The Capiox RX05 oxygenator: pediatric clinical observations

Abstract

Terumo Cardiovascular Systems has released the X-Coated Capiox RX05 or Baby RX oxygenator. This oxygenator is designed for neonate and infant patient populations. The device was integrated into our current perfusion practice and our clinical observations are described here. The Baby RX has a prime volume of 43 mL with a maximum flow of 1.5 L/min. The integrated hardshell venous reservoir has independent venous and cardiotomy filters, as well as a very low minimal operating level of 15 mL. A variety of options provide exceptional versatility for the device. The Baby RX proves to be a low-prime, high-flow oxygenator, enabling us to use it on a wide range of pediatric patients. It will be a useful tool for reducing our neonate and infant circuit priming volumes.

Feasibility of a Tiny Centrifugal Blood Pump (TinyPump) for Pediatric Extracorporeal Circulatory Support

“…Assuming the pressure drop of 250 mm Hg as an acceptable level, TinyPump could provide the pump flow of 0.76, 0.97, or 1.18 Lpm with the arterial cannulae of 2.6, 3.0, or 4.0 mm, respectively. This flow range matches the flow capacity of the Terumo Capiox RX05 oxygenator (7).…”

Ex vivo evaluation of a new neonatal/infant oxygenator: comparison of the Terumo CAPIOX® Baby RX with Dideco Lilliput 1 and Polystan Safe Micro in the piglet model

“…This observation was confirmed in a paper reporting the initial clinical experience with this oxygenator. 7 In this group of patients, the oxygenator was challenged to 1.6 L/min during one clinical case without incidence. Additionally, the gas flow in the BRX group remains at a low and very stable level with little variance over six hours, as opposed to the DL1 and PSM, which both needed higher gas flow during the rewarming phase after hypothermia.…”

A retrospective comparison of blood transfusion requirements during cardiopulmonary bypass with two different small adult oxygenators

“…The Capiox model has separate venous and cardiotomy filters, allowing the venous blood to more rapidly enter the systemic circulation. 14 The hold-up volume further contributes to an increase in prime requirement and is additional to the difference between the static priming volumes of the two reservoirs. It is, therefore, important to consider venous reservoir dynamics as a method of reducing priming volumes.…”