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Physical bench top experiments are performed to validate and complement ongoing computational fluid dynamics (CFD) analyses of ventricular assist device (VAD) circulation. VADs are used in patients whose hearts do not function to their maximum potential due advanced stages of heart disease and, consequently, are unable to adequately supply blood to the systemic circulation. VADs are commonly utilized as a bridge-to-transplantation, meaning that they are implanted in patients while waiting for a heart transplant. In such cases of long term utilization of VADs, it has been reported in the literatures that thrombo-embolic cerebral events occur in 14-47% of patients over the period of 6 to 12 months. This is a result of thrombus forming despite the use of anticoagulants and advances in VAD design. Accepting current rates of thrombo-embolisms, the main objective of the project is to identify and propose an optimal surgical cannula implantation orientation aimed at reducing the rate of thrombi reaching the carotid and vertebral arteries and thus reduce the morbidity and mortality rate associated with the long term use of VADs to patients suffering from advanced heart failure. The main focus of the experiment is on the physical aspect using a synthetic anatomically correct model constructed by rapid prototyping of the human aortic arch and surrounding vessels. Three VAD cannula implantation configurations are studied with and without bypass to the left carotid artery or to the Innominate artery with ligation of the branch vessel at its root. A mixture of water and glycerin serves to match blood viscosity measured with a rotating cone-plate viscometer. The Reynolds number in the ascending aorta is matched in the flow model. A closed loop mock circulatory system is then realized. In order to match the Reynolds number in the ascending aorta and LVAD cannula with that of the CFD model, a volumetric flow rate of 2.7 liters per minute is supplied through the synthetic VAD cannula and 0.9 liter per minute is supplied to the ascending aorta. Flow rates are measured using rotary flow meters and a pressure sensor is used to ensure a mean operating pressure of 100 mmHg is maintained. Synthetic acrylic blood iv clots are injected at the inlet of the VAD cannula and they are captured and counted at the vertebral and carotid arteries. The sizes of the thrombi simulated are 2, 3.5 and 5 mm which are typical of the range of diameters encountered in practice. Nearly 300 particles are released over 5 separate runs for each diameter, and overall embolization rates as well as individual embolization rates are evaluated along with associated confidence levels. The experimental results show consistency between CFD and experiment. Means comparison of thromboembolization rates predicted by CFD and bench-top results using a Z-score statistic with a 95% confidence level results in 22 of 24 cases being statistically equal. This study provides confidence in the predictive capabilities of the bench-top model as a methodology that can be utilized in upcoming studies utilizing patient-specific aortic bed model.

A surrogate arm model was created that is capable of being used for oscillometry. This model is capable of being used as a bench top model for blood pressure cuff devices. The arm consists of endplates and internal supports that are 3D printed with ABS, a silicone rubber outer sleeve, and interchangeable arteries made from two silicone rubber strips glued together at the edges. The interchangeable arteries have varying compliances that can be used as different inputs for oscillometric testing. A process was established to measure the artery compliances with a curve fit correlation of 0.95. However, testing revealed that this artery compliance relationship might not be an accurate representation of the artery compliance while it is in the surrogate arm system. A blood pressure cuff was also used with the surrogate arm model to measure changes in artery volume. Testing with the surrogate arm revealed a blood pressure cuff was capable of measuring artery volume changes of 2mL to 8mL consistently within 3.28% error. Volume changes of 1mL were unable to be repeatable measured accurately with a blood pressure cuff.

A study was performed on a recently developed prototype of the Yong-Geddes surrogate arm design to collect compliance data of the various system components and determine the accuracy of measurements made through the bench top model. The study was performed to perceive the effectiveness of the model as a tool for validating non-invasive blood pressure detection monitors. Three stages of testing were performed to gather pressure and volume data from an artificial artery component, a sphygmomanometer, and the surrogate arm system to produce compliance estimations. Mathematical equations from supported arterial hemodynamics studies and clinical trials were applied to the pressure and volume data. Dr. Drzewiecki’s equation for arterial compliance was capable of predicting the region of the highest compliance of the artificial artery and produced an overall value of 38.81% for the data. A second degree inverse polynomial was developed and modeled the sphygmomanometer compliance measurements with a of 99.09%. Significant error was observed throughout all stages of the compliance testing, which was attributed to factors such as excessive noise due to faulty data collection equipment and irreparable leaks in the fluid flow system.

With a growing global population, food security and waste management strategies are needed (FAO, 2002b); insects have been promoted for these goals. Black soldier fly larvae (BSFL) are endorsed for their ability in decomposition and use as feed (Bava et al., 2019; Swett Walker, 2018). Studies show the life cycle of BSFL is impacted by bacterial supplementation (Franks et al., 2021; Kooienga et al., 2020). We seek to determine the effects of supplementing BSFL diet with Pseudomonas putida 3P. We conducted two forms of a 10-day bench-top study observing larval mass, frass conversion, C:N content, and ammonia production with supplementation of Pseudomonas putida 3P in single and double-doses. Supplementation with P. putida results in roughly 1.5X larger larval wet and dry mass, variable concentrations of ammonia, and approximately 1.15X smaller C:N ratios in frass. This suggests interruption of larval rearing may affect volatile ammonia concentrations and inhibit P. putida behavior.

The accurate and rapid detection of clinically relevant analytes at the point-of-care (POC) is a crucial element for the increase in our quality of life. There are multiple detection techniques for sensing a target analyte in biological samples. However, electrochemical sensors excel because of their versatility, accuracy and sensitivity. Among the many challenges in the fabrication of electrochemistry-based POC sensors, the miniaturization of the working electrodes is one of the most difficult to overcome. Decreasing the size of the sensors will result in less electroactive surface area (ESA) and, therefore, lower sensitivity. Thus, the design of miniaturized electrodes with high ESA is desired in this research field. The methodology developed in our laboratory to accomplish this goal is based on the fabrication of microstructured gold electrodes (MSEs) by depositing, via sputtering, a gold thin-film onto a pre-stressed polystyrene substrate masked with adhesive vinyl stencils and thermally shrinking the substrate at high temperatures (135-160 °C). In my thesis work, I developed cost-effective sensitive electrochemical platforms using only bench-top approaches. First, the ESA and, thus, the sensitivity of the MSEs were enhanced by using a simple and rapid nano-roughening approach. The ESA of MSEs was increased 4x by applying high voltage pulsing in sulfuric acid. The resulting electrodes possessed high anti-fouling capabilities and excellent response toward the enzyme-free detection of glucose with a limit of detection (LOD) of 0.62 mM in the presence of bovine serum albumin (BSA) and ascorbic acid. Furthermore, the fabrication cost of the MSEs electrodes was decreased by 5x by replacing the sputtering deposition step with a cost-effective solution-based electroless deposition technique. In this case, the PS substrates were coated with a polydopamine adhesion layer and noble metal films (copper, silver and gold) were subsequently plated. Not only the cost of the gold electrode was substantially reduced but, due to the intrinsic roughness of the surface, the MSEs electrodes obtained via electroless deposition showed a higher ESA than those made via sputtering. Furthermore, the developed electroless method was extended for the fabrication of paper-based sensing devices. The sensing versatility of these surfaces was demonstrated by electrochemically detecting mercury with a 0.27 ppb LOD and by sensing thiophenol via surface-enhanced Raman scattering (SERS). The MSEs electrodes fabricated via electroless deposition were subjected to the nano-roughening technique to generate affordable and high ESA electrodes. These platforms were used to design enzyme-based biosensors to accurately detect glucose and urea in complex samples. Glucose was detected in four different types of wine, with matrix interference measured below 10%, and in human serum, with a measured concentration that was not statistically different from that obtained from commercially available biosensors. Urea was detected in human urine and plasma with matrix interferences measured to be below 8% in both cases. We envision that the fabrication techniques developed in this thesis will rapidly grow in the scientific community for the prompt and accurate design of POC electrochemical devices. / Thesis / Doctor of Philosophy (PhD)

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