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
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Continue to avoid use of dual chamber blood giving sets unless rapid transfusion of blood is certain or extremely likely.
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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
- Full details can be found in the NHS supply chain important customer notice.
- This issue relates to the previously identified labelling problem.
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
- Further to a Field Safety Notice (FSN) published on 7 November, 3M™ Ranger™ blood/fluid warming high flow sets (catalogue numbers 24355 and 24370) have been temporarily withdrawn from use.
- Supply will not resume until April 2023.
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.