Real-time laser speckle contrast imaging for intraoperative neurovascular blood flow assessment: animal experimental study

The use of various blood flow control methods in neurovascular interventions is crucial for reducing postoperative complications. Neurosurgeons worldwide use different methods, such as contact Dopplerography, intraoperative indocyanine videoangiography (ICG) video angiography, fluorescein angiography, flowmetry, intraoperative angiography, and direct angiography. However, there is no noninvasive method that can assess the presence of blood flow in the vessels of the brain without the introduction of fluorescent substances throughout the intervention. The real-time laser-speckle contrast imaging (LSCI) method was studied for its effectiveness in controlling blood flow in standard cerebrovascular surgery cases in rat common carotid arteries, such as proximal occlusion, trapping, reperfusion, anastomosis, and intraoperative vessel thrombosis. The real-time LSCI method is a promising method for use in neurosurgical practice. This approach allows timely diagnosis of intraoperative disturbance of blood flow in vessels in cases of clip occlusion or thrombosis. Additionally, LSCI allows us to reliably confirm the functioning of the anastomosis and reperfusion after removal of the clips and thrombolysis in real time. An unresolved limitation of the method is noise from movements, but this does not reduce the value of the method. Additional research is required to improve the quality of the data obtained

Control of Blood Coagulation by Hemocompatible Material Surfaces—A Review

Hemocompatibility of biomaterials in contact with the blood of patients is a prerequisite for the short- and long-term applications of medical devices such as cardiovascular stents, artificial heart valves, ventricular assist devices, catheters, blood linings and extracorporeal devices such as artificial kidneys (hemodialysis), extracorporeal membrane oxygenation (ECMO) and cardiopulmonary bypass. Although lower blood compatibility of materials and devices can be handled with systemic anticoagulation, its side effects, such as an increased bleeding risk, make materials that have a better hemocompatibility highly desirable, particularly in long-term applications. This review provides a short overview on the basic mechanisms of blood coagulation including plasmatic coagulation and blood platelets, as well as the activation of the complement system. Furthermore, a survey on concepts for tailoring the blood response of biomaterials to improve the hemocompatibility of medical devices is given which covers different approaches that either inhibit interaction of material surfaces with blood components completely or control the response of the coagulation system, blood platelets and leukocytes

Sustainable Elastomers for Actuators: “Green” Synthetic Approaches and Material Properties

Elastomeric materials have great application potential in actuator design and soft robot development. The most common elastomers used for these purposes are polyurethanes, silicones, and acrylic elastomers due to their outstanding physical, mechanical, and electrical properties. Currently, these types of polymers are produced by traditional synthetic methods, which may be harmful to the environment and hazardous to human health. The development of new synthetic routes using green chemistry principles is an important step to reduce the ecological footprint and create more sustainable biocompatible materials. Another promising trend is the synthesis of other types of elastomers from renewable bioresources, such as terpenes, lignin, chitin, various bio-oils, etc. The aim of this review is to address existing approaches to the synthesis of elastomers using “green” chemistry methods, compare the properties of sustainable elastomers with the properties of materials produced by traditional methods, and analyze the feasibility of said sustainable elastomers for the development of actuators. Finally, the advantages and challenges of existing “green” methods of elastomer synthesis will be summarized, along with an estimation of future development prospects

Preparation of Linear Actuators Based on Polyvinyl Alcohol Hydrogels Activated by AC Voltage

Currently, the preparation of actuators based on ionic electroactive polymers with a fast response is considered an urgent topic. In this article, a new approach to activate polyvinyl alcohol (PVA) hydrogels by applying an AC voltage is proposed. The suggested approach involves an activation mechanism in which the PVA hydrogel-based actuators undergo extension/contraction (swelling/shrinking) cycles due to the local vibration of the ions. The vibration does not cause movement towards the electrodes but results in hydrogel heating, transforming the water molecules into a gaseous state and causing the actuator to swell. Two types of linear actuators based on PVA hydrogels were prepared, using two types of reinforcement for the elastomeric shell (spiral weave and fabric woven braided mesh). The extension/contraction of the actuators, activation time, and efficiency were studied, considering the PVA content, applied voltage, frequency, and load. It was found that the overall extension of the spiral weave-reinforced actuators under a load of ~20 kPa can reach more than 60%, with an activation time of ~3 s by applying an AC voltage of 200 V and a frequency of 500 Hz. Conversely, the overall contraction of the actuators reinforced by fabric woven braided mesh under the same conditions can reach more than 20%, with an activation time of ~3 s. Moreover, the activation force (swelling load) of the PVA hydrogels can reach up to 297 kPa. The developed actuators have broad applications in medicine, soft robotics, the aerospace industry, and artificial muscles

Analysis of Operating Modes for Left Ventricle Assist Devices via Integrated Models of Blood Circulation

Left ventricular assist devices provide circulatory support to patients with end-stage heart failure. The standard operating conditions of the pump imply limitations on the rotation speed of the rotor. In this work we validate a model for three pumps (Sputnik 1, Sputnik 2, Sputnik D) using a mock circulation facility and known data for the pump HeartMate II. We combine this model with a 1D model of haemodynamics in the aorta and a lumped model of the left heart with valves dynamics. The model without pump is validated with known data in normal conditions. Simulations of left ventricular dilated cardiomyopathy show that none of the pumps are capable of reproducing the normal stroke volume in their operating ranges while complying with all criteria of physiologically feasible operation. We also observe that the paediatric pump Sputnik D can operate in the conditions of adult circulation with the same efficiency as the adult LVADs