Table 2. A List of Commercialized Perfusion Systems.
| Organ | Company Device | Common Features | Unique Features | Clinical Trials Status |
| Heart |
Organ Transport Systems Life Cradle [50,51] |
• Safe organ storage • Maintains oxygen levels • Monitors Temperature • Oxygenates perfusion solution • Transportable |
• Uses preservation solution • Hypothermic Perfusion (5°C) |
Pre-clinical trials completed No clinical trials reported |
|
Paragonix SherpaPerfusion Cardiac Transport System [80] |
• Uses preservation solution • Hypothermic perfusion (4-8°C) • Monitors ischemia time • Low pressure perfusion (4-6 mmHg) • Can communicate with mobile devices • Single-use, disposable system |
No record of clinical trials | ||
|
Transmedics Organ Care System Heart [52,53,81] |
• Uses donor blood + solution mix • Normothermic Perfusion • Monitors organ function. Such as aortic pressure, coronary flow, heart rate, blood temperature • Housing enables ultrasound assessment and blood sampling • Console is reusable, but perfusion set is one-time use |
• NCT02323321 • NCT00855712 |
||
| Lung |
Organ Assist Lung Assist [82] |
• Safe organ storage • Ventilates organ • Allows for oxygenation and deoxygenation of perfusate for evaluation of lungs |
• Uses preservation solution • Temperature controllable: 10-38°C • Pumps output up to 20 mmHg and 5L/min |
No record of clinical trial |
|
Transmedics Organ Care System Lung [51] |
• Uses donor blood + solution mix • Normothermic Perfusion • Enables ultrasound assessment and blood sampling • Console is reusable, but perfusion set is one-time use • Transportable |
• NCT03343535 • NCT01630434 • NCT01963780 |
||
|
XVIVO Perfusion Xvivo Lung Perfusion System (XPS) and Disposable Lung Set (DLS) [83] |
• Uses preservation solution • Temperature controllable 15-39°C • Monitors pO2 and pH of perfusate • Allows for X ray • XPS is reusable, but requires single use DLS |
• NCT01365429 | ||
| Kidney |
Organ Recovery Systems LifePort Kidney Transporter [84] |
• Safe organ storage • Uses preservation solution • Transportable |
• Hypothermic perfusion (uses ice) • Monitors: temperature, flow rate, vascular resistance, and pressure • System is reusable, perfusion kit is single use |
• NCT03024229 • NCT02876692 • NCT02826213 • NCT01731457 |
|
Organ Assist Kidney Assist (Transport) [85] |
• Temperature control 10-38°C • Transportable version only supports 0 - 4°C • Oxygenates solution • Outputs flow, temperature, and pressure readings • Pumps output up to 20 mmHg and 5L/min |
http://cope-eu.com/work%20programme/trials.html | ||
|
Waters Medical Systems Wave or RM3 [59,60,86,87] |
• Hypothermic perfusion (3-10°C) • Oxygenates solution • Outputs 0-250 mL/min flow • Monitors pressure, flow, temperature, and renal resistance • Control unit is reusable, cassette is disposable/single use • Can be connected to a network for online monitoring of data |
• NCT02826213 • NCT01170910 |
||
| Liver |
Organ Recovery Systems LifePort Liver Transporter [88] |
• Safe organ storage | • Uses preservation solution • Hypothermic perfusion • Monitors: temperature, flow rate, vascular resistance, and pressure • System is reusable, perfusion kit is single use • Small, lightweight, transportable |
No record of clinical trials |
|
Organ Assist Liver Assist [89,90] |
• Uses preservation solution • Temperature controllable 10-38°C • Oxygenates solution • Outputs flow, temperature, and pressure readings • Allows for sampling of perfusate and bile |
• NCT01317342 • NCT02584283 • NCT03124641 |
||
|
OrganOx Metra [63,64,91] |
• Uses blood • Normothermic perfusion • Maintains oxygen in perfusion • Measures pO2, pCO2, pH, temperature, glucose, bile production • Console is reusable but has a sterile disposable portion for single use • Large, but transportable |
• NCT02478151 • NCT03089840 • NCT02775162 • NCT02740608 |
||
|
Transmedics Organ Care System Liver [65,66] |
• Uses donor blood + solution mix • Normothermic Perfusion 34-37°C • Maintains oxygen in perfusion • Measures lactate in perfusate and bile production for evaluation • Enables ultrasound assessment and blood sampling • Console is reusable, but perfusion set is one-time use • Large but transportable |
• NCT02522871 |