Update on supply disruption: Baxter dual chamber blood* giving sets, MMC9609L blood pump set (used in Evo IQ and Colleague LVP infusion pumps) and 3M™ Ranger™ blood/fluid warming high flow sets.

Published: 09/12/2022

Further to our previous guidance regarding supplies of dual chamber blood giving sets, we write to alert members to further supply disruption. 

 

Summary of advice to clinicians: 

  • Continue to avoid use of dual chamber blood giving sets unless rapid transfusion of blood is certain or extremely likely. 

  • Use gravity sets for giving blood unless the use of a pump cannot be avoided (specific shortages outlined below).  

  • There are now added disruptions in supply of giving sets, which include the Baxter MMC9609L blood pump set used in Evo IQ and Colleague LVP infusion pumps.
  • This is likely to last until at least the end of January 2023.

Background:

Assessment:

  • There are no alternatives to the blood pump sets.

Recommendations:

  • Follow recommendations in our previous guidance.
  • To protect supply, only use MMC9609L blood pump sets for the Baxter Evo IQ and Colleague infusion pumps when it is absolutely necessary to administer blood via a pump.
  • Use a gravity blood set where indicated and possible.

 

3M™ Ranger™ blood/fluid warming high flow sets

 

Situation:

Background:

  • This is because of the identification of a manufacturing issue with the auto-venting bubble trap. The FSN can be found here.  

Assessment:

  • The product is being recalled so alternatives will have to be used.

Recommendations: 

  • Clinical deployment (including MDT training if required) of alternative rapid transfusion systems where available on site (e.g. Belmont systems).
  • Encourage completion of the NHS Supply chain questionnaire which has been sent to various groups including procurement leads and clinical leads in anaesthesia.

 

*refers to blood or blood products

 

 

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