Resolving Flow Properties of Spiral Groove Bearings to Improve Mechanical Circulatory Support Hemocompatibility

dc.contributor.advisorGrande-Allen, Janeen_US
dc.creatorBieritz, Shelby Aen_US
dc.date.accessioned2020-06-12T15:23:21Zen_US
dc.date.available2020-11-01T05:01:12Zen_US
dc.date.created2020-05en_US
dc.date.issued2020-04-24en_US
dc.date.submittedMay 2020en_US
dc.date.updated2020-06-12T15:23:21Zen_US
dc.description.abstractRotary blood pumps are utilized as bridge to transplant, bridge to destination, and bridge to recovery devices to support a failing heart. These pumps unload the ventricles (ventricular assist devices) or replace the heart entirely (total artificial hearts), using impellers, or a rotating set of blades, to drive blood flow to the systemic and/or pulmonary circulation. These pumps have been used in the clinic for decades, supporting patients for 1.5 years on average, but the complication rate while on pump support remains high, with 60% of patients returning to the hospital with a major adverse event within 6 months. Much of these complications arise from damage to blood components due to the supraphysiologic shear stresses within a rotary blood pump. This work aims to explore a method of controlling red blood cell flow in a rotary blood pump by means of a spiral groove bearing, a hydrodynamic bearing that generates lift by pumping fluid along a set of grooves. The application of these bearings to rotary blood pump design will be explored in two contexts; first, as a means of generating washout flow in a miniature axial left ventricular assist device, and second, as a tool to reduce red blood cell shear stress exposure in a centrifugal blood pump. The salient findings of this work include i) the applicability of an analytical model to predict spiral groove bearing flow in an axial pump; ii) the induction of cell exclusion in a spiral groove bearing gap, allowing manipulation of red blood cell flow in rotary blood pumps to limit shear exposure; iii) the ability to track red blood cell flow in a complex pump geometry using erythrocyte ghosts as a blood analog solution, and iv) the implications of cell exclusion on red blood cell and von Willebrand Factor damage. Spiral groove bearings cab be utilized to reduce both the magnitude and duration of red blood cell exposure to supraphysiologic shear stress, thereby providing an additional tool to improve rotary blood pump hemocompatibility and patient outcomes.en_US
dc.embargo.terms2020-11-01en_US
dc.format.mimetypeapplication/pdfen_US
dc.identifier.citationBieritz, Shelby A. "Resolving Flow Properties of Spiral Groove Bearings to Improve Mechanical Circulatory Support Hemocompatibility." (2020) Diss., Rice University. <a href="https://hdl.handle.net/1911/108799">https://hdl.handle.net/1911/108799</a>.en_US
dc.identifier.urihttps://hdl.handle.net/1911/108799en_US
dc.language.isoengen_US
dc.rightsCopyright is held by the author, unless otherwise indicated. Permission to reuse, publish, or reproduce the work beyond the bounds of fair use or other exemptions to copyright law must be obtained from the copyright holder.en_US
dc.subjectHeart failureen_US
dc.subjecthemocompatibilityen_US
dc.subjectrotary blood pumpen_US
dc.subjectventricular assist deviceen_US
dc.subjectspiral groove bearingen_US
dc.titleResolving Flow Properties of Spiral Groove Bearings to Improve Mechanical Circulatory Support Hemocompatibilityen_US
dc.typeThesisen_US
dc.type.materialTexten_US
thesis.degree.departmentBioengineeringen_US
thesis.degree.disciplineEngineeringen_US
thesis.degree.grantorRice Universityen_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Philosophyen_US
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