B. Braun OUTLOOK ES Series Operator's Manual
  1. Manuals
  2. Brands
  3. B. Braun Manuals
  4. Medical Equipment
  5. OUTLOOK ES Series
  6. Operator's manual

B. Braun OUTLOOK ES Series Operator's Manual

Safety infusion system
Hide thumbs
Table of Contents

Advertisement

Quick Links

O
ES S
I
S
®
UTLOOK
AFETY
NFUSION
YSTEM
O
'
M
PERATOR
S
ANUAL
Rx Only
951128 Rev E (11/10)
To Purchase, Visit
Avobus.com
or call
1-800-674-3655

Advertisement

Table of Contents
loading
Need help?

Need help?

Do you have a question about the OUTLOOK ES Series and is the answer not in the manual?

Questions and answers

Related Manuals for B. Braun OUTLOOK ES Series

Summary of Contents for B. Braun OUTLOOK ES Series

  • Page 1 ES S ® UTLOOK AFETY NFUSION YSTEM ’ PERATOR ANUAL Rx Only 951128 Rev E (11/10) To Purchase, Visit Avobus.com or call 1-800-674-3655...
  • Page 2 951128 Rev E (11/10)
  • Page 3 ® UTLOOK ’ PERATOR ANUAL HIS MANUAL MAY NOT IN WHOLE OR IN PART BE COPIED PHOTOCOPIED REPRODUCED TRANSLATED OR CONVERTED TO ANY ELECTRONIC B. B OR MACHINE READABLE FORM WITHOUT PRIOR WRITTEN CONSENT OF RAUN EDICAL © 2008 B. B RAUN EDICAL IGHTS...
  • Page 4 951128 Rev E (11/10) To Purchase, Visit Avobus.com or call 1-800-674-3655...

  • Page 5: Table Of Contents

    Table of Contents ABLE OF ONTENTS About the Pump..........................1 Intended Use ..........................1 Epidural Administration......................1 Blood Infusion........................2 Icons ............................2 Warnings............................3 Cautions .............................4 Attentions ............................6 Chapter 1: Pump Description ......................7 Important Keys........................8 Front View ..........................9 Back View..........................9 Inside the Door View ......................10 Chapter 2: Basic Pump Operation ....................11 Pole Clamp Operation......................12 Turning ON the Pump......................12...
  • Page 6 ® ES O ’ UTLOOK PERATOR ANUAL Roller Clamp Reminder......................30 Chapter 5: DOSE Mode ........................33 DOSE Mode .......................... 34 Dose Data Entry Screen......................36 Changing DOSE Mode Rate....................38 Changing DOSE Mode Dose....................39 Epidural in DOSE Mode......................40 DoseGuard™...
  • Page 7 Table of Contents For STANDARD Mode & DOSE Mode Infusions ...............72 For Piggyback Infusions ......................73 For Data with "0.0" for Rate or Dose..................73 For Data with "0.0" for Patient Weight..................74 Titration Checking .........................74 For Standard Mode Deliveries ..................75 For Dose Mode Deliveries ..................75 DoseGuard Matching ......................76 Single Care Area Match....................77...
  • Page 8 ® ES O ’ UTLOOK PERATOR ANUAL To Exit Site Trend ....................107 Calculate BSA ........................107 Piggyback Callback ....................... 107 Scrolling Dose Display......................108 Trailing Zeros ........................108 Nurse Call Interface....................... 108 Nurse Call Installation....................109 Chapter 13: Alarms & Troubleshooting..................111 Alarms: Causes &...

  • Page 9: About The Pump

    BOUT THE INTENDED USE The Outlook® ES is intended for use with B. Braun Medical Inc. Horizon® Pump IV Sets to regulate the flow of primary and secondary fluids when positive pressure is required. The infusion system is capable of delivering fluid from a negative head height (when the IV fluid container is lower than the pump), and provides clinically accepted volumetric accuracy for all standard IV fluids, including blood, lipids, and Total Parenteral Nutrition (TPN).

  • Page 10: Blood Infusion

    ® ES O ’ UTLOOK PERATOR ANUAL BLOOD INFUSION The Outlook® ES may be used for infusion of blood and blood products. For blood infusion, a Horizon® Pump Blood Set should be used. Do not attempt to piggyback blood. The normal saline roller clamp on the blood tubing set must be clamped off.

  • Page 11: Warnings

    Outlook® ES. Please read it completely prior to using this device. This manual is intended to reinforce the teaching given to the user by a trained health care professional or an authorized B. Braun representative. B. Braun will assume no responsibility for incidents which may occur ARNING if the product is not used in accordance with product labeling.

  • Page 12: Cautions

    This device is intended for use with B. Braun Medical Inc. Horizon® CAUTION IV Pump Sets only. The use of other sets renders the device inoperable.
  • Page 13 Cautions Unless the pump is plugged into a hospital-grade electrical outlet, the AUTION reliability of the grounding cannot be assured. Perform testing and/or preventive maintenance as defined in the prod- AUTION uct Service Manual. It is necessary to perform all testing and preventive maintenance as defined in the product Service Manual, or the reliability and proper functionality of the unit cannot be assured.

  • Page 14: Attentions

    ® ES O ’ UTLOOK PERATOR ANUAL TTENTIONS The Daisy Chain outlet is for use with Outlook® ES pumps for the pur- TTENTION pose of daisy chaining only. Do not daisy chain more than 5 pumps, as the total leakage current of a system containing more than 5 pumps may exceed 300uA.

  • Page 15: Chapter 1: Pump Description

    Chapter 1: Pump Description HAPTER ESCRIPTION IN THIS CHAPTER YOU WILL LEARN: • The important keys used to operate the pump. • The location of displays and other items needed to operate the pump. 951128 Rev E (11/10)

  • Page 16: Important Keys

    ® ES O ’ UTLOOK PERATOR ANUAL IMPORTANT KEYS An understanding of the function and location of these keys will assist in the use of the pump. turns the pump keys begin the infu- POWER on and off. sion of either the Pri- mary or Piggyback channels.

  • Page 17: Front View

    Chapter 1: Pump Description FRONT VIEW 1. AC power indicator 2. Battery Indicator 3. Hold Indicator 4. Run Indicators 5. Alarm Indicator 6. Door Lever 7. Pole Clamp 8. Information Screen 9. Primary Rate Display 10. Primary Volume to Be Delivered Display 11.

  • Page 18: Inside The Door View

    ® ES O ’ UTLOOK PERATOR ANUAL INSIDE THE DOOR VIEW 1. Cassette Alignment Pins 2. Air-In-Line Detector 3. Free Flow Protection Clip Receptacle 951128 Rev E (11/10)

  • Page 19: Chapter 2: Basic Pump Operation

    Chapter 2: Basic Pump Operation HAPTER ASIC PERATION IN THIS CHAPTER YOU WILL LEARN: • How to put the pump on a pole. • How to turn the pump on and off. • How to Daisy Chain pumps together. • About battery operation. •...

  • Page 20: Pole Clamp Operation

    ® ES O ’ UTLOOK PERATOR ANUAL POLE CLAMP OPERATION 1. Press down on the pole clamp lever. 2. Position the pump on the pole (make sure the pole is up against the slot of the pump). 3. Release the pole clamp lever. 4.

  • Page 21: Priming The Tubing

    4. Ensure all air is expelled from the cassette and IV tubing, then close the roller clamp. LOADING THE TUBING : Use only B. Braun Medical Inc. Horizon® Pump IV Sets. AUTION 1. Open the door on the front of the pump by pulling the Door Lever forward.

  • Page 22: Unloading The Tubing

    ® ES O ’ UTLOOK PERATOR ANUAL 5. Close the door of the pump. 6. Open the roller clamp on the tubing. : Do not use a pump with visible damage or with bent, damaged, or missing components. UNLOADING THE TUBING 1.

  • Page 23: Infusion Modes

    Chapter 2: Basic Pump Operation INFUSION MODES Developed in response to the special needs of all caregivers in the medical setting, the Outlook® ES has five different infusion modes which allow fluid delivery to be tailored to the patient’s individual needs. STANDARD Mode delivers a set volume of fluid at a constant rate.

  • Page 24: Pump Behavior

    ® ES O ’ UTLOOK PERATOR ANUAL PUMP BEHAVIOR The Outlook® ES behaves in any one of the following four ways. Hold In general, when is pressed, the infusion stops. Pressing will also silence an alarm and stop the infusion. While in the menu system, pressing will exit the user back to the current mode and stop the infusion (if running).

  • Page 25: Chapter 3: Information Screen & Menus

    Chapter 3: Information Screen & Menus HAPTER & M NFORMATION CREEN ENUS IN THIS CHAPTER YOU WILL LEARN: • What is displayed on the Information Screen during an infusion. • About the 3 Menus in the pump. 951128 Rev E (11/10) To Purchase, Visit Avobus.com or call...

  • Page 26: Information Screen

    ® ES O ’ UTLOOK PERATOR ANUAL INFORMATION SCREEN During an infusion, the Information Screen may display one or more lines of data specific to the infusion. The lines of data displayed are dependent on the Delivery Mode and are described in the individual sections for each Mode.

  • Page 27: Rateguard Tm Limits

    Chapter 3: Information Screen & Menus RateGuard Limits RateGuard Limits are displayed when a Standard Mode delivery is programmed using solutions from the RateGuard Solution List. The display indicates the maximum and min- imum rate values assigned to the current solution. Soft Limits will be displayed above the ends of the green indicator bar and Hard limits, if assigned, will be displayed below the ends of the yellow indicator bar.

  • Page 28: Biomed Options Menu

    ® ES O ’ UTLOOK PERATOR ANUAL Menu commonly holds items which are less frequently accessed. Biomed Options Menu The Biomed Options Menu is located second from the bottom of the Alternate Menu and contains programming information and settings. The Biomed Options Menu requires an access code and is intended to be accessed only by those authorized to change the settings of the device.
  • Page 29 Chapter 3: Information Screen & Menus Modes DOSE Mode Set Time and Volume PROFILE Mode PROGRAM Mode q(x) Schedule Options Clear Total Infused Change Alarm Volume Site Trend Occlusion Limit Select MAX Pressure Calculate BSA Schedule Next Run Micro Rate/Limit Piggyback Callback Check Battery Level Hold Extender...
  • Page 30 ® ES O ’ UTLOOK PERATOR ANUAL THIS PAGE INTENTIONALLY LEFT BLANK. 951128 Rev E (11/10)

  • Page 31: Chapter 4: Standard & Piggyback Modes

    Chapter 4: Standard & Piggyback Modes HAPTER & P TANDARD IGGYBACK ODES IN THIS CHAPTER YOU WILL LEARN: • How to set up a STANDARD (continuous) infusion. • How to change the rate of an infusion. • How to change the volume of an infusion. •...

  • Page 32: Standard Mode

    ® ES O ’ UTLOOK PERATOR ANUAL STANDARD M STANDARD Mode allows for infusion of fluids when rate and volume to be delivered data is entered. For the Outlook® ES, this delivery is also known as a Infusion Basic Infusion. At the end of the infusion, the pump automatically switches to Keep Vein Open in order to maintain IV patency.

  • Page 33: Changing The Vtbd

    Chapter 4: Standard & Piggyback Modes With Pump Stopped 1. Press the keys to change the rate. 2. Press to start the infusion. PRIMARY CHANGING THE VTBD With Pump Stopped 1. Press the keys to change the volume to be delivered. 2.

  • Page 34: Rateguard Tm Infusions

    ® ES O ’ UTLOOK PERATOR ANUAL 4. Press PIGGYBACK CHANNEL INDICATOR 5. Use the keys to enter the piggyback rate and volume to be delivered. : To prevent incorrect delivery, the programmed piggyback volume to be delivered must be equal to the amount of fluid in the piggyback container.

  • Page 35: Primary Channel Rateguard Tm Infusions

    Chapter 4: Standard & Piggyback Modes Primary Channel RateGuard™ Infusions To program a Primary Infusion with a Solution Name and RateGuard rate limits, perform the following steps: 1. Press PRIMARY CHANNEL INDICA- 2. Press 3. Use the to highlight “RateG- uard Infusions,”...
  • Page 36 ® ES O ’ UTLOOK PERATOR ANUAL 6. Use the to highlight the solution name, then press to select the solution. 7. Review the RateGuard limits for the selected solution and press ACCEPT. 8. Press to begin the infu- PRIMARY sion.

  • Page 37: Piggyback Channel Rateguard Tm Infusions

    Chapter 4: Standard & Piggyback Modes Piggyback Channel RateGuard™ Infusions Programming a RateGuard infusion on the Piggyback Channel is identical to the process for the Primary Channel. The only difference is in Step 1. Change Step 1 to read as fol- lows: 1.

  • Page 38: Roller Clamp Reminder

    ® ES O ’ UTLOOK PERATOR ANUAL If the rate is less than the minimum RateGuard™ limit, the following screen will appear. If the rate is greater than the maximum RateGuard limit, the following screen will appear. If no RateGuard limits have been specified, the following screen will appear.
  • Page 39 Chapter 4: Standard & Piggyback Modes : The Roller Clamp Reminder can be configured ON/OFF in the Biomed Options Menu of the pump. Press after the Roller Clamp Reminder message is displayed to begin the PIGGYBACK secondary infusion. 951128 Rev E (11/10)
  • Page 40 ® ES O ’ UTLOOK PERATOR ANUAL THIS PAGE INTENTIONALLY LEFT BLANK. 951128 Rev E (11/10) To Purchase, Visit Avobus.com or call 1-800-674-3655...

  • Page 41: Chapter 5: Dose Mode

    Chapter 5: DOSE Mode HAPTER DOSE M IN THIS CHAPTER YOU WILL LEARN: • How to begin a DOSE Mode infusion. • How to change the dose and have the rate automatically calculated. • How to change the dosage, concentration and body weight units. •...

  • Page 42: Dose Mode

    ® ES O ’ UTLOOK PERATOR ANUAL DOSE M DOSE Mode calculates the concentration, rate, or dose information necessary with many critical drug infusions. This data may include infusion specific parameters such as patient weight, drug dosage, and drug concentrations. Titration Titration of the medication automatically leads to recalculation of the dosing parameter.
  • Page 43 Chapter 5: DOSE Mode 2. Use the to highlight the Care Area desired, then press : Pressing HOLD in the Select Care Area screen will generate a pop up message that will allow the user to “start over” and/or return the pump to the last accepted infusion parameters. : To access the Care Area screen more directly you can use the DoseGuard Drug Library option on the Main Menu as shown below:...

  • Page 44: Dose Data Entry Screen

    ® ES O ’ UTLOOK PERATOR ANUAL 4. Use the to highlight the desired drug name and dosage units, then press 5. Use the to highlight the desired concentration, then press 6. See “DOSE DATA ENTRY SCREEN.” : Pressing HOLD in the concentration screen will generate a pop up message that will allow the user to “start over”...
  • Page 45 Chapter 5: DOSE Mode If this is a new pump or a pump recently serviced by Biomedical Services, a screen similar to the following may appear. 1. Use the to highlight “ ” then press DRUG, 2. Follows steps 2-4 in To Change To A Differ- ent Drug above, then press 3.

  • Page 46: Changing Dose Mode Rate

    ® ES O ’ UTLOOK PERATOR ANUAL : Concentration, Dose, and Rate are dependent on each other for their numeric values. Specifying the amount of two parameters causes the third parameter to be calculated. Either the Concentration (Conc), Dose, or Rate parameter is calculated. Rate is the parameter calculated unless another parameter is chosen.

  • Page 47: Changing Dose Mode Dose

    Chapter 5: DOSE Mode CHANGING DOSE MODE RATE The rate may be titrated while the pump is infusing. 1. Use the keys to change the rate. The dose will be recalculated depending on the new rate entered. 2. Press to confirm the new rate and dose and begin the infusion. PRIMARY : If is not pressed within 4 seconds of...

  • Page 48: Epidural In Dose Mode

    ® ES O ’ UTLOOK PERATOR ANUAL EPIDURAL IN DOSE MODE When the Epidural category from the Drug List is selected, the following screen will appear: : Whenever a pump is used for epidural infusion, the AUTION pump’s secondary features should not be used. : To prevent inadvertent infusion of drugs which are not AUTION indicated for epidural use, only Horizon®...
  • Page 49 Chapter 5: DOSE Mode If the values are outside of the set parameters, a pop- up screen will appear with a message: After confirming the parameters are acceptable as entered, the caregiver may then select “ to proceed with the infusion. The selection to override the DoseGuard™ limit will YES”...

  • Page 50: Accessing Dose Mode When Infusing

    ® ES O ’ UTLOOK PERATOR ANUAL : Changes to accepted infusion parameters made in the DOSE Mode Data Entry or SETUP screen (e.g. concentration units, patient weight units, etc.) may deactivate the DoseGuard feature. If this occurs, the user will be notified via pop-up alert. ACCESSING DOSE MODE WHEN INFUSING DOSE Mode can be accessed while the pump is running in STANDARD Mode.

  • Page 51: Chapter 6: Bolus Delivery Modes

    Chapter 6: Bolus Delivery Modes HAPTER OLUS ELIVERY ODES IN THIS CHAPTER YOU WILL LEARN: • How to perform a bolus delivery • How to program a loading dose • How to program an on-demand bolus for a drug • How to program an on-demand bolus for a solution. •...

  • Page 52: Bolus Deliveries

    ® ES O ’ UTLOOK PERATOR ANUAL BOLUS DELIVERIES The Outlook® ES allows for programming bolus deliveries for both drugs contained in the DoseGuard™ Drug Library and solutions contained in the RateGuard™ Solution List. For more information on how to configure drugs and solutions for bolus delivery, refer to the Instructions for Use manual of the Outlook ES Pump Configuration Editor application.

  • Page 53: Loading Dose Setup

    Chapter 6: Bolus Delivery Modes 3. The following message will be displayed to remind you to to confirm the Total Dose value that you programmed per the Physician Order. 4. Press and the Loading Dose Setup screen will be displayed. LOADING DOSE SETUP Loading doses can be programmed with or without patient weight units.
  • Page 54 ® ES O ’ UTLOOK PERATOR ANUAL 3. Press to enter a Time (in minutes). 4. If applicable, press to highlight the Pt Wt (Patient Weight) field. 5. Press to enter the patient weight in kg. 6. Press to highlight ACCEPT or... 7.

  • Page 55: Bolus Ready Screen

    Chapter 6: Bolus Delivery Modes : Selecting BACK will cancel the Loading Dose delivery and return the user to the Bolus Setup screen. BOLUS READY SCREEN When the loading dose parameters are confirmed, the pump will display the BOLUS READY screen as shown below.

  • Page 56: Bolus Hold Screen

    ® ES O ’ UTLOOK PERATOR ANUAL : The drug name and the bolus dose will be displayed with the proper bolus units : DoseGuard™ indicators specific to the loading dose will be displayed on the indicator bar. : During a Loading Dose or On-Demand bolus, the word BOLUSING will appear in upper right hand corner of the display : Although not shown in the example above, the drug name...

  • Page 57: On-Demand Bolus

    Chapter 6: Bolus Delivery Modes ON-DEMAND BOLUS The Outlook® ES also allows for programming both weight based and non-weight based “on- demand” bolus deliveries for both drugs contained in the DoseGuard™ Drug Library. In contrast to a loading dose, on-demand boluses are those boluses initiated during the course of the continuous infusion.

  • Page 58: Rateguard Tm Bolus

    ® ES O ’ UTLOOK PERATOR ANUAL 4. Press and the Bolus Setup screen will be displayed. 5. Complete the programming sequence as previously described in the LOADING DOSE sections of this Manual. : If a bolus for the drug had been previously programmed, the BOLUS SETUP screen will be pre-populated with the previous values.
  • Page 59 Chapter 6: Bolus Delivery Modes 1. Press 2. The following message will be dis- played to remind you to to confirm the Total Volume that you program per the Physician Order. 3. Press and the Bolus Setup screen will be displayed. 4.

  • Page 60: Bolus Ready Screen

    ® ES O ’ UTLOOK PERATOR ANUAL 11. Pressing ACCEPT will display the following confirmation screen: 12. Press to highlight ACCEPT or... 13. Press to highlight BACK 14. Press to confirm your selection. BOLUS READY SCREEN When the bolus parameters are confirmed, the pumps will display the BOLUS READY screen as shown below: : The Bolus Vol(ume) Deliv(ered) counts UP from zero while the Total Bolus Vol(ume) is the programmed volume for the bolus...

  • Page 61: Bolus Run Screen

    Chapter 6: Bolus Delivery Modes BOLUS RUN SCREEN After initiating the bolus, the Bolus Run Screen shown below will be displayed: : DoseGuard™ indicators specific to the bolus will be displayed on the indicator bar. : During a bolus, the word BOLUSING will appear in upper right hand corner of the display...

  • Page 62: Epidural Bolus Caution

    ® ES O ’ UTLOOK PERATOR ANUAL : Canceling the bolus will return the infusion to the continuous infusion parameters and associated display. EPIDURAL BOLUS CAUTION The Micro Rate Limit feature is automatically invoked when as drug or solution is programmed from the Epidural Care Area of the Drug Library.

  • Page 63: Chapter 7: Dosescan™ (Outlook ® 200Es And Above)

    Chapter 7: DoseScan™ HAPTER ™ IN THIS CHAPTER YOU WILL LEARN: • How to set up an infusion using DoseScan ™ 951128 Rev E (11/10)

  • Page 64: Dosescan Tm

    ® ES O ’ UTLOOK PERATOR ANUAL DOSESCAN™ (OUTLOOK® 200ES AND ABOVE) The DoseScan safety feature was designed to reduce the potential for IV medication errors ™ by reducing the number of manual keystrokes required to program infusion parameters. This is especially beneficial when infusing critical medications that require the use of more advanced programming features like those contained in DOSE Mode.

  • Page 65: For Piggyback Infusions

    Chapter 7: DoseScan™ 4. The Information Display will ask if this is a new patient. Use the to highlight either “ ” or “ ”, then press 5. Scan Patient identification. 6. Scan Patient identification information on the medication label. 7.

  • Page 66: For Labels With "0.0" For Patient Weight

    ® ES O ’ UTLOOK PERATOR ANUAL If either the starting infusion rate or dose is 0. , the appropriate field will be highlighted when the scan is complete. The following steps should be completed to proceed with the infusion programming sequence.

  • Page 67: For Standard Mode Deliveries

    Chapter 7: DoseScan™ 1. Scan the IV medication label as described in the DoseScan™ section outlined on page 26. 2. Enter a valid, non-zero value for rate or dose if applicable. 3. Validate the scanned information by moving the Cursor to Accept and press 4.

  • Page 68: Doseguard Tm Matching

    ® ES O ’ UTLOOK PERATOR ANUAL DOSEGUARD MATCHING The DoseScan feature provides the clinician the ability to assign DoseGuard dose limits to scanned medications. For more information on DoseGuard, refer to “DoseGuard™ in DOSE Mode” on page 40. If the DoseGuard Matching feature is turned ON under DoseScan options in the BIOMED menu, scanned medications will be compared with those medications configured in the drug library.

  • Page 69: Single Care Area Match

    Chapter 7: DoseScan™ This message will be displayed if the scanned drug matches a medication configured in more than one Care Area. Single Care Area Match If the scanned drug matches a medication con- figured in one Care Area, the Care Area, drug name, and dose limits will be displayed for selection by the clinician.

  • Page 70: Multiple Care Area Match

    ® ES O ’ UTLOOK PERATOR ANUAL Multiple Care Area Match If the scanned drug matches a medication con- figured in multiple Care Areas, the Care Areas will be displayed for viewing and selection. A screen similar to the one shown will be dis- played.
  • Page 71 Chapter 7: DoseScan™ If the scanned solution is not contained in the solution list or there are no RateGuards assigned, the following screen will be displayed. • Choosing “ ” will accept the scanned Accept data without RateGuard protection. • Choosing “ ”...

  • Page 72: Single Care Area Match

    ® ES O ’ UTLOOK PERATOR ANUAL Single Care Area Match If the scanned soluton matches a solution config- ured in one Care Area, the Care Area, solution name and rate limits will be displayed for selec- tion by the clinician. A screen similar to the fol- lowing will be displayed.

  • Page 73: Additional Scan Features

    Chapter 7: DoseScan™ Once a Care Area is selected, the clinician has the ability to “ ” or “ ” as described in Accept Exit the Single Care Area Match. The clinician also has the option to go “ ” to Back choose another Care Area to review alternate RateGuard...

  • Page 74: Scan Authorized User Id

    ® ES O ’ UTLOOK PERATOR ANUAL Note: When the scan is accepted, the New Patient ID will be displayed on the Red LCD on the left hand side of the pump to allow you to confirm the ID number prior to accepting the scan. Note: Like DoseScan options, three invalid scans will terminate the Scan Patient ID option and return the user to the Main Menu.

  • Page 75: Doseguard Tm Override Scan

    Chapter 7: DoseScan™ rized User ID has been validated the infusion will automatically start. Note: The Run Authorization Scan has an “Override” option that will allow the user to begin the infusion without scanning their Authorized User ID. This option is for those emergency cases where the Authorized User ID may not be readily accessible.

  • Page 76: Rateguard Tm Override Scan

    ® ES O ’ UTLOOK PERATOR ANUAL RateGuard Override Scan The RateGuard Override Scan is a solution specific, Care Area specific scan configura- tion. This option can be enabled for a specific solutions in a one or more Care Areas. For example, you may choose not to activate this option for KCl in the ICU Care Area, but you may want additional authorization to override the rate limits for KCl used in the MED SURG Care Area.

  • Page 77: Critical Med (Dual Scan)

    Chapter 7: DoseScan™ Note: Exiting the Bolus Authorization Scan prompt will invalidate the override and return the user to the previous delivery parameters. Note: Three invalid scans will also invalidate the override and return the user to the previous delivery parameters. Critical Med (Dual Scan) The Critical Med or Dual Scan is configured for those drugs or solutions where verifica- tion of the infusion parameters is required prior to initiating the infusion.
  • Page 78 ® ES O ’ UTLOOK PERATOR ANUAL Note: Critical Med scans require two (2) unique Authorized User ID numbers. Scanning the same ID twice will invalidate this option and return the user to the previous state. Note: Critical Med scans are logged in the Operations Log of the infusion device.

  • Page 79: Chapter 8: Dosecom™ (Outlook ® 400Es Only)

    Chapter 8: DoseCom™ HAPTER ™ IN THIS CHAPTER YOU WILL LEARN: • How to set up an infusion using DoseCom ™ 951128 Rev E (11/10) To Purchase, Visit Avobus.com or call 1-800-674-3655...

  • Page 80: Dosecom Tm

    ® ES O ’ UTLOOK PERATOR ANUAL ® DOSECOM™ (OUTLOOK 400ES) The DoseCom™ feature was designed to enable the user to program the infusion parameters using information transmitted from a hospital’s bedside medication administration system. The DoseCom feature helps reduce the number of manual keystrokes required to program infusion parameters.

  • Page 81: For Piggyback Infusions

    Chapter 8: DoseCom™ 6. Review the data, highlight “ ”, then press ACCEPT 7. Press to start the infusion. PRIMARY : The exact programming sequence of your hospital’s bedside medication administration system may vary. For example, you may be asked to scan the serial number or IP address of the specific infusion device you wish to program as part of the infusion data transmission sequence.

  • Page 82: For Data With "0.0" For Patient Weight

    ® ES O ’ UTLOOK PERATOR ANUAL If either the starting infusion rate or dose is 0. , the appropriate field will be highlighted when the transmission is complete. The following steps should be completed to proceed with the infusion programming sequence.

  • Page 83: For Standard Mode Deliveries

    Chapter 8: DoseCom™ sequential delivery. Changes in rate or dose could be an indication of a titration. Titration checking provides a means to confirm the proper rate or dose for the titrated medication. The process is completed as follows: 1. Transmit the infusion data to the pump as described in the previous sections. 2.

  • Page 84: Doseguard Tm Matching

    ® ES O ’ UTLOOK PERATOR ANUAL DOSEGUARD MATCHING The DoseCom feature provides the clinician the ability to assign DoseGuard dose limits to transmitted medications. For more information on DoseGuard, refer to “DoseGuard DOSE Mode” on page 40. If the DoseGuard Matching feature is turned ON under DoseCom options in the BIOMED menu, transmitted medications will be compared with those medications stored in the drug library.

  • Page 85: Single Care Area Match

    Chapter 8: DoseCom™ This message will be displayed if the transmitted drug matches a medication configured in more than one Care Area. Single Care Area Match If the transmitted drug matches a medication configured in one Care Area, the Care Area, drug name, and dose limits will be displayed for selection by the clinician.

  • Page 86: Multiple Care Area Match

    ® ES O ’ UTLOOK PERATOR ANUAL Multiple Care Area Match If the transmitted drug matches a medication configured in multiple Care Areas, the Care Areas will be displayed for viewing and selec- tion. A screen similar to the one shown will be displayed.
  • Page 87 Chapter 8: DoseCom™ If the transmitted solution is not contained in the solution list or there are no RateGuards assigned, the following screen will be displayed. • Choosing “ ” will accept the transmitted Accept data without RateGuard protection. • Choosing “ ”...

  • Page 88: Single Care Area Match

    ® ES O ’ UTLOOK PERATOR ANUAL Single Care Area Match If the transmitted soluton matches a solution configured in one Care Area, the Care Area, solution name and rate limits will be displayed for selection by the clinician. A screen similar to the following will be displayed.
  • Page 89 Chapter 8: DoseCom™ Once a Care Area is selected, the clinician has the ability to “ ” or “ ” as described in Accept Exit the Single Care Area Match. The clinician also has the option to go “ ” to Back choose another Care Area to review alternate RateGuard...
  • Page 90 ® ES O ’ UTLOOK PERATOR ANUAL THIS PAGE INTENTIONALLY LEFT BLANK. 951128 Rev E (11/10)

  • Page 91: Chapter 9: Profile Mode

    Chapter 9: Profile Mode HAPTER ROFILE IN THIS CHAPTER YOU WILL LEARN: • How to set up a PROFILE Mode (or TPN) infusion. • How to set the PROFILE Parameters. • How to review, change, or restart PROFILE Mode. • About the Immediate Ramp Down feature. 951128 Rev E (11/10) To Purchase, Visit Avobus.com...

  • Page 92: Profile Mode

    ® ES O ’ UTLOOK PERATOR ANUAL ROFILE The PROFILE Mode is designed to deliver infusions with gradual ramp up and taper down rates. The pump automatically calculates the rate increase and decrease required to match the total volume, time and ramp up / ramp down time parameters. First the PROFILE Parameters must be set, then PROFILE Mode can be accessed.

  • Page 93: Review/Change Profile

    Chapter 9: Profile Mode PROFILE MODE 1. Press 2. Use the to highlight “ ,” PROFILE Mode then press 3. Use the keys to enter the total volume of the infusion. 4. Use the cursor to highlight the Time field. 5.

  • Page 94: Restart Profile

    ® ES O ’ UTLOOK PERATOR ANUAL 5. Use the to highlight the field. Time 6. Use the keys to enter the new time. 7. Use the to highlight “ ,” then press ACCEPT PROFILE RESTART PROFILE : Choosing will cancel the present infusion and Restart PROFILE the pump will begin at the beginning of the Profile run.
  • Page 95 Chapter 9: Profile Mode 2. Press 3. Use the to highlight “ ,” then press enter. Exit PROFILE Mode 4. A screen may appear with the message: The “Exit PROFILE Mode” option will cancel the present run. Is this OK? 5.
  • Page 96 ® ES O ’ UTLOOK PERATOR ANUAL THIS PAGE INTENTIONALLY LEFT BLANK. 951128 Rev E (11/10)

  • Page 97: Chapter 10: Program Mode

    Chapter 10: Program Mode HAPTER ROGRAM IN THIS CHAPTER YOU WILL LEARN: • How to set up a PROGRAM Mode infusion. • How to clear periods. • How to review and change a PROGRAM. • How to restart PROGRAM Mode. •...

  • Page 98: Program Mode

    ® ES O ’ UTLOOK PERATOR ANUAL ROGRAM This mode is for infusions requiring a non-standard delivery pattern. PROGRAM Mode allows up to 9 periods to be entered. Each period contains Sequential Periods its own rate and volume. The pump automatically gives each programmed period, one after the other.

  • Page 99: Clearing Periods

    Chapter 10: Program Mode : ACCEPT cannot be selected when 0 data is present in the middle of a program. For example, Pd. 1 and 3 may have data, but Pd. 2 is zeros. The pump will not allow ACCEPT to be selected with zero values in the middle of the program.

  • Page 100: Restart Program

    ® ES O ’ UTLOOK PERATOR ANUAL 1. Press 2. Use the to highlight “ ,” then press Review/Change PROGRAM 3. Use the to highlight the field of the period to be changed. Rate 4. Use the keys to enter the new rate. 5.

  • Page 101: Exiting Program Mode

    Chapter 10: Program Mode 5. Press PRIMARY : As you enter volumes to skip the PROGRAM periods will autofill the volumes in each period with a Green bar. EXITING PROGRAM MODE The infusion must be stopped in order to exit PROGRAM Mode. 1.
  • Page 102 ® ES O ’ UTLOOK PERATOR ANUAL THIS PAGE INTENTIONALLY LEFT BLANK. 951128 Rev E (11/10)

  • Page 103: Chapter 11: Q(X) Schedule

    Chapter 11: q(x) Schedule HAPTER CHEDULE IN THIS CHAPTER YOU WILL LEARN: • How to set up a q(x) (Intermittent) infusion. 951128 Rev E (11/10) To Purchase, Visit Avobus.com or call 1-800-674-3655...

  • Page 104: Q(X) Schedule

    ® ES O ’ UTLOOK PERATOR ANUAL CHEDULE q(x) Schedule can be used for the intermittent infusion of antibiotics, che- motherapy, or other IV infusions. The user inputs the total number of Dose Dose Dose doses, the amount per dose, and the interval between doses. : q(x) Schedule may only be entered when the pump is stopped in STANDARD Mode.
  • Page 105 Chapter 11: q(x) Schedule 8. Use the to highlight the field. Dose Rate 9. Use the keys to enter the rate at which each dose is to be administered. 10. Use the to highlight the field. Dose Vol 11. Use the keys to enter the volume to be delivered for each dose.

  • Page 106: To Change The Data

    ® ES O ’ UTLOOK PERATOR ANUAL TO CHANGE THE DATA 1. Use the to highlight the field in the upper right corner of the Information DATA Screen, then press 2. Follow steps 4-17 above to change the data. : Only the Dose Rate may be changed after the q(x) Schedule has begun.

  • Page 107: Chapter 12: Options

    Chapter 12: Options HAPTER PTIONS IN THIS CHAPTER YOU WILL LEARN: • How to lock out the pump key pad. • How to clear the Total Infused. • How to change the Occlusion Limit. • About the Occlusion Warning feature of the pump. •...

  • Page 108: Options

    ® ES O ’ UTLOOK PERATOR ANUAL PTIONS The Outlook® ES offers other features which allow the pump to be customized to each patient’s particular needs. : These features may be found in either the Main or Alternate Menus, or may have been disabled and therefore unavailable. PANEL LOCK OUT SWITCH This option allows the keypad to be deactivated.

  • Page 109: Occlusion Warning

    Chapter 12: Options : The higher the pressure limit, the less sensitive the pump AUTION is to changes in fluid resistance which may be caused by positional IVs or infiltrations. High pressure limits can increase the severity of an infiltration without an alarm condition. 1.

  • Page 110: Set Time And Volume

    ® ES O ’ UTLOOK PERATOR ANUAL SET TIME AND VOLUME This option calculates the rate of the infusion when the infusion time and volume are entered. 1. Press 2. Use the to highlight “ Set Time and Vol- ,” then press 3.

  • Page 111: To Change The Start Time

    Chapter 12: Options TO CHANGE THE START TIME : The time is displayed in military time. Use 00:00 to represent midnight and 12:00 to represent noon. 1. Use the to highlight fields. Start at 2. Use the keys to change the start time. 3.

  • Page 112: Change Alarm Volume

    ® ES O ’ UTLOOK PERATOR ANUAL : As battery life is dependent on delivery rate, it is recommended that you plug the pump into an AC power source when the battery life indicator displays a charge indication in the yellow portion of the bar.

  • Page 113: To Exit Micro Rate/Limit

    Chapter 12: Options 1. Press to stop the infusion. 2. Press 3. Use the to highlight “ ,” Micro Rate/Limit then press 4. Use the to highlight “ .” 5. Use the down to highlight the Rate Limit field. 6. Use the keys to enter the maximum rate the pump will be allowed to run.

  • Page 114: Site Trend

    ® ES O ’ UTLOOK PERATOR ANUAL 2. Press 3. Use to highlight “ ,” then press Hold Extender 4. Use the keys to enter the hold time. “ ” is displayed in the Rate Display. Hold • Press to cancel the hold extender and begin infusing. •...

  • Page 115: To Exit Site Trend

    Chapter 12: Options TO EXIT SITE TREND 1. Use the to highlight “ ,” then press Exit CALCULATE BSA This option is used to calculate a patient’s Body Surface Area (BSA) in square meters. 1. Press 2. Use the to highlight “ ”, then press Calculate BSA : Height can be measured in centimeters (cm) or inches (in).

  • Page 116: Scrolling Dose Display

    ® ES O ’ UTLOOK PERATOR ANUAL 1. Press 2. Use the to highlight “ Piggyback Call- ”, then press back 3. Use the to highlight “ ”, then press : Piggyback Callback will return to OFF when the pump is turned off.

  • Page 117: Nurse Call Installation

    Chapter 12: Options  : When the Outlook ES is configured with the Nurse Call AUTION option installed, the “Alternate Alarm” setting in the “Audible Signal Option“ must be set to “OFF”. The Nurse Call will not report Alarm Conditions when this option is set to “ON”. The Nurse Call Interface also provides a "mute"...
  • Page 118 ® ES O ’ UTLOOK PERATOR ANUAL the front of the Nurse Call unit. Thumb Screws 3. Next insert the cord coming from the nurse station into the RJ-45 connector on the Interface unit. Nurse Call Station 951128 Rev E (11/10) To Purchase, Visit Avobus.com or call...

  • Page 119: Chapter 13: Alarms & Troubleshooting

    Chapter 13: Alarms & Troubleshooting HAPTER & T LARMS ROUBLESHOOTING IN THIS CHAPTER YOU WILL LEARN: • How to silence pump alarms. • How to correct pump alarms. 951128 Rev E (11/10)

  • Page 120: Alarms: Causes & Corrections

    ® ES O ’ UTLOOK PERATOR ANUAL ALARMS: CAUSES & CORRECTIONS The Information Screen notifies the user an alarm has occurred and displays information regarding the alarm. When is pressed, the correction messages contained in the “Cor- rection” column of the following Troubleshooting Guide table will appear. There are three types of alarms: •...
  • Page 121 Chapter 13: Alarms & Troubleshooting ALARM MESSAGE CAUSES CORRECTION Container Is Solution The pump is not receiving Check for air in set Empty Empty fluid from the source con- Check fluid level tainer. Check upstream clamp Check cassette installa- tion Downstream Occlusion The pump allows the user...
  • Page 122 ® ES O ’ UTLOOK PERATOR ANUAL ALARM MESSAGE CAUSES CORRECTION Error System Error This alarm is generated Turn the pump off and when there has been an return to Biomedical Pro- internal pump malfunction. fessional for service Set Primary Flashing 0.

  • Page 123: Chapter 14: Maintenance

    Chapter 14: Maintenance HAPTER AINTENANCE IN THIS CHAPTER YOU WILL LEARN: • How to clean the pump. • Under what conditions to store the pump. 951128 Rev E (11/10)

  • Page 124: Cleaning

    ® ES O ’ UTLOOK PERATOR ANUAL CLEANING Clean the pump with a soft, lint-free cloth or swab dampened with soap and water, a general nonstaining chemical disinfectant, or isopropyl alcohol (90% concentration or less). As a general recommendation for cleaning and disinfecting this device, use a lint free cloth dampened (not soaked) with a 0.5% bleach (Sodium Hypochlorite) solution (one part bleach with nine parts water).

  • Page 125: Chapter 15: Technical & Clinical Support

    Chapter 15: Technical & Clinical Support HAPTER & C ECHNICAL LINICAL UPPORT IN THIS CHAPTER YOU WILL LEARN: • How and when to contact Technical Support. • How to contact Clinical Support. 951128 Rev E (11/10)

  • Page 126: Technical Support

    B. Braun Service Center. Should it be necessary to return the pump for repair, contact Technical Support at B. Braun Customer Service at (800) 627-PUMP. A Returned Materials Authorization number will be provided.

  • Page 127: Chapter 16: Product Specifications

    Chapter 16: Product Specifications HAPTER RODUCT PECIFICATIONS IN THIS CHAPTER YOU WILL LEARN: • About the product specifications. 951128 Rev E (11/10) To Purchase, Visit Avobus.com or call 1-800-674-3655...

  • Page 128: Product Specifications

    ® ES O ’ UTLOOK PERATOR ANUAL PRODUCT SPECIFICATIONS Type of Unit Volumetric (Non Drop-Counting), Positive Pressure Dis- placement Reservoir Classification Class 1-Internally Powered, CF type, IPX1 drip-proof, not suitable in the presence of flammable anesthetic and intended for continuous use in accordance with UL2601-1. Bar Code Scanner Class 2 in accordance with IEC 60825-1 Maximum Output=1mW, Scan Rate=42 scans/sec.
  • Page 129 Chapter 16: Product Specifications Alarms Air-In-Line, Battery Very Low, Close Roller Clamp, Con- tainer Empty, Downstream Occlusion, Door Open, Hold Time Exceeded, KVO, Low Battery Warning, System Error. Air-in-Line Alarm > 100 microliter bubble Free-Flow Protection Passive, set-based Memory Permanent data retention after the pump is turned off unless the battery is depleted or disconnected, or unless the Data Retention Defaults have been otherwise selected in the Biomed Options.

  • Page 130: Accuracy Test Trumpet Curves

    ANUAL ACCURACY TEST TRUMPET CURVES The Outlook® ES, operated with B. Braun Medical Inc. Horizon® IV Pump Sets, maintains a volumetric accuracy with delivery errors not exceeding +/-5% for any one hour period over a 72 hour period. The following graphs (or Trumpet Curves) are provided to illustrate the results of Outlook ES volumetric accuracy tests.
  • Page 131 longer intervals of time. Trumpet Curve, 2nd Hour of Delivery Trumpet Curve, Last Hour of Delivery 951128 Rev E (11/10)
  • Page 132 ® ES O ’ UTLOOK PERATOR ANUAL THIS PAGE INTENTIONALLY LEFT BLANK. 951128 Rev E (11/10)
  • Page 133 951128 Rev E (11/10) To Purchase, Visit Avobus.com or call 1-800-674-3655...
  • Page 134 B. Braun Medical Inc. 824 Twelfth Avenue Bethlehem, PA 18018 www.bbraunusa.com 951128 Rev E (11/10) To Purchase, Visit Avobus.com or call 1-800-674-3655...

Table of Contents