Module 3

Adaption of Anatomical Principles for Bioengineering Design

Brain as a CPU System:

The human brain can be thought of as a highly sophisticated and complex information
processing system, similar to a computer's Central Processing Unit (CPU). Both the brain and
CPU receive and process inputs, store information, and perform calculations to produce outputs.
However, there are significant differences between the two, such as the way they store and
process information and the fact that the human brain has the ability to learn and adapt, while a
computer's CPU does not. Additionally, the human brain is capable of performing tasks such as
perception, thought, and emotion, which are beyond the scope of a computer's CPU.
Table: Comparison Chart
Basis for Comparison Brain Computer
Construction Neurons and synapses ICs, transistors, diodes,
capacitors, transistors, etc.
Memory growth Increases each time by
connecting synaptic links
Increases by adding more
memory chips
Backup systems Built-in backup system Backup system is constructed
manually
Memory power 100 teraflops (100 trillion
calculations/seconds) 100 million megabytes
Memory density 107 circuits/cm3 1014 bits/cm3
Energy consumption 12 watts of power Gigawatts of power
Information storage Stored in electrochemical and
electric impulses.
Stored in numeric and symbolic
form (i.e. in binary bits).
Size and weight
The brain's volume is 1500
cm3 and weight is around 3.3
pounds.
Variable weight and size form
few grams to tons.
Transmission of
information
Uses chemicals to fire the
action potential in the neurons.
Communication is achieved
through electrical coded signals.
Information processing
power Low High
Input/output equipment Sensory organs Keyboards, mouse, web
cameras, etc.
Structural organization Self-organized Pre-programmed structure
Parallelism Massive Limited

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Reliability and
damageability
properties
Brain is self-organizing, self-
maintaining and reliable.
Computers perform a
monotonous job and can't
correct itself.

Architecture
The architecture of the human brain as a CPU system can be compared to that of a
parallel distributed processing system, as opposed to the Von Neumann architecture of
traditional computers.

Figure: Comparison between Brains Computing System with Conventional Von Neumann

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Computing System
Ref: https://www.researchgate.net/figure/Comparison-between-Brains-Computing-System-with-
Conventional-Von-Neumann-Computing_fig1_316727654
In the human brain, information is processed in a distributed manner across multiple
regions, each with specialized functions, rather than being processed sequentially in a single
centralized location.
Just like how a computer's CPU has an arithmetic logic unit (ALU) to perform
mathematical calculations, the human brain has specialized regions for processing mathematical
and logical operations. The prefrontal cortex, for example, is responsible for higher-level
cognitive functions such as decision making and problem solving.

Figure: Schematic representation of the frontal lobes of brain

Similarly, a computer's CPU also has memory units for storing information, and the
human brain has several regions dedicated to memory storage, including the hippocampus and
amygdala.

Figure: Limbic system. Cross section of the human brain. Mammillary body, basal ganglia,
pituitary gland, amygdala, hippocampus, thalamus - Illustration Credit: Designua / Shutterstock

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While the comparison between the human brain and a computer's CPU can provide useful
insights, it is important to note that the human brain is a vastly more complex and capable
system, with many functions that are still not fully understood.

CNS and PNS

The Central Nervous System (CNS) and Peripheral Nervous System (PNS) are the two
main components of the nervous system in the human body.

Figure: Representation of CNS and PNS

The Central Nervous System consists of the brain and spinal cord and is responsible for
receiving, processing, and integrating sensory information and transmitting commands to the rest
of the body. The brain acts as the command center, receiving and processing sensory inputs and
generating motor outputs, while the spinal cord acts as a relay center, transmitting information
between the brain and peripheral nerves.
The Peripheral Nervous System, on the other hand, consists of all the nerves that lie
outside the brain and spinal cord. It is responsible for transmitting sensory information from the
periphery of the body (such as the skin, muscles, and organs) to the CNS, and transmitting
commands from the CNS to the periphery. The PNS can be further divided into the somatic
nervous system and the autonomic nervous system.
Figure: Representation of function of somatic nervous system
The somatic nervous system controls voluntary movements, while the autonomic nervous
system controls involuntary functions such as heart rate, digestion, and respiration

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Figure: Representation of function of autonomic nervous system

Eye as a Camera System:

The human eye can be analogized to a camera system, as both the eye and a camera
capture light and convert it into an image.
The main components of the eye that correspond to a camera system include:
The Cornea: This transparent outer layer of the eye functions like a camera lens, bending
light to focus it onto the retina.
The Iris: The iris functions like the diaphragm in a camera, controlling the amount of light
that enters the eye.
The Pupil: The pupil functions like the aperture in a camera, adjusting the size to control the
amount of light entering the eye.
The Retina: The retina functions like the camera film or sensor, capturing the light and
converting it into electrical signals that are sent to the brain.
The Optic Nerve: The optic nerve functions like the cable connecting the camera to a
computer, transmitting the electrical signals from the retina to the brain.

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Figure: Comparing camera and anatomy of eye

In both the eye and a camera, the captured light is transformed into an image by the lens
and the light-sensitive component. The eye processes the image further, allowing for visual
perception, while a camera stores the image for later use.
It's important to note that the eye is much more complex than a camera and has several
additional functions, such as adjusting for different levels of light and adjusting focus, that are
not found in a camera. The eye also has the ability to perceive depth and color, as well as adjust
to movements and provide a continuous, real-time image to the brain

Figure: Representing anatomy of eye

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2.2.1 Architecture of Rod and Cone Cells

Figure: Representation of photoreceptor cells

Rod Cells
Rod cells are photoreceptor cells in the retina of the eye that are responsible for detecting
light and transmitting signals to the brain for the perception of vision, especially in low light
conditions. They contain a protein called rhodopsin that absorbs light and triggers a chain of
events leading to the activation of neural signals. Rods are more sensitive to light than cone cells
but do not distinguish color as well.

Cone Cells
Cone cells are photoreceptor cells in the retina of the eye that are responsible for color
vision and visual acuity (sharpness of vision). There are three types of cone cells, each
containing a different photopigment sensitive to different wavelengths of light (red, green, and
blue), which allow for the perception of color. Cones are less sensitive to light than rod cells but
provide better visual acuity and color discrimination. They are concentrated in the fovea, the
central part of the retina responsible for detailed and sharp vision.

Architecture
Rod and cone cells have a similar basic structure, but there are some differences that are
crucial for their different functions.
Figure: Representing rod and cone cells
Both types of cells have a photoreceptor outer segment that contains the photo pigment
(rhodopsin in rods and photo pigments in cones) that absorbs light and triggers a change in
membrane potential. The inner segment contains the cell's organelles, including the nucleus and
mitochondria.
The major difference between rod and cone cells is their shape. Rod cells are elongated
and cylindrical, while cone cells are shorter and more conical in shape. This difference in shape
affects the distribution of photo pigments and the number of synaptic contacts with bipolar and
ganglion cells, which transmit the signals to the brain. Rod cells have a single long outer
segment, while cone cells have several shorter segments.

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Figure: Representing ganglion cells and bipolar cells

Another difference between the two types of cells is the distribution of their synaptic
contacts with bipolar cells. Rod cells make synapses with one bipolar cell, while cone cells
synapse with one of several bipolar cells. This difference in synapse distribution is critical for the
different functions of rod and cone cells in vision.

2.2.2 Optical Corrections

Optical corrections refer to devices or techniques used to improve or correct vision
problems caused by a refractive error in the eye.
Refractive errors occur when light entering the eye is not properly focused on the retina,
leading to blurred vision. There are several types of refractive errors, including:
Myopia (nearsightedness): Light is focused in front of the retina, making distant objects
appear blurry.
Hyperopia (farsightedness): Light is focused behind the retina, making near objects
appear blurry.
Astigmatism: Light is not focused evenly on the retina, leading to blurred or distorted
vision.
The most common optical corrections include:
Eyeglasses: Glasses with corrective lenses can be used to refocus light onto the retina,
improving vision.
Contact lenses: Corrective lenses in the form of contacts sit directly on the cornea and
work similarly to eyeglasses.
Refractive surgery: Surgical procedures, such as LASIK and PRK, can reshape the cornea
to correct refractive errors.
Optical corrections can greatly improve visual acuity and quality of life for people with
refractive errors. However, it is important to have regular eye exams to determine the appropriate
correction and monitor eye health.

2.2.3 Cataract

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Figure: Representing cataract

A cataract is a clouding of the lens of the eye that affects vision. The lens, located behind
the iris and pupil, normally allows light to pass through to the retina and produces clear, sharp
images. However, as we age or due to other factors, the proteins in the lens can clump together
and cause the lens to become opaque, leading to vision problems.
Symptoms of a cataract include blurred or hazy vision, increased sensitivity to glare and
bright lights, faded or yellowed colors, and double vision in one eye. Cataracts can also cause
frequent changes in prescription for eyeglasses or contacts.
Cataract surgery is a common and safe procedure to remove the cloudy lens and replace it
with an artificial lens. The surgery is typically performed on an outpatient basis and most people
experience improved vision within a few days after the procedure.
In conclusion, cataracts can significantly affect vision, but surgical removal and
replacement with an artificial lens can restore clear vision and improve quality of life. Regular
eye exams can help detect cataracts early and prevent vision loss.

2.2.4 Lens Materials

The artificial lenses used in cataract surgery or for vision correction can be made of a
variety of materials, each with its own unique properties and benefits. The most common lens
materials include:
Polymethyl methacrylate (PMMA): PMMA is a type of plastic that has been used for
many years in artificial lenses. It is a durable and affordable material, but does not have
the ability to flex and adjust focus like the natural lens.
Silicone: Silicone is a soft, flexible material that is resistant to cracking and breaking. It is
often used in phakic intraocular lenses (IOLs), which are implanted in front of the natural
lens.
Acrylic: Acrylic is a lightweight, clear material that is similar in properties to PMMA. It
is often used in foldable IOLs, which can be inserted through a smaller incision.
Hydrophobic acrylic: Hydrophobic acrylic is a type of acrylic material that has a special
surface treatment that helps to reduce glare and halos around lights.
Hydrophilic acrylic: Hydrophilic acrylic is a type of acrylic material that is designed to be
more compatible with the natural fluid in the eye, reducing the risk of vision-threatening
complications.
The choice of lens material will depend on several factors, including the patient's
individual needs, the surgeon's preference, and the potential risks and benefits of each material.
Your eye doctor can provide guidance on which lens material may be best for you.

2.2.5 Bionic Eye or Artificial Eye

A bionic eye, also known as a retinal implant, is a type of prosthetic device that is
surgically implanted into the eye to help restore vision to people who have lost their sight due to
certain conditions such as retinitis pigmentosa or age-related macular degeneration.
Figure: Photo of a bionic eye
The device typically consists of a camera, a processor, and an electrode array that is
attached to the retina. The camera captures images and sends signals to the processor, which then
transmits electrical stimulation to the electrodes in the retina to stimulate the remaining healthy

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cells and restore vision. The restored vision is not perfect, but it can help people with vision loss
to perform daily tasks more easily and safely.

Materials Used in Bionic Eye

The materials used in a bionic eye can vary depending on the specific device and
manufacturer. However, some of the common materials used in bionic eye technology include:
Silicon or other semiconducting materials for the camera and the electrode array.
Biocompatible materials for the casing of the device and the electrode array, such as
titanium or titanium alloys, to minimize the risk of infection and rejection by the body.
Conductive materials, such as platinum, iridium, or gold, for the electrodes in the array to
provide efficient electrical stimulation to the retina.
Polymers, such as silicone or polyimide, for insulation and protection of the electrodes
and other components.
Optical materials, such as glass or acrylic, for the lens of the camera.
Biocompatible and flexible materials for the electrical connections between the camera
and the processing unit and between the processing unit and the electrode array.
In addition to these materials, advanced computer algorithms and machine learning
techniques are also used to improve the accuracy and reliability of the bionic eye technology.
Working of Bionic Eye

Figure: Representing working of a bionic eye

A bionic eye typically works by capturing images with a small camera and transmitting
the information to a processing unit that is attached to the eye. The processing unit then converts
the visual information into electrical signals and sends them to an electrode array that is
surgically implanted onto the retina. The electrodes stimulate the remaining healthy cells in the
retina, which then sends signals to the brain to create the perception of vision.
The restored vision is not perfect, but it can help people with vision loss to perform daily
tasks more easily and safely. The amount and quality of vision that can be restored varies
depending on the individual and the type of bionic eye being used. Some bionic eyes only restore

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basic visual shapes and patterns, while others can provide more detailed vision.
The bionic eye is powered by a battery that is typically implanted behind the ear. The
battery is recharged through a device that is held near the eye, which transmits power wirelessly
to the battery. The device is typically rechargeable and can be used for several years before it
needs to be replaced.

2.3 Heart as a Pump System:

2.3.1 Architecture
The heart is a complex pump system that circulates blood throughout the body.
Figure: Representing the chambers of heart. Image courtesy: biologybrain.com
It consists of four chambers: the right atrium, the left atrium, the right ventricle, and the
left ventricle. Blood enters the right atrium from the body and is pumped into the right ventricle,
which then pumps the blood to the lungs for oxygenation. Oxygenated blood returns to the heart
and enters the left atrium, which pumps the blood into the left ventricle. The left ventricle then
pumps the oxygenated blood out to the rest of the body.
Between each chamber, there are one-way valves that ensure the blood flows in the
correct direction and prevent backflow. The heart is also surrounded by the pericardium, a sac
that contains a small amount of fluid and helps to protect and lubricate the heart as it beats.

Figure: Representing circulation of blood

The Heart Beat
The heart's pumping action is controlled by a complex network of electrical and chemical
signals, which generate the rhythm of the heartbeat.

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Figure: Representation of electrical system of the heart

An electrical stimulus is generated in a special part of the heart muscle called the sinus
node. It's also called the sinoatrial node (SA node). The sinus node is a small mass of special
tissue in the right upper chamber of the heart (right atrium). In an adult, the sinus node sends out
a regular electrical pulse 60 to 100 times per minute. This electrical pulse travels down through
the conduction pathways and causes the heart's lower chambers (ventricles) to contract and pump
out blood. The right and left atria are stimulated first and contract to push blood from the atria
into the ventricles. The ventricles then contract to push blood out into the blood vessels of the
body.
2.3.2 Electrical Signalling – ECG Monitoring and Heart Related Issues

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Figure: ECG waves and their relation to heart nodes

The heart's pumping action is controlled by electrical signaling, which generates the
rhythm of the heartbeat. This electrical signaling can be monitored using an electrocardiogram
(ECG), which records the electrical activity of the heart and provides important information
about the heart's function.
An ECG measures the electrical signals produced by the heart as it beats and generates a
trace or waveform that reflects the electrical activity of the heart. This trace can be used to
diagnose heart conditions and monitor the heart's function.
Some common heart-related issues that can be diagnosed or monitored using an ECG
include:
Arrhythmias: Abnormalities in the heart's rhythm or rate can be detected using an ECG.
Heart disease: Changes in the heart's electrical activity can indicate the presence of heart
disease, such as coronary artery disease or heart attacks.
Heart attack: An ECG can help diagnose a heart attack by detecting changes in the heart's
electrical activity that indicate a lack of blood flow to the heart.
Overall, the ECG is a useful tool for diagnosing and monitoring heart-related issues and
helps to provide important information about the heart's function and health.
2.3.3 Reasons for Blockages of Blood Vessels

Figure: (A) shows damage (dead heart muscle) caused by a heart attack, (B) shows the coronary
artery with plaque buildup and a blood clot.
Image Courtesy: https://www.nhlbi.nih.gov/health/heart-attack/causes
Blockages in blood vessels, also known as arterial blockages or atherosclerosis, can occur
for several reasons:
High cholesterol levels: Excessive amounts of low-density lipoprotein (LDL) cholesterol
in the blood can lead to the formation of plaque in the blood vessels, which can narrow or
block them.
High blood pressure: Over time, high blood pressure can cause damage to the blood

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vessels, leading to the formation of plaque and blockages.

Smoking: Smoking can damage the inner walls of blood vessels and promote the buildup
of plaque, leading to blockages.
Diabetes: People with uncontrolled diabetes are at a higher risk of developing blockages
in their blood vessels, due to damage to the blood vessels from high levels of glucose.
Age: As people age, the blood vessels can become stiff and less flexible, increasing the
risk of blockages.
Genetics: Some people may be predisposed to developing blockages in their blood
vessels due to genetic factors.
Poor diet: A diet high in saturated fats, trans fats, and cholesterol can increase the risk of
developing blockages in the blood vessels.
The blockages in blood vessels can have serious health consequences, such as heart
attacks and stroke. Maintaining a healthy lifestyle, including eating a healthy diet, exercising
regularly, and avoiding smoking, can help reduce the risk of developing blockages in blood
vessels.

2.3.4 Design of Stents

Stents are small, metal mesh devices that are used to treat blockages in blood vessels.
They are typically used in procedures such as angioplasty, where a balloon catheter is used to
open up a blocked blood vessel and a stent is placed to keep it open.

Figure: Representing the working of balloon stent and self-expanding stent

The design of stents can vary depending on the type of stent and the specific medical
condition it is used to treat. Some common design features of stents include:
Shape: Stents can be designed in a variety of shapes, including cylindrical, helical, and
spiraled, to match the shape of the blood vessel and provide adequate support.

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Material: Stents can be made of different materials, including stainless steel, cobaltchromium,
and nitinol (a type of metal that is flexible and can return to its original shape
after being expanded).
Coating: Stents can be coated with different materials to prevent blood clots from
forming and reduce the risk of restenosis (recurrent blockage of the blood vessel).
Expansion mechanism: Stents can be designed to expand in different ways, such as by
balloon inflation or self-expansion, depending on the type of stent and the specific
medical condition it is used to treat.
Overall, the design of stents plays an important role in their effectiveness and safety.
Stents must be designed to provide adequate support to the blood vessel, prevent restenosis, and
minimize the risk of complications such as blood clots.

2.3.5 Pace Makers

A pacemaker is a small device that is surgically implanted in the chest to regulate the
heartbeat. It is used to treat heart rhythm disorders, such as bradycardia (a slow heartbeat) or
arrhythmias (abnormal heart rhythms), by delivering electrical impulses to the heart to regulate
its rhythm.

Figure: Representing components of a pacemaker

The basic design of a pacemaker consists of:

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Generator: The generator is the main component of the pacemaker and contains a battery
and electronic circuitry to generate and control the electrical impulses.
Leads: Leads are thin wires that connect the generator to the heart and carry the electrical
impulses from the generator to the heart.
Electrodes: The electrodes are located at the end of the leads and are used to deliver the
electrical impulses to the heart.
Pacemakers can be designed to work in different ways, including:
Single-chamber pacemaker: A single-chamber pacemaker delivers electrical impulses to
either the right atrium or the right ventricle of the heart to regulate its rhythm.
Dual-chamber pacemaker: A dual-chamber pacemaker delivers electrical impulses to
both the right atrium and the right ventricle of the heart to regulate its rhythm.
Biventricular pacemaker: A biventricular pacemaker delivers electrical impulses to both
ventricles of the heart to coordinate their contractions and improve heart function in
people with heart failure.

Figure: Representing the different types of pacemakers

Construction of a Pacemaker
The construction of a pacemaker involves the use of high-quality materials and
specialized manufacturing processes to ensure their safety and reliability. Materials used in the
construction of pacemakers include:
Medical-grade plastics: Medical-grade plastics, such as polycarbonate, are used to
construct the exterior of the device and to provide insulation and protection for the

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internal components.
Metals: Metals, such as stainless steel and titanium, are used in the construction of the
leads and electrodes to ensure their durability and long-lasting performance.
Electronic components: Electronic components, such as microprocessors, batteries, and
capacitors, are used to control the delivery of the electrical impulses and to provide
power to the device.
Adhesives: Adhesives, such as cyanoacrylate and epoxy, are used to secure the
components of the device and to provide insulation and protection for the internal
components.
The manufacturing process for pacemakers includes multiple quality control measures to
ensure their safety and reliability. This includes testing of individual components and final
assembly testing to verify the proper operation of the device before it is released for use.
2.3.6 Defibrillators

Figure: Representing defibrillator

A defibrillator is a medical device that delivers an electric shock to the heart to restore its
normal rhythm in cases of cardiac arrest or other life-threatening heart rhythm disorders.
Defibrillators can be external (placed on the chest) or internal (implanted within the body).
The basic design of a defibrillator consists of:
Power source: The power source, typically a battery, provides energy to deliver the
electric shock to the heart.
Electrodes: The electrodes are placed on the chest and deliver the electric shock to the
heart.
Circuitry: The circuitry in the defibrillator controls the delivery of the electric shock,
including the timing, strength, and duration of the shock.
Display: A display on the defibrillator provides information about the heart rhythm,
battery life, and other relevant information.

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Automated External Defibrillators

External defibrillators, also known as automated external defibrillators (AEDs), are
designed for use by laypeople and are commonly found in public places such as airports,
shopping centers, and schools. They are relatively simple in design and typically have voice
prompts and visual cues to guide the user through the process of delivering the electric shock.
Implantable Cardioverter Defibrillators
Internal defibrillators, also known as implantable cardioverter defibrillators (ICDs), are
surgically implanted within the body and are used to treat people with a high risk of sudden
cardiac arrest. They are typically more complex in design, including features such as continuous
monitoring of the heart rhythm, and automatic delivery of shocks when necessary.
Construction of defibrillators
The construction of defibrillators involves the use of high-quality materials and
specialized manufacturing processes to ensure their safety and reliability.

Materials Used
Materials used in the construction of defibrillators include:
Medical-grade plastics: Medical-grade plastics, such as polycarbonate, are used to
construct the exterior of the device and to provide insulation and protection for the
internal components.
Metals: Metals, such as stainless steel and titanium, are used in the construction of the
leads and electrodes to ensure their durability and long-lasting performance.
Electronic components: Electronic components, such as microprocessors, batteries,
capacitors, and high-voltage transformers, are used to control the delivery of the electrical
impulses and to provide power to the device.
Adhesives: Adhesives, such as cyanoacrylate and epoxy, are used to secure the
components of the device and to provide insulation and protection for the internal
components.
The manufacturing process for defibrillators includes multiple quality control measures to
ensure their safety and reliability. This includes testing of individual components and final
assembly testing to verify the proper operation of the device before it is released for use.

Basic Design

The basic design of a defibrillator consists of:

Power source: The power source, typically a battery, provides energy to deliver the
electrical impulses to the heart.
Electrodes: The electrodes are placed on the chest and deliver the electrical impulses to
the heart to restore normal rhythm.
Circuitry: The circuitry in the defibrillator controls the delivery of the electrical impulses,
including the timing, strength, and duration of the impulses.
Display: A display on the defibrillator provides information about the heart rhythm,
battery life, and other relevant information.
Artificial Heart
An artificial heart is a device that is designed to replace the functions of a damaged or
failing heart. It can be used as a temporary measure to support a patient while they are waiting

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for a heart transplant, or as a permanent solution for people who are not eligible for a heart
transplant.

Figure: Schematic representation of artificial heart

There are two main types of artificial hearts: total artificial hearts and heart assist devices.
A total artificial heart is a self-contained device that completely replaces the functions of the
natural heart. It is used as a bridge to transplant, meaning it provides temporary support to a
patient while they are waiting for a heart transplant. Heart assist devices, on the other hand, are
devices that are surgically implanted into the heart and work alongside the natural heart to
support its functions.
While these devices are still in the early stages of development, they have the potential to
greatly improve the survival and well-being of people with heart disease.

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Lungs as Purification System:

Figure: Representing the oxygen-carbon dioxide exchange in the alveoli and capillary

Lungs as Purifier

The lung purifies air by removing harmful substances and adding oxygen to the
bloodstream. The process of purifying air in the lungs can be described as follows:
Filtration: The nose and mouth serve as a first line of defense against harmful substances
in the air, such as dust, dirt, and bacteria. The tiny hairs in the nose, called cilia, and the
mucus produced by the respiratory system trap these substances and prevent them from

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entering the lungs.

Moisturization: The air is also humidified as it passes over the moist lining of the
respiratory tract, which helps to keep the airways moist and prevent them from drying
out.
Gas Exchange: Once the air reaches the alveoli, the gas exchange process occurs, where
oxygen diffuses across the thin alveolar and capillary walls into the bloodstream, and
carbon dioxide diffuses in the opposite direction, from the bloodstream into the alveoli to
be exhaled. This process ensures that the bloodstream is supplied with fresh, oxygen-rich
air, while waste carbon dioxide is removed from the body.
Overall, the lung serves as a vital purification system, filtering out harmful substances,
adding oxygen to the bloodstream, and removing waste carbon dioxide. It plays a critical role in
maintaining the body's homeostasis and supporting life.
3.1.1 Architecture of Lungs as Purification System

Figure: Representing structure of lung

The architecture of the lung is designed to maximize surface area for efficient gas
exchange. The lung is divided into several parts, including the trachea, bronchi, bronchioles, and
alveoli.
Trachea: The trachea is the main airway that leads from the larynx (voice box) to the
lungs. It is lined with cilia and mucus-secreting glands that help to filter out harmful
substances and trap them in the mucus.

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Bronchi: The trachea branches into two main bronchi, one for each lung. The bronchi are
larger airways that continue to branch into smaller airways called bronchioles.
Bronchioles: The bronchioles are smaller airways that eventually lead to the alveoli. They
are surrounded by tiny air sacs called alveoli, which are the sites of gas exchange.
Alveoli: The alveoli are tiny air sacs that are lined with a network of capillaries. This
close proximity of the alveoli and capillaries allows for efficient diffusion of oxygen and
carbon dioxide between the air in the alveoli and the bloodstream.
Overall, the architecture of the lung is designed to provide a large surface area for gas
exchange, while filtering out harmful substances and humidifying the air. The close proximity of
the alveoli and capillaries, along with the moist lining of the respiratory tract, ensures that the air
is properly purified and the bloodstream is supplied with fresh, oxygen-rich air.

Gas Exchange Mechanism of Lung

The gas exchange mechanism in the lung involves the transfer of oxygen from the air in
the alveoli to the bloodstream, and the transfer of carbon dioxide from the bloodstream to the air
in the alveoli. This process is known as diffusion and occurs due to differences in partial
pressures of oxygen and carbon dioxide.
Oxygen Diffusion: The partial pressure of oxygen in the air in the alveoli is higher than
the partial pressure of oxygen in the bloodstream. This difference creates a gradient that
causes oxygen to diffuse from the alveoli into the bloodstream, where it binds to
hemoglobin in red blood cells to form oxyhemoglobin.
Carbon Dioxide Diffusion: The partial pressure of carbon dioxide in the bloodstream is
higher than the partial pressure of carbon dioxide in the air in the alveoli. This difference
creates a gradient that causes carbon dioxide to diffuse from the bloodstream into the
alveoli, where it is exhaled.

Spirometry

Spirometry is a diagnostic test that measures the function of the lungs by measuring the
amount and flow rate of air that can be exhaled. The test is commonly used to diagnose lung
conditions such as asthma, chronic obstructive pulmonary disease (COPD), and interstitial lung
disease.

Principle: The principle behind spirometry is to measure the volume of air that can be

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exhaled from the lungs in a given time period. By measuring the volume of air exhaled,
spirometry can provide information about the functioning of the lungs and the ability of the lungs
to move air in and out.
Working: Spirometry is performed using a spirometer, a device that consists of a
mouthpiece, a flow sensor, and a volume sensor. The patient is asked to exhale as much air as
possible into the spirometer, and the spirometer measures the volume and flow rate of the
exhaled air. The volume of air exhaled is displayed on a graph called a flow-volume loop, which
provides information about the lung function.

Figure: Image of a spirometer

Interpretation of Results
The results of spirometry can be used to determine if the lungs are functioning normally
and to diagnose lung conditions. For example, a decrease in the volume of air exhaled or a
decrease in the flow rate of the exhaled air can indicate a restriction in the airways, which can be
a sign of a lung condition such as asthma or COPD.
3.1.4 Abnormal Lung Physiology – COPD

Figure: Representing the causes of COPD

Abnormal lung physiology refers to any deviation from the normal functioning of the
respiratory system. This can be caused by a variety of factors, including diseases, injuries, or

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genetic conditions. Some common examples of abnormal lung physiology include:

Asthma: A chronic inflammatory disease that causes the airways to narrow, making it
difficult to breathe.
Chronic obstructive pulmonary disease (COPD): A progressive lung disease that makes it
hard to breathe and can include conditions such as emphysema and chronic bronchitis.
Pulmonary fibrosis: A disease in which scar tissue builds up in the lungs, making it
difficult to breathe and reducing lung function.
Pneumonia: An infection in the lungs that can cause inflammation and fluid buildup in
the air sacs.
Pulmonary embolism: A blockage in one of the pulmonary arteries, usually by a blood
clot, which can cause lung damage and reduce oxygen flow to the body.
Lung cancer: A type of cancer that originates in the lung and can impair lung function by
interfering with normal air flow and oxygen exchange.
Treatment for abnormal lung physiology depends on the underlying cause and may
include medications, lifestyle changes, or surgery.
It's important to seek prompt medical attention if you experience symptoms such as
shortness of breath, wheezing, or chest pain, as these can be indicative of a serious lung problem.

Chronic Obstructive Pulmonary Disease

Chronic Obstructive Pulmonary Disease (COPD) is a group of progressive lung diseases
that cause breathing difficulties. It's characterized by persistent airflow limitation that is not fully
reversible. The two main forms of COPD are chronic bronchitis and emphysema.
In COPD, the airways and small air sacs (alveoli) in the lungs become damaged or
blocked, leading to difficulty in exhaling air. This results in a decrease in lung function, leading
to shortness of breath, wheezing, and coughing. Over time, these symptoms can get worse and
limit a person's ability to perform everyday activities.
The primary cause of COPD is long-term exposure to irritants such as tobacco smoke, air
pollution, and dust. Other risk factors include a history of frequent lung infections, a family
history of lung disease, and exposure to second-hand smoke.
There is no cure for COPD, but treatment can help manage the symptoms and slow the
progression of the disease. Treatment options include medication, such as bronchodilators and
steroids, oxygen therapy, and lung rehabilitation. In severe cases, surgery may also be an option.
In addition, quitting smoking and avoiding exposure to irritants is crucial in managing COP

Ventilators

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Ventilators are medical devices used to assist or control breathing in individuals who are
unable to breathe adequately on their own. They are commonly used in the treatment of acute
respiratory failure, which can occur as a result of a variety of conditions such as pneumonia,
severe asthma, and chronic obstructive pulmonary disease (COPD).
Figure: Representing a ventilator machine
There are several different types of ventilators, including volume-controlled ventilators,
pressure-controlled ventilators, and bilevel positive airway pressure (BiPAP) devices. The type
of ventilator used depends on the patient's individual needs and the type of respiratory failure
being treated.
Ventilators work by delivering pressurized air or oxygen into the lungs through a
breathing tube or mask. The pressure can be adjusted to match the patient's needs and to help
maintain adequate oxygen levels in the blood.
While ventilators can be lifesaving for individuals with acute respiratory failure, they also
come with potential risks and complications. For example, prolonged use of a ventilator can
increase the risk of ventilator-associated pneumonia, and patients may experience discomfort or
pain from the breathing tube.
The use of ventilators is carefully monitored and managed by healthcare professionals to
ensure that the patient receives the appropriate level of support while minimizing potential risks
and complications.

Heart-Lung Machine

A heart-lung machine, also known as a cardiopulmonary bypass machine, is a device

used in cardiovascular surgery to temporarily take over the functions of the heart and lungs. The
heart-lung machine is used during open-heart surgery, such as coronary artery bypass graft
(CABG) surgery and valve replacement surgery, to support the patient's circulatory and
The heart-lung machine works by circulating blood outside of the body through a series
of tubes and pumps. Blood is taken from the body, oxygenated, and then returned to the body.
This allows the heart to be stopped during the surgery without causing any harm to the patient.
The use of a heart-lung machine during surgery carries some risks, including the potential
for blood clots, bleeding, and infections. Additionally, there may be some long-term effects on
the body, such as cognitive decline, that are not yet fully understood. However, the use of a
heart-lung machine has revolutionized the field of cardiovascular surgery, allowing for more
complex procedures to be performed and greatly improving patient outcomes.
Figure: Representing a heart-lung machine

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Artificial Lungs
Artificial lungs are devices designed to mimic the function of the natural respiratory
system. They are used to support patients with acute respiratory distress syndrome (ARDS) or
acute lung injury (ALI) and to help the patient's own lungs recover and heal.
Types
There are two main types of artificial lungs: membrane oxygenators and extracorporeal
lung assist devices.
Membrane Oxygenators: These are devices that use a semipermeable membrane to
transfer oxygen and carbon dioxide between the blood and the air. The blood is pumped through
the membrane, where it comes into contact with air, allowing for the exchange of gases.

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Figure: Representing a membrane oxygenator

Extracorporeal Lung Assist Devices: These devices work by removing carbon dioxide
from the blood and adding oxygen, allowing the patient's natural lungs to rest and heal. One
example of an extracorporeal lung assist device is the extracorporeal membrane oxygenation
(ECMO) machine, which is used to treat patients with severe respiratory failure. ECMO works
by removing carbon dioxide from the blood and adding oxygen, and it can be used as a bridge to
recovery or as a bridge to lung transplantation.
Figure: Representing veno-venous and veno-arterial extracorporeal membrane oxygenation

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3.2 Kidney as a Filtration System:

Figure: Anatomy of kidney

The kidney is a complex organ that acts as a filtration system for the body. It removes
waste and excess fluid from the bloodstream and maintains a delicate balance of electrolytes,
hormones, and other substances that are critical for the body's normal functioning.
The kidney also plays an important role in regulating blood pressure by secreting the
hormone renin, which helps control the balance of fluid and electrolytes in the body. It also
regulates red blood cell production and the levels of various minerals in the blood, such as
calcium and phosphorus.
Without the kidney, waste and excess fluid would accumulate in the body, leading to
serious health problems.
3.2.1 Architecture of Kidney
The kidney is composed of functional units called nephrons, which are the basic
structural and functional units of the kidney. Each kidney contains approximately one million
nephrons, and each nephron performs the functions of filtration, reabsorption, and secretion.

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Figure: Representing kidney and nephron

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Figure: Representing the parts of nephron

The nephron is comprised of several key structures:
Bowman's capsule: This is a cup-shaped structure that surrounds the glomerulus and
filters waste and excess fluid from the bloodstream into the renal tubule.
Glomerulus: A network of tiny blood vessels within the Bowman's capsule that filters
waste and excess fluid from the bloodstream.
Proximal convoluted tubule: A segment of the renal tubule that reabsorbs important
substances, such as glucose, amino acids, and electrolytes, back into the bloodstream.
Loop of Henle: A U-shaped segment of the renal tubule that is critical for the
reabsorption of ions and water.
Distal convoluted tubule: A segment of the renal tubule that regulates the levels of
electrolytes and other important substances in the bloodstream.
Collecting duct: A series of ducts that collect the filtrate from the renal tubules and
transport it to the renal pelvis, where it drains into the ureter and eventually into the
bladder.
The nephrons are surrounded by a network of blood vessels, including the afferent

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arteriole and the efferent arteriole, which bring blood into and out of the glomerulus,
respectively. The filtrate produced by the nephron passes through the renal tubules, where it is
modified by reabsorption and secretion, before being eliminated from the body as urine.
3.2.2 Mechanism of Filtration – Urine Formation

Figure: Schematic of mechanism of filtration in human kidney

The mechanism of filtration in the kidneys is a complex process that involves multiple
steps to remove waste and excess fluids from the bloodstream. The following is a summary of
the steps involved in the filtration process:
Blood enters the kidney through the renal arteries and flows into tiny filtering units called
glomeruli.
At the glomerulus, the pressure in the blood vessels causes a portion of the plasma and
dissolved substances to filter out and enter a structure called Bowman's capsule.
In Bowman's capsule, the filtrate is then transferred into the renal tubules, which are the
main filtering units of the kidneys.
In the renal tubules, the filtrate passes through a series of specialized cells, such as
proximal tubular cells and distal tubular cells, which reabsorb important substances such
as glucose, amino acids, and electrolytes back into the bloodstream.
At the same time, the renal tubules secrete waste products, such as urea and creatinine,
back into the filtrate.
Finally, the filtered fluid, now known as urine, is transported through the renal pelvis and
ureters to the bladder, where it is eventually eliminated from the body.
This process of filtration, reabsorption, and secretion helps to maintain the proper balance
of fluids and electrolytes in the body, as well as to remove waste and excess substances.

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3.2.3 Chronic Kidney Disease (CKD)

CKD stands for Chronic Kidney Disease. It is a long-term condition in which the kidneys
gradually become less able to function properly. It can be caused by a variety of factors,
including diabetes, high blood pressure, and other health problems that damage the kidneys.
Symptoms of CKD include fatigue, swelling in the legs and feet, trouble sleeping, and
difficulty concentrating. As the disease progresses, it can lead to more serious complications,
such as anemia, nerve damage, and an increased risk of heart disease and stroke.
Treatment for CKD may include lifestyle changes, such as eating a healthy diet and
exercising regularly, as well as medications to manage symptoms and underlying health
conditions. In severe cases, kidney transplant or dialysis may be necessary.
It is important for individuals with risk factors for CKD to get regular check-ups and to
talk to their doctor about how to best manage their condition.
3.2.4 Dialysis Systems
Dialysis is a medical treatment that helps to filter waste and excess fluids from the blood
when the kidneys are unable to function properly. There are two main types of dialysis systems:
hemodialysis and peritoneal dialysis.
Hemodialysis is a procedure that uses a machine to clean the blood. During hemodialysis,
blood is removed from the body, passed through a dialysis machine that filters out waste and
excess fluids, and then returned to the body. Hemodialysis typically takes place in a hospital or
dialysis center, and is typically performed three times a week for three to four hours at a time.

Figure: Representing a Hemodialysis

Peritoneal dialysis is a type of dialysis that uses the lining of the abdomen, called the
peritoneum, to filter waste and excess fluids from the blood. A sterile solution is introduced into

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the abdomen, where it absorbs waste and excess fluids, and is then drained and replaced with
fresh solution. Peritoneal dialysis can be performed at home and allows for more flexibility in
scheduling.

Figure: Representing a Peritoneal dialysis

Both hemodialysis and peritoneal dialysis can effectively treat the symptoms of kidney
failure, but each has its own advantages and disadvantages. The choice of dialysis system
depends on various factors such as the individual's overall health, lifestyle, and personal
preferences.
3.2.5 Artificial Kidney

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While much progress has been made in developing an artificial kidney, it is still in the
experimental stage and is not yet widely available. Further research and development is needed
to improve the efficiency and safety of artificial kidney devices, and to ensure that they can be
widely adopted as a treatment for chronic kidney disease.

a) b)
Figure: a) Schematic representation b) a prototype of artificial kidney
An artificial kidney is a device that is being developed to mimic the functions of the
human kidney. The goal of an artificial kidney is to provide a more effective and efficient means
of treating patients with chronic kidney disease, who currently rely on dialysis or kidney
transplantation.
There are currently two main approaches to developing an artificial kidney: a biological
approach and a technological approach.
The biological approach involves using living cells, such as kidney cells or stem cells, to
create a functional, implantable artificial kidney.
The technological approach involves using synthetic materials, such as silicon or
polymer, to create a dialysis device that can filter the blood and remove waste and excess fluids.
It's important to note that while the development of an artificial kidney holds great
promise, it is not a cure for chronic kidney disease and patients with kidney failure will still need
dialysis or kidney transplantation in the meantime.

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