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Polish Academy of Sciences

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M. Gawlikowski


Recent publications
1.  Gawlikowski M., Lewandowski M., Nowicki A., Kustosz R., Walczak M., Karwat P., Karłowicz P., The Application of Ultrasonic Methods to Flow Measurement and Detection of Microembolus in Heart Prostheses, ACTA PHYSICA POLONICA A, ISSN: 0587-4246, DOI: 10.12693/APhysPolA.124.417, Vol.124, No.3, pp.417-420, 2013

Abstract:
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 micro embolus detection.

Keywords:
artificial heart, microemboli, ultrasound Doppler

Affiliations:
Gawlikowski M. - other affiliation
Lewandowski M. - IPPT PAN
Nowicki A. - IPPT PAN
Kustosz R. - other affiliation
Walczak M. - IPPT PAN
Karwat P. - IPPT PAN
Karłowicz P. - Sonomed Sp. z o.o. (PL)

Conference papers
1.  Steifer T., Lewandowski M., Karwat P., Gawlikowski M., Automatic emboli detection system for the artificial heart, Physics Procedia, ISSN: 1875-3892, DOI: 10.1016/j.phpro.2015.08.254, Vol.70, pp.1181-1184, 2015

Abstract:
In spite of the progress in material engineering and ventricular assist devices construction, thromboembolism remains the most crucial problem in mechanical heart supporting systems. Therefore, the ability to monitor the patient’s blood for clot formation should be considered an important factor in development of heart supporting systems. The well-known methods for automatic embolus detection are based on the monitoring of the ultrasound Doppler signal. A working system utilizing ultrasound Doppler is being developed for the purpose of flow estimation and emboli detection in the clinical artificial heart ReligaHeart EXT. The system will be based on the existing dual channel multi-gate Doppler device with RF digital processing. A specially developed clamp-on cannula probe, equipped with 2 − 4MHz piezoceramic transducers, enables easy system setup. We present the issues related to the development of automatic emboli detection via Doppler measurements. We consider several algorithms for the flow estimation and emboli detection. We discuss their efficiency and confront them with the requirements of our experimental setup. Theoretical considerations are then met with preliminary experimental findings from a) flow studies with blood mimicking fluid and b) in-vitro flow studies with animal blood. Finally, we discuss some more methodological issues - we consider several possible approaches to the problem of verification of the accuracy of the detection system.

Keywords:
microemboli, embolism, Doppler ultrasound, ventricular assist device

Affiliations:
Steifer T. - IPPT PAN
Lewandowski M. - IPPT PAN
Karwat P. - IPPT PAN
Gawlikowski M. - other affiliation

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