2. • Purpose of Blood Pumps
• Ideal Blood Pump
• Types of Blood Pumps
• Most Commonly Used Pumps
• Types of Blood Flow
• Other Blood Pumps Used
3. • To replace the beating heart during heart surgery
• They propel blood and other physiologic fluids
throughout the extracorporeal circuit; which
includes the patient’s natural circulation as well as
the artificial one
4. The Ideal Blood Pump
Move volumes of blood up to 5.0 L/Min
Must be able to pump blood at low velocities of flow
All parts in contact with blood should have smooth
surface
Must be possible to dismantle, clean and sterilize the
pump with ease, and the blood handling components
must be disposable
5. The Ideal Blood Pump
(continued)
Calibration should be easy, reliable, and reproducible
Pump should be automatically controlled; however,
option for manual operation in case of power failure
Must have adjustable stroke volume and pulse rate
6. The average human heart can pump up to 30 liters of
blood per minute under extreme conditions.
In the operating room setting this is not necessary due
to may reasons:
patient is asleep
patient is given muscle relaxants
patient metabolic rate is greatly reduced
patient is cooled during CPB
8. Centrifugal Pumps
The pumping action is performed by the addition of
kinetic energy to the fluid through the forced rotation
of an impellerDesigned with impellers arranged with
vanes or cones
Centrifugal pumps are magnetically driven and
produce a pressure differential as they rotate
It is the pressure differential between the inlet and
outlet that causes blood to be propelled
9. Positive Displacement Pumps
This type of pump moves blood forward by displacing
the liquid progressively, from the suction, to the
discharge opening of the unit
Rotary Pumps
Roller Pumps
Screw Pumps
Reciprocating Pumps
Pistons
Bar Compression
Diaphragm
10. Rotary Pumps
Rotary Pumps
use rollers along flexible tubing to provide the pumping
stroke and give direction to the flow
Archimedean Screw Pumps
a solid helical rotor revolving within a stator with
different pitches so the blood is drawn along the
threadsMultiple Fingers
the direction of flow is produced by a series of keys that
press in sequence against the tubing
11. Reciprocating Pumps
Pistons
this pump uses motor driven syringes that are equipped
with suitable valves, delivering pulsatile flow
limited to low output capacity
Bar Compression
blood moves from the alternate compression and
expansion of the tube or bulb between a moving bar
and a solid back-plate
12. Reciprocating Pumps (continued)
Diaphragm Pumps
with a flat diaphragm or finger shaped membrane made
of rubber, plastic, or metal, blood is propelled forward
Ventricle Pumps
a compressible chamber mounted in a casing and are
activated by displacement of liquid or gas in the casing
13. Two Most Common Pumps Today
Roller Pump
Advantages
Occlusive, therefore if power goes out the arterial line
won’t act as a venous line
Out put is accurate because it is not dependent of the
circuits resistance (including the patients
resistance)
Disadvantages
Can cause large amounts of damage to blood (hemolysis)
if over-occluded
14. Two Most Common Pumps Today
(continued)
Centrifugal Pump
Advantages
Reduced hemolysis
No cavitation
No dangerous inflow/outflow pressures
Air gets trapped in pump
No need to calibrate
Diadvantages
Extra priming volume requires
Can not be able work at high speed
Can not deal with high viscous fluid
16. Two Types of Perfusion
Pulsatile Flow (simulates the human heart)
Decreases peripheral resistance
Increases urinary flow
Better lymph formation
Increases myocardial blood flow
Need 2.3 times more energy to deliver blood in a pulsatile
manner than with non-pulsatile flow
Non-Pulsatile Flow
Simply means continuous flow
17. Various Opinions on Pulsatile
Flow
Advocates
It simulates the beating heart, aiding in preserving
capillary perfusion and cell function
With the extra energy produced with pulsatile flow, we
can avoid the closing down of the capillary beds.
18. Various Opinions on Pulsatile Flow
(continued)
Opponents
Pulsatile flow is a more complex procedure for minimal
benefits
Capillary Critical Closing Pressure: (although never
seen under microscope) The belief that when the
pressure in the capillary system goes below a certain
point the capillaries will close…reducing the gas
exchange between the blood and the tissues