“…In fact, in the relatively complex blood flow path within a hollow fiber OXY device, flowing platelets are exposed to: (i) secondary flows and recirculation/ stagnation areas, such as those due to the gradual section reduction/enlargement of the inlet divergent and outlet convergent conduits, respectively; (ii) sudden changes of the velocity vectors (e.g., within the upstream and downstream manifolds of the inlet and outlet zones of the Kids D100) where the streamflow is driven circumferentially toward the hollow fiber bundle of the OXY module, and the outlet section, respectively [23]; (iii) anisotropic flow distribution across the array of the fiber bundle, where nonnegligible shear stress occurs due to the friction with the fiber walls, as reported in Pelosi et al (32). In addition, there is supporting evidence in literature that phosphorylcholine surface coating is effective in protecting platelets from elevated activation during ECC (3,(33)(34)(35). Thus, our experimental layout (comparison of PC vs. NC devices) allowed us to test the sensitivity of the assay to detect GFP-surface contact interactions under flow, in a convenient clinically pertinent in vitro setting.…”