User Manual
Contents
1. Language The language can be adjusted with System language English 4 v aM 7 Vacuum unit The vacuum unit can be adjusted with 2 or Vacuum unit m 7 Standard vacuum 20 mbar mM 7 Period time of hose rinsing M 7 Keylock activation time Keytone CD CO 9 amp D CD CO 9 amp 9 0 9 9 Standard vacuum Period time of hose rinsing Keylock activation time Keytone N ATMOS MedizinTechnik When the device is started the standard vacuum is automatically preadjusted The standard vacuum can be adjusted with or Period time of hose rinsing can be adjusted with r Key lock activation time can be adjusted with r The keytone can be activated or deactivated by pressing 2 and By pressing the three control panels Day Month Year you may enter the individual settings Now adjust the Date with or By pressing two control panels Hour or Minute you may enter the individual settings Now adjust the time with or 29 N ATMOS MedizinTechnik 30 5 0 Warning messages A o In the event of a warning message the key lock is removed automatically In the event of a warning message the system switches to the warning menu automatically An error indication is displayed This indication contains advice for the removal of the cause of error The acoustic warning message is triggered at the same t2. Drainage unit X Manual wipe disinfection Single use product not X suitable for reprocessing exchange after use Canister X AJ x N I x Jg 2 Un aJnpeooud une JOUY ll 2 e x x pj9SM A UUOW Single use product gt not Hose system X X suitable for reprocessing G exchange after use R Removal C Cleaning D Disinfection S Sterilisation 37 N ATMOS MedizinTechnik 38 90 Maintenance and service 91 Basic information Maintenance repairs and period tests may only be carried out by persons who have the appropriate technical knowledge and are familiar with the product To carry out these measures the person must have the necessary test devices and original spare parts ATMOS recommends work should be carried out by an authorized ATMOS service partner This ensures that repairs and testing are carried out professionally original spare parts are used and warranty claims remain unaffected Carry out an inspection according to the manufacturers specifications every 12 months Germany safety check according to 86 Medical Device Operator Ordinance This check should also include a check of the battery capacity as well as all parts for wear or damage Further regular maintenance work is not required It is understood that the vacuum unit and its application parts are regularly and thoroughly cleaned and disinfected and that it is operated in accordance with the instruction m
3. 45 N ATMOS MedizinTechnik A6 13 3 Guidelines and Manufacturer s Declaration Immunity The ATMOS C 051 Thorax is intended for use in the electromagnetic environment specified below The custo mer or user of the ATMOS C 051 Thorax should ensure that it is used in such an environment IEC 60601 Electromagnetic Environment Compliance Level Test Level Conducted RF Portable and mobile communications IEC 61000 4 6 150 kHz bis 80 MHz equipment should be separated from Radiated RF the ATMOS C 051 Thorax incl the IEC 61000 4 3 80 MHz bis 2 5 GHz cables by no less than the distances calculated listed below Immunity Test Guidance Recommended distances d 357 VP d paa E VP from 80 MHz to 800 MHZ d 7 0 E vP from 800 MHz to 2500 MHz Where P is the max power in watts W and D is the recommended sepa ration distance in meters m Field strengths from fixed transmit ters as determined by an electroma gnetic site a survey should be less than the compliance level b Interference may occur in the vicinity of equipment containing following symbols Ka N N ATMOS MedizinTechnik NOTE 1 With 80 MHz and 800 MHz the higher frequency range applies NOTE2 These guidelines may not be applicable in every case The propagation of electromagnetic sizes is influenced by absorptions and reflections of buildings objects and people a Ihe field strength of stationary tr
4. The battery must be fully charged prior to the first use Charging time approx 2 5 hours Always place the device on a flat save surface Plug in the mains cable to recharge the battery After transport in temperatures below the freezing point the device must be acclimatised for up to 6 hours If the device is not acclimatised it may not be operated as the membrane in the aggregate could get damaged Always have at least one more secretion canister at hand as the device can only be operated with the specific ATMOS secretion canister 3 3 1 Charging the battery Each bar of the symbol BI n represents 20 battery charge Attention Prior to the first start up of the ATMOS C 051 Thorax the battery must be fully charged Only the enclosed battery recharger GTM 21097 5012 from ATMOS may be used Advice on the handling of the battery can be found in chapter 9 3 Correct handling of the rechargeable batteries prolongs their maximum service life Rechargeable batteries are wearing parts and therefore excluded from the general warranty The device should be recharged in a cool place without direct solar irradiation At ambient temperatures above 25 C the charging time could be prolonged arastically Defects which occur due to improper handling of the device are not covered by the guarantee Caution If the battery temperature is higher than 35 C it can no longer be charged Plug the recharger into the charging socket of the AT
5. 4 inapplicable Should be that of a typical 1 kV I Os 1 kV input and output commercial or hospital lines environment Surges 1 kV Differential 1 kV symmetric Mains power quality IEC 61000 4 5 Should be that of a typical 2 kV Common 2 kV symmetric commercial or hospital environment Power Frequency 50 60 3 A m Applicable Power frequency magne Hz tic fields should be that of Magnetic field 3 A m a typical commercial IEC 61000 4 8 or hospital environment 44 IEC 60601 Test Level Compliance Level N ATMOS MedizinTechnik Electromagnetic Envi Immunity Test Voltage Dips Dropout IEC 61000 4 1 1 In gt 95 96 Dip of the U for 0 5 Cycles 40 96 U 6096 Dip of the U for 5 Cycles 70 U 30 96 Dip of the U for 25 Cycles S oou gt 95 96 Dip of the U for 5 sec 5951 gt 95 96 Dip of the U for 0 5 Cycles 40 96 U 6096 Dip of the U for 5 Cycles 70 U 30 96 Dip of the U for 25 Cycles so gt 95 96 Dip of the U for 5 sec ronment Guidance Mains power quality should be that of a typical commercial or hospital environment If the user of the ATMOS C 051 Thorax demands continued function even in case of interruptions of the en ergy supply it is recom mended to supply the ATMOS C 051 Thorax from an uninterruptible current supply or a battery NOTE U is the mains alternating current prior to application of the test levels
6. Stop therapy Hold restart graphic Increase maximum of axis Decrease maximum of axis Scroll up the list Scroll down the list Activate keylock eoo 20 AN ATMOS MedizinTechnik 4 2 2 Display symbols Battery status display charging indicator Keylock active Therapy recording in progress Therapy on hold Therapy in progress Upcoming warning suppressed Safety check required 4 3 Switch on 1 To switch on the ATMOS C 051 Thorax please touch the v sensor above of the symbol for 2 seconds 2 The welcome monitor appears with the software version number in the bottom right corner 3 After a short while the leakage test chapter 4 4 starts automatically Therapy data recording 4 Subsequently Therapy progress will appear in the display m By pressing the buttons you can start a new therapy recording or new recording continue recording Continue recording 00 00 0000 00 00 00 5 The main display appears The device is now ready for use 21 N ATMOS MedizinTechnik 4 4 Leakage test aM 7 Leakage test in process Close the patient connection 1 y Leakage test OK Open the patient connection a Leakage test failed dd Following device startup the leakage test starts automatically The hose attachment towards the drainage catheter should already be sealed with a sterile plug when starting up t
7. at air pressure 700 1060 hPa ceo ome 20 80 air humidity without condensation at air pressure 700 1060 hPa 164 x 206 x 95 mm without canister depth with canister 142 mm 1 06 kg 0 28 kg 1 34 kg 0 50 kg Inspection according to the manufacturers specifications every 12 months Germany safety check according to 86 Medical Device Operator Ordinance Protection class EN 60601 1 at charging mode for EMV Il at battery mode Application part Degree of protection Classification acc to appendix IX EC Directive 93 42 EEC CE marking UMDNS Code GMDN Code Type BF IP 33 lla CE 0124 10 218 suction device thoracal 36787 suction device thoracal Issue of Technical Specifications 06 08 2013 41 N ATMOS MedizinTechnik 42 12 0 Disposal Pay attention to country specific regulations for disposal e g waste incineration Device and accessories must be decontaminated prior to disposal as secretion residuals could lead to danger of a third party The materials must be separated carefully The materials of the housing can be recycled completely The ATMOS C 051 Thorax contains a Lithium lonic battery which must be disposed of in accordance with the valid guidelines Disposal within the EU The suction device described above is a high quality medical product with a long service life After its life cycle it must be disposed of professionally According to the EU dir
8. ml Connection to patient secretion channel Connection to patient measuring and rinsing system Q Cover lid of the secretion channel Cover lid for the connection to the suction unit Cover lid for the pop off valve Canister guide 3 3 2 2 Pop off valve The pop off valve is a protection against the occurrence of high pressure which could lead to a tension pneumothorax The valve opens at a high pressure of 210 mbar within the canister 3 3 2 3 Connecting the secretion canister 1 Cautiously withdraw the secretion canister from the wrapping Affix the canisters guide to the device s guide on the back side of the drainage unit see device overview Hold the canister slightly angled to the device 2 Push the secretion canister towards the ATMOS C 051 Thorax until they connect palpably and audibly and the release button returns to its initial position 3 Perform a slight pull check on the canister to make sure that it is connected securely and tightly to the device 17 N ATMOS XJ MedizinTechnik 3 3 2 4 Exchanging the secretion canister 1 Press the blue operating element device overview on top of the device to release the canister 2 Hold the secretion canister slightly angled and pull upwards to remove it 3 Place the secretion canister safely on an even surface 4 Release the 2 Luer Lock connections by a cc rotation to separate the secretion canister from the hose
9. system Pay attention as secretion could be found in the connection space 5 Remove the blue cover lid and cover the upper Luer Lock connection with it secretion channel 6 Remove the yellow cover lid and cover the connection to the drainage unit 6 with it 7 Remove the black cover lid and cover the pop off valve with it O The used secretion canister is now ready for disposal 8 Follow the instructions in chapter 3 3 2 3 to connect a new secretion canister 3 3 3 Connecting the hose system Q Measuring and rinsing hose Hydrophobic bacterial filter Luer Lock 4mm Q Secretion hose Luer Lock 6 mm 1 Remove the sterile hose system from the sterile wrapping 2 Connect the Luer Lock with the bacterial filter to the lower canister connection 6 on the secretion canister by a cw rotation N 3 Connect the Luer Lock connection with the larger diameter to the upper connection of the canister on the secretion canister by a cw rotation 4 Perform a leakproof test see chapter 4 4 5 Use the sterile hose connector supplied with the hose system to connect the hose system to any drainage catheter of your choice Alternately you can also use conventional sterile y connectors or hose connectors 4 0 Operating 4 1 Explanation of the display Flow Display of the actual fistula Actual vacuum ATTENTION This is the current value In the case of Display of a discontinuous fistula the value c
10. that the thread at the bottom of the vacuum unit is positioned directly above the fixing screw of the stand holder Turn the fixing screw clockwise to fix the ATMOS C 051 Thorax To remove the ATMOS C 051 Thorax release the fixing screw by turning anticlockwise The thoracic drainage unit must always be attached horizontally 7 3 Connection of shoulder belt 7 3 1 Strap holder The strap holders on the back of the device are already mounted on delivery f you do not require the strap holders they can be easily removed with a standard screwdriver 33 N ATMOS MedizinTechnik 7 3 2 Attaching the carrying strap o Carabiner for the attachment to the clips on the device E For use as a shoulder strap Q O Carabiner for the attachment to the clips on the device For use on a patient s bed Fastener for the bed attachment Attaching the carrying strap Take a carabiner 9 and attach it to one of the clips on the drainage unit Attach the second carabiner 6 to the second clip on the drainage Now the ATMOS C 051 Thorax can be worn over your shoulder Attaching the drainage unit to a patient s bed To attach the device to a patient s bed exchange the carabiner 6 with carabiner 6 Now you can attach the drainage unit O to the patient s bed by simply closing the fastener ba aes Removing the drainage unit from the patient s bed Press the release on the sides of the fastene
11. 0 3 vP W 1 1 16 1 16 299 10 2 09 3 09 7 38 100 11 66 11 66 23 33 For transmitters for which the maximum nominal output is not indicated in the above table the recommen ded separation distanced 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 With 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not be applicable in every case The propagation of electromagnetic sizes is influenced by absorptions and reflections of buildings objects and people 47 gt MOS ATMOS MedizinTechnik GmbH amp Co KG Ludwig Kegel Str 16 79853 Lenzkirch Germany Phone 49 7653 689 0 atmos atmosmed de www atmosmed com
12. IN ATMOS MedizinTechnik Operating instructions ATMOS C 051 Thorax English 317 0000 B 2015 07 Index 05 N ATMOS MedizinTechnik Further information accessories consumables and spare parts are avallable from ATMOS MedizinTechnik GmbH amp Co KG Ludwig Kegel Stralse 16 79853 Lenzkirch Germany Tel 49 7653 689 0 Fax 49 7653 689 190 49 7653 689 292 Service Center atmos atmosmed de www atmosmed de Table of contents QE Ind OEIC NOU mc 4 7 NES oc Oe idi uisa T 4 2 E A A E E A N SAAE ee ee 5 NM 3 5 10116 1 rv 14 Van OTT E MNT 8 a I I UNE Nee c RTT cm 9 2 0 SAME AVC e 10 13 FN o peace nae es teehee pce A S A AE EE A N T 10 11 DIN ee EEE 12 N Tee ee ae user 13 3 0 Setting up and starting UP 22 252 0520254021296 seen nee ae sede ROS miese nee 14 18 SUME je o 8100 14 12 E E AE E ANE T ENE 14 LER 5 15 odor quigtfis 16 SICNMEEL Io 000 30 lico NON REC pc nr 16 BW ON IT 17 Dn NI OUI Es ri tc Iz OM EE A T A AT S EE E S EI E ET E 17 33 2 3 Connecting the secretion Canister aieri erreira Eer EEA E OEE EREET EAE A
13. MOS C 051 Thorax Connect the recharger to the country specific mains cable Plug the mains plug into the socket The ATMOS C 051 Thorax displays the blinking III n symbol on the display When the battery is fully charged the symbol does not blink anymore remove the plug from the socket After that remove the recharger plug from the charging socket of the ATMOS C 051 Thorax As soon as the battery charge level is less than 2096 the drainage unit N displays a warning window and triggers an audible warning message peruse chapter 5 0 Warning messages Charge the battery in order to continue the therapy without interruption If the battery is too low for further operation of the device the ATMOS C 051 Thorax switches off automatically The battery of the ATMOS C 051 Thorax can also be charged when the device is switched off The state of charge can be seen on the display AN ATMOS MedizinTechnik 3 3 2 Secretion canister Always use the original ATMOS single use secretion canister Vacuum connection system The vacuum connection between device and canister is set up immediately after connection Important safety instructions For hygienic reasons we advise you to exchange hoses and canister on the secretion canister together 3 3 2 1 Secretion canister overview Pop off valve 10 mbar high pressure O Connection to the drainage unit protected by a hydrophobic bacterial filter Scales in
14. S MedizinTechnik 3 0 Setting up and starting up 3 1 Scope of delivery The ATMOS C 051 Thorax was subjected to thorough testing prior to packaging and shipment On receipt of the goods please check the package for any possible damage and compare the contents for completeness see bill of delivery Description E Basic device Recharger Mains cable Operating instructions Carrying strap Strap holder Quick guide 14 N ATMOS MedizinTechnik 3 2 Device overview Front side Q Touch screen touch sensitive display On off sensor Charging socket Secretion canister release Light sensor Q Clips for carrying strap Back side Connection for secretion canister Connection for clips Identification plate l ENIM G E c Con e IP 33 d 7 ine le a Measuring and rinsing hose connection D Canister guide Cover cap USB B no function for user B Connection for USB flashdrive therapy data transfer Only use the USB connection for the transfer of therapy data A software update may only D be performed by ATMOS or an authorized service person N ATMOS RU d MedizinTechnik 16 3 3 Starting up Remove the device from the box Check whether the voltage values on the identification plate match with the available mains voltage Prior to the first start up peruse the safety notifications in chapter 2
15. TERA Ea EEE 17 3 3 2 4 Exchanging the secretion anstatt 18 EM ui 0 e M a t RN 18 0 Operate E T E T 19 29 LANES I On Eee enter nee e E E P sce 19 AM BUONE ana d pa Bc MT P CETUR T Ue 20 21 E ruinae 21 ZU EE NOM Patrol eo i a etre td ttt here tanec vc AN ace Reed nk Senate 27 2 po M E Po 23 AMI mU eripi toa tone 25 Z MU RIO NC 75 2 222 OT IO E A E 24 AS let c 8 72 0 00 25 MNRNENUERR m 29 0 NESeniu Aa ate 25 Si Be u ACM e 25 ZW ale q u q tC gsc EREEEKETH T 7T O 26 TORE NE SOUL Ne therapy ae rS 27 none agua MM 9 ER 28 i ag cc unn Cc c c A 28 29 5 0 Warning messages aceroeru o eU nardo ra soo deni cun een een ui Dev LCOs o Usu neu D uU UU RM eR UEo sa Ep POE De Eres var Va EE 30 31 GO Fune ONS DREIER EN 31 SM AO Ste UST TE cEE RECHNER 31 7 0 Accessories consumables and spare parts u0000000esss0nnnnnnennnnnnnnnensnnnnnnnnnssnnnsssnnnsnnnnsssnnssssnnsssnnee 32 34 7 1 Attachment OF the universal DEaEKGOL uscess
16. acterial filter prevents the potential contamination of the room and the device by bacteria Additionally it prevents the accidental intrusion of secretion into the pump head A sterile tubing system provides the vacuum for the patient side drain A direct connection to the patient does not exist With the support of the test measuring hose inside of the tubing system which is also provided with a filter the actual vacuum on the drain will be measured Furthermore the measuring hose is also responsible for the flushing of the secretion hose with atmospheric air Application organ Thorax Application time Short term use on the patient 30 days Application site Application environment is a clinical area The application of the canister may only be applied by healthcare professionals The secretion canister and the drainage hose are sterile and disposable and can be applied in the sterile OT area Contraindications No application of the canister with other low vacuum devices than ATMOS C 051 Thorax No separate application of the canister as gravity drainage The product is o active X not active Sterility Sterile Single use product reprocessing Sterile single use product 1 3 Function The ATMOS C 051 Thorax is an exceptionally handy mobile digital thoracic drainage suction device The device is operated via an electrical maintenance free membrane pump During operation the pump creates a vacuum within the suction hose a
17. al gt gt Dispose of the packing material in a proper manner Attention must be paid to all hospital protocols regarding disposal and infection control NO TICE Wrong evaluation Prior to each application the device should be checked for leakages peruse chapter 4 4 leakage test Leaking connections could lead to a wrong evaluation of the patients status and could prolong the therapy Thus do check all connections for leakages to prevent the intrusion of additional air N ATMOS MedizinTechnik N ATMOS hc d MedizinTechnik 12 2 2 Caution gt A misplaced drainage system and a misplaced patient hose could hinder the drainage of air and liquids A complete blocking of the system during the drainage of liquids and air could cause a rise in pressure and thus lead to a pressure pneumothorax Place the drainage system below the thorax and check the patient hose for bends and cloggings which could hinder the drainage of liquids and air Immediate reaction is required in case of the warning message vacuum too low Prior to exchanging the secretion canister the drain at the patients side must be clamped so that a continuous vacuum is always available at the patient Danger of injury If the fluid level in the canister is too high it could cause a blockage and thus a pressure pneumothorax Exchange the canister when the maximum filling level
18. an decline temporarily the actual to zero although the fistula vacuum value still exists Start Stop therapy Keylock manual Target vacuum Display of the preadjusted target vacuum to which the pump adjusts Key lock activated Flow displayed as bubbles Each additional coloured bubble Vacuum Actual represents an additional flow None 0 20 ml min Green 30 50 ml min Yellow 60 620 ml min Orange 630 ml 1 00 l min Red 1 01 l min to maximum Up to 1 00 l min the flow is displayed in ml min f N ATMOS MedizinTechnik System information Therapy progress Changeover to the graphic diagram User settings Setting button Increases the target vacuum Setting button Decreases the target vacuum Day Night Mode The ATMOS C 051 Thorax has a day night mode the device adjusts automatically to the environmental lighting A Under low ambient light conditions display has dark background illumination N ATMOS MedizinTechnik 4 2 Buttons and display symbols 4 2 1 Buttons Decrease target vacuum in the menu decrease selected value Increase target vacuum in the menu increase selected value Graphic diagram of the therapy Open the user settings Save entry Confirm information Back Exit menu Warning suppress the warning Changeover to vacuum scaling Changeover to time scaling Changeover to flow scaling Start therapy
19. ansmitters such as base stations of cellular phones and mobile terrain radio equipment amateur radio transmitters cbm broadcast and TV stations cannot be predestined exactly To determine the electromagnetic environment in regard to stationary transmitters a study of the location must be considered If the measured field strength at the location where the ATMOS C 051 Thorax is used exceeds the above compliance level the ATMOS C 051 Thorax must be Observed to verify the intended use If abnormal performance characteristics are noted additional measures could be necessary e g a changed arrangement or another location for the device b Within the frequency range of 150 kHz to 80 MHz the field strength must be below 3 V m 13 4 Recommended separations between portable and mobile RF Communications equipment and the ATMOS C 051 Thorax The ATMOS C 051 Thorax is intended for use in electromagnetic environment in which radiated disturbances are controlled The customer or user of the ATMOS C 051 Thorax can help prevent electromagnetic interfe rence by maintaining a minimum distance between portable and mobile RF Communications equipment and the ATMOS C 051 Thorax as recommended below according to the maximum output power of the communi cations equipment Separation distance depending on transmit frequency m Nominal output of the 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz transmitter d 3 5 3 vP d 3 573 9P d 7
20. anual Please observe any national and international regulations applicable for your institution 9 2 Repairs The following problems could require repairs by the manufacturer or an authorised service partner Please contact the manufacturer or authorised service partner by telephone before sending in the unit Liquid has penetrated the device Significant decrease of battery capacity Sudden occurrence of abnormal displays on the screen Sudden occurrence of abnormal noises Operational faults or malfunctions which cannot be remedied using the measures as stated under Remedy of operational faults and malfunctions Measures when sending in the vacuum unit If the vacuum unit must be sent to the manufacturer or an authorised service partner after respective consultation please ensure the following Please send in the device complete with charger and mains cable see scope of delivery Remove all single use and or consumables Thorough cleaning and disinfection Air tight packaging Accompanied by a detailed error description 9 3 Handling of rechargeable batteries A Rechargeable batteries are wear parts with a limited service life Under optimal condition of use rechargeable batteries are usually depleted after approx 500 charge cycles and should then be replaced Handling of the device including the batteries significantly affects the service life of the batteries Nonobservance of the follo
21. charge the battery Note that the progress can be checked in the upper left hand corner of the display Control fuses Control mains cable Device must be checked by the manufacturer or an authorised service partner Vacuum low Leakage Blockage in the hose system Filter overflow protection in hose filter is blocked Check all the hoses and the canister for leakages Check whether the pop off valve is loose and fix it if necessary Remove the blockage if necessary Remove the measuring channel from the connection to the canister If the filter in the measuring channel is blocked exchange the hosing system Check hose and filter If the filter is wet exchange canister and filter Liquids sucked into pump The device must be checked by the manufacturer or an authorised service partner Vacuum too high Battery low Excessively high vacuum applied from the outside Venting valve defect Battery almost empty Check for correct hose connections Device must be repaired by the manufacturer or an authorised service partner Connect the battery recharger to recharge the battery The progress is displayed in the upper left hand corner of the display System shut down 40 Battery empty Connect the battery recharger to recharge the battery The progress is displayed in the upper left hand corner of the display 11 0 Technical data Voltages Power consumption Power inp
22. d If the device is in a tilted position the warning Device in critical tilt appears Check for blockages gt Connections Secretion canister gt Drainage hose gt Remove vacuum sources Connect device to the battery recharger The battery is charging and the soc state of charge is indicated in the display Place the device in an upright position The warning signal is automatically deactivated N ATMOS MedizinTechnik Display Cause of error Troubleshooting If the therapy hasn t started after Start therapy by pressing the A WARNING amp initial operation the error indication button for inactive therapy is displayed Inactive therapy Start therapy by pressing the button ee NOTICE amp A safety check inspection according to the manufacturers specifications I en i Device must be checked by the service is required every year This will be displayed on the device G notice C3 o Low battery capacity appears in the display Battery must be replaced by Battery lifetime expired Low battery capacity i Battery must be replaced by the service the service i nonce amp mn If the target vacuum is adjusted over 50 mbar a notice appears a R E B i i ibas nn cause pain and High target vacuum is set ones A 6 0 Functions 6 1 Hose rinsing The ATMOS C 051 Thorax has an automatic hose rinsing function which works periodically T
23. d by trade mark rights US law restricts sale of the device to physicians or ordering through them NOTICE Appropriate operation gt The user should be able to reach the operating panel comfortably and should have a good view on it at all times The canister may not be used without the device gravity drainage The device may only be used by trained professionals The removal of the canister from the device during the therapy may only be performed by trained professionals which act in conformity with internal regulations The ATMOS C 051 Thorax is a medical device which is subject to special safety regulations It must to be set up and put into operation in accordance with the EMC regulations included in this manual Portable and mobile RF communication devices mobile phones may affect the performance of the device A second functioning device consumables included must be available for every patient whose condition could become critical if the device in use should get damaged The device may not be operated in MRI scanners magnetic resonance imaging The device may not be carried at the hose system The device supports the therapy of the patient it is not a substitute for the doctors diagnosis The patient should be supervised constantly in accordance with the internal rules of the hospital Prior to the removal of the hose connector the patient hose must be pinched off NOTICE Advice on dispos
24. e on the patient 30 days Application site The application site is the clinical area The application of the device may only be applied by healthcare professionals The secretion canister and the drainage hose are sterile and disposable and can be applied in the sterile OT area Contraindications No separate application of the canister and the tubing system this means without basic device as gravity drainage No application in ambulances under emergency conditions and in the home care field which is not supervised by healthcare professionals No suction of flammable corrosive or explosive fluids gases The product is X active o not active Sterility Not in case of the basic device Single use product reprocessing Reprocessing for the basic device see notes in the user manual N ATMOS MedizinTechnik 1 2 2 Intended use ATMOS C 051 Thorax secretion canister Name Secretion canister for the exclusive connection to the ATMOS C 051 Thorax Main functions Forwarding of the created vacuum into the drainage hose and finally into the patient side drain Collection of the exhausted secretion Med indications application Secretion canister for the connection to a digital device for mobile thoracic drainage Specification of the main function The vacuum generated by the pump evacuates air and secretion out of the drain The secretion is collected in the secretion canister whose filling quantity is 800ml A b
25. ectives WEEE and RoHS the device may not be disposed in domestic waste Please observe existing national laws and rules for disposal of old devices Disposal within the Federal Republic of Germany In the Federal Republic of Germany the law for electrical devices ElektroG rules the disposal of electrical devices It must be assumed that those suction devices could be contaminated Therefore this type of device is excluded from the law for electrical devices In order to guarantee a proper disposal of your old device please either pass on your old device to your specialised dealer or send it directly to ATMOS MedizinTechnik GmbH amp Co KG for a professional disposal Prior to disposal respectively before transport all secretion canisters and tubes must be removed The device surface must be disinfected 0 N ATMOS MedizinTechnik 13 0 Notes on EMC Electromagnetic compatibility Medical electrical equipment is subject to special precautions with regard to EMC and must be installed acc to the following EMC notes Portable and mobile HF communication facilities can influence medical electrical equipment The use of other accessories other converters and cables than those stated may lead to an increased emission or a reduced interference immunity of the equipment or system 13 1 Guidelines and Manufacturer s Declaration Emissions The ATMOS C 051 Thorax is intended for use in the electromagnetic environment specified b
26. elow The customer or user of the ATMOS C 051 Thorax should ensure that it is used in such an environment Electromagnetic Environment Emissions Test Compliance p Guidance HF emissions acc to CISPR 11 Group 1 The ATMOS C 051 Thorax uses RF energy only for its internal function Therefore its RF emissi ons are very low and are not likely to cause any interference in nearby electronic equipment HF emissions acc to CISPR 11 The ATMOS C 051 Thorax is sui Emission of harmonics Clase A table for use in all establishments acc to IEC 61000 3 2 including domestic and Emissions of voltage fluctuations In compliance with a oe Onn te flicker acc to IEC 61000 3 3 public low voltage power supply network that supplies buildings used for domestic purposes 43 N ATMOS MedizinTechnik 13 2 Guidelines and Manufacturer s Declaration Immunity The ATMOS C 051 Thorax is intended for use in the electromagnetic environment specified below The customer or user of the ATMOS C 051 Thorax should ensure that it is used in such an environment Electromagnetic Envi Immunity Test IEC 60601 Test Level Compliance Level 5 ronment Guidance ESD 6 kV Contact 6 kV Contact Floors should be wood IEC 61000 4 2 concrete or ceramics tile 8 kV Air 8 kV Air If floors are synthetic the relative humidity should be at least 30 EFT 2 kV Mains 2 kV for mains cable Mains power quality IEC 61000 4
27. ency control must be conducted It should be tested if the target vacuum can be reached in a closed system as well as if there is a flow gt 4 l min after a short while when the system is open If not the device must undergo a service check before it resumes operation gt If secretion has entered or is sucked into the device then it must be sent to the manufacturer or an authorized service partner gt The mains adapter should not get wet Don t take a shower bath with the device Danger of explosion due to unobserved ambient conditions The ATMOS C 051 Thorax may only be operated in rooms used for medical purposes but not in areas subject to explosion hazards or in oxygen rich environments Explosion hazardous areas may result from the use of flammable anaestetics skin cleansing agents and skin disinfectants Pay attention to the ambient conditions specified in chapter 11 0 Risk of infection This product is not re sterilizable Repeated reuse of components which are marked with 8 is forbidden In case of repeated reuse these components lose their function and there is a high infection risk Repeated reuse of canister and hose systems can lead to infections Canister and hose system should only be used once on every patient For hygienic reasons we recommend an exchange of both canister and hose system at the same time AN ATMOS MedizinTechnik N ATMO
28. essnsi kot tro teh erre put rni rerba n Ra ste rane te Ra Ee bru bw aba ees 32 7 2 Attaching removing the ATMOS C 051 Thorax to from the universal bracket 33 Zea GONE EIN ol HOUSE DAL MNINMRRNEERE 34 8 0 Cleaning and CU me 35 37 8 1 General information on cleaning and disini etto essiensa eaaeo naaa TASER aSa aE 35 cv Ken of Medovite SUr een re nenne een 36 po RECO di i C A eien iE tha PERS IDEE EB ER NEE fonti ve ENEAN EEEE O ESE fee U EL reU M DIT DE edu 36 eut 21 HDI eee cpr tying oe EAA E E E tose NA ES PEE n Nast am dU AN NER PURE NUN EINER Uds 37 9 0 Maintenance and Service assessment ui rare anstehen 38 39 LE DB ICH TI LO ee ee I ee 38 ME o p Or 38 9 3 Handling Of rechargeable batteries usssseeccen intret tene mntni brine sre n a x rh sx petes qas rds EORR EA 39 10 0 EliMNalnS E S T T D 40 TLO TCI Ca data rr 41 120 DEPOS AN rU A 42 130 IO CSS On BW SECTEUR v e M 43 47 N ATMOS MedizinTechnik 1 0 Introduction 1 1 Notes on operating instructions These operating instructions are valid from software version 1 1 These operating instructions contain important notes on how to operate the ATMOS C 051 Thorax safe
29. he device Alternatively the thorax catheter can be clamped near to the patient Do not clamp the ATMOS hose system If the leakage test is error free the message Leakage test OK appears Now you can remove the plug from the hose By pressing the Vv button you will reach the main menu If the leakage test is faulty the message Leakage test failed appears You now have the possibility to a repeat the test b abort the test by pressing the respective buttons on the screen ATTENTION If the leakage test is operated accordingly the leakage should not be ignored The intention of abort the leakage test is to skip the test if an standard test under given conditions is not possible N ATMOS MedizinTechnik 4 5 Function mE y Vacuum Actual 4 5 1 larget vacuum Please note an adjusted target vacuum over 50 mbar may cause pain and injuries to the patient On the main screen the target vacuum can be set directly by pressing the and buttons ATTENTION The change of the target vacuum is immediately effective There is no confirmation necessary The target vacuum can be freely selected between 5 and 100 mbar in steps of 1 mbar f the buttons the Band are pressed permanently the increase decrease will be accelerated he target vacuum of 20 mbar is preset when starting the device Q nonce o If target vacuum is adjusted over High target vacuum is set 50 mbar the notice appears High
30. he device may be effected only in a dispatch carton upholstered and offering sufficient protection Please document and report damages in transit immediately For complaints or return deliveries please use the enclosed form QD 434 The form QD 434 can also be downloaded from www atmosmed de The unit must be allowed to stand for up to six hours at room temperature prior to starting up for the first time following transport at temperatures below freezing The unit may not be operated if it has not acclimatised as this might damage its diaphragms Ambient conditions Transport Storage ZU VESU C 5 95 96 humidity non condensing at air pressure700 1060 hPa Operation TOO tay 20 80 96 humidity non condensing at air pressure700 1060 hPa Operation altitude max 3000 m 1 5 Explanation of symbols Short cuts symbols contained in this manual Follow the arrows whilst General information proceeding sequence oF e Please pres where Numeration the dot indicates e Please read Subnumeration important information Pictures contained in this manual A Move plug in this 2 direction J Turn shift in this direction CY Replace xir Engage check correct fit Warning l N 2 C Important information special diligent notice Symbols of ATMOS C 051 Thorax amp Accessories Application part The CE sign shows that 0124 ype BF cam this product meets
31. he rinsing process transports secretion located in the secretion hose into the secretion canister The rinsing is performed by opening a valve located in the measuring channel The manufacturers default setting for the period between 2 rinsing cycles is 5 minutes 3 N ATMOS MedizinTechnik 7 0 Accessories consumables and spare parts 7 1 Attachment of the universal bracket Accessories Turning the universal bracket The universal bracket can be attached horizontally and vertically to plates e g table boards pipes and stands with a diameter up to 40 mm Pull the fixing pin from the fixation at the bottom side of the universal bracket Turn the holder clamp until the fixation pin clicks into place at the next fixation N Ensure that the fixing pin has correctly clicked into place before attaching the thoracic drainage unit to the universal bracket Attaching the universal bracket Twist the turning knob of the universal bracket anticlockwise until the clamp is attached to the desired fixture Twist the turning knob clockwise to secure the universal bracket A Attention Ensure that the universal bracket is firmly attached to the desired fixture 32 N ATMOS MedizinTechnik 7 2 Attaching removing the ATMOS C 051 Thorax to from the universal bracket N tention Firmly hold the vacuum unit during the whole process Place the ATMOS C 051 Thorax onto the universal bracket Ensure
32. ime No warning message appears during the startup and the data transfer A WARNING Vacuum too low Check operating condition Check drainage hose and connections Check secretion canister Sm SES OR x Cause of error If the required vacuum cannot be reached an acoustic alarm and optical display of the warning message vacuum too low is displayed Possible reasons for this error indication are leakage blockage of the bacterial filter in the measuring channel clogging a bend in the drainage hose liquids were sucked into the pump Troubleshooting gt Check for leakages and or blockages gt Connections gt Secretion canister gt Drainage hose gt Contact the ATMOS service A WARNING Vacuum too high Check operating condition Check drainage hose and connections Check secretion canister ZZ SES OD Ay WARNING Low battery Connect device to the mains supply Vl L N A WARNING Device in critical tilt Place the device upright t x x The measurement of an excessively high vacuum results in the display of the warning message vacuum too high Possible reasons for this error indication The vacuum settings were changed while the therapy was stopped the venting valve is defect there are further vacuum sources in the drainage area If the voltage of the battery falls below a specific value the error indication for battery low is displaye
33. is reached to secure the patients safety Defective components in the system have to be exchanged immediately The patient hose connection should be checked regularly for correct functioning Danger of injury A bent hose could cause a pressure pneumothorax The bending of the patient hose leads to an interruption of the therapy and incorrect measurements The hose should not be bent Danger of injury A vacuum over 50 mbar could cause pain and injury to the patient Only under medical indication a vacuum over 50 mbar may be adjusted 2 3 Warning Electric shock due to damaged connecting cables gt Prior to use check the device and connecting cables for damages gt Damaged cables must be replaced Electric shock due to voltage gt Prior to disconnecting the battery from the mains pull the plug from the electrical socket after that you can disconnect the connecting cable from the battery gt Do not modify the device gt Please pay attention to the period tests in chapter Maintenance and service on page 38 gt Assembly repairs and period tests may only be carried out by authorized persons Electric shock due to voltage gt Disinfectant or secretion should not enter the device or battery gt If disinfectant has penetrated the device then it must be dried thoroughly and subsequently an effici
34. ll the surface disinfectants stated in chapter 8 3 Recommended disinfectants are suitable Prior to cleaning the device please remove and dispose all disposable parts like secretion canister and hoses Prior to being used on a new patient all parts which come into contact with secretion e g secretion canister hoses etc must be disposed It is important that disinfectant does not enter the device Do not use a spray disinfectant directly on the device but spray it on a cloth only damp not wet During cleaning and disinfection the device must be switched off Do not switch the device back on until the cleaning and disinfectants on the surface have dried completely We recommend you to document any maintenance work and also any exchange of parts 23 N ATMOS MedizinTechnik 8 2 Cleaning of the device surface Prior to using the device on a new patient the complete device surface must always be cleaned with a damp not wet cloth and disinfected with a surface disinfection solution In case the device is being used by the same patient the surface should still be cleaned At least once every week with a damp not wet cloth and afterwards be disinfected with a surface disinfectant N Attention The device should never be autoclaved rinsed under running water or immersed into any liquids 8 3 Recommended disinfectants Disinfectant Ingredients in 100g Manufacturer ATMOS Green amp Clean SK Alkyldimethylbenzylammoniumchlo
35. ly correctly and effectively Their reading helps to avoid risks and also to reduce repair costs and down time That increases amongst other things the reliability and servicelife of the device These operating instructions serve not only for new operating personnel to be instructed in the use of the device but also for use as a reference manual Full or partial reproduction is subject to prior written approval from ATMOS These operating instructions must always be kept available near the device Care and safety inspections in conjunction with professional execution provide for operational safety and readiness for use of your ATMOS C 051 Thorax and are therefore a must besides regular cleaning Repair work and safety inspections may be carried out only by expert personnel authorised by ATMOS By applying only original spare parts you will have the guarantee that operational safety readiness for work and the value of your ATMOS C 051 Thorax will be preserved The product ATMOS C 051 Thorax bears CE marking CE 0124 according to the EC Directive of the council for medical products 93 42 EEC and meets the basic requirements of annex of this Directive The product ATMOS C 051 Thorax complies with all applicable requirements of the directive 2011 65 EC restricting the use of certain hazardous substances in electrical and electronic equipment RoHS The declaration of conformity and our ge
36. nd the secretion canister due to which secretion and air can be drained by the hose system The pump is controlled digitally and therefore secures that the chosen required vacuum value is stable The air flow which is measured in real time is displayed in numbers The secretion is collected in the secretion canister Its capacity is 800 ml With the aid of the measuring and rinsing hose in the hose system the vacuum at the end of the hose system is measured Via the touch screen display the required vacuum can be set manually The suction power is regulated automatically The hose system is rinsed with air at regular intervals to prevent the collection of debris in the secretion hose This measure also prevents secretion from intruding into the measuring and rinsing hose or that a syphon effect Is created The device is equipped with a rechargeable battery A charging unit which is located within the suction device guarantees for the secure charging of the battery Therefore it is impossible to overcharge the battery A bacterial filter located in the secretion canister prevents the intrusion of bacteria and secretion into the aggregation space The device is equipped with a carrying strap The strap allows for mobility and the fastening of the device e g to the patient s beds As an accessory a universal connection can be ordered separately AN ATMOS MedizinTechnik N ATMOS MedizinTechnik 1 4 Transport and storage he transport of t
37. neral standard terms and conditions can be obtained on our website at www atmosmed com The quality management system applied at ATMOS has been certified according to international standards EN ISO 9001 and EN ISO 13485 Prior to start up please peruse chapter 2 0 For your safety in order to be prepared for any possible dangerous situations N ATMOS MedizinTechnik 1 2 Intended use 1 2 1 Intended use ATMOS C 051 Thorax Name ATMOS C 051 Thorax Main functions Digital device for mobile thoracic drainage Med indications application Recovery of the neutral vacuum in the intra pleural cavity after the occurrence of a pneumothorax or a pleural effusion by drainage of air and secretion Drainage of secretion and air after a surgical opening of the thorax Specification of the main function The ATMOS C 051 Thorax drainage suction unit is a digital device for mobile thoracic drainage The device is meant for the short term 30 d application on humans It is portable grid independent and has an electronic monitoring system with optical and acoustic status displays The device is applied unsterile However the tubing systems and the secretion canister which have to be applied with the device are sterile single use products All thoracic catheter drains can be applied which are intended for thoracic drainage in the intended use of the manufacturer Application organ Thorax Application time Short term us
38. r Pull both ends apart 34 AN ATMOS MedizinTechnik 8 0 Cleaning and care 8 1 General information on cleaning and disinfection Prior to cleaning Medical devices such as the ATMOS C 051 Thorax must always be ready for use and must function reliability Therefore prior to every application N The way the device is used determines its reliability and safety These hygiene measures are indispensable for protecting the patient and the user and for maintaining the functional reliability of the device N Prior to cleaning please remove the mains cable power supply and charging plug from the device N The described measures for cleaning and disinfection do not replace the valid rules for operating the device N Some disinfectants could cause discoloring to some of the plastic parts Avoid the penetration or liquid entering the drainage device especially in the connections on the back of the device Please observe the instructions for use prescribed by the manufacturers of disinfectants Pay attention regarding their concentration suitability for use and the contact time Do not use IN disinfectants containing concentrated organic or anorganic acids or bases since these may cause corrosion damages disinfectants containing chloramides or phenol derivatives since these may cause stress cracks in the material used for the housing of the unit During all work disposable gloves must be worn For disinfection a
39. ransfer z Siu Stop the current therapy Connect the USB flashdrive Do not remove USB flash drive The device prepares for the therapy data transfer lt U n order to start the transfer confirm the query on the device with m aa Yes Transfer therapy data to f you do not wish to start the transfer press No USB flash drive YES Abort ME 7 Therapy data transfer aborted Remove the USB flashdrive Now you return to the main screen Remove USB flash drive OV aM 7 Therapy data transfer in process Therapy data transfer The USB flashdrive must stay connected during the whole data transfer The software indicates the duration and status of the transfer The transfer can take up to 3 minutes Do not abort the transfer even if the m V 7 percentage reading does not increase 00096 transferred Duration up to 3 min Do not remove USB flash drive Complete data transfer As Soon as the therapy data is transferred then the USB flashdrive may be removed Now you return to the main screen Continue with the therapy Remove USB flash drive Reopen the clamp at the suction hose ME 7 Therapy data transfer OK 26 N ATMOS MedizinTechnik 4 7 4 Reading out the therapy data Connect the USB flashdrive to PC Open the folder on the USB flashdrive This folder contains a PDF file and an excel file Open the PDF file Fill in the desired Information Q Patien
40. ride 1g Metasys Rum Austria application solution Dialkyldimehtylammoniumchloride 1g Dismozon plus Alkyldimethylethylbenzylammoniumchloride Magnesium peroxyphthalate 1g 958g Bode Chemie Hamburg application solution Hexahydrate Kohrsolin FF Glutaral 5g Bode Chemie Hamburg application solution Benzyl C12 C18 alkyldimethyl 3g ammoniumchloride Didecyldimethylammoniumchloride 3g Kohrsolin extra Ethylendioxy dimethanol 141g Bode Chemie Hamburg application solution Glutaral 5g Didecyldimethylammoniumchloride 8g Mikrozid sensitive wipes Quaternary Ammonium compounds 0 26g Sch lke amp Mayr Norderstedt Perform Pentakalium bis peroxymonosulphate 450g Sch lke amp Mayr application solution bis sulphate Norderstedt Sanicloth active wipes Didecyldimethylammoniumchloride 045g Ecolab D sseldorf Incidin active Peracetic acid 0 05g Ecolab D sseldorf 1 application solution Bacillol 30 Foam Propam 2 ol 10 0g Bode Chemie Ethanol 140g Hamburg Propan 1 ol 6 0 g N Alkylamino propylglyein 1g o All cleaning and disinfectant agents with the above mentioned ingredients are also suitable for cleaning the basic device Discoloration may result if disinfectants containing aldehydes and amines are used on the same object N Don t use disinfectants with alcohol Exception Bacillol 30 Foam 36 N ATMOS MedizinTechnik 8 4 Hygiene plan WHAT WHEN NOTES juened ype JayV Manual wipe cleaning
41. should not be operated with devices not complying with the requirements of standard EN 60601 1 Medical Electrical Equipment and EN 60601 1 2 Electromagnetic Compatibility Medical Electrical Equipment NOTICE Damage to the device due to low temperatures gt After transport in temperatures below freezing point the device must be acclimatised for up to 6 hours If the device is not acclimatised it should not be operated as the membrane in the aggregate could get damaged NOTICE Damage to the device due to tilting gt The device and the canister must be used upright at all times If the device should tilt it must be placed upright again in order to guarantee faultless operation If you are insecure whether the canister works properly we advise you to replace the canister so as to ensure the patients safety NO TICE Damage to the device due to heat gt The device and the canister should not be dried in a microwave oven The mains cable and the device must be kept away from hot surfaces The device may only be operated at room temperature and should not be subjected to direct solar irradiation as this could lead to errors NO TICE Legal advice gt The operating instructions are in conformity with the device specifications standards on safety at the time of printing The circuits processes names software programmes 01 28 and devices are all covere
42. sing the button the diagram can be frozen to enable a graphical interpretation When you press the button again the shorttime diagram is restarted By pressing the button you will return to the main menu 4 2 Longtime In the longtime modus the complete therapy progress can be visualised he scaling can be switched between time and flow You can reach the different scalings by pressing the button or the button he scale can be increased or decreased by pressing the button or the button Time scaling The endpoint on the right side of the graphic is always the actual point of time The scaling can be selected in 7 steps between the display of the past 60 minutes and the last 12 days Avertical line shows when the therapy was interrupted Flow scaling The scaling can be selected between 0 0 55 l min and 0 5 5 l min in 4 steps Vacuum scaling Scaling can be selected in 3 steps between 0 110 mbar cm H O and 0 22 mbar cm H O Zo N ATMOS XJ MedizinTechnik 4 7 3 Transfer of therapy data You may transfer the therapy data to a USB flashdrive The therapy data is saved as a PDF and Excel file If you continue the therapy after the data transfer the data is recorded The transmitted data is not deleted If you are starting a new therapy the previous data will be overwritten Start transfer Clamp the suction hose near the step connector close to the patient Therapy data t
43. t OA 3 Deactivate the key lock A quick touch to the display and then the first contact Vacuum Flow g oint appears fm Actual O 2 By touching the display symbol the second contact point appears Vacuum Flow o Actual i By a repeated touching of this display symbol the key 18 N S lock symbol above is deactivated see first display mbar A image Now you can operate the system again Target 20 mbar w If you do not touch both the symbols and within 6 seconds the key lock remains activated The deactivation process can be started by a repeated touching to the screen 24 4 Therapy progress m y Therapy progress Longtime Shorttime mbar 5 0 45 7 40 1 35 Fso 2 5 0 0 l min sec QD CO CO 9 CELER A E A E RR 100 5 0 90 4 5 80 4 0 70 3 5 60 7 3 0 50 F 2 5 40 2 0 30 7 1 5 201 0 10 0 5 9 l min 0 hour N ATMOS MedizinTechnik The ATMOS C 051 Thorax has 2 graphical diagrams to analyse the development of Air Flow and actual vacuum Selection menu By selecting the button you reach the graphical diagram modus By pressing the buttons you can select the modus of your choice e g long shorttime 4 7 1 Shorttime The graphical diagram starts by selecting the menu In this modus the real measurements flow vacuum from the last 30 seconds can be shown Therefore you can visualise cough tests and other proceedings By pres
44. t data O Diagnosis Description of the secretion Following information can be seen in the report beginning and end of recording flow at beginning and end of recording Q file name und device ID Q graphical diagram of therapy data Therapy Report ATMOS C 051 Thorax MedizinTechnik File name ATMOS C 051 THORAX IDOC1C 20110212 063107 pdf Device ID o 0C1C Patient mbar a J5 11 3 J2 n i 26 2 0 Diagnosis o 24 0 6 Te g 05 16 0 4 12 0 3 amp 0 2 Start date End date Recording time xL ss 12 02 2011 04 28 O 12 02 2011 06 31 00 02 00 00 l 0 0 0 Air leak Flow Start 0 01 l min Flow End 0 01 l min D Secretion 27 N ATMOS MedizinTechnik To switch off the ATMOS C 051 Thorax stop the therapy and touch the e sensor for 2 seconds i The enacting monitor appears and the device shuts down 4 9 User settings For accessing the user menu please press the control MN 7 panel User settings b Please press the control panels 2 and v for moving up and down in the menu selection Language For entering a selection menu press on the text box Standard vacuum Hose rinsing These control panels can be found in every settings menu Press the control panel to return to the user settings ATTENTION The selected data are only saved if you press the memory key A In the user settings the following positions can be selected
45. target vacuum is set High target vacuum may cause pain and injuries to the patient 452 SUCTION When the device is switched on the pump is not activated This is visible due to the ir symbol in the right upper corner By pressing the gt button the pump starts The symbol gt in the right upper corner of the main screen shows that the pump is running By pressing the button the pump will be stopped The ATMOS C 051 Thorax has a vacuum adjustment This means that the integrated pump only runs if the actual vacuum doesn t correspond to the target vacuum On the other hand the pumps performance depends on the difference between the actual vacuum and the target vacuum The vacuum is measured at the patient side of the hose system 23 N ATMOS MedizinTechnik 4 6 Keylock The ATMOS C 051 Thorax has an automatic keylock 1 Automatic activation of the key lock If the settings are not changed for a defined time the keylock will be activated automatically default factory setting 5 minutes individually adjustable in the user settings This will prevent unintentional operation 2 Manually activate the key lock The key lock can be manually activated after all the Vacuum therapy values are set and the therapy is started Actual Press the symbol to activate the key lock The display symbol appears above the Flow display and mE y 0A shows an activated key lock Vacuum Flow Actual E g
46. the appropriate requirements of the EC SN Serial number Directives Class REF Order number pa Electricity fuse Manufacturing date Please observe operating instructions Q Multiple use of components marked with is not allowed This product is not resterilisable In case of multiple use this component looses its characteristics and there is a high risk of infection N ATMOS MedizinTechnik N ATMOS MedizinTechnik 10 2 0 Safety advice 2 1 Notice NOTICE Damage to the device due to improperly installed protective contact socket gt The ATMOS C 051 Thorax was produced in accordance with IEC 60601 1 EN 60601 it is a device of VDE safety class Il The device should only be connected to a properly installed protective contact socket gt Prior to first use compare the normal voltage of the device see indication label on the backside of the device with the local mains voltage NOTICE ATMOS cannot guarantee perfect functioning neither will it be liable for damage to people or property gt f any non original ATMOS parts are used the user instructions given in this manual are not followed exactly or are disregarded improper use assembly resetting alterations extensions and repairs are not carried out by people authorised by ATMOS NOTICE Electromagnetic compliance damage to the device gt The ATMOS C 051 Thorax
47. ut Direct current voltage Rechargeable battery built in Charger Operation time Operation altitude N ATMOS MedizinTechnik 100 240 V 50 60 Hz IEC socket IEC320 type 14 Max 60 W 12 V DC 2 96 max 5 A via cable 1 8 m length with plug 5 5 x 2 5 mm Lithium ionic 14 4 V nominal 2250 mAh GTM 21097 5012 Charging time approx 2 0 h at ambient temperatures automatic switchover to trickle charging capacity indication on the display Max 3000 m Pump Membrane pump Flow Max 5 0 5 l min freeflow without filter damper or hoses Vacuum Max 100 mbar limited mechanically and by electronic control Vacuum regulation Display Operating conditions Data memory Earth leakage current Ambient conditions transport and storage Ambient conditions operation charging Dimensions HxWxD Weight Drainage unit without canister Secretion canister Unit with canister Power supply and mains cable Period tests Electronically controlled max 100 mbar min 5 mbar in steps of 1 mbar secretion canister must be connected for precise vacuum control Graphic display color with background lighting display of target vacuum in mbar and flow in l min On Standby Off Pump therapy Simultaneous battery recharging and operating possible Internal memory for therapy data 2 5MB up to 12 days of recording possible Max 0 5 mA 20 457 C 5 95 96 air humidity without condensation
48. wing recommendations may significantly decrease service life S Always store the batteries in a cool and dry place room temperature 18 25 C Always store the device with batteries at a charge status of 20 40 96 Due to self discharge the batteries should be recharged every 4 5 months Never cover the device never expose the device to direct sunlight and never charge operate or store the device in close vicinity to heaters Always charge the batteries using the respective charging equipment Overcharging will destroy the batteries The lifetime of Lithium lonic batteries mainly depends on the ambient temperature On principle batteries are depleted after 2 5 years New batteries should be fully charged prior to first use As ATMOS has no influence on the handling of the device batteries are excluded from the general guarantee A function guarantee of 6 months is effective Attention The use at other charging accessories could result in the risk of explosion N ATMOS MedizinTechnik 38 N ATMOS MedizinTechnik 10 0 Eliminating errors Description Possible causes Device cannot be switched on Battery does not recharge Charging symbol does not light up despite proper connection to the mains cable Battery completely empty Fuse defect Mains cable defect or not plugged in properly Mains cable or battery are internally defect Measures Connect the battery recharger to the device to re
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