The nonphysiological mechanical shear stress in blood-contacting medical devices is one major factor to device-induced blood damage. Animal blood is often used to test device-induced blood damage potential of these devices due to its easy accessibility and low cost. However, the differences in shear-induced blood damage between animals and human have not been well characterized. The purpose of this study was to investigate shear-induced hemolysis of human and three commonly used preclinical evaluation animal species (ovine, porcine, and bovine) under shear conditions encountered in blood-contacting medical devices. Shear-induced hemolysis experiments were conducted using two single-pass blood-shearing devices. Driven by an externally pressurized reservoir, blood single-passes through a small annular gap in the shearing devices where the blood was exposed to a uniform high shear stress. Shear-induced hemolysis at different conditions of exposure time (0.04 to 1.5 s) and shear stress (25 to 320 Pa) was quantified for ovine, porcine, bovine, and human blood, respectively. Within these ranges of shear stress and exposure time, shear-induced hemolysis was less than 2% for the four species. The results showed that the ovine blood was more susceptible to shear-induced injury than the bovine, porcine, and human blood. The response of the porcine and bovine blood to shear was similar to the human blood. The dependence of hemolysis on shear stress level and exposure time was found to fit well the power law functional form for the four species. The coefficients of the power law models for the ovine, porcine, bovine, and human blood were derived.
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http://dx.doi.org/10.1111/aor.12459 | DOI Listing |
Crit Care
October 2024
Department of Pneumology and Critical Care Medicine, ARDS and ECMO Centre, Cologne-Merheim Hospital, Cologne, Germany.
Comput Biol Med
September 2024
Department of Mechanical Engineering and Mechatronics, Ariel University, Israel. Electronic address:
This study uses CFD methods to investigate the effects of the impeller's geometry on the hemodynamic characteristics, pump performance, and blood damage parameters, in a percutaneous microaxial Mechanical Circulatory Support (MCS) device. The numerical simulations employ the steady state Reynolds-Averaged Navier-Stokes approximation using the SST k-ω turbulent model. Three different impeller models are examined with different hub conversion angles (α = 0, 3 and 5).
View Article and Find Full Text PDFJ Biomech
January 2023
School of Engineering and Built Environment, Griffith University, Queensland, Australia; Critical Care Research Group, The Prince Charles Hospital, Brisbane, Australia.
Cell exclusion in spiral groove bearing (SGB) excludes red blood cells from high shear regions in the bearing gaps and potentially reduce haemolysis in rotary blood pumps. However, this mechanobiological phenomenon has been observed in ultra-low blood haematocrit only, whether it can mitigate blood damage in a clinically-relevant blood haematocrit remains unknown. This study examined whether cell exclusion in a SGB alters haemolysis and/or high-molecular-weight von Willebrand factor (HMW vWF) multimer degradation.
View Article and Find Full Text PDFMed Nov Technol Devices
September 2022
Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Centrifugal blood pumps have become popular for adult extracorporeal membrane oxygenation (ECMO) due to their superior blood handling and reduced thrombosis risk featured by their secondary flow paths that avoid stagnant areas. However, the high rotational speed within a centrifugal blood pump can introduce high shear stress, causing a significant shear-induced hemolysis rate. The Revolution pump, the Rotaflow pump, and the CentriMag pump are three of the leading centrifugal blood pumps on the market.
View Article and Find Full Text PDFProc Inst Mech Eng H
June 2022
Artificial Organ Technology Laboratory, Bio-manufacturing Research Centre, School of Mechanical and Electrical Engineering, Soochow University, Suzhou, China.
Blood damage induced by mechanical circulatory support devices (MCSDs) remains a significant challenge to optimal clinical care. Although researchers have been conducting in vitro studies, the major determinant of blood damage is still unclear. An optimized capillary tube blood-shearing platform with custom designed parts was constructed to investigate the influence of two flow-dependent parameters (shear stress and exposure time) on the shear-induced damage of red blood cells and von Willebrand factor (VWF).
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