Haemonetics PCS2 - Operation Manual
Haemonetics PCS2 - Operation Manual
Haemonetics PCS2 - Operation Manual
0123
Printed in France Haemonetics Corporation 400 Wood Road Braintree, MA, 02184, USA 2002, Haemonetics International. All rights reserved.
Preface
iii
CONSUMER INFORMATION
Proprietary rights
The contents of this manual are property of the Haemonetics Corporation. Haemonetics and PCS2 are registered trademarks of the Haemonetics Corporation. Any information or descriptions contained in this manual may not be reproduced and released to any of the general public, or used in conjunction with any professional instruction without written consent of Haemonetics Corporation, USA. Please direct any written inquiries to the appropriate address: International Headquarters Haemonetics S.A. Signy Center, P.O. Box 262 CH-1274 Signy 2 Switzerland Tel. +41-22-363-9011 Fax +41-22-363-9054 Corporate Headquarters Haemonetics Corporation 400 Wood Road Braintree, MA, 02184, USA Tel. +1-781-848-7100 Fax +1-781-356-3558
Legal disclaimer
This manual is intended for use as a guide, uniquely for material as supplied by the Haemonetics Corporation. It provides the operator with necessary information to safely carry out specific procedures and satisfactorily maintain Haemonetics-produced equipment. The manual is to be used in conjunction with instruction and training as supplied by qualified Haemonetics personnel. Haemonetics guarantees its products when correctly used by a properly trained operator. Any failure to respect the procedures as described could result in impaired function of the equipment, as well as in injury to the operator and/or patient /donor. Haemonetics accepts no responsibility for problems resulting from failure to comply with prescriptions as outlined by the company. Any modifications estimated as necessary by the customer should be evaluated by a Haemonetics Clinical Specialist. Safe utilization of Haemonetics material and equipment requires the operator to correctly handle and dispose of blood-contaminated material. The operator of any Haemonetics equipment must understand and implement the local policies and standard operating procedures concerning the handling of blood-contaminated material, as well as blood products. It remains solely the responsibility of the customer to fully assess and ensure the safety of any products obtained from Haemonetics prescribed procedures, prior to further application or use. Haemonetics declines any responsibility for choices made by the consumer concerning the utilization of products and by-products. In addition, it is the responsibility of the apheresis center using Haemonetics equipment and material to inform the donor about the risks involved with any apheresis procedure. Prior to initiating any procedure, the apheresis center is responsible to verify that the donor understands these risks and consents to the procedure.
iv
Preface
Haemonetics Asia Inc. Taiwan Branch 26F-1, No. 102 Roosevelt Road Sec. 2 Taipei, Taiwan Tel. +886-2-2369-0722 Fax +886-2-2364-3698 Haemonetics GesmbH Handelsges.m.b.H. Berlagasse 45/B2-02 A-1210 Wien, Austria Tel. +43-1-294-29-00 Fax +43-1-294-29-05 Haemonetics Belgium NV Leuvensesteenweg 542-BP. 14 Planet II Complex B-1930 Zaventem, Belgium Tel. +32-2-720-7484 Fax +32-2-720-7155 Haemonetics BV C/O CITCO - WTC, PB 7241 Strawinskylaan 1725 1007 JE Amsterdam The Netherlands Tel. +31-35-602-3425 Fax +31-35-602-4198 Haemonetics Medical Devices (Shanghai) International Trading Co. Ltd. Room 28032, Shanghai HSBC Tower 101 Yin Cheng East Road Shangai 200120, PRC Tel. +86-21-506-63366 Fax +86-21-684-13688 Haemonetics CZ, spol. S.r.o Ptanskho C.8 60200 Brno, Czech Republic Tel. +42-05-412-122400 Fax +42-05-412-122399
Haemonetics France S.A.R.L. 46 bis, rue Pierre Curie Z.I. Les Gatines F-78370 Plaisir, France Tel. +33-1-30-81-4141 Fax +33-1-30-81-4130 Haemonetics GmbH Rohrauerstrasse 72 D-81477 Mnchen, Germany Tel. +49-89-785-8070 Fax +49-89-780-9779 Haemonetics Hong Kong Ltd. Suite 1314, Two Pacific Place 88 Queensway, Hong Kong Tel. +852-286-89218 Fax +852-280-14380 Haemonetics Italia S.R.L. Via Donizetti, 30 20020 Lainate (MI), Italy Tel. +39-2-935-70113 Fax +39-2-935-72132 Haemonetics Japan K.K. Kyodo Building 3F 16, Ichiban-cho, Chiyoda-ku Tokyo, Japan, 102-0082 Tel. +81-3-3237-7260 Fax +81-3-3237-7330 Haemonetics Scandinavia AB Beta Huset, Ideon Scheelegatan 17 S-223 70 Lund, Sweden Tel. +46-46-286-2320 Fax +46-46-286-2321
Preface
Haemonetics (UK) Ltd. Beechwood House Beechwood Estate Elmete Lane, Roundhay Leeds LS8 2LQ, United Kingdom Tel. +44-113-273-7711 Fax +44-113-273-4055
Haemonetics S.A. Signy Centre P.O. Box 262 CH-1274 Signy 2, Switzerland Tel. +41-22-363- 9011 Fax +41-22-363- 9054
Table of Contents
Chapter 1
PROVIDING AN OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2 What is apheresis technology? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2 What is the purpose of this manual? . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2 What is the Haemonetics Plasma Collection System 2?. . . . . . . . . . . . . 1-3 What are the characteristics and features of the PCS2? . . . . . . . . . . . . . 1-3 What are the special features of the PCS2? . . . . . . . . . . . . . . . . . . . . . . 1-4 What is required to perform a procedure? . . . . . . . . . . . . . . . . . . . . . . . 1-4 UNDERSTANDING THE USE OF SYMBOLS . . . . . . . . . . . . . . . . . . . . . . . . 1-5 Symbols found in this document . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5 Symbols found on the device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5 Symbols found on disposable packaging. . . . . . . . . . . . . . . . . . . . . . . . 1-8 LISTING DEVICE SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9
Chapter 2
PRESENTING THE PCS2 DEVICE COMPONENTS . . . . . . . . . . . . . . . . . . . 2-3 DESCRIBING THE CENTRIFUGE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . 2-4 System-sealing mechanism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5 Centrifuge well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6 Centrifuge base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6 DESCRIBING THE PCS2 CABINET COMPONENTS . . . . . . . . . . . . . . . . . . 2-7 Optical line Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7 Weigher . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7 Pumps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8 Valves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9 Donor flow lights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10 Air detectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11 Pressure monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13 Blood filter holder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14 Solution-bag poles (2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14 Power entry module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15 Power cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15 Pressure cuff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15 Biohazard waste bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15 Communication box/data card (optional) . . . . . . . . . . . . . . . . . . . . . 2-16 Bar code reader (optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16
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Table of Contents
DESCRIBING THE PCS2 CONTROL PANEL . . . . . . . . . . . . . . . . . . . . . . . Display screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mode control keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Protocol key. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pump control keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Programming keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cuff key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Valve control keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Chapter 3
CLEANING PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cabinet, control panel and valves . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pressure monitors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Air detectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Optical sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fluid detector. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Centrifuge components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pumps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filter screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Barcode reader. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CUSTOMER SERVICE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Clinical training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Field service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Returned Goods Authorization system . . . . . . . . . . . . . . . . . . . . . . . . . HAEMONETICS CLEANING AND MAINTENANCE RECORD . . . . . . . . .
Chapter 4
HANDLING THE PCS2 EQUIPMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Storing the PCS2 device and material. . . . . . . . . . . . . . . . . . . . . . . . . . Inspecting the material . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PREVENTING PROBLEMS DURING A PCS2 PROCEDURE. . . . . . . . . . . . . Understanding the risk of hemolysis. . . . . . . . . . . . . . . . . . . . . . . . . . . Avoiding the consequences of flow restriction . . . . . . . . . . . . . . . . . . . Avoiding bowl misalignment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Avoiding overheating due to mechanical situations . . . . . . . . . . . . . . . Controlling for Red Cell Overrun . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WARNINGS FOR THE OPERATOR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Electrical shock hazards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Leakage current control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mechanical hazards/rotating parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . Power outlet connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Communicable disease precautions . . . . . . . . . . . . . . . . . . . . . . . . . . .
Chapter 1
1-2
PROVIDING AN OVERVIEW
What is apheresis technology?
Apheresis is the general term used to describe the separation, selective removal and collection of one or more of the individual components which together form whole blood. This term can be subdivided into two categories:
z
Cytapheresis: selective removal of one or more of the formed, cellular components of whole blood. These elements include erythrocytes, thrombocytes and leukocytes. Plasmapheresis: selective removal of plasma, the liquid suspension medium of blood. Plasma contains elements referred to as fractionable components, such as clotting proteins and immunoglobulins.
The collection and separation of whole blood. The selective removal and collection of specific components. The subsequent return of the non-selected components to the donor or patient.
This manual is intended to supply anyone involved in using Haemonetics equipment with the essential tool for safe and successful operation information. Using this tool of information, the operator can acquire knowledge to be applied throughout all levels of operating experience. This body of information should be consulted whenever necessary, starting from the initial contact with Haemonetics technology to attain:
z
An awareness of the purpose of the device and the implications of its collection procedures for the donor and the apheresis center. An understanding of how to safely operate the Haemonetics system, correctly install the appropriate disposable material, and troubleshoot any difficulties. An ability to consistently apply the principles behind safe operation, proper maintenance and correct handling to ensure optimal, quality apheresis results.
1-3
Using updated apheresis technology, Haemonetics has produced the PCS2 - a compact, lightweight plasmapheresis system which is as easy and safe to use as it is technologically advanced. The PCS2 automated apheresis technology provides the operator with a maximum degree of flexibility in any type of plasmapheresis location. The plasma collected may be designated for use in therapeutic transfusion. It may also be conserved, used as source plasma and subsequently fractionated into plasmaderived products.
The PCS2 is appropriately called a Plasma Collection System because it consists of distinctive parts which collectively function as a whole system to produce a designated final product:
z
The automated plasmapheresis device developed by Haemonetics called the PCS2. The process designed by Haemonetics to gather plasma from a donor called a collection procedure. The single-use collection material manufactured by Haemonetics called a disposable set.
Once the operator has initiated a PCS2 procedure, plasma collection will proceed automatically. The appropriate amount of anticoagulant solution will be mixed in the disposable tubing with whole blood from the donor. This anticoagulated blood will be drawn into a disposable collection bowl and separated by centrifugal force into its various components. When the bowl reaches its collection capacity, the plasma component will exit the bowl and be directed into a plasma collection container for conservation. Non-selected blood components will be returned to the donor. This cycle will be repeated until the desired amount of plasma is collected. The choice of the disposable collection material will depend on the desired collection product. The PCS2 technology also provides the operator with the option to infuse saline solution along with the blood components to the donor at different points of a procedure, depending on the type of disposable bowl in use. Haemonetics has designed the PCS2 technology with a degree of automation which permits the operator to interact with the device. The operator should remain attentive to the display screen messages while monitoring the status of the donor. It is possible to modify certain aspects of the collection procedures, based on the needs and requirements of the individual donor and the selected material.
1-4
Haemonetics has incorporated advanced technological features into the portable PCS2 design. Examples of these features, which ensure safety for the donor and permit efficient time-management for the operator, are:
z z z z z
Self-loading pumps. Advanced optical sensors. Donor-line tubing pressure monitor. Communication data box or internal data card. Barcode reader.
PCS2 collection procedures are quick and simple to perform. The following material is required to perform a PCS2 procedure:
z z z z
A PCS2 disposable set designed for the selected procedure. Venipuncture materials and hemostats. Appropriate anticoagulant solution. 0.9% normal saline (optional).
Install the appropriate disposable set. Modify any settings if necessary. Perform a single venous puncture, prior to initiating a procedure.
Plasma collection will proceed automatically until the end-collection target has been reached.
1-5
Note: Provides useful information regarding a procedure or operating technique when using Haemonetics material.
Caution: Advises the operator against initiating an action or creating a situation which could result in damage to equipment, or impair the quality of the by-products; personal injury is unlikely.
Warning: Advises the operator against initiating an action or creating a situation which could result in serious personal injury to either the donor or the operator.
The descriptions of the following symbols are based on information provided in the following documents:
z
IEC Standard 60601-1, Medical Electrical Equipment, Part 1: General requirements for safety. IEC Standard 60417-1, Graphical symbols for use on equipment, Part 1: Overview and application.
Type BF applied part This symbol indicates that the applied portion (i.e. the part which comes in contact with the donor) of the device is electrically isolated. The device has an internal electrical power source providing adequate protection against electrical shock, in particular pertaining to acceptable leakage current and the reliability of the protective earth connection.
Protective earth (ground) Used to identify any terminal intended for connection to an external conductor, for protection against electrical shock in case of a fault.
1-6
Alternating current
Used to indicate on the rating plate that the device is suitable for alternating current only.
Fuse symbol Used to identify fuse boxes or the location of a fuse box.
Power OFF Position of the main power switch indicating disconnection from the mains.
Power ON Position of the main power switch indicating connection to the mains. IPX1
Indicates that the enclosure of the device is designed to provide a specified degree of protection against harmful ingress of water or liquid into the equipment (under applicable conditions).
1-7
The following symbols have been designed for devices manufactured by Haemonetics:
RS232 connection
1-8
REF
CATALOG NUMBER
EXPIRATION DATE
LOT
Lot Number
DO NOT REUSE
80%
1-9
Characteristics
Height Width Depth Depth with communication box Weight Weight with communication box
The following environmental conditions should be respected pertaining to operation and storage of the PCS2 device: Conditions Ambient operating temperature Tested storage temperature Storage humidity level Values +18 C to +27 C 0 C to + 40 C Maximum relative humidity rate of 90%, non-condensing
The electrical specifications for operating the PCS2 device are as follows: Characteristics Input voltage Operating current Fuse rating Operating frequency range Maximum leakage current Values (relative to input voltage) 230 VAC 10% ~1.9 A F2.5 A @ 250 V 50 - 60 Hz 500 A 110 VAC 10% ~ 2.6 A F5.0 A @ 250 V 50 - 60 Hz 100 A
Note: Haemonetics will regulate the proper voltage setting upon installation. The power source used must be properly grounded.
1-10
Caution: The PCS2 device must be operated in an environment compatible to the requirements of the IEC 60601-1-2 Standard, Electromagnetic compatibility. Mobile RF communication equipment not approved by Haemonetics and portable communication equipment can affect the PCS2 device. Any accessories and cables not approved by Haemonetics used in conjunction with the device may increase hazards and influence compatibility with EMC requirements. Therefore, non-approved accessories and cables must not be used. In addition, the PCS2 device and accessories must not be placed directly adjacent to, or top of other equipment, unless specifically approved by Haemonetics.
Chapter 2
2-2
A. Cabinet
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. Centrifuge Line sensor Weigher Anticoagulant (AC) pump Blood pump Donor valve (red) Plasma valve (yellow) Saline valve (white) Donor flow lights (x2) Anticoagulant line air detector (ACAD) Blood line air detector (BLAD) Donor line air detector 1 (DLAD1) Donor line air detector 2 (DLAD2) Blood filter holder AC solution pole Saline solution pole Donor pressure monitor (DPM) System pressure monitor (SPM)
B
15 21 5 9 17 6 3 2 9 12 14 7 8 18 10 13. 11 4 22 25 24 1 16 19 20
23
B. Control Panel
19. 20. 21. 22. 23. 24. 25. Display screen Mode control keys Protocol key Pump control keys Programming keys Cuff key Valve control keys
13
2-3
19
12 12
4 1 20
7 13 2
11 14 8 16 17 3 9 10 15
11
18
Figure 2-2, PCS2 top deck view The disposable set elements will be explained in greater detail in the chapter Describing the PCS2 Disposable Collection Material. As an explanation for the references made to the disposable tubing in this chapter: Donor-line tubing refers to the tubing which is either:
z z
Transporting blood away from the donor before entering the bowl. Transporting blood from the bowl before return to the donor.
Effluent tubing refers to the tubing exiting the bowl in the direction of the plasma collection container.
2-4
1. 2. 3. 4. 5. 6. 7.
Split hinged lid Fluid detector Optical bowl sensor Locking knob Centrifuge well Centrifuge chuck Centrifuge base
1 1
2 4 3
6 5
2-5
System-sealing mechanism
The PCS2 centrifuge contains a split, hinged lid (or cover) and a locking knob. These components seal the system by:
z z
Securing the contact of the disposable bowl with the centrifuge base. Isolating the spinning bowl from the operator.
Centrifuge cover
The centrifuge lid, referred to as the cover, has tabs located on the rimmed portion of each split side. The split halves are attached to the centrifuge rim by a hinge. As the halves of the lid are lowered to meet the rim, the tabs must be firmly pressed together in order to completely close the lid and provide a seal around the stationary head of the disposable bowl. The split halves of the lid are made from a durable, transparent material, allowing the operator to observe changes in the bowl contents as the centrifuge spins.
Locking knob
The knob is positioned on the rim of the centrifuge well. Once the lid has been fully closed, the knob requires a series of turns in a clockwise direction to lock the centrifuge and thus completely seal the system. To unlock the centrifuge, the operator should turn the knob in a counter-clockwise direction until the split halves can be separated, then lifted, to open the lid.
2-6
Centrifuge well
Fluid detector
The PCS2 centrifuge well is equipped with an electronic fluid detection system designed to detect the presence of liquid. The detector is mounted on the wall of the centrifuge well. The PCS2 safety system will automatically stop the centrifuge and the pumps if there is contact between liquid of any sort and the fluid detector.
Centrifuge base
The centrifuge base contains a centrifuge chuck designed to hold the disposable bowl in place during operation. When installing a bowl, the operator should exert a downward pressure on the head of the bowl and ensure that the bowl is completely seated. A suction force will be created, between the base of the bowl and the chuck, to hold the bowl in place. The bowl will be completely secured once the operator has locked the centrifuge lid. To remove a bowl at the end of a procedure, the operator should open the centrifuge lid and pull upward on the bowl. Warning: The PCS2 device is equipped with a safety feature which will not allow the centrifuge to spin if the lid has been improperly closed. It is unlikely that a properly installed centrifuge bowl will become unaligned as it spins. If the operator does notice anything unusual, under no circumstances, should the operator attempt to open the centrifuge lid if the bowl is still spinning. The operator must ensure that the bowl has come to a complete stop before attempting to open the centrifuge for any reason.
2-7
Weigher
The weigher is the term used by Haemonetics to describe the PCS2 component which measures in grams the contents of the plasma collection container(s) placed on the weigher arm. When the Draw key is pressed to initiate a procedure, the weigher will automatically tare, or deduct the weight of the empty plasma collection container. Thus, the weight of the container will not be included in the weight displayed for the PCS2 procedure statistics. To ensure optimal accuracy from the weigher during a collection procedure:
z
The weigher arm must be fully extended, positioned at a 90 degree angle to the PCS2 top deck, prior to the system self-tests. The plasma collection container must hang freely without any contact with the PCS2 cabinet.
Caution: The operator must be careful to not touch the weigher once the weight of the plasma container has been tared. This could affect the programmed target plasma quantity and could result in an excessive collection of plasma during a Draw cycle. If the weigher senses a decrease in the weight during a Return cycle, an error message will be displayed. To ensure that the weigher arm is within the appropriate calibration range, the operator has the option to verify the weight displayed during the READY mode, prior to the first Draw cycle, as follows:
Remove the plasma container from the weigher arm. Ensure that the weigher arm is fully extended at a 90 degree angle to the top deck. Hang a certified weight (not exceeding 1300 grams) from the empty weigher arm. Note the value displayed (and convert to grams if displayed in ml). Replace the plasma container on the correctly positioned weigher arm.
The measurement of the weight displayed in grams should be within 1% of the certified weight.
2-8
Pumps
Located on the left side of the PCS2 top deck are two pumps which use peristaltic movements to displace fluids through the disposable-set tubing.
Anticoagulant pump
The AC pump, designated by the color blue, moves AC solution between the AC solution bag and the needle connector of the donor line tubing.
Blood pump
The Blood pump, designated by the color red, moves fluids between the donor and the centrifuge bowl. The pumps function during the different modes of PCS2 operation as follows:
z
When loading the disposable tubing, the AC pump and the Blood pump turn simultaneously to thread the tubing onto the pump rotors. During the PRIME mode, the AC pump and the Blood pump turn simultaneously to provide the inlet side of the donor line tubing with AC solution. During the DRAW mode, the AC pump and the Blood pump turn simultaneously. The Blood pump pulls anticoagulated whole blood through the blood filter of the disposable set into the centrifuge bowl. During the RETURN mode, the Blood pump pulls the remaining blood components from the centrifuge bowl and re-infuses them to the donor.
Note: The two pumps will rotate at different speeds during the PCS2 modes of operation, depending on the AC/Blood pump ratio procedure parameter setting.
2-9
Valves
There are three valves located on the PCS2 top deck which automatically control the flow of fluids through the disposable set tubing. The valves are color-coded according to their specific functions. The PCS2 safety system will control the valves during the self-diagnostic tests. Once the operator has selected a collection procedure, the appropriate valves will automatically open, in preparation for loading the disposable set tubing. If the disposable tubing needs an adjustment during a procedure, it is possible to open a valve manually by pressing the valve lever located at the top of each valve. Warning: Any manual adjustment to a valve should be attempted only if the PCS2 device is POWERED-OFF, in the READY mode, or when the pumps are stopped. At any other time, the PCS2 safety system will be alerted and will interrupt the procedure. Manipulating a valve could lead to flow problems, and eventually cause hemolysis.
During the DRAW mode it remains open so that anticoagulated whole blood can flow from the donor into the centrifuge bowl. During the RETURN mode it remains open so that components remaining in the disposable tubing and centrifuge bowl can be returned to the donor.
During the DRAW mode it remains open to direct plasma and air flowing through the effluent tubing into the plasma collection container. During the RETURN mode it remains open, except for a brief period when the effluent line is cleared during a standard bowl procedure. It is closed during automatic saline compensation to the donor.
During the DRAW mode it will be closed. During the RETURN mode it will be open to permit the passage of fluid through the effluent tubing.
Note: When the selected PCS2 procedure uses more than one plasma collection bags, plasma will be distributed equally between the bags, using the plasma valve to route half of the plasma being collected, and the saline valve to route the other half. The two valves will not be open at the same time during DRAW, therefore automatic saline compensation is not a possibility when more than one plasma bag is used.
2-10
These color-coded lights, located on both sides of the PCS2 top deck, indicate donor blood-flow status during the DRAW and RETURN modes. They are contained in a rectangular panel on the PCS2 top deck.
DRAW mode Normal flow / Green Low flow / Yellow No flow / Red RETURN mode Return flow / Yellow
DRAW mode
z
The GREEN light indicates that donor blood flow is adequate for the blood pump to maintain an adequate speed. The YELLOW light indicates that donor flow is decreasing to a rate of less than 2/3 of what is required to maintain an adequate speed. The RED light indicates that blood is not flowing adequately or not flowing at all from the donor.
If the RED flow light is lit, the Blood pump will automatically stop. The centrifuge will continue to spin to ensure continued separation of the collected blood components. When donor blood flow is restored, the pump will automatically restart.
RETURN mode
z
The YELLOW light indicates that the non-selected blood components are being returned to the donor. No other donor light will be visible at this time.
Note: If any of the DRAW mode lights are lit, the donor can promote blood flow by clenching and relaxing the hand below the needle site. When the RETURN yellow light is lit, the donor should NOT do this, because the blood components in the bowl are being returned. The operator should instruct the donor to observe the differences in the lights and act accordingly.
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Air detectors
The PCS2 is equipped with an assembly of ultrasonic sensors designed to detect the presence of air, bubbles or foam in the fluids flowing through the disposable set tubing. If air is detected outside of the normal range during any mode (PRIME, DRAW OR RETURN), the detectors will:
z z z
Alert the PCS2 safety system. Stop the operation in progress. Provide the operator with an error message and an audible alarm.
During a Draw cycle, the BLAD will detect the presence of fluid passing through the blood line tubing. This allows the system to account for the volume of blood being pumped. During a Return cycle, the BLAD will note the presence of any air in the tubing leaving the centrifuge bowl. This line contains the blood being returned to the donor and will pass through the donor valve after the BLAD. When the BLAD has detected air in the tubing within normal limits, this will signal that the bowl is empty and the Return cycle will be terminated.
Warning: Air detected (or lack of air detection) by the BLAD, outside of normal limits, will stop the collection procedure and alert the operator.
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During the PRIME mode, the pumps draw AC solution into the donor line up to the DLAD. When the DLAD note fluid (or an absence of air), the detectors signal to PCS2 software that the line has been primed with anticoagulant solution and is prepared for the Draw cycle. During the DRAW mode, the DLAD will monitor the tubing containing anticoagulated whole blood and alert the operator if any air has been introduced into the system. During the RETURN mode, the DLAD will monitor the donor line as it carries blood components being returned to the donor. The DLAD monitor the line for any air which may have passed into the system undetected (probability very low) by the BLAD.
Warning: In the case of any air detection alarm, the operator must respond immediately, note the source and take appropriate action. Further information is provided in the chapter Troubleshooting for a PCS2 Procedure. During a Return cycle, if either the DLAD1 and/or DLAD2 produce an air detection alarm, this could indicate a failure of the BLAD. The operator should carefully note the source of air detected; no blood should be sent to the donor until all air bubbles have been removed from the line. Haemonetics recommends the following operator actions to remove any air bubbles detected in the tubing between the BLAD, DLAD1 and the DLAD2:
Press the Draw key until blood enters the bowl, to send any air bubbles to the bowl. Continue with a Return cycle only after any air bubbles have been removed.
4
1. 2. 3. 4. 5. 6. DLAD1 DLAD2 Blood filter brackets AC solution pole DPM SPM
6 5
1 3
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Pressure monitors
The electronically controlled pressure monitors function with the correlating filter on the disposable set to measure pressure in the disposable tubing. The pressure monitors provide feedback to the system about the flow of blood components. The PCS2 programming will automatically regulate the speed of the pumps based on this information.
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Warning: The operator must remain aware of the fact that a high pressure warning can indicate a possible flow obstruction and could cause red blood cell hemolysis, and/or damage the vein. Corrective action is necessary and the operator should consult the chapter Troubleshooting During a PCS2 Procedure, as well as the chapter Ensuring Safety and Quality for a PCS2 Procedure for further information.
Located on the left side of the PCS2 front panel are two brackets designed to secure the blood filter chamber of the disposable set during the procedure.
Located on either side of the PCS2 cabinet is a height-adjustable pole. These poles are used to hang the solution bags during the procedure. The left pole should be used to hang the anticoagulant solution, whereas the right pole should be used to hang the saline solution (if selected). There is a knob located on the base of each pole. Pulling the knob outward will disengage the contact pin from the pole and allow the operator to extend or retract the pole.
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The power entry module is located on the left panel of the device. Externally, the module consists of an ON/OFF power switch and a power-input receptacle for the power cord. Internally, the module contains the fuse panel. It will interrupt power supply to the system in the event of an electrical current surcharge. The design of the power entry module also provides a filter-effect for the PCS2 device against the effects of a power surge In the case of an emergency, the ON/OFF switch can be used to stop all device function.
Power cord
The power cord provided is designed to connect the PCS2 device with an external power source via the power-input receptacle, located on the powerentry module on the left side panel.
Pressure cuff
The tourniquet-style pressure cuff is used to maintain an optimal venous bloodflow from the donor during specific phases of the collection procedure. The cuff should be attached to the PCS2 cuff connector located on the PCS2 rear panel.
The biohazard waste bag is designed to collect any biologically contaminated material from the centrifuge well in the rare case of a spill or leak. Two biohazard waste bags are supplied with the delivery of each PCS2 device. A bag must be attached at all times to the centrifuge drain tube, located at the rear of the device. The bag must hang freely, with the clamp open, visible to the operator. Warning: The biohazard waste bags are not to be used to collect or store apheresis products. When a bag contains evacuated waste products, it must be clamped, removed and properly disposed of, according to the local policies concerning biologically contaminated material. A new bag must be placed before resuming operation.
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1
1. 2. 3. 4. Power entry module Power cord Pressure cuff Biohazard waste bag
4 3
The external communication box or internal data card transfer data from the PCS2 device to another external device such as a printer, or to HaemoNet, the Haemonetics communication network. HaemoNet provides any establishment using Haemonetics equipment with the possibility of linking several Haemonetics apheresis devices to a central monitoring computer. Using HaemoNet, procedure data can be exchanged and stored in a database and/or viewed directly. Note: The PCS2 communication box has been tested according to standards required by EN 60601-1-2 (EMC of medical electrical equipment). The measured error rate of data communicated to HaemoNet at certain specific electromagnetic frequencies rises above the standards. However, there is no impact on the integrity of the procedure information stored in the database. The HaemoNet communication is designed with CRC error checking, performed upon the reception of all data.
The barcode reader (when installed), is located on the left panel of the PCS2 and can be used to enter the following types of data directly into the PCS2 data storage memory.
z z z
Disposable set lot and list numbers. Anticoagulant and saline bag solution codes. Donation number, donor number and operator identification code.
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1. 2. 3. 4. 5. 6. 7.
Display screen Mode control keys Protocol key Pump control keys Programming keys Cuff key Valve control keys
4 5 6
Display screen
The control panel display screen will provide data related to procedure status, as well as donor status, throughout the entire procedure. The information will be displayed in specific areas as follows:
3
1. 2. 3. 4. 5.
Active state message. Procedure acronym. Operating state icon. Procedure statistics area. DPM bar graph reading.
ACRONYM
2
0
READY
1 5
Pump 0
Plasma 30/600
NaCl 0
Cuf VPro 0 0
DPM
Message area
The center portion of the screen display will provide textual information about the current state (or mode) of operation, while the actual cycle in progress will be (visible in the upper right corner).
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Procedure acronym
The upper left portion of the display screen will contain the acronym selected to describe the type of procedure in progress.
Table 2-1: PCS2 display screen icons Display screen icon Explanation Displayed during AC solution priming sequence. Operating state/mode PRIME
AC
Displayed when the device in a non-active state, or ready for an operator command.
READY
DRAW
RETURN
Displayed briefly at the end of the procedure, prior to the completed procedure statistics displayed. Displayed when the centrifuge is stopping.
PROCEDURE COMPLETE
STOP
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Blood pump speed during the DRAW and RETURN modes. Amount of the plasma contained in the collection container. Cuff pressure registered for the donor (mmHg). Saline solution volume infused (if selected) during the procedure. Volume processed (ml).
These keys, located directly below the PCS2 display screen, are used to regulate the operating state (or mode) of a PCS2 collection procedure.
PRIME key
This key is used to initiate the PRIME mode. The PRIME mode will bring anticoagulant solution from the anticoagulant line tubing into the donor- line tubing.
DRAW key
This key is used to initiate the DRAW mode. The DRAW mode will move anticoagulated whole blood from the donor through the donor-line tubing into the centrifuge bowl, where plasmapheresis will be initiated.
RETURN key
This key is used to initiate, or resume, the RETURN mode. During automated procedure functioning, a Return cycle is automatically initiated. However this key can be used to provide an early return of the bowl contents to the donor, if necessary.
STOP key
This key is used to immediately stop the centrifuge and pumps. Caution: If the STOP KEY has been used during a Draw cycle, the bowl contents should be returned to the donor before resuming the collection procedure. Stopping the procedure during the DRAW mode could affect the separation of the blood components in the bowl. This could eventually interfere with the quality of the final collection product (and/or the collection procedure).
Protocol key
This key is used to select certain PCS2 procedures and any options. Further information in provided in the chapter Performing a PCS2 Collection Procedure.
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These keys can be used by the operator to manually change the preset pump speed during a collection procedure.
Programming keys
This section of the PCS2 keypad consists of four keys which enable the operator to modify specific PCS2 procedure parameters. Certain system operating parameters have been selected by Haemonetics as default values. These parameters provide optimal results in PCS2 plasmapheresis procedures with the average donor, as well as for average collection requirements. However, it is possible to alter and subsequently retain the altered parameters for specific collection requirements. Once the program parameters have been consulted and/or modified, the operator can return to the screen depicting the current mode of operation without interruption to the collection procedure. Further information is provided in the chapter Understanding a PCS2 Collection Procedure.
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Provide a response to a question-prompt from the PCS2 software. Modify the parameter setting displayed on the screen.
Press the Yes key (arrow up) to increase the value. Press the No key (arrow down) to decrease the value.
Cuff key
This key is located on the keypad next to the saline and plasma valve keys. During procedure operation, the cuff will automatically inflate during the DRAW mode and deflate during the RETURN mode. The cuff cannot be inflated during the RETURN mode. The operator can use the key to manually control the pressure cuff:
z z
Prior to a procedure when performing the venipuncture During the READY or DRAW modes, to modify cuff pressure.
These keys can be used to manually control what would normally be the automatic control of a valve, as in the case of manual saline compensation before the final Return cycle. When a valve control key has been pressed, the key will be lit, indicating that the valve is open. When it is re-pressed, the valve will close.
Saline key
This key can be used to manually control the saline (white) valve.
Plasma key
This key can be used to manually control the plasma (yellow) valve.
Chapter 3
3-2
CLEANING PROCEDURES
The PCS2 device has been designed to require minimal maintenance for the operator. To maintain the precision function of the PCS2 device, the operator needs to primarily perform routine cleaning procedures of certain key components. A record of routine cleaning should be kept along with any routine or preventive service maintenance performed by a Haemonetics representative, and a form is provided at the end of this chapter. The frequency of cleaning each individual PCS2 device will depend on the number of procedures performed. Special cleaning needs may arise and should be dealt with promptly. Haemonetics recommends the following routine cleaning schedule for each PCS2 device, based on an average of three collection procedures per day, or approximately sixty per month.
z z
Daily: Clean the exterior surfaces as well as the pressure monitors. Weekly: Clean the air detectors, the optical sensors (line sensor and optical bowl sensor), the fluid detector and the inside of the centrifuge well. Monthly: Clean the pump rotors and the pump wells. Quarterly: Clean the filter screens.
z z
Warning: To eliminate the potential danger of electrical shock, the operator must clean the PCS2 device only when it is disconnected from an external power source. The following list describes the basic material required for routine cleaning.
z
Disinfectant cleaning solution, specific for blood born pathogens and compatible for cleaning Lexan plastic. Warm water. 70% Isopropyl alcohol. Lint-free gauze or cloth (for cleaning and drying). Cotton swabs. Protective gloves. Hexagonal-head wrench #10 (provided with the device). Silicon lubricant (used for the O-ring gasket of the centrifuge chuck). Phillips-head screwdriver.
z z z z z z z z
The exterior cabinet, keypad, display screen and valves should be wiped daily, as well as following any spill, using an appropriate cleaning solution. Caution: Certain cleaning solutions can degrade the Lexan plastic parts of the PCS2 valves and only compatible cleaning solutions should be used.
3-3
Pressure monitors
The pressure monitors (DPM/SPM) should be cleaned daily in the following manner:
Depress and hold the white ring as if installing the disposable filter. Wipe the silver rod thoroughly, using a circular motion and warm water. Dry the rod and release the pressure on the ring.
Caution: It is very important to use only water on the pressure monitor rod. Alcohol or cleaning solution residue could cause a reaction with the plastic material of the corresponding disposable set filter and affect the function of the filter.
Air detectors
The DLAD1, DLAD2, and BLAD are designed with a groove to hold the disposable tubing. The contents of the tubing are monitored by the sensors which are located internally on either side of this groove. If a procedure is interrupted due to an air detector alarm, the operator should remove the tubing and clean the groove before continuing the collection procedure. The operator should use only warm water and lint-free gauze to clean and dry inside of the tubing grove. The groove should be kept free of any particles, such as powder residue from disposable gloves, since this could lead to an erroneous detection of air. Caution: Alcohol may cause the plastic housing to degrade and must not be used to clean the air detectors.
Optical sensors
The lenses of the optical sensors must be kept completely free of particles or debris which could produce inaccurate readings and influence the PCS2 device performance. The operator should use only water and lint-free gauze to clean and dry the lenses. Caution: If cleaning solution should come into contact with the optical sensor lenses, the lenses should be cleaned immediately with lint-free gauze and warm water, then thoroughly dried. Dried cleaning solution can leave an opaque film on the lens.
Line sensor
The line sensor, located on the PCS2 top deck, contains two very small lenses which are centered on either side of the disposable tubing groove. The operator should carefully pass the gauze through this groove to clean and dry the lenses.
3-4
The fluid detector is located inside of the centrifuge well. The surface of the detector should be cleaned using a cotton swab moistened with 70% alcohol. Except for the optical sensor and fluid detector, the other centrifuge components can be wiped routinely using the cleaning solution and a lint-free cloth. This includes the centrifuge well, chuck, hinged lid and locking knob. Haemonetics Technical Services provides silicon lubricant for the O-ring gasket, located at the base of the centrifuge chuck. After a major cleaning, the operator should apply a small amount of the lubricant to the gasket to prevent it from cracking. It is not necessary to remove the gasket when applying the lubricant. If the case of a fluid spill, the operator should:
Power off the device and disconnect it from the external power source before cleaning. Ensure that the biohazard waste bag is attached to the drain tube and hangs freely. Wipe the centrifuge lid with cleaning solution. Clean the centrifuge chuck and well (avoiding the optical sensor lens) using the disinfectant solution and a lint-free cloth until all traces of blood components are removed. Lubricate the O-ring gasket with a small amount of the silicon lubricant.
Haemonetics recommends that the operator wear protective gloves to avoid direct contact with the cleaning solution and/or any spilled blood which may be present. In the case of a larger spill, fluid and/or blood may be evacuated into the biohazard waste bag. The operator should complete the following additional steps and contact the local Haemonetics representative for further instructions before using the device:
Irrigate the centrifuge drain holes with cleaning solution, until the drain tube is rinsed clear of the spilled material. Remove the bag and replace it with a new bag. Dispose of the used waste bag according to local established policies concerning the disposal of biohazard waste.
Note: A 50 ml syringe of attached to a 20 cm section of disposable tubing placed in the drain holes can be used for irrigation. The biohazard waste bag should be monitored to avoid overfilling. Warning: An authorized Haemonetics technician should perform a leakage current control after any major fluid spill involving the PCS2 device. Leakage current represents a primary indication of electrical shock hazard and should be checked according to guidelines as described in local standard operating procedures.
3-5
Pumps
The pump rotors should be removed from the well with the hexagonal head wrench. Debris should be removed from the rotors and the pump wells on a routine basis, as well as after any spills to contribute to efficient PCS2 operation. For routine cleaning, the operator should:
Remove the pump rotor from the housing, using the hexagonal head wrench to remove the pump screw. Wipe the rotor and remove all debris from the rollers, using warm water and lint-free cloth or gauze. Dry with lint free cloth (or compressed air, if available). Clean and dry the pump well using the same method. Ensure that all of the rollers spin freely and replace the pump rotor in the well, aligning the cross pin in the rotor with the pump shaft. Replace and tighten the hexagonal head screw.
In the case of a fluid spill, the same cleaning method should be followed; however, disinfectant cleaning solution should be used, followed by a clear water rinse. The pump head should not be immersed in water.
Filter screens
The PCS2 device is equipped with filter screens on the bottom of the cabinet, which eliminate dust from incoming cool air. The filters should be cleaned routinely, especially if dust becomes visible on the screens. To clean the filters, the operator should:
Remove the retainer plates using a Phillips-head screwdriver. Remove the filter screens from the panel. Rinse the screens under running water - DO NOT use any cleaning agents. Gently squeeze the screens to remove excess water. Place the screens on a clean, dry cloth and allow to dry completely. Reinsert the screens into the panel, ensuring that all openings are completely covered by the filter. Replace the retainer plates and tighten the screws.
Warning: To avoid electrical shock, the filter screen should be completely dry before it is reinstalled on the PCS2 cabinet.
Barcode reader
The barcode reader window should be wiped using a lint-free cloth or gauze and water, then dried. It should be cleaned whenever there is an accumulation of dust or spilled fluid. For optimal cleaning, the operator should remove the protector around the window and replace it once the window has been cleaned.
CUSTOMER SERVICE
Clinical training
Haemonetics employs a staff of Clinical Specialists to provide training for apheresis personnel concerning the use of the PCS2 equipment. The local Haemonetics representative will schedule staff training upon delivery of PCS2 equipment and should be contacted to organize further instruction when needed.
Field service
Haemonetics maintains a worldwide network of company-trained service representatives responsible for responding to technical needs concerning equipment. These technical specialists are available to diagnose and repair any malfunctions, as well as provide routine annual or semi-annual maintenance of the apheresis equipment, including leakage current tests. If service beyond the routine maintenance and cleaning described in this manual is required, the local Haemonetics representative should be contacted to provide specific instruction.
Haemonetics seeks to provide the apheresis customer with equipment and material which respects the highest established standards of quality in design and manufacturing. If for any reason merchandise must be returned to the company, the customer should refer to the Haemonetics Returned Goods Authorization (RGA) system procedure to ensure proper handling and subsequent analysis of the material. The customer should contact the local Haemonetics Representative (or the Haemonetics Customer Service Department) and provide the following information:
z z z z
Product list number, lot number and manufacture date. Number of articles to be returned. Description of defect. Number of parcels being shipped.
The Haemonetics Representative may ask for additional details, depending on the nature of the problem. The customer should be prepared to provide a thorough description of the problem encountered, as well as the product information listed above. If a contaminated disposable set must be returned by courier services, the Haemonetics Representative may provide specific instructions concerning preparation for shipping blood-contaminated products. In addition to the Haemonetics guidelines, the consumer should strictly follow the local standard operating procedure related to the shipment of blood-contaminated materials and thus minimize any potential health hazards involved.
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In some cases, it may be necessary to dispose of the contaminated goods after reporting the problem to the Haemonetics representative. This should be done according to the locally established guidelines pertaining to the disposal of biologically contaminated material. Warning: Haemonetics products must be properly cleaned and packed prior to their return. It remains an important responsibility of the customer to reduce this serious potential health hazard, by being aware of the risks involved in the shipping, handling and testing of this material.
Action
Annual preventive maintenance should be scheduled by a supervisor when appropriate and performed by a Haemonetics service representative or a qualified engineer.
Chapter 4
4-2
The PCS2 device must not be operated or stored in an area where flammable gases or vapors are present. The PCS2 disposable set material should be kept in a dry, well-ventilated area and isolated from any chemical vapors. The operator should handle the disposable set elements with clean, dry hands or gloves. The ranges for storing the material should be within 8% to 80% rh and -20 C to +50 C. The recommended conditions for the working environment are an ambient temperature between 18 C to 27 C.
Prior to installation, the operator should complete a visual inspection of the disposable set elements and control for twisted or flattened sections. After installing the disposable set, the operator should verify the correct placement of the individual elements, prior to initiating a collection procedure. It is important that the tubing remain free of any twists or occlusions which could cause a flow obstruction.
4-3
During the DRAW mode, a flow restriction in the effluent tubing can create pressure on the outlet port of the disposable bowl. This unrelieved pressure can deform the rotary seal of the disposable bowl. If the functional characteristics of the rotary seal are altered, the increased friction and excessive heat can make the contents of the bowl unsuitable for return to the donor. During the RETURN mode, a flow restriction in the effluent tubing can cause the pressure in the centrifuge bowl to drop severely. This sudden drop in pressure could potentially produce hemolysis. To eliminate these potential problems, the operator should:
Ensure against inadvertent clamping of the effluent tubing. Observe the following changes in flow rate which are possible indications of a flow restriction:
z z
Decreased donor flow rate during a Draw cycle. Abnormally increased time required to return the disposable bowl contents bowl to the donor.
4-4
An improperly installed disposable bowl can become misaligned as it spins. This can create excessive friction, and consequently overheat the bowl contents. The operator should verify the alignment of the bowl at the time of installation. Warning: The operator must not use any bowl which cannot be properly seated in the centrifuge chuck. Overheating can occur, subsequently lead to hemolysis and make any blood being processed unsafe for reinfusion. During operation the operator should interrupt the PCS2 procedure if an abnormality or noise appears, related to the spinning bowl.
Overheating could also result from a mechanical or maintenance-related problem, such as a defective bearing or seal within the centrifuge well. In this case, the operator should contact the local Haemonetics representative and discontinue use of the PCS2 device until it is serviced. Warning: If any component of the PCS2 device has become overheated during a procedure, and thus overheats the blood being processed, the blood components cannot be considered safe for re-infusion.
Red Cell Overrun is the term used to describe the presence of erythrocytes in the effluent tubing and/or product collection container during a plasmapheresis procedure. It is important that the operator observe the appearance of the plasma as it is collected. A pink or reddish hue could indicate a possible red cell spillage or a PCS2 malfunction resulting in severe hemolysis. The situation should be investigated immediately. If the cause of the reddish hue cannot be determined, the procedure should be discontinued immediately and the blood components in the bowl must not be returned to the donor.
4-5
The operator should always use the PCS2 device with clean, dry hands, or gloves. The internal parts of the PCS2 device contain various electrical components. Contact with any of these components, when the device is connected to an external powered source, could result in an electrical shock to the operator and/ or donor. The operator should never remove any of the PCS2 cabinet panels. Maintenance requiring access to the inner cabinet remains the responsibility of a Haemoneticstrained technician.
Each PCS2 device receives a careful inspection for leakage current prior to leaving the factory. Haemonetics recommends that a control be performed for leakage current by an authorized representative as part of the annual preventative maintenance. It remains the responsibility of the apheresis center to ensure that this control is performed. In the event of any major spill in which fluid may enter the cabinet, or an important voltage surge, the operator is responsible to ensure that a leakage current test is performed before re-using the device. The control is necessary to avoid the risk of electrical shock and should be conducted by an authorized Haemonetics representative.
As with any equipment containing rapidly rotating parts, the potential for severe injury exists if contact is made, or if clothing becomes entangled with the moving parts. The PCS2 device contains a safety feature, designed to prevent the centrifuge from spinning if the system has not been properly secured. However, the operator should respect the usual precautions taken when working with equipment containing rotating mechanical parts.
To comply with the IEC 60601-1-2 Standard for Medical Electrical Equipment, general requirements for safety, it is not permitted to power the PCS2 device using a multiple portable socket outlet, or an extension cord not supplied by Haemonetics.
4-6
Despite testing and screening to detect communicable diseases such as hepatitis, syphilis or HIV, the risk remains that the blood being processed may be infected. The operator must take the appropriate precautions when handling blood products and disposing of blood-contaminated material, to ensure personal safety as well as the safety of others who may come in contact with the material.