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Système d'autotransfusion

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Size: 7 x 9 in (178 x 229 mm)
5. Close the clamp on the bottom of the secondary collection reservoir.
6. If using 1 regulated vacuum source, connect tubing from a dual vacuum assembly to the yellow-capped ports on each
collection reservoir. Connect the remaining tubing from the dual vacuum assembly to the vacuum source.
Note: The dual vacuum assembly is a "T" shaped tubing component, included with the tandem reservoir Y assembly, which
connects 1 vacuum pump to the vacuum ports of the 2 reservoirs.
7. If using a secondary regulated vacuum source, attach the second vacuum line to the yellow-capped port on the secondary
collection reservoir. Attach the other end of the second vacuum line to the secondary regulated vacuum source.
8. Attach the blue-capped connector of an additional suction/anticoagulant line to one of the available inlet ports of the secondary
collection reservoir.
9. Close the roller clamp on the additional suction/anticoagulant line. If the anticoagulant container is nonvented, spike the
anticoagulant container and open the vent cover on the drip chamber.
10. Spike an additional anticoagulant bag for the second suction/anticoagulant line.
11. Before blood collection, open the roller clamp and prime the secondary collection reservoir with a minimum of 200 mL of
anticoagulant solution.
12. Reduce the anticoagulant flow to each collection reservoir to a ratio of approximately 15 mL of solution to 100 mL of blood.
13. Monitor both collection reservoirs periodically for appropriate anticoagulation.
14. To move blood from the secondary collection reservoir to the primary collection reservoir, open the clamp on the connector to
the primary collection reservoir, and momentarily clamp the suction/anticoagulant line on the secondary collection reservoir,
using a hemostat.
15. To pause the movement of blood from the secondary collection reservoir to the primary collection reservoir, open the hemostat
on the suction/anticoagulant line to the secondary collection reservoir, and close the clamp on the connector to the primary
collection reservoir.
16. To maintain the desired vacuum setting during processing using 1 vacuum source, either clamp one of the
suction/anticoagulant lines not in use, or increase the vacuum setting to maximum.
17.4 Draining cardiopulmonary bypass circuit (CPB) contents to the device
1. Connect the CPB circuit to an inlet port on a collection reservoir on the device. Ensure that the connector is fully secured.
2. Drain the contents of the CPB circuit to the collection reservoir.
3. Process the blood. See Section 13.5.
17.5 Postoperative wound drainage
The following steps are only necessary if they were not completed previously for intraoperative blood processing.
The bowl and tubing setup and the operating instructions for this case are the same as those for a standard case (Section 13.4).
1. Open the sterile collection reservoir and remove the step-down connector.
2. Attach the step-down connector to the bottom of the collection reservoir. Ensure that the connector is fully secured.
3. Place the collection reservoir into a reservoir holder. Attach a vacuum line to the yellow-capped port on the collection reservoir.
4. Attach the other end of the vacuum line to a regulated vacuum source. Use an appropriate, and preferably intermittent, vacuum
source adjusted to −80 mmHg or less.
5. Aseptically pass the suction/anticoagulant line into the sterile field.
6. Attach the blue-capped connector of the suction/anticoagulant line to either the blue-capped or white-capped inlet port on the
top of the collection reservoir.
7. Close the roller clamp on the suction/anticoagulant line. Spike the anticoagulant container. If the anticoagulant container is
nonvented, open the vent cover on the drip chamber.
8. Before blood collection, open the roller clamp and prime the collection reservoir with a minimum of 200 mL of anticoagulant
solution.
9. Reduce the anticoagulant flow to a ratio of approximately 15 mL of solution to 100 mL of blood.
10. Connect the universal Y connector to the suction/anticoagulant line. When the device is turned off, stop the anticoagulant flow.
Start the anticoagulant flow when the vacuum is turned on.
11. Begin blood collection. After adequate blood volume has been collected, it can be processed by the device.
12. If simultaneous blood collection is needed for 2 drain lines, a second collection reservoir, suction/anticoagulant line with
anticoagulant container, and vacuum source may be used (with reservoirs in either series or parallel).
18 Troubleshooting guide
Note: This guide is intended to provide a simple description of common problems that can occur during use of the device, and of
the messages that appear during its operation. A brief description of the cause of the problem or message is also included.
18.1 Power failure
Normally, each time the device power is turned on, parameters are initialized to prepare it for use with a new patient. However, after
a power failure or interruption (and if the device is restarted within 6 hours), the following message appears: Resume previous
case? If Yes, bowl contents will be pumped to reservoir. Make sure the reservoir is connected.
1. To continue the previous case, select Yes.
2. To start a new case, select No.
Note: The device defaults to a new case if the device power is turned on 6 or more hours after shutdown or power loss.
M967226A006 1B Medtronic Confidential
41
502431-132
English
Composed: 2018-06-08 06:06:55
PSJ - Size-selectable package manual 02-MAY-2018

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