Haemonetics Cell Saver User manual

Cell Saver®
Device
Copyright © 2009 Haemonetics Corporation. All Rights Reserved TRN-PPT-100024-US-(AB)
Haemonetics, cardioPAT, Cell Saver, Infonalé, OrthoPAT, SmartSuction Harmony, and TEG are trademarks or registered trademarks of
Haemonetics Corporation in the USA, other countries, or both.

Welcome
to
Haemonetics Training
for the
Cell Saver®System and Disposables
Copyright © 2009 Haemonetics Corporation. All Rights Reserved TRN-PPT-100024-US-(AB)
Haemonetics, cardioPAT, Cell Saver, Infonalé, OrthoPAT, SmartSuction Harmony, and TEG are trademarks or registered trademarks of
Haemonetics Corporation in the USA, other countries, or both.

Copyright © 2009 Haemonetics Corp.
Prerequisites
Before taking this lesson, the following module(s)
should have been completed:
§Cell Salvage Introduction: Transfusion

Copyright © 2009 Haemonetics Corp.
Cell Saver
Topics
§Device
§Disposables
§Automated Processing
§Optional: Manual Processing
§Transfusion
§Troubleshooting

Copyright © 2009 Haemonetics Corp.
Cell Saver Device
Objectives
Be able to:
§Identify the parts on the Cell Saver
§State the basic function of Cell Saver parts

Copyright © 2009 Haemonetics Corp.
Hardware Overview
§Moves fluid through disposables to
produce washed RBC’s devoid of
most contaminants and clotting
factors
Note: Some functions that are enabled in Automatic Mode
may be disabled in Manual mode.
Blood
Solution
Collect Process
Separate

Copyright © 2009 Haemonetics Corp.
Hardware Overview
§Red blood cells separated
§Uses size and weight
§Separated fluids pumped to
collection bags
Note: Some functions that are enabled in Automatic Mode
may be disabled in Manual mode.
Blood
Solution
Collect Process
Separate

Copyright © 2009 Haemonetics Corp.
Hardware Overview:
IV Poles
Reservoir Level Sensor
Detects weight of collected fluid
Hooks for hanging
anticoagulant, saline,
and reinfusion bags
Reservoir Bracket
CS 5/5+
CS 4
IV Pole

Copyright © 2009 Haemonetics Corp.
What do you think?
What would happen if a reservoir was not mounted in the reservoir
bracket on the Cell Saver?
Heparin
30,000u
To
sterile field
To vacuum
source
•Device will not be able to sense shed blood volume
•Device will not be able to automatically begin processing.

Copyright © 2009 Haemonetics Corp.
Hardware Overview:
Power and Fan
Machine Serial Number
•Required for Hotline /
Service calls
Power Cord
Cooling Fan / Air Filter
•Cools device
•Removable foam filter inside
Cart Latch
•Releases machine from cart

Copyright © 2009 Haemonetics Corp.
Hardware Overview:
Biohazard Waste Bag
Biohazard Waste Bag
•Attached to drain at bottom of
centrifuge well
•Collects spills from centrifuge
Wheel locks

Copyright © 2009 Haemonetics Corp.
Hardware Overview:
Power, Centrifuge, Waste Bag
Centrifuge Cover
•Clear to allow visibility
•MUST be closed for centrifuge to function
ON/OFF Switch
•Controls power
•Functions as circuit breaker
Centrifuge Cover Latch
•Locks centrifuge cover into place
Waste Bag Support Pins / Weigher
•Detects weight in bag
•Alerts operator when waste level too high

Copyright © 2009 Haemonetics Corp.
Hardware Overview
Pump, Air Detector
Air Detector
•Senses fluid between bowl and pump
•Helps in volume accounting
•Interrupts automatic processing and
alerts operator
Manifold/Door Latch
•Holds tubing manifold in place
Pump
•Moves fluid in/out of centrifuge
•Can control manually
•Rate varies in automatic

Copyright © 2009 Haemonetics Corp.
Hardware Overview
Valves and Sensors
Valves (3) -regulate fluid pathway
•Red: reservoir/circuit to bowl
•Yellow: wash to bowl
•Blue: bowl to reinfusion bag
Clamped Line Sensor
•Monitors pressure in blue & red line
•Stops pump if line clamped
Disposable Loaded Sensor
•Senses when tubing manifold
is locked in place

Copyright © 2009 Haemonetics Corp.
Hardware Overview
Centrifuge
Locking Support Arm
•Holds bowl header in place
Optical RBC Sensor
•Advances mode from FILL to WASH
Fluid Leak Sensors (2)
•Stop centrifuge and pump if leak detected
Centrifuge Chuck
•Spins bowl
•Six clips hold bowl
•Drain holes to biohazard bag

Copyright © 2009 Haemonetics Corp.
Hardware Overview
Effluent Line Sensor
Effluent Line Sensor (Under Cover)
•Monitors supernatant exiting bowl
•Triggers appropriate washout
•Adjusts pump speed to prevent RBC spill

Copyright © 2009 Haemonetics Corp.
What do you think?
Which sensors could suspend
operation of the Cell Saver? Why?
•Clamped Line Sensor
•Waste Bag Support
Pins/Weigher
•Fluid Leak Sensor
Which sensors trigger a change in
the mode of operation of the Cell
Saver? Why?
•Reservoir Level Sensor
•Air Detector
•Effluent Line Sensor
•Optical RBC Sensor

Copyright © 2009 Haemonetics Corp.
Bowl Optics Sensor:
First Event
§100% light reflected back
§Detects empty bowl
§Detects bowl size
100%
Reflection

Copyright © 2009 Haemonetics Corp.
Bowl Optics Sensor:
Second Event
§Fraction of light reflected back
§Detects fluid (supernatant -
cellular and non-cellular)
Partial
Reflection

Copyright © 2009 Haemonetics Corp.
Bowl Optics Sensor:
Third Event
§No light reflected back by red cell layer
RBCs
No
Reflection