P/N 53063-30, Manual revision: B
3-7
Ensuring Safe Operation and Patient Care
P
ROVIDING
SAFE
PATIENT
CARE
Reinfusing blood
Gravity reinfusion of washed cells is accomplished more rapidly than infu-
sion of the usual unit of homologous, packed cells because red blood cells
suspended in saline are less viscous and are already at room temperature.
The blue-coded harness line is primed at the factory with 20 ml of sterile air.
During the first empty cycle this sterile air is sent into the reinfusion bag.
Therefore, the contents of the reinfusion bag should NOT be transfused
under pressure.
WARNING: DO NOT USE A PRESSURE CUFF OR ANY OTHER MECHAN-
ICAL DEVICE WITH THE CELL SAVER 5+ SYSTEM. PRESSURE REINFU-
SION CAN RESULT IN THE FATAL INFUSION OF AIR INTO THE PATIENT.
Should it become necessary to remove air from the reinfusion bag:
"
Clamp the tubing between the reinfusion bag and the patient and
invert the reinfusion bag.
"
Unclamp one of the red clamps on the tubing to the reinfusion bag
and squeeze the bag to remove the air.
Replacing depleted clotting factors
Washed, packed cells are depleted of clotting factors. The physician must
monitor the quantity of washed cells returned to the patient, and supple-
ment them with fresh frozen plasma and platelets if required for hemostasis.
Contraindications for use
The risk/benefit ratio of blood salvage must be determined on an individual
basis by the surgeons, anaesthetists and transfusion medicine specialists
involved in the patient care. The
mended contraindications.
Warning: The use of reinfused blood from the Cell Saver 5+ system may be
contraindicated, for example, in the case of sepsis or malignancy. The
responsibility for the use of this device belongs solely to the physician in
charge.
