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体外循环期间Gyro C1E3离心泵与BioMedicus离心泵性能的比较。

Comparison of the Gyro C1E3 and BioMedicus centrifugal pump performances during cardiopulmonary bypass.

作者信息

Nakazawa T, Takami Y, Makinouchi K, Gay J, Taylor D, Ueyama K, Ohashi Y, Kawahito K, Tayama E, Glueck J, Nosé Y

机构信息

Department of Surgery, Baylor College of Medicine, Houston, Texas, USA.

出版信息

Artif Organs. 1997 Jul;21(7):782-5. doi: 10.1111/j.1525-1594.1997.tb03742.x.

Abstract

The compact eccentric inlet port (C1E3) centrifugal blood pump was developed as a cardiopulmonary bypass (CPB) pump. The C1E3 pump incorporated a sealless design with a blood stagnation free structure. The pump impeller was magnetically coupled to the driver magnet in a sealless manner. To develop an atraumatic and antithrombogenic centrifugal pump without a shaft seal junction, a double pivot bearing system was introduced. Recently, a mass production model of the C1E3 was fabricated and evaluated. The ratio of the normalized index of hemolysis (NIH) of the C1E3 was 0.007 g/ 100 L, in comparison to the NIH of the BP-80, 0.018 g/ 100 L, each in a CPB condition of 5 L/min against 325 mm Hg. Both pumps were compared in identical in vitro circuits. To further evaluate the pumps during cardiopulmonary bypass for reliability and function, 6 h of CPB was performed on each of 8 bovines using either the C1E3 or BP-80 centrifugal pump. The BP-80 and C1E3 provided pump flows of 50-60 ml/kg/min without incident. The hemodynamics were stable, and the hematology and biochemistry data were within normal ranges. There were no statistically significant differences between the 2 groups. Concerning the plasma free hemoglobin values, a mass production model of the C1E3 pump had the same hemolysis levels as the BP-80. Our preliminary studies reveal that the C1E3 pump is reliable. Also, the C1E3 will satisfy clinical requirements as a cardiopulmonary bypass pump.

摘要

紧凑型偏心入口端口(C1E3)离心血泵被开发用作体外循环(CPB)泵。C1E3泵采用了无密封设计和无血液停滞结构。泵叶轮以无密封方式与驱动磁体磁耦合。为了开发一种没有轴封连接的无创伤和抗血栓形成的离心泵,引入了双枢轴轴承系统。最近,制造并评估了C1E3的量产型号。在5 L/min对抗325 mmHg的体外循环条件下,C1E3的标准化溶血指数(NIH)为0.007 g/100 L,而BP - 80的NIH为0.018 g/100 L。两种泵在相同的体外循环回路中进行了比较。为了在体外循环期间进一步评估泵的可靠性和功能,使用C1E3或BP - 80离心泵对8头奶牛分别进行了6小时的体外循环。BP - 80和C1E3提供的泵流量为50 - 60 ml/kg/min,无意外情况发生。血流动力学稳定,血液学和生化数据在正常范围内。两组之间无统计学显著差异。关于血浆游离血红蛋白值,C1E3泵的量产型号与BP - 80具有相同的溶血水平。我们的初步研究表明C1E3泵是可靠的。此外,C1E3作为体外循环泵将满足临床需求。

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