Haemonetics Cell Saver Elite+ User Manual page 90

90
P/N 130859-US, Manual Revision: AA
b. Either select the same settings group that was being utilized
immediately prior to switching to Manual Mode or another settings
group.
c. Select Emergency Mode or Quick Transfer.
See "Emergency Mode" on page 86
page 86 for more information.
Note: To customize the Manual Mode default settings, and for a list of the
factory default settings, see
page 130 (pump rate and centrifuge speed defaults for the different phases can
be modified; alert sounds can be disabled).
Collecting Fluid in the Reservoir
The AC solution flow rate should be adjusted to be consistent with the rate at
which blood is collected at a 1-2 drops/second rate for heparin solution (30,000
units of heparin in 1 liter of normal saline solution).
Initiation of the Fill phase is largely dependent upon the rate of fluid collection
in the reservoir. If the patient is losing blood steadily and rapidly, processing
may begin as soon as a minimum of 200 mL (default of 800 mL) of fluid enters
the reservoir. However, it is more typical to begin processing by initiating the
Fill phase after the reservoir has accumulated 600-900 mL of volume.
Note: The reservoir volume will have a lower than normal hematrocrit due to
suction hemolysis, dilution by wound irrigants, and dilution by heparinized
saline.
Filling the Bowl
1. Touch Fill to initiate the Fill phase.
Attention: The Fill phase does not stop until the user presses another
key, such as the Wash key.
Using the Concentrate Option
1. Touch Conc to use the concentration option.
The blue pinch valve opens and allows RBCs to be drawn from the
reinfusion bag into the bowl and displaces supernatant from the bowl into
the waste bag.
Washing the Cells
As the bowl is filling during either the Fill or Concentrate phase, observe when
the RBC/supernatant interface reaches a point just below the neck of the bowl.
When this occurs, initiate the Wash phase:
1. Touch Wash.
The volume of wash solution required depends upon factors such as the
degree of hemodilution and amount of AC solution used. Certain minimum
and "Quick Transfer Mode" on
"Cell Salvage - Manual Mode Default Settings" on
®
Haemonetics Cell Saver
Chapter 5
® ®
Elite + User Manual