[Reliability of control methods in implanted pacemakers].
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Biomedical subjects
Publications and source records attributed to R Mimmo.
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Systolic pressure variations (SPV) during mechanical ventilation and its single components, related to short apnea, reflect changes of the volemic condition of the patient. To introduce their determination during clinical monitoring for different fluid states and for different tidal volumes, they must be computed on-line without introducing interference with standard activities. A system computing on-line systolic pressure variation during mechanical ventilation, connected to standard monitoring devices, has been proposed. It is based on a notebook PC implemented with graphical software comprising a user panel in the form of a virtual instrument and is able to acquire, process and present signals from different instruments utilized in ICU and during surgery. It can be used as a base to assess the ability of computed parameters helpful in clinical decision. The use of a notebook PC and open software allows operators, even if non-expert in computer science, to test and implement this, as well as other innovative tools in clinical practice.
A modular physical circuit for testing monoventricular and biventricular heart assist devices (HAD) is under development. The modules now available are assembled in an open-loop circuit and reproduce the function of the left ventricle and the systemic arterial tree. The left ventricle model reproduces Starling's law of the heart and can be easily controlled to modify other parameters such as contractility and timing (i.e. heart rate and systole/diastole ratio). This circuit, in connection with a left ventricular assist device (LVAD), can be used to evaluate the LVAD performance, its effect on the circulatory system and as a training system. This paper is devoted to a description of the circuit and of its interaction with a LVAD, which is analysed after the simulation of a low contractility pathology of the ventricle. Results obtained in these experiments are reported.
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