Extracorporeal life support system and methods of use thereof
Extracorporeal membrane oxygenation systems and methods of use are disclosed. Several publications and patent documents are cited throughout the specification in order to describe the state of the art to which this invention pertains. Full citations of these references can be found throughout the specification. Each of these citations is incorporated herein by reference as though set forth in full.
1. An incubation apparatus configured to maintain a fetus in an extrauterine environment, the incubation apparatus comprising:
an incubation chamber configured to hold a volume of a sterile liquid and the fetus, the volume of the sterile liquid sufficient such that the fetus can be submerged in the sterile liquid in the incubation chamber, the incubation chamber including an inlet port and an outlet port, the inlet port configured to provide a path for the sterile liquid into the incubation chamber, the outlet port configured to provide a path for the sterile liquid out of the incubation chamber;
a pumpless oxygenation circuit including an oxygenator having an inflow port and an outflow port, the pumpless oxygenation circuit configured to be coupled to the fetus such that the pumpless oxygenation circuit defines a path that includes: 1) a first portion that provides arterial outflow from the fetus to the oxygenator inflow port, and 2) a second portion that provides return flow from the outflow port to the fetus;
a supply tank configured to store a supply of sterile liquid greater than the volume of the sterile liquid in the incubation chamber; and
a drain configured to receive used liquid from the incubation chamber; and
a pump configured to pump the sterile liquid from the supply tank through the inlet port, into the incubation chamber, and through the outlet port.
2. The incubation apparatus of claim 1 , wherein the oxygenator has a pressure drop of less than 40 mmHg at 1.51/min of blood flow, as measured between the inflow port and the outflow port.
3. The incubation apparatus of claim 1 , wherein when the incubation chamber holds the volume of the sterile liquid the oxygenator is positioned outside the volume of the sterile liquid.
4. The incubation apparatus of claim 1 , wherein the pumpless oxygenation circuit is configured to provide a flow of blood at a rate of about 2.0 l/min or greater.
5. The incubation apparatus of claim 1 , wherein when the incubation chamber holds the volume of the sterile liquid, the incubation chamber is sealed to prevent contamination of the volume of the sterile liquid in the incubation chamber.
6. The incubation apparatus of claim 1 , wherein the incubation chamber comprises a bag or sac.
7. The incubation apparatus of claim 1 , comprising a suction mechanism configured to provide access to the volume of the sterile liquid to permit removal of waste products and debris from the volume of the sterile liquid in the incubation chamber.
8. The incubation apparatus of claim 1 , wherein the incubation chamber comprises at least one glove port to allow sterile access to the fetus while the fetus is in the volume of the sterile liquid.
9. The incubation apparatus of claim 1 , wherein the sterile liquid in the incubation chamber comprises synthetic amniotic liquid.
10. The incubation apparatus of claim 1 , further comprising a gas mixer configured to blend a mixture of air and oxygen to form a sweep gas, wherein the sweep gas is connected with the oxygenator.
11. The incubation apparatus of claim 1 , wherein the oxygenation circuit is configured to provide a gas transfer rate of about 150 ml/min or greater.
12. The incubation apparatus of claim 1 , further comprising a filter configured to filter the sterile liquid, wherein the sterile liquid is pumped through the filter and the filtered sterile liquid is then pumped into the incubation chamber.
13. A method of treatment of a fetus in an extrauterine environment, the method comprising the steps of:
pumping a sterile liquid from a supply tank into an incubation chamber such that a volume of the sterile liquid is maintained within the incubation chamber, wherein the supply tank is configured to store a supply of the sterile liquid greater than the volume of the sterile liquid maintained within the incubation chamber;
connecting a fetus to a pumpless oxygenation circuit such that the pumpless oxygenation circuit defines a path from the fetus to an oxygenator, through the oxygenator, and from the oxygenator to the fetus; and
placing the fetus into the incubation chamber such that the fetus is submerged in the volume of the sterile liquid.
14. The method of claim 13 , further comprising the step of priming the path with blood from the fetus.
15. The method of claim 13 , further comprising the step of filtering the sterile liquid.
16. The method of claim 13 , further comprising the step of draining a portion of the sterile liquid from the incubation chamber such that the volume of the sterile liquid is maintained within the incubation chamber.
17. The method of claim 13 , further comprising after the placing step, the step of sealing the incubation chamber such that the volume of the sterile liquid is protected from exposure to contaminants.
18. The method of claim 17 , further comprising after the sealing step, the step of removing material from the volume of the sterile liquid without unsealing the incubation chamber.
19. The method of claim 18 , wherein the removing step includes the step of:
passing an instrument through a sealable port and into the volume of the sterile liquid;
actuating the instrument to remove the material from the volume of the sterile liquid; and
removing the instrument from the volume of the sterile liquid.