PACKAGE LABEL.PRINCIPAL DISPLAY PANEL.


PACKAGE/LABEL DISPLAY PANEL. Code 4R3648 20 UnitsBaxterAnticoagulant Citrate Phosphate Dextrose Adenine Solution, USP (CPDA-1) Blood-Pack UnitTriple For the Collection and Processing of 450 mL Blood Y-Sampling Site, DonorCare Needle Guard, 16 ga. Ultra Thin Wall NeedleEach unit consists of PL 146 Plastic primary container with 63 mL of CPDA-1 solution containing g Dextrose (monohydrate) USP, 1.66 Sodium Citrate (dihydrate) USP, 188 mg Citric Acid (anhydrous) USP, 140 mg Monobasic Sodium Phosphate (monohydrate) USP and 17.3 mg Adenine USP, pH may have been adjusted with sodium hydroxide; two empty 400 mL PL 1240 Plastic Transfer Pack Containers.Rx onlySterile, nonpyrogenic fluid pathSee instructions for use.Store at room temperature.oOpen pouch by tearing across at notch.oUnused units in open foil pouch may be kept up to 60 days by folding and securing open end of foil pouch to prevent possible loss of moisture.oDirect handling of product surfaces prior to extended storage in the foil pouch, may result in mold growth.oUnits removed from the foil pouch must be used within days (96 hours). Units out of the foil pouch for longer than days must be discarded.U.S. Pat. Nos. 5,314,421; 5,372,143; 5,507,525; pat. pend.Baxter, Blood-Pack, PL 146 and Transfer Pack are trademarks of Baxter International Inc.; Baxter and Blood-Pack are registered in the U.S. Patent and Trademark Office.DonorCare is trademark of ITL CorporationBaxter Healthcare Corporation Deerfield, IL 60015 USAMade in USA07-28-52-752 02/2007. oOpen pouch by tearing across at notch.. oUnused units in open foil pouch may be kept up to 60 days by folding and securing open end of foil pouch to prevent possible loss of moisture.. oDirect handling of product surfaces prior to extended storage in the foil pouch, may result in mold growth.. oUnits removed from the foil pouch must be used within days (96 hours). Units out of the foil pouch for longer than days must be discarded.. Anticoagulant Citrate Phosphate Dextrose Adenine Solution, USP (CPDA-1) Blood-Pack Unit label.

SPL UNCLASSIFIED SECTION.


Instructions for Blood Collection Using Anticoagulant Citrate Phosphate Dextrose Adenine Solution, USP (CPDA-1) Blood-Pack Units. Rx onlyContains Y-Sampling Site for the collection of unanticoagulated whole blood samples for laboratory testing and the DonorCare Needle Guard.Use aseptic technique.This product has components which contain natural rubber latex.Note: Nominal tubing dimensions of product are 0.118 inner diameter 0.025 wall thickness.Note: If the Y-Sampling Site is not used, donor samples may be collected using an alternate method following standard procedures.Precautions:oDo not use unless the solution is clear.oBefore beginning procedure, obtain one access device for each Blood-Pack Unit with Y-Sampling Site to be processed.oIf the product contains two sets of segment numbers refer to enclosed Recommendations to Component Laboratory Personnel for Handling and Archiving Segments for Blood-Pack Units with Two Sets of Segment Numbers.1.Identify Blood-Pack Unit using appropriate donor identification system.2.Adjust donor scale to desired collection weight and position primary container on the donor scale as far as possible below donor arm.3.Clamp donor tubing between needle and Y-Sampling Site with hemostat. This step may be performed prior to step or 2.4.Apply pressure to donors arm and disinfect site of venipuncture.5.If blood pressure cuff is used, inflate to approximately 60 mmHg.6.Remove needle cover per instructions below:a)Holding the hub and cover near the tamper-evident seal, twist cover 1/4 turn to break seal.b)Remove needle cover, being careful not to drag the cover across the needle point.7.Perform venipuncture, appropriately secure donor needle and/or tubing and release hemostat.8.When good blood flow is established, slide the DonorCare Needle Guard over the needle hub into the engaged position. Leave the front third of the needle hub exposed for access. Stabilize the front of the needle guard to arm with tape. (see Figure 1)Note: In difficult collection conditions (e.g. slow blood flow), leave the needle guard disengaged behind the hub during collection. Engage the needle guard at the end of blood collection.9.Mix blood and anticoagulant in primary container at several intervals during collection and immediately after collection.10.Collect the appropriate volume based on Blood-Pack Unit used.Note: The volume of anticoagulant is sufficient for the blood collection indicated on Blood-Pack Unit +- 10%.11.Release the pressure on the donors arm as appropriate.Precaution: Do not proceed with the remaining steps until the entire whole blood unit is collected.12.To avoid possible contamination of the whole blood unit, before filling whole blood sample tubes, hermetically seal the donor tubing near the Y-Sampling Site on the side leading to the primary container using metal clip or appropriate alternate method.Precaution: Complete steps 13 21 within approximately minutes after sealing the donor tubing to avoid possible clot formation in the tubing.13.To collect samples, insert the access device by pushing firmly into the Y-Sampling Site until the membrane seal is penetrated (see Figure 2).Note: If the access device is assembled such that the outer barrel is screwed onto the Luer, make sure to rotate clockwise upon insertion to avoid barrel detaching from Luer.14.Open the cap on the access device (if applicable).15.Directly align the vacuum sample tube with the internal needle in the access device. Insert vacuum sample tube into device until the stopper is punctured.16.Allow vacuum sample tube to fill with blood then remove from the access device.17.Repeat steps 15 and 16 until the desired number of vacuum sample tubes have been filled.Notes:oIf the access device needs to be replaced, use hemostat to clamp the tubing between the needle and the Y-Sampling Site. Then, grasp base of Sampling Site with one hand and pull the access device out with the other hand. Firmly insert the new access device. Remove hemostat and continue sampling.oIf the access device is assembled such that the outer barrel is screwed onto the Luer, make sure to rotate clockwise upon removal to avoid barrel detaching from Luer.oThe access device can only be replaced one time.Precaution: When replacing the access device, be careful to avoid contact with any blood droplets on the Luer or Sampling Site. Discard used access device appropriately.18.Release remaining pressure on donors arm.19.If desired, apply hemostat to donor tubing between needle and Y-Sampling Site.20.Withdrawal of Needle (see Figure 3)Precaution: The needle guard must be held stationary while the needle is withdrawn into it.a)Place folded sterile gauze over puncture site and hold in place with finger tip without exerting pressure.b)Hold sides of needle guard near the front, between the index finger and thumb. Pull the tubing smoothly until the needle is locked into the needle guard.c)Confirm the needle lock by:oListen for the 2nd click as the needle is drawn into the needle guard.oEnsure the tubing cannot be pulled through the needle guard.21.Strip blood from donor tubing into primary container, mix and allow the tubing to refill; repeat once. Seal at marks on donor tubing to provide numbered aliquots of anticoagulated blood for typing or crossmatching.Note: Step 22 may be performed prior to step 21 if desired.22.Remove and discard the Y-Sampling Site and the DonorCare Needle Guard into an appropriate biohazardous waste container following established procedures.23.Component Preparation:oIf platelet concentrate is to be prepared, it should be separated from the Red Blood Cells within hours after blood collection.oFresh Frozen Plasma should be separated from the Red Blood Cells and placed in the freezer at -18C or colder within hours after blood collection.24.When processing multiple Blood-Pack Unit, centrifuge primary and secondary containers to prepare CPDA-1 Red Blood Cells.25.Place primary container in plasma extractor and express plasma into the appropriate empty Transfer Pack Container by releasing pressure plate and opening closure in tubing of primary container.26.When desired amount of plasma has been removed, clamp tubing between and plasma container.27.Seal transfer tubing in three places after second segment number near primary container (leaving two segment numbers connected to the primary container) and cut middle seal being careful to avoid fluid splatter.28.For further processing with multiple Blood-Pack Units, use standard component processing and storage techniques.29.Store suspended CPDA-1 Whole Blood/Red Blood Cells between and 6C.30.Infuse CPDA-1 Whole Blood/Red Blood Cells within 35 days of collection.Baxter Healthcare Corporation Deerfield, IL 60015 USAMade in USA07-19-50-479Iss. March 2006Baxter, Blood-Pack and Transfer Pack are trademarks of Baxter International Inc.Baxter and Blood-Pack are registered in the U.S. Patent and Trademark Office.DonorCare is trademark of ITL CorporationU.S. Patent Nos.: 5,314,421; 5,372,143; 5,507,525. oDo not use unless the solution is clear.. oBefore beginning procedure, obtain one access device for each Blood-Pack Unit with Y-Sampling Site to be processed.. oIf the product contains two sets of segment numbers refer to enclosed Recommendations to Component Laboratory Personnel for Handling and Archiving Segments for Blood-Pack Units with Two Sets of Segment Numbers.. 1.Identify Blood-Pack Unit using appropriate donor identification system.. 2.Adjust donor scale to desired collection weight and position primary container on the donor scale as far as possible below donor arm.. 3.Clamp donor tubing between needle and Y-Sampling Site with hemostat. This step may be performed prior to step or 2.. 4.Apply pressure to donors arm and disinfect site of venipuncture.. 5.If blood pressure cuff is used, inflate to approximately 60 mmHg.. 6.Remove needle cover per instructions below:a)Holding the hub and cover near the tamper-evident seal, twist cover 1/4 turn to break seal.b)Remove needle cover, being careful not to drag the cover across the needle point.. a)Holding the hub and cover near the tamper-evident seal, twist cover 1/4 turn to break seal.. b)Remove needle cover, being careful not to drag the cover across the needle point.. 7.Perform venipuncture, appropriately secure donor needle and/or tubing and release hemostat.. 8.When good blood flow is established, slide the DonorCare Needle Guard over the needle hub into the engaged position. Leave the front third of the needle hub exposed for access. Stabilize the front of the needle guard to arm with tape. (see Figure 1)Note: In difficult collection conditions (e.g. slow blood flow), leave the needle guard disengaged behind the hub during collection. Engage the needle guard at the end of blood collection.. 9.Mix blood and anticoagulant in primary container at several intervals during collection and immediately after collection.. 10.Collect the appropriate volume based on Blood-Pack Unit used.Note: The volume of anticoagulant is sufficient for the blood collection indicated on Blood-Pack Unit +- 10%.. 11.Release the pressure on the donors arm as appropriate.. 12.To avoid possible contamination of the whole blood unit, before filling whole blood sample tubes, hermetically seal the donor tubing near the Y-Sampling Site on the side leading to the primary container using metal clip or appropriate alternate method.. 13.To collect samples, insert the access device by pushing firmly into the Y-Sampling Site until the membrane seal is penetrated (see Figure 2).. 14.Open the cap on the access device (if applicable).. 15.Directly align the vacuum sample tube with the internal needle in the access device. Insert vacuum sample tube into device until the stopper is punctured.. 16.Allow vacuum sample tube to fill with blood then remove from the access device.. 17.Repeat steps 15 and 16 until the desired number of vacuum sample tubes have been filled.. oIf the access device needs to be replaced, use hemostat to clamp the tubing between the needle and the Y-Sampling Site. Then, grasp base of Sampling Site with one hand and pull the access device out with the other hand. Firmly insert the new access device. Remove hemostat and continue sampling.. oIf the access device is assembled such that the outer barrel is screwed onto the Luer, make sure to rotate clockwise upon removal to avoid barrel detaching from Luer.. oThe access device can only be replaced one time.. 18.Release remaining pressure on donors arm.. 19.If desired, apply hemostat to donor tubing between needle and Y-Sampling Site.. 20.Withdrawal of Needle (see Figure 3). a)Place folded sterile gauze over puncture site and hold in place with finger tip without exerting pressure.b)Hold sides of needle guard near the front, between the index finger and thumb. Pull the tubing smoothly until the needle is locked into the needle guard.c)Confirm the needle lock by:oListen for the 2nd click as the needle is drawn into the needle guard.oEnsure the tubing cannot be pulled through the needle guard.. a)Place folded sterile gauze over puncture site and hold in place with finger tip without exerting pressure.. b)Hold sides of needle guard near the front, between the index finger and thumb. Pull the tubing smoothly until the needle is locked into the needle guard.. c)Confirm the needle lock by:oListen for the 2nd click as the needle is drawn into the needle guard.oEnsure the tubing cannot be pulled through the needle guard.. oListen for the 2nd click as the needle is drawn into the needle guard.. oEnsure the tubing cannot be pulled through the needle guard.. 21.Strip blood from donor tubing into primary container, mix and allow the tubing to refill; repeat once. Seal at marks on donor tubing to provide numbered aliquots of anticoagulated blood for typing or crossmatching.. 22.Remove and discard the Y-Sampling Site and the DonorCare Needle Guard into an appropriate biohazardous waste container following established procedures.. 23.Component Preparation:. oIf platelet concentrate is to be prepared, it should be separated from the Red Blood Cells within hours after blood collection.. oFresh Frozen Plasma should be separated from the Red Blood Cells and placed in the freezer at -18C or colder within hours after blood collection.. 24.When processing multiple Blood-Pack Unit, centrifuge primary and secondary containers to prepare CPDA-1 Red Blood Cells.. 25.Place primary container in plasma extractor and express plasma into the appropriate empty Transfer Pack Container by releasing pressure plate and opening closure in tubing of primary container.. 26.When desired amount of plasma has been removed, clamp tubing between and plasma container.. 27.Seal transfer tubing in three places after second segment number near primary container (leaving two segment numbers connected to the primary container) and cut middle seal being careful to avoid fluid splatter.. 28.For further processing with multiple Blood-Pack Units, use standard component processing and storage techniques.. 29.Store suspended CPDA-1 Whole Blood/Red Blood Cells between and 6C.. 30.Infuse CPDA-1 Whole Blood/Red Blood Cells within 35 days of collection.. Representative Product Drawing.