B. Braun OUTLOOK ES Series User manual

951128 Rev E (11/10)
OUTLOOK®ES SAFETY INFUSION SYSTEM
OPERATOR’SMANUAL
Rx Only
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951128 Rev E (11/10)

951128 Rev E (11/10)
OUTLOOK®ES
OPERATOR’SMANUAL
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.
© 2008 B. BRAUN MEDICAL INC. ALL RIGHTS RESERVED.
OUTLOOK IS AREGISTERED TRADEMARK AND DOSEGUARD, RATEGUARD, DOSESCAN, DOSECOM AND DOSETRAC ARE TRADEMARKS OF
B. BRAUN MEDICAL INC. AND ITS AFFILIATES.

951128 Rev E (11/10)
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Table of Contents
951128 Rev E (11/10) i
TABLE OF CONTENTS
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
Daisy Chaining.......................................................................................................................12
Battery Operation...................................................................................................................12
Priming the Tubing ................................................................................................................13
Loading the Tubing................................................................................................................13
Unloading the Tubing ............................................................................................................14
Turning OFF the Pump ..........................................................................................................14
Infusion Modes ......................................................................................................................15
Pump Behavior.......................................................................................................................16
Chapter 3: Information Screen & Menus.......................................................................................17
Information Screen.................................................................................................................18
Time Left ..................................................................................................................18
Total Infused .............................................................................................................18
Occlusion Limit ........................................................................................................18
Dose ..........................................................................................................................18
DoseGuardTM Limits ................................................................................................18
RateGuardTM Limits .................................................................................................19
Location Name..........................................................................................................19
Care Area Name........................................................................................................19
Working With Menus.............................................................................................................19
Main Menu................................................................................................................19
Alternate Menu .........................................................................................................19
Biomed Options Menu..............................................................................................20
Accessing Menus ......................................................................................................20
Chapter 4: STANDARD & Piggyback Modes................................................................................23
STANDARD Mode................................................................................................................24
Changing the Rate..................................................................................................................24
Changing the VTBD ..............................................................................................................25
PIGGYBACK Mode..............................................................................................................25
RateGuardTM Infusions ..........................................................................................................26
Primary Channel RateGuardTM Infusions ...........................................................27
Piggyback Channel RateGuardTM Infusions.......................................................29
RateGuardTM in Standard Mode ............................................................................................29

OUTLOOK® ES OPERATOR’SMANUAL
ii 951128 Rev E (1110)
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™ in DOSE Mode ...............................................................................................40
Accessing DOSE Mode When Infusing ................................................................................ 42
Exiting DOSE Mode.............................................................................................................. 42
Chapter 6: Bolus Delivery Modes ................................................................................................... 43
Bolus Deliveries .................................................................................................................... 44
Loading Dose......................................................................................................................... 44
Loading Dose Setup............................................................................................................... 45
Bolus Ready Screen............................................................................................................... 47
Bolus Run Screen .................................................................................................................. 47
Bolus Hold Screen................................................................................................................. 48
On-Demand Bolus .................................................................................................................49
Programming a Bolus...............................................................................................49
RateGuardTM Bolus............................................................................................................... 50
Bolus Ready Screen............................................................................................................... 52
Bolus Run Screen .................................................................................................................. 53
Bolus Hold Screen................................................................................................................. 53
Epidural Bolus Caution ......................................................................................................... 54
Chapter 7: DoseScan™ (Outlook®200ES and Above) ................................................................ 55
DoseScanTM .......................................................................................................................... 56
For STANDARD Mode & DOSE Mode Infusions............................................................... 56
For Piggyback Infusions........................................................................................................ 57
For Labels with "0.0" and "Titrate" Bar Codes ..................................................................... 57
For Labels with "0.0" for Patient Weight .............................................................................. 58
Titration Checking................................................................................................................. 58
For Standard Mode Deliveries..................................................................................59
For Dose Mode Deliveries........................................................................................59
DoseGuardTM Matching........................................................................................................ 60
Single Care Area Match ........................................................................................... 61
Multiple Care Area Match........................................................................................62
RateGuardTM Matching......................................................................................................... 62
Single Care Area Match ........................................................................................... 64
Multiple Care Area Match........................................................................................64
Additional Scan Features....................................................................................................... 65
Scan Patient ID......................................................................................................... 65
Scan Authorized User ID.......................................................................................... 66
Run Authorization Scan ...........................................................................................66
DoseGuardTM Override Scan ................................................................................... 67
RateGuardTM Override Scan .................................................................................... 68
Bolus Authorization Scan......................................................................................... 68
Critical Med (Dual Scan).......................................................................................... 69
Chapter 8: DoseCom™ (Outlook®400ES Only) .......................................................................... 71
DoseComTM .......................................................................................................................... 72

Table of Contents
951128 Rev E (11/10) iii
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
DoseGuardTM Matching ........................................................................................................76
Single Care Area Match............................................................................................77
Multiple Care Area Match ........................................................................................78
RateGuardTM Matching .........................................................................................................78
Single Care Area Match............................................................................................80
Multiple Care Area Match ........................................................................................80
Chapter 9: Profile Mode...................................................................................................................83
PROFILE Mode .....................................................................................................................84
Set PROFILE Parameters.......................................................................................................84
PROFILE Mode .....................................................................................................................84
Review/Change PROFILE.....................................................................................................85
Restart PROFILE ...................................................................................................................86
Immediate Ramp Down .........................................................................................................86
Exiting PROFILE Mode ........................................................................................................86
Chapter 10: PROGRAM Mode .......................................................................................................89
PROGRAM Mode..................................................................................................................90
Clearing Periods.....................................................................................................................91
Review/Change PROGRAM .................................................................................................91
Restart PROGRAM................................................................................................................92
Skip PROGRAM Periods.......................................................................................................92
Exiting PROGRAM Mode.....................................................................................................93
Chapter 11: q(x) Schedule................................................................................................................95
q(x) Schedule .........................................................................................................................96
To Change the Data................................................................................................................98
Exiting q(x) Schedule.............................................................................................................98
Chapter 12: Options..........................................................................................................................99
OPTIONS...............................................................................................................................100
Panel Lock Out Switch ..........................................................................................................100
Clear Total Infused.................................................................................................................100
Occlusion Limit......................................................................................................................100
Occlusion Warning ................................................................................................................101
Set Time and Volume ............................................................................................................102
Schedule Next Run.................................................................................................................102
To Change the Delay ................................................................................................102
To Change the Start Time.........................................................................................103
Check Battery Level...............................................................................................................103
Change Alarm Volume ..........................................................................................................104
Select Max Pressure...............................................................................................................104
Micro Rate/Limit....................................................................................................................104
To Exit Micro Rate/Limit .........................................................................................105
Hold Extender ........................................................................................................................105
Site Trend...............................................................................................................................106
To Change Graphical Resolution..............................................................................106
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OUTLOOK® ES OPERATOR’SMANUAL
iv 951128 Rev E (11/10)
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 & Corrections .............................................................................................. 112
Chapter 14: Maintenance................................................................................................................. 115
Cleaning................................................................................................................................. 116
Storage................................................................................................................................... 116
Chapter 15: Technical & Clinical Support .................................................................................... 117
Technical Support.................................................................................................................. 118
Clinical Support..................................................................................................................... 118
Chapter 16: Product Specifications ................................................................................................ 119
Product Specifications ........................................................................................................... 120
Accuracy Test Trumpet Curves............................................................................................. 122
Trumpet Curve Creation........................................................................................................ 122
Trumpet Curve Interpretation................................................................................................ 122

About the Pump
951128 Rev E (11/10) 1
ABOUT THE PUMP
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).
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 ES has user-selectable Occlusion Limit
settings which start at 75 mmHg and extend to 500 mmHg. At rates of 400 ml/hr 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 Keep Vein
Open (KVO), low battery, and other alarm conditions.
EPIDURAL ADMINISTRATION
The Outlook ES 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 ES 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 small 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.

OUTLOOK® ES OPERATOR’SMANUAL
2951128 Rev E (11/10)
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. 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
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.
!
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Warnings
951128 Rev E (11/10) 3
WARNINGS
The following warnings should be followed in order to avoid patient/user injury.
WARNING This Operator’s Manual contains detailed instructions and warnings on
the use of the 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.
WARNING B. Braun will assume no responsibility for incidents which may occur
if the product is not used in accordance with product labeling.
WARNING The Outlook ES 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.
WARNING Do not connect the IV administration set to the patient while priming,
as a bolus or over infusion may occur.
WARNING See EPIDURAL in DOSE Mode in Chapter 5: DOSE Mode for spe-
cific warnings and cautions related to epidural medication infusions.
WARNING 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.
WARNING 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.
WARNING Do not use in the presence of flammable anesthetics, as a possible
explosion hazard exists.
WARNING 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.

OUTLOOK® ES OPERATOR’SMANUAL
4951128 Rev E (11/10)
CAUTIONS
The following cautions should be followed in order to avoid patient/user injury.
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® ES is not intended to substitute for regular
patient observation and evaluation.
CAUTION The Outlook ES 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.
CAUTION To maintain stability, when attaching a single pump to a pole, it is rec-
ommended to place pump no higher than 40 inches above the ground
(measured from the bottom of the pump). When placing multiple
pumps on a pole it is recommended that the bottom pump be no higher
than 40 inches above the ground.
CAUTION 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.
CAUTION 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.
CAUTION 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 14: Maintenance, for suggested cleaning solutions.
CAUTION The Outlook ES generates, uses and can radiate electromagnetic inter-
ference. Through testing to current US standards, the Outlook ES 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
ES infusion 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 ES adversely affect other equipment, it
may be necessary to increase the distance between devices, or operate
the Outlook ES on a separate power circuit from the affected device.

Cautions
951128 Rev E (11/10) 5
CAUTION Unless the pump is plugged into a hospital-grade electrical outlet, the
reliability of the grounding cannot be assured.
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.
CAUTION Where several infusion lines are connected, the possibility of their
exerting a mutual influence on each other cannot be excluded.
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OUTLOOK® ES OPERATOR’SMANUAL
6951128 Rev E (11/10)
ATTENTIONS
ATTENTION The Daisy Chain outlet is for use with Outlook® ES pumps for the pur-
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.
ATTENTION The DB15 connector on the back of the Outlook ES 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.
!

Chapter 1: Pump Description
951128 Rev E (11/10) 7
CHAPTER 1:
PUMP DESCRIPTION
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.

OUTLOOK® ES OPERATOR’SMANUAL
8951128 Rev E (11/10)
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.
2. RUN keys begin the infu-
sion of either the Pri-
mary or Piggyback
channels.
3. Channel Indicator keys
select either the Primary
or Piggyback channels
for data entry.
4. DATA keys allow input
of numbers.
5. CURSOR keys move the
cursor bar on the Infor-
mation Screen.
6. ENTER accepts data or
the selection made.
7. MENU lets the user see
other modes and options.
8. HOLD silences an alarm,
stops an infusion,is a
quick escape from the
menu, and extends the
Hold state an additional
3 minutes every time it is
pushed.
12
3
47 865
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Chapter 1: Pump Description
951128 Rev E (11/10) 9
FRONT VIEW
BACK 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
1. Daisy Chain Outlet Access Door 2. Pump Management Port
3. Panel Lock Out Switch
9
123 4 5
8
7
6
11 12
10
12
3

OUTLOOK® ES OPERATOR’SMANUAL
10 951128 Rev E (11/10)
INSIDE THE DOOR VIEW
1. Cassette Alignment Pins 2. Air-In-Line Detector
3. Free Flow Protection Clip Receptacle
1 32

Chapter 2: Basic Pump Operation
951128 Rev E (11/10) 11
CHAPTER 2:
BASIC 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.
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OUTLOOK® ES OPERATOR’SMANUAL
12 951128 Rev E (11/10)
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. Lock by rotating the pole clamp lever 1/4 turn toward the back of the pump.
5. 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.
TURNING ON THE PUMP
1. Plug the pump into a hospital-grade electrical outlet or the AC Receptacle on the back of
another Outlook® ES pump.
2. Press .
NOTE: The Outlook ES 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 indicates operational
readiness of the device.
DAISY CHAINING
Daisy Chaining allows up to five (5) Outlook ES pumps to be plugged into each other with
only one pump plugged into a wall outlet. On the back of each Outlook ES is the access door
to an electrical outlet. Only another Outlook ES pump should be plugged into that outlet.
ATTENTION: The Daisy Chain outlet is for use with Outlook ES
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 ES 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 10 hours to
fully recharge the battery from a totally discharged condition.
A Low Battery Warning will be displayed when there is no less than 30 minutes of battery life
remaining. Every effort should be made to plug the pump into A/C power within this
!