This guide is not intended as a substitute for the Cell Saver
®
Elite
®
+ System Operation Manual or authorized training.
TRN-QRG-100125-US(AC)
Substances of Concern
Recommended action:
Avoid aspiration in the presence of these substances.
*For antibiotics, increase wash volume by 500 mL.
Aspiration may resume after copious irrigation with 0.9% Sodium Chloride solution to an alternate suction container.
For tumor cells, avoid aspiration at tumor site.
Physician in charge must make all decisions regarding reinfusion.
Clotting agents
Substance
Examples
Microfibrillar
products
Avitene
®
, Helitene
®
, Oxycel
™
,
Gelfoam
®
Powder, Instat
®
MCH
Sponge/fabric
materials
Surgicel
®
, Surgicel Nu-Knit
®
,
Gelfoam
®
Sponge, Helistat
®
, Instat
®
,
Hemopad
™
, SuperStat
®
, HemoFoam
™
Topical liquids
Thrombin-JMI
®
, Thrombostat
™
,
Thrombogen
™
Irrigating solutions
Substance
Examples
Alcohol
Antibiotics
*
Bacitracin, Neomycin, Polymyxin
Betadine
®
Hypertonic solution
3% NaCl, 7% NaCl,
Dextrose solutions
Hypotonic solution
Sterile water, Glycine
Lactated Ringers
(in presence of Citrate Anticoagulant)
The following are trademarks or registered trademarks of the company listed in parentheses, in the United States, other countries, or both: Avitene
(C.R. Bard Inc.); Betadine (Purdue Products Inc); Gelfoam (Pharmacia & Upjohn Company); Hemopad (Astra USA, Inc.); Helistat and Helitene (Integra
LifeSciences Corporation); Instat, Surgicel, Surgicel Nu-Knit, and Thrombogen (Johnson & Johnson Corporation); Oxycel (Becton Dickinson and Company);
Superstat (Superstat Corporation); Thrombin-JMI (King Pharmaceuticals Research and Development Inc.); Thrombostat (Warner-Lambert LLC).
WARNING: Avoid suction of the following substances into the Cell Saver Elite+ system reservoir in accordance with AABB Guidelines.
A more complete list can be found in the operation manual.
Bone cement
Substance
Examples
Methyl Methacrylate
Hardened, liquid, powdered
Malignancy
Tumor cells
Contaminants
Amniotic fluid
