1950 – 1959
Milestones in the Development and Clinical Applications of Artificial Organ Technologies & Transplantation
1950s
Delgado, Heath , Mickle, Olds, Milner, Spiegel, and Wycis studied psychological effects of chronic brain stimulation in humans and animals
Grifols-Lucas established plasma collection on a routine basis
Allis-Chalmers and Westinghouse and then the Baxter Corporation manufactured the first widely used commercial dialyzing machine-the Baxter/Travenol recirculating U-200 twin-coil dialyzer
1950
Clark and Associates advocated the dispersion of oxygen through a sintered glass filter to transmit small bubbles into venous blood
1951
Dogliotti and Constantini first applied a pump oxygenator in a human, bypassing the right heart during removal of a mediastinal tumor
Dennis performed the first clinical application of total cardiopulmonary bypass for the repair of an ostium primum defect in a child but the patient died during the procedure. He developed the rotating screen oxygenator
McKee and Farrar performed the first successful total hip replacement
Giaimo described first patent with neuroprostheses for the treatment of dropped foot, partially denervated muscle and heel switch
Dubost replaced the abdominal aorta with an aortic homograph
1952
Gollan described the first concentric type bubble oxygenator that reduced the amount of priming blood and minimized the heat loss
Adams and Associates performed the first successful plasmapheresis on a patient with multiple myeloma
The first mechanical heart valve (ball type) developed by Hufnagel was implanted in a 30-year-old woman
Voorhees and Blakemore first succeeded in bridging arterial prostheses in the abdominal aorta of dogs using porous Vinyon “N” cloth tubes
Henry Opitek, suffering from shortness of breath, was treated with the Dodrill-GMR heart machine, considered to be the first operational mechanical heart used while performing heart surgery at Harper University Hospital at Wayne State University
Teschan used the Kolff-Brigham artificial kidney in the US Army’s 11th field hospital in the Korean War
1953
Gibbon performed the first successful open heart surgical procedure with heart lung bypass repairing a large septal defect in an 18-year-old girl with his stationary screen oxygenator and three DeBakey roller pumps
Dempster may have been the first to use radiation in organ transplant recipients; also treated dog homograft recipients with cortisone known to prolong survival of skin homografts in rodents
Billingham, Brent, and Medawar demonstrated that chimerism induced in neonatal mice by lymphoid cell inocula allows acceptance of donor strains of skin grafts
Inouye and Engleberg developed the pressure cooker (coil artificial kidney placed in Presto pressure cooker) to control the temperature
1954
Salisbury conceived the formation of the American Society for Artificial Internal Organs (ASAIO)
Crafoord and Senning performed the first open-heart procedure in Europe using their rotating cylinder oxygenator
Mustard and Associates used monkey lungs as an oxygenator for human cardiopulmonary bypass without success
DeBakey succeeded in resecting aneurysm of distal aortic arch and replacing it with a polyester (Dacron) graft
Murray performed the first successful human transplant using the patient’s identical twin as the donor
Black, Hitchings, and Elion developed immunosuppressive agents for which they were awarded a Nobel Prize in 1988
Demikhov grafted a dog’s head and upper body including the front legs onto another dog
Lillehei performed intra-cardiac surgery using cross circulation from a healthy donor
1955
Lillehei and Associates first successfully closed ventricular septal defects under cross circulation in eight patients with two deaths
DeWall and Lillehei introduced their helical reservoir bubble oxygenator which brought a break-through in open-heart surgery, permitting total cardiopulmonary bypass using a heart-lung machine
Kolff and Belzer oxygenated blood through a polyethylene membrane
First ASAIO meeting was held in Atlantic City, New Jersey
Main and Prehn showed that weakening the immune system of adult mice by radiation allowed them to induce chimerism by inoculating bone marrow cells
Kolff and Associates developed the disposable twin-coil dialyzer
1956
Manabe performed the first open-heart surgery in Japan using the bubble oxygenator
Clowes, Hopkins, and Neville devised a plate-type membrane oxygenator for clinical use
Kay and Cross refined the disk (film) oxygenator which could oxygenate up to 4,000 ml of venous blood and used it successfully in open-heart surgery; it was produced by Pemco Onc.
Rygg and Kyvsgaar devised a disposable plastic bag oxygenator
Kolff and Effler (coil-type using polyethylene membranes) and Clowes (plate type) introduced clinically membrane oxygenators
Hori clinically used a biological artificial liver using cross hetero-hemodialysis between man and animal for the temporary substitution of liver function
Travenol sells the first commercially available disposable dialyzer, the Travenol U200A twin coil (Kolff’s orange juice can kidney) at a price of $59.00
1957
Lillihei with Bakken created the first transistorized implantable cardiac pacemaker
Akutsu and Kolff implanted a total artificial heart into a dog that survived 90 minutes
Association for Artificial Internal Organs was founded in Japan
Billingham and Brent and Simonsen independently first reported on graft- versus-host disease and that lymphocytes must be mobile
Dewall and Lillehei developed a helix reservoir disposable bubble oxygenator which makes cardiopulmonary bypass safe and reliable
1958
Senning implanted the first heart pacemaker
Westin and Associates devised rotating spiral oxygenators used for the perfusion of small organs
Thomas pioneered the development of silicone rubber membranes, initially supported on a fine nylon screen
Dausset discovered the first human leukocyte antigen (HLA)
Zoll reported on first prototype of a cardiac pacemaker
1958
Liotta described the implantation of three types of orthotopic total artificial hearts in dogs using different sources of energy: an implantable rotating pump with an external electric motor, an implantable electric motor, and a pneumatic pump
1959
Merril reported on human kidney transplantation where the genetic barrier had been breached with lethal total body irradiation