Safety Control Architecture for Ventricular Assist Devices

In patients with severe heart disease, the implantation of a ventricular assist device (VAD) may be necessary, especially in patients with an indication for heart transplantation. For this, the Institute Dante Pazzanese of Cardiology (IDPC) has developed an implantable centrifugal blood pump that wi...

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Main Authors: André C. M. Cavalheiro, Diolino J. Santos Filho, Jônatas C. Dias, Aron J. P. Andrade, José R. Cardoso, Marcos S. G. Tsuzuki
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Machines
Subjects:
Online Access:https://www.mdpi.com/2075-1702/10/1/5
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author André C. M. Cavalheiro
Diolino J. Santos Filho
Jônatas C. Dias
Aron J. P. Andrade
José R. Cardoso
Marcos S. G. Tsuzuki
author_facet André C. M. Cavalheiro
Diolino J. Santos Filho
Jônatas C. Dias
Aron J. P. Andrade
José R. Cardoso
Marcos S. G. Tsuzuki
author_sort André C. M. Cavalheiro
collection DOAJ
description In patients with severe heart disease, the implantation of a ventricular assist device (VAD) may be necessary, especially in patients with an indication for heart transplantation. For this, the Institute Dante Pazzanese of Cardiology (IDPC) has developed an implantable centrifugal blood pump that will be able to help a diseased human heart to maintain physiological blood flow and pressure. This device will be used as a totally or partially implantable VAD. Therefore, performance assurance and correct specification of the VAD are important factors in achieving a safe interaction between the device and the patient’s behavior or condition. Even with reliable devices, some failures may occur if the pumping control does not keep up with changes in the patient’s behavior or condition. If the VAD control system has no fault tolerance and no system dynamic adaptation that occurs according to changes in the patient’s cardiovascular system, a number of limitations can be observed in the results and effectiveness of these devices, especially in patients with acute comorbidities. This work proposes the application of a mechatronic approach to this class of devices based on advanced control, instrumentation, and automation techniques to define a method to develop a hierarchical supervisory control system capable of dynamically, automatically, and safely VAD control. For this methodology, concepts based on Bayesian networks (BN) were used to diagnose the patient’s cardiovascular system conditions, Petri nets (PN) to generate the VAD control algorithm, and safety instrumented systems to ensure the safety of the VAD system.
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spelling doaj.art-74fc98b46a3e48fd8adcd6f9085653622023-11-23T14:25:53ZengMDPI AGMachines2075-17022021-12-01101510.3390/machines10010005Safety Control Architecture for Ventricular Assist DevicesAndré C. M. Cavalheiro0Diolino J. Santos Filho1Jônatas C. Dias2Aron J. P. Andrade3José R. Cardoso4Marcos S. G. Tsuzuki5Departamento de Engenharia Mecatrônica, Centro Universitario da Fundação Santo André, Santo Andre 09060-650, BrazilDepartamento de Engenharia Mecatrônica e de Sistemas Mecânicos, Escola Politécnica da Universidade de São Paulo, Sao Paulo 05508-030, BrazilDepartamento de Engenharia Mecatrônica e de Sistemas Mecânicos, Escola Politécnica da Universidade de São Paulo, Sao Paulo 05508-030, BrazilDepartamento de Engenharia Mecatrônica e de Sistemas Mecânicos, Escola Politécnica da Universidade de São Paulo, Sao Paulo 05508-030, BrazilDepartamento de Engenharia Mecatrônica e de Sistemas Mecânicos, Escola Politécnica da Universidade de São Paulo, Sao Paulo 05508-030, BrazilDepartamento de Engenharia Mecatrônica e de Sistemas Mecânicos, Escola Politécnica da Universidade de São Paulo, Sao Paulo 05508-030, BrazilIn patients with severe heart disease, the implantation of a ventricular assist device (VAD) may be necessary, especially in patients with an indication for heart transplantation. For this, the Institute Dante Pazzanese of Cardiology (IDPC) has developed an implantable centrifugal blood pump that will be able to help a diseased human heart to maintain physiological blood flow and pressure. This device will be used as a totally or partially implantable VAD. Therefore, performance assurance and correct specification of the VAD are important factors in achieving a safe interaction between the device and the patient’s behavior or condition. Even with reliable devices, some failures may occur if the pumping control does not keep up with changes in the patient’s behavior or condition. If the VAD control system has no fault tolerance and no system dynamic adaptation that occurs according to changes in the patient’s cardiovascular system, a number of limitations can be observed in the results and effectiveness of these devices, especially in patients with acute comorbidities. This work proposes the application of a mechatronic approach to this class of devices based on advanced control, instrumentation, and automation techniques to define a method to develop a hierarchical supervisory control system capable of dynamically, automatically, and safely VAD control. For this methodology, concepts based on Bayesian networks (BN) were used to diagnose the patient’s cardiovascular system conditions, Petri nets (PN) to generate the VAD control algorithm, and safety instrumented systems to ensure the safety of the VAD system.https://www.mdpi.com/2075-1702/10/1/5safety instrumented systemventricular assist device Bayesian networkPetri net
spellingShingle André C. M. Cavalheiro
Diolino J. Santos Filho
Jônatas C. Dias
Aron J. P. Andrade
José R. Cardoso
Marcos S. G. Tsuzuki
Safety Control Architecture for Ventricular Assist Devices
Machines
safety instrumented system
ventricular assist device Bayesian network
Petri net
title Safety Control Architecture for Ventricular Assist Devices
title_full Safety Control Architecture for Ventricular Assist Devices
title_fullStr Safety Control Architecture for Ventricular Assist Devices
title_full_unstemmed Safety Control Architecture for Ventricular Assist Devices
title_short Safety Control Architecture for Ventricular Assist Devices
title_sort safety control architecture for ventricular assist devices
topic safety instrumented system
ventricular assist device Bayesian network
Petri net
url https://www.mdpi.com/2075-1702/10/1/5
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AT aronjpandrade safetycontrolarchitectureforventricularassistdevices
AT josercardoso safetycontrolarchitectureforventricularassistdevices
AT marcossgtsuzuki safetycontrolarchitectureforventricularassistdevices