Long-term in vivo left ventricular assist device study for 284 days with Gyro PI pump

Artif Organs. 1999 Jun;23(6):504-7. doi: 10.1046/j.1525-1594.1999.06391.x.

Abstract

A totally implantable centrifugal artificial heart has been developed. The plastic prototype, the Gyro PI 601, passed 2 day hemodynamic tests as a functional total artificial heart (TAH), 2 week screening tests for anti-thrombogenecity, and a 1 month system feasibility study. Based upon these results, a metallic prototype, the Gyro PI 700 series, was subjected to long-term in vivo left ventricular assist device (LVAD) studies of over 1 month. The Gyro PI 700 series has the same inner dimension and same characteristics of the Gyro PI 601 such as an eccentric inlet port, a double pivot bearing system, and a magnet coupling system. The PI metallic pump is also driven with the Vienna DC brushless motor actuator like the PI 601. The pump-actuator package was implanted in 3 calves in the preperitoneal space, bypassing from the left ventricular (LV) apex to the descending aorta. Case 1 achieved a 284 day survival. Case 2 was euthanized early at 72 postoperative days as a result of the functional obstruction of the inlet port due to the excessive growth of the calf. There was no blood clot inside the pumps of either case. Case 3 is on-going (22 days on July 24, 1998). During these periods, all cases showed no physiological abnormalities. In conclusion, the PI 700 series pump has excellent results as a long-term implantable LVAD.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Aorta, Thoracic / surgery
  • Blood Urea Nitrogen
  • Body Temperature / physiology
  • Cattle
  • Creatinine / blood
  • Equipment Design
  • Feasibility Studies
  • Heart, Artificial
  • Heart-Assist Devices*
  • Hemodynamics / physiology
  • Hemoglobins / analysis
  • L-Lactate Dehydrogenase / blood
  • Leukocyte Count
  • Longitudinal Studies
  • Magnetics / instrumentation
  • Metals
  • Plastics
  • Surface Properties
  • Survival Rate
  • Thrombosis / etiology
  • Ventricular Function, Left / physiology*

Substances

  • Hemoglobins
  • Metals
  • Plastics
  • Creatinine
  • L-Lactate Dehydrogenase