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Standardization of In-Vitro Evaluation of Extracorporeal Life Support (ECLS) Devices for Research and Development
Jutta Arens1, Mirko Belliato2, Lars Mikael Broman3,4
1From the Engineering Organ Support Technologies, Department of Biomechanical Engineering, Faculty of Engineering Technology, University of Twente, Enschede, the Netherlands.
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|April 4, 2026
Summary
Standardized in-vitro testing protocols are crucial for evaluating novel extracorporeal life support (ECLS) devices. Implementing these standards ensures consistent, reproducible data, advancing ECLS technology development and clinical application.
Area of Science:
- Biomedical Engineering
- Medical Device Development
- Cardiovascular Research
Background:
- Extracorporeal life support (ECLS) technology has advanced significantly.
- Further improvements in device performance, hemocompatibility, and long-term stability are needed.
- Current early-stage device evaluations lack standardization, hindering data comparison and clinical translation.
Purpose of the Study:
- To establish standardized in-vitro testing protocols for ECLS components and devices.
- To provide clear recommendations and criteria for device testing aligned with international norms.
- To foster a unified approach for evaluating ECLS technologies.
Main Methods:
- Development of standardized criteria by an international group of ECLS experts.
- Recommendations for in-vitro testing protocols for ECLS components and devices.
- Guidelines for reporting test results.
Main Results:
- A framework for standardized testing and evaluation of ECLS devices has been proposed.
- The proposed criteria aim to improve methodological consistency and reproducibility.
- The document facilitates data interpretation and comparability across research groups.
Conclusions:
- Standardized in-vitro testing protocols are essential for advancing ECLS technology.
- Adoption of these criteria will enhance the reliability and comparability of research findings.
- A unified framework supports informed decision-making in ECLS device development and application.

