Pittsburgh Pediatric Ambulatory Lung (P-PAL)
- Integrated pump-oxygenator intended to provide long-term (1-3 months) respiratory support to pediatric patients
- High gas exchange efficiency and compact design enable a small overall device that can be used paracorporeally and allow for patient ambulation
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Pittsburgh Ambulatory Assist Lung (PAAL)
- Integrated pump-oxygenator for simplified respiratory assistance
- The unique fiber bundle design provides high oxygenation efficiencies (>276 ml/min/m2)
- The small simple design is intended for ambulatory support for 1-3 months
- Bench driven design that is computational fluid dynamics optimized
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ULFED (Ultra-low-flow ECCO2R Device)
- Extracorporeal CO2 removal (ECCO2R) at hemodialysis blood flows (250 mL/min) to prevent intubation or allow protective ventilation for patients with COPD and ARDS
- Impeller mixing enhances gas exchange to remove 37% of the metabolic CO2 production
- Operation analogous to dialysis allows simplified and minimally invasive respiratory support
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ULFED (Ultra-low-flow ECCO2R Device)
- Integrated ECCO2R device is compact and wearable, allowing for patient ambulation
- Blood flow rates below 1 L/min permit less invasive cannulation
- The device removes greater than 30% of metabolic CO2 and can prevent intubation or allow protective ventilation for patients with COPD and ARDS
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Impeller Percutaneous Respiratory Assist Catheter (iPRAC)
- Intravenous catheter composed of hollow fiber membranes
- Internal rotating impellers enhance gas exchange efficiency
- Partial breathing support independent of the lungs
- Treatment of patients with short term reversible lung failure
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Low Flow CO2 Removal
PRAL to Hemolung
- ALung is commercializing the Hemolung Respiratory Assist System (RAS), a dialysis-like alternative or supplement to mechanical ventilation originally developed at the University of Pittsburgh.
- The Hemolung RAS removes carbon dioxide and delivers oxygen directly to the blood, allowing the patient's lungs to rest and heal. A simple extracorporeal circuit, small venous catheter, and techniques similar to hemodialysis make the Hemolung RAS easy to use.
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Carbonic Anhydrase Coatings
- The limiting factor in CO2 elimination is physiological, since over 90% of CO2 in blood is carried as HCO3- (bicarbonate)
- Carbonic anhydrase (CA) catalyzes the dehydration of HCO3- to CO2
- Enhanced CO2 removal can be realized through CA coatings for Hollow Fiber Membranes
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Acidic Sweep Gas
- A dilute acidic gas is introduced to the oxygen sweep gas passed through the hollow fiber membranes of artificial lung devices
- Dilute sulfur dioxide in oxygen sweep gas can further increase CO2 removal rates by creating an acidic microenvironment at the HFM surface facilitating dehydration of bicarbonate to CO2
- Dilute acidic sweep gas can increase CO2 removal, and when used in combination with bioactive CA-HFMs has a synergistic effect to increase CO2 removal efficiency by 150%
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Oxygen Depletion Device (ODD)
Anaerobically Stored Red Blood Cells with Extended Shelf Life
- Develop a novel blood storage system that will extend the shelf life of additive system red cell units
- Deliver red cells of higher efficacy and lower toxicity for transfusion therapy
- Red cells are stored in a modified additive solution under oxygen-depleted condition (anaerobic storage).
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Devices for Inflammatory System Modulation
Engineering of a Pheresis Intervention for Sepsis (SEPsIS) Hemoadsorption Device
- Extracorporeal blood purification device that removes the inflammatory molecules which cause severe sepsis
- Device packed with adsorbing polymer beads covered in biocompatible coating
- Cytokines involved in sepsis adsorbed on beads
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White Cell Modulation
- Fiber device containing immobilized CXCL8 which will have the ability to alter the activity state of neutrophils in whole blood.
- Techniques being developed could eventually be applied to numerous diseases involving all circulating cells.
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Hattler Catheter
- Intravenous catheter composed of hollow
fiber membranes
- Incorporates mechanisms for creating
efficient gas exchange
- Partial breathing support
independent of the lungs
- Treatment of patients with
short term reversible lung failure
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Paracorporeal
Respiratory Assist Lung (PRAL)
- Wearable external device with a rotating
fiber bundle
- Rotating fiber bundle provides efficient
gas exchange and pumping ability
- Offers increased breathing support compared to
respiratory catheter
- Requires relatively low blood
flow rates: respiratory dialysis
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Rotational
Percutaneous Respiratory Assist Catheter (Roto-PRAC)
- Intravenous catheter composed of hollow fiber membranes
- Internal rotating impellers enhance gas exchange efficiency
- Partial breathing support independent of the lungs
- Treatment of patients with short term reversible lung failure.
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Biohybrid
Artificial Lung
- Composed of microfabricated units that mimic
exchange sacs of natural lungs
- Vascular cells coat
blood pathways for improved blood biocompatibility
- Compact
respiratory device design compared to traditional
respiratory devices
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Polymer,
Fiber and Surface Modifications
- Fiber polymer coatings for improved blood biocompatibility
- Attachment
of biomolecules on fibers to provide novel functionality
- Coatings
of active polymeric microspheres on membrane surfaces
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