ABSTRACT
The sensing of left ventricular (LV) activity is fundamental in the diagnosis and monitoring of cardiovascular health in high-risk patients after cardiac surgery to achieve better short- and long-term outcome. Conventional approaches rely on noninvasive measurements even if, in the latest years, invasive microelectromechanical systems (MEMS) sensors have emerged as a valuable approach for precise and continuous monitoring of cardiac activity. The main challenges in designing cardiac MEMS sensors are represented by miniaturization, biocompatibility, and long-term stability. Here, we present a MEMS piezoresistive cardiac sensor capable of continuous monitoring of LV activity over time following epicardial implantation with a pericardial patch graft in adult minipigs. In acute and chronic scenarios, the sensor was able to compute heart rate with a root mean square error lower than 2 BPM. Early after up to 1 month of implantation, the device was able to record the heart activity during the most important phases of the cardiac cycle (systole and diastole peaks). The sensor signal waveform, in addition, closely reflected the typical waveforms of pressure signal obtained via intraventricular catheters, offering a safer alternative to heart catheterization. Furthermore, histological analysis of the LV implantation site following sensor retrieval revealed no evidence of myocardial fibrosis. Our results suggest that the epicardial LV implantation of an MEMS sensor is a suitable and reliable approach for direct continuous monitoring of cardiac activity. This work envisions the use of this sensor as a cardiac sensing device in closed-loop applications for patients undergoing heart surgery.
ABSTRACT
The first detector prototypes for the ITER bolometer diagnostic featuring a 12.5 µm thick Pt-absorber have been realized and characterized in laboratory tests. The results show linear dependencies of the calibration parameters and are in line with measurements of prototypes with thinner absorbers. However, thermal cycling tests up to 450 °C of the prototypes with thick absorbers demonstrated that their reliability at these elevated operating temperatures is not yet sufficient. Profilometer measurements showed a deflection of the membrane hinting to stresses due to the deposition processes of the absorber. Finite element analysis (FEA) managed to reproduce the deflection and identified the highest stresses in the membrane in the region around the corners of the absorber. FEA was further used to identify changes in the geometry of the absorber with a positive impact on the intrinsic stresses of the membrane. However, further improvements are still necessary.
ABSTRACT
Any plasma diagnostic in ITER must be able to operate at temperatures in excess of 200 °C and neutron loads corresponding to 0.1 dpa over its lifetime. To achieve this aim for the bolometer diagnostic, a miniaturized metal resistor bolometer detector based on Pt absorbers galvanically deposited on SiN membranes is being developed. The first two generations of detectors featured up to 4.5 µm thick absorbers. Results from laboratory tests are presented characterizing the dependence of their calibration constants under thermal loads up to 450 °C. Several detectors have been tested in ASDEX Upgrade providing reliable data but also pointing out the need for further optimization. A laser trimming procedure has been implemented to reduce the mismatch in meander resistances below 1% for one detector and the thermal drifts from this mismatch.
ABSTRACT
Microsystems are set to contribute much to the medical device market. New microfabrication processes allow the mass production of microcomponents in a variety of materials. These processes are described together with examples of miniaturized medical devices and components that are now possible.
