Hardshell Reservoir Operating Specifications for Post-Operative Chest Drainage
Cardiotomy Maximum Blood Flow Range
Blood Storage Capacity
Minimum level in reservoir
List of Required Materials for Use of Reservoir for Post-Operative Chest Drainage
QUANTITY
*REFERENCE
[a]
6 each
[b]
1 each
[c]
1 each
[d]
2 each
[e]
1 each
[f]
1 each
[g.1.]
1 each
[g.2.]
1 each
[h]
1 each
[i]
1 each
[j]
1 each
[k]
1 each
[l]
1 each
INSTRUCTIONS FOR USE
NOTE: When referring to the instructions for Post Operative Chest Drainage, the bracketed letters refer to the List of Required Materials on page 13 and the parenthesized numbers
refer to the illustration on page 12.
1. Carefully remove tubing and/or blue caps from suction inlet ports (6) of reservoir. Plug five of the suction inlet ports with 1/4" (6.4 mm) I.D. dead-end tubes [a].
2. Attach 3/8" (9.5 mm) I.D. tubing [b] from the auxiliary port (2) to one of the suction inlet ports (6); all suction inlet ports are 1/4" (6.4 mm) - 3/8" (9.5 mm). This will create a bridge
between the filtered and unfiltered sections of the reservoir.
3. Clamp the 1/2" (12.7 mm) circuit tubing attached to the 1/2" (12.7 mm) venous blood inlet port (10) of the reservoir, cut it and connect a 1/2" (12.7 mm) connector with 1/2" (12.7 mm)
I.D. dead-end tube [c].
4. Connect the chest drainage tubes to the 3/8" (9.5 mm) X 3/8" (9.5 mm) Y connector with 96" (2438.4 mm) of 3/8" (9.5 mm) 40 Durometer tubing [d]; if only one chest tube is
used, plug one of the 3/8" (9.5 mm) ports of the Y connector with a 3/8" (9.5 mm) dead-end tube [e]. Attach the other end of the 3/8" (9.5 mm) X 3/8" (9.5 mm) Y connector with
96" (2438.4 mm) of tubing to the vertical port to CR filter (7). In case 3 or more chest tubes are used, attach an additional 3/8" (9.5 mm) X 3/8" (9.5 mm) Y connector with 96"
(2438.4 mm) of 3/8" (9.5 mm) 40 Durometer tubing [d] to one of the suction inlet ports (6) that was capped off by a dead-end tube.
5. Secure in place all yellow luer caps; all caps are non-vented (4, 8).
6. Disconnect sampling system (3) from the back of the venous blood inlet port (10) and attach a non-vented luer lock cap [k].
7. Attach a 1/4" (6.4 mm) dead-end tube [a] to the quick prime port (9) on the reservoir.
8. Hold the reservoir parallel to the floor with the venous blood outlet port at the top to prevent blood spillage. Clamp the circuit tubing attached to the outlet port, cut it, then connect a
3/8" (9.5 mm) to 1/8" (3.175 mm) blood infusion adapter line [f]. Clamp the adapter line and leave the end cap in place until autotransfusion is set up. In case of using 1/4" (6.4 mm)
adapter, take 1/4" (6.4 mm) adapter off first.
9. Remove positive pressure relief valve from non-filtered luer lock port and attach three-way stopcock. Secure to the stopcock the negative pressure relief valve with attached
bacterial filter [g.1] and positive pressure relief valve [g.2.].
10. Install the hardshell reservoir into the autotransfusion holder (product code: XX*XH032).
CAUTION Maintain the hardshell reservoir below the thorax to facilitate chest drainage.
11. a. Using a 1/4" (6.4 mm) I.D. tubing [h], connect the vent port (5) on top of the hardshell reservoir to a regulated vacuum source with 1.5 to 2.1 kPa (15-20 cmH
15.4 mmHg).
NOTE: The "DO NOT OBSTRUCT" caution label near the vent port is not applicable for post-operative chest drainage and autotransfusion.
11. b. The use of a water seal/water manometer [i] is highly recommended for chest drainage. If using a water manometer, connect one end of a 1/4" (6.4 mm) I.D. tubing [j] to the
vent port (5) and the other end to the water manometer.
WARNING To minimize blood damage, vacuum should be regulated so as not to exceed 13.3-20 kPa (100-150 mmHg) (130-195 cmH
ITEM
1/4" (6.4 mm) I.D. dead-end tubing with cap
3/8" (9.5 mm) I.D. tubing with caps
1/2" (12.7 mm) X 1/2" (12.7 mm) connector with 1/2" (12.7 mm) I.D. dead-end tubing with cap
3/8" (9.5 mm) X 3/8" (9.5 mm) X 3/8" (9.5 mm) Y connector with 3/8" (9.5 mm) I.D. 40 Durometer tubing with
caps
3/8" (9.5 mm) I.D. dead-end tubing with cap
3/8" (9.5 mm) perfusion adapter attached to 4" (101.6 mm) of 1/8" (3.175 mm) I.D. tubing that includes a
clamp with a female luer end, connected to male luer with 48" (1219.2 mm) of 1/8" (3.175 mm) I.D. tubing with
another female luer end connected to a male luer with 2.5" (12.7 mm) of 3/16" (4.7625 mm) I.D. tubing; the
end of the tubing is covered by a cap.
Pressure relief valve: opening vacuum range: 3.1 - 6.2 kPa (30 - 60 cmH
bacterial filter
Pressure relief valve: opening pressure of approximately 0.8 kPa (7.9 cmH
1/4" (6.4 mm) I.D. tubing
Water manometer
1/4" (6.4 mm) I.D. tubing
Male non-vented luer lock cap
Three way stopcock capable of opening three ways simultaneously
DESCRIPTION
O) (23.1 - 46.2 mmHg) with
2
O) (6 mmHg)
2
OR
SPECIFICATION
5 L/min
4,000 mL
20 mL
TUBING LENGTH
2" (50.8 mm) each
12" (304.8 mm)
6" (152.4 mm)
96" (2438.4 mm)
4" (101.6 mm)
As needed
18" (457.2 mm)
O).
2
N/A
N/A
N/A
N/A
N/A
N/A
O) (11.6-
2
13