| CPC A61M 60/122 (2021.01) [A61M 60/13 (2021.01)] | 20 Claims |

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1. An intravascular gas exchange system, the system comprising:
a pneumatic inlet configured to couple to a pneumatic source that provides a gas at a pressure at or above 1.1 bar of absolute pressure;
a plurality of hollow fiber membranes (HFM) in pneumatic communication with the pneumatic inlet to receive the gas and with an outlet for exhaust gas,
wherein a diffusive flux of the gas flows from the plurality of HFMs in a region of interest of a subject, and
wherein an average intraluminal pressure in the plurality of HFMs is at or above 1.1 bar of absolute pressure;
a vacuum system pneumatically coupled to the plurality of HFMs; and
an electronic controller coupled to the vacuum system and configured to control the vacuum system to de-pressurize the plurality of HFMs in response to detecting that a pressure change value in the plurality of HFMs has exceeded a threshold.
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