Apparatus for maintenance of harvested hearts for transplanting
An apparatus, a system, and methods for maintaining and monitoring an excized donor heart. The apparatus comprises a first component for receiving and submerging therein an excized heart in a constantly circulating perfusate solution and a second component comprising equipment for adjusting the temperature and oxygen content of the perfusate solution. The first component comprises an integral pair of defibrillating pads. A first conduit infrastructure interconnects the first module, the second module and an aorta of the excized donor heart pushing a perfusion solution from the first module through the second module into the aorta. The second conduit infrastructure connects the first module with the right atrium and the left atrium for pushing the perfusion solution from the first module into the atria. The third conduit infrastructure connects the first module with the pulmonary artery and provides an after pressure to the flow of the perfusion solution from the pulmonary artery.
1. A modular perfusion apparatus for maintenance and transport of an excised donor heart, comprising:
a first module comprising
a hard-shell reservoir and
a removable support in the reservoir for positioning and mounting thereon the excised heart, said hard-shell reservoir having a pair of opposing defibrillator pads engaged with an inner surface of the hard-shell reservoir;
a second module comprising a heat-exchanger in communication with an oxygenator;
a first conduit infrastructure interconnecting the first module, the second module and an aorta of the excised donor heart, said first conduit infrastructure having a first centrifugal pump for pushing a perfusion solution from the reservoir of the first module to the second module and from the second module to the aorta;
a second conduit infrastructure for connecting the reservoir with a right atrium and a left atrium of the excised donor heart, said second conduit infrastructure having a second centrifugal pump for pushing the perfusion solution from the reservoir to the right atrium and the left atrium;
a third conduit infrastructure for connecting a pulmonary artery of the excised donor heart to the reservoir, said third conduit infrastructure having a third, bi-directional centrifugal pump; and
a computer providing computer-controlled modulation of the third pump,
wherein the third pump is configured and the computer is programmed to modulate the third pump to provide an afterload pressure at the pulmonary artery to resist a flow of the perfusion solution from the pulmonary artery.
2. The modular perfusion apparatus of claim 1 , additionally comprising a support for disengagably mounting thereon the first module, the second module, the first centrifugal pump, the second centrifugal pump, and the third centrifugal pump.
3. The modular perfusion apparatus of claim 2 , wherein the support comprises a housing for the first module, the second module, the first centrifugal pump, the second centrifugal pump, and the third centrifugal pump.
4. The modular perfusion apparatus of claim 1 , additionally comprising an ECG monitoring device.
5. The modular perfusion apparatus of claim 1 , additionally comprising cardiac pacemaker.
6. The modular perfusion apparatus of claim 1 , additionally comprising a defibrillator for communicating with the pair of defibrillator pads.