title: Clinical experience of a vacuum-assisted nonroller extra-corporeal circulation system.
abstract: We designed a nonroller extra-corporeal circulation system (NRECC) to minimize space requirements and to improve the safety and ease of cardiopulmonary bypass. The NRECC includes a circuit, a centrifugal pump, and a vacuum regulator. The vacuum regulator has five channels, each of which can control negative pressure independently. Negative pressure is applied to suctions, a vent, and a venous reservoir. Auto Vent-SV and one-way valves were placed between the suctions/vent and the reservoir. The total space required for the NRECC with a heat exchanger was 0.49 m2, which is much smaller than that of our current roller pump system. The maximum volume through the suction/vent was 2.5 L/min at -100 mmHg measured in a simulated system. We used the NRECC for six CABG cases and compared results with those of five CABG cases managed by traditional roller pump extra-corporeal circulation (RECC). The two systems were compared in terms of set-up time and stability/accuracy of the suction/vent. The set-up time of the NRECC (5.3 +/- 1.9 min) was significantly shorter than that of RECC (29 +/- 3.4 min) (p < .01). Stable and accurate blood flow were achieved with the NRECC operating between -15 mmHg and -25 mmHg. In conclusion, NRECC can run a bypass easily and safely and has the benefit of reducing space requirements and shortening set-up time.
authors.affiliation: Suwa Central Hospital, SN SEIKI Co., LTD.
authors.forename: M
authors.initials: M
authors.lastname: Hiroura
authors.forename: T
authors.initials: T
authors.lastname: Furusawa
authors.forename: M
authors.initials: M
authors.lastname: Amino
authors.forename: T
authors.initials: T
authors.lastname: Moriya
authors.forename: H
authors.initials: H
authors.lastname: Goto
authors.forename: Y
authors.initials: Y
authors.lastname: Fukaya
authors.forename: J
authors.initials: J
authors.lastname: Amano
mesh_terms: D002315:Cardiopulmonary Bypass / Q000295:instrumentation*; D004867:Equipment Design; D004864:Equipment and Supplies; D005112:Extracorporeal Circulation / Q000295:instrumentation*; D006801:Humans; D014481:United States; D014618:Vacuum