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Original article
New device for intraoperative blood suction avoiding turbulences
  1. Martin G Friedrich1,
  2. Ioannes Bougioukas1,
  3. Peter Wenig2,
  4. Steffen Vormfelde1,
  5. Theodor Tirilomis1
  1. 1 Department of Thoracic and Cardiovascular Surgery, University Medical Center Göttingen, Gottingen, Germany
  2. 2 Department of Medical Techniques, University Medical Center Göttingen, Gottingen, Germany
  1. Correspondence to Dr Martin G Friedrich, Department of Thoracic and Cardiovascular Surgery, University Medical Center Göttingen, Gottingen 37075, Germany; m.friedrich{at}med.uni-goettingen.de

Abstract

Introduction Bleeding during surgery is common. Increased bleeding may disturb procedure, induces haemodynamic instability and results in need for blood transfusion. Allogenic blood transfusions increase mortality and morbidity, especially risk of infections, pulmonary and renal complications, as well as thromboembolic events. Autotransfusion is in many cases a solution but forced suction may destroy or alter blood cells because of turbulences, shear forces and contact of the blood to extrinsic surfaces. The aim of the study was the analysis of turbulence profile and development of a new suction device reducing (or avoiding) turbulences.

Methods We registered turbulences with a microphone placed in different positions within the blood suction during surgery and analysed the spectrum. Then, we modified the circuit adding signals from optical sensors and pressure transducer to avoid air mixing and tight suction. Finally, we created the algorithm for the suction circuit regulating individualised suction modes.

Results We developed a new suction system based on a roller pump. We used a piezo sensor and registered the acoustic signals. The optimal position for this element was into the suction handle. After filtering the signal and further processing, we used it for regulation of the roller pump. Additionally, an optical sensor minimises air mixing due to further regulation of motor speed. Finally, a negative pressure transducer gives in case of tight suction information to the circuit stopping motor speed and equalising pressure by opening a valve before suctions starts again. The algorithm allows various suction modes in an individualised manner for specific situations in operating field.

Conclusions We developed a new blood suction device based on a roller pump. The system is turbulence-controlled and its algorithm allows several individualised suction modes. Additional features avoid tight suction and reduce air mixing.

  • Blood Suction
  • Haemolysis
  • Blood Transfusion
  • Bleeding
  • Surgery
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Footnotes

  • Contributors MGF is responsible for the concept/design of SOTOS and the drafting of manuscript. PW is the medical technology engineer and was responsible for the technical implementation. TT is the senior author. SV carried out advanced tests of the TCSS. IB helped create the draft of this manuscript. MGF is the inventor of the TCSS and all included features. PW implemented the control ideas in several development steps into a composition of electronic components.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Disclaimer The authors alone are responsible for the content and writing of this report.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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