自体血回收使用规范

C.A.T.Splus1.0BloodCollection血液收集 Unpackthereservoirfromthesterilepackaging.Keeptheextracapstoclosethereservoirportswhendiscardingthesettoavoidleakageafteruse.PlacethereservoirintheyellowreservoirholderattheI.V.pole.●从无菌包装中取出血液收集滤过器（储血罐）。保存好管路保护帽,以备在使用后丢弃耗材时，用于避免发生渗漏。将血液收集滤过器放置在I.V输液架上的黄色固定装置上。Closetheredclampofthebloodoutletportatthebottomofthereservoir.●关闭血液收集滤过器下方，血液管路上的红色夹子。Removetheyellowcap.Connectthevacuumlinetothevacuumportofthereservoir.●打开负压吸引管连接口上黄色保护帽。将负压吸引管连接到血液收集滤过器的负压吸引管连接口。Prepare1litreofsalinewith30.000(thirtythousand)unitsofheparin.Insteadofheparinisedsalineyoumayalsousecitratesolution.ACDandhangitontheupperlefthookoftheI.V.pole.●配备比例为含3万单位肝素/1000毫升盐水的抗凝剂。配备完毕后的液体挂在I.V输液架左上方。您也能够使用枸橼酸抗凝剂-ACD取代肝素盐水。Thedoublelumensuctionlinemustbeunpackedandpreparedstartingatthesterilefield.Opentheouterpackaging.Thesterilenurseshouldtaketheinnersterilepackagingwithouttouchingtheouterblisterpack.TheATSsuctionlinecanbeunpackedandpreparedwithasuctiontipatthesterilefield.Thereservoirconnectionanddripchamberwithspikeshouldbehandedtotheanaesthesiateamoutoverthetowel.Connectthequarterinchadaptortooneofthereservoirports–bluecap–connectthedripchambertotheanticoagulantsolutionbagusingthespike.●取出和准备双腔吸管时，必须在无菌环境中进行。先打开外包装，再由通过无菌准备的护士打开内层无菌包装，注意请勿触摸到外层包装。在无菌区打开ATS吸引管路，将连接血液收集滤过器和盐水管路的任务交给麻醉组。将ATS双腔吸管上的0.6厘米的接口与血液收集滤过器上的戴蓝色帽接口其中之一相连接，将带有Adjustthevacuumto100mmofmercuryorminus0.2(zeropointtwo)bar.Donotexceed200mmofmercuryatanytime.Ifthevacuumregulatorisclosedthesafetyvalveontopofthereservoirwilllimitthenegativepressureto200mmofmercuryorminus0.3(zeropointthree)bar.●将负压调节至100毫米汞柱或-0.2帕。任何时候都不要超出200毫米汞柱或-0.3帕。Whensuctionhasbegun,opentherollerclampbelowthedripchamber,andprimethesuctionlineandreservoirwithapproximately250mlofanticoagulant.Afterwards,adjusttheflowtoadriprateof60dropsperminute.●当开始收集血液时，打开抗凝剂管路滴壶下方的输液流速调节器，快速预充血液收集管路及血液储存器，需要约250毫升抗凝液体。预充结束后将抗凝剂的流速调到约60滴/分钟。Duringsuction,avoidaspirationoftoomuchairintothesuctiontip.Mixingbloodandairinthesuctiontipandsuctionlineactivatesclottingandcauseshemolysis.●在收集血液的过程中，注意避免吸入过多的空气。血液与空气在吸血口或吸血管内的过多的混合可能激活凝血及造成溶血。Bonechipsandtissuethatbecomelodgedinthesuctionlineduringsurgerycanalsonegativelyaffectthequantityofredcellssalvaged.●手术过程中吸入的骨碎片和组织可能会停留在血液收集管路中，这可能对收集的红细胞的质量产生负面作用。Pleasekeepinmindthattheredcellsareverysensitivetoshearforces.请时刻记住，红细胞对张力是非常敏感的。2.0BloodProcessingProcedure血液解决过程2.1DeviceStart开机SwitchontheC.A.T.Sdevicebypressingthestartkey.SelecttherequiredwashingprogramandpressthecontinuekeytoentertheinstallphaseoftheAT1set.●按开始键，启动C.A.T.S。可选择所需要的清洗程序，按继续键进入，安装AT1分离清洗套件。Pressthe“opencentrifugelid”keyandraisethecentrifugelidtouprightposition.●按“打开离心舱盖”键，打开离心舱盖，推放在向上的位置。RemovetheplasticbagfromtheAT1AutotransfusionSetandplacethepackingtraywiththewastebagontherighthandsideofthecentrifuge.Thewashingsethastobeinstalledfromthetopdownwards.RemovethereinfusionbagfromthepackingshellandsuspenditfromtheupperarmoftheI.V.pole.Removethewastebagfromthepackingshellandsuspenditfromthethreefixinghooksontherightofthedevice.●去掉AT1套件的塑料包装，放置包装托盒时将装有“废液袋”端靠近离心舱的右侧。洗涤套件安装次序为从上向下。从包装盒中取出红细胞“回输袋”，悬挂在IV输液架的右上臂端。从包装盒中取出“废液袋”，悬挂在设备右侧的3个固定挂钩上。Removetheconnectionlinesforthesalinesolution–whiteclamps-andthebloodline–redclamp-fromthepackingshellandplacethemoverthehandle.●从包装盒中取出盐水连接管路-白色夹子和血液管路-红色夹子，可将其放在设备的手推杆上。Removethepump-adaptorfromthepackingshell.Insertthepump-adaptorintothepumpbed.Theadaptormustbepushedintotheguidingspikeinthecentreofthepumpbed.Pressthe“loadpumps”keyandmonitortheloadingprocedure.Caution,keephandsoutofthepumpbed!●从包装盒中取出泵适配管路，将固定器中间孔对准放入泵床固定柱中。使适配器管路卡放在泵床中间的导槽中。按“装/卸泵管”键，留心泵管自动安装过程。警告，不要将手放在泵床中。Rotatethecentrifugerotoruntilthecut-outispointingtowardsthefront.(StandbildRotor)●转动离心转子，使开口朝向正前方（转子静止时）Withyourrighthand,taketheAT1,togetherwiththecentrifugetubes,outofthepackingshellandinsertitintothecentrifugerotor.●用右手，将AT1离心清洗腔与管路装置一起从包装盒中取出，并将AT1顺势放入离心转子中。Fitthecentrifugeadaptorintotheholdingarmfromaboveuntilitclicksintoplace.●将离心管路方形适配器从上方插入到固定支架上，位置进入对的时（缺口朝前）会听到“咔”一声。Pressthe“lockchamber”keyandmanuallycheckwhetherthewashingchamberissecurelylocked.●按“锁紧离心腔”键，并手动检查离心腔与否确保锁定。Closethecentrifugelidfirmly,sothatitfastenswithaclick.●用力关好离心舱盖，关紧时会听到“咔”一声。Closethewhiteclampoftheunusedsecondsalineconnector.Connectthesalinelinetothesalinebagusingthespike.●关闭盐水连接管路上不准备使用的一种白色夹子。用塑针穿刺，将AT1装置中盐水管路与盐水袋相连接。Connectthebloodlinetothebloodcollectionreservoir,keepingthecapsoftheconnectorsforfurtheruse.●将AT1装置中血液管路（带红色夹子）与血液收集储存器下端管路（带红色夹子）相连，保存好管路端保护帽备用。Afterthesethasbeeninstalledandthesalinehasbeenconnected,thesetisautomaticallyprimedwithsalinebypressingthe“prime”key.●在洗涤套件安装完毕并连接盐水后，按“预充”键，设备自动用盐水预充整个套件。Primingwithsalinewillremoveairandexcesssalinetowaste.盐水预充将排掉管路中空气，多出的盐水排入到废液袋中。ThePRClinewillalsobeprimed.浓缩红细胞管路也被预充。Aftertheprimingphaseiscomplete,thewashprogramisready.预充阶段结束，洗涤程序的准备工作完毕。2.2StartWashingProcedure开始洗涤过程Afterthebloodhasbeencollectedinthereservoirthecontinuousbloodprocessingprocedureisstartedbypressingthe“start”key.●在血液收集到血液储存器中后，按“开始”键可开始持续性血液回收解决过程。.Itrunsautomaticallyuntilthebloodreservoirisempty.Thedisplayindicatestheflowsaswellasthevolumeprocesseduptothetimeshown.●机器自动运行，直到血液储存器流空时为止。显示屏显示截至现在时间的流速以及已解决术野血的容量。Thebloodpumptakestheshedbloodfromthereservoircontinuously.●血液泵持续从血液储存器中泵出术野血。Thepackedredcellsarepumpedintotheretransfusionbagwhentheleveldetectorrecognizesthetriggerpoint.●当机器的红细胞界面探测器检测到其触发点时，浓缩红细胞被泵入到回输袋中。2.3OperatorIntervention操作者变化参数2.3.1ChangingtheProcessingSpeedThePRCflowandtheprocessingspeedcanbechangedwithinagivenrangeineachwashprogram.Presstheupanddownarrowkey[s].Toincreasethedesiredflowpressthe“plus”keyfollowedbythe“enter”key.●每个程序中，按向上和向下键，可在一定范畴内调节浓缩红细胞流速以及解决速度。如但愿增加流速，按“向↑键”调节，然后按“确认”键。Todecreasetheflowpressthe“minus”keyfollowedbytheenterkey.●如但愿减慢流速，按“向↓键”调节，然后按“确认”键。2.3.2ChangingtheWashProgramPressthe“selectprogram”key.Usethedownarrowkeytoselectthedesiredwashprogram.Presstheenterkeytoconfirmyourselection.●按“选择程序”键。使用向下的箭头选择待选程序。然后按“确认”键确认您要的程序。Intheactivestatus,switchingtoanotherwashprogramwillnotinterruptaprogramcurrentlyinprogress.●在运行状态中，选择切换为另外一种洗涤程序不会中断正在解决中的程序。2.3.3ProgramInterruptionSalineEmpty程序中断--Whenthesalinebagisemptyanalarmistriggered.Replacethesalinebagandpressthe“start”keytocontinuetheprocessingprocedure.●当盐水袋为空时，报警启动。更换新的盐水，然后按“开始”键，程序继续。2.3.4ProgramInterruptionALARMWastebag程序中断--Whenthewastebagisfullanalarmsounds.Itcanbemutedbypressingthe“mute”key..●当废液袋满了时，会被监测并发出报警。该报警能够通过按“消音”键静音。Toemptythebag,theportatthebottomofthebagcanbeopened.Thisportmustbeclosedagainafteremptyingthebag.Onceitisempty,resumeprocessingbypressingthe“start”key.●能够打开废液袋下方的开关排空废液袋。该开关在废液袋排空后须再次关闭。当废液袋排空解决完毕后，按“开始”键继续解决。2.3.5ProgramInterruptionBloodReservoirEmpty程序中断--血液储存器Theshedbloodpreviouslycollectedhasbeenprocessedandthebloodreservoirisempty.Analarmsounds.Itcanbemutedbypressingthe“mute”key.●前期收集的术野血已经被解决完，血液储存器为空时，会发出报警。该报警能够通过按“消音”键静音。Ifadditionalshedbloodhasbeencollectedtheprocessingprocedurecanbecontinuedbypressingthe“start”key.●如果有其它术野血再次被收集到储存器时，能够按“开始”键继续解决。2.4SavingFinalPRC收集残存的浓缩红细胞Whenbloodprocessingisfinishedandnofurtherbloodlossisexpected,thevolumeofPRCthathasaccumulatedinthewashingchamberduringthefillingphaseispumpedtothereinfusionbagataconstantflowrate.Thisprogramphaseisstartedbypressingthe“savefinalPRC”key.Tostarttheprocess,press“savefinalPRC”again.●如果血液解决结束，同时预计无新的出血时，为了能节省在灌注阶段积留在洗涤腔中的浓缩红细胞，能够按“收集残存的浓缩红细胞”键，使红细胞以一种固定的速率泵入到浓缩红细胞袋中。如果还要做一次整个过程，再按一次“收集残存的浓缩红细胞”键。Theprogramwillstopautomatically,whentheprocessisfinished.●解决完毕后，程序自动停止。3.0RemovaloftheAT1Set拆除AT1套件AftersavingthefinalPRC,thesetcanberemoved.●在完毕收集残存的浓缩红细胞解决后，即能够拆除AT1套件。ClosetheblueclampsonthePRCline,disconnectthePRCbagfromthePRClineattheblueluerconnector,usingtheintegralservicecapstoavoiddripping.●关闭浓缩红细胞管路上的蓝色夹子，在螺旋接口处断开浓缩红细胞袋与AT1红细胞管路的连接。使用管路上自带的保护帽封闭管路，以避免漏液。Todisconnectthebloodlinefromthereservoiranddiscarditclean,usethecapsoftheadditionalcapset.Closetheredclampandthewhiteclampofthebloodline,anddisconnectthesteppedadaptors.ResealtheadaptorofthereservoirwiththeredcapandtheAT1steppedadaptorwiththeclearcap.●断开AT1的血液管路与血液储存器的连接，为了保持清洁，可使用备用的保护帽。关闭血液管路上的红色与白色夹子，断开分段梯形适配接头。使用红色的保护帽封闭血液储存器上的接口，用白色的保护帽封闭AT1上的分段梯形适配器接口。Alsousetheservicecapswhenclosingthereservoirports.请使用自带的保护帽封闭血液储存器上的出口。Disconnectthesuctionandvacuumlines.断开血液收集管路和负压管路。Removethereservoirfromtheholder.从支架上取下血液储存器。Toclosethereservoirportsusetheoriginalorservicecaps.请使用自带的保护帽封闭血液储存器上的出口Thecapofthesafetyvalveisyellow安全阀的保护帽为黄色。Thecapsofthebloodandvacuumportsareblue.血液和负压口保护帽为蓝色。Discardthereservoir.废弃血液储存器。Closethewhiteclamponthesalineline,disconnectthespikefromthesalinebag,discardthesalinebag,andresealthespikewiththewhitecap.●关闭盐水管路上的白色夹子，断开塑针与盐水袋的连接，废弃盐水袋，用白色保护帽套住塑针。Pressthe“opencentrifugelid”keyandraisethecentrifugelidtouprightposition.●按“打开离心舱盖”键，打开离心舱盖，推放在向上的位置上。Disconnectthewastebagattheyellowluerconnectorandresealtheopenlineswiththeservicecaps.●打开废液袋的黄色螺旋接头，使用自带的保护帽关闭开放的管路。Aslongasthepumptubingsarestillinsidethepumpbed,noleakageoftheopenwastelinewilloccur.只要离心管路还在泵床中，开放的废液管路就不会有漏液发生。Discardthewastebag.扔掉废液袋。Tounloadthepumps,pressthe“unloadpumps”key,liftthepumpadaptorupoverthepumpbedandpulluntilthepumptubingsarereleasedbythepinsonthepumprotors.●拆卸离心管路，按“装/卸泵管”键，向上提起离心适配器，拉动泵管直到泵管脱离泵转子中的泵针。Pullthecentrifugeadaptoroutoftherotatingarm.●将离心腔管路适配器从管路支架中拔出。Unlockthelockingmechanismofthewashingchamberbypressingthe“unlockchamber”key.●按“松开离心腔”键，打开清洗腔的锁定装置。Takethewashingchamberoutofthecentrifugeanddiscardit.●从离心舱中取出清洗腔后丢弃。Finally,pressthe“clearprogram”keytoclosethecase,andclosethelidforparkingposition.●最后，按“去除程序”键结束本次程序，并关上离心舱盖。4.0Retransfusion回输ConnectthedripchamberofaretransfusionsettotheAT1retransfusionbagusingthespike.使用带滴壶的输血器，用塑针连接AT1套件上的回输袋。Retransfusionmustonlybecarriedoutbygravity.Neveruseapressurecuff.只能使用重力回输。请勿加压回输。5.0DataManagementOption数据管理选项Thedatamanagementmenuisselectedfromthemainmenuviathe“option”keyfollowedbythefunction“datamanagement”.●在主菜单的“选项”键中，选择数据管理菜单“数据管理”Inthismenuyouhavetwooptions:thefirstisdatainput,whichisselectedbypressingthe“dataacquisition”key.该菜单中有2个选项：首先是数据输出，需要时，按“获得数据”键Thelotnumbersofthedisposablescanbescanned.TheC.A.T.Splussoftwareidentifiesthebarcodesandplacesthemautomaticallyinthecorrespondingfields.耗材批号能够被扫描。C.A.T.Splus软件能识别条码并自动将其保存到对应区域Customer-specificidentifierscanbedefinedforinformationaboutthesurgeon,theoperationandthepatient.能够定义顾客自己的识别码，如手术者、操作者和患者。Iftherespectivecodehasnotyetbeendefined,anerrormessageisgenerated.如果没有定义有关识别码，将会产生一种错误信息。Toentertheinformationanyway,youcanactivatethedesiredfieldbypressingoneofthecorrespondingkeys.如需要输入有关信息，您能够按相核心，激活对应的区域。Thebarcodedatawillbeenteredintothehighlightedfieldwithoutanyplausibilitycheck.条码信息将进入到高亮区，不必任何似真性核查。Alldataissavedbypressingthe“enter”key.按“确认”键，保存全部数据。Datatransferisinitiatedinthedatamanagementmenubyselecting“datatransfer”.数据传送功效可在数据管理菜单中选择“数据传送”Inthismenutherearetwooptions:datatransferanddeleteprotocols.●在整个菜单中，有2个选项：数据传送和数据删除合同Therecentprocessdataistransferredbypressingthe“datatransfer”key.IftheUSBmouseisnotconnectedanerrormessageisgenerated.ConnecttheUSBmouseproperlyandpressthe“datatransfer”keyagain.Theindividualprotocolswillbedisplayedandoncompletionofthetransferyouwillhearthemessage“transfercomplete”.按“数据传送”键，近来一次的解决数据被传送。如果未连接USB鼠标，将产生一种错误信息。对的连接USB后，再按“数据传送”键。解决方案会显示在屏幕上，在传送结束时，将听到“数据传送完毕”的语音提示。Transferredprotocolscanbedeletedbyselectingthemenuitem“deleteprotocols”.Theprotocolsaremovedtoatrashfolder.Theycanberecoveredanytimewiththeservicetoolbytheservicetechnician.●已传送的解决方案能够通过选择菜单中的“删除方案”选项被删除。被删除方案被移到一种垃圾夹中。技术人员随时能够通过维护工具恢复这些文献。Pressthe“return”keytoreturntothedevicefunctionmenu.●按“返回”键，返回到设备的功效菜单。6.0PlasmaSequestration血浆分离6.1IntroductiontoPlasmaSequestration血浆分离介绍Plasmasequestrationallowsbloodcollectedfromthepatientpriortothesurgicalproceduretobeseparatedintopackedredcells(PRC),platelet-poorplasma(PPP)andplatelet-richplasma(PRP).Incardiacsurgery,theplatelet-richplasmamaybereturnedtothepatientfollowingcardiopulmonarybypass.Inorthopaediccaseswithhighbloodlosstheplatelet-richplasmamaybereinfusedattheendoftheprocedure.血浆分离程序能够在手术前收集患者的全血，并分离成浓缩红细胞（PRC）、不含血小板的血浆（PPP）和富血小板血浆（PRP）。心脏手术中，富血小板血浆能够通过心肺旁路回输给患者。骨科手术伴有大量失血时，能够在手术结束时回输富血小板血浆。Alternativelyyoucanproduceautologousplateletgel(APG)fromthePRPbyusingcalciumchloridesolutiontoreversetheanticoagulationifcitratehasbeenusedtopreventclottingofthepatient’sblood.另外，医生也能够从PRP中，制备患者的自体血小板凝胶。办法是运用氯化钙反转通过枸橼酸抗凝的血液。Typicalplateletyieldsintheplatelet-richplasmaproduct:富血小板血浆产品中的血小板含量：Whenprocessingavolumeofapproximately500mlofwholebloodwithabaselinehematocritofapprox.34%(range26-43%)andbaselineplateletcountofapprox.189.000/mm3(range127.000to258.000),theplatelet-richplasmacollectedusingtheC.A.T.S.plasmasequestrationprogramcanbeexpectedtohavethefollowingcomposition:如果解决全血量约500毫升，其红细胞压积基础值约34%（26-43%），血小板计数基础值约189.000/mm3（127.000-258.000），使用C.A.T.S血浆分离程序制备的富血小板血浆的理论构成以下：- AveragePRPvolume:89mlPRP平均容量：89毫升- Averageplateletcount:605.000/mm3血小板平均计数：605.000/mm3- Averageplateletyield:0,54x1011(zeropointfivefourtimes10tothepowerof11)平均血小板含量：0,54x1011TheaverageplateletrecoveryratefortheC.A.T.S.plasmasequestrationprogramis51%inthePRPproductand21%intheplasmaproduct.C.A.T.S血浆分离程序中，PRP产品中血小板的恢复率为51%，血浆产品中为21%。AdisposablePlasmaSequestrationsetisusedinconjunctionwitharegularAT1autotransfusionset.该程序有一次性使用的血浆分离套件与常规的AT1套件配合使用。Followingcompletionofplasmasequestration,thesamedisposableAT1autotransfusionsetcanbeusedforintraoperativeandpostoperativeautotransfusion.血浆分离程序后，同一AT1套件能够用于手术中及手术后的自体血回输。Theplasmasequestrationprogramcomprisesfourconsecutivestages:血浆分离程序由4个持续的环节构成：1.PlasmaSequestration血浆分离2.PRCTransfer浓缩红细胞转移3.PRPTransfer富血小板血浆转移4.PlasmaTransfer血浆转移6.2SetPreparation套件准备ThePlasmaSequestrationProgramcanonlybeselectedatstartup.Pressthe“selectprogram”keyontheinitialscreen.UsethedownarrowkeytoselectthePlasmaSequestrationProgram.Pressthe“enter”keytoconfirmtheselection.InitialinstallationoftheAutotransfusionSetAT1isdescribedinChapters4.1and4.2ofthistrainingprogram.血浆分离程序只能在开始时选择。再最初的屏显界面上按“选择程序”键。用向下箭头选择血浆分离程序。按“确认”键确认选择。AT1分离套件的安装见本培训环节的第4.1和4.2章。6.3SetInstallation（血浆）套件安装AfterinstallingtheAutotransfusionSet,removetheplasmasequestrationsetfromthepackageandplaceitontopoftheC.A.T.S.SuspendthePRPbag–greenclamp-andtheplasmabag–yellowclamp-fromtheI.V.poleonthelefthandside.在安装好AT1之后，从包装盒中取出血浆分离套件，放在C.A.T.S上。将PRP袋-绿色夹子和血浆袋-黄色夹子悬挂在IV输液架的左侧。ConnectthereinfusionbagandthePRClinetothePSQsetbyinsertingtheblueluerconnectorsinthePRCline.Disconnectthewastebag–yellowline-andsealitwithasterilecap.Putthewastebagasideforlateruse.If“Autotransfusion”isindicated,connecttheplasmatransferlinetothewasteline.将回输袋和浓缩红细胞（PRC）管路与血浆分离（PSQ）套件相连接，办法是将PSQ上的蓝色螺旋接头插入RPC管路上的接口。断开废液袋-黄色管路，并用无菌保护帽关闭该管路。废液袋放置在一侧备用。如果需要进行自体血回输，可将血浆转移管路与废液管路相连。Closethewhiteclampofthefreesalineline.ConnectthesalinelineoftheAutotransfusionsettothespikeportoftheplasmabag.Closethegreenandyellowclamps.Placethebloodconnectionadaptoronthebloodline.Closetheredclampofthereservoirconnectionline.Connectthebloodbagusingthespikeofthebloodconnectionadaptor.关闭AT1盐水管路上的白色夹子，使用塑针将其与血浆袋相连接。关闭PRP和血浆袋的绿色和黄色夹子。将AT1上的血液管路与PSQ套件自带的适配器相连接，然后用该适配器上的塑针与全血袋穿刺连接。关闭该适配器上准备与血液储存器相连接管路上的红色夹子。6.4ProgramStart开始程序Pressthe“continue”key,thenthe“start”keuy.ThePlasmaSequestrationProgramstarts–separationoftheblood,withdeliveryofthepackedredcellsintothereinfusionbag,transferofairandplasmaintotheplasmabag,andenrichmentofthebuffycoatinthewashingchamber.Thisprogramphaseisterminatedautomatically.按“继续”键，然后按“开始”键。血浆分离（PSQ）程序开始分离全血，同时将浓缩红细胞转移至回输袋中、空气和血浆转移到血浆袋中，并在分离腔中累积富含血小板的白膜层。该过程会自动结束。Processingtimefor500mlofwholebloodisapproximately8minutes.解决500毫升全血的时间约8分钟。6.5PRCTransfer浓缩红细胞转移Whenthebloodbagisemptyanalarmisgenerated.Whenthebloodseparationprocessiscomplete,pressthe“PRCtransfer”key.当全血袋子为空时，产生报警。如果已经完毕全血分离，按“浓缩红细胞转移”键。Toprocessafurtherquantityofbaggedblood,pressthe“start”key.如需继续解决袋装血液，按“开始”键。ToinitiatethePRCtransferphase,pressthe“PRCtransfer”keytwice.启动浓缩红细胞转移，按““浓缩红细胞转移”键”2次。TheresidualredbloodcellvolumeisdeliveredfromthewashingchamberintothePRCbagwiththecentrifugerotating.Toreplacethevolumewithdrawn,plasmaflowsintothewashingchamberviathesalinepump.ThisprogramphaseisterminatedautomaticallywhentheentireresidualRBCvolumehasbeendeliveredintothePRCbag.离心机会将分离腔中的红细胞传送到PRC袋子中。同时盐水泵将血浆泵入分离腔，以弥补红细胞转移后留下的容量空间。当残留的红细胞完全被转移后PRO袋中后，该过程自动结束。6.6PRPTransfer转移富血小板血浆FollowingcompletionofthePRCtransfer,thedevicestopsandadvisesyoutoclosetheblueclampofthePRCbag.OpenthegreenclampofthePRPbag.PressthePRPtransferkey.Platelet-richplasmaisdeliveredfromthewashingchamberintothePRPbag.Theprogramphaseisautomaticallyterminatedwhen100mlofplatelet-richplasmahasbeendeliveredintothePRPbag.浓缩血小板传送完毕后，机器停止运转并提示操作者关闭浓缩红细胞袋子的蓝色夹子。打开富血小板