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Chapter 6, General Operation: Sequestration
P/N 120745-IE, Manual revision: AA
Haemonetics
®
Cell Saver
®
Elite
®
User Manual
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
disposables and interlocks are in place.
Transferring the
RBCs for
Reinfusion
Warning: DO NOT USE A PRESSURE CUFF OR ANY OTHER MECHANICAL
DEVICE WITH THE CELL SAVER ELITE SYSTEM. PRESSURE REINFUSION
CAN RESULT IN THE FATAL INFUSION OF AIR INTO THE PATIENT.
Warning: The safe length of time that blood or blood products may remain in
the autotransfusion disposables is dependent on collection and storage
methods. Refer to the AABB standards or to appropriate local standards for
more information.
Warning: In accordance with applicable current guidelines and standards, a
transfusion filter designed to retain particles that are potentially harmful to
the patient should be used when returning processed concentrated RBCs.
Caution:
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.
Refer to the current standards for expiration date of stored blood.
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:
Patient name and/or identification number
