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Chapter 5: DOSE Mode

951128 Rev E (11/10)

HAPTER

DOSE M

ODE

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.

• About cautions and warnings for giving epidural drugs in DOSE Mode.

• What the DoseGuard™ default parameters are.

Содержание OUTLOOK ES Series

Страница 1: ...951128 Rev E 11 10 OUTLOOK ES SAFETY INFUSION SYSTEM OPERATOR S MANUAL Rx Only To Purchase Visit Avobus com or call 1 800 674 3655 ...

Страница 2: ...951128 Rev E 11 10 ...

Страница 3: ...ODUCED 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 A REGISTERED TRADEMARK AND DOSEGUARD RATEGUARD DOSESCAN DOSECOM AND DOSETRAC ARE TRADEMARKS OF B BRAUN MEDICAL INC AND ITS AFFILIATES ...

Страница 4: ...951128 Rev E 11 10 To Purchase Visit Avobus com or call 1 800 674 3655 ...

Страница 5: ...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 Pigg...

Страница 6: ...olus 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 Multipl...

Страница 7: ...mmediate 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 Occlus...

Страница 8: ...urse 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 ...

Страница 9: ...fusions 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 u...

Страница 10: ... 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 recommendatio...

Страница 11: ...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 avoi...

Страница 12: ... 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 exter...

Страница 13: ...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 To Purchase Visit Avobus com or call 1 8...

Страница 14: ...isy 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 ...

Страница 15: ...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 ...

Страница 16: ...ndicator 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 tim...

Страница 17: ...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 1 2 3 4 5 8 7 6 11 12 10 1 2 3 ...

Страница 18: ...OUTLOOK ES OPERATOR S MANUAL 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 3 2 ...

Страница 19: ...LL 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 To Purchase Visit Avobus com or call 1 800 674 3655 ...

Страница 20: ... 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...

Страница 21: ... 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 1 Close roller clamp on IV set 2 Spike IV container and squeeze drip chamber until one third or one half full 3 Prime the IV set by opening the rolle...

Страница 22: ... Grasp and 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 TURNI...

Страница 23: ...contains a library of commonly dosed IV drugs Titration of the medication rate automatically leads to recalculation of the dosing parameter PROFILE Mode is used primarily for TPN infusions which require a ramping up phase a flat rate during which the bulk of the infusion is delivered and a ramp down phase PROGRAM Mode allows up to 9 periods to be entered Each period con tains its own rate and volu...

Страница 24: ...the entered rate Pressing PRIMARY or PIGGYBACK will begin an infusion as long as all required param eters are entered If the RATE or VTBD Volume To Be Delivered fields have been left at zero the pump will alarm and prompt the user to enter a rate or volume to be delivered value Alarm The pump alarms when an error has occurred in the pumping process or when the Hold Time has been exceeded During an...

Страница 25: ...s 951128 Rev E 11 10 17 CHAPTER 3 INFORMATION SCREEN MENUS IN THIS CHAPTER YOU WILL LEARN What is displayed on the Information Screen during an infusion About the 3 Menus in the pump To Purchase Visit Avobus com or call 1 800 674 3655 ...

Страница 26: ...he Total Infused may be cleared while the pump is running To clear the Total Infused see Clear Total Infused in Chapter 12 Options Occlusion Limit This displays the current Occlusion Limit setting To change this setting see Occlusion Limit in Chapter 12 Options Dose This displays the current dose value with associated units To change the current dose see Changing DOSE Mode Rate in Chapter 5 DOSE M...

Страница 27: ...e displayed Location Name The Location Name can be assigned from the Location List If assigned the Location Name will be displayed in the lower left corner of the Information Display If not assigned this space will be blank Care Area Name The Care Area Name is assigned via the DoseGuard Drug Library or RateGuard Solution list If a drug or solution is assigned to the infusion the Care Area Name wil...

Страница 28: ...ns 2 Use the to move the highlight and scroll through the list 3 If the option desired is not found in the Main Menu highlight Alternate Menu then press 4 Once you have found the desired mode or option highlight it and press NOTE To exit the Menus quickly press This will also stop the infusion NOTE To scroll through a Menu a page at a time press The following are modes and options which may be con...

Страница 29: ...splayed in the chart above to indicate their relative position when other Options are assigned to the Main Menu 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 Modes ...

Страница 30: ...OUTLOOK ES OPERATOR S MANUAL 22 951128 Rev E 11 10 THIS PAGE INTENTIONALLY LEFT BLANK ...

Страница 31: ...NDARD PIGGYBACK MODES 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 How to set up a PIGGYBACK secondary infusion To Purchase Visit Avobus com or call 1 800 674 3655 ...

Страница 32: ...ng make sure the roller clamp is open If the roller clamp is open and still no drops are falling remove and replace the set as it may be defective The Time Left Total Infused and Occlusion Limit are shown on the Information Screen Monitor the infusion according to hospital policy After the infusion is complete the pump will alarm and go into KVO CHANGING THE RATE With Pump Infusing 1 Press the key...

Страница 33: ... sets with check valves 2 Connect the piggyback set to the upper injection site the site above the pump on the pri mary set 3 Lower the primary bag at least 8 inches NOTE To minimize or prevent fluid flow from the primary container during a Piggyback infusion sympathetic flow it may be necessary to lower the primary bag more than 8 inches or clamp off the primary tubing Sympathetic flow increases ...

Страница 34: ...Primary channel rate after the pump changes back to the Primary channel RATEGUARD INFUSIONS The Outlook ES has the ability to assign RateGuard rate limits to solutions contained in the Solution Library Rate limits can be assigned to solutions for both Primary and Piggyback Infusions Soft rate limits those that the clinican can override and hard limits those rate limits that the clinician cannot ov...

Страница 35: ...Y CHANNEL INDICA TOR 2 Press 3 Use the to highlight RateG uard Infusions then press 4 Use the to highlight the Care Area desired then press NOTE 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 5 Use the to highligh the first letter of the solution name you wish to infu...

Страница 36: ...fu sion NOTE The Green bar displays the MIN MAX rate limits for the selected solution The indicator bar shows the the programmed rate for the infusion and will update dynamically during titration NOTE You can program the Rate and or VTBD either before or after selecting the solution If you press prior to programming either the Rate or VTBD an error message will be displayed prompting you to progra...

Страница 37: ...giver when a solution infusion is being set outside the rate parameters specified by the institution When the user attempts to validate the rate by pressing the pump will compare the programmed rate against the RateGuard minimum and maximum parameters If the rate parameters are within the RateGuard limits a screen similar to the following will be displayed If the values are outside of the set para...

Страница 38: ...pear If no RateGuard limits have been specified the following screen will appear ROLLER CLAMP REMINDER The Roller Clamp Reminder is a configuration option that will remind the user to open the roller clamp on the secondary line prior to starting a piggyback infusion It is a configuration option in the Biomed Menu that when activated will display the Roller Clamp Reminder message as shown below whe...

Страница 39: ...ack Modes 951128 Rev E 11 10 31 NOTE The Roller Clamp Reminder can be configured ON OFF in the Biomed Options Menu of the pump Press PIGGYBACK after the Roller Clamp Reminder message is displayed to begin the secondary infusion ...

Страница 40: ...OUTLOOK ES OPERATOR S MANUAL 32 951128 Rev E 11 10 THIS PAGE INTENTIONALLY LEFT BLANK To Purchase Visit Avobus com or call 1 800 674 3655 ...

Страница 41: ...U 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 About cautions and warnings for giving epidural drugs in DOSE Mode What the DoseGuard default parameters are ...

Страница 42: ...s the user to view valuable information As a safety precaution DOSE Mode cannot be used with any other operating modes The user must ACCEPT all data entries prior to beginning an infusion NOTE DOSE Mode is a calculation and labeling feature only Physician orders will always govern the appropriate patient dosage NOTE DOSE Mode may be placed in either the Main or Alternate Menus 1 Press 2 Press 3 Us...

Страница 43: ...fusion parameters HINT To access the Care Area screen more directly you can use the DoseGuard Drug Library option on the Main Menu as shown below 3 Use the to highlight the first letter of the drug name you wish to infuse NOTE Only those drug names starting with the letters shown in blue are contained in the selected Care Area Black letters indicate there are no drugs starting with that letter in ...

Страница 44: ...r return the pump to the last accepted infusion parameters NOTE No data entry can be done on this screen The concentration may be changed later see DOSE DATA ENTRY SCREEN NOTE Changing to a different drug can also be performed from the DOSE DATA ENTRY SCREEN see TO CHOOSE A DIFFERENT DRUG on page 38 TO CLEAR THE CURRENT DRUG 1 Use the to highlight Change then press 2 Use the to highlight CLEAR DRU...

Страница 45: ... when this screen is active NOTE Concentration dose and rate are dependent on each other for their numeric values Specifying the amount of two of the parameters causes the third parameter to be calculated 1 Use the to highlight the field to be completed 2 Use the keys to enter data 3 Press key to move to the next field Example Specifying a weight of 70 kg a concentration of 400 mg of DOPamine in 2...

Страница 46: ...ed 3 Use the keys to enter data in all other required fields 4 Press key to move to the next field TO CHOOSE A DIFFERENT DRUG 1 Use the to highlight DRUG then press 2 Follow steps 2 5 in To Change To A Different Drug on page 34 TO CHANGE UNITS ON THE DATA ENTRY SCREEN Critical medications require units for calculation of doses for example mcg mg min Three categories of units are Dosage Concentrati...

Страница 47: ...celled The pump then displays the message Rate change aborted and continues to infuse at the old rate An intermittent alarm continues to sound to notify the user a rate change was attempted and cancelled Pressing any key will silence the alarm CHANGING DOSE MODE DOSE The dose can be titrated while the pump is infusing 1 Use the to highlight the DOSE field in the upper right corner of the Informati...

Страница 48: ...r epidural administration of drugs WARNING Serious injury to the patient may result from epidural administration of drugs other than those specifically labeled for epidural use DOSEGUARD IN DOSE MODE The Outlook ES is equipped with a special feature which alerts the caregiver when a dosed infusion is being set outside the infusion parameters specified by the institution When the user attempts to v...

Страница 49: ... with the infusion The selection to override the DoseGuard limit will generate one of the following notifications screens If the dose value is less than the minimum DoseGuard limit the following screen will appear If the dose value is greater than the maximum DoseGuard limit the following screen will appear If no DoseGuard limits have been specified the following screen will appear To Purchase Vis...

Страница 50: ...he current infusion The STANDARD Mode rate will be the default parameter in the DOSE Mode Data Entry screen The dose will be calculated based on the Drug and Concentration selected Once confirmed and accepted the infusion will continue to run at the programmed rate NOTE This option is not available if there are no drugs configured in the Drug Library or if the STANDARD Mode rate is greater than th...

Страница 51: ...y 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 How to place a bolus on Hold How to cancel a bolus delivery How to change the dosage concentration and body weight units About cautions and warnings for bolus deliveries using drugs and solutions in the Epidural Care Area ...

Страница 52: ...Only On Demand bolus deliveries can be configured for solutions contained in the RateGuard Solution List 5 All units for bolus deliveries of solutions configured in the RateGuard Solution List are in ml hr 6 Unique RateGuard rate limits can be assigned to On Demand solution bolus deliveries 7 The time unit for all bolus programs is Min utes 8 Range checking for DoseGuard dose limits and RateGuard ...

Страница 53: ... DoseGuard dose limits can also be assigned for loading Dose Deliveries Examples of the Loading Dose Setup Screens with and without patient weight units are shown below NOTE If the continuous infusion is weight based the Pt Wt Patient Weight field is pre populated with the value from the continuous infusion You will not be able to change this value NOTE If the continuous infusion is not weight bas...

Страница 54: ...ivalent Dose This is a calculated value derived from the data entered in the Loading Dose Setup screen NOTE The DoseGuard dose limits for the Loading Dose are in the same units as the Eq Dose or Equivalent Dose NOTE Selecting BACK will cancel the Loading Dose delivery and return the screen to the previous continuous infusion display 9 If the equivalent dose is within the limits will display the fo...

Страница 55: ...BOLUS READY screen as shown below For this example we are assuming a weight based loading dose NOTE The Dose Deliv ered for the Loading Dose will count UP from 0 0 with the Total Dose value is the programmed dose for the bolus and will remain static To start the Loading Dose 1 Press PRIMARY BOLUS RUN SCREEN After starting the Loading Dose a screen similar to the one shown below will be displayed T...

Страница 56: ...hough not shown in the example above the drug name on the Red LCD and the word Bolusing will alternately be displayed until the bolus delivery is complete BOLUS HOLD SCREEN To pause the bolus delivery perform the following steps 1 Press to pause the bolus 2 Press to RESUME the delivery 3 If applicable press to highlight CANCEL 4 Press to cancel the bolus 5 Press to start the selected infusion An e...

Страница 57: ...rugs and solutions for On Demand bolus delivery refer to the Instrustions for Use manual of the Outlook ES Pump Configuration Editor application A drug has been configured for an On Demand Bolus if the word BOLUS appears below the word DOSE in the DOSE Mode Run screen See the example below The process to configure an On Demand Bolus is very similar to the programming of a Loading Dose Many of the ...

Страница 58: ...us deliveries can also be initiated for solutions contained in the RateGuardTM solution list Unique soft and hard RateGuard rate limits can be assigned to the solution bolus If a solution is configured for a On Demand bolus the word BOLUS will appear on the continuous infusion run screen as shown below NOTE Loading Dose Bolus deliveries are not configurable for solutions contained in the RateGuard...

Страница 59: ...screen requires a total bolus volume and time 5 Press to enter a bolus volume 6 Press to highlight Time 7 Press to enter the duration of the bolus in minutes 8 Press to highlight ACCEPT or 9 Press to highlight BACK 10 Press to confirm your selection NOTE The bolus delivery rate is a calculated field derived from the volume and time data entered NOTE Selecting BACK will cancel the bolus delivery an...

Страница 60: ... 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 NOTE The Bolus Vol ume Deliv ered counts UP from zero while the Total Bolus Vol ume is the programmed volume for the bolus and will remain static To start the bolus 1 Press ...

Страница 61: ... display NOTE Although not shown in the example above the solution name on the Red LCD and the word Bolusing will alternately be displayed until the bolus delivery is complete BOLUS HOLD SCREEN To pause the bolus delivery perform the following steps 1 Press to pause the bolus 2 Press to RESUME the delivery 3 If applicable press to highlight CANCEL 4 Press to cancel the bolus 5 Press to start the s...

Страница 62: ...drug or solution is programmed from the Epidural Care Area of the Drug Library The Micro Rate Limit feature limits the delivery rate of either the continuous infusion or bolus delivery to a maximum of 99 9 ml hr Your facility may have set a lower Micro Rate limit It also automatically increases the delivery pressure to 750 mmHg If the programmed rate exceed the Micro Rate limit a warning screen wi...

Страница 63: ...Chapter 7 DoseScan 951128 Rev E 11 10 55 CHAPTER 7 DOSESCAN IN THIS CHAPTER YOU WILL LEARN How to set up an infusion using DoseScan ...

Страница 64: ... prompts the user to scan in required information NOTE The DoseScanTM option can only be activated while the pump is in either STANDARD or DOSE Mode Hold state Use of controls or adjustments or performance of procedures other than those specified herein may result in hazardous radiation exposure FOR STANDARD MODE DOSE MODE INFUSIONS 1 Press 2 Use the to highlight DoseScan then press NOTE If the ha...

Страница 65: ...ed bar code data may result in the deactivation of certain features e g DoseGuardTM dose limits drug name display etc FOR PIGGYBACK INFUSIONS 1 Scan in Primary Infusion data as directed above 2 Press PIGGYBACK CHANNEL INDICATOR 3 Press 4 Use the to highlight DoseScan then press 5 Follow steps 4 8 in STANDARD DOSE Mode Infusions above to scan in the Piggy back infusion data 6 Press PIGGYBACK FOR LA...

Страница 66: ...ified After completing the scanning sequence described in the previous section the following validation screens will appear The following steps should be completed to proceed with the infusion programming sequence 1 Enter a valid non zero value for Body Weight 2 Use the to highlight Accept then press NOTE The highlight cursor will return to the weight field if the 0 o value has not been changed to...

Страница 67: ...ayed as scanned and the infusion can be started by pressing If the rate values are not equal the following Titration Alert will be displayed 1 Use the to highlight the cor rect rate then press 2 Begin the infusion by pressing For Dose Mode Deliveries If the Patient ID Drug Name Dose units and Drug Concentration match the previous infusion information the dose value is compared If the dose values a...

Страница 68: ...uards are assigned to those medications the dose limits or Care Areas will be displayed for selection and assignment If the scanned solution is not contained in the drug library or there are no DoseGuards assigned the following screen will be displayed Choosing Accept will accept the scanned data without DoseGuard protection Choosing Exit will reject all the scanned data If however the scanned dru...

Страница 69: ...e 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 A screen similar to the following will be displayed Choosing Accept will assign the programmed DoseGuards to the scanned medication Choosing Exit will generate the notification message shown ...

Страница 70: ... will transition into the KVO state when the infusion has been completed Pressing HOLD to silence the KVO alarm will deactivate the drug name display if no DoseGuardTM match exists or if no DoseGuard limits have been assigned to the scanned medication RATEGUARDTM MATCHING DoseScan feature provides the clinician the ability to assign RateGuardTM rate limits to scanned medications For more informati...

Страница 71: ...teGuardTM protection Choosing Exit will reject all the scanned data If however the scanned solution matches the name of a solution configured in the solution list one of the following notification messages will be displayed This message will be displayed if the scanned solution matches a solution in a configured Care Area This message will be displayed if the scanned solution matches a solution co...

Страница 72: ...he fol lowing will be displayed Choosing Accept will assign the programmed RateGuards to the scanned solution Choosing Exit will generate the notification message shown Multiple Care Area Match If the scanned solution matches a solution 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 Use the to highl...

Страница 73: ...nfigurable and some are configurable per drug or solution per Care Area to enable specific scans for individual drugs These features are enabled outside the standard DoseScanTM steps and can help add bar code safety to your infusion programming protocols The following sections list those additional scan features and provide instructions on how to access and perfom each function Scan Patient ID The...

Страница 74: ...Outlook 300ES and 400ES To Scan Authorized User ID perform the following steps 1 Press to place pump on Hold 2 Press to display the Main Menu 3 Press to highlight Scan Authorized User ID 4 Press 5 At the prompt Scan the Authorized User ID 6 Press to Accept the New ID Note When the scan is accepted the New Authorized User ID will be displayed on the Red LCD on the left hand side of the pump to allo...

Страница 75: ...anies the application DoseGuardTM Override Scan The DoseGuard Override Scan is a drug specific Care Area specific scan configuration This option can be enabled for a specific drug in one or more Care Areas For example you may choose to not activate this option for DOPamine in the ICU Care Area but you may want additional authorization to override the dose limits for DOPamine used in the MED SURG C...

Страница 76: ... Operations Log of the infusion device Note Exiting the RateGuard Override 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 Bolus Authorization Scan If a drug or solution is configured for a Loading Dose or On Demand Bolus they can also ...

Страница 77: ...ugs or solutions where verifica tion of the infusion parameters is required prior to initiating the infusion If a drug or solu tions is configured for a Critical Med scan perform the following steps to complete the infusion 1 Press to begin the infusion 2 Scan the Primary Authorized User ID The check mark will change color from red to green to indicate a successful scan 3 Scan the Secondary Author...

Страница 78: ...r to the previous state Note Critical Med scans are logged in the Operations Log of the infusion device Note Exiting the Critical Med Scan prompt at any point will invalidate the infusion and return the user to the previous state Note Three invalid scans of either the Primary or Secondary Authorized User ID will also invalidate the override and return the user to the previous delivery parameters ...

Страница 79: ...Chapter 8 DoseCom 951128 Rev E 11 10 71 CHAPTER 8 DOSECOM IN THIS CHAPTER YOU WILL LEARN How to set up an infusion using DoseCom To Purchase Visit Avobus com or call 1 800 674 3655 ...

Страница 80: ...DOSE Mode The facility has the option to choose if a User ID Patient ID Patient ID on the medication label and or medication data are included in the data stream The pump prompts the user to confirm the infusion information after all the properly formatted data is received and displayed NOTE The DoseComTM option can only be activated while the pump is in either STANDARD or DOSE Mode Hold state FOR...

Страница 81: ...accepting transmitted data may result in the deactivation of certain features e g DoseGuardTM dose limits drug name display etc FOR PIGGYBACK INFUSIONS 1 Press PIGGYBACK CHANNEL INDICATOR 2 Press 3 Use the to highlight DoseCom then press 4 Follow steps 3 6 in STANDARD DOSE Mode Infusions above to scan in the Piggy back infusion data 5 Press PIGGYBACK to start the infusion FOR DATA WITH 0 0 FOR RAT...

Страница 82: ...ient weight in those cases where the patient weight has not been specified After completing the programming sequence described in the previous section the following validation screens will appear The following steps should be completed to proceed with the infusion programming sequence 1 Enter a valid non zero value for Body weight 2 Use the to highlight Accept then press NOTE The highlight cursor ...

Страница 83: ...g Name match the previous infusion information the rate value is compared If the rate values are equal the rate and VTBD are displayed as transmitted and the infusion can be started by pressing If the rate values are not equal the following Titration Alert will be displayed 1 Use the to highlight the cor rect rate then press 2 Begin the infusion by pressing For Dose Mode Deliveries If the Patient ...

Страница 84: ...eGuards are assigned to those medications the dose limits or Care Areas will be displayed for selection and assignment If the transmitted drug is not contained in the drug library or there are no DoseGuards assigned the following screen will be displayed Choosing Accept will accept the transmitted data without DoseGuard protection Choosing Exit will reject all the transmitted data If however the t...

Страница 85: ...nd dose limits will be displayed for selection by the clinician A screen similar to the following will be displayed Choosing Accept will assign the programmed DoseGuards to the transmitted medication Choosing Exit from the DoseGuardTM matching screen will generate the notification message shown Choosing Accept will accept the transmitted data without DoseGuard protection Choosing Exit will reject ...

Страница 86: ...creen NOTE The pump will transition into the KVO state when the infusion has been completed Pressing HOLD to silence the KVO alarm will deactivate the drug name display if no DoseGuardTM match exists or if no DoseGuard limits have been assigned to the transmitted medication RATEGUARDTM MATCHING The DoseComTM feature also provides the clinician the ability to assign RateGuardTM rate limits to trans...

Страница 87: ...rdTM protection Choosing Exit will reject all the transmitted data If however the transmitted solution matches the name of a solution configured in the solution list one of the following notification messages will be displayed This message will be displayed if the transmitted solution matches a solution in a configured Care Area This message will be displayed if the transmitted solution matches a ...

Страница 88: ...ed Choosing Accept will assign the programmed RateGuards to the transmitted solution Choosing Exit will generate the notification message shown Multiple Category Match If the transmitted solution matches a solution 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 Use the to highlight the appropriate Ca...

Страница 89: ...e option to go Back to choose another Care Area to review alternate RateGuardTM limits as shown in the example screen Note The pump will transition into the KVO state when the infusion has been completed Pressing HOLD to silence the KVO alarm will deactivate the drug name display if no RateGuardTM match exists or if no RateGuard limits have been assigned to the transmitted medication ...

Страница 90: ...OUTLOOK ES OPERATOR S MANUAL 82 951128 Rev E 11 10 THIS PAGE INTENTIONALLY LEFT BLANK ...

Страница 91: ...PROFILE MODE 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 To Purchase Visit Avobus com or call 1 800 674 3655 ...

Страница 92: ...de and Set PROFILE Parameters may be found in either the Main or Alternate Menus or may have been disabled and therefore unavailable SET PROFILE PARAMETERS 1 Press 2 Use the to highlight Set PROFILE Parameters then press 3 Use the keys to enter the Ramp Up time in hours and minutes 4 Use the to highlight the Ramp Down fields 5 Use the keys to enter the Ramp Down time in hours and minutes 6 Use the...

Страница 93: ...usion will be displayed 9 The TEXT field in the upper right corner of the Information Screen is highlighted press The text display will return 10 If the pump is turned off while in PROFILE Mode the Information Display will indicate PROFILE Operation was Interrupted when the pump is turned back on Use the to highlight one of the following then press Resume current PROFILE Restart PROFILE Exit PROFI...

Страница 94: ... Use the to highlight Restart PROFILE then press 4 A screen will appear with the message The Restart PROFILE option will cancel the present run Is this OK Use the to highlight YES then press IMMEDIATE RAMP DOWN 1 Press 2 Press 3 Use the to highlight Immediate Ramp Down then press IMMEDIATE RAMPDOWN is displayed on the Information Screen NOTE The Immediate Ramp Down Time is 30 minutes or less EXITI...

Страница 95: ...28 Rev E 11 10 87 2 Press 3 Use the to highlight Exit PROFILE Mode then press enter 4 A screen may appear with the message The Exit PROFILE Mode option will cancel the present run Is this OK 5 Use the to highlight YES then press ...

Страница 96: ...OUTLOOK ES OPERATOR S MANUAL 88 951128 Rev E 11 10 THIS PAGE INTENTIONALLY LEFT BLANK ...

Страница 97: ...CHAPTER 10 PROGRAM MODE 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 How to skip periods To Purchase Visit Avobus com or call 1 800 674 3655 ...

Страница 98: ...efore unavailable 1 Press 2 Use the to highlight PROGRAM Mode then press 3 Use the keys to enter the rate and volume for the first period 4 Use the down to highlight the next Rate and Volume fields 5 Use the keys to enter the rate and volume 6 Repeat steps 4 and 5 until all of the infusion information is entered NOTE If less than 9 steps of infusion information entered the last line of data will a...

Страница 99: ...isplayed in the upper left corner If the vertical bar appears to be missing the rate in that period is much less compared to the other periods 10 Use the to highlight the TEXT field in the upper right corner of the Information Screen then press The text display will return 11 If the pump is turned off while in PROGRAM Mode the Information Display will indi cate PROGRAM Operation was Interrupted wh...

Страница 100: ...begin infusing at Period 1 again 1 Press 2 Press 3 Use the to highlight Restart PRO GRAM then press 4 A screen will appear with the message The Restart PROGRAM option will cancel the present run Is this OK Use the to highlight YES then press SKIP PROGRAM PERIODS This option allows a portion volume of the mode to be skipped The pump must be stopped in order to skip periods 1 Press 2 Press 3 Use the...

Страница 101: ...he volumes in each period with a Green bar EXITING PROGRAM MODE The infusion must be stopped in order to exit PROGRAM Mode 1 Press 2 Press 3 Use the to highlight Exit PROGRAM Mode then press 4 A screen may appear with the message The Exit PROGRAM Mode option will cancel the present run Is this OK Use the to highlight YES then press ...

Страница 102: ...OUTLOOK ES OPERATOR S MANUAL 94 951128 Rev E 11 10 THIS PAGE INTENTIONALLY LEFT BLANK ...

Страница 103: ...Chapter 11 q x Schedule 951128 Rev E 11 10 95 CHAPTER 11 q X SCHEDULE IN THIS CHAPTER YOU WILL LEARN How to set up a q x Intermittent infusion To Purchase Visit Avobus com or call 1 800 674 3655 ...

Страница 104: ...abled and therefore unavailable Since there is no KVO between doses assure there is a maintenance IV infusion in the intervals between doses 1 Press 2 Use the to highlight q x Schedule then press 3 Use the to highlight OK then press 4 Use the to highlight the Dose q x fields 5 Use the keys to enter the time interval in hours and minutes between the start of each dose NOTE The time interval can be ...

Страница 105: ...se the to highlight the Start dose at field 16 Use the keys to enter the time in military format at which the first dose will begin 17 Use the to highlight ACCEPT then press At the q x Start time the pump will begin the infusion The number of doses remaining is shown on the Information Display After the infusion is complete the pump will automatically return to the waiting period The pump will con...

Страница 106: ...n the upper right corner of the Information Screen then press 2 Follow steps 4 17 above to change the data NOTE Only the Dose Rate may be changed after the q x Schedule has begun EXITING q X SCHEDULE 1 Press 2 Use the to highlight Exit q x Schedule then press To Purchase Visit Avobus com or call 1 800 674 3655 ...

Страница 107: ...e pump How the pump can calculate the rate when given the time and volume How to delay the beginning of an infusion How to check the battery level How to adjust the alarm volume How to set the pump to its Maximum Pressure of 750 mmHg How to rate limit the pump for Micro operation How to put the pump on hold for up to two hours About Site Trending How the pump can calculate a patient s Body Surface...

Страница 108: ...Press 2 Use the to highlight Clear Total Infused then press The Primary Piggyback and Total Volume Infused values will be displayed The Information Screen will display a message asking if the volumes should be cleared 3 The default response is NO 4 Use the to highlight YES to clear the volumes 5 Press to confirm your selection NOTE The Clear Total Infused option may be used while the pump is infus...

Страница 109: ...E The Occlusion Limit will automatically change to 400 mmHg to accommodate fluid resistance at rates greater than 400 ml hr OCCLUSION WARNING The occlusion warning feature gives an audible warning 3 beeps and a visual indication in the Volume To Be Delivered Display to let the user know an occlusion is occurring downstream from the pump The warning occurs 6 times at 5 second intervals before the p...

Страница 110: ...se the to highlight Volume field 6 Use the keys to enter the volume 7 Use the to highlight ACCEPT then press SCHEDULE NEXT RUN This feature lets the user delay an infusion from STANDARD PIGGYBACK DOSE PROGRAM or PROFILE Mode for up to 24 hours NOTE All of the Mode information must be entered and a set must be in the pump before accessing this feature 1 Press 2 Use the to highlight Schedule Next RU...

Страница 111: ...ld LED will blink Press to cancel Schedule Next RUN CHECK BATTERY LEVEL Two states of the battery are possible discharging or charging Prior to unplugging the pump for transport purposes this feature makes determining charge level of the battery easy 1 Press 2 Use the to highlight Check Battery Level then press The screen display will provide information as to which state the pump is in and indica...

Страница 112: ...e Outlook ES can be used for epidural administration of anesthetic and analgesic drugs Use this feature when the maximum pressure of 750 mmHg is required for infusion 1 Press to stop the infusion 2 Press 3 Use the to highlight Select MAX Pressure then press The Occlusion Limit is now set to 750 mmHg To change the Occlusion Limit from 750 mmHg turn the pump off and then on again or See Occlusion Li...

Страница 113: ...nd lower the offending rate or increase the Micro Rate Limit 7 Press will appear in the upper left corner of the Information Display To Exit Micro Rate Limit 1 Press menu 2 Use the to highlight Micro Rate Limit then press 3 Use the to highlight OFF then press HOLD EXTENDER Hold Extender allows the user to pause the infusion for up to 2 hours Once the timer goes down to zero the pump will alarm to ...

Страница 114: ...intervals of time 10 min 1 Hr and 2 Hr 1 Press 2 Use the to highlight Site Trend then press NOTE Data is shown from right to left The word Now reinforces the most current data is represented on the right side of the graph The arrow s position whether pointing upward or downward indicates either an increase or a decrease in the downstream fluid resistance TO CHANGE GRAPHICAL RESOLUTION 1 Press the ...

Страница 115: ...rs are changed by pressing the left right to select the parameter and pressing up down to change the units 3 Use the to select Height and Weight fields 4 Use the keys to enter the information 5 To change the Height and Weight units use the left and right to highlight the units and the up and down to change the units 6 The BSA value is displayed in square meters m2 7 Press to exit PIGGYBACK CALLBAC...

Страница 116: ...eatures option in the Outlook ES Pump Configuration Editor you can configure the screen to display or hide trailing zeros Trailing zeros are those zero decimal values that are at the end of a input or display value For instance a Rate value of 12 0 would be displayed as 12 The default value for this option is Yes to display the trailing zeros as they are displayed in a smaller font for easy differ...

Страница 117: ...he unit is powered On as well as those audio signals that are not attributed to alarm states In addition to monitoring the alarm signals the Nurse Call Interface has the ability to notify the Nurse Call System in an event of power loss to the pump NURSE CALL INSTALLATION The following describes the installation process of the Nurse Call Interface unit Note that for installation purposes the Infusi...

Страница 118: ...951128 Rev E 11 10 the front of the Nurse Call unit 3 Next insert the cord coming from the nurse station into the RJ 45 connector on the Interface unit Thumb Screws Nurse Call Station To Purchase Visit Avobus com or call 1 800 674 3655 ...

Страница 119: ...Chapter 13 Alarms Troubleshooting 951128 Rev E 11 10 111 CHAPTER 13 ALARMS TROUBLESHOOTING IN THIS CHAPTER YOU WILL LEARN How to silence pump alarms How to correct pump alarms ...

Страница 120: ...al for service When an alarm condition occurs the following steps are recommended 1 Read the message displayed on the Information Screen 2 Press to silence the alarm 3 Press with HELP highlighted to display the correction messages contained in the Correction column below 4 Correct the cause of the alarm 5 Press to continue the infusion 6 Monitor the process according to institution policy ALARM ME...

Страница 121: ...t Door Open Door Open If the user attempts to start an infusion while the door is open or if the door is opened during an infusion the pump will generate a Door Opened During Delivery alarm The door must be shut to deliver fluid Hold Time Exceeded Hold The pump will generate a Hold Time Exceeded alarm when there has been no key panel activity for 3 min utes Pump on hold with the door closed for mo...

Страница 122: ... Set a Primary Rate Set Piggyback Rate Flashing 0 0 This alarm is generated when the user tries to start a piggyback channel infu sion and has not set a pig gyback rate Set a Piggyback Rate Set Primary Volume Flashing 0 0 This alarm is generated when the user tries to start a primary channel infusion and has not set a primary VTBD Set a Primary VTBD Set Piggyback Volume Flashing 0 0 This alarm is ...

Страница 123: ...Chapter 14 Maintenance 951128 Rev E 11 10 115 CHAPTER 14 MAINTENANCE IN THIS CHAPTER YOU WILL LEARN How to clean the pump Under what conditions to store the pump ...

Страница 124: ...lutions containing glutaraldehyde or abrasive cleansers on the pump If necessary Betadine or Iodine solutions may be used but they will stain the pump DO NOT use abrasive cleaning tools or pressurized spraying devices as these may dam age the device DO NOT sterilize the pump using ethylene oxide EtO gas as this may damage the device WARNING To avoid mechanical or electronic damage do not steam aut...

Страница 125: ...hapter 15 Technical Clinical Support 951128 Rev E 11 10 117 CHAPTER 15 TECHNICAL CLINICAL SUPPORT IN THIS CHAPTER YOU WILL LEARN How and when to contact Technical Support How to contact Clinical Support ...

Страница 126: ...lton TX 75006 Attn Service Manager or call 800 627 PUMP Product complaints may be sent to the Quality Assurance Manager at the above address With each complaint please include the pump s serial number and software revision a description of the difficulty experienced the pressure limit setting the rate setting the initial volume s to be infused the type of fluid s the amount of time between the sta...

Страница 127: ...apter 16 Product Specifications 951128 Rev E 11 10 119 CHAPTER 16 PRODUCT SPECIFICATIONS IN THIS CHAPTER YOU WILL LEARN About the product specifications To Purchase Visit Avobus com or call 1 800 674 3655 ...

Страница 128: ...hock Protection Type CF shock protection in accordance with UL2601 1 Power Requirements 120 VAC 2A 60 Hz excluding accessories Grounding Resistance Meets UL Standard 2601 1 Leakage Current Less than 300uAmps earth leakage tested per UL 2601 1 Plug Hospital Grade 3 pin Dimensions approx Width 12 Height 4 5 Depth 8 75 Weight Approximately 11 pounds Pole Size Range 0 875 1 25 Operating Time of Batter...

Страница 129: ...or disconnected or unless the Data Retention Defaults have been otherwise selected in the Biomed Options Environmental Operating Limits 65o F to 105o F 18o C to 40o C Maximum Bolus Volume Microbore Tubing 0 047 ml at 399 ml hr 75 mmHg 0 086 ml at 399 ml hr 750 mmHg 0 053 ml at 500 ml hr 400 mmHg 0 097 ml at 750 ml hr 750 mmHg Maximum Time to Occlu sion Alarm 24 min at 0 1 ml hr 75 mmHg 33 sec at 3...

Страница 130: ...data from the second hour of delivery are divided into twelve 5 minute windows The flow rate accuracy is calculated for each window The maximum positive and negative accuracy values are picked out of the twelve accuracy values and plotted on the curve at the 5 minute interval The same procedure is repeated for time intervals of 11 19 and 31 minutes and the resulting maximum positive and negative f...

Страница 131: ...951128 Rev E 11 10 longer intervals of time Trumpet Curve 2nd Hour of Delivery Trumpet Curve Last Hour of Delivery ...

Страница 132: ...OUTLOOK ES OPERATOR S MANUAL 124 951128 Rev E 11 10 THIS PAGE INTENTIONALLY LEFT BLANK ...

Страница 133: ...951128 Rev E 11 10 To Purchase Visit Avobus com or call 1 800 674 3655 ...

Страница 134: ...951128 Rev E 11 10 B Braun Medical Inc 824 Twelfth Avenue Bethlehem PA 18018 www bbraunusa com To Purchase Visit Avobus com or call 1 800 674 3655 ...

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