System Description
3-30
20077/021 US XTRA Operator’s Manual
Wash Solution
LivaNova recommends using sterile normal saline (injectable or special product for cell washing) as the
wash solution. It is available in one-, two-, three- and five-liter sizes. Larger size permits more blood to
be processed without interruption to change wash solution bags.
Accessories and Optional Devices
The accessories and optional products listed in the table below may be used with the XTRA system:
WARNING
In the event of excess heparin in collection reservoir due to
inappropriate ratios, the salvaged blood may contain residual
heparin.
WARNING
In the event of decreased patient antithrombin III levels if using
heparin anti coagulation, consult the physician in order to provide
alternate anticoagulation.
CAUTION
Prior to collecting any blood, prime the reservoir with approximately 200 ml
of the anticoagulant solution.
CAUTION
In the event of anticoagulant deficiency in collection reservoir due to
inappropriate ratios, the savaged blood may clot in the reservoir.
CAUTION
Avoid use of Ringer’s when using citrate anticoagulant as the simultaneous
use of incompatible IV fluids may cause clotting in the system.
CAUTION
Sterile 0.9% normal saline, USP (injectable or approved for cell processing) is
typically used as a wash solution. Other solutions intended for intravenous
use that have been approved by the FDA and have documentation available
to show the component is safe may be used.
i
i
American Association of Blood Banks.
Standards for Perioperative Autologous Blood
Collection and Administration
. 3rd Edition. Bethesda, MD. 2007 Reference Standard
5.4.4 (Addition of Drugs and Solutions)
WARNING
To prevent interference with anticoagulation when using citrate
anticoagulants, do not use wash solutions containing calcium. Only
sterile 0.9% normal saline (injectable or approved for cell
processing) should be used as a wash solution.
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