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Standardization of in-vitro evaluation of extracorporeal life support (ECLS) devices for research and development
Engineering Organ Support Technologies, Department of Biomechanical Engineering, Faculty of Engineering Technology, University of Twente, Enschede, the Netherlands.ORCID iD: 0000-0002-9115-0519
SC AR2 - Anestesia e Terapia Intensiva Cardiotoracica, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
ECMO Centre Karolinska, Department of Pediatric Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden; Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0003-4124-4581
Department of Cardiovascular Engineering, Institute of Applied Medical Engineering, University Hospital Aachen, RWTH Aachen University, Aachen, Germany.
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2026 (English)In: Perfusion, ISSN 0267-6591, E-ISSN 1477-111X, Vol. 41, no 5, p. 758-774Article in journal (Refereed) Published
Abstract [en]

Extracorporeal life support (ECLS) technology has witnessed remarkable advancements during the last decades. However, further research and development of devices are required to increase, for example, performance-efficiency, hemocompatibility, and long-term stability. All novel devices, even in early research stages, must undergo rigorous testing and evaluation. Yet, these early evaluations are often conducted under nonstandardized conditions, resulting in data difficult to compare, interpret, or translate into clinical practice. Establishing well-defined, standardized in-vitro testing protocols for all ECLS components and devices would represent a major step forward. Such protocols would improve methodological consistency and ensure reproducibility across research groups. This document, developed by an international group of ECLS experts from all disciplines in which such components are designed, developed, and applied, provides clear recommendations and standardized criteria for device testing according to international norms. Adoption of these criteria including the ways of reporting results will foster a unified approach among scientists, engineers, clinicians, and the medical device industry. Ultimately, this common framework will facilitate data interpretation, improve comparability of study results between different groups, making the review of studies more straightforward, as not every aspect of testing requires additional review and discussion, certainly favoring decision-making in the development and application of ECLS technologies.

Place, publisher, year, edition, pages
SAGE Publications , 2026. Vol. 41, no 5, p. 758-774
Keywords [en]
blood cell damage, cannula, ECLS, ECMO, extracorporeal life support, extracorporeal membrane oxygenation, in-vitrot esting, oxygenator, pump, standardization, tubing
National Category
Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:kth:diva-382710DOI: 10.1177/02676591261434526ISI: 001742973000001PubMedID: 41823027Scopus ID: 2-s2.0-105043532306OAI: oai:DiVA.org:kth-382710DiVA, id: diva2:2065234
Note

Correction in doi 10.1177/02676591261443

QC 20260723

Available from: 2026-06-03 Created: 2026-06-03 Last updated: 2026-07-23Bibliographically approved

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Prahl Wittberg, Lisa

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