch C, Hubmann EJ, et al.: A cavopulmonary assist device for long-term therapy of Fontan patients. Semin Thorac Cardiovasc Surg 34: 238–248, 2021.
Granegger M, Escher A, Karner B, et al.: Feasibility of an animal model for cavopulmonary support with a double-outflow pump. ASAIO J 69: 673–680, 2023.
Karner B, Escher A, Schorn T, et al.: Anatomical compliance of cavopulmonary assist device designs—A virtual fitting study. ASAIO J 69: 1016–1024, 2023.
Ohuchi H, Yasuda K, Miyazaki A, et al.: Haemodynamic characteristics before and after the onset of protein losing enteropathy in patients after the Fontan operation. Eur J Cardio Thorac Surg 43: e49–e57, 2013.
Strauch C, Escher A, Wulff S, et al.: Validation of numerically predicted shear stress-dependent dissipative losses within a rotary blood pump. ASAIO J 67: 1148–1158, 2021.
Wiegmann L, Thamsen B, de Zélicourt D, et al.: Fluid dynamics in the HeartMate 3: Influence of the artificial pulse feature and residual cardiac pulsation. Artif Organs 43: 363–376, 2019.
Escher A, Choi Y, Callaghan F, et al.: A valveless pulsatile pump for heart failure with preserved ejection fraction: Hemo- and fluid dynamic feasibility. Ann Biomed Eng 48: 1821–1836, 2020.
Granegger M, Thamsen B, Schlöglhofer T, et al.: Blood trauma potential of the HeartWare ventricular assist device in pediatric patients. J Thorac Cardiovasc Surg 159: 1519–1527.e1, 2020.
Fraser KH, Zhang T, Taskin ME, Griffith BP, Wu ZJ: A quantitative comparison of mechanical blood damage parameters in rotary ventricular assist devices: Shear stress, exposure time and hemolysis index. J Biomech Eng 134: 81002, 2012.
Escher A, Göbel H, Nicolai M, et al.: Hemolytic footprint of rotodynamic blood pumps. IEEE Trans Biomed Eng 69: 2423–2432, 2022.
Escher A, Hubmann EJ, Karner B, et al.: Linking hydraulic properties to hemolytic performance of rotodynamic blood pumps. Adv Theory Simul 5: 2200117, 2022.
Schöps M, Groß-Hardt SH, Schmitz-Rode T, et al.: Hemolysis at low blood flow rates: In-vitro and in-silico evaluation of a centrifugal blood pump. J Transl Med 19: 1–10, 2021.
Escher A, Thamsen B, Strauch C, et al.: In-vitro flow validation of third-generation ventricular assist devices: Feasibility and challenges. ASAIO J 69: 932–941, Published online March 2023.
Rodefeld MD, Marsden A, Figliola R, Jonas T, Neary M, Giridharan GA: Cavopulmonary assist: Long-term reversal of the Fontan paradox. J Thorac Cardiovasc Surg 158: 1627–1636, 2019.
Yang W, Conover TA, Figliola RS, Giridharan GA, Marsden AL, Rodefeld MD: Passive performance evaluation and validation of a viscous impeller pump for subpulmonary fontan circulatory support. Sci Rep 13: 1–13, 2023.
Granegger M, Thamsen B, Hubmann EJ, et al.: A long-term mechanical cavopulmonary support device for patients with Fontan circulation. Med Eng Phys 70: 9–18, 2019.
Saaty TL: Decision making with the analytic hierarchy process. Sci Iranica 1: 83–229, 2002.
Brisset S, Gillon F: Approaches for multi-objective optimization in the ecodesign of electric systems. Eco Friendly Innov Electricity Transm Distrib Netw: Woodhead Publishing, 83–97, Published online January 1, 2015.

Auteurs

Andreas Escher (A)

From the Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.

Spasoje Miric (S)

Department of Mechatronics, University of Innsbruck, Innsbruck, Austria.

Bente Thamsen (B)

From the Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.

Rosario Giuffrida (R)

Power Electronic Systems Laboratory, Department of Information Technology and Electrical Engineering, ETH Zurich, Zurich, Switzerland.

Pascal Schmidt (P)

From the Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.

Benjamin Weinhold (B)

Power Electronic Systems Laboratory, Department of Information Technology and Electrical Engineering, ETH Zurich, Zurich, Switzerland.

Michael Hübler (M)

Children's Heart Clinic, University Heart & Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Daniel Zimpfer (D)

From the Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.
Division of Cardiac Surgery, Department of Surgery, Medical University Graz, Graz, Austria.

Johann Walter Kolar (JW)

Power Electronic Systems Laboratory, Department of Information Technology and Electrical Engineering, ETH Zurich, Zurich, Switzerland.

Marcus Granegger (M)

From the Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.

Classifications MeSH