Оксигенатор Витал (Vital) и его конкуренты

Barbara Sleypen

Product Manager Infusion & perfusion Systems

Oxygenator Vital® Перенос кислорода

420

407

375

420

400

437

400 400

340

350

360

370

380

390

400

410

420

430

440

VitalEdw ards

SpiralGold

Bentley

MedtronicMaxima

AffinityAvecor

SorinMonolyth

Bard HF5700

CobeOptima

TerumoCapiox

SX

Oxygen Transfer (ml/min)

350

400

250

350

280330 325

250

0

50

100

150

200

250

300

350

400

450

500

VitalEdw ards

Spiral GoldBentley

MedtronicMaxima

AffinityAvecor

SorinMonolyth

Bard HF5700

CobeOptima

TerumoCapiox SX

Carbon Dioxide Transfer (ml/min)

Oxygenator Vital® Транспорт СО2

Oxygenator Vital® Эффективность транспорта

222 214

188 188 182

118

235222

0

50

100

150

200

250

300

VitalEdw ards

SpiralGold

Bentley

MedtronicMaxima

AffinityAvecor

SorinMonolyth

Bard HF5700

CobeOptima

TerumoCapiox

SX

O2 Efficiency (mlO2/min/m²)

Oxygenator Vital®

180

285

450

270300

560

280 270

0

100

200

300

400

500

600

VitalEdw ards

SpiralGold

Bentley

MedtronicMaxima

AffinityAvecor

SorinMonolyth

Bard HF5700

CobeOptima

TerumoCapiox SX

Priming Volume (ml)

Oxygenator Vital® Показатель теплообмена

0.61

0.5

0.440.5

0.550.5

0.6 0.55

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

VitalEdw ards

Spiral GoldBentley

MedtronicMaxima

AffinityAvecor

SorinMonolyth

Bard HF5700

CobeOptima

TerumoCapiox SX

Heath Exchange Efficiency Water Flow 15 l/m

HEAT EXCHANGER LOCATION COMPARISON- теплообмен в системе оксигенатор и резервуар

Other oxygenator (Full chamber) In the oxygenatorPart of the priming volume.The heat exchanger efficiency is compromised

by the priming volumeHeat exchanger is in the venous line

Vital (variable chamber) In the venous reservoirNot part of the priming volumeNot compromised by priming volume.Heat exchanger is in the venous line

ADULT OXYGENATOR FEATURE Характеристики взрослого оксигенатора в сравнении

TEST CONDITIONS: Bovine Bld @ 11,5 Hgb VSO2 @ 64% Temp @ 37°C (A.A.M.I) Blood Flow: 7 l/ min Water Flow: 15 l/ min

Oxygenator FeatureVital

Edwards

Spiral Gold

Bentley

Medtronic Maxima

Affinity Avecor

Sorin Monolyt

h

Bard HF 5700

Cobe Optima

Terumo Capiox

SXOxygen Transfer (ml/min) 420 407 375 420 400 437 400 400Carbon Dioxide Transfer (ml/min)350 400 250 350 280 330 325 250Surface Area (sq.m) 1.9 1.9 2 2.5 2.2 3.7 1.7 1.8Blood Side Pressure Drop 180 80 85 90 100 106 165 200O2 Efficiency (mlO2/min/m²)222 214 188 188 182 118 235 222Membrane HF Mat HF HF HF HF Mat HF HF Mat HFVisible Blood Path Yes Yes No Yes Yes Partial Yes YesPriming Volume (ml) 180 285 450 270 300 560 280 270Heath Exchange Efficiency H20 Flow 15 l/m0.61 0.5 0.44 0.5 0.55 0.5 0.6 0.55Heat Exchanger Alum. Coil SS BellowsAlum. TubesSS BellowsPlated SS Plastic HF Plated SSSS TubesGas Safety Vent Yes Yes Yes Yes Yes Yes Yes YesArterial Sample Port Yes Yes Yes Yes Yes Yes Yes YesArterial Temp Port Yes Yes Yes Yes Yes Yes Yes YesVenous Sample Port Yes No No No Yes Yes Yes NoVenous Temp Yes No No No No No No NoRecirc. Port Yes No Yes Yes Yes Yes Yes YesVenous Reservoir Volume (ml)4000 4000 3800 4000 3500 4000 3700 4500Detachable Reservoir Yes Yes Yes Yes Yes Yes Yes YesRecirculation Line Yes No No No Yes No No No

P (mmHg) X Index of Hemolysis Показатель гемолиза форменных элементов

Cobe Optima

Cobe Duo

Medos Hilite

Sorin Monolith

Edwards VitalOxim Ultra

Maxima Forte

Dideco D703

Avecor Affinity

Bard Quantum

Sams Turbo

Terumo Capoix SX

Jostra Quadrox

02000400060008000

1000012000140001600018000200002200024000260002800030000

93 98 158 187 192 202 203 210 216 220 262 290 355

P (mmHg)

Ind

ex

of

He

mo

lys

is

Nipro Vital® в сравнении (Medtronic)Features

O2 transfer (ml/min)CO2 transfer (ml/min)

Surface area (m²)Visible blood path

Priming Volume (ml)Heat exchanger efficiency

Arterial temp portVenous sample portVenous temp port

Venous reservoir vol (ml)Recirculation line

Vital

4203501.9Yes1800.61YesYesYes

4000yes

Affinity NT

4353502.5Yes2700.55YesNoNo

4000yes

Maxima

3752502.0No4500.44YesNoNo

3800no

Medtronic Affinity NT

Medronic Affinity NT

Nipro Vital® в сравнении (Maquet)

Features

O2 transfer (ml/min)CO2 transfer (ml/min)

Surface area (m²)Visible blood path

Priming Volume (ml)Heat exchanger efficiency

Arterial temp portVenous sample portVenous temp port

Venous reservoir vol (ml)Recirculation line

Vital

4203501.9Yes1800.61YesYesYes

4000yes

Polystan

4503002.0

Partiel2800.71YesNoNo

4200yes

Jostra Quadrox

4203151.8No2500.62YesNoNo

4200yes

Jostra Quadrox D

4203151.8No2500.62YesNoNo

4200yes

Maquet Jostra Quadrox

Maquet Jostra Quadrox D

Maquet Polystan

Nipro Vital® в сравнении (Sorin)

Features

O2 transfer (ml/min)

CO2 transfer (ml/min)

Surface area (m²)Visible blood pathPriming Volume

(ml)Heat exchanger

efficiencyArterial temp portVenous sample

portVenous temp portVenous reservoir

vol (ml)Recirculation line

Vital

420

350

1.9Yes180

0.61Yes

YesYes

4000

yes

Monolyth

400

310

2.2Yes285

0.55Yes

NoNo

3500

yes

Monolyth Pro

400

310

2.2Yes285

0.55Yes

NoNo

4600

yes

Synthesis

290

310

2.0Yes430

0.62Yes

NoNo

4300

yes

PrimeO2X

460

340

1.9Yes250

0.62Yes

NoNo

4300

yes

Sorin - Synthesis

Integrated arterial filter and staged cardiotomy filter that adjusts to meet flow requirements

In the cardiotomy filter: 1 screen filter 2 depth filters

Heat exchanger uses a fan folded, stainless steel design

Arterial filter plays an essential role in cerebral protection and decreases the risk of systemic embolization. The unique linear filter can be easily primed and offers better visibility

Sorin – PrimO2X

Nipro Vital® compared to (Cobe)

Features

O2 transfer (ml/min)CO2 transfer (ml/min)

Surface area (m²)Visible blood path

Priming Volume (ml)Heat exchanger efficiency

Arterial temp portVenous sample portVenous temp port

Venous reservoir vol (ml)Recirculation line

Vital

4203501.9Yes1800.61YesYesYes

4000yes

Optima

3903501.7

Partial2600.6NoNoNo

4000no

Duo

4003502.6No2600.7NoNoNo

4000no

Apex

4504102.0

Partial3100.6NoNoNo

4000no

Cobe – Apex™

Advanced flow design provides improved O2 transfer

Integral purge and recirculation line simplifies priming and tubing pack design

Unique cardioplegia port provides access to arterial blood without cutting into tubing

Highest gas transfer available from Cobe CV

Venous inlet, lid, reservoir and oxygenator rotates independently

Same temperature probe and bracket as Optima XP and Duo

Cobe – Optima XP

High gas transfer reserves capacity for extra O2 when needed

Efficient hollow fiber, cross wound mat technology for consistent performance

Top to bottom membrane flow for enhanced air handling

Bottom to top heat exchanger flow for ease of priming

High performance/high integrity heat exchanger

Ultra-low priming volume

Cobe - Duo®

Flat sheet membrane for enhanced air handling

Continuous bloodside netting improves gas exchange

Top to bottom membrane flow for enhanced air handling

Bottom to top heat exchanger flow for ease priming

High performance/high integrity heat exchanger

Nipro Vital® compared to (Dideco)

Features

O2 transfer (ml/min)CO2 transfer (ml/min)

Surface area (m²)Visible blood path

Priming Volume (ml)Heat exchanger efficiency

Arterial temp portVenous sample portVenous temp port

Venous reservoir vol (ml)Recirculation line

Vital

4203501.9Yes1800.61YesYesYes

4000yes

903Avant

4353401.7

Partiel2500.68YesNoNo

3500yes

703 Compactflo

4004202.0Yes2700.68YesYesYes

4500yes

Compactflo EVO

4603501.7Yes2500.68YesYesYes

4300yes

Dideco – 903 Avant

Isolated chamber for cardiotomy sequestration

Bottom entry venous reservoir for safety and performance

Connection valve to direct suction blood where it’s needed

High performance gas transfer Unique cardioplegia access

port Dual flow rate

purge/recirculation valve 4700 ml total reservoir capacity 2.0 m² membrane surface area 8 LPM maximum flow

Dideco – 703 Compactflo

Dideco – Compactflo EVO

Nipro Vital® compared to (Terumo)Features

O2 transfer (ml/min)CO2 transfer (ml/min)

Surface area (m²)Visible blood path

Priming Volume (ml)Heat exchanger efficiency

Arterial temp portVenous sample portVenous temp port

Venous reservoir vol (ml)Recirculation line

Vital

4203501.9Yes1800.61YesYesYes

4000yes

Capiox SX 18

4002601.8Yes2700.68YesNoNo

4000no

Capiox SX 25

4903102.5Yes3400.68YesNoNo

4000no

Capiox RX 15

3302301.5Yes2050.53YesNoNo

4000no

Capiox RX 25

4903602.5Yes2500.68YesNoNo

4000no

Terumo – Capiox® SX

Exclusive hollow fiberLow priming volumeLarge reservoir

capacityConsistent, easy-to-

use design

Terumo - Capiox® RX

High flow with very low priming volume

Optimized air handlingExclusive hollow fiber, wovenFlexible for every setup

Nipro Vital® compared to (Medos)

Features

O2 transfer (ml/min)CO2 transfer (ml/min)

Surface area (m²)Visible blood path

Priming Volume (ml)Heat exchanger

efficiencyArterial temp port

Venous sample portVenous temp port

Venous reservoir vol (ml)

Recirculation line

Vital

4203501.9Yes1800.61

YesYesYes

4000yes

HiLite7000

4903601.9

Partial2750.5

NoNoNo

4000no

HiLite 7000 LT

4903601.9

Partial2750.5

NoNoNo

4000no

Medos – HiLite 7000