The Machine Perfusion Black Book

Machine perfusion is the fastest growing skill set in transplant perfusion.

It is also the most legally exposed area most perfusionists have never thought about.

A company calls. A transplant program needs help. The device is sitting in the room. The organ is on the way.

And nobody has asked whether the policy and procedure manual covers this. Whether legal has reviewed the external engagement. Whether the IFU has been read. Whether the malpractice coverage extends to this setting.

A good outcome does not protect you if your scope was undefined.

The machine perfusion landscape is expanding faster than the institutional frameworks around it. OrganOx. OCS Heart. LifePort. EVLP. NRP-to-NMP sequential protocols. DCD cardiac procurement. These are not theoretical — they are happening at programs across the country right now, often with perfusionists operating in roles their department policy never anticipated.

The clinical skills matter. The priming protocols matter. The viability criteria matter.

The governance framework matters more than any of them. Because without it, everything else is unprotected.

I built the resource I wish had existed when this started moving this fast.

The Machine Perfusion Black Book is a clinical reference book with priming protocols, platform-specific tips, viability criteria, troubleshooting, and the institutional and legal framework every perfusionist needs before they touch a circuit.