Landing ECMO

The solution to monitor the complex interaction between membrane lung and native lung

In ECMO procedures, the delivery of O2 to the patient and the removal of CO2 depend on a complex interaction between the Membrane Lung (ML), the Native Lung (NL) and the patient’s metabolic-haemodynamic pattern. The continuous monitoring of these parameters is critical in patient management.

Monitoring the Membrane Lung is essential for understanding the gas exchange performance level; while both the Native Lung gas exchange function and mechanical properties must be assessed to understand the possibility and timing of VV-ECMO weaning.

Monitoring the haemodynamic and metabolic parameters of patients (Cardiac Output, V’O2, V’CO2) is very important so that a balance between the metabolic needs and the function of the artificial organ can be achieved. The ratio between Cardiac Output (CO) and extracorporeal Blood Flow (BF) is fundamental in understanding recirculation in the Membrane Lung and the difficulties in obtaining satisfactory Blood Flow.

The Landing monitor provides a continuous measurement of the oxygen transfer from the ML (Membrane Lung), combined with hemoglobin level, venous oxygen saturation and arterial oxygen saturation.

Moreover, the Landing ECMO monitor provides hemodynamics data about circulation through the ECMO system, with blood flow, pre-oxygenator pressure and post-oxygenator pressure. Of note, measurements include the drain negative pressure, whose monitoring may be particularly useful to prevent hemolysis.

Thanks to a dedicated CO2 detection set, LANDING assists Physicians during long term support.

  • In a vvECMO Landing displays the interdependency between Native Lung and Membrane Lung.
  • In a vaECMO Landing helps to maintain Patient’s physiologic parameters.
  • 18 parameters shown on the display.
  • Up to 5 parameters represented as graphics in a real time.
  • Non-invasive spectrophotometric technology to measure blood parameters on the venous and arterial lines.
  • Polycarbonate cuvettes assuring accuracy and reliability over time.
  • PC (Phosphorylcholine) coated cuvettes, 14 days validated use; available in 3/8″ or 1/4″ sizes.
  • Ultrasound blood flow meter for adult and paediatric use.
  • Data connection via USB and/or HL7 protocol.
  • Dedicated Data Management System with capability to generate pdf files.
  • 3 pressure channels to measure Pdrain (negative drainage pressure), Pin (pre oxy membrane pressure),
    Pout (post oxy membrane pressure).
  • Capnometer to measure the exhausted CO2
    leaving the oxygenator with innovative
    Thermopiles warming technology designed
    to prevent condensation formation.
  • 10.4″ TFT touchscreen user
    interface.

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