Atmos ATMOS C 21, Operating Instructions Manual

Page 1: ...ATMOS C 21 ATMOS C 31 ENT Unit GA1GB 110200 0 2019 08 Index 03 Operating Instructions English 0124 ...

Page 2: ...g instructions 3 1 2 Intended use 4 1 2 1 ATMOS C 21 4 1 2 2 ATMOS C 31 4 1 3 Function 5 1 4 Explanation of symbols 5 2 0 For your safety 6 3 0 Setting up and starting up 8 3 1 Front view 8 3 1 1 Service compartment 9 3 2 Setting up proposal 10 3 3 Connection to electrical power line 11 3 4 Water supply Water drainage option 11 3 5 Independent water supply only ATMOS C 31 11 3 6 Starting up 12 3 6...

Page 3: ...EF 506 7510 0 Please note that these operation instructions apply for all ATMOS C 21 C 31 models and subsequently feature all options and applications Therefore it is possible that this document may contain descriptions not relevant for your specific appliance type The product ATMOS C 21 C 31 bears CE marking CE 0124 according to the EC Directive of the council for medical products 93 42 EEC and m...

Page 4: ...sable For information on reprocessing cleaning and disinfection please see the operating instructions 1 2 2 ATMOS C 31 Name ATMOS C 31 Main functions Suction Compressed air system for medication spraying and the Politzer manoeuvre Ear irrigation Electric power supply for LED light handles and LED headlight Light sources Storage and heating of endoscopes Mirror quick heater Instrument deposit and h...

Page 5: ...ethod hose rinsing Light guide connection No function Transfer of heat in general mirror heater Short time operation Foot switch Dangerous voltage as to IEC 417 5036 DIN 30600 131 Protective earth ground as to IEC 417 5019 DIN 30600 1545 Fuse as to IEC 417 5016 DIN 30600 0186 Type B equipment as to IEC 417 5333 Type BF equipment as to IEC 417 5333 Alternating current Do not lean against it 060 062...

Page 6: ...t that patients do not look directly into the light source Never look directly into the light source Damage to the eyes due to the strong glare Exclusively connect ATMOS HL 21 LED and ATMOS LS 21 LED to the connections for ATMOS HL 21 LED and ATMOS LS 21 LED Unsuitable application parts may result in an electric shock or damage Cardiac arrhythmia and even death are possible The ATMOS C 21 31 may b...

Page 7: ...ot being observed assembly new settings alterations extensions and repairs have been carried out by personnel not authorised by ATMOS Please pay also attention to the safety information in following chapters Please note A medical insulating transformer with earth leakage monitor or any similar safety system acc to EN 60 601 1 is required if several devices are connected over one common power suppl...

Page 8: ... irrigation option only ATMOS C 31 Irrigation canister for hose rinsing option Fig 1 ATMOS C 21 C 31 Front view Main switch Sprayer option Laryngoscope holder Surface for medicament bottles etc Ear irrigation option only ATMOS C 21 Headlamp suspension Cover for upper instrument deposit Instrument surface Free surface 3 0 Setting up and starting up 1 19 18 17 16 2 3 4 5 6 6 7 8 9 10 11 12 13 14 15 ...

Page 9: ...er evacuation optional Connecting nipple with hose to the vacuum pump Secretion hose Connecting electrodes for automatic secretion canister evacuation optional Attachment for secretion hose Secretion canister Lid variant with bacterial filter plate 3 0 Setting up and starting up 1 2 3 4 5 6 7 1 2 3 4 5 6 7 ...

Page 10: ... 3 2 Setting up proposal At option 2 where the instrument deposit is slidable backwards an extra 250 mm distance to the wall is required 560 mm 250 mm 810 mm 22 5 9 84 31 84 3 0 Setting up and starting up ...

Page 11: ... guidelines for drinking water Rinse water supply line in order to remove any contamination from the system When clean water is available connect delivery hose to water tap mentioned above Required pressure in domestic water system 2 bar but 5 bar There are country specific regulations for the installation to be considered when the unit is connected to the public water supply There is no special c...

Page 12: ...must be unscrewed The pump unit is removed from the rear locking device by pulling it forwards 3 6 4 Connection of the light guide and light source The unit has different connections depending on the configuration Light package LED economy 2 connections for ATMOS HL 21 LED and ATMOS LS 21 LED Light package 2 channel with 2 or 4 channels Version 1 fig 5 2 connections for light guide 2 connections f...

Page 13: ... Connecting the hose for ear irrigation Connection for the ear irrigation hose Connection for the compressed air hose 3 6 6 Connection of the hose for ear irrigation option only ATMOS C 31 The hose for the warm water system is screwed on the CPC coupling Different socket nipples swapping of the hoses is not possible 3 6 7 Connection of the water system option only ATMOS C 31 Connect the aqua stop ...

Page 14: ...imperative to wipe up splashes immediately 4 2 Basic functions 4 2 1 Main switch The ATMOS C 21 C 31 is switched ON and OFF by means of the main switch 1 fig 1 page 8 4 2 2 Maximum loads Persons must not lean on the ATMOS C 21 C 31 danger of tilting Maximum load of the instrument surface 15 kg Maximum load of the writing and working surface 10 kg Maximum load of the second deposit surface optional...

Page 15: ...refully on the lid system and take secretion canister out carefully to prevent spills and contamination of the area Dispose of secretions properly Grip lid system firmly open lid of filter housing by turning in anti clockwise direction With bacterial filter plate or integrated bacterial filter Remove filter and dispose it of Rinse all parts thoroughly under running water A detergent or cleaning ag...

Page 16: ... off the last adjustment will be kept Fig 12 Light package LED economy Switch for selecting the light source Fig 13 Light package 2 channel with 2 or 4 channels Reduce brightness Increase brightness Headlamp suspension Holder for the light guide Selection of the light channel 4 2 6 Mirror quick heater Switch on the mirror quick heater with key switch 2 fig 14 The mirror quick heater heats up for 1...

Page 17: ...fter use the suction system must be rinsed by means of the hose rinsing system Insert the silicone suction attachment onto the white attachment of the hose rinsing front of the unit and clean the hose system by rinsing the hose for a few seconds ª ª This procedure will prevent the hoses and suction cannula from clogging up The canister for the rinsing fluid of the hose rinsing is located in the se...

Page 18: ... the sprayer head is immersed in fluids e g blood secretion etc a negative pressure could occur and the fluid could flow back into the bottle In this case the medicine sprayer sprayer head flexible nozzle as well as the hose piece for the medicine sprayer must be reprocessed as described in chapter 5 0 cleaning Pull the release lever ª ª The medicament sprayer is supplied with air and the medicame...

Page 19: ... barrier control 3 medicament sprayers 2 single tube 1 twin tube sprayers for viscous medicaments Politzer adapter Politzer olive for children Politzer olive universal size Accessories see chapter 8 2 c For ear irrigation Prior to each ear irrigation perform a visual check to see if the patient s eardrum is perforated Do not irrigate the ear if it is perforated or inflamed Otherwise the inflammati...

Page 20: ...f cold tap water are heated up to 37 C Observe the temperature display and check water temperature prior to every application As soon as the middle lamp illuminates the water has reached the desired temperature Take the water handle from the support and spray off the water until it is free of air bubbles and the level of the pump noise becomes less repeat this procedure every time the pump noise g...

Page 21: ...d to approx 40 C ENT unit should be switched on about 20 minutes before starting work to ensure preheating in good time The metal quivers of the endoscope holder are to be used solely for holding the endoscopes these first having been cleaned and disinfected The metal quivers must regularly be removed and cleaned Do not fill in any liquids 4 3 9 Tongue patches and swab dispenser option The tongue ...

Page 22: ... system firmly open lid of filter housing by turning in anti clockwise direction With bacterial filter plate or integrated bacterial filter Remove filter and dispose it of With external bacterial filter To open the bacterial filter cover please turn it Remove filter and dispose it of After cleaning a new filter must be inserted with bacterial filter plate smooth side down See chapter 6 1 The bacte...

Page 23: ...tion hose splash protection and nozzle Thoroughly rinse all other parts under running water You may use a washing up liquid detergent or cleanser The irrigation bottles can be washed in the dishwasher with the glass programme Disinfect all parts either by machine or manually with a recommended instrument disinfectant 5 1 9 Endoscope quivers The metal quivers of the endoscope holder are to be used ...

Page 24: ...ue regulators corrosion inhibitors 14 g 35 g 2 5 g Schülke Mayr Norderstedt Gigasept FF neu Application concentrate succindialdehyde dimethoxytetrahydrofurane anionic and non ionic surfactants perfumes methylisothiazolinone 11 9 g 3 2 g Schülke Mayr Norderstedt Gigazyme Application concentrate non ionic surfactants enzymes corrosion inhibitors 5 15 g Schülke Mayr Norderstedt Automatic disinfection...

Page 25: ...gnesium monoperoxyphthalate hexahydrate 80 g Bode Chemie Hamburg Dismozon plus Granulate magnesium monoperoxyphthalate hexahydrate 95 8 g Bode Chemie Hamburg Kohrsolin FF Application concentrate glutaral benzyl C12 18 alkyldimethyl ammonium chlorides didecyldimethylammonium chloride 5 g 3 g 3 g Bode Chemie Hamburg Bacillocid rasant End of product 2014 glutaral benzyl C12 18 alkyldimethyl ammonium ...

Page 26: ...5 g Dr Weigert Hamburg Sekusept aktiv Application concentrate Sodium percarbonate non ionic surfactants phosphonate Ecolab Düsseldorf Automatic disinfection of endoscopes Disinfectant Ingredients in 100 g Manufacturer Korsolex basic glutaral ethylenedioxy dimethanol Surfactants corrosion inhibitors salts perfumes 15 2 g 19 7 g Bode Chemie Hamburg neodisher MediClean forte Application concentrate n...

Page 27: ... Dispose of secretions properly Grip lid system firmly open lid of filter housing by turning in anti clockwise direction and remove filter Dispose of filter and thoroughly rinse all parts under running water A detergent or cleaning agent may also be used if required After cleaning a new bacterial filter must be inserted With bacterial filter plates smooth side down External bacterial filter To ope...

Page 28: ... acc to fig 36 Pump head and cassette holder to be disinfected by means of spray disinfectant Take care to ensure that the hoses are not kinked when installing it shorten them if necessary Fig 36 Hose to the secretion canister Release lever Tube cassette Drainage hose Connecting nipple to the rear wall Fig 35 Changing the rinsing container 6 2 Changing the rinsing canister Prior to removing the ri...

Page 29: ...to cool down before changing the heating coil Switch off the main switch of the ENT unit 1 fig 1 page 8 Remove grid 1 fig 37 Remove the heating coil 1 fig 38 from the plug connections Insert a new heating coil and make sure that the three heating helices come into contact only with their ends Fix the grid again and set main switch to ON 6 0 Maintenance and Service 1 1 1 ...

Page 30: ...le cause Remedy Main switch is activated no voltage at the unit no function pilot lamps do not light up No voltage to power plug Blown fuse Check fuse in building connect other units lamp to the socket if necessary Replace fuse on the rear of the unit Power plug or cable is defective Check power plug or cable and replace if necessary Error indication Possible cause Remedy Mirror is not warmed up w...

Page 31: ...o be removed Float of overflow safety closes the suction opening Check filling level in the secretion canister Bacterial filter is clogged Replace the bacterial filter Connecting hoses in the secretion canister compartment are broken Check hose connections remove kinks Overflow safety is closed Hang up suction attachment open regulating valve and tap the secretion canister the floats of the overfl...

Page 32: ...Have hose connections inside the unit checked by a service technician Compressed air does not switch off Photoelectric barrier is polluted or defective Clean photoelectric barrier Have photoelectric barrier replaced by a service technician Sprayer does not work Sprayer is clogged Clean sprayer section 5 1 6 Error indication Possible cause Remedy Endoscope supports are no longer heated Overtemperat...

Page 33: ...ithout gellant and with bacterial filter 36 Stück 312 0466 0 Serres suction bag1 l with gellant and with bacterial filter 32 Stück 312 0467 0 Hose green 006 0010 0 Consumables for ear irrigation Hose tips 30 pcs 502 0844 0 Splash protection to be slipped on jet connection 501 0331 0 Further consumables Tongue patches packet with 6 pcs 505 0525 0 Cotton roll 505 0526 0 Waste bags 50 pcs 505 0515 0 ...

Page 34: ...External tube straight complete 505 0280 0 O Ring 055 0028 0 Sprayer head II 506 5227 0 See also illustrations on page 21 Optics Light Accessories Article No Fibre optic cable length 1 8 m 90 Storz angular connection 508 0664 0 Headlamp CLAR 73 fibre optic cable 2 3 m Storz with angular connection 502 0515 0 Headlamp light model fibre optic cable straight connection 502 0515 5 Headlamp acc to Binn...

Page 35: ...e mounted to cable holder 506 7015 0 Instrument intermediate deposit with paper in large aluminium resp stainless steel tray 508 0533 0 Connecting cable for potential balance 5 m 008 0596 0 Instrument tray aluminium anodized 184 x 142 mm 508 0058 0 Instrument tray aluminium anodized 284 x 184 mm 505 0516 0 Instrument tray stainless steel 180 x 140 mm 508 0058 2 Instrument tray stainless steel 280 ...

Page 36: ...97 from ambient pressure variable Secretion canister 1 25 l TPX Compressed air system Freeflow 21 l min 10 Pressure 2200 hPa variable Cold light source for light guide connection Illuminance min 195 kLux in 5 cm distance of a 4 7 mm high performance light guide In 10 steps from 10 100 variable Colour temperature 5 500 K 10 Power supply for ATMOS LS21 LED and ATMOS HL 21 LED Electricity 700 mA 5 In...

Page 37: ...x 60 0 cm Weight Column ATMOS C 21 max 46 0 kg ColumnATMOS C 31 max 70 0 kg Cabinet base 32 0 82 0 kg depending on configuration Period tests Repeat test of the electrical safety every 12 months Recommended inspection according to the manufacturer s specifications Protection class EN 60601 1 I Degree of protection Application parts type BF Protection category IPX0 Classification acc to Annex IX EC...

Page 38: ...n be recycled completely The component parts of the ATMOS C 21 C 31 must be disposed off correctly and the materials are to be separated carefully The electronics circuit boards must be fed into the appropriate recycling process This document is subject to change without notice 10 0 Disposal ...

Page 39: ...uction hose disposable X Rinse the secretion hose with the hose irrigation system after each procedure X X2 4 5 6 Exchange or disinfection monthly X Storage container for hose rinsing system X X2 4 5 6 Cleaning with a brush Manual or automatic cleaning and disinfection X Ear irrigation Ear irrigation bowl X X2 4 5 Manual or automatic cleaning and disinfection X Handle X X3 Wipe cleaning and wipe d...

Page 40: ... www atmosmed de 2017 03 Index 01 Recommended disinfectants 3 Surface disinfection for coated surfaces Green Clean SK ATMOS Dismozon plus Bode Chemie Kohrsolin FF Bode Chemie Perform Schülke Mayr Terralin Protect Schülke Mayr Other surfaces Dismozon plus Bode Chemie Kohrsolin FF Bode Chemie Mikrobac forte Bode Chemie Perform Schülke Mayr Terralin Protect Schülke Mayr Surface disinfection FD 312 Dü...

Page 41: ...Compliance Level Electromagnetic Environment Guidance ESD IEC 61000 4 2 6 kV Contact 8 kV Air 6 kV Contact 8 kV Air Floors should be wood concrete or ceramics tile If floors are synthetic the relative humidity should be at least 30 EFT IEC 61000 4 4 2 kV Mains 1 kV I Os 2 kV Mains Inapplicable Mains power quality should be that of a typical commercial or hospital environment Surges IEC 61000 4 5 1...

Page 42: ...elines and Manufacturer s Declaration Immunity The ATMOS C 21 C 31 is intended for use in the electromagnetic environment specified below The customer or user of the ATMOS C 21 C 31 should ensure that it is used in such an environment Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment Guidance Conducted RF IEC 61000 4 6 3 Veff 150 kHz to 80 MHz 3 V Portable and mobile ...

Page 43: ...s not indicated in the above table the recommended safety distance d in meters m can be determined using the equation belonging to the respective column whereas P is the maximum nominal output of the transmitter in watts W acc to manufacturer s specification NOTE 1 By 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines might not be applicable in any case The emanation of ...

Page 44: ...ATMOS MedizinTechnik GmbH Co KG Ludwig Kegel Straße 16 79853 Lenzkirch Germany Phone 49 7653 689 0 atmos atmosmed de www atmosmed com ...