1960 – 1969
Milestones in the Development and Clinical Applications of Artificial Organ Technologies & Transplantation
1960
Scribner, Quinton, and Dillard introduced the arteriovenous shunt allowing chronic hemodialysis
Hamburger and Küss performed successful kidney transplants in nontwin recipients conditioned by total body irradiation
Kantrowitz reported on functional electrical stimulation on leg extension in dogs and was first to demonstrate standing in paraplegia
Stewart develops the first hollow fiber dialyzer
Starr performs the first successful intracardiac prosthetic valve operations
Kiil develops the Kiil dialyzer, boards sandwiching two Cuprophan membrane sheets
1962
Charnley pioneered hip replacement; he goes on to perfect the operation and introduced positive-pressure laminar airflow operating rooms and clean-air-exhaust body suits
Cooley and Beall proposed the use of a commercially available disposable bubble oxygenator
Bodell introduced the capillary-type oxygenator using thin-walled silicone rubber
Japanese Society for Artificial Organs founded
Kylstra and associates reported on keeping mice alive 8 hours by having them breathe a salt solution equilibrated with oxygen
Cimino and Brescia developed the subcutaneous arterio-venous fistula for chronic hemodialysis
Murray performed the first successful kidney transplant in unrelated humans
1963
Mikami, Mito, and Nosé performed the first clinical liver support using tissue slices
Kolobow and Bowman introduced a coil-type silicone membrane oxygenator with the blood flow across the flat tubing parallel to the axis of the cylinder and pure humidified oxygen passed through the silicone rubber reinforced with nylon knit
Crawford and DeBakey implanted the first clinical left ventricular assist device (LVAD) developed by Liotta and Hall; patient survived 4 days but did not recover
DeBakey proposed that the US federal government support an organized program to develop a total artificial heart
Starzl described a new immunosuppressive protocol that allowed greater than 70% 1-year renal graft survival in patients
Collins and Associates advocated, and it became the standard that pretransplant infusion of cold solution into the renal artery of donor kidneys or for procurement of multiple organs in situ cooling by infusion of cold solution in the aorta
Woodruff and Associates reported that antilymphocyte serum (ALS) was remarkably effective in extending skin allograft survival in rodent models
Djourno, Kayser, and Eyriès reported on cochlear implants and inductive coupling of implants for nerve stimulation
1964
Dotter and Judkins first described the concept of coronary angioplasty and the catheter-delivered stent
US National Institutes of Health started the Artificial Heart Program led initially by Hastings with the goal of putting an artificial heart into a human patient by the end of the decade
Terasaki and McClelland developed a microcytotoxicity assay for typing
1965
First commercial glucose test strip introduced
Bramson and Associates reported on the construction of a plate-type membrane oxygenator with an integral heat exchanger
Wilson and Associates reported on the use of capillary tubes for the blood compartment with oxygen flow outside the capillary tubes which resulted in a progressive deterioration of performance
Melzack and Wall sketched out the “gate” theory of pain on a napkin
The Japan Society for Transplantation was founded
Howlett and Associates reported on an oxygenator utilizing a fluid fluorocarbon
1966
DeBakey implanted an external heart pump (LVAD) made by Liota; patient, Ms. Vasquez, kept alive for 10 days and became the first patient to survive with an artificial ventricular assist device
Clark and Gollan reported survival in mice injected with small quantities of fluorocarbon
Medawar received the Nobel Prize for his work on induction of chimerism and to induce tolerance to prevent graft rejection
Starzl was first to use antilymphocyte serum (ALS) clinically for kidney allografts
Glen and colleagues first treated a patient with chronic ventilatory failure with an RF-powered implant
Chang reported on artificial cells
Kantrowitz successfully implanted in a patient an aortic U-shaped auxiliary ventricle intended as destination therapy for congestive heart failure
Roberts reported on regenerating dialysate using the sorbents zirconium phosphate, hydrated zirconium oxide, and carbon with urease; system was commercialized in 1973 as the REDY machine
1967
Zingg reported on the principle of a “capillary” lung
Mortimer and Shealy reported inhibition of pain by dorsal column spinal cord
Greenwalt isolated lymphocytes and anti-lymphocyte globulins by centrifuging blood in double bags
Speiser reported on plasmapheresis in both healthy and sick patients and established a list of indications for plasmapheresis
First clinical implant of intra-aortic balloon pump was performed by Kantrowitz and Phillips
Belzer and Associates showed that ex vivo perfusion extended preservation of kidneys for 2-3 days
Terasaki started the first organ sharing organization
Starzl performed first successful human liver transplant
Barnard performs the first human cardiac transplant
Stewart performs the first clinical use of the capillary fiber artificial kidney
1968
Landé-Edwards and GE-Pierce (co-polymer of silicone and polycarbonate) plate-type membrane oxygenators were introduced commercially available
Judson and his IBM Associates developed the closed centrifuge which allowed the separation of plasma from the cellular components in discontinuous and later in continuous blood flow
Harvard ad hoc committee on brain death published its recommendation that irreversible loss of brain function be accepted as death
Brindley reported on visual prosthesis and sacral anterior root stimulator for bladder control
1969
Cooley performed the first successful clinical implant of a total artificial heart as a bridge to transplantation
Reynolds reported stimulation-produced analgesia using electrodes implanted in the periaqueductal gray matter in rats
1969
The American Association of Kidney Patients (AAKP) is founded in New York by kidney patients.