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Haemonetics Cell Saver Manual
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Haemonetics Cell Saver Manual

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Cell Saver
®
Device
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.

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Summary of Contents for Haemonetics Cell Saver

  • Page 1 Cell Saver ® Device 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 2 Cell Saver ® System and Disposables 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 Prerequisites Before taking this lesson, the following module(s) should have been completed §Cell Salvage Introduction: Transfusion Copyright © 2009 Haemonetics Corp.
  • Page 4 Cell Saver Topics § Device § Disposables Automated Processing § § Optional: Manual Processing § Transfusion § Troubleshooting Copyright © 2009 Haemonetics Corp.
  • Page 5 Cell Saver Device Objectives Be able to: Identify the parts on the Cell Saver § § State the basic function of Cell Saver parts Copyright © 2009 Haemonetics Corp.

  • Page 6: Hardware Overview

    Moves fluid through disposables to produce washed RBC’s devoid of most contaminants and clotting factors Blood Solution Collect Process Separate Note: Some functions that are enabled in Automatic Mode may be disabled in Manual mode. Copyright © 2009 Haemonetics Corp.
  • Page 7 Red blood cells separated Uses size and weight § § Separated fluids pumped to collection bags Blood Solution Collect Process Separate Note: Some functions that are enabled in Automatic Mode may be disabled in Manual mode. Copyright © 2009 Haemonetics Corp.
  • Page 8 Hardware Overview: IV Poles CS 4 Hooks for hanging CS 5/5+ IV Pole anticoagulant, saline, and reinfusion bags Reservoir Bracket Reservoir Level Sensor Detects weight of collected fluid Copyright © 2009 Haemonetics Corp.
  • Page 9 What do you think? What would happen if a reservoir was not mounted in the reservoir bracket on the Cell Saver? To vacuum source Heparin 30, 000u sterile field • Device will not be able to sense shed blood volume •...
  • Page 10 Power and Fan Power Cord Machine Serial Number • Required for Hotline / Service calls Cooling Fan / Air Filter • Cools device • Removable foam filter inside Cart Latch • Releases machine from cart Copyright © 2009 Haemonetics Corp.
  • Page 11 Hardware Overview: Biohazard Waste Bag Biohazard Waste Bag • Attached to drain at bottom of centrifuge well • Collects spills from centrifuge Wheel locks Copyright © 2009 Haemonetics Corp.
  • Page 12 • Locks centrifuge cover into place ON/OFF Switch • Controls power • Functions as circuit breaker Waste Bag Support Pins / Weigher • Detects weight in bag • Alerts operator when waste level too high Copyright © 2009 Haemonetics Corp.
  • Page 13 • 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 Copyright © 2009 Haemonetics Corp.
  • Page 14 • 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 Copyright © 2009 Haemonetics Corp.
  • Page 15 • Advances mode from FILL to WASH Centrifuge Chuck • Spins bowl • Six clips hold bowl • Drain holes to biohazard bag Fluid Leak Sensors (2) • Stop centrifuge and pump if leak detected Copyright © 2009 Haemonetics Corp.
  • Page 16 Hardware Overview Effluent Line Sensor Effluent Line Sensor (Under Cover) • Monitors supernatant exiting bowl • Triggers appropriate washout • Adjusts pump speed to prevent RBC spill Copyright © 2009 Haemonetics Corp.
  • Page 17 What do you think? Which sensors could 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? •...
  • Page 18 Bowl Optics Sensor: First Event § 100% light reflected back § Detects empty bowl Detects bowl size § 100% Reflection Copyright © 2009 Haemonetics Corp.
  • Page 19 Bowl Optics Sensor: Second Event § Fraction of light reflected back § Detects fluid (supernatant - cellular and non-cellular) Partial Reflection Copyright © 2009 Haemonetics Corp.
  • Page 20 Bowl Optics Sensor: Third Event § No light reflected back by red cell layer Reflection RBCs Copyright © 2009 Haemonetics Corp.
  • Page 21 Patient has a slightly lower than § average hematocrit Reflection § 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 Copyright © 2009 Haemonetics Corp.
  • Page 22 Reflection § 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 Copyright © 2009 Haemonetics Corp.
  • Page 23 Bowl Optics Sensor: Hemolysis § Hemolysis colors supernatant and may pre-trip sensor § Vacuum at <200 mm Hg reduces hemolysis Little or No Reflection Hemolysis Copyright © 2009 Haemonetics Corp.
  • Page 24 § 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 Copyright © 2009 Haemonetics Corp.

  • Page 25: Control Panel

    Control Panel Display Screen Control Key Pad Copyright © 2009 Haemonetics Corp.

  • Page 26: Display Screen

    Display Screen Status of system Mode of operation Procedural data Operating options Copyright © 2009 Haemonetics Corp.
  • Page 27 Automatic Control Panel Mode Start • Switch between automatic, • Initiate/resume manual, emergency processing Help • Setup checklist. Stop • Troubleshooting information • Stops process (pump, centrifuge, close all clamps. • Press twice: return to Standby screen. Copyright © 2009 Haemonetics Corp.

  • Page 28: Manual Control Panel

    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 Copyright © 2009 Haemonetics Corp.
  • Page 29 ⇓ decrease pump rate Mode Max Rate (mL/min) Automatic Manual 1000 70 Ml Bowl Sequester Pause • Stops pump, NOT centrifuge • After centrifuge deceleration: Press PAUSE/STOP • Pump restart displayed • Repack RBCs before introducing more fluids Copyright © 2009 Haemonetics Corp.
  • Page 30 Modify Control Panel Modify Enter/exit modifiable parameter screen Select Moves highlight down parameter/question list Yes to question, raises values No to question, lowers values Copyright © 2009 Haemonetics Corp.
  • Page 31 What do you think? An 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)
  • Page 32 Cleaning Cell Saver 5 Parts § Perform timely maintenance § Unplug before performing maintenance § Handle biohazardous materials according to policy Cleaning Supplies Needed § Cleaning supplies and procedures Disinfectant Lint free cloths Clear water Soapy water Disposable gloves Protective clothing...
  • Page 33 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? Copyright © 2009 Haemonetics Corp.
  • Page 34 Questions Copyright © 2009 Haemonetics Corp.