This video is part of the 2020 Sentara Cardiac Grand Rounds, "Heart in a Box: The Future is Now," originally broadcast September 15, 2020. Dr. Jonathan Philpott explains how to set-up and prime the pump for the OCS Heart device so that warm, oxygenated blood perfusion can maintain organs in a living, functional state.
now what's going on on the other side of the house? Well, this is like a Chinese fire drill. He on that back table, Where are all the drugs? And there are a ton of them. They've got to be drawn up precisely and loaded into syringes. Now, to get around this, we're working with our pharmacy crew to have this actually done ahead of time so that we could transport like this and most centers air kind of getting to this so the drugs were drawn up, and that actually makes a tremendous benefit. But you get the bag out. That's the pacemaker coming out. That's the rest of the supplies that were breaking out. The initial rig is loaded onto the pump housing itself, and that's this element right here. This large package that sits on the top, Andi. Then we go through the loading of the infusion pumps. And the best way to think about this rig is it's like a little mobile. I see you and the patient is the heart, and it has pumps. And it has gasses that flow through it all. Treating the heart, and the console on the top there can remove off. It's portable and you control everything from that portable console. But getting in there and getting these pumps, the air and loaded and programs. I mean, it took us 45 minutes with multiple people trying to work. Once that's done, though, then you have to prime it with just a regular prime. And then you have to start loading medications into it when there's a variety of different things that go into the prime, um, heparin, multi vitamins. I think the multivitamin you'll see here in a second and some of these medications have to be transported with us on ice. I think you could see the multivitamin going in next. This is why having all these drawn up ahead of time is really important. Because again, these guys were working under the gun right now, and this is probably one of the easier parts of the whole set up programming. The pumps was definitely very difficult. Um, getting all the air out is super important, and you have to dare each one of those lines and infusion pumps. And then once you get the blood prime in which you concede analyses, the colors change to read you have to continue going through it, making sure that there's no air that you're gonna pump into the heart just like you would with a heart lung machine. Now, at this point, they're ready to receive. The pump has been primed and it's ready to go. And this sterile package on the top is opened and unfolded to create a sterile field that goes over the device and the little box is opened, which you can see there and then on the inside of the pump. Um, there is a little piece of tubing there which is now disconnected, and the pump now is just flowing blood ready to be connected.
