84
Chapter 5
P/N 130859-US, Manual Revision: AA
Haemonetics
®
Cell Saver
®
Elite
®
+ User Manual
Performing the Intraoperative Cell Salvage Procedure
The Cell Salvage procedure processes blood solution from the reservoir in a
series of cycles. Each cycle consists of the Fill, Wash, and Empty phases.
When the Auto-Fill parameter is enabled the procedure will start and continue
automatically until the volume of fluid in the reservoir at the beginning of Fill is
less than the start volume setting.
Initiating a
Procedure
Once the disposable components are properly loaded onto the device, touch
Start Procedure
. The device advances to Standby.
Note: The Cell Salvage procedure can also be performed using Manual Mode,
as described starting on
.
Procedure
Overview
The device starts the
Fill phase
when the fluid in the collection reservoir
reaches a preset level or when the user touches
Fill
. During the Fill phase the
device pumps fluid from the reservoir into the spinning bowl.
Note: If the reservoir contains fluid and it is desired to process that fluid but the
device has not yet automatically tripped into Fill, touch
Fill
on the Cell Saver
Elite+ display.
The device starts the
Wash phase
when the bowl contains the appropriate
amount of red blood cells (RBCs) or when the user touches
Wash
. During the
Wash phase the device pumps saline solution into the spinning bowl. The
saline solution moves through the heavy red cell layer, carrying cellular
components and other waste solution out through the effluent tubing and into
the waste bag. During the Wash phase, the
Wash
pad expands to show the
wash volume used and the target wash volume. For information on changing
the target wash volume for the current wash cycle, see
The device starts the
Empty phase
at the completion of the Wash phase or
when the user touches
Empty
. During the Empty phase the device stops the
centrifuge and pumps the RBCs from the bowl to the blue line. To minimize the
number of RBCs remaining in the bowl at the end of Empty, the device starts
Empty at a higher speed and reduces it throughout the Empty cycle in
preprogrammed increments. The default settings are specified on
. If
the user changes the empty pump rate in the settings group, the device
maintains the new speed specified in the settings group throughout the Empty
cycle.
Note: If the user manually adjusts the pump speed, pump regulation is
disabled. If the user then manually adjusts the pump speed back to the default
value specified in the current settings group, pump regulation is enabled again.
