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CBCII ConstaVac
TM
Blood Conservation System
For more information contact your local Stryker
Sales Representative or call 1-800-253-3210
For quick and easy reference. In no way should this replace “Directions for Use”
packaged with each CBCII unit.
!
WARNING: Adherence to “Universal Blood and Body Fluid Precautions” is highly
recommended when handling the CBCII reservoir or any blood related product.
OPERATING INSTRUCTIONS
INDICATIONS FOR USE:
1. Discontinue use for reinfusion per hospital protocol or
physician’s discretion. Unit then functions as a wound
drainage receptacle.
NOTE: Leave the blood bag banded
until ready to transfer blood.
1. Secure unit to foot board or side rail
of bed. Depress the mounting clamp
to adjust its fit. Secure unit with the
security strap as shown.
CONTRAINDICATIONS
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•
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WOUND DRAINAGE
RECOVERY
The CBCII is a closed blood recovery
system used to post-operatively
collect, filter, and allow for reinfusion
of autologous blood.
Abnormal renal and/or hepatic function
Malignant lesions
Contamination/sepsis
Fluids unsuitable for reinfusion
Hemostatic agents
Excessive hemolysis
Coagulation disorders
Potential for air embolism, microembolism, fat embolism
The blood bag and associated tubing may be cut (or
disconnected if using quick disconnect) approximately
2” away from the reservoir and discarded. Cap the end
of the tube remaining on the reservoir using the red cap.
! WARNING: Unit must remain
upright at all times.
2. Wound drainage output is measured directly from the reservoir.
2. Set vacuum to LOW ( I ) for the
first 10 minutes.
NOTE: In the event that the reservoir requires emptying,
the red cap is removed, the lever on the lid is depressed,
and the blood is transferred into a separate container.
3. Turn the vacuum adjustment knob
located on top of the unit clockwise
to set the vacuum level.
! WARNING: Reinfusion of topical hemostatic agents such as
thrombin or AviteneTM is not recommended as they may initiate
coagulation. Blood containing BetadineTM and similar wound
irrigants, methyl methacrylate, and antibiotics not licensed for
parenteral use should not be reinfused. If these substances
are employed, the wound should be well irrigated with normal
saline prior to closing the wound.
3. The unit may be ambulated in an upright position along
with the patient .
Approximate Vacuum Levels:
LOW ( I )
0.5 psi (25mmHg)
MEDIUM ( I I ) 1.0 psi (50mmHg)
HIGH ( I I I )
<1.9 psi (<100mmHg)
! WARNING: Unit must remain upright at all times.
NOTE: Emptying the reservoir is recommended prior to
patient ambulation. This reduces the weight of the reservoir
and risk of occluding the air filter.
4. Note that the vacuum indicator has
inverted. This indicates vacuum within the reservoir.
Saturation of reservoir air filter (located on inner side of reservoir
lid) may cause the filter to occlude and inhibit or prevent transfer
of blood to reinfusion bag.
4. The unit is discontinued for wound drainage per hospital
protocol or physician’s discretion.
5. Record start time and volume output on reservoir label.
5. The drains are removed from the patient and, along with
the unit disposed of properly.
OPERATING ROOM
BLOOD REINFUSION
UNIT REPLACEMENT
1. Remove contents from package using aseptic technique.
NOTE: The blue cover should remain wrapped around the unit
to reduce the chance of transfer of blood from the surgical field
to the outer surface.
1. Unband the blood bag and tubing. Hold the blood bag tubing
so that it forms half of a loop at the base of the reservoir.
1. Using aseptic technique, clamp evacuator tube
on each side of the quick-connect.
2. Fully depress and hold down the lever
on top of the unit to transfer blood into
the blood bag. Once blood starts to
flow, blood bag tubing can hang freely.
2. Twist quick-connect to separate evacuator tube.
2. Slide evacuator tube (tube with Y-connector)
from blue cover.
3. Discard Y-connector portion of evacuator tube
from new unit.
NOTE: An amount of fluid will remain
in reservoir after transfer. This fluid may
contain fats which have risen to the top
of the collected fluid and should not
be reinfused.
3. Pull needle through tissue and clip,
leaving perforated tubing in wound site.
4. Trim Y-connector at proper level to accept
wound drain outer diameter. Secure wound
drain(s) to evacuator tube. NOTE: Ensure
all connections are airtight.
4. Attach quick-connect of new unit to quick-connect
of evacuator tube attached to patient.
5. Set vacuum level at prescribed setting.
3. When transfer is complete, release the lever and use the slide
clamp to clamp off the blood bag tubing as close to the blood
bag as possible.
5. DO NOT turn unit on until Y-connector is attached to the patient
drain tube and tourniquet has been released for 15 minutes.
4. Reinfuse with standard blood administration set. Use 20 or 40
microaggregate filter as directed by hospital protocol.
6. The unit may remain in the sterile field or be
passed back to the circulating nurse. The circulating
nurse can remove and discard the blue cover.
NOTE: Saline is not required with the infusion of whole blood;
however, it is useful in the initial venting and priming of the
administration set and filter.
7. The unit may be hung on the bed rail and
secured with the security strap for transport.
6. Unclamp evacuator tube.
For instructions on the following situations refer to
“Directions For Use” packaged with each CBCII unit.
• Air leak
• High drainage
• No or low drainage
5. Repeat process for additional reinfusions.
TROUBLESHOOTING GUIDE
PROBLEM
CAUSE
ACTION:
1. The system fails to work.
A vacuum lock may exist in the reservoir.
The system is damaged.
Press and hold the lever or disconnect the luer connector to release the vacuum.
If necessary, replace the system. See To Remove/Replace the System.
2. The vacuum indicator
fails to invert.
The vacuum control dial may not be turned on.
The system may have an air leak.
Turn the vacuum control dial to the prescribed setting.
Inspect all connections. Make all connections air tight. If air leak is suspected,
contact a physician. Reinfusion is contraindicated.
The system air filter may be saturated or the system is damaged.
If necessary, replace the system. See To Remove/Replace the System.*
Wound drain tubing or evacuator tubing may be blocked.
Knead the tubing to stimulate flow. Turn the vacuum control dial to a higher vacuum setting.
Clots may be in the Y-connector.
Knead the clots through the Y-connector.
The system reservoir is located
above the wound site.
Relocate the system at or below the wound site. Turn the vacuum control
dial to a higher vacuum setting.
The system may have an air leak.
Inspect all connections. Make all connections air tight. If air leak is
suspected, contact a physician. Reinfusion is contraindicated.
3. Minimal or no blood is
collected by the system.
The wound drain may not be placed correctly.
Contact physician to relocate wound drain.
The system pre-filter may be saturated
or the system is damaged.
If necessary, replace the system. See To Remove/Replace the System.
4. Blood clots appear in the
system reservoir.
A tourniquet was applied at the wound site and the vacuum control
dial was turned on too soon after the tourniquet was removed.
Replace the system. See To Remove/Replace the System.*
5. Blood fails to transfer from the
system reservoir to the blood bag.
A vacuum lock may exist in the reservoir.
Pump the drain lever or hold down drain lever and knead the tubing to stimulate flow.
The blood bag is located above the system reservoir.
Relocate the blood bag below the system reservoir.
The system air filter may be saturated or the system is damaged.
Insert a needle into the vacuum indicator and press the drain lever to transfer the blood
from the reservoir. Replace the system. See To Remove/Replace the System.*
6. Blood fails to transfer from the blood
bag to the administration kit.
The administration kit filter may not be primed or is air locked.
Manually squeeze the blood bag until the blood begins to flow to the kit.
7. Sporadic electrical
interference is experienced.
Electrical noise is present.
Turn off all electrical equipment not in use in the operating room.
Relocate electrical equipment; increase spatial distance.
Plug operating room equipment into different operating room outlets.
*For more information, see “Directions For Use” or call your Stryker Instruments Sales Representative or
Stryker Customer Service at 1-800-253-3210. (Outside U.S.A., contact your nearest Stryker Subsidiary)
The information presented in this brochure is intended
to demonstrate the breadth of Stryker product offerings.
Always refer to the package insert, product label and/or user
instructions before using any Stryker product. Products may not
be available in all markets. Product availability is subject to the
regulatory or medical practices that govern individual markets.
Please contact your Stryker representative if you have questions
about the availability of Stryker products in your area.
Products referenced with TM designation are trademarks of Stryker.
Products referenced with ® designation are registered trademarks of Stryker.
Literature Number: 1000-192-000 Rev. E
UnDe/PS
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