Special Cycles
6-8
20077/021 US XTRA Operator’s Manual
Connecting the Blood Administration Set to the XTRA RBC Bags
If it is necessary to establish a continuous loop for reinfusion of blood processed by the XTRA, follow
these steps:
1. Using aseptic technique, spike one of the unused ports of the X
TRA RBC bag (either of the two
unused ports may be used) with either:
◊ a blood administration set which has an integral microaggregate (20-40 micron) transfusion
filter (see Figure 6-6 Top).
OR
◊ a separate microaggregate (20-40 micron) transfusion filter (see Figure 6-6 Bottom).
2. Make certain that the primary clamp is in the open position. Prime and de-bubble the blood
administration and microaggregate filter set according to manufacturer's recommendations. Then
close the distal roller clamp on the blood administration line.
3. Clamp off a secondary RBC bag.
4. Attach the second leg of the “Y”-type blood administration set to one of the remaining ports of
the secondary RBC bag.
5. Close the primary clamp. This clamp should remain closed during processing with the X
TRA
system.
6. After a unit of packed red blood cells has been emptied into the X
TRA RBC bag, open the primary
clamp to allow the cells to flow into the secondary RBC bag. Then close the primary clamp prior
to initiating reinfusion to the patient.
Note: The primary clamp on the leg of the “Y”-type blood administration set attached to the RBC
bag should remain closed during processing and/or reinfusion.
7. The distal end of the blood administration set is now ready to be connected to a suitable venous
catheter by the anesthesiologist.
WARNING
To reduce the possibility of air or particulate embolism, LivaNova
STRONGLY RECOMMENDS the use of reinfusion protection devices,
including microfilters, when infusing processed blood.
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