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Copyright © 2009 Haemonetics Corp.

Bowl Optics Sensor:
Third Event

§

No light reflected back by red cell layer

RBCs

No

Reflection

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Summary of Contents for Cell Saver

Page 1: ...etics Corporation All Rights Reserved TRN PPT 100024 US AB Haemonetics cardioPAT Cell Saver Infonalé OrthoPAT SmartSuction Harmony and TEG are trademarks or registered trademarks of Haemonetics Corporation in the USA other countries or both ...

Page 2: ...sables Copyright 2009 Haemonetics Corporation All Rights Reserved TRN PPT 100024 US AB Haemonetics cardioPAT Cell Saver Infonalé OrthoPAT SmartSuction Harmony and TEG are trademarks or registered trademarks of Haemonetics Corporation in the USA other countries or both ...

Page 3: ...Copyright 2009 Haemonetics Corp Prerequisites Before taking this lesson the following module s should have been completed Cell Salvage Introduction Transfusion ...

Page 4: ...Copyright 2009 Haemonetics Corp Cell Saver Topics Device Disposables Automated Processing Optional Manual Processing Transfusion Troubleshooting ...

Page 5: ...Copyright 2009 Haemonetics Corp Cell Saver Device Objectives Be able to Identify the parts on the Cell Saver State the basic function of Cell Saver parts ...

Page 6: ...e Overview Moves fluid through disposables to produce washed RBC s devoid of most contaminants and clotting factors Note Some functions that are enabled in Automatic Mode may be disabled in Manual mode Blood Solution Collect Process Separate ...

Page 7: ...Hardware Overview Red blood cells separated Uses size and weight Separated fluids pumped to collection bags Note Some functions that are enabled in Automatic Mode may be disabled in Manual mode Blood Solution Collect Process Separate ...

Page 8: ...ight 2009 Haemonetics Corp Hardware Overview IV Poles Reservoir Level Sensor Detects weight of collected fluid Hooks for hanging anticoagulant saline and reinfusion bags Reservoir Bracket CS 5 5 CS 4 IV Pole ...

Page 9: ... What would happen if a reservoir was not mounted in the reservoir bracket on the Cell Saver Heparin 30 000u To sterile field To vacuum source Device will not be able to sense shed blood volume Device will not be able to automatically begin processing ...

Page 10: ...aemonetics Corp Hardware Overview Power and Fan Machine Serial Number Required for Hotline Service calls Power Cord Cooling Fan Air Filter Cools device Removable foam filter inside Cart Latch Releases machine from cart ...

Page 11: ...Copyright 2009 Haemonetics Corp Hardware Overview Biohazard Waste Bag Biohazard Waste Bag Attached to drain at bottom of centrifuge well Collects spills from centrifuge Wheel locks ...

Page 12: ...ge Cover Clear to allow visibility MUST be closed for centrifuge to function ON OFF Switch Controls power Functions as circuit breaker Centrifuge Cover Latch Locks centrifuge cover into place Waste Bag Support Pins Weigher Detects weight in bag Alerts operator when waste level too high ...

Page 13: ...tor Air Detector Senses fluid between bowl and pump Helps in volume accounting Interrupts automatic processing and alerts operator Manifold Door Latch Holds tubing manifold in place Pump Moves fluid in out of centrifuge Can control manually Rate varies in automatic ...

Page 14: ...ors Valves 3 regulate fluid pathway Red reservoir circuit to bowl Yellow wash to bowl Blue bowl to reinfusion bag Clamped Line Sensor Monitors pressure in blue red line Stops pump if line clamped Disposable Loaded Sensor Senses when tubing manifold is locked in place ...

Page 15: ...w Centrifuge Locking Support Arm Holds bowl header in place Optical RBC Sensor Advances mode from FILL to WASH Fluid Leak Sensors 2 Stop centrifuge and pump if leak detected Centrifuge Chuck Spins bowl Six clips hold bowl Drain holes to biohazard bag ...

Page 16: ...pyright 2009 Haemonetics Corp Hardware Overview Effluent Line Sensor Effluent Line Sensor Under Cover Monitors supernatant exiting bowl Triggers appropriate washout Adjusts pump speed to prevent RBC spill ...

Page 17: ...ould suspend operation of the Cell Saver Why Clamped Line Sensor Waste Bag Support Pins Weigher Fluid Leak Sensor Which sensors trigger a change in the mode of operation of the Cell Saver Why Reservoir Level Sensor Air Detector Effluent Line Sensor Optical RBC Sensor ...

Page 18: ...Copyright 2009 Haemonetics Corp Bowl Optics Sensor First Event 100 light reflected back Detects empty bowl Detects bowl size 100 Reflection ...

Page 19: ...Copyright 2009 Haemonetics Corp Bowl Optics Sensor Second Event Fraction of light reflected back Detects fluid supernatant cellular and non cellular Partial Reflection ...

Page 20: ...Copyright 2009 Haemonetics Corp Bowl Optics Sensor Third Event No light reflected back by red cell layer RBCs No Reflection ...

Page 21: ...ieving that the RBC layer is present when it is not The RBC layer has not reached the sensor height Patient has a slightly lower than average hematocrit Supernatant that is perfectly clear close to pure water Supernatant that is dark close to RBC color Dirty bulb or optics from a previous spill No Reflection ...

Page 22: ...ng that the RBC layer is present when it is not The RBC layer has not reached the sensor height Patient has a slightly lower than average hematocrit Supernatant that is perfectly clear close to pure water Supernatant that is dark close to RBC color YES Dirty bulb or optics from a previous spill YES No Reflection ...

Page 23: ...Copyright 2009 Haemonetics Corp Bowl Optics Sensor Hemolysis Hemolysis colors supernatant and may pre trip sensor Vacuum at 200 mm Hg reduces hemolysis Little or No Reflection Hemolysis ...

Page 24: ...hink Using the diagram given what area or component s would you inspect to see Red cell separation Bowl Why processing has stopped Display Screen Why the display screen is blank On Off Switch If excessive hemolysis is present Bowl of Effluent Line ...

Page 25: ...Copyright 2009 Haemonetics Corp Control Panel Display Screen Control Key Pad ...

Page 26: ...Copyright 2009 Haemonetics Corp Display Screen Status of system Mode of operation Procedural data Operating options ...

Page 27: ...matic Control Panel Start Initiate resume processing Stop Stops process pump centrifuge close all clamps Press twice return to Standby screen Mode Switch between automatic manual emergency Help Setup checklist Troubleshooting information ...

Page 28: ...orp Manual Control Panel Fill Fills bowl through red line Wash Pumps wash solution to bowl through the yellow line Empty Empty bowl through blue line Conc Fills bowl through blue line Return Returns fluid in bowl through red line ...

Page 29: ...OT centrifuge After centrifuge deceleration Press PAUSE STOP Pump restart displayed Repack RBCs before introducing more fluids Pump Controls increase pump rate decrease pump rate Each push 25 mL min Mode Max Rate mL min Automatic 600 Manual 1000 70 Ml Bowl 300 Sequester 10 ...

Page 30: ...ht 2009 Haemonetics Corp Modify Control Panel Modify Enter exit modifiable parameter screen Select Moves highlight down parameter question list Yes Yes to question raises values No No to question lowers values ...

Page 31: ...operator always uses the Cell Saver in Automatic mode and occasionally accesses troubleshooting information How many buttons on the control panel do they touch 3 4 if they include Stop What are they Start Yes Help Stop What do you think ...

Page 32: ...enance Unplug before performing maintenance Handle biohazardous materials according to policy Cleaning supplies and procedures Cleaning Supplies Needed Disinfectant Lint free cloths Clear water Soapy water Disposable gloves Protective clothing Safety glasses Biohazardous waste bag ...

Page 33: ...Copyright 2009 Haemonetics Corp Discussion Point Some reasons for manual mode may have been mentioned What are other reasons or situations that may cause an operator to use the Manual mode ...

Page 34: ...Copyright 2009 Haemonetics Corp Questions ...

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