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Related Experiment Videos

Preload-responsive, pulsatile-flow, externally valved pump: cardiopulmonary bypass.

T M Runge1, F L Grover, D J Cohen

  • 1Department of Surgery, University of Texas Health Science Center, San Antonio 78284-7842.

Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research
|January 1, 1989
PubMed
Summary

A new pulsatile pump for cardiopulmonary bypass offers physiologic pulsatility and reduced hemolysis. This device may improve patient outcomes and has potential applications in ventricular assist and hemodialysis.

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Area of Science:

  • Biomedical Engineering
  • Cardiovascular Surgery
  • Medical Devices

Background:

  • Current cardiopulmonary bypass relies on steady-flow pumps (roller, centrifugal), contributing to procedure morbidity and mortality.
  • Physiologic pulsatile flow is essential for optimal outcomes, including normal systemic resistance and reduced lactate production.
  • Previous pulsatile pump designs have faced challenges in clinical application.

Purpose of the Study:

  • To introduce a novel pulsatile pump designed for cardiopulmonary bypass.
  • To evaluate the pump's ability to generate physiologic pulsatility and its preload responsiveness.
  • To assess the pump's performance regarding hemolysis and potential clinical applications.

Main Methods:

  • The study presents a new externally valved pulsatile pump.

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  • The pump's pulsatility characteristics (rate-dependent ejection time) and preload responsiveness were evaluated.
  • Hemolysis levels were compared to traditional roller pumps in laboratory studies.
  • Potential clinical applications were explored theoretically.
  • Main Results:

    • The novel pump produces physiologic pulsatility with human-like ejection times.
    • The pump is preload-responsive, adjusting rate and output with filling pressure.
    • Laboratory studies demonstrated significantly less hemolysis compared to roller pumps.
    • The pump is compatible with membrane oxygenators and shows promise for various applications.

    Conclusions:

    • The presented pulsatile pump addresses the need for a satisfactory device in cardiopulmonary bypass.
    • It offers reduced hemolysis and physiologic pulsatility, potentially mitigating procedure-related morbidity.
    • The pump demonstrates broad clinical potential, including ventricular assist, ECMO, and pulsatile hemodialysis.