Evette Le Roux

Tau Medical Supplies

AGENDA
Cannulae
Circuit components
Pump
Oxygenators
Blood tubing
Monitor

Putting the system into use

Components
User interface

CANNULAE
The term cannula refers to the catheter that

goes directly into the vessel for ECLS.

The internal diameter of the catheter is the most
important factor controlling blood flow resistance.
Other factors such as side holes and tapering
sections also affect resistance, and the resistance
increases at higher flows, so the characteristics of
each cannula must be known before cannulation.
Cannulae are chosen to provide the desired blood
flow above.

Variety of cannulation approaches to meet

specific needs for ECMO support

Proper size and location critical.
Two most common approaches:
Venoarterial (VA)

Cardiac and respiratory support

Venovenous (VV)

Respiratory support only

Medos Cannulae:
Arterial
16-26fr
Length: 383mm
3/8 connection
Venous
18-28fr
Length: 807mm
3/8 connection

Avalon
13-31Fr
Length: 13-29cm

Origen
13-32fr
Length: 8.2-25cm

NovaPort Twin
18F
Length: 17 cm
Vascular access: jugular
Optimal blood flow: 0.6
1.0 L/min
22F
Length: 17 cm
Vascular access: jugular
Optimal blood flow: 1.0
1.5 L/min
24F
Length: 27 cm
Vascular access: femoral
Optimal blood flow: 1.25
2.0 L/min

CIRCUIT COMPONENTS
The current devices used for ECMO continue

to undergo progressive modification.

The circuit is planned to be capable of total
support for the patient involved.
The basic circuit includes a blood pump, a
membrane lung, and conduit tubing.

Pump
The pump should be able to provide full blood flow
for the patient.

Flow rate
0 8 l/min
Speed
0 10,000 U/min
Priming volume
approx. 16 ml
Dimensions (length x diameter)

75 mm, 50 mm

Membrane lung / Oxygenator

The size and number of oxygenators will
depend on the size and pathology of the
patient.
(PMP, polymethylpentene) membrane.
When used for total support the membrane,
lung should provide full O2 and CO2
exchange.
All kits registered for 29 days use.

Paediatrics
MiniLung Petit

MiniLung

Paediatrics
MiniLung Petit

MiniLung

Blood Flow: up to

Blood Flow: up to

0.8l/min

2.4l/min

Priming Volume: 55ml

Priming Volume: 95ml

Heat Exchanger:

Heat Exchanger:

Integrated
Surface area: 0.32m

Integrated
Surface area: 0.65m

Adults
iLA

XLung

Adults
iLA

XLung

Blood Flow: 0.5-4.5l/min

Blood Flow: 1-7l/min

Priming Volume: 175ml

Priming Volume: 275ml

Heat Exchanger: -

Heat Exchanger:

Integrated
Surface area: 1.3m
Surface area: 1.9m

Blood tubing
Tubing length and diameter will determine the
resistance to blood flow. Tubing is chosen to
allow free venous drainage, and avoid high
resistance pressure on the blood return side.

Circuit access for monitors and a blood

sampling and infusions
Luer connectors and stopcocks provide access

to the blood in the circuit. The number of access

sites should be minimized, but at least two are
necessary (pre-and post membrane lung). Blood
access sites should be avoided between the
patient and the inlet of the pump because of the
risk of entraining air. It is acceptable to use the
circuit for all blood sampling and infusions,
although some centres prefer to give infusions
directly to IV lines in the patient.

Conduit tubing and

pressure transducers
P1: Negative drainage
pressure between the patient
and the pump
P2: Pre membrane pressure
(Between pump and
membrane)
P3: Post membrane pressure
(between membrane and
patient)
All included in tubing pack
and part of preconnected
packs.

Monitors
Monitors are designed to measure circuit function and
to alarm the operator of abnormal conditions. Most
circuits will include:
Blood flow is commonly monitored by direct

measurement of blood flow using an ultrasonic detector,

or can be calculated based on pump capacity and
revolutions per minute for a roller pump using
standardized tubing.
Pre and post membrane lung blood pressure
measurements can include maximum pressure servo
regulation control to avoid over pressuring.
Pre pump venous drainage line pressure (to avoid
excessive negative suction pressure by the pump).Can
be used as a servo regulation system to prevent
excessive suction.

EN_001_2010_11

Novalung GmbH

23

Putting the system

into use
COMPONENTS
Control Panel and power supply

Power / Sensor Box

Contact Board

Flow sensor
Arrow must be in the direction of blood flow

Blood Pump
Two pumps no hand crank!

ON / OFF
BUTTON

PUMP
ON / OFF 0-FLOW
BUTTON BUTTON

ROTARY KNOB
ADJUSTS SPEED
OF THE PUMP

ALARM BUTTON

User interface
1
1

3
4

Header
Display window operating
parameters
Flow, impeller speed,
pressures

3 Alarm and advisory window

Three functions:
Trend chart
Alarm and advisory window
Operating parameter entry
window
4

Status Bar

STATUS BAR
INDICATORS
Available power sources are shown in colour.
The currently active power source is

highlighted in green.

 Trend chart button

Info button
Provides access to the device functions and
overview panes
System settings button
Provides access to the system settings
Alarm bell button
Displays alarm history

Info button

Touch the tabs at the top to open the

corresponding tab.

Select menu language

Select date and time
Set button noise and alarm loudness
Display brightness when operating from

battery packs
Saving the log file
Info pane
View battery pack charge level

Indicators in carrying
handle
AC mains power
Battery pack fully charged. Green LED lit.
Battery pack being charged. Yellow LED lit

while charging.
Battery pack needs replacing. Red LED lit and
alarm sounds.

Pump on /off button

Pump Drive controls
and
Raise / lower pump speed.
indicators
Info button
Red LED lit when enabled
***** will be shown on the

display in emergency
mode. Information can be
displayed by pressing the
info button.