Estimation of systemic vascular bed parameters for artificial heart control

An extended Kalman filter estimator for the identification of systemic circulation model parameters during cardiac ejection and cardiac filling is described. The estimator has been developed for use in the control of a cardiac ventricular assist device. A lumped element circuit with a time-varying capacitor was used to represent the systemic circulation and the left ventricle. Since the haemodynamic variables that are measurable in patients with impaired cardiac function vary dramatically as the patients move through different levels of care, the estimator was designed so that it can be used with different sets of blood pressure and flow measurements. Preliminary evaluation of the performance of the estimator using data from a computer simulation and from a patient during open-heart surgery is presented. The robustness of the estimator to variations in parameter initialization is also described.