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Chapter 6
P/N 130859-US, Manual Revision: AA
Haemonetics
®
Cell Saver
®
Elite
®
+ User Manual
Note: If the device is powered off without purging the blue line and is powered
on again within six hours with a processing set installed, the device prompts
you to resume the previous procedure or to save the previous procedure and
start a new one. If you choose to start a new procedure, the device marks the
previous procedure as complete and performs a self-test. If you instead choose
to continue the previous procedure, the device instructs you to ensure all
disposable components and interlocks are in place.
General
Precautions
When
Transferring the
RBCs for
Reinfusion
Alert: DO NOT USE A PRESSURE CUFF OR ANY OTHER MECHANICAL
DEVICE. PRESSURE REINFUSION CAN RESULT IN THE FATAL INFUSION
OF AIR INTO THE PATIENT.
Alert: The safe length of time that blood or blood products may remain in
the autotransfusion disposable components is dependent on collection
and storage methods. Refer to the AABB standards for more information.
Alert: In accordance with FDA guidelines and AABB standards, a
transfusion filter designed to retain particles that are potentially harmful
to the patient should be used when returning processed concentrated
RBCs.
Attention:
Depending upon the hematocrit of the incoming whole blood, a 225
mL bowl can yield 800 mL or more of plasma and cause hypovolemia if fluid
balance is not carefully maintained. Many variables influence the amount of
plasma that can be sequestered, and the volume to be sequestered must be
determined by an attending physician. The physician must be informed of the
amount and type of anticoagulant solution used, since the plasma collected will
still contain some anticoagulant solution.
The RBCs can remain in the RBC bag or be drained to a transfer bag for
reinfusion to the patient if needed. The RBCs should be treated the same as a
unit of washed, packed RBCs in terms of administration to the patient and
outdate of the product.
Removing the
Plasma Product
After the final Sequestration pass, disconnect the plasma product as follows:
1. Remove the collection bags from the pins and invert the bags.
2. Open the white, blue and yellow clamps.
3. Tap the sides of the effluent tubing leading to the collection bags to
dislodge any plasma/platelets which might have adhered to the tubing.
4. Close the green clamp on the collection bags.
5. Close the white, blue and yellow clamps.
6. Label the PPP/PRP product with the following minimum information:
