The Smart Canula<SUP>TM</SUP>: A New Tool for Remote Access Perfusion in Limited Access Cardiac Surgery

Authors

  • Ludwig K. von Segesser
  • David Jegger
  • Giuseppe Mucciolo
  • Piergiorgio Tozzi
  • Antonio Mucciolo
  • Dominique Delay
  • Iker Mallabiabarrena
  • Judith Horisberger

DOI:

https://doi.org/10.1532/HSF98.20051127

Abstract

Devices for venous cannulation have seen significant progress over time: the original, rigid steel cannulas have evolved toward flexible plastic cannulas with wire support that prevents kinking, very thin walled wire wound cannulas allowing for percutaneous application, and all sorts of combinations. In contrast to all these rectilinear venous cannula designs, which present the same cross-sectional area over their entire intravascular path, the smartcanulaTM concept of "collapsed insertion and expansion in situ" is the logical next step for venous access. Automatically adjusting cross-sectional area up to a pre-determined diameter or the vessel lumen provides optimal flow and ease of use for both, insertion and removal. SmartcanulaTM performance was assessed in a small series of patients (76 ± 17 kg) undergoing redo procedures. The calculated target pump flow (2.4 L/min/m2) was 4.42 ± 61 L/ min. Mean pump flow achieved during cardiopulmonary bypass was 4.84 ± 87 L/min or 110% of the target. Reduced atrial chatter, kink resistance in situ, and improved blood drainage despite smaller access orifice size, are the most striking advantages of this new device. The benefits of smart cannulation are obvious in remote cannulation for limited access cardiac surgery, but there are many other cannula applications where space is an issue, and that is where smart cannulation is most effective.

References

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Published

2005-07-07

How to Cite

Segesser, L. K. von, Jegger, D., Mucciolo, G., Tozzi, P., Mucciolo, A., Delay, D., Mallabiabarrena, I., & Horisberger, J. (2005). The Smart Canula<SUP>TM</SUP>: A New Tool for Remote Access Perfusion in Limited Access Cardiac Surgery. The Heart Surgery Forum, 8(4), E241-E245. https://doi.org/10.1532/HSF98.20051127

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