CARDIOVASCULAR
ENGINEERING
Journal for Extracorporeal Circulation, Assist Devices,Transplantation and Artificial Organs

Volume 8, 2003, No 1-2


Towards Optimal Control of Blood Flow in Artificial Hearts
S. Tavoularis, A. Sahrapour, N. U. Ahmed, A. Madrane, R. Vaillancourt

Background: It is well known that high shear stresses and turbulence can cause hemolysis, while alternating and low-level stresses that are often encountered in recirculation and stagnation regions may contribute to platelet activation and thrombus formation. The objective of this study is to apply the mathematical theory of optimal control to the driving system of artificial hearts in order to minimize flow-related potential problems.
Methods: Blood flow in large vessels may be approximated by unsteady, incompressible flow of a Newtonian fluid, which is described by the Navier-Stokes (momentum) and continuity equations. An optimization problem is set up such that it selects the optimal variation of flow velocity at a wall (simulating the motion of a pusher plate or a diaphragm) in order to minimize a criterion (cost functional) as well as satisfy certain imposed constraints. A tentative cost functional contains the mean squared shear stress and the mean squared vorticity in the entire flow domain and the mean squared velocity on the control boundary. Constraints include matching of the natural flow rate variation during a cycle and maintaining a zero net displacement of all points on the control boundary during a cycle. The imposition of optimality results in an adjoint set of equations, which have to be satisfied simultaneously with the equations of motion. The solution of all equations is obtained by an iterative numerical algorithm.
Results: Examples of the application of this method are presented for a prototype artificial heart, which is an idealized model of sac-type ventricular assist devices with alternately opening and closing inlet and outlet ports. It is demonstrated that application of optimal control results in flows with reduced stresses and recirculation.
Conclusion: The general conclusion of this study is that optimal control methods are a promising approach for optimizing the design and operation of artificial hearts and, by inference, other medical devices involving the flow of fluids.

(CVE. 2003; 8 (1/2): 20-31)

Key words: artificial heart, diaphragm, optimal control, blood flow


Prof. Stavros Tavoularis
Department of Mechanical Engineering
University of Ottawa, Ottawa, Ontario
Canada K1N 6N5
E-mail: tav@eng.uottawa.ca



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