HealthMedicine

Myshci "from the lungs" How is the "drive" for the Artificial Heart?

If the energy problem of these devices were solved, then it would be possible not to look for donors, but to transplant mechanical hearts to people with a sick heart, which by the way is much stronger and more durable than the real ones [1]. Although the last study shows that the heart produces an atrial natriuretic peptide [5]. Therefore, it is still too early to talk about the priority of an artificial heart over the present, and even complex regulation of the heart, too, is unlikely to be compared with an artificial one in an organization. But for mortally sick patients of which quite a lot (about 17 million around the world! [2] and heart diseases are almost in the first place) I think an artificial heart in the absence of a donor is the only way out. In connection with this, the issue of creating an artificial heart, with a diet that does not require constant recharging, which must be used to draw outside on its own all life, is very relevant. Sometimes these batteries weigh about 10 kg [4]. So far there is not any alternative to more compact batteries, except that the use of a miniature nuclear reactor. Developments to create such a reactor were carried out in the USSR, (alas, I do not remember the source), but stopped because of the danger of this device, and because of technical problems in its creation. If the problem of an artificial heart is relevant only for sick people, then the question of small effective power sources that do not require recharging is also for all people using mobile phones and other devices. And if it is still not solved, then I would not hope for the soon-to-come appearance of power supplies that do not require recharging for a long time. Therefore, I decided to return to air and physiology. If you can use an air to pump an artificial heart inside the body, then why not use the air of the lungs. As is known from the course of anatomy and physiology, there are no muscle tissues in the lungs themselves, and their expansion and contraction is ensured by the muscles of the diaphragm, the intercostal muscles, and other musculature. Thus breathing can be used as a pump that chases the exhaled and inhaled air through an artificial heart similar to that which was in the film "Flesh and Blood" will ensure its operation without batteries. At first glance this is certainly a very crazy idea and how often in science everyone will laugh at it. Especially since I'm not some kind of professor who does not study his whole life (rubbing his pants in his office) and not even an employee of the heart institute. And from the bitter experience, and for a long time studying the history of science, I can say that a big science like big politics is usually a dirty and repulsive occupation, so at best this idea is "borrowed" from someone, so, at worst, not who Will not pay attention to it. There are other options - maybe someone already does it, but does not advertise. I believe that such thoughts can not be concealed, even in the light of the above described situation with science. But I will not paint here all the nuances, I will describe better the issues on which it is worth stopping in the practical solution of this idea. I hope knowledgeable people will appreciate everything critically and objectively emphasize the problems and prospects of solving this issue. For example:

1 How to implement and adjust the mechanism of valves and tubes, so that the force of movement passing through the airways of the air would drive the blood, by bringing an artificial heart mechanism or a similar device into movement?

2 Is there enough of this air pressure to provide a comparable job of reducing the heart? This must be calculated mathematically. Probably you will need an air pressure that can not be provided to untrained muscles, then the question arises: is it possible to train the muscles of the diaphragm to such an extent that the exhaled air can take into account the resistance and ensure normal operation of the artificial heart and gas exchange in the lungs. Of course, such a person can not run, but if a normal person can run, then a person with an artificial heart can probably walk. Of course, we can say why for these purposes do not use more powerful muscles - for example, legs or hands (shaking their artificial heart), but it is the muscles of the diaphragm and the exhaled air that are physiologically suitable for this. Since lungs like the heart react to a rise in blood CO2, and therefore no additional regulator is needed. Those. With the increase of CO2 in the tissues, there is a corresponding increase in the need for increasing and increasing the depth of breathing and strengthening the work of the heart. Thus, with increasing respiration, there will also be an increase in the work of the heart. But this all must first be calculated and then carried out experiments on animals.

3 If these muscles are not enough, then you can use other muscles, even skeletal muscles, but this is technically much more difficult (I will not go into details.)

Although I can not take much into account, and this project is not yet implemented. Sorry I have no time to do this, tk. Until the ears are mired in the disorganization and paper red tape of the modern educational system, despite the fact that he could have dealt with this issue, if there was time and means ... So for now it is possible that this article will be useful to someone. Maybe even if it does not succeed in realizing my idea, at least I will pay attention to this probem thus contributing to its solution.

Sources

  1. History of Surgery / History of Surgery http://rutracker.org/forum/viewtopic.php?t=3207261
  2. Http://biwork.ru/novosti/14275-v-bijske-projdet-dekada-zdorovogo-serdtsa.html 3 ...

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