July 26th, 2024

Maglev titanium heart now whirs inside the chest of a live patient

A fully mechanical heart, the BiVACOR total artificial heart, has been implanted in a patient, aiming to support those awaiting transplants. It features a titanium design and pumps blood efficiently.

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Maglev titanium heart now whirs inside the chest of a live patient

For the first time, a fully mechanical heart, the BiVACOR total artificial heart (TAH), has been implanted in a human patient. This significant advancement aims to support individuals awaiting heart transplants. The TAH, which is about the size of a large fist, features a titanium construction and operates using a magnetically levitated rotor, allowing it to pump blood without friction, a common issue in mechanical devices. This design could potentially lead to a longer lifespan for the heart compared to traditional artificial hearts that use flexible polymer diaphragms. The device can pump blood at a rate of 12 liters per minute, sufficient for an adult male to engage in physical activity. The implantation was part of an early feasibility study overseen by the US Food and Drug Administration at the Texas Heart Institute. BiVACOR has been developing this technology since 2013, and the current goal is to provide a temporary solution for patients with end-stage heart failure. Following this initial surgery, two more patients will receive the titanium heart as part of ongoing clinical trials. Heart failure affects over 26 million people globally, and the demand for heart transplants has significantly increased, highlighting the potential impact of BiVACOR's innovation in addressing this critical health issue.

AI: What people are saying
The comments on the article about the BiVACOR total artificial heart reveal various perspectives and concerns regarding the technology.
  • Many users express curiosity about the mechanics of the heart, including how it connects to arteries and the implications of continuous blood flow.
  • There are discussions about the limitations of the artificial heart, particularly why it is intended only as a temporary solution until a transplant can be performed.
  • Some commenters reflect on the unique experience of living without a pulse and the potential physiological effects of steady-state blood pumping.
  • Several users highlight the advancements in technology and the implications for future medical devices, including comparisons to existing technologies.
  • There is a sense of admiration for the bravery of the patient involved and the potential for medical advancements stemming from this procedure.
Link Icon 22 comments
By @ajb - 9 months
Wonder how the join the arteries to it. Any pressure seems likely to kill biological tissue, and while it might grow on, presumably that would take a while. Maybe some kind of glue?
By @JumpCrisscross - 9 months
This video helped me understand what's going on: https://www.youtube.com/watch?v=HAajHSmplpA
By @low_tech_punk - 9 months
It's cool and spooky that the patient will no longer have heart beat, because the rotor will deliver continuous blood flow.
By @Jyaif - 9 months
> the titanium heart is only meant to keep a patient alive while they wait for a heart transplant, which has always been the goal of fully mechanical heart development at this stage of the game.

Why are we not aiming higher?

By @perihelions - 9 months
- "...active control system..."

https://spectrum.ieee.org/this-maglev-heart-could-keep-cardi...

That's some high-stakes software programming!

Passively-stable magnetic levitation is possible with diamagnetic materials (notably including superconductors), but those probably don't meet the requirements of this project.

- "This positional control system works as follows: Tiny contactless sensors send out magnetic fields that interact with the rotor, determining its exact location many times per second. If the rotor is moving in one direction or another, the control system puts electrical energy into electromagnetic coils within several actuators, causing them to cancel out that movement."

By @aussieguy1234 - 9 months
If you live long enough, everyone's heart will give out eventually. With a sufficiently advanced artificial one, maybe not?
By @_qua - 9 months
This is not the first cardiac support device using maglev technology. Some LVAD devices and Impella pumps also use maglev.
By @userbinator - 9 months
Maybe this is the first time this technology has been used in an artificial heart, but "maglev" pumps are not new --- they've been around for at least a few decades. It's known as "wet rotor bearingless" in existing literature, and they are found in numerous white goods such as dishwashers, washing machines, HVAC systems, as well as aquariums and computer water cooling. Usually the drive electronics are the failure point.

Here's an article from 2002 about this type of pump: http://www.mech.ibaraki.ac.jp/~ismb8/pocpdf/0001.pdf

By @drakonka - 9 months
> That being said, the titanium heart is only meant to keep a patient alive while they wait for a heart transplant, which has always been the goal of fully mechanical heart development at this stage of the game.

Why is this? What are the downsides of just keeping this artificial heart forever? Do the components somehow wear out so fast that it makes more sense to have another surgery with a real heart, or is it something with the recharge requirements, or something else?

By @yumraj - 9 months
This gives a new meaning to heavy heart
By @fbdab103 - 9 months
Why does the article not say how much that thing weighs? It looks hefty, though I suppose a human heart is also probably dense.
By @rbanffy - 9 months
It must be an interesting sensation to be alive with no pulse. When I am in complete silence, I can hear the blood coming in waves through my inner ear. With a heart like this, that sensation would be gone, as blood would be continuously pumped.
By @8f2ab37a-ed6c - 9 months
Genuinely glad we're slowly approaching Syndicate-level body mods, this can't come soon enough.
By @vjk800 - 9 months
Does this heart speed up/slow down as the demand for blood in the body changes (like heart rate goes up or down)? If not, will people just pass out if they exert themselves more than the blood flow from the artificial heart can support?
By @bumbledraven - 9 months
By @bayouborne - 9 months
re: Steady-state pumping - I wonder if we'll discover that the physiology of body has evolved to prefer (at least in the long term) pulsed blood pumping. That the change state from no velocity to high velocity has some beneficial scavenging effect on the arterial walls or something.
By @Log_out_ - 9 months
Did they solve the problem of unnatural pressurespikes causing clots and microbleeds?
By @eleveriven - 9 months
The bravery of the patient and their family! It contributes significantly to medical advancements.
By @donaldcuckman - 9 months
So this is actually something I've worked on for 3ish years. Not this project but a similar BiVAD. Pictured is a dual centrifugal pump. The actual impeller is probably 20mm in diameter. The maglev/ pump portion is most likely a slice motor topology. Which is passively stable axially.
By @nickburns - 9 months
By @ranger_danger - 9 months
Zip-ties: FDA certified to keep your heart running smoothly. /s
By @swiftcoder - 9 months
Cyborgs really hitting the mainstream these days