Foundation of Cardiac Surgery Development

Zabrze, Poland

Foundation of Cardiac Surgery Development

Zabrze, Poland

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PubMed | SHADOW ROBOT, Hebrew University of Jerusalem, Sant'Anna School of Advanced Studies, University of London and 4 more.
Type: Journal Article | Journal: Surgical endoscopy | Year: 2016

Sponsored by the European Commission, the FP7 STIFF-FLOP project aimed at developing a STIFFness controllable Flexible and Learn-able manipulator for surgical operations, in order to overcome the current limitations of rigid-link robotic technology. Herein, we describe the first cadaveric series of total mesorectal excision (TME) using a soft and flexible robotic arm for optic vision in a cadaver model.TME assisted by the STIFF-FLOP robotic optics was successfully performed in two embalmed male human cadavers. The soft and flexible optic prototype consisted of two modules, each measuring 60mm in length and 14.3mm in maximum outer diameter. The robot was attached to a rigid shaft connected to an anthropomorphic manipulator robot arm with six degrees of freedom. The controller device was equipped with two joysticks. The cadavers (BMI 25 and 28kg/mFollowing mobilization of the left colonic flexure and division of the inferior mesenteric vessels, TME was completed down to the pelvic floor. The STIFF-FLOP robotic optic arm seemed to acquire superior angles of vision of the surgical field in the pelvis, resulting in an intact mesorectum in both cases. Completion times of the procedures were 165 and 145min, respectively. No intraoperative complications occurred. No technical failures were registered.The STIFF-FLOP soft and flexible robotic optic arm proved effective in assisting a laparoscopic TME in human cadavers, with a superior field of vision compared to the standard laparoscopic vision, especially low in the pelvis. The introduction of soft and flexible robotic devices may aid in overcoming the technical challenges of difficult laparoscopic procedures based on standard rigid instruments.


Opilski Z.,Silesian University of Technology | Konieczny G.,Silesian University of Technology | Pustelny T.,Silesian University of Technology | Gacek A.,Institute of Medical Technology and Equipment | And 2 more authors.
Bulletin of the Polish Academy of Sciences: Technical Sciences | Year: 2011

The following paper presents researches concerning a noninvasive real-time blood volume measurement system applied in POLVAD prosthesis. The system is based on the acoustic Helmholtz resonator principle. The basis of the measurement method, followed by the preliminary tests of the possibility of incorporating the Helmholtz resonance idea into the POLVAD prosthesis is shown. The paper includes the actual measurement system construction and test results, both static and dynamic obtained at the Foundation for Cardiac Surgery Development in Zabrze, Poland. Conclusions and future plans are presented too.


Konieczny G.,Silesian University of Technology | Pustelny T.,Silesian University of Technology | Opilski Z.,Silesian University of Technology | Gawlikowski M.,Foundation of Cardiac Surgery Development
Archives of Acoustics | Year: 2014

The paper presents the results of investigations concerning the noninvasive method of estimating the actual volume of the blood chamber of the POLVAD-EXT type ventricular assist device (VAD) during its operation. The proposed method is based on the principle of Helmholtz's acoustic resonance. Both the theory, main stages of the development of the measurement method as well as the practical implementation of the proposed method in the physical model of the POLVAD-EXT device are dealt with. The paper contains the results of static measurements by means of the proposed method (conducted at the Department of Optoelectronics, Silesian University of Technology) as well as the dynamic measurements taken at the Foundation of Cardiac Surgery Development (Zabrze, Poland) with the professional model of the human cardiovascular system. The results of these measurements prove that the proposed method allows to estimate the actual blood chamber volume with uncertainties below 10%. Copyright © 2014 by PAN - IPPT.


Konieczny G.,Silesian University of Technology | Opilski Z.,Silesian University of Technology | Pustelny T.,Silesian University of Technology | Gawlikowski M.,Foundation of Cardiac Surgery Development
BioMedical Engineering Online | Year: 2012

Background: The paper presents a newly researched acoustic system for blood volume measurements for the developed family of Polish ventricular assist devices. The pneumatic heart-supporting devices are still the preferred solution in some cases, and monitoring of their operation, especially the temporary blood volume, is yet to be solved.Methods: The prototype of the POLVAD-EXT prosthesis developed by the Foundation of Cardiac Surgery Development, Zabrze, Poland, is equipped with the newly researched acoustic blood volume measurement system based on the principle of Helmholtz's acoustic resonance. The results of static volume measurements acquired using the acoustic sensor were verified by measuring the volume of the liquid filling the prosthesis. Dynamic measurements were conducted on the hybrid model of the human cardiovascular system at the Foundation, with the Transonic T410 (11PLX transducer - 5% uncertainty) ultrasound flow rate sensor, used as the reference.Results: The statistical analysis of a series of static tests have proved that the sensor solution provides blood volume measurement results with uncertainties (understood as a standard mean deviation) of less than 10%. Dynamic tests show a high correlation between the results of the acoustic system and those obtained by flow rate measurements using an ultrasound transit time type sensor.Conclusions: The results show that noninvasive, online temporary blood volume measurements in the POLVAD-EXT prosthesis, making use of the newly developed acoustic system, provides accurate static and dynamic measurements results. Conducted research provides the preliminary view on the possibility of reducing the additional sensor chamber volume in future. © 2012 Konieczny et al.; licensee BioMed Central Ltd.


Gawlikowski M.,Foundation of Cardiac Surgery Development | Pustelny T.,Silesian University of Technology
Bulletin of the Polish Academy of Sciences: Technical Sciences | Year: 2012

The essential examination in hemodynamic monitoring of the patient is the cardiac output (CO) measurement. Nowadays, in clinical practice the most popular method is indicator dilution, particularly thermodilution. It is realized by applying the Swan-Ganz catheter and observing changes of the indicator concentration. This method is sensitive to many factors and the obtained results should be treated cautiously. The paper presents theoretical and experimental studies of metrological phenomena in CO measurements by means of thermodilution, paying special attention to medical aspects of the measurements. It has been pointed out that the actual unreliability of the mentioned method reaches values from 20% to 45%, which is in opposition to the technical data of patient's monitors (typical accuracy about 5%).


PubMed | Silesian University of Technology and Foundation of Cardiac Surgery Development
Type: | Journal: Materials science & engineering. C, Materials for biological applications | Year: 2016

The study of most of the literature devoted to the use of coronary stents indicates that their efficiency is determined by the physicochemical properties of the implant surface. Therefore, the authors of this study suggested conditions for the formation of SiO2 layers obtained with the use of sol-gel methodology showing physicochemical properties adequate to the specific conditions of the cardio-vascular system. Previous experience of authors helped them much to optimize the coating of 316LVM steel surface with SiO2. The values of parameters that determine the usefulness of the coating in medical applications have been determined. In order to identify the phenomena taking place at the boundary of phases and to evaluate the usefulness of the proposed surface modification, taking into consideration the medical sterilization (steam or ethylene oxide (EO)), the potentiodynamic, impedance, adhesion, surface morphology and biological assessment characterizations were performed. Regardless of the usage of the sterilizing agent (steam, EO) the study showed the reduction of critical force causing layers delamination. The research results of corrosion resistance study also confirmed a slight decrease of SiO2 barrier properties of the samples after sterilization in contact with the artificial plasma. SiO2 layers after the sterilization process did not show significant features of cytotoxicity and had no negative influence on blood cell counts, which confirmed the results of quantitative and qualitative studies.


PubMed | Foundation of Cardiac Surgery Development and AGH University of Science and Technology
Type: Comparative Study | Journal: Acta of bioengineering and biomechanics | Year: 2016

The digital image correlation is used to estimate influence of deposited heamocompatible coatings (gold and titanium nitride) on mechanical response of ventricular assist device Religa Heart_Ext made of Bionate II (thermoplastic polycarbonate urethane) under working conditions by comparison of the coated Religa Heart_Ext with uncoated Religa Heart_Ext. The DIC is applied for experimental investigation of the strains and displacements distribution on external surface of the blood chamber of ventricular assist device during loading. The experiment was conducted in a hydraulic system with water at operating temperatures of 25 and 37 C, as well as under static pressures: 80, 120, 180, 220 and 280 mmHg, and static underpressures: -25, -45, -75 mmHg. The subsequent images were taken after stabilization of pressure on a set level. The applied research method shows that the nano-coating of 30 nm in thickness significantly affects deformation of the blood chamber of Religa Heart_Ext in macro scale. The proposed composition of coatings increases strain on external surface of the ventricular assist device.


Gawlikowski M.,Foundation of Cardiac Surgery Development | Lewandowski M.,Polish Academy of Sciences | Nowicki A.,Polish Academy of Sciences | Kustosz R.,Foundation of Cardiac Surgery Development | And 3 more authors.
Acta Physica Polonica A | Year: 2013

For the last 20 years the world cardiosurgery has presented a considerable change of attitude to mechanical circulatory support. In spite of technological progress the main problems in ventricular assist devices are: thrombosis and low accuracy of flow measurements. In this paper the prototype of multi-gate Doppler flowmeter intended for cardiac assist system ReligaHeart EXT has been presented as well as the possibility of ultrasonic microembolus detection.


Siewnicka A.,Warsaw University of Technology | Janiszowski K.,Warsaw University of Technology | Gawlikowski M.,Foundation of Cardiac Surgery Development
Mechatronics 2013: Recent Technological and Scientific Advances | Year: 2014

This study discusses the concept of building and capabilities of the physical model of the cardiovascular system, which will be used for research of the heart support processes. The paper describes the functionality of the system and the data acquisition configuration necessary for the purposes of assist devices modeling, control algorithms development and testing, as well as for implementation of support processes diagnostics. Exemplary hardware for elements representing the selected components of the circulatory system, is presented. Selected measurement devices and methods of pathological conditions modeling are described. © Springer International Publishing Switzerland 2014.


Mroczek T.,Jagiellonian University | Malota Z.,Foundation of Cardiac Surgery Development | Wojcik E.,Jagiellonian University | Nawrat Z.,Foundation of Cardiac Surgery Development | Skalski J.,Jagiellonian University
European Journal of Cardio-thoracic Surgery | Year: 2011

Objective: The introduction of right ventricle to pulmonary artery (RV-PA) conduit in the Norwood procedure for hypoplastic left heart syndrome resulted in a higher survival rate in many centers. A higher diastolic aortic pressure and a higher mean coronary perfusion pressure were suggested as the hemodynamic advantage of this source of pulmonary blood flow. The main objective of this study was the comparison of two models of Norwood physiology with different types of pulmonary blood flow sources and their hemodynamics. Method: Based on anatomic details obtained from echocardiographic assessment and angiographic studies, two three-dimensional computer models of post-Norwood physiology were developed. The finite-element method was applied for computational hemodynamic simulations. Norwood physiology with RV-PA 5-mm conduit and Blalock-Taussig shunt (BTS) 3.5-mm shunt were compared. Right ventricle work, wall stress, flow velocity, shear rate stress, energy loss and turbulence eddy dissipation were analyzed in both models. Results: The total work of the right ventricle after Norwood procedure with the 5-mm RV-PA conduit was lower in comparison to the 3.5-mm BTS while establishing an identical systemic blood flow. The Qp/Qs ratio was higher in the BTS group. Conclusions: Hemodynamic performance after Norwood with the RV-PA conduit is more effective than after Norwood with BTS. Computer simulations of complicated hemodynamics after the Norwood procedure could be helpful in establishing optimal post-Norwood physiology. © 2011 European Association for Cardio-Thoracic Surgery.

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