2-trn-ppt-100025-us (ab)-cell saver disposablenc

Cell Saver®

Disposables

Copyright © 2009 Haemonetics Corporation. All Rights Reserved TRN-PPT-100025-US-(AB)

Haemonetics, cardioPAT, Cell Saver, Infonalé, OrthoPAT, SmartSuction Harmony, and TEG are trademarks or registered trademarks ofHaemonetics Corporation in the USA, other countries, or both.

Copyright © 2009 Haemonetics Corp.

Cell SaverTopics

§Device§Disposables§Automated Processing§Optional: Manual Processing §Transfusion§Troubleshooting


Cell Saver DisposablesObjectives

Be able to:

§Name disposables

§Name parts on disposables

§State function of disposable and parts of disposable


Disposables

§Disposables (single patient use)§Fluids touch disposable, not the machine§No latex present in fluid pathways

Aspiration and anticoagulant assembly

Bowl and Processing Set Collection reservoirs


DisposablesPackaging Information

Each disposable package contains the following information

§Manufacturer §Product and list number §Description of contents§Lot number§Expiration date § Instructions for opening the

disposable


Collection Reservoir

§Temporary container for salvaged blood

§3000 mL capacity§Color coded ports


Collection ReservoirParts

Yellow-Capped Port• Attach vacuum source tubing (negative pressure)

Blue-Capped Ports (3)• Attach A&A line from sterile field to one• New blue port used when line/port clogged• Dead-end cap used ports

Luer Ports (2) seldom used• Provide access to collection contents • Do NOT add medication to salvaged blood

Override Cap• To disable pressure relief valve

Pressure Relief Valve (prevents cell destruction)• Automatically relieves pressure >200 mm Hg• Closes when lower pressure achieved


Collection ReservoirParts

Outlet Drain• Attach to red line of bowl & harness set• May attach step-down connector

Defoamer/Filter• Removes large particles collected (e.g. bone chips)

• 20–150 μm (differs with collection reservoir list number)

Slide Clamp


What do you think?

Blood is not collecting in the reservoir.

What are the possible problems?

• No Suction

• Blocked tubing

• Clotted blood trapped in filter


A&A AssemblyPackaging

Sterile package contains§A&A line§Lot no. labels


Spike/Drip Chamber

Anticoagulant Line

Roller Clamp

Suction line

Aspiration and Anticoagulant Assembly(A&A Line)

§Used to aspirate blood§ Aspirate: remove a fluid with suction

§Do NOT use a wall vacuum line§Suction tip

§ Attach to mixing chamber§ Choose type that

§ Minimizes hemolysis§ Minimizes air/blood turbulence

WyeConnector


A&A Line

Two side by side tubes§ Anticoagulant Line

§ Smaller diameter tube with drip chamber§ Anticoagulated Blood Line

§ Larger diameter tube§ Wye Connector

§ Connects tubes§ Connector for suction tip§ Mixing chamber

wye connector

anticoagulant connection

collection reservoir connectionattach suction tip


Anticoagulant Solution

Anticoagulant solutions – prevent clotting in disposable

§Heparin use§ Hospitals and OR§ Mix 30,000 units per liter of normal

saline (0.9% USP)§Citrate use

§ Blood banks§ Premixed solutions

Note: Haemonetics does not supply anticoagulant solution with disposable sets. Selection of anticoagulant is hospital / medical professional choice.


What do you think?

Clotted blood is observed in the A&A line during aspiration of blood.

What are the possible problems?

• Insufficient anticoagulation


Bowl and Harness SetContents

§ Tubing harness§ Reinfusion bag§ Waste bag§ Centrifuge bowl

§ 225 mL (high speed, large blood loss)

§ 70 mL or 125 mL (lower blood loss)

§ Tubing caps§ Lot no. labels§ Reinfusion bag labels§ QA card


Bowl and Harness SetFluid Pathway

§ Fluid moves through set§ Collection reservoir →

processing → separate destinations

§ Pathway§ Sterile§ No latex


Bowl and Harness SetManifold and Tubing Harness

§Red Line§ To Reservoir

§Yellow Line§ To Wash Solution

§Blue Line§ To Product Bag

§Manifold


Bowl and Harness SetLatham Bowl

Inlet Port Outlet Port

Header/Rotary SealBowl

CoreSizes§ 75 mL§ 125 mL§ 250 mL


Bowl and Harness SetReinfusion Bag

§1000 mL (50 mL increments)

§Reinfusion Ports/Pigtails

DO NOT PRESSURE REINFUSE


Waste Bag

Waste Bag• collects waste processing fluids (10 L capacity)

Waste Bag Support Pins / Weigher• Detects weight in bag

Empty line• Air displacement

Drain port

2-trn-ppt-100025-us (ab)-cell saver disposablenc

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