A centralized multi-objective model predictive control for a biventricular assist device: An in silico evaluation

Speed regulation of dual left ventricular assist devices (LVADs) as a biventricular assist device (BiVAD) may be complicated by process interactions in a cardiovascular-biventricular assist device (CVS-BiVAD) environment. In this work, a conventional centralized model predictive control (MPC) algori...

Full description

Bibliographic Details
Main Authors: Koh, Vivian Ci Ai, Ho, Yong Kuen, Stevens, Michael Charles, Ng, Boon Chiang, Salamonsen, Robert Francis, Lovell, N.H., Lim, Einly
Format: Article
Published: Elsevier 2019
Subjects:
_version_ 1796960797925048320
author Koh, Vivian Ci Ai
Ho, Yong Kuen
Stevens, Michael Charles
Ng, Boon Chiang
Salamonsen, Robert Francis
Lovell, N.H.
Lim, Einly
author_facet Koh, Vivian Ci Ai
Ho, Yong Kuen
Stevens, Michael Charles
Ng, Boon Chiang
Salamonsen, Robert Francis
Lovell, N.H.
Lim, Einly
author_sort Koh, Vivian Ci Ai
collection UM
description Speed regulation of dual left ventricular assist devices (LVADs) as a biventricular assist device (BiVAD) may be complicated by process interactions in a cardiovascular-biventricular assist device (CVS-BiVAD) environment. In this work, a conventional centralized model predictive control (MPC) algorithm that could handle process interactions in a multivariable control problem was modified to cater for the state and time-varying factors of the CVS-BiVAD system as well as to include multiple control objectives. Referred to as the centralized multi-objective model predictive control (CMO-MPC), the scheme's control objectives aim to: a) adapt pump flow rate according to the approximate Frank-Starling (FS) mechanism, b) avoid ventricular suction, and c) avoid vascular congestion. The control performance of the CMO-MPC was benchmarked with two non-centralized control schemes: the constant-speed (CS) control and the standard Frank-Starling like proportional-integral (PI-FS) control under two patient scenarios: exercise and postural change. Simulation results revealed that the CMO-MPC avoided suction and congestion in both patient scenarios as compared to the CS control and the PI-FS control, based on the assumptions made on risks of suction and congestion events. It is therefore proposed that the CMO-MPC should be a safe physiological controller for dual LVADs in the future when reliable pressure and flow sensors become clinically available.
first_indexed 2024-03-06T05:50:02Z
format Article
id um.eprints-20045
institution Universiti Malaya
last_indexed 2024-03-06T05:50:02Z
publishDate 2019
publisher Elsevier
record_format dspace
spelling um.eprints-200452019-01-17T04:42:25Z http://eprints.um.edu.my/20045/ A centralized multi-objective model predictive control for a biventricular assist device: An in silico evaluation Koh, Vivian Ci Ai Ho, Yong Kuen Stevens, Michael Charles Ng, Boon Chiang Salamonsen, Robert Francis Lovell, N.H. Lim, Einly R Medicine Speed regulation of dual left ventricular assist devices (LVADs) as a biventricular assist device (BiVAD) may be complicated by process interactions in a cardiovascular-biventricular assist device (CVS-BiVAD) environment. In this work, a conventional centralized model predictive control (MPC) algorithm that could handle process interactions in a multivariable control problem was modified to cater for the state and time-varying factors of the CVS-BiVAD system as well as to include multiple control objectives. Referred to as the centralized multi-objective model predictive control (CMO-MPC), the scheme's control objectives aim to: a) adapt pump flow rate according to the approximate Frank-Starling (FS) mechanism, b) avoid ventricular suction, and c) avoid vascular congestion. The control performance of the CMO-MPC was benchmarked with two non-centralized control schemes: the constant-speed (CS) control and the standard Frank-Starling like proportional-integral (PI-FS) control under two patient scenarios: exercise and postural change. Simulation results revealed that the CMO-MPC avoided suction and congestion in both patient scenarios as compared to the CS control and the PI-FS control, based on the assumptions made on risks of suction and congestion events. It is therefore proposed that the CMO-MPC should be a safe physiological controller for dual LVADs in the future when reliable pressure and flow sensors become clinically available. Elsevier 2019 Article PeerReviewed Koh, Vivian Ci Ai and Ho, Yong Kuen and Stevens, Michael Charles and Ng, Boon Chiang and Salamonsen, Robert Francis and Lovell, N.H. and Lim, Einly (2019) A centralized multi-objective model predictive control for a biventricular assist device: An in silico evaluation. Biomedical Signal Processing and Control, 49. pp. 137-148. ISSN 1746-8094, DOI https://doi.org/10.1016/j.bspc.2018.10.021 <https://doi.org/10.1016/j.bspc.2018.10.021>. https://doi.org/10.1016/j.bspc.2018.10.021 doi:10.1016/j.bspc.2018.10.021
spellingShingle R Medicine
Koh, Vivian Ci Ai
Ho, Yong Kuen
Stevens, Michael Charles
Ng, Boon Chiang
Salamonsen, Robert Francis
Lovell, N.H.
Lim, Einly
A centralized multi-objective model predictive control for a biventricular assist device: An in silico evaluation
title A centralized multi-objective model predictive control for a biventricular assist device: An in silico evaluation
title_full A centralized multi-objective model predictive control for a biventricular assist device: An in silico evaluation
title_fullStr A centralized multi-objective model predictive control for a biventricular assist device: An in silico evaluation
title_full_unstemmed A centralized multi-objective model predictive control for a biventricular assist device: An in silico evaluation
title_short A centralized multi-objective model predictive control for a biventricular assist device: An in silico evaluation
title_sort centralized multi objective model predictive control for a biventricular assist device an in silico evaluation
topic R Medicine
work_keys_str_mv AT kohvivianciai acentralizedmultiobjectivemodelpredictivecontrolforabiventricularassistdeviceaninsilicoevaluation
AT hoyongkuen acentralizedmultiobjectivemodelpredictivecontrolforabiventricularassistdeviceaninsilicoevaluation
AT stevensmichaelcharles acentralizedmultiobjectivemodelpredictivecontrolforabiventricularassistdeviceaninsilicoevaluation
AT ngboonchiang acentralizedmultiobjectivemodelpredictivecontrolforabiventricularassistdeviceaninsilicoevaluation
AT salamonsenrobertfrancis acentralizedmultiobjectivemodelpredictivecontrolforabiventricularassistdeviceaninsilicoevaluation
AT lovellnh acentralizedmultiobjectivemodelpredictivecontrolforabiventricularassistdeviceaninsilicoevaluation
AT limeinly acentralizedmultiobjectivemodelpredictivecontrolforabiventricularassistdeviceaninsilicoevaluation
AT kohvivianciai centralizedmultiobjectivemodelpredictivecontrolforabiventricularassistdeviceaninsilicoevaluation
AT hoyongkuen centralizedmultiobjectivemodelpredictivecontrolforabiventricularassistdeviceaninsilicoevaluation
AT stevensmichaelcharles centralizedmultiobjectivemodelpredictivecontrolforabiventricularassistdeviceaninsilicoevaluation
AT ngboonchiang centralizedmultiobjectivemodelpredictivecontrolforabiventricularassistdeviceaninsilicoevaluation
AT salamonsenrobertfrancis centralizedmultiobjectivemodelpredictivecontrolforabiventricularassistdeviceaninsilicoevaluation
AT lovellnh centralizedmultiobjectivemodelpredictivecontrolforabiventricularassistdeviceaninsilicoevaluation
AT limeinly centralizedmultiobjectivemodelpredictivecontrolforabiventricularassistdeviceaninsilicoevaluation