B. Braun OUTLOOK 200 User manual

OUTLOOK” 200 wrrH DOSESCAN"
OPERATOR’S MANUAL
Rx Only
|
BIBRAU
950952 Rev A (9/03)

950952 Rev A (9/03)

OUTLOOK" 200
OPERATOR’S MANUAL
THIS MANUAL MAY NOT, IN WHOLE OR IN PART, BE COPIED, PHOTOCOPIED, REPRODUCED, TRANSLATED, OR CONVERTED TO ANY ELECTRONIC
OR MACHINE-READABLE FORM WITHOUT PRIOR WRITTEN CONSENT OF B. BRAUN MEDICAL INC.
© 2003 B. BRAUN MEDICAL INC. ALL RIGHTS RESERVED.
WORKING TOGETHER FOR EXCELLENCE IN SAFETY, DOSEGUARD, DOSESCAN AND OUTLOOK ARE TRADEMARKS OF B. BRAUN MEDICAL INC,
AND ITS AFFILIATES.
950952 Rev A (9/03)

OUTLOOK™ 200 wi Dosescan™ OPERATOR’S MANUAL
TABLE OF CONTENTS
About the Pump... „1
Intended Use
Epidural Administration ...
Blood Infusion .
Icons...
Warnings ...
Cautions ee
Attentions......... se.
Laser Caution Labels
Chapter 1: Pump Description..
Important Keys...
Front View
Back View
Inside the Door View
Chapter 2: Basic Pump Operation...
Pole Clamp Operation ...
Turning on the Pump.
Daisy Chaining
Battery Operation
Priming the tubing ..
Loading the tubing
Unloading the tubing
Turning off the Pump
Infusion Modes
Pump Behavior
Chapter 3: STANDARD & Piggyback Modes
Changing the Rate
With Pump Infusing
With Pump Stopped
Changing the VTBD
With Pump Stopped....
Chapter 4: Information Screen & Menus
Information Screen...
Time Left ...
Total Infused...
Occlusion Limit
Working With Menus
Main Menu
Alternate Menu
Biomed Options IN
Chapter 5: DoseScan™ . 20.
For STANDARD Mode & DOSE Mode Infusions.…........................... nerne 26
For Piggyback Infusions
DoseGuard™ Matching
Chapter 6: DOSE Mode
Data Entry Screen
Changing DOSE Mode Rate....
i 950952 Rev A (9/03)

Tabie of Contents
Changing DOSE Mode Dose
Epidural in DOSE Mode....... „34
DoseGuard™ in DOSE Mode „34
Exiting DOSE Mode „35
Chapter 7: g(x) Schedule...
To change the data ..
Exiting q(x) Schedule.
Chapter 8: Program Mode
Clearing Periods.........
Review/Change PROGRAM
Restart PROGRAM...........
Skip PROGRAM periods
Exiting
PROGRAM Mode....
Chapter 9: Profile Mode
Set PROFILE Parameters
PROFILE Mode
Review/Change PROFILE
Restart PROFILE
Immediate ramp down
Exiting PROFILE Mode
Chapter 10: Options.
Panel Lock Out Switch .
Clear Total Infused.
Occlusion Limit
Set Time and Volume ...
Schedule Next run..
Micro Rate/Limit.
Site Trend
Hold Extender
Change Alarm Volume
Calculate BSA
Select Max pressure
Adjust Display.
Check Battery Level
Piggyback Callback
Epidural
Monitor Docking
Chapter 11: Alarms & Troubleshooting . 59
Alarms: Causes & Corrections... sn 다 60
Chapter 12: Maintenance
Cleaning...
Storage
Chapter 13: Technical & Clinical Support..........ccccsossconssssscssneseesesnsuscssonsonsnsornrssssesersesssesesneesasesed 65
Technical Support
Clinical Support
Chapter 14: Product Specifications veve 67
Product Specifications.
Accuracy Test Trumpet Curves
Trumpet Curve Creation ............
Trumpet Curve Interpretation ....
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THIS PAGE INTENTIONALLY LEFT BLANK.
950952 Rev A (9/03)

About the Pump
ABOUT THE PUMP
INTENDED USE
The Outlook™ 200 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 TPN.
Positive pressure is frequently a necessity, but clinical experience shows that high pressure
limits may increase the severity of an infiltration without causing an alarm. Because there is a
need to control pump pressure settings, the Outlook 200 has user-selectable Occlusion Limit
settings which start at 75 mmHg and extend to 500 mmHg. At rates of 400 ml/br and higher,
the pressure setting is automatically increased to 400 mmHg. For epidural infusions which
require higher pressures, the pump has an extended occlusion limit setting of 750 mmHg.
The pump is equipped with distinct audible and visual alarm signals to indicate KVO, low
battery, and other alarm conditions.
EPIDURAL ADMINISTRATION
The Outlook 200 can be used for epidural administration of anesthetic and analgesic drugs.
For epidural administration of anesthetic drugs, use indwelling catheters specifically indicated
for short-term (96 hours or less) anesthetic epidural drug delivery.
For epidural administration of analgesic drugs, use indwelling catheters specifically indicated
for either short-term or long-term analgesic epidural drug delivery.
When the Outlook 200 is being used for epidural infusions, the source container and
administration set should be clearly differentiated from source containers and administration
sets used for other routes of infusion.
Following an occlusion alarm, a smali amount of fluid may be delivered. Use of a microbore
set assures this is less than 0.1 ml.
The administration of drugs is restricted to those anesthetic and analgesic drugs labeled for
continuous epidural administration.
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OUTLOOK ™ 200 wirn DoseScan” OPERATOR’S MANUAL
BLOOD INFUSION
The Outlook™ 200 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. The high viscosity of blood
will cause the saline to infuse before the blood if both clamps are left open.
ICONS
The following icons identify the supplemental information contained in this manual.
ATTENTION: This icon will direct the user to consult additional
LİN information.
NOTE: This icon will provide additional information for a given topic
in this manual.
CAUTIONS or WARNINGS: This icon will provide safety
recommendations in order to prevent accident or injury to the user
or the patient.
2 950952 Rev A (9/03)

Warnings
ARNINGS
The following warnings should be followed in order to avoid patient/user injury.
WARNING
‘WARNING
WARNING
WARNING
WARNING
WARNING
WARNING
WARNING
WARNING
WARNING
This Operator’s Manual contains detailed instructions and warnings on
the use of the Outlook 200. 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
if the product is not used in accordance with product labeling.
The Outlook 200 has been designed to stop fluid flow to the patient
under alarm conditions. Monitoring of the patient and infusion status is
necessary to ensure the infusion is being delivered as anticipated. Prior
to starting an infusion, verify no drops are falling in the drip chamber
and the programmed information is correct. If drops are falling and the
infusion has not begun, the set may be improperly loaded and further
use may result in inaccurate infusion.
Do not connect the IV administration set to the patient while priming,
as a bolus or over infusion may occur.
See EPIDURAL in DOSE Mode in Chapter 6: DOSE Mode for spe-
cific warnings and cautions related to epidural medication infusions.
To avoid mechanical or electronic damage, do not steam autoclave or
immerse the pump in any fluids or cleaning solutions. Always discon-
nect the electrical power cord from the outlet before cleaning to prevent
electrical shock.
Trained Biomedical professionals or B. Braun representatives must per-
form a full set-up of the pump before use in a clinical setting to ensure
proper programming and function of device.
Do not use in the presence of flammable anesthetics, as a possible
explosion hazard exists.
Avoid exposure to powerful sources of electromagnetic interference
and strong magnetic fields such as Magnetic Resonance Imaging
(MRI). Patient injury and equipment damage may result.
Device contains Class 2 laser product. Laser radiation present. Do not
stare into beam.
950952 Rev A (9/03) 3

OUTLOOK™ 200 wir DoseScan” OPERATOR’S MANUAL
CAUTIONS
The following cautions should be followed in order to avoid patient/user injury.
CAUTION
CAUTION
CAUTION
CAUTION
CAUTION
CAUTION
CAUTION
CAUTION
Before using the pump in a clinical setting, the user should become
thoroughly familiar with the proper use of the device as outlined in this
manual. The Outlook™ 200 is not intended to substitute for regular
patient observation and evaluation.
The Outlook 200 may have been damaged during shipping and han-
dling. Do not use the pump if it appears damaged or fails the initial self
test outlined in “Turning on the Pump” as patient injury or device dam-
age may occur.
See DoseScan™ in Chapter 5: for specific cautions related to the Dos-
eScan™ Label Scanner.
It is not recommended to place more than five pumps together on one
IV pole as the pole may become unstable. When attaching this pump to
a pole, make sure it is clamped securely to avoid damage to the device
from falling.
This device is intended for use with B. Braun Medical Inc. Horizon®
IV Pump Sets only. The use of other sets renders the device inoperable.
Do not clean, disinfect, or sterilize any part of the device by autoclav-
ing or with ethylene oxide gas. Doing so may damage the device and
void the warranty. Only external parts of the pump should be disin-
fected. See Chapter 12: Maintenance, for suggested cleaning solutions.
The Outlook 200 generates, uses and can radiate electromagnetic inter-
ference. Through testing to current US standards, the Outlook 200 has
shown emission levels to be acceptable. Testing has also shown that the
device’s operation and performance is not adversely affected by elec-
tromagnetic interference. Given an environment in which the Outlook
200 device is operated in close proximity to equipment that emit high
levels of radio frequency, it may be necessary to reorient or reposition
the pump away from the source of the emissions. Should emissions
from the Outlook 200 adversely affect other equipment, it may be nec-
essary to increase the distance between devices, or operate the Outlook
200 on a separate power circuit from the affected device.
Unless the pump is plugged into a hospital-grade electrical outlet, the
reliability of the grounding cannot be assured.
950952 Rev A (9/03)

Cautions
CAUTION
CAUTION
Perform testing and/or preventive maintenance as defined in the prod-
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.
Where several infusion lines are connected, the possibility of their
exerting a mutual influence on each other cannot be excluded.
950952 Rev A (9/03) 5

OUTLOOK” 200 veri DosEScan * ÖPERATOR?S MANUAL
/\ ATTENTIONS
ATTENTION The Daisy Chain outlet is for use with Outlook pumps for the purpose
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.
ATTENTION The DB9 connector on the back of the Outlook pump is for use by
authorized personnel only.
ATTENTION UL Classified Medical Equipment, with respect to Electrical Shock,
Fire and Mechanical Hazards only, in accordance with UL2601-1,
CAN/CSA C22.2 No. 601.1.
A LASER CAUTION LABELS
The following laser caution label (enlarged to show detail) is affixed to the handle of the
device.
AVOID EXPOSURE - LASER RADIATION EMITTED FROM THIS DEVICE
COMPLIES WITH FDA PERFORMANCE
STANDARDS FOR LASER PRODUCTS
EXCEPT FOR DEVIATIONS PURSUANT
TO LASER NOTICE #50, DATED
JULY 26, 2001
P/N 950851 Rev C
The following laser caution label is affixed to the bottom of the device.
CAUTION - CLASS 3R LASER RADIATION
WHEN OPEN, AVOID DIRECT
EYE EXPOSURE.
950966A
6 950952 Rev A (9/03)

Chapter 1: Pump Description
CHAPTER 1:
UMP DESCRIPTION
IN THIS CHAPTER YOU WILL LEARN:
*The important keys used to operate the pump.
eThe location of displays and other items needed to operate the pump.
950952 Rev A (9/03) 7

OUTLOOK™ 200 wirn DoseScan”” OPERATOR’S MANUAL
IMPORTANT KEYS
An understanding of the function and location of these keys will assist in the use of the pump.
1. POWER turns the pump
on and off.
3. Channel Indicator keys
select either the Primary
or Piggyback channels
for data entry.
5. HOLD silences an alarm,
stops an infusion,is a
quick escape from the
menu, and extends the
Stop state an additional 3
minutes every time it is
pushed.
7. CURSOR keys move the
Ga cursor bar on the Infor-
mation Screen.
2. RUN keys begin the infu-
sion of either the Pri-
mary or Piggyback
channels.
A 4. DATA keys allow input
i of numbers.
(MENU) 6. MENU lets the user see
other modes and options.
8. ENTER accepts data or
the selection made.
950952 Rev A (9/03)

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. Piggyback Rate Display 12. Piggyback Volume To Be Delivered Display
13. DoseScan™ Label Scanner 14. Receptacle for optional hand-held Scanner
14、
950952 Rev A (9/03) 9

OUTLOOK ™ 200 wirn Dosescan™ OPERATOR’S MANUAL
BACK VIEW
1. Daisy Chain Outlet Access Door 2. Serial Communication Data Port
3. Panel Lock Out Switch
INSIDE THE DOOR VIEW
1. Cassette Alignment Pins 2. Air-In-Line Detector
3. Free Flow Protection Clip Receptacle
10 950952 Rev A (9/03)

Chapter 2: Basic Pump Operation
CHAPTER 2:
ASIC PUMP OPERATION
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.
*How to prime the set and load the tubing.
*About the five infusion modes of the pump.
«About the four operating states of the pump.
950952 Rev A (9/03) 11

OUTLOOK” 200 with DosScan™” OPERATOR’S MANUAL
POLE CLAMP OPERATION
Press down on the pole clamp lever.
Position the pump on the pole (make sure the pole is up against the slot of the pump).
Release the pole clamp lever.
Lock by rotating the pole clamp lever 1/4 turn toward the back of the pump.
To remove the pump from the pole, rotate the pole clamp lever 1/4 turn toward the front of
the pump to unlock it, then press down on the pole clamp lever.
in
Bo
TURNING ON THE PUMP
1. Plug the pump into a hospital-grade electrical outlet or the AC Receptacle on the back of
another Outlook™ 200 pump.
2. Press POWER.
NOTE: The Outlook 200 will perform a self test which ensures
“ proper system operation and alarm reporting. Within this
process, the AC Power Indicator will light up, the pump will
beep, and the Information Screen will light up. A successful
self-test allows safe operation of the device.
DAISY CHAINING
Daisy Chaining allows up to 5 Outlook 200 pumps to be plugged into each other with only
one pump plugged into a wall outlet. On the back of each Outlook 200 is the access door to an
electrical outlet. Only another Outlook 200 pump should be plugged into that outlet.
ATTENTION: The Daisy Chain outlet is for use with Outlook
pumps for the purpose 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 300 uA.
BATTERY OPERATION
The Outlook 200 has been equipped with an internal, rechargeable battery which will power
the pump automatically if the plug is disconnected during use. Battery power is provided as a
back-up system only, and the length of the battery life is affected by the rate of delivery.
Whenever possible, the pump should remain plugged into an electrical outlet. The Battery
Indicator will be lit when the pump is operating on its battery.
The pump must remain plugged into a hospital-grade electrical outlet for at least 24 hours to
fuily recharge the battery from a totally discharged condition.
12 950952 Rev A (9/03)

Chapter 2: Basic Pump Operation
PRIMING THE TUBING
WARNING: Always read and follow the instructions which
accompany the source container and IV administration
sets you are using. Carefully follow the instructions for
loading, removing and reloading the set.
CAUTION: Administration sets should be changed at an
interval not to exceed 72 hours to maintain specified
accuracy.
-m
Close roller clamp on IV set.
Spike IV container and sgueeze drip chamber until one-third or one-half full.
3. Prime the IV set by opening the roller clamp and letting fluid flow through the tubing with
the cassette inverted (the pointed end of the cassette should be up).
4. Ensure all air is expelled from the cassette and IV tubing, then close the roller clamp.
N
LOADING THE TUBING
CAUTION: Use only B. Braun Medical Inc. Horizon® Pump
IV Sets.
1. Open the door on the front of the pump by pulling the Door Lever forward.
2. Position the cassette over the Cassette Alignment Pins, with the metal disc on the cassette
towards the pump.
3. Thread the tubing through the Air-In-Line Detector.
4. Insert and press the Free Flow Protection Clip into the Receptacle.
WARNING: Unrestricted fluid flow may occur if the Free
Flow Protection Clip is not properly installed in the
Receptacle.
5. Close the door of the pump.
6. Open the roller clamp on the tubing.
NOTE: Do not use a pump with visible damage or with
bent, damaged, or missing components.
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OUTLOOK™ 200 with Dosescan” OPERATOR’S MANUAL
UNLOADING THE TUBING
Press HOLD to stop the infusion.
Close the roller clamp on the tubing.
Open the pump door.
Grasp the Free Flow Protection Clip and the tubing on the left hand side of the pump.
Gently pull the Free Flow Protection Clip from the Free Flow Protection Clip Receptacle
while also pulling the tubing/cassette from the pump. Removing the Free Flow Protection
Clip in this manner will automatically stop the flow of fluid in the tubing.
6. If gravity infusion is desired, close the roller clamp, open the Free Flow Protection Clip,
and adjust the flow with the roller clamp.
явь
TURNING OFF THE PUMP
The Outlook™ 200 must be stopped before turning the device off.
1. Press HOLD to stop current infusion.
2. Press POWER.
14 950952 Rev A (9/03)