P/N 53063-30, Manual revision: B
5-7
Cell Saving using Automatic Operation
Reinfusing processed blood
Reinfusion of the processed blood to the patient can begin as soon as there
are red blood cells in the reinfusion bag. Collection of shed blood in the res-
ervoir, filling the bowl, and reinfusing processed blood to the patient can oc-
cur simultaneously throughout the procedure.
A transfer pack can be used to transfer the contents from the reinfusion bag
to a second bag as follows:
"
Attach a transfer bag to one of the small ports on the reinfusion bag.
"
Open the slide clamp and allow all of the cells to flow into the trans-
fer bag.
"
Close the slide clamp on both bags and remove the transfer bag.
At this point, the red blood cells will be ready for reinfusion following stan-
dard transfusion protocols.
Important Warnings about reinfusing processed blood
Warning: The reinfusion bag MUST NOT become empty in between trans-
fusions to the patient. If air does enter the reinfusion line, it must be
removed before starting reinfusion.
The slide clamp between the reinfusion bag and the patient MUST be
closed between reinfusions. The white slide clamp on the blue line
between the reinfusion bag and the CS5+ device MUST NOT be closed.
Washed, packed cells are depleted of clotting factors. The physician must
monitor the quantity of washed cells returned to the patient and supple-
ment the washed, packed cells with fresh frozen plasma and platelets if
required for hemostasis.
A PRESSURE CUFF OR ANY OTHER MECHANICAL DEVICE MUST NOT
BE USED WITH THE CS5+ DEVICE. PRESSURE REINFUSION CAN RESULT
IN THE FATAL INFUSION OF AIR INTO THE PATIENT.
Warning: In accordance with the applicable current guidelines and stan-
dards, it is recommended that a transfusion filter capable of retaining parti-
cles potentially harmful to the recipient be used when returning processed
packed red blood cells.
The operator should refer to the current standards for expiration date of
stored blood.
