Preface
6
Spectra Optia Apheresis System Operator’s Manual
38
The following can cause fluid imbalance:
•
Administration of replacement fluid that is not at room temperature during a procedure
•
Use of improperly vented fluid containers
•
Equipment malfunction
•
Improperly clamped or closed lines, or improperly loaded valves
•
Use of inadequately primed or clotted filters on the replace line of the Exchange Set
•
Tubing that is incorrectly loaded in the pumps
39
The alarm system is inactive during a manual rinseback. If you must perform a manual rinseback, watch for
air in the return line. If you see air, immediately discontinue the rinseback.
40
Do not apply excess pressure to the vent bag when pushing fluid from the reservoir to the patient during a
manual rinseback or you could damage the red blood cells that you are returning to the patient.
41
Do not continue to squeeze the vent bag after the fluid in the reservoir reaches the level of the reservoir filter
during a manual rinseback. If you continue to squeeze the bag, you could deliver air to the patient.
42
Do not touch
Unload
to unload the tubing from the pumps or remove the tubing set when a patient is
connected to the Spectra Optia system, or the patient may receive surplus fluids through the inlet and return
lines.
43
All used disposable materials should be considered hazardous, and should be handled and disposed of at the
end of the procedure in accordance with all applicable regulations.
44
Turn off the system before cleaning to prevent possible electrical shock or damage to the equipment.
Exchange procedure warnings
45
Platelets are removed with red blood cells during a red blood cell exchange (RBCX) procedure. The
approximate percentage of platelets removed depends on the number of total blood volumes (TBV)
processed, as shown in the table below. It is the physician’s responsibility to determine the appropriate
treatment for the patient.
46
Terumo BCT does not recommend performing rinseback during RBCX procedures. The data that the
system uses to predict the run targets does not include rinseback volume. If rinseback is performed, the run
targets may not be accurate.
47
Before performing a therapeutic plasma exchange procedure with a secondary plasma device (TPE-SPD
procedure), carefully review the instructions for use provided by the manufacturer of the secondary plasma
device.
48
Some secondary plasma devices can leach small amounts of potentially toxic substances to patients and must
be flushed before use. Flush the device according to the manufacturer’s instructions to ensure patient safety.
TBV Processed
Percentage Platelets Removed
(Approximate)
0.5
39
1.0
63
1.5
78
2.0
86
SpectraOptiaOpsManual.book Page 6 Thursday, May 17, 2018 11:24 AM
