Chapter 5, General Operation: Cell Salvage
89
Haemonetics
®
Cell Saver
®
Elite
®
User Manual
P/N 120745-IE, Manual revision: AA
Reinfusing
Processed
Blood
Important Warnings About Reinfusing Processed Blood
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: If reinfusing directly from the RBC bag, the bag MUST NOT become
empty in between transfusions to the patient. If air enters the reinfusion line,
empty the air before starting reinfusion.
Warning: If reinfusing directly from the RBC bag, the slide clamp between the
RBC bag and the patient MUST be closed between reinfusions. The white
ratchet clamps on the blue line between the RBC bag and the Cell Saver Elite
device MUST NOT be closed.
Warning: Washed, packed cells are depleted of clotting factors. The
physician must monitor the quantity of washed cells returned to the patient
and supplement the washed, packed cells with fresh frozen plasma and
platelets if required for hemostasis.
Warning: In accordance with applicable current guidelines and standards, a
transfusion filter designed to retain particles potentially harmful to the
patient should be used when returning processed concentrated RBCs.
Using a Transfer Pack
Reinfusion of the processed blood to the patient can begin as soon as there
are RBCs in the RBC bag. Collecting shed blood in the reservoir, filling the
bowl, and reinfusing processed blood to the patient can occur simultaneously
throughout the procedure.
Blood can be either reinfused directly to the patient from the RBC bag or
transferred to a transfer pack prior to reinfusion.
Follow the steps below to use a transfer pack:
1. Attach a transfer bag to one of the small ports on the reinfusion bag.
2. Open the slide clamp and allow all of the cells to flow into the transfer bag.
3. Close the slide clamp on both bags and remove the transfer bag.
At this point, the RBCs will be ready for reinfusion following standard
transfusion protocols.
Follow standard transfusion protocols when reinfusing the RBCs.
Changing
Processing Sets
During a
Procedure
Unless otherwise required in order to resolve an event message, the valve
module cover remains locked throughout the procedure to ensure it is not
inadvertently opened and the fluids within the processing set are not mixed. If
it becomes necessary to change the processing set during a procedure, follow
the steps below:
