Assembly of extracorporeal circuit with Efferon® device in isolated hemoperfusion mode on MultiFiltrate RRT machine or its analogues.
What do you need?
Plastic bag for priming solution, 2 liter
DIN-Luer bloodline,
2 pcs
0,9% saline solution bag, 1 liter
Heparin,
10.000 МЕ
Clamps,
4 pcs
1
Assemble the extracorporeal
circuit of the RRT machine
according to its user manual.
2
Stop the blood pump and put
clamps on both bloodlines
(“red” one is filled)
3
Add 10.000 ME heparin
to saline solution and mix
it to prepare the rinsing
solution
4
Connect DIN-Luer bloodline 1 with
priming solution bag. Fill the
bloodline with the priming solution
using gravity. Attach the clamp to the
bllodline.
5
Mount the Efferon device
in vertical position.**
6
Remove the cap from
bottom port of the Efferon®
device and connect the
pre-filled DIN-Luer bloodline
1 to it.
7
Remove the cap from upper
port of the Efferon® device and
connect the empty DIN-Luer
bloodline 2 to it.
8
Connect the plastic bag
for rinsing solution
to DIN-Luer bloodline 2
9
Remove the clamp from
DIN-Luer bloodline 1 and
rinse the Efferon® device
using gravity.
10
Put the clamp on DIN-Luer
bloodline 2 after the priming
is finished.
11
Disconnect the DIN-Luer
bloodline 1 from bottom port
of the Efferon® device
12
And connect the “red”
bloodline of extracorpore-
al circuit to it.
13
Disconnect the “priming”
bloodline DIN-Luer 2 from
upper port of the Efferon®
device
14
And connect the “blue”
bloodline of extracorporeal
circuit to it.
15
The circuit is ready. Remove
all the clamps and start the
blood pump
* If RRT procedure is already being performed and Efferon® device should be installed in previously assembled circuit, stop the procedure, reinfuse the blood and go to recirculationmode.
** Efferon® device is symmetric, flow rate should be oriented from bottom to top.
Anticoagulation level before the start and during
the extracorporeal treatment:
— 160-210 seconds of ACT
— 60-80 seconds of aPTT
the extracorporeal treatment:
— 160-210 seconds of ACT
— 60-80 seconds of aPTT
Instruction for Efferon®
device connection
device connection
