CBC II Blood Collection & Reinfusion System Installation and use in Operating Room
Open the sealed container
Take unit out of sealed container
Unfold blue cover
Keep blue cover under unit while inspecting the unit
Re-wrap unit to reduce chance of transfer of blood from the surgical field to the outside of the unit.
Take out evacuator tube and drainage tube pack. There are 12 to 16 pairs of drain holes in the drainage tube
Insert 1 or 2 drainage tubes into the drainage site
Exit drainage site carefully holding trocar or needle
Cut-off the trocar or needle with scissors
Trim evacuator tube (Y-connector) to secure it to wound drain tube and make sure all connections are air-proof
Turn vacuum dial to low level and wait for red knob to deflate
Wait to check that red knob has deflated
Turn vacuum off, depress blue lever & verify that red knob re-inflates in order to make sure unit is working properly
Completely remove blue cover from unit
Affix unit to bed rail or footboard in vertical position at same height as wound for accurate vacuum level setting
Secure unit with security strap for transport
Initiate drainage by turning vacuum dial to low level vacuum for 10 minutes
Watch red knob deflate as vacuum is turned on. After 10min, set the vacuum dial to the level prescribed by physician.
Record start time and volume output on reservoir label
Move patient to the ward. Tuck tubing away to avoid damage during transport
. BLOOD REINFUSION
Clamp the evacuator tube near the reservoir with the slide clamp and connect blood bag
Unband the blood bag and tubing
Hold bag tubing so that it forms half a loop at the base of the reservoir
Initiate Reinfusion within 6 hours of the starting time of the drainage mentioned on the label on the reservoir
Blood bag should be placed lower than the reservoir and Vacuum dial set at level 2
Fully depress and hold down the release lever on top of unit in order to transfer blood into blood bag
Verify that red knob is deflated which means that suction is working correctly
Some fluid containing fats will remain in the reservoir and should not be reinfused
When transfer is complete, release the lever and clamp the blood bag tubing as close as possible to blood bag
Use regular Tubing and Blood Transfusion Filter for transferring blood back to patient
Once lever is released the pump will automatically turn on to restart vacuum in reservoir
Hang Blood bag with filter to IV pole
Unclamp Blood bag tubing and reinfuse the collected blood within 6 hours of drainage
. WOUND DRAINAGE
After reinfusion is ended, the unit functions as a negative or non-negative pressure wound drain receptacle
Blood bag tubing is clamped 5cm away from reservoir and cut below clamp and discarded. Then red cap is put on remaining tubing coming from reservoir.
Cap the end of remaining tubing on the reservoir with red cap and the system has now been converted into a drain.
Wound drainage is measured directly from the reservoir. The wound drainage output can be monitored by marking the fluid level & time of reading on the reservoir label
If reservoir needs emptying - depress lever on lid to transfer blood into blood bag or container
. UNIT REPLACEMENT
Clamp evacuator tube on each side of the quick-connect of the original unit
Twist quick-connect to separate evacuator tube from original unit. Discard Y connector portion of evacuator tube. Attach quick-connect of new unit to quick-connect of the evacuator tube attached to the patient.
Set vacuum level at prescribed setting
Unclamp evacuator tube
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