Is condensation the cause of plasma leakage in microporous hollow fiber membrane oxygenators

Extracorporeal membrane oxygenators are comprised of large bundles of microporous hollow fiber membranes (HFMs) across which oxygen and carbon dioxide are transferred to and from blood. Long term use of extracorporeal oxygenators is limited by plasma leakage through the pores of the HEM walls, requiring replacement of the oxygenator. Condensation of water vapor on the pore walls is thought to be a possible precursor to plasma leakage. To explore this mechanism, a simple theoretical analysis is used to examine the temperature of the gas flow through the HFMs. For conditions representative of two commercially available oxygenators, the analysis predicts that the gas heats up to the temperature of blood flow outside of the fibers after passing through less than 0.5% of the fiber lengths. Once the gas temperature and hence the fiber wall temperature equilibrates with the blood, condensation of water vapor is no longer possible. In vitro testing of microporous HFMs under gas flow rates and temperature conditions similar to those of extracorporeal oxygenators but with the fibers submerged in water is also presented. The fibers showed negligible degradation in carbon dioxide transfer over a four-day period. These results of both the theoretical and experimental analyses indicate that the condensation of water vapor within the pores of the HFMs is unlikely to be the cause of plasma leakage in clinically used extracorporeal oxygenators. (C) 1998 Published by Elsevier Science B.V. All rights reserved.