Haemonetics Cell Saver Elite+ - Monitoring the Waste Bag; Processing a Partial Bowl

92 Chapter 5
P/N 130859-US, Manual Revision: AA Haemonetics
®
Cell Saver
®
Elite
®
+ User Manual
Although the delay is important to ensure proper separation, it can be
overridden 15 seconds after the recentrifuge delay initiates, when the
(Play) key begins pulsating:
1. Press (Play) to override the delay and resume the process.
Attention: If the delay is overridden, be aware of the possibility of red cell
spillage caused by pumping fluid into a bowl of red blood cells with poor
or no separation.
 To avoid a red cell spillage into the waste bag, either:
 Touch (Pause) to stop the pump.
or
 Press the +/- pads to gradually adjust the pump to the desired speed
while observing the cells for separation.
Processing a
Partial Bowl
If it is necessary to process blood before a full bowl has been collected, the
user can wash a partial bowl by manually starting the Wash phase.
Blood processed using a partial bowl will have a lower hematocrit than blood
processed using a normal full bowl. Because the hematocrit of the bowl
contents is lower, there is more supernatant in the bowl. In order to dilute the
larger volume of supernatant, a partial bowl should use two times the normal
saline solution.
If the user chooses to wash a partial bowl, the device either automatically
doubles the wash volume, uses the default wash volume, or provides an option
to double the wash volume, as determined by the Partial Bowl Wash setting.
(See “Modifiable Settings” on page 129 for more information.)
Monitoring the
Waste Bag
During the procedure, the device monitors the amount of fluid collected in the
waste bag and alerts the user to change the bag or drain the contents of the
bag when it is almost full.
When emptying the waste bag, do not allow the fluid level in the bag to fall
below the 1 liter mark. This ensures that sufficient air is retained in the system
to empty the bowl. Make sure that the bowl is empty before replacing the waste
bag.
Emptying the Waste Bag
Attention: Unless the bowl is completely empty, keep fluid level in the waste
bag ABOVE the 1 liter mark on the waste bag. This prevents air loss.
Drain the waste fluid into an empty container for discard.