This document discusses blood management strategies using automated self-dispensing devices. It describes the software and safety features of devices from Mediware and Heamonetics that can issue blood for exams, emergency situations, and transfusions. The devices allow real-time monitoring and tracking of blood inventory and use. Hospitals can better manage their blood supply and cut costs using these automated systems compared to traditional information systems.

1. Blood Management Strategies
RAUL MARTINEZ, BSMS
MLS(ASCP) BB, SBB, QLC, MT(AMT)
BLOOD BANK TECHNICAL SPECIALIST
ST. MARY’S HOSPITAL, MADISON , WI

2. Objectives
Discuss main features of Automated Self-
dispensing Devices
Discuss software related to the appropriate
functionality: Mediware, Heamonetics
Discuss all the uses of the device and safety
features
Issue of blood for EXM candidates
Issue of FFP
Emergency Release
Discuss monitoring system and tracking
capabilities of Automated Self-dispensing Devices

3. Manage your blood supply with safety measures and reporting tools your HIS may not offer
As your blood bank faces growing pressure to cut costs and meet stricter use guidelines, your
Hospital Information System (HIS) may no longer meet all your needs. That’s why hundreds
hospitals rely on Mediware to:
Automate over 60 safety checks as information is entered
Manage blood supplies in real time to cut inventory costs
Monitor blood use by procedure, physician or patient

4. Angelantoni Life Science (ALS), a sub-holding entirely controlled by Angelantoni Industrie, is an
international leader in the manufacturing of cold and cryogenic equipment and advanced systems in
healthcare and in biotechnology. ALS is deeply involved in the development of innovative technological
solutions to sustain the constantly increasing global demand for better life conditions.
Hemosafe® allows the storage (+4°C), the assignment and the distribution of blood bags, assuring full
traceability and safety. Hemosafe is certified according to Medical Device Directive 93/42/EEC and following
amendments.
Thanks to the integrated management software, Hemosafe allows to select the most suitable blood bag for
each patient and to deliver it to the operator quickly (in less than 60 seconds) and without the possibility of
human error.
HEMOSAFE ® makes blood available 24 hours a day and 7 days a week at each peripheral hospital,
optimizing the distribution and drastically reducing the number of trips between Transfusion Centre and
hospitals, and allows a safe and rational management of the blood supply in it preserved (FIFO - First In First
Out
 Aumento della sicurezza per il paziente
 Aumento dell’efficienza per il servizio
trasfusionale
 Riduzione dei costi di trasporto
 Riduzione degli sprechi di sangue
 Riduzione del tempo di consegna
 Completa tracciabilità delle attività fino alla
consegna

5. BloodTrack Server
Windows 2008
SQL Server 2008 Express
Product ID Tags
Blood Bank Information System
Client Computers
Microsoft Windows
Workstation
Printer Servers
Microsoft Windows
HemoSafe
Print Capture
Interface
On Friday, September 03, 2004, a U.S.
federal trademark registration was filed
for HEMOSAFE by ANGELANTONI LIFE
SCIENCE S.r.l. in breve ALS S.r.l.

6. Epic Integration – Protect your patients with blood management that integrates
with Epic
Speed & Safety – Discover the solution to fast, error-free blood delivery
Ease of Use – Switch to a system that’s quick to learn, easy to use
Remote Storage – Go from storage to available blood components within 60
seconds.
Quality & Compliance – Automate your document management and training to
enhance compliance and reduce overall cost
Data Analysis – Make better informed decisions based on collected business
intelligence

7. BloodSafe® Solution Suite from Mediware is a combination of hardware and software that
enables hospital blood banks to remotely allocate, store and quickly dispense lifesaving blood.
With BloodSafe, you can store and release blood from a secure refrigerator located right inside
your high-need areas, such as surgical, trauma or emergency. That means clinicians have easier,
more immediate access to blood exactly when and where it’s needed.
SECURE: Both staff and patient IDs must be scanned to withdraw any product.
FAST: Blood is ready to go in less than 60 seconds.
LIFESAVING: Emergency release of blood products is immediate.
EFFICIENT: You can deliver inventory on a regular schedule instead of a case-by-case basis.

8. Remote blood management that’s safe, reliable and fast
Biosafe® is the only remote system that’s fully integrated with
HCLL™ Transfusion, our blood bank transfusion system. With
HCLL Intelligent Integration, your blood bank maintains full
control of BloodSafe’s stored inventory. And every movement
and status, including final disposition, is completely traceable.
This smart integration dramatically streamlines the workflow
for a more efficient operation. Plus, it’s proven to speed
turnaround time and reduce waste.
BioSafe®

9.  Software controls, tracks, and monitors emergency blood products (O-Negative and/or
O-Positive RBCs, plasma, and platelets) access in the emergency department, trauma
area, or outpatient surgical center by securing new or existing storage locations with
software-controlled electromagnetic locks.
 This provides your authorized caregivers with fast access to life saving blood products
where and when they are needed most.
 Emergency Department: Store blood where you need it most. Blood Safe®
makes blood available immediately where you need it — from secure, “smart
refrigerators” located in or near high-need areas like surgical, trauma or
emergency.

10. Emergency release safeguards specific to the ED
BloodSafe® Emerge provides you with only the
features your ED needs. The software works with
HCLL™ Transfusion for Emergency issue and is
designed to handle the specific transfusion needs in
the ED.
 View a one screen design for fast blood bank
response to ED requests
 Check blood availability
 Supply life-saving blood to John Doe’s as needed
 Allow the blood bank to store blood in the ED for
fast access while retaining blood bank control
 Automatically create orders and tests in real-time
based on emergency requests

11. Remote blood management that’s safe, reliable and fast
BloodSafe is the only remote system that’s fully integrated with HCLL™ Transfusion, our blood bank transfusion
system. With HCLL Intelligent Integration, your blood bank maintains full control of BloodSafe’s stored inventory.
And every movement and status, including final disposition, is completely traceable. This smart integration
dramatically streamlines the workflow for a more efficient operation. Plus, it’s proven to speed turnaround time
and reduce waste.
Once inventory is placed in the BloodSafe storage device, authorized personnel simply scan their identification
as well as the patient’s, and the appropriate product is cross-matched and dispensed. The whole process takes
less than 60 seconds. If any step is performed incorrectly, the machine won’t dispense, so there’s no opportunity
for error.
 Ensure right patient, right blood
 Improve C/T ratio
 Cut turnaround time
 Speed treatment
 Reduce errors
 Eliminate waste
• www.mediware.com; 11711 West 79th St., Lenexa, KS 66214 • 1.888.Mediware

12. High-Volume Control
BloodSafe HaemoBank™ 80
 Dispenses most appropriate blood unit from
80 individually locked compartments
 Manages cross-matched, emergency and
unallocated blood
 A virtual blood bank

13. Low-Volume Control
BloodSafe HaemoBank™ 20
 Dispenses most appropriate blood
unit from 20 individually locked
compartments
 Manages cross-matched,
emergency and unallocated blood
 A virtual blood bank

14.  Validation
 Interface
 Workflow
 RBC and FFP
 Reports

15. BloodTrack References
1. Butler CE, Noel S, Hibbs S P, Miles D, Staves J, Mohaghegh P, Altmann P, Curnow E, and Murphy MF.
(2015), Implementation of a clinical decision support system improves compliance with restrictive
transfusion policies in hematology patients. Transfusion. 2015 Aug;55(8):1964-71. doi:
10.1111/trf.13075. Epub 2015 Apr 2
2. White MJ, Hazard SW 3rd, Frank SM, Boyd JS, Wick EC, Ness PM, Tobian AA. (2015), The evolution of
perioperative transfusion testing and blood ordering. Anesth Analg. 2015 Jun;120(6):1196-203. doi:
10.1213/ANE.0000000000000619.
3. Hibbs SP, Noel S, Miles D, Staves J, and Murphy MF. (2014), The impact of electronic decision support
and electronic remote blood issue on transfusion practice. Transfus Med. 2014 Oct;24(5):274-9. doi:
10.1111/tme.12149. Epub 2014 Sep .
4. Aderton V, Badjie KS, Guyer J, Bundy KL, Frick R, Stubbs JR, Mayo Clinic, Rochester, MN, United States,
D. (2014), Driving to Completion: Project Management of a Remote Blood Allocation and Reporting
System. Transfusion, Sep. 2014,54: 269A–279A. AABB Abstract AP48.
5. Quraishy N, McCasson KJ, Figueroa PI, Cleveland Clinic, Cleveland, OH, United States. (2014), Patterns
of Emergency Blood Use in Free-Standing Emergency Centers. Transfusion. Sep. 2014,54: 269A–279A.
AABB Abstract SP338.