Sorin XTRA Cell Saver Setup and Operation

Summary

In this instructional video, Brian Toro, a perfusionist at AMC Hospital, demonstrates the setup and operation of the Soaring Extra Cell Saver. He details the machine's key components, explains the process of assembling the device with its disposables, and guides through automatic processing, including troubleshooting common alarms and errors. The video concludes with calculating estimated blood loss, emphasizing the distinction between processed volume and actual blood loss.

Takeaways

• 🔬 The speaker, Brian Toro, is a perfusionist at AMC Hospital in Appleton, Wisconsin, and demonstrates the setup and operation of the Sorin S5 Cell Saver.
• 📚 The video provides an overview of the key components of the cell saver, including the printer tape, power cable, vacuum controls, fluid trap, and main operating touch screen.
• 💉 The machine's front features fluid holders for heparin solution and red blood cell collection bags, as well as the wash solution.
• 🛠️ The main body of the cell saver includes a clamp lid with various sensors and a centrifuge arm with a roller pump for processing blood.
• 🧰 The setup process requires gathering appropriate disposables, including different sized bowls for varying case needs, collection reservoirs, vacuum tubing, suction lines, filters, and saline for washing.
• 🔄 The collection reservoir's installation involves a spring-loaded arm and ensuring vacuum pressure is properly managed to prevent leaks.
• 🗜️ The main bowl is installed by snapping it into place and securing it with a locking arm and loop, ensuring the sensors are correctly aligned.
• 🔌 The setup also includes routing the waste line tubing through the waistline sensor and connecting the red blood cell collection bag and wash solution lines.
• 🚫 The video describes how to handle error messages and alarms, such as when the wash bag is empty or the red blood cell bag is full, with solutions like unclamping lines or replacing bags.
• ⏱️ The cell saver has an automatic processing feature that starts when a predetermined fluid volume in the reservoir is reached, with options to delay, concentrate, or wash the contents.
• 📊 The machine provides metrics and information through its menu and touch screen, including totals for processed bowls and an end-case summary.
• 🩸 The estimated blood loss is calculated by considering the processed volume, remaining reservoir volume, heparinized saline used, and subtracting any other fluids that may have been sucked into the reservoir.

Q & A

What is Brian Toro's profession and where does he work?

Brian Toro is a perfusionist at AMC hospital in Appleton, Wisconsin.

What is the main topic of the video script?

The main topic of the video script is the setup and operation of the Soaring Extra Cell Saver machine.

What are some key components of the Soaring Extra Cell Saver machine mentioned in the script?

Some key components include the printer tape, power cable, power switch, vacuum controls, fluid trap, fluid holders, main operating touch screen, reservoir holder, and the centrifuge arm.

What is the purpose of the printer tape on the Soaring Extra Cell Saver machine?

The printer tape is used to print off various metrics that are obtained from the machine during operation.

How many different sizes of cell saver sets are mentioned in the script and what do the colors represent?

Two sizes of cell saver sets are mentioned: a 225 milliliter bowl denoted by blue and a 125 milliliter bowl denoted by green.

What is the purpose of the suction line in the setup of the cell saver?

The suction line is used during the operation of the cell saver to connect it to the surgical field, but it is not opened during the setup process.

What is the function of the clamp lid and clamp lid latch on the Soaring Extra Cell Saver machine?

The clamp lid and clamp lid latch are used to open and close the main body of the machine, providing access to the various clamps and sensors inside.

What is the significance of the hematocrit sensor in the cell saver machine?

The hematocrit sensor is used to determine the concentration of red blood cells in the blood during the washing process.

How does the automatic processing feature of the cell saver work?

The automatic processing feature uses a weight sensor to detect the volume of fluid in the reservoir and starts processing when a predetermined set point is reached.

What should be done if the cell saver machine displays an error message about insufficient red blood cells to process?

The user can choose to return the blood to the reservoir, try to concentrate more red blood cells, or wash the contents of the bowl, depending on the stage of the procedure and availability of blood.

How can the estimated blood loss be calculated using the cell saver machine?

The estimated blood loss can be calculated by adding the processed volume and the remaining volume in the reservoir, then subtracting the heparinized saline used and any other fluids. Alternatively, blood loss can be estimated by multiplying the volume of red blood cells returned by three.