General Operation: Cell Salvage
85
Haemonetics
®
Cell Saver
®
Elite
®
+ User Manual
P/N 130859-US, Manual Revision: AA
Note: If the device loses power during the Empty cycle, touch
Empty
after
recovering the procedure to ensure the bowl empties completely.
If there is no further blood to process, the user should end the procedure. See
“Completing a Procedure” on page 95
.
Cell Salvage
Additional
Functions
Concentrate Phase
If it becomes necessary to wash and reinfuse whatever cells are currently in
the bowl and there are washed RBCs in the RBC bag, the user can initiate a
Concentration phase
by touching
Conc
on the touch screen.
During the Concentration phase the device transfers washed RBCs from the
RBC bag back into the bowl. The device starts the Wash phase when the bowl
contains the appropriate amount of RBCs.
If there are insufficient RBCs in the RBC bag to initiate a Wash phase, the user
may wash a partial bowl.
Return Phase
If it becomes necessary to return the fluid in the bowl to the collection reservoir,
the user can initiate a
Return phase
by touching
Return
on the touch screen.
During the Return phase, the device pumps fluid from the bowl through the red
line and back to the collection reservoir. The volume returned to the red line is
subtracted from the processed volume.
Emergency Options
In emergency situations where users are managing high blood-loss, it may be
necessary to accelerate the processing time to quickly return blood to the RBC
bag for reinfusion to the patient. The Cell Saver Elite+ offers two modes for this
purpose:
Emergency Mode: If time allows for washing the blood, users can initiate
Emergency Mode, which accelerates the pump speed and decreases the
time required to return the product to the RBC bag. This mode
concentrates and washes the blood before reinfusing it back into the bag
for delivery. Emergency Mode is available from the
Processing
screen
) during the Fill, Wash, Empty, Concentrate, and
Return phases. It is not available from a Standby or Stopped state, or
when in Manual Mode or Quick Transfer Mode. For more information, see
.
Quick Transfer Mode: When time is of the essence for returning the
product to the patient due to trauma, sudden massive blood loss,
thoracoabdominal aneurysm, and so on, users can initiate Quick
Transfer. This mode quickly moves the shed blood from the reservoir to
the reinfusion bag. The device automatically cycles through the Fill and
Empty phases continuously with a non-spinning bowl until the reservoir is
empty, completely bypassing the wash phase. This feature must be