Artificial hearts-recent progress: republication of the article published in the Japanese Journal of Artificial Organs

A Heart without Life: Artificial Organs and the Lived Body

The use of artificial organs is likely to increase in the future, given technological advances, increases in chronic diseases, and limited donor organs. This article examines how artificial organs could affect people's experience and conceptualization of bodies and our understanding of the relation of body to self. I focus on artificial heart devices and argue that these have two conflicting potential influences. First, they may influence people to regard the body as machinelike and separable from the self. Second, they may effect changes to subjective experience that can be understood as changes to the self, confirming the self's embodiment. My primary purpose is to increase our understanding of what might change if it becomes more usual to have a body that is partly nonorganic. But I also argue that the analysis points to potential ethical concerns related to strengthening biomedical conceptions of the body and to the devaluing of bodies and body parts.

Review and reflections about pulsatile ventricular assist devices from history to future: concerning safety and low haemolysis-still needed

Since the first use of a ventricular assist device in 1963 many extracorporeal and implantable pulsatile blood pumps have been developed. After the invention of continuous flow blood pumps the implantable pulsatile pumps are not available anymore. The new rotary pumps spend a better quality of life because many of the patients can go home. Nevertheless, the extracorporeal pulsatile pumps have some advantages. They are low-cost systems, produce less haemolysis and heart-recovery can be tested easily. Pump failure is easy to realize because the pumps can be observed visually. Pump exchange can be done easily without any chirurgic surgery. As volume displacement pumps they can produce high blood pressure, so they are the only ones suitable for pediatric patients. Therefore, they are indispensable for clinical use today and in the future. In this work, nearly all pulsatile blood pumps used in clinical life are described.

The Impact of Pulsatile Flow on Suspension Force for Hydrodynamically Levitated Blood Pump

Hydrodynamically levitated rotary blood pumps (RBPs) with noncontact bearing are effective to enhance the blood compatibility. The spiral groove bearing (SGB) is one of the key components which offer the suspension force to the RBP. Current studies focus on the suspension performance of the SGB under continuous flow condition. However, the RBP shows pulsatile characteristics in the actual clinical application, which may affect the suspension performance of the SGB. In this paper, the impact of pulsatile flow upon the suspension force from the SGB is studied. A model of the SGB with a groove formed of wedge-shaped spirals is built. Then, the CFD calculation of the hydrodynamic force offered by designed SGB under simulated pulsatile flow is introduced to obtain the pulsatile performance of the suspension force. The proposed method was validated by experiments measuring the hydrodynamic force with different bearing gaps. The results show that the suspension force of the SGB under pulsate flow is the same as under steady flow with equivalent effective pressure. This paper provides a method for suspension performance test of the SGB.