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LivaNova INSPIRE 6 Broch 09295-129-C
LivaNova INSPIRE 6 Broch 09295-129-C
LivaNova INSPIRE 6 Broch 09295-129-C
TM
Optimized perfusion
Optimized perfusion
INSPIRE 6 PH.I.S.I.O.
TM
5 LPM 6 LPM
Yesterday's choice
LivaNova's vision
6 8
SMALL ADULT From 5 to 6 LPM max blood flow rate
2
INSPIRE 6 PH.I.S.I.O.
TM
INSPIRE 6 LPM oxygenator systems offer the ideal solution for optimized perfu-
sion and have been conceived to help clinicians minimize the impact of CPB on
a wide patient population, aiming to improve outcome and reduce cost of care.
They are available with and without integrated arterial filter, with traditional single
chamber reservoir or unique DUAL chamber reservoir.
INSPIRE 6 INSPIRE 6F
TM TM
PH.I.S.I.O. PH.I.S.I.O.
PH.I.S.I.O. PH.I.S.I.O.
Perfusion. 2013 Jul;28(4):292-7. doi: 10.1177/0267659113476126. Epub 2013 Feb 12. Initial results of an
optimized perfusion system. Starck C, Bettex D, Felix C, Reser D, Dreizler T, Hasenclever P, Falk V. Source:
Clinic of Cardiac and Vascular Surgery, University Hospital Zurich, Zurich, Switzerland.
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INSPIRE 6 PH.I.S.I.O.
TM
• The INSPIRE 6 LPM oxygenators can offer the benefits • Only 1,4 m2 membrane surface area and 0,4 m2 for the
of less hemodilution and low blood contact surface area heat exchanger.
found in small adult oxygenators, but go beyond their 5 • More than 30% reduction in foreign surfaced area vs. full
LPM rating. adult 2.5 m2 competitive devices.
• The remarkably efficient INSPIRE oxygenator longitudinal • Only 184 ml oxygenator priming volume for the standard
flow design maximizes blood exposure allowing full gas version.
exchange performance up to 6 LPM. • Only 284 ml oxygenator priming volume for the version
• The newly designed polyurethane heat exchanger is capable with integrated arterial filter.
of highly efficient heat transfer up to 6 LPM.
More than 30% reduction in
foreign surface area exposure
0%
-3
INTEGRATED ARTERIAL FILTER WITH SUPERIOR GME HANDLING*
From its conception, the arterial filter has given confidence The INSPIRE Integrated Arterial Filter was designed for
to the perfusionists by providing additional protection for the safety and ease of use, integrating the essential features
patient, hence adoption rate in recent years has consistently of separate arterial filters. Studies have shown arterial filters
increased. Integration of arterial filter and oxygenator improves with a pre-screen chamber and purge capability provide
safety by reducing connections, reduces hemodilution and makes better protection from air and GME1, by allowing a reduction
setup easier. The INSPIRE integrated arterial filter design, thanks of blood velocity before the screen. To facilitate air removal,
to its dedicated compartment, offers superior GME handling INSPIRE includes purge ports on both sides of the 38 μ screen.
compared to competitive designs, while ensuring minimized This unique design allows for the first time to have full visibility
impact on hemodilution. on the filter outer side.
Pre screen
chamber Dedicated chamber
Filter screen
1
Evaluation of Integrated and Non-Integrated Oxygenator/Arterial Filters for
Gaseous Microemboli Removal
Larry Petree, MS; Bob Eke, BA; Rob Haynes, BA; Cheri Voorhees, BAH(ASCP)SH
* vs. competitive design Sorin Group, Arvada, Colorado, USA
4
INSPIRE 6 PH.I.S.I.O.
TM
reservoir minimum operating level, the venous filter dynamic < 100 ml
51% 100 - 300 ml
hold-up volume and the venous collector priming volume.
> 300 ml
15%
34%
Venous collector
priming volume
Minimum
operating level
Oxy module
priming volume
5
INSPIRE 6 PH.I.S.I.O.
TM
a d
b e
f
c
6
INSPIRE 6 PH.I.S.I.O.
TM
Retainment of blood aspirated out of nonvascular Activated suction blood OUTER SURFACE
PROTEIN
PHOSPHORYLCHOLINE (PC)
CARBOHYDRATE
structures will significantly reduce morbidity of CPB. separation with INSPIRE DUAL
Blood activated by means of tissue factor should be oxygenator systems, combined
discarded or processed with a cell salvage system. with PHISIO PC coating, allows
INSPIRE DUAL Reservoir unique design offers new to make a further step towards INNER SURFACE PHOSPHORYLSERINE (PS) PHOSPHOLIPID BILAYER
EASY PROCESSING AND FULL cessing of shed blood with cell saver results in clinically
significant reduction in postoperative cognitive dysfunction
REVERSIBILITY after cardiac surgery.”****
Separation of activated suction blood and washing with
XTRA autotransfusion system is made XTRA has a specific fat removal protocol
*J Thorac Cardiovasc Surg. 2002 May;123(5):951-8. Tissue factor as the main activator of the coagulation system during cardiopulmonary bypass. De Somer F et al.
** J Thorac Cardiovasc Surg. 2003 Nov;126(5):1504-12. Physiological coagulation can be maintained in extracorporeal circulation by means of shed blood separation
and coating. Albes JM et al.
*** Anesth Analg. 2009 Aug;109(2):320-30. The efficacy of an intraoperative cell saver during cardiac surgery: a meta-analysis of randomized trials. Wang G, Bainbridge
D, Martin J, Cheng D. Circulation. 2007 Oct 23;116(17):1888-95. Epub 2007 Oct 8.
**** Continuous-flow cell saver reduces cognitive decline in elderly patients after coronary bypass surgery. Djaiani G, ** Perfusion. 2012 Jul;27(4):278-83.
doi:10.1177/0267659112442222. Epub 2012 Mar 29.
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INSPIRE 6 PH.I.S.I.O.
TM
PH.I.S.I.O. COATING
PH.I.S.I.O PC coating has proven to be extremely effective in All INSPIRE oxygenators are PH.I.S.I.O PC coated and,
reducing platelet activation and cell adhesion to foreign surface. PH.I.S.I.O PC coating is also applied to all INSPIRE HVR and
HVR DUAL blood contact surfaces: HVR bucket and venous
“The interaction of blood with foreign artificial surfaces
return collector, frame of venous return filter. both venous
during cardiopulmonary bypass (CPB) has been recognized
and cardiotomy filtering nets.
as a major stimulus in evoking a systemic inflammatory
and metabolic response. Phosphorylcholine (PC) is a PH.I.S.I.O.
new-generation coating material designed to ameliorate
PROTEIN
biocompatibility and thereby to reduce the detrimental OUTER SURFACE PHOSPHORYLCHOLINE (PC)
CARBOHYDRATE
interactions of CPB”.*
FLEXIBILITY AND EASY HANDLING ONE BRACKET FITS ALL FAMILY MODELS
• Most vertically compact design on market (< 500 mm) • Quick priming and easy de-bubbling
- Better venous drainage • Robust and durable
- Less storage volume • Easy to clean
• 4.5 liter max. reservoir capacity volume • Available with “Fast Clamp” for C5/S5 HLM
- 4 liter maximum operating volume
- Easy reading of graduated scales
8
LIVANOVA HEARTLINK SYSTEM TM
CONNECT TM
INSPIRE S5
TM TM
XTRA
HEARTLINK CARD: TM
9
INSPIRE 6 INSPIRE 6 DUAL
TM TM
PH.I.S.I.O. PH.I.S.I.O.
DYNAMIC OPERATING VOLUME (DOV) PERFORMANCE CHART
* TEST CONDITIONS
Venous collector 45 (Bovine blood - Hb 12±0.2 gr/dl - B.E. 0±2mEq/l
priming volume ml - Venous pCO2 45±5 mmHg - O2 Venous Sat. 65±5%
- Blood Temp. 37±1 °C - QG /QB =1 - FiO2 100% - Qw=11,5±0,2 l/min)
O2 (ml/min)
250
at maximum blood flow
Minimum 150 200
operating level ml 402 ml 150
100
50
0
Oxy module 184 0 1 2 3 4 5 6 7
Blood flow rate (l/min)
priming volume ml
CO2 (ml/min)
OXYGENATOR SYSTEM DOV 200
150
636 0,80
0,60
600
0,40
402 391 0,20
400
ml
0,00
0 1 2 3 4 5 6 7
Blood flow rate (l/min)
200
INSPIRE 6 M Blood Path ∆p (mmHg)
300
250
0
∆p (mmHg)
200
INSPIRE 6 Main competitor 1 Main competitor 2
150
100
50
0
GME COMPARISON 0 1 2 3 4
Blood flow rate (l/min)
5 6 7
30
8000
25
7000 20
15
6000 10
5000 5
counts/min
0
4000 0 1 2 3 4 5 6 7 8 9
Blood flow rate (l/min)
3000
40+ micron
2000 30-40 micron
1000 20-30 micron
0 10-20 micron
INSPIRE 6 Main competitor 1 Main competitor 2
10
INSPIRE 6F INSPIRE 6F DUAL
TM TM
PH.I.S.I.O. PH.I.S.I.O.
DYNAMIC OPERATING VOLUME (DOV) PERFORMANCE CHART
* TEST CONDITIONS
Venous collector 45 (Bovine blood - Hb 12±0.2 gr/dl - B.E. 0±2mEq/l
priming volume ml - Venous pCO2 45±5 mmHg - O2 Venous Sat. 65±5%
- Blood Temp. 37±1 °C - QG /QB =1 - FiO2 100% - Qw=11,5±0,2 l/min)
O2 (ml/min)
250
at maximum blood flow
Minimum 150 200
operating level ml 502 ml 150
100
50
0
0 1 2 3 4 5 6 7
Oxy module 284
Blood flow rate (l/min)
priming volume ml
CO2 (ml/min)
OXYGENATOR SYSTEM DOV
200
150
756
0,80
0,60
600
502 0,40
400 0,20
400
ml
0,00
0 1 2 3 4 5 6 7
Blood flow rate (l/min)
200
INSPIRE 6F M Blood Path ∆p (mmHg)
300
250
0
∆p (mmHg)
200
INSPIRE 6F Main competitor 1 Main competitor 2
150
100
50
0
GME COMPARISON 0 1 2 3 4
Blood flow rate (l/min)
5 6 7
30
4500
25
4000 20
15
3500
10
3000 5
counts/min
0
2500
0 1 2 3 4 5 6 7 8 9
2000 Blood flow rate (l/min)
0 10-20 micron
INSPIRE 6F Main competitor 1 Main competitor 2
11
INSPIRE 6 PH.I.S.I.O.
TM
PH.I.S.I.O. PH.I.S.I.O.
MIN. OPERATING LEVEL 150 ml MIN. OPERATING LEVEL 150 ml
FILTRATION SECTIONS FILTRATION SECTIONS VENOUS RESERVOIR
Venous reservoir section Venous reservoir section
- Filtering media
OXYGENATOR SYSTEM 41 μm Polyester outer screen - Filtering media
OXYGENATOR SYSTEM 41 μm Polyester outer screen
- Oxygenator system DOV @ max flow + 120
502 mlμm inner Polyester net - Oxygenator system DOV @ max flow + 120
502 mlμm inner Polyester net
Cardiotomy reservoir
- Biocompatible section
coating Phosphorylcoline (PHISIO) Cardiotomy reservoir
- Biocompatible section
coating Phosphorylcoline (PHISIO) 050705 INSPIRE INSPIRE PHISIO DUAL
- Filtering media
RESERVOIR 41 μm Polyester screen - Filtering media
RESERVOIR 41 μm Polyester screen
HVR DUAL HARD SHELL
OXYGENATOR
MAX. VOLUMEMODULE
CAPACITY (approx.) 4500 ml OXYGENATOR
MAX. VOLUMEMODULE
CAPACITY (approx.) 4500 ml
MAXIMUM
MAX. BLOODLEVEL
OPERATING FLOW (approx.)
RATE 6 l/minml
4000 MAXIMUM
MAX. BLOODLEVEL
OPERATING FLOW (approx.)
RATE 6 l/minml
4000 VENOUS RESERVOIR 2
STATIC PRIMING VOLUME STATIC PRIMINGblood
- Non activated VOLUME
section 2700 ml
(oxy module + heat exchanger average value) 284 ml - Activated
(oxy blood
module + heat sectionaverage value)
exchanger 284 mlml
1300
MEMBRANE
MIN. OPERATINGSECTION
LEVEL 150 ml MEMBRANE
MIN. OPERATINGSECTION
LEVEL 150 ml
- Surface area
FILTRATION (approx. value)
SECTIONS 1,4 m2 - Surface area
FILTRATION (approx. value)
SECTIONS 1,4 m2 ACCESSORIES
HEAT
VenousEXCHANGER SECTION HEAT
VenousEXCHANGER SECTION
050640 INSPIRE BRACKET FOR INSPIRE
reservoir section reservoir section
Material media
- Filtering type Polyurethane
41 μm Polyester outer screen Material media
- Filtering type Polyurethane
41 μm Polyester outer screen
- Surface area (approx. value) 0,4 m2 μm inner Polyester net
+ 120 - Surface area (approx. value) 0,4 m2 μm inner Polyester net
+ 120 BKT OXY MODULES AND INTEGRATED 1
ARTERIAL FILTER
Cardiotomy reservoirSECTION
Material media
- Filtering type
section
Polyurethane
41 μm Polyester screen
ARTERIAL FILTER
Cardiotomy reservoirSECTION
Material media
- Filtering type
section
Polyurethane
41 μm Polyester screen
OXYGENATOR SYSTEMS
- Micron size MODULE
OXYGENATOR 38 μ - Micron size MODULE
OXYGENATOR 38 μ
- Surface area
MAXIMUM BLOOD(approx.
FLOWvalue)
RATE 68 cm2
6 l/min - Surface area
MAXIMUM BLOOD(approx.
FLOWvalue)
RATE 68 cm2
6 l/min 48-42-10 INSPIRE BRACKET FOR INSPIRE OXY MODULES
STATIC PRIMING VOLUME STATIC PRIMING VOLUME BKT FAST* AND INTEGRATED OXYGENATOR SYSTEMS 1
(oxy module + heat exchanger average value) 284 ml (oxy module + heat exchanger average value) 284 ml
MEMBRANE SECTION MEMBRANE SECTION WITH FAST CLAMP
02/16 09295-129/C
- Surface area (approx. value) 1,4 m2 - Surface area (approx. value) 1,4 m2
HEAT EXCHANGER SECTION HEAT EXCHANGER SECTION 050641 INSPIRE BRACKET FOR INSPIRE HVR
- Material type Polyurethane - Material type Polyurethane 1
- Surface area (approx. value) 0,4 m2 - Surface area (approx. value) 0,4 m2 BKTH AND DUAL HVR RESERVOIRS
ARTERIAL FILTER SECTION ARTERIAL FILTER SECTION
- Material type Polyurethane - Material type Polyurethane 042229000 TEMPERATURE TEMPERATURE 2
38 μ
PROBES PROBES
- Micron size - Micron size 38 μ
- Surface area (approx. value) 68 cm2 - Surface area (approx. value) 68 cm2
Manufactured by:
Sorin Group Italia Srl
A wholly-owned subsidiary of LivaNova Plc
Via Statale 12 Nord, 86
41037 Mirandola (MO) Italy
Теl: +39 0535 29811 - Fax: +39 0535 25229
info.cardiacsurgery@livanova.com
Please always refer to the Instructions For Use (IFU) manual provided with each product for detailed information, warnings, precautions and possible adverse side effects.