TERUFLEX Blood Bag System with Blood Sampling Arm Anticoagulant Citrate Phosphate Dextrose (CPD) AND OPTISOL (AS-5) Red Cell Preservative

TERUFLEX BLOOD BAG SYSTEM WITH BLOOD SAMPLING ARM ANTICOAGULANT CITRATE PHOSPHATE DEXTROSE (CPD) AND OPTISOL (AS-5) RED CELL PRESERVATIVE — anticoagulant citrate phosphate dextrose (cpd) and as-5 red cell preservative
Terumo Corporation

Issued 8/96
TERUFLEX® BLOOD BAG SYSTEM With Blood Sampling Arm® CPD/OPTISOL® SOLUTION
Read these instructions carefully before use.
INSTRUCTIONS FOR BLOOD COLLECTION: Use aseptic technique
Materials Needed:
VENOJECT® ll Tube Holder (code P-1316R)
VENOJECT® ll Multi-Sample Luer Adapter (code MN *2000)
VENOJECT® ll Plastic Blood Collection Tubes (or equivalent glass or plastic evacuated blood collection tube)
1. Confirm that all numbered tubing of each blood bag unit contains segment numbers.
2. Make a loose knot in donor tubing below “Y” unless alternate methods are used to seal tubing.
3. Clamp donor tubing.
4. Suspend primary bag as far as possible below the donor’s arm.
5. Apply blood pressure cuff or tourniquet to donor’s arm. Disinfect site of phlebotomy. If blood pressure cuff is used, inflate cuff to approximately 60 mmHg.
6. Remove needle protector and perform phlebotomy. Remove clamp to permit blood flow into primary bag.
CAUTION Do not touch needle after removing the needle protector.
7. Appropriately secure donor tubing to donor’s arm.
8. MIX BLOOD WITH ANTICOAGULANT AT SEVERAL INTERVALS DURING COLLECTION.
9. Collect labeled volume of blood (+/–10%).
10. Tighten knot firmly after collection. Clamp between knot and “Y”. Sever donor tubing between the knot and clamp. Alternate methods may be used to seal tubing.
CAUTION Do not use the dielectric tube sealer while the needle is connected to the donor’s body.
Anytime before Step #13 below, sever donor tubing between the two seals.
Collect blood samples as follows:
a) Connect VENOJECT II Multi-Sample Luer Adapter to VENOJECT II Tube Holder (Fig. 1).
b) Remove covers and connect multi-sample luer adapter to female luer at end of donor sampling tubing (Fig. 2).
c) Snap CLIKTIP in donor sampling tubing to open blood pathway.
Insert Fig. 1 here

Image Fig. 1 (attach luer adapter to tube holder)
(click image for full-size original)


Insert Fig. 2 here

Image Fig. 2 (attach adapter/holder to Blood Sampling Arm)
(click image for full-size original)


d) Insert blood collection tube (VENOJECT II or equivalent) firmly into VENOJECT II Tube Holder : when full, remove sample tube from holder. Repeat to collect additional samples.
11. Reapply clamp to donor tubing between phlebotomy needle and “Y”; release pressure on donor’s arm and remove needle.
CAUTION Discard tubing/phlebotomy needle unit according to institutional procedures.
12. Immediately after collection, invert bag several times to assure blood and anticoagulant are well mixed.
13. Strip blood from the donor tubing into bag, mix well, and allow tubing to refill. Seal on or near X marks on donor tubing to provide numbered aliquots of anticoagulated blood for testing.
14. The time of addition of OPTISOL Solution may vary depending on the processing option selected. Add the solution under one of the following conditions.
a) After removal of plasma from freshly collected blood.
b) Within 8 hours of blood collection if components are prepared.
c) Within 72 hours of collection if blood is refrigerated immediately following collection.
15. Centrifuge the unit to separate red cells from plasma.
16. Snap CLlKTIP (inline closure device) of primary collection bag and transfer plasma into satellite bag. Clamp transfer tubing of satellite bag.
17. Snap CLlKTIP of OPTlSOL Solution bag and drain contents into primary bag containing red blood cells. Seal tubing of primary bag in two places, and cut between seals and separate from satellite bag(s).
NOTE: For TERUFLEX double bags, seal OPTISOL Solution bag tubing in two places and cut between seals. Discard OPTISOL Solution container.
18. Invert the red cell- OPTISOL mixture several times to insure the final AS-5 red cell product is well suspended.
19. Store AS-5 Red Blood Cells between 1-6°C.
20. Infuse AS-5 Red Blood Cells within 42 days of collection.
For further processing, use standard component processing techniques.
To open blister package, peel cover film back four fifths of its length.
After opening, unused bags may be stored for 30 days by returning cover film to original position and sealing with tape to prevent possible loss of moisture.
Insert Fig. 3 here

Image Figure Sealing with tape
(click image for full-size original)


CAUTIONS
•THE PACKET OF AGELESS CONTAINED IN THIS PACKAGE ABSORBS OXYGEN AND GENERATES HEAT ON REMOVAL AND SHOULD BE HANDLED WITH CARE.
• DISPOSE WITH PACKET IN TRAY.
• DO NOT DISPOSE WITH WASTES CONTAINING VOLATILE OR FLAMMABLE MATERIALS.
• DISCARD AGELESS PACKET WITHOUT OPENING.
TERUMO ® TERUMO CORPORATION 44-1, 2-CHOME, HATAGAYA, SHIBUYA-KU, TOKYO, JAPAN
®: Registered Trademark
N-BB-OP-A(SP) 3


Tray/Case Label

TERUFLEX® BLOOD BAG SYSTEM with
BLOOD SAMPLING ARM®

CPD WITH OPTISOL® RED CELL PRESERVATIVE SOLUTION
FOR COLLECTION OF 500mL OF BLOOD
Each unit consists of a collection bag containing 70mL of Anticoagulant
CPD solution, with a satellite bag containing 111mL of OPTlSOL Red
Cell Preservative Solution.
Each 70mL Anticoagulant CPD solution USP contains 1.79g Dextrose
(monohydrate) USP, 1.84g Sodium Citrate (dihydrate) USP, 209mg Citric
Acid (anhydrous) USP, 156mg Monobasic Sodium Phosphate
(monohydrate) USP.
Each 111mL OPTISOL Red Cell Preservative Solution contains 974mg
Sodium Chloride USP, 1.00g Dextrose (monohydrate) USP, 583mg
Mannitol USP, 33.3mg Adenine USP.
STERILE, NON-PYROGENIC FLUID PATH.
DO NOT USE UNLESS ANTICOAGULANT IS CLEAR.
CODE
LOT No.
EXPIRY
UNITS
DONOR NEEDLE 16G x 1 1/2˝ (1.60 x 38mm)
Rx ONLY
RECOMMENDED STORAGE: Room Temperature (15-30°C/59-86°F).
Avoid excessive heat. Protect from freezing.
After opening, unused bags may be stored for 30 days by returning cover film to original
position and sealing with tape to prevent possible loss of moisture.
See Instructions For Blood Collection.
Manufactured by : TERUMO CORPORATION Tokyo, Japan
® : Registered Trademark
Blood Sampling Arm is a trademark of TERUMO CORPORATION.
Rev. 01/03
B-4-H6-A4 2
Place Label here

mage of Representative Tray/Case Label CPD-OPT 500mL with BSA
(click image for full-size original)
TERUFLEX BLOOD BAG SYSTEM WITH BLOOD SAMPLING ARM ANTICOAGULANT CITRATE PHOSPHATE DEXTROSE (CPD) AND OPTISOL (AS-5) RED CELL PRESERVATIVE anticoagulant citrate phosphate dextrose (cpd) and as-5 red cell preservative kit
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:53877-009
Packaging
# Item Code Package Description Multilevel Packaging
1 NDC:53877-009-41 24 BAG in 1 CASE contains a BAG
1 1 KIT in 1 BAG This package is contained within the CASE (53877-009-41)
Quantity of Parts
Part # Package Quantity Total Product Quantity
Part 1 1 BAG 70 mL
Part 2 1 BAG 111 mL
Part 1 of 2
ANTICOAGULANT CITRATE PHOSPHATE DEXTROSE (CPD) anticoagulant citrate phosphate dextrose (cpd) solution
Product Information
Route of Administration INTRAVENOUS DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
Trisodium Citrate Dihydrate (ANHYDROUS CITRIC ACID) ANHYDROUS CITRIC ACID 26.3 g in 1000 mL
SODIUM PHOSPHATE, MONOBASIC, UNSPECIFIED FORM (PHOSPHATE ION and SODIUM CATION) SODIUM PHOSPHATE, MONOBASIC, UNSPECIFIED FORM 2.22 g in 1000 mL
Dextrose Monohydrate (ANHYDROUS DEXTROSE) Dextrose Monohydrate 25.5 g in 1000 mL
Anhydrous Citric Acid (Anhydrous Citric Acid) Anhydrous Citric Acid 2.99 g in 1000 mL
Inactive Ingredients
Ingredient Name Strength
Water
Packaging
# Item Code Package Description Multilevel Packaging
1 70 mL in 1 BAG None
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
NDA BN880217 05/05/2010
Part 2 of 2
OPTISOL RED CELL PRESERVATIVE as-5 red cell preservative solution
Product Information
Route of Administration INTRAVENOUS DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
Sodium Chloride (SODIUM CATION) Sodium Chloride 877 mg in 100 mL
Dextrose Monohydrate (ANHYDROUS DEXTROSE) Dextrose Monohydrate 900 mg in 100 mL
Mannitol (Mannitol) Mannitol 525 mg in 100 mL
Adenine (Adenine) Adenine 30 mg in 100 mL
Inactive Ingredients
Ingredient Name Strength
Water
Packaging
# Item Code Package Description Multilevel Packaging
1 111 mL in 1 BAG None
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
NDA BN880217 05/05/2010
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
NDA BN880217 05/05/2010
Labeler — Terumo Corporation (690543319)
Establishment
Name Address ID/FEI Operations
Terumo Corp. — Fujinomiya Factory 695214015 manufacture (53877-009), STERILIZE (53877-009), ANALYSIS (53877-009), LABEL (53877-009)

Revised: 12/2018 Terumo Corporation

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