Extracorporeal Tubing in the Roller Pump Raceway: Physical Changes and Particulate Generation

Abstract

Plasticized polyvinyl chloride tubing is used as the blood conduit in the heart lung bypass circuit. The section in the roller pump undergoes rigorous compression. Fatigue leads to material changes in weight and length of the bulk material. Particles are released during normal pump operation. This study evaluates the time course of particle loss. Three segments of ½″ ID tubing run in the raceway for 30-minute, 1-hour, or 2-hour. The fluid path of each segment includes an oxygenator; a castor oil blend was used for the prime. The 5 mL sample was acquired at 10 minute intervals. Raceway tubing segments were measured for a change in weight and length. The same procedure repeated with ¼″ ID and ⅜″ ID tubing. All tubing increased at least 5 mm by the 2-hour trial. There were no remarkable changes in weight. Particles were measured for size and percent volume. Tubing with ½″ ID performed most consistently for particle release during all trials. Particles were observed as small as 1 nm. Particles as large as 3 micron could be confirmed. For all tubing there was particle release by 30 minutes. Perfusionists must consider tubing inner diameter and wall thickness in choosing the pPVC for the raceway in order to minimize particulate emboli. This research suggests that ⅜″ ID tubing produces spalls inconsistently compared to ½″ ID tubing. Thinner wall thickness tubing also has the potential to limit spall formation.