The effect of a cutout on the pump pressure-flow characteristics and the impeller stability was quantified using computational fluid dynamics analysis in order to provide good hemocompatibility of the monopivot extracorporeal circulation pump. As a result, the following findings were clarified. The pump pressure is lower in the cutout model than in the no-cutout model. The impeller stability with respect to the buoyancy of the impeller is better in the cutout model than in the no-cutout model. The impeller stability with respect to the impeller tilt is better in the cutout model than in the no-cutout model. Therefore, the cutout model, in which the geometry corresponds to the commercialized pump, was likely to be better than the no-cutout model because the stability that has the possibility to decrease the gap instantaneously to increase hemolysis despite the impeller rotational speed slightly.