51
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Imamura T, Raikhelkar J, Kim G, Smith B, Kalantari S, Nguyen A, Narang N, Chung B, Ebong I, Holzhauser L, Grinstein J, Nitta D, Fujino T, Juricek C, Rodgers D, Combs P, Song T, Ota T, Jeevanandam V, Sayer G, Uriel N. Aortic Insufficiency is Associated with Hemocompatibility-Related Adverse Events in LVAD Patients. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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52
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Symalla T, Song T, Onsager D, Ota T, LaBuhn C, Combs P, Lammy T, Patel-Raman S, Sayer G, Kim G, Raikhelkar J, Uriel N, Jeevanandam V. Hemodynamic Parameters That Predict Success with an Ambulatory Counterpulsation Heart Assist System in Advanced Congestive Heart Failure. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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53
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Koda Y, Kitahara H, Kim G, Sarswat N, Kalantari S, Smith B, Raikhelkar J, Sayer G, Onsager D, Song T, Uriel N, Jeevanandam V, Ota T. Surgical Device Exchange is Favorable to Treat Device Thrombosis Compared to Medical Therapy. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.1088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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54
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Imamura T, Smith B, Raikhelkar J, Rodgers D, Kim G, Kalantari S, Nguyen A, Narang N, Chung B, Ebong I, Holzhauser L, Nitta D, Fujino T, Juricek C, Combs P, Onsager D, Song T, Ota T, Jeevanandam V, Sayer G, Uriel N. Right Heart Function Worsens in LVAD Patients with Decoupling between Pulmonary Artery and Wedge Pressures. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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55
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Imamura T, Nguyen A, Nitta D, Rodgers D, Kalantari S, Smith B, Raikhelkar J, Narang N, Chung B, Ebong I, Holzhauser L, Fujino T, Juricek C, Combs P, Onsager D, Song T, Ota T, Jeevanandam V, Kim G, Sayer G, Uriel N. Worsening of Right Heart Function Following Left Ventricular Assist Device Implantation - Right Heart Catheter Waveform Analyses. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.1166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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56
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Aoki S, Yamashita H, Takahashi W, Nawa K, Ota T, Nozawa Y, Ozaki S, Nakamoto T, Nakagawa K. EP-1360 Salvage SBRT for postoperative recurrence of NSCLC. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)31780-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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57
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Otsuki H, Ota T, Miki N. Blood-Separating Device Without Energy Source for Implantable Medical Devices. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2018; 2018:4661-4664. [PMID: 30441390 DOI: 10.1109/embc.2018.8513160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Coagulation of blood inside the implanted medical device is quite a critical problem to limit the lifetime. In this paper, we propose a microfluidic blood separating device using curved and branched channels. It utilizes centrifugal force on curved flow and separates blood flow into blood cell rich and blood cell poor ones at the bifurcation. Though it cannot separate the plasma from blood cells completely, the blood with small concentrations of blood cells will have low coagulatibity and extend the lifetime of the implant medical device. The device does not require any external pumps or valves, i.e., the system does not need any power sources but the blood pressure. We conducted experiments with a titanium foil which contacted to human whole blood with different hematocrit values for 7 days. The device was experimentally characterized with respect to the channel design. The former experiments suggested that lower concentration of blood cells helps avoiding blood coagulations, and the latter showed that the separation by our device is mainly affected by the flow rate and channel curvature.
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58
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Kamiya H, Ota T, Yasuga H, Miki N. A Precise Sampling Strip with Microstructures. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2018; 2018:3837-3840. [PMID: 30441201 DOI: 10.1109/embc.2018.8513267] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
This paper presents a precise sampling microstructure formed as a paper strip. We have been developing dialysis system that can be implanted into a human body as an artificial kidney. For the safe use of our artificial kidney, the patients' urine needs to be constantly monitored to detect the abnormal value of ion concentration essential for human life. We are conceiving the monitoring system based on sampling by a paper strip. In this study, we fabricated the strip consisting of slanted and interlocked micropillars for the sampling, known as synthetic microfluidic paper. The paper-like substrate can be fabricated with a well-controlled geometry and subsequently enables precise sampling. Through the conducted experiments, it was shown that synthetic microfluidic paper had better mechanical properties, showed more precision in sampling than paper filter as well as corresponding liquid holding capability to the paper filter. Our proposed paper-based sampling system is expected to lead to the development of minimally invasive ion monitoring system with quantitative sampling strip.
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59
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Watanabe A, Ota T, Kanno Y, Miki N. Enfold-type connecting system of artificial blood vessels for micro implantable dialysis device. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2018; 2018:5810-5813. [PMID: 30441656 DOI: 10.1109/embc.2018.8513545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
This paper reports the connecting mechanism for the artificial blood vessels along with the recent development of the micro implantable dialysis device. Our group has been studying the micro implantable dialysis device, which will drastically improve the quality of life of dialysis patients. We expect to replace the device every couple of years, which will involve surgery. In order to simplify the surgery to reduce the load to the patients, we develop a connector for the artificial vessels, which allows the exchange of the device by low invasive surgery. The connector needs to be designed not to induce blood coagulation. We designed a connecting mechanism that enfolds the artificial vessels to allow blood to contact only to the surface of the artificial vessels. In order to verify effectiveness of the proposed connecting mechanism, we investigated the connector surfaces with SEM after blood circulation tests. Then, we evaluated blood coagulation capacity of the connecting system as well as the set of the connecting system and the micro dialysis device with respect to the activated partial thromboplastin time (APTT). No remarkable increase of blood coagulation at the connecting point was observed after 72 hours of blood circulation tests. Short-term experiments for 120 minutes to evaluate APTT showed a small decrease of APTT, which needs to be further investigated in a longer-term experiments.
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60
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Ota T, Kirita K, Udagawa H, Umemura S, Matsumoto S, Yoh K, Niho S, Ishii G, Goto K. P1.09-33 Validity of Non-Small Cell Lung Cancer Not Otherwise Specified to Use Immunohistochemistry on Treatment Outcome. J Thorac Oncol 2018. [DOI: 10.1016/j.jtho.2018.08.809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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61
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Ota T, Takeda T, Fukui T, Nakahara Y, Kudo K, Okabe T, Hayashi H, Otani S, Hiyoshi Y, Yonesaka K, Sugiura T, Suzumura T, Terashima M, Nakano Y, Hasegawa Y, Tsukuda H, Matsui K, Masuda N, Fukuoka M. Serum biomarkers during the first cycle of anti-PD-1 antibody therapies in non-small cell lung cancer. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy288.073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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62
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Ota T, Kirita K, Udagawa H, Umemura S, Matsumoto S, Yoh K, Niho S, Goto K. Efficacy of second-line nivolumab after early time to progression on first-line cytotoxic chemotherapy in patients with advanced non-small cell lung cancer (NSCLC). Ann Oncol 2018. [DOI: 10.1093/annonc/mdy292.100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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63
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Taguchi S, Funabiki M, Hayashi T, Tada Y, Iwaki Y, Karita M, Ota T, Maeda K, Matsubara T, Zada P, Sugiyama N, Nakamura Y. The implantation rate of japanese infertile patients with repeated implantation failure can be improved by endometrial receptivity array (era) test: a randomized controlled trial. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.07.270] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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64
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Manaka D, Nishitai R, Konishi S, Ota T, Nishikawa Y, Kudo R, Kawaguchi K, An H, Hamasu S. Analysis of clinical outcomes of two antiEGFR antibodies, cetuximab and panitumumab, in the 1st line chemotherapy of RAS wild metastatic colorectal cancer, by neutrophil-to-lymphocyte ratio (NLR) kinetics. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy151.223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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65
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Konishi S, Manaka D, An H, Nishikawa Y, Ota T, Kudo R, Kawaguchi K, Hamasu S, Nishitai R. Early outcomes of a pilot study of neoadjuvant chemotherapy with S-1 plus oxaliplatin at dose of 130mg/m2 (nacG-SOX130) in stage III gastric cancer. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy151.063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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66
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Kawaguchi K, Nishitai R, Manaka D, Ota T, Nishikawa Y, Kudo R, An H, Hamasu S, Konishi S. A phase II study of dose-escalation of regorafenib for patients with previously treated metastatic colorectal cancer – DEREGULATE study - Trial in progress. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy151.291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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67
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Imamura T, Murks C, Riley T, Powers J, Chung B, Nguyen A, Rodgers D, Raikhelkar J, Kalantari S, Costanzo M, Jorde U, Ota T, Song T, Onsager D, Juricek C, Jeevanandam V, Kim G, Sayer G, Uriel N. Comparison of Survival and Readmission Rates in Patients 65 and Older Undergoing Heart Transplantation or LVAD Implantation. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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68
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Jeevanandam V, Onsager D, Song T, Ota T, Juricek LaBuhn C, Lammy T, Patel-Raman S, Sayer G, Kim G, Kalantari S, Uriel N. Hemocompatibility of an Ambulatory Counterpulsation Circulatory Assist System. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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69
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Imamura T, Raikhelkar J, Sarswat N, Rodgers D, Kalantari S, Nguyen A, Chung B, Narang N, Kim G, Juricek C, Murks C, Ota T, Song T, Costanzo M, Burkhoff D, Jorde U, Jeevanandam V, Sayer G, Uriel N. Optimal Hemodynamics During LVAD Support Are Associated With Reduced Readmission Rate. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.1266] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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70
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Imamura T, Rodgers D, Kim G, Raikhelkar J, Sarswat N, Kalantari S, Nguyen A, Chung B, Juricek C, Burkhoff D, Song T, Ota T, Jeevanandam V, Sayer G, Uriel N. Estimation of Central Venous Pressure by Pacemaker Lead Impedances in LVAD Patients. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.1265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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71
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Imamura T, Juricek C, Song T, Ota T, Onsager D, Bryant B, Sarswat N, Kim G, Raikhelkar J, Kalantari S, Sayer G, Jeevanandam V, Uriel N. Reverse Remodeling Following Ambulatory Counterpulsation. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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72
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Imamura T, Rodgers D, Kim G, Raikhelkar J, Sarswat N, Kalantari S, Nguyen A, Chung B, Juricek C, Burkhoff D, Song T, Ota T, Jeevanandam V, Sayer G, Uriel N. Decoupling Between Diastolic Pulmonary Artery and Pulmonary Capillary Wedge Pressures at Incremental LVAD Speeds is a Poor Prognostic Factor Following LVAD Implantation. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.1264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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73
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Mehta P, Imamura T, Belkin M, Rodgers D, Sarswat N, Kim G, Raikhelkar J, Kalantari S, Murks C, Song T, Ota T, Jeevanandam V, Sayer G, Uriel N. Neurohormonal Blockade Reduces Adverse Events During LVAD Support. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.439] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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74
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Jeevanandam V, Song T, Onsager D, Ota T, Juricek LaBuhn C, Lammy T, Patel-Raman S, Sayer G, Kim G, Kalantari S, Uriel N. Predictors of Hemodynamic Success in Advanced CHF Patients Supported by Ambulatory Counterpulsation. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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75
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Imamura T, Raikhelkar J, Sarswat N, Kalantari S, Murks C, Rodgers D, Juricek C, Kim G, Costanzo M, Ota T, Song T, Jeevanandam V, Jorde U, Burkhoff D, Sayer G, Uriel N. Optimal Hemodynamics During LVAD Support Are Associated with Reduced Hemocompatibility-related Adverse Events. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.089] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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