Preoperative Sequestration (PPP and PRP)
X
TRA Operator’s Manual 20077/021 US 10-5
Setup for Preoperative Sequestration
The setup for preoperative sequestration differs slightly from that for intraoperative blood recovery.
When using the sequestration protocols, you will first install disposables and set up for sequestration.
When the sequestration procedure is completed, it is easy to convert the system quickly to
intraoperative blood recovery.
Supplies Required
The following supplies are required to set up the XTRA for both sequestration and intraoperative blood
recovery.
1. X
TRA Sequestration Set
2. X
TRA Bowl Set with 55 ml, 125 ml, 175 ml, or 225 ml bowl
3. X
TRA Collection Set
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.
WARNING
To reduce risk of air embolism, remove all air from the plasma bags
before handing the bag over for reinfusion.
WARNING
Do not reinfuse under pressure (i.e., do not use a blood pressure cuff
on the RBC or plasma/PRP bags). Reinfusion under pressure could
lead to air embolism.
WARNING
Non-red cell components (e.g., platelet rich/platelet poor plasma
intended for transfusion and platelet rich/platelet poor plasma)
shall be used or applied before the patient leaves the operating
room or clinical procedure area.
i
i
American Association of Blood Banks.
Standards for Perioperative Autologous Blood
Collection and Administration
. 3rd Edition. Bethesda, MD. 2007 Reference Standard
5.1.8 (Handling, Storage, Transportation)
CAUTION
Make sure that you attach both PRP bags included in the X
TRA
Sequestration
Set. Because the X
TRA
does not alert you when a specified volume is
collected, you must have sufficient bags available for the entire amount that
can be collected.
CAUTION
Store plasma products containing platelets at room temperature (20 °C to 24
°C) with continuous, gentle agitation.
i
i
American Association of Blood Banks. Standards for Blood Banks and Transfusion
Services. 18th ed. Bethesda, MD: American Association of Blood Banks, 1997:
G3.300.
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