An arteriovenous mock circulatory loop and accompanying bond graph model for in vitro study of peripheral intravascular bioartificial organs

BackgroundSilicon nanopore membrane-based implantable bioartificial organs are dependent on arteriovenous implantation of a mechanically robust and biocompatible hemofilter. The hemofilter acts as a low-resistance, high-flow network, with blood flow physiology similar to arteriovenous shunts commonly created for hemodialysis access. A mock circulatory loop (MCL) that mimics shunt physiology is an essential tool for refinement and durability testing of arteriovenous implantable bioartificial organs and silicon blood-interfacing membranes. We sought to develop a compact and cost-effective MCL to replicate flow conditions through an arteriovenous shunt and used data from the MCL and swine to inform a bond graph mathematical model of the physical setup.MethodsFlow physiology through bioartificial organ prototypes was obtained in the MCL and during extracorporeal attachment to swine for biologic comparison. The MCL was tested for stability overtime by measuring pressurewave variability over a 48-h period. Data obtained in vitro and extracorporeally informed creation of a bond graph model of the MCL.ResultsThe arteriovenous MCL was a cost-effective, portable system that reproduced flow rates and pressures consistent with a pulsatile arteriovenous shunt as measured in swine. MCL performance was stable over prolonged use, providing a cost-effective simulator for enhanced testing of peripherally implanted bioartificial organ prototypes. The corresponding bond graph model recapitulates MCL and animal physiology, offering a tool for further refinement of the MCL system. Mock circulatory loops (MCL) and mathematical models are essential tools for developing arteriovenous implantable bioartificial organs (IBO) containing silicon nanopore membranes. An MCL was constructed to replicate experimental flow conditions through arteriovenous IBO prototypes and to inform a bond graph model of the MCL. The MCL reproduces flow rates and pressures consistent with pulsatile arteriovenous IBO prototypes, and the corresponding bond graph model recapitulates MCL and animal physiology.image

Automated summary

This study developed a compact and cost-effective mock circulatory loop (MCL) to refine and test implantable bioartificial organs and blood-interfacing membranes. The MCL successfully replicated the flow rates and pressures consistent with pulsatile arteriovenous shunts measured in swine.