Condensed perfusion circuit for cardiopulmonary bypass and cardioplegia
3 Assignments
0 Petitions
Accused Products
Abstract
A total condensed circuit for cardiopulmonary bypass and cardioplegia are provided, as well as methods of using the same. The total circuit includes a cardiopulmonary bypass portion including tubing and components which together have a substantially short path length and priming volume preferably under 800 ml. Thus, the opportunity for an inflammatory response caused by blood contacting plasticizers is minimized. The bypass circuit includes a shunt which bypasses a blood reservoir of the total circuit. The cardioplegia circuit infuses cardioplegia fluid into blood pulled from an oxygenator of the bypass circuit. According to the method, either or both of heart-lung bypass and cardioplegia can be performed with only minimal or no isotonic priming solution circulated into the patient. In addition, use of the shunt and reservoir together eliminate the possibility of air entering the circulation system upon kinking of the circuit.
2 Citations
45 Claims
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1-25. -25. (canceled)
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26. A cardiopulmonary bypass circuit for oxygenating blood outside a patient and circulating oxygenated blood through the patient, said circuit comprising:
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a) a blood reservoir;
b) a perfusion pump in fluid communication with said reservoir;
c) a blood oxygenator in fluid communication with said pump;
d) an arterial filter in fluid communication with said oxygenator;
e) a first length of tubing located to place said reservoir in venous-side fluid communication with the patient;
f) a second length of tubing located to place said arterial filter in arterial-side fluid communication with the patient;
g) a shunt placing said first length of tubing and said pump in fluid communication and bypassing said blood reservoir;
h) manual selecting structure which permits selection of one of said shunt and said blood reservoir to be included in said circuit and the other of said shunt and said blood reservoir to be excluded from said circuit; and
i) structure external said reservoir which prevents any store of blood in said blood reservoir from being pulled by said perfusion pump when said blood reservoir is excluded from said circuit such that said perfusion pump pulls blood from said first length of tubing while bypassing the any store of blood in said blood reservoir, wherein said circuit has a priming volume of less than approximately 800 ml. - View Dependent Claims (27, 28, 29, 30)
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31. A cardiopulmonary bypass circuit for oxygenating blood outside a patient and circulating oxygenated blood through the patient, said circuit comprising:
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a) a blood reservoir;
b) a perfusion pump;
c) a blood oxygenator;
d) an arterial filter in fluid communication with said oxygenator;
e) a first length of tubing located to place said blood reservoir in venous-side fluid communication with the patient;
f) a second length of tubing placing said blood reservoir and said pump in fluid communication;
g) a third length of tubing placing said pump and said oxygenator in fluid communication;
h) a fourth length of tubing placing said oxygenator and said arterial filter in fluid communication;
i) a fifth length of tubing located to said arterial filter in arterial-side fluid communication with the patient;
j) a shunt placing said first length of tubing and said pump in fluid communication and bypassing said blood reservoir;
k) manual selecting structure which permits selection of one of said shunt and said blood reservoir to be included in said circuit and the other of said shunt and said blood reservoir to be excluded from said circuit; and
l) structure external said reservoir which prevents any store of blood in said blood reservoir from being pulled by said perfusion pump when said reservoir is excluded from said circuit such that said perfusion pump pulls blood from said first length of tubing while bypassing the any store of blood in said blood reservoir, wherein a pathway through said circuit has a priming volume of less than approximately 800 ml. - View Dependent Claims (32, 33, 34)
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35. A cardiopulmonary bypass circuit for oxygenating blood outside a patient and circulating oxygenated blood through the patient, said circuit comprising:
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a) a venous line;
b) a blood reservoir in fluid communication and in series with said venous line;
c) a perfusion pump in fluid communication and in series with said blood reservoir;
d) a blood oxygenator in fluid communication and in series with said pump;
e) an arterial filter in fluid communication and in series with said oxygenator;
f) a shunt placing said first length of tubing and said pump in fluid communication and bypassing said blood reservoir;
g) manual selecting structure which permits selection of one of said shunt and said blood reservoir to be included in said circuit and the other of said shunt and said blood reservoir to be excluded from said circuit; and
h) structure external said reservoir which prevents any store of blood in said blood reservoir from being pulled by said perfusion pump when said blood reservoir is excluded from said circuit such that said perfusion pump pulls blood from said first length of tubing while bypassing the any store of blood in said blood reservoir, wherein said circuit has a priming volume of less than approximately 800 ml. - View Dependent Claims (36, 37, 38, 39)
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40. A cardiopulmonary bypass circuit for oxygenating blood outside a patient and circulating oxygenated blood through the patient, said circuit comprising:
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a) a blood reservoir;
b) a perfusion pump;
c) a blood oxygenator;
d) a filter in fluid communication with said oxygenator;
e) an approximately one to two foot long ⅜
inch diameter tubing located to place said blood reservoir in venous-side fluid communication with the patient;
f) an approximately six inches of ⅜
inch diameter tubing placing said blood reservoir and said pump in fluid communication;
g) an approximately six inches of ⅜
inch diameter tubing placing said pump and said oxygenator in fluid communication;
h) an approximately one to two foot long ⅜
inch diameter tubing in fluid communication with said arterial filter; and
i) a shunt placing said first length of tubing and said perfusion pump in fluid communication and bypassing said blood reservoir. - View Dependent Claims (41, 42, 43, 44, 45)
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Specification