Key result
Simulated thrombus formation in a centrifugal pump significantly increased the area of frequency domain at a radial direction compared to control (e.g., 365 +/- 12.9 vs 163 +/- 7.9 mVHz; p<0.001).
Why the study?
Does vibration monitoring detect simulated thrombus formation in centrifugal blood pumps?
Does vibration monitoring detect simulated thrombus formation in centrifugal blood pumps?
p-value: p=<0.001
Vibration monitoring can distinguish different types of simulated thrombus formations in a centrifugal pump, suggesting its potential utility for early thrombus detection in mechanical circulatory support devices.
Vibration monitoring may detect pump thrombus; leaves open clinical translation beyond animal models.
To clarify the correlation of vibration and thrombus formation inside a rotary blood pump, 40 preliminary vibration studies were performed on pivot bearing centrifugal pumps. No such studies were found in the literature. The primary data acquisition equipment included an accelerometer (Isotron PE accelerometer, ENDEVCO, San Juan Capistrano, CA, U.S.A.), digitizing oscilloscope (TDS 420, Tektronix Inc., Pittsfield, MA, U.S.A.), and pivot bearing centrifugal pumps. The pump impeller was coupled magnetically to the driver magnet. The accelerometer was mounted on the top of the pump casing to sense radial and axial accelerations. To simulate the 3 common areas of thrombus formation, a piece of silicone rubber was attached to each of the following 3 locations as described: a circular shape on the center bottom of the impeller (CI), an eccentric shape on the bottom of the impeller (EI), and a circular shape on the center bottom casing (CC). A fast Fourier transform (FFT) method at 5 L/min against 100 mm Hg, with a pump rotating speed of 1,600 rpm was used. The frequency response of the vibration sensors used spans of 40 Hz to 2 kHz. The frequency domain was already integrated into the oscilloscope, allowing for comparison of the vibration results. The area of frequency domain at a radial direction was 206 +/- 12.7 mVHz in CI, 239.5 +/- 12.1 mVHz in EI, 365 +/- 12.9 mVHz in CC, and 163 +/- 7.9 mVHz in the control (control vs. CI p = 0.07, control vs. EI p < 0.001, control vs. CC p < 0.001, EI vs. CC p < 0.001, CI vs. CC p < 0.001). Three types of imitation thrombus formations were roughly distinguishable. These results suggested the possibility of detecting thrombus formation using vibration signals, and these studies revealed the usefulness of vibration monitoring to detect thrombus formation in a centrifugal pump.
No takes yet. Share an insight, caveat, or question.
Nakazawa et al. (1997) studied Thrombus formation in centrifugal pumps (n=40). Imitation thrombus formation (silicone rubber attachment) vs. Control (no imitation thrombus) was evaluated on Area of frequency domain at a radial direction (mVHz) (p=<0.001). Simulated thrombus formation in a centrifugal pump significantly increased the area of frequency domain at a radial direction compared to control (e.g., 365 +/- 12.9 vs 163 +/- 7.9 mVHz; p<0.001).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: