Spectra Optia Apheresis System Operator’s Manual
105
Therapeutic Plasma Exchange with a Secondary Plasma Device (TPE-SPD) Procedures
8
Connecting the Plasma Device Using an Extension Tubing Set
Follow the instructions in this section to use an extension tubing set to connect the plasma device to the Exchange
Set.
Setting Up and Priming the Extension Tubing Set
1
Follow the instructions on the screen to empty the saline drip chamber on the saline line.
2
Touch
Confirm
.
3
Follow the instructions on the screen to connect and prime the extension tubing set and to connect the
extension tubing set to the inlet end of the plasma device.
4
Touch
Confirm
.
Connecting the Treated Plasma Bag
If you intend to use the system to prime the plasma device with saline, follow the instructions under “Saline prime:
Yes.” If not, follow the instructions under “Saline prime: No.”
If you are performing a prime divert or you are using a blood warmer on the replace line, perform the following
steps before you connect the treated plasma bag:
•
To perform a prime divert to remove any fluid in the plasma device, you must have entered a value for the
prime divert volume on the plasma device configuration screen or on the plasma device data screen. You must
also ensure that a waste bag or other appropriate container is connected to the outlet end of the plasma device
to hold the diverted fluid. After the prime divert is complete, the system pumps a volume into the treated
plasma bag that is equal to 50 mL or 5% of the patient’s TBV, whichever is less.
•
If you are using a blood warmer on the replace line, follow the instructions “Exchange Procedures: Using a
Blood Warmer on the Replace Line” on page 267 before you connect the treated plasma bag. If you are not
using a blood warmer or are using a blood warmer on the return line, follow the instructions on the screen to
connect and prime the blood warmer tubing after you connect the treated plasma bag.
Saline prime: Yes
To use the Spectra Optia system to prime the plasma device, you must select
Yes
for a saline prime on the plasma
device configuration screen or on the plasma device data screen. You may prime the plasma device as many times as
necessary. If you ultimately decide not to perform the prime, touch
Skip Prime
.
1
Follow the instructions on the screen to connect a waste bag to the outlet end of the plasma device.
2
Touch
Confirm
.
3
Follow the instructions on the screen to spike the replace line into the saline container.
4
Touch
Confirm
. The screen appears instructing you to enter the data required for the prime and to prime the
plasma device.
5
Enter the volume of saline and the flow rate required for the prime.
Note:
Monitor the volume in the saline container on the saline line. Saline from this container is also used for priming the
plasma device. If the container empties, air could be drawn into the tubing set.
SpectraOptiaOpsManual.book Page 105 Thursday, May 17, 2018 11:24 AM