Appendix D: Class VIII Medical Materiel

These materials are essential for the collection, storage, processing, and transfusion of frozen and deglycerolized red blood cells.

1. Whole blood collected in Citrate/Phosphate/Dextrose (CPD) or Citrate/Phosphate/Dextrose/Adenine (CPDA-1) collection bags

2. Additive solution Red Blood Cell (RBC) units such as CPD/AS-1, CPD/AS-5, or CP2D/AS-3

3. Cryoprotectant (40% w/v glycerol)

4. Hypertonic (12%) saline

5. Normal (0.9%) saline mixed with 0.2% glucose

6. AS-3 additive solution

7. Haemonetics Automated Cell Processor ACP215

8. Blood component identifiers

9. Plasma thawer or 37°C water bath ** must be validated for FRBC thawing **

10. Labels for documentation and release of deglycerolized product

11. Blood administration sets

12. Blood transfusion bags

13. Blood tubing with appropriate connectors

14. Intravenous catheters for transfusion administration

15. Infusion pumps or gravity infusion sets

16. Sterile gauze and tape for securing IV catheters

17. Blood pressure cuff and monitoring equipment

18. Anticoagulant solution for priming IV lines if necessary

19. IV pole for hanging blood transfusion bags

20. Personal protective equipment (gloves, gowns, masks) for healthcare providers involved in the transfusion process.

For additional information including National Stock Number (NSN), please contact dha.ncr.med-log.list.lpr-cps@health.mil

DISCLAIMER: This is not an exhaustive list. These are items identified to be important for the care of combat casualties.