The first machine to revive the donor organs used in double pulmonary transplantation in the UK | NHS

The surgeon is revived the donor organs, continues to make use of them, and uses new lung transplantation using new machines that breathe outside the human body. This operation was marked when the machine was first used in the UK.

A pioneering device is composed of a series of pumps that repair, re -adjust, and activate the lungs before being transplanted to the patient, and a foam -like chamber that contains filters.

Doctors can evaluate the organs for transplantation and rehabilitate as needed due to the perfusion of the lungs in the machine. In addition, we purchase them significantly more than the conventional method of storing the lungs in the lungs that can cause tissue damage.

Experts say that the arrival of machines can dramatically increase the number of lungs that can be used for transplanting with NHS, and can save hundreds of lives a year. 49 -year -old Daniel Evans Smith was the first patient in the UK, which was the benefit of the XPS system created by Xvivo.

Before Cambridge's Royal Papwork Hospital surgery, Evans-Smith, an event manager, developed a chronic obstructive pulmonary disease (COPD). This causes dyspnea and deteriorates over time, limit daily activities, and sometimes needs to use oxygen. 。

After gaining new lungs from donated donors who were revived using the XPS system, he awakened and noticed that he had no COPD. “It's surprising,” he said in an interview with the Guardian. “The difference is amazing.”

For more than 50 years, a typical way to store the lungs before transplantation was to cool them just above the freezing and slow down the metabolic process. This extends the transplanted window, which is only a short time.

However, when cooled, it is impossible to properly evaluate the quality. Surgeon tends to refrain from using uncertain quality organs, as pulmonary transplant is a complicated and changing life. This means that only one in five lungs donated around the world is used.

By giving doctors to check the lungs, XPS systems can mean that the number of unnecessary donor organs is reduced and the call for transplantation increases. Evans Smith was on the nine -day waiting list.

The Royal Pap Worth Team, which performed the first surgery using the XPS system in the UK, used the technology called EX-VIVO pulmonary perfusion (EVLP).

EVLP is a widely used technology in Europe and the United States, but is not a common practice in the UK. In the UK, there were a small number of EVLP transplants, but they were mainly limited to clinical trials or relied on different machines.

Since the success of Evans-Smith, surgeons have been transplanted to three patients using the XPS system.

The machine imitates the environment of the human body so that the lungs expand and deflate as usual. Special liquids can maintain them, recover their normal functions, maintain them, and even improve them. The lungs can be stored for up to 6 hours in this way.

If it works well with at least three hours of testing, it will be removed from a system that is ready for transplantation.

Evans Smith was operated by an interdisciplinary team led by a consultant surgeon Marius Berman, Gezeppe Earls and Pradeep Cowl. After rehabilitation with critical care, he recently returned to No Samunpton in the surgical ward.

Berman, a surgical lead for transplanting Royal Papwork, said: Without this innovation, he might have been waiting for today's transplant. “

JASVIR PARMAR, the chairman of the National NHS Lung Advisory Group, stated that the machine has significantly changed the quality of the donated lungs.

“If you put your lungs out of your body, you can improve your performance, so we will provide not only evaluation tools but also treatment tools.”

Professor Derek Manas said the Director of NHS's blood and transplanted organs to provide and transplanted, which would help reduce the organs waiting list.

“Because more than 200 people are currently waiting for lung transplantation, this greatly exceeds the appropriate donor organs. To improve the possibility that patients with these desperate illness are waiting for the waiting phone. It is important to support innovation.

“We are grateful for the work of improving transplanting technology and technology, but thanks to patients and families who agree to save and improve life through organism.”

Evans Smith is now looking forward to recovering Christmas health without a burden on COPD. “Prior to this, I had a hard time walking on all forms, without considering the place where I could stop or take a rest to climb the hill, stop breathing.

“Now, I may be taking 7,000 steps a day, such as climbing and descending on the hill. I can take 3,000 steps without even breathing. It's surprising.”