Warm storage for donor organs
77,860 Americans awaiting organ donations, no transplant surgeon
wants to hear that a kidney or liver is unusable. Nonetheless,
David Cronin, PhD'97, was excited to learn in early November that
one such liver-containing 70 percent fat and therefore unsuitable
for recipients-had made its way to the University of Chicago Hospitals.
This was Cronin's first chance to keep a human liver alive outside
the body using a new warm-storage device. The machine, which he's
developing with TransMedics Inc., could ease the frenzied pace
of organ transplantation, giving surgeons the chance to monitor
and repair organs that have lived long lives or are stressed from
their donor's death.
an assistant professor of surgery, placed the liver in a plastic
case atop the Portable Organ Preservation System, a battery-powered
machine about the size of a dorm refrigerator. For about 24 hours,
doctors monitored the organ while the machine pumped a warm solution
of electrolytes, vitamins, and nutrients through it. The liver
processed the fluid and created bile, just as it would inside
a normal transplant situation, the liver would be sitting on ice-not
producing bile and, even worse, sustaining damage as the hours
ticked by. "The problem [with traditional ice storage] is
that there is no oxygen in that environment, and you get cell
death," Cronin says. "The longer organs are on ice,
the more damage they sustain."
machine could also grant surgeons valuable time. "We're always
racing to take the organ, to transport it, to transplant it,"
Cronin says. "A patient receiving a heart or liver that doesn't
function may not get a second chance. This system allows us to
see that the organ is functioning and perhaps even repair it."
three years of tests on nearly 500 animal organs, Cronin first
kept an unusable human kidney alive on the device this past August.
That organ also functioned for 24 hours-and that's plenty of time,
machine is slated for clinical trials on kidneys within the next
year, followed by tests on hearts, pancreases, small intestines,
and lungs. Even since August the machine has been greatly improved.
"It's portable, lighter, and smaller," Cronin says.
"We can put it in the back of a van or on an airplane."