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1. Quadruple Pediatric Whole Blood Bag Used for separating whole blood into low volume bags 7 8 9 10 11 12 13 Place the centrifuged bag to the blood component extractor Break the break off part at the opening of the bag by turning left and right Figure 5 Figure 5 Choose the transfer bag for transerring components Put a knot or a temporary clamp on the tube to the transfer bag Transfer the blood to the empty transfer bag Seal the transfer bag after finished and remove it from the set Remaining main bag and transfer bags are put into the blood storage freezers Repeat the same until empty bags are finished uadruple Pediatric Component Bag Used for separating redcells and plasma and separating redcells into low volume bags as well 14 15 16 Load the full blood filled bag system in the centrifuge buckets CAUTION Proper positioning of the bags will prevent burst of the bags during centrifugation Centrifuge at 2500 g for 15 minutes under 4 C 2500 g CAUTION Centrifuge settings may vary according to the centrifuge brand used Place the centrifuged bag to the blood component extractor kt kk_15 58670 Rev 3 Validity Date 26 03 2013 Page 1 2 CAPA NO 52 13 17 Break the break off part at the opening of the bag by turning left and right Figure 5 18 Continue plasma separation as is identified in the separator using manual 19 Transfer plasma to the transfer bag 20 Break the break off part of t2. break away part on the tube to the sampling bag holder Figure 1 No 2 Figure 2 No 3 5 3 Follow the following steps according to the sampling bag system a Tubing System i Blood samples sampling tubes are inserted into the tube holder and necessary blood is taken Figure 1 No 3 ii CAUTION Take the samples to bigger tubes first Figure 1 Figure 2 iii The clamp on the tubing to the bag is opened and blood taking starts Figure 1 No 1 b Sampling Bag System i Take blood to the sampling bag Figure 2 No 5 ii The clamp on the tubing to the sampling bag is closed Figure 2 No 2 iii The clamp on the tubing to the bag is opened and blood taking starts Figure 2 No 1 iv Sampling bag is placed in palm in a position of sampling bag tube holder is to be stayed below Sample tubes are inserted in tube holder connected to the sampling bag and suffi cient blood sample is taken Figure 2 No 4 CAUTION Sample blood in the sampling bag should immediately transferred to the tubes otherwise they get coagulated NOTE After sampling break the breakaway part on the tubing to collection bag for the systems with donor line breakaway 4 The tube with the tube holder is hanged on to donor s wrist in a way not to compress the needle continue with number 9 5 Ifthe blod bag system does not have a sampling bag samling port put a temporary clamp or knot to blood taking tube 6 6 Reapply tourniquet or inflate blood pressure cuff until p
3. xansux BLOOD BAGS USER INSTRUCTIONS CONVENTIONAL WITH SP OR SAB BAG SYSTEMS 1008 GENERAL PRE COLLECTION PREPARATION 1 Open the outer wrap at the tear notches and remove one blood bag system 2 Apply blood pressure cuff or tourniquet on donor s arm identify venipuncture site and release the cuff or tourniquet 3 Disinfect the venipuncture site Cover the area with sterilized gauze strip and do not touch until the time of venipuncture CAUTION Beware of iodine sensitive donors 4 Before venipuncture inspect the blood bag system tubing and needle for visual defects and discoloration 6 5 Signs on the needle protector and hub should be the in the same line Apply some pressure to determine any leakages 6 Place the collection bag below the level of donor s arm 4 it 7 The anticoagulant and additive solutions should be checked for containing appropriate volume color or particule contaminants 37 he CAUTION While opening the blood bag system blood taking tube should be held from needle protector not from the needle safety cover Pay attention not to lock the needle safety cover before collection of blood by mistake A hs 2 2 BLOOD COLLECTION IF SAMPLING BAG SYSTEM IS USED FOLLOW NUMBER 1 4 IF NOT CONTINUE WITH NUMBER 5 ax 1 1 Before the needle protector is uncapped close the clamp on the line connected to collection bag If the bag system has a breakaway part there is no need to close 3 1 7 the clamp i 2 Break the
4. ase check out the updated literature to give a conscious decision KANSUK LABORATUARI SANAYI VE TICARET AS Eski Londra asfalt Be yol Mah No 4 34295 Sefak y STANBUL T RK YE Tel 90 212 592 15 76 Faks 90 212 580 37 72 www kansuk com e mail kansuk kansuk com kt_kk_ 15 58670 Rev 3 Validity Date 26 03 2013 Page 2 2 CAPA NO 52 13
5. he SAG M Bag and add the SAG M solution to the primary bag over Red Cells 21 Seal the redcells bag tube and place the redcell to the freezers under 1 6 C 22 Puta knot or a temporary clamp on the tube of connector between red cells and other transfer bags 23 Place the whole set under 1 6 C storage 24 Until empty bags are finished reapply number 7 13 for the demand of redcells 25 Store the plasma in the freezer If the separation takes place within 6 hours after collection it can be stored at 18 C 25 C for 3 months 30 C 40 C for 6 months and at lower temperatures for 12 months Double Bag Used for separation of redcells and plasma 26 Apply number 14 20 27 Place the red blood cells immediately at 1 6 C in a blood bank refrigerator which is designed for this purpose 28 Store the plasma in the freezer If the separation takes place within 6 hours after collection it can be stored at 18 C 25 C for 3 months 30 C 40 C for 6 months and at lower temperatures for 12 months Triple Bag Used for separation of redcells plasma and PLT s by PRP 29 Apply number 14 16 Adjust the centrifuge temp As 22 C on number 15 30 Squeeze the tubes with clamps except plasma separator 31 Apply number 17 20 If the bag can store PLTs up to 5 days transfer them to the transfer bag marked with 5 as indicated on number 19 32 IfPLTs will be separated centrifuge plasma at 3000 g for 10 mins CAUTION Centrifuge settings
6. he collection bag into segments leaving a segment number clearly and completely readable The closest segment number to the collection bag should always remain attached to the bag for identification 23 Check the blood bag again for any faults 24 Make sure all the donor information required is filled out on the label of the blood bag 25 Immediately after collection whole blood should be placed at 1 6 C in a blood bank refrigerator which is designed for this purpose If platelets will be separated do not cool the blood but wait under 20 24 C for a min of 1 hour with 45 angle For gaining fresh freezed plasma and platelets finish all the steps within 8 hours after collection USAGE OF BAGS Use for storage and transfusion after whole blood collection 1 2 3 4 5 6 Single Bags CPD CPDA 1 Use transfusion set compatible with ISO EN 1135 4 eo gee al Hold the top part of the T port with one hand and bag from the bottom part of T port with other hand and twist of the upper part by 270 Figure 6 a eh ae ii Keep holding the bag from T port remove the cap of the transfusion spike with other hand l 7 L Insert the spike by of its length into outlet port Do not touch the spike of the transfusion set and open outlet port to prevent contamination af a Pe g p orn D eh 7 aak irer After inserting the spike squeeze the bag to the level that transfusion set filter is filled with blood Hook the bag from its holder
7. ith one hand and bag from the bottom part of T port with other hand and twist of the upper part by 270 Figure 6 5 6 7 Keep holding the bag from T port remove the cap of the transfusion spike with other hand Insert the spike by of its length into outlet port Do not touch the spike of the transfusion set and open outlet port to prevent contamination After inserting the spike squeeze the bag to the level that transfusion set filter is filled with blood Hook the bag from its holder GENERAL CAUTIONS During storage and transportation 1 During shipment up to two blood bags shippers shall be carried at the same time manually or on a trolley Parcels should not be dropped and or crushed and should be loaded in a way to prevent fall over 2 Inthe warehouse up to seven parcels can be stored on top of each other and in a way to prevent fall over Before opening overwrap 3 Store the overwrapped bags at clean dry and cool places 4 Do not use if there is visible sign of deterioration on the overwraps 5 Blood bags are packed with sterilized After opening overwrap 6 Store the bags in their outer wraps at clean dry and cool places 7 Filtered and Sampling Bag systems should be used within 6 months after opening outerwraps and after opening innerwraps they should be used within 15 days All the other bag systems should be used within 15 days after opening their outerwraps Before usage 8 Store the closed overwraps at clean dry and c
8. ll the hub without exerting pressure completely Let the donor keep sterile gauze on the point of entry of the needle into vein 17 Hold the needle with one hand as the tip stay at the upper position wait for flowing off the blood to bag in the blood taking tube 18 The clamp on the tube to the bag is closed after that step Put a knot on the systems without sampling bag CAUTION When the needle is locked if the clamp is not closed there is a risk of blood flushing from the needle safety cover 19 For the blood bag systems with needle safety cover while holding the needle with one hand hold the needle safety cover with the other one than leave the needle pull the needle to the safety cover by pulling the tube under the safety cover and be sure that it is locked Figure 3 No 6 CAUTION To prevent accidental injuries or contamination of the personnel insert the needle into the locked system or throw it to the medical waste 20 The blood taking tube is closed from under the Y port with tube sealing device and the needle is removed from the system Caution Throw locked needle kit to the medical waste Figure 4 21 Strip donor tubing as completely as possible into bag starting at seal Work quickly to prevent the blood from clotting in the tubing Invert bag several times to mix thoroughly then allow tubing to refill with anticoagulated blood from the bag Repeat this procedure twice Figure 4 22 For cross match purposes seal the tubing attached to t
9. may vary according to the centrifuge brand used 33 After centrifuge PLTs remain under the bag as a line and plasmas remain on the top 34 Place the plasma bag to the blood component extractor Open the clamp which was put on the empty bag If quadruple bag is used put the clamp on the fourth bag tube 35 Transfer the plasma to the empty transfer bag 36 If it is transferred into the special PVC TOTM bag PLTs can be stored up to 5 days under incubator agitation 37 Store the plasma as indicated on number 25 uadruple Bag Used for separation of redcells plasma and PLT s and cryoprespitat by PRP 38 Apply number 14 37 39 Freeze plasma purged of platelets under 40 C 40 Freezed plasma is wait until melted in blood storage freezer Figure 6 41 Centrifuge at 3000 g for 10 minutes CAUTION Centrifuge settings may vary according to the centrifuge brand used 42 After centrifuge supematan part of the crystalized plasma is transferred into other bag During this flow jelly part is remained which is called cryoprespitat 43 Freeze the cryoprespitat It s storage date is valid until the plasma s TRANSFUSION 1 Inspect the container and blood for any defects 2 Before transfusing the blood make sure that serological test results are acceptable cross match test results match with the recipient If appropriate apply cross match again at bed side 3 Use transfusion set compatible with ISO EN 1135 4 4 Hold the top part of the T port w
10. ool places 9 Intended for human blood and blood components 10 Sterile and non pyrogenic Steam sterilization 11 Do not use unless solutions are clear 12 Do not use if there is visible sign of deterioration on the bags 13 Protect the bag and tubing from sharp objects eS 14 Do not use if needle protector is opened Bars on the needle should be in the same line Figure 7 _ 4 acs Huge 15 Do not recap the opened needles ee 16 Do not use if fluid path closures are loose and not intact 17 Do not vent 18 Store blood between 1 6 C Figure 7 19 Do not add medication to blood 20 Cross match the contents of the bag with recipient before transfusion 21 Use transfusion sets in compliance with ISO EN 1135 4 Blood bags are disposable Don t reuse the bags 22 Mix thorougly before use and if necessary store under controlled conditions to achieve the appropriate temperature 23 When frozen plastic is more fragile After usage Single use only after usage it should be thrown to the Medical Waste CAUTION A risk of infection when used more than once CAUTION This medical device contains di 2 etilhekzil ftalat DEHP Considering the animal data s precautions should be taken to restrict to be a subject of DEHP especially for certain patients affected on their reproduction and development processes These patients are newborn boys infants and children prepubertal boys and pregnant and nursing mothers Ple
11. reviously selected vein is prominent again 7 Hold the needle from marked side To remove the needle cap twist to break the seal between the needle and its cap and remove it by sliding it down the axis of the needle CAUTION Bu sure not to touch the cannula 8 Apply the venipuncture immediately Venipuncture is very important for a non coagulated blood 9 Strap the needle to the donor s arm 10 Mix blood and anticoagulant gently and periodically approximately in every 45 seconds during collection If a mixer or a collection system is used please refer to their operator s manual 11 Make sure there is continuous blood flow If there is continuous adequate blood flow and constant agitation blood collection is expected to be completed under 12 minutes CAUTION If it s above 12 minutes collected blood may not be suitable for Platelets Fresh Frozen Plasma or Cryoprecipitate AHF 12 Collect the quantity of blood within the limits indicated on the bag label Monitor the blood being drawn p 13 After blood collection is finished blood collection mixer collects the desired blood and stops the collection by clamping the blood collection tube 14 Stop the blood taking and agitating device and after opening the clamp of the device 15 Loosen the tourniquet or deflate the pressure cuff 16 When blood taking is done to remove the needle hold the hub with one hand between the thumb and index finger while the other hand holding the sterile gauze and pu
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