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Background: Currently available, pneumatic-based medical devices are operated using closed-loop pulsatile or open continuous systems. Medical devices utilizing gases with a low atomic number in a continuous closed loop stream have not been documented to date. This work presents the construction of a portable helium circulation addressing the need for actuating a novel, pneumatically operated catheter pump. The design of its control system puts emphasis on the performance, safety and low running cost of the catheter pump.
Methods And Results: Static and dynamic characteristics of individual elements in the circulation are analyzed to ensure a proper operation of the system. The pneumatic circulation maximizes the working range of the drive unit inside the catheter pump while reducing the total size and noise production.Separate flow and pressure controllers position the turbine's working point into the stable region of the pressure creation element. A subsystem for rapid gas evacuation significantly decreases the duration of helium removal after a leak, reaching subatmospheric pressure in the intracorporeal catheter within several milliseconds.
Conclusions: The system presented in the study offers an easy control of helium mass flow while ensuring stable behavior of its internal components.
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http://dx.doi.org/10.5301/ijao.5000593 | DOI Listing |
J Pain Res
August 2025
Department of Anesthesiology, Shaanxi Provincial People's Hospital, Xi'an, Shaanxi, 710068, People's Republic of China.
At present, few studies on labor analgesia focus on preventing and managing neurological complications, and there is a lack of specific operational guidelines for clinical practice. This study aims to compare spinal analgesia-epidural analgesia (SA-EA) and combined spinal-epidural analgesia (CSEA) in reducing neurological complications during labor analgesia. SA-EA group: A standard spinal needle (0.
View Article and Find Full Text PDFClin Pract
August 2025
Department of Cardiovascular Surgery, Robert Bosch Hospital, 70376 Stuttgart, Germany.
In high-risk and frail patients with multivessel coronary artery disease (MV CAD), guidelines indicated complete revascularization with or without the use of cardiopulmonary bypass (CPB) bears a high morbidity and mortality risk. In cases where catheter interventions were deemed unsuitable and conventional coronary artery bypass grafting (CABG) posed an unacceptable perioperative risk, patients were scheduled for minimally invasive direct coronary artery bypass (MIDCAB) grafting or minimally invasive multivessel coronary artery bypass grafting (MICS-CABG). We called this approach "palliative revascularization.
View Article and Find Full Text PDFJACC Case Rep
August 2025
Department of Cardiology, University Heart Center Graz, Graz, Austria. Electronic address:
Background: In hemodynamically unstable patients on venoarterial extracorporeal membrane oxygenation (VA-ECMO), left ventricular unloading may be essential but technically challenging, especially after aortic valve replacement.
Case Summary: We report a case of a 64-year-old male patient with postcardiotomy cardiogenic shock after combined coronary and aortic valve surgery. VA-ECMO alone was insufficient, prompting the use of a microaxial flow pump via axillary access.
IEEE Robot Autom Lett
September 2025
Wallace H. Coulter Department of Biomedical Engineering, Medical Robotics and Automation (RoboMed) Laboratory, Georgia Institute of Technology, Atlanta, GA 30332 USA.
Minimally invasive endovascular and transcather procedures frequently involve delivering tools to the surgical site via a guidewire. Even when made steerable, the guidewire tip has the potential to cause tissue damage while traversing the vasculature and the connected organs. In this work, a methodology is introduced to integrate a balloon onto a tendon-driven robotically steerable guidewire to cushion the contact with tissue during traversal, stabilize within the vasculature once the guidewire has passed the surgical site, and arrest bloodflow to prevent distal embolization.
View Article and Find Full Text PDFPurpose: To evaluate intrarenal pressure (IRP) variations during flexible ureteroscopy (f-URS) using flexible and navigable suction (FANS) ureteral access sheath (UAS) and conventional UAS (c-UAS) and irrigation methods.
Methods: A fresh cadaveric porcine kidney model was used to measure real-time IRP during f-URS via a pressure transducer connected to a ureteral catheter placed in the renal pelvis. FANS and c-UAS were evaluated with three irrigation methods: gravity-based, hand pump-assisted, and machine irrigation (MI) with and without suction.