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ATMOS C 31 (GA-en) - This is the ATMOS Content Delivery Network

1. Line to hose rinsing system of the hose rinsing system e Insert the suction attachment into the white rinsing attachment of the hose rinsing system Press the rinsing insert in and rinse the hose for a few seconds This procedure will prevent the hoses and suction cannulae from clogging up The tank for the rinsing fluid of the hose rinsing is located in the service compartment at the front of the unit For op timum cleaning add the ATMOS special cleanser Art No 080 0005 0 to the rinsing liquid The tank may optionally be automatically filled up with fresh water Water supply is then controlled by a level switch A safety switch in the tank holder next to the tank prevents the filling if the tank is missing Container filling of hose rinsing system In case of extremely high humidity values the switch sponge must be replaced in short intervals approx every 2 days otherwise correct function cannot be guaranteed The suction attachment of the hose rinsing system may be contaminated Therefore it must be cleaned and disinfected daily 4 3 6 Kidney shaped rinsing basin opti on Purpose Kidney shaped rinsing basin e The basin receives the water that returns from rinsing procedures of the ear and the maxillary sinus Remove the basin from its support and hold it under the ear to be rinsed After use we recommend to activate the rinsing system To do so press the key on the unit a time mechani
2. N AMOS XY MedizinTechnik ATMOS C 31 ENT Unit 0124 ene 2014 08 Index 33 ATMOS MedizinTechnik Ludwig Kegel Str 16 Tel 49 0 7653 6 89 0 atmos atmosmed de GmbH amp Co KG 79853 Lenzkirch Germany Fax 49 0 7653 6 89 190 www atmosmed de Contents ed m DUAA wN gt gt men e 2 1 1 1 31 0 CON O1 Is oO A O DF WWWWWWWWW WWWW WWWWWOWNNNNNNNN O ouRrwN gt gt 0 gt o BRWHY O0 NOD OBR OND TOO ON Oo OOo U SSeS eh PPPS rer Phere Pe WOWW N 2900 CO O AF ON h m Page Introduction Notes on operating instructions ccceee 3 Intended US Coase sccset ects cnietndnciccserstearbdectmeesenepeeees 4 FUNC UO I sra e S 5 Explanation Of SyMbOIS cccceecceeeseeeeeeeeeeeees 5 For your Safety ccccccccccsseeeeeeseeeeeeeseeeeees 6 Installation and starting up BOI VE aA nese T Service compartment s ccssseccssseeeeeeeeees 8 Setting up ProOpOSal cccceecesseseeceeeeeeeeeeeees 9 Connection to electrical power line 10 Connection to water supply optional 10 Water drain Optional ccccesseeeeeeeeeeeeeeees 11 Starting up the ATMOS C 31 11 12 Operation ATMOS C 31 Basic UNI swscccceccecacesecdceststersstesss 13 Basic functions tcc ceenescesdesdiceceeaadadvontesentens 13 16 Main SV UG Ase xtsce seratse cee uteeescntedendencxdeseesdesans
3. tes 0 7 bar No suction and suction motor does not start No suction suction motor fails to start although compressed air pump starts suction hose is clogged float of overflow safety closes the suction opening lid of collection jar is not closed tightly bacterial filter is clogged hose connections are leaking connecting hoses in the collection jar compartment are broken secretion penetrated the suction pump suction hose is clogged float of overflow safety closes the suction opening bacterial filter is clogged connecting hoses in the collection jar compartment are broken overflow safety is closed photoelectric barrier electronics defective or photoelectric barrier is contaminated compressed air handle and suction hose in handle support transposed rinse the suction hose with water hose can also be removing check filling level in the collection jar check that lid of the collection jar is closed properly clean or replace bacterial filter seal up or replace connections check hose connections remove breaks have pump cleaned by service technician rinse the suction hose with water hose can also be removing check filling level in the collection jar clean or replace bacterial filter check hose connections remove breaks hang up suction attachment open regulating valve and tap the suction jar the flo
4. Article No 508 0053 0 Article No 508 0545 0 000 0241 0 000 0241 1 505 0280 0 000 0219 0 506 5120 0 506 5225 0 Article No 506 6202 0 000 0577 0 505 0284 0 000 0219 0 055 0029 0 000 0237 0 506 5121 0 005 0026 0 000 0577 0 505 0280 0 055 0028 0 506 5227 0 39 40 Consumables supplies Accessories and Spare Parts Options 8 2 4 Optics Light 8 2 5 Accessories Article No Laryngoscope 70 10 mm without light guide acest vairescidetcatecnandcacsdccecilcadeueevinaddohadtnactidendeeatdcadelidsezeddeiecintess 950 0151 0 can be autoclaved working length 195 mm Laryngoscope 90 10 mm without light guide ec ecceeeececceeseeecceeeeeeceeeucececeusceesseueeeessueeessesesesseaseesssages 950 0177 0 can be autoclaved working length 195 mm 4 mm wide angle optical system 0 L 50 mm can be autoclaved ccceccccecccceeececeeececeeeeeseeeeeeaeeenaees 950 0156 0 4 mm wide angle optical system 30 L 50 mm Can be autoclaved cecccccccccseeeceeeeeeeeeeeeeeseeeeeeeeeeees 950 0164 0 4 mm wide angle optical system 0 L 180 mm Can be autoclaved ccccccecccceseeecceeeeeeeeeeseeeeeseeeeesaes 950 0157 0 4 mm wide angle optical system 30 L 180 mm can be autoclaved ccceccccsecccceeeeeeeseeeceeeeeeeeeeeeees 950 0158 0 4 mm wide angle optical system 70 L 180 mm can be autoclaved cccceccccsecceceeeeeseeceseeeeeeaeeeeeees 950 01
5. The mirror quick heater heats up for 10 sec and switches off automatically afterwards Supply voltage of the heating coils 6 V 15 A Hold the mirror to be heated over the burning heating coil O fig 15 located beneath the round grid IS Prior to use of the mirror always check its temperature with hand etc IS Automatic switching to avoid overheating IS Safety cover sleeve and heating element might be very hot Do not touch directly after heating up Changing the heating coil see section 6 3 Fig 15 Mirorr quick heater Key Heating coil 16 N lt gt 4 3 Options N AMOS C31 N Fig 16 Water temperature display some Fig 17 Storage container for ear rinsing 37 C Connection for irrigation handle Irrigation handle Fig 18 Mirror preheater Mirror rack ay e B 4 3 1 Ear rinsing system option IE Is IS The ear rinsing system is supplied with water by a heated 37 C 4 5 I storage container Fig 17 This container can easily be filled cleaned or disinfected The pump turns on automatically only when pressure drops Water pressure and flow quantity may be regulated with the release lever on the irrigation handle With the switch 0 Fig 17 a the ear irrigation system can be switched on and off Switch on the ENT unit only after water has been filled in the storage container of the ear rinsing sy stem Use e g the measuring
6. ccc ccccccccceecccseececeececeeeeecseeeeeseeceesueeeeseeeesecessecesseacessueetsuseetseees Politzer olives Teflon universal Size secidrts eis sc deeds celeriac sscervse bununeud Seon pieevide nuts oomdencbiua Uevedlxuvncs udbiayelanwanhasanieueeests Politzer alves Telon TOR CINCY essaiera riesa ae veces deus as aE e ea Ae aaea a a R iaa E E a ai Sprayer attachment SEF ANON s tc ecs eect tate oetcarettnet cnactio handanina aine REA eanan EEn nAi he eS ETR ARTA AEEA A RANEE an ia kO RTE A TAUPE WINO Z Oe E E EE A Sprayer complete for oily MECICAMENEHS ccccsseececceeececseeseececsuceeecsueeeessesececsueeeeessuaecessuaeeeessussensssaess Sprayer complete SEIN saat scc sarc ecisscanets eae teeae eonewsscbaxas aSepmec esse cecedeaaeceose uncesadabensedaatadeatduis donieienceoeaseteeiatad Spare parts Compressed air handle l cecccceeccccescceceeceeeeeeeeceeeeeseeeeeceeeeeseeseeceeeceseuceeseaeeeseaeeeseacesseaeesseaeesseaeetsuseesseeeeees AS e aircon cape te cap ence gu eens EE E E ec ote sa E AT E seamen sanaen soe asiensate E E EAEE N Attachment for Politzer olives ee ace ne ee ee a nee ee ne eee eee eee eee PO CID UC TO cesta cas E cme ee ied eee ieee eed ener Pave Oa Ee eee en Pe ee eer en ees eee mee eee ee men eee ene een ROSE od ce ae en nee e ee er OE ee an eee ee eee See also illustrations on page 25 Article No 000 0544 0 320 0012 0 320 0016 0 320 0011 0 320 0013 0 320 0010 0 320 0015 0 006 0025 0
7. 5 mA max 0 1 mA max 0 1 mA 10 50 C 30 95 humidity without condensing air pressure 500 1060 hPa 10 35 C 30 95 humidity without condensing air pressure 700 1060 hPa Column with 1 Base Cabinet with 2 Base Cabinets 93 x 47x 55cm 93 x 128 x 60 cm Column max 60 kg with all options with 1 Base Cabinet max 70 kg with 2 Base Cabinets max 80 kg Type B equipment R Type BF equipment only for cold light IPXO lla CE 0124 EN 60601 1 1990 A1 1993 A2 1995 EN 60601 1 2 1993 EMV EMC EN ISO 10079 1 1996 EN 60601 2 18 1996 11 585 11585 506 7300 0 906 7300 5 506 7400 0 506 7400 5 General amp Plastic Surgery 79QBU 2 ASPIRATOR SURGICAL 43 Date of Technical Specifications 06 07 2011 10 0 Disposal Amos M 44 The ATMOS C 31 does not contain any hazardous goods The material PUR of the housing can be recycled completely The component parts of the ATMOS C 31 must be disposed of 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 11 0 Hygiene Plan Cleaning and disinfection plan ATMOS C 21 ATMOS C 31 MedizinTechnik aa What How Reusable parts C Cleaning Secretion canister D Disinfection S Sterilisation Recommendations W
8. Amos M m Medical electrical equipment is subject to special precautions with regard to EMC and must be installed acc to following EMC notes O m Portable and mobile HF communication facilities can influence medical electrical equipment m The use of other accessories other converters and cables than stated may lead to an increased emission or a reduced interference immunity of the equipment or system 12 1 Guidelines and Manufacturer s Declaration Emissions The ATMOS C 31 is intended for use in the electromagnetic environment specified below The customer or user of the ATMOS C 31 should ensure that it is used in such an environment Electromagnetic Environment Guidance RF Emissions The ATMOS C 31 uses RF energy only for its inter CISPR 11 nal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment CISPR 11 blishments including domestic and those directly Harmonics IEC 61000 3 2 connected to the public low voltage power supply Flicker is conform network that supplies buildings used for domestic IEC 61000 3 3 purposes The device may not be used directly next to other devices or piled up with other devices If operation next to or piled with other devices is necessary please watch the device to check its intended operation in this arrangement 12 2 Guidelines and Manufacturer s Declaration Immunity The ATMOS C 31 is intended for use in t
9. Collection jar Hose rinsing container optional Secretion hose black coding Hose for automatic collection jar evacuation optinal transparent coding Connecting electrodes for automatic collection jar evacuation optional Attachment for secretion hose Lid Installation and starting up 3 2 Setting up proposal 1991 mm 78 39 inch OO TE pepe E EE IMA TT IWE O mE E m olg IEE g mE 608 mm Y O Ae 27 77 inch A amp S ian ian inn lt 2 IEA ae inn Ao INE co ima O IMS TT 0 N H 646 mm 25 43 inch 646 mm 20 47 inch 560 mm 22 05 inch By the option 2 where the goan instrument deposit is slidable backwards an extra 250 mm 35 43 inch distance to the wall is required 560 mm 250 mm 810 mm 22 5 9 84 31 84 Fig 3 gt 350 Fig 4 10 Installation and starting up 3 3 Connection to electrical power line According to the directions of VDE 0107 and VDE 0100 medically used rooms have to be equipped with a leaka ge current protective circuit Fl protective circuit with a nominal leakage current of lt 0 03 A Installation must correspond with VDE 0107 The ATMOS C 31 is connected to an earthing contact socket which is to be mounted near the unit max 3 m vy ate in mm preferably on the left side next to the function column see Imensions in mm fig 1 The power consumption of the ATMOS C 31 comes
10. The unit may be connected only to a socket outlet with earthing contact installed according to the rules of the trade The unit should not be positioned directly next to a wall because of the ventilation openings on the rear side Attention Mirror and endoscope heaters may generate temperatures above 40 C Attention with the cold light source Because of the high energy of the light there is a large amount of heat emission at the point of the optical system Avoid too small a distance between the tissue and the field of light emission of the light guide resp of the endoscope as this may cause coagulation of the patient s tissue When using the endoscope avoid the direct contact between area of light emission and the tissue Attention Fire Hazard Do never place the area of light emission from the light guide or from the endoscope onto heat absorbing sur faces dark pieces of cloth etc because this will cause unacceptable high heating or even ignition of the material Switch the light off when you do not require the light over a prolonged period of time Care is to be paid in respect to light sources when working with endoscopes Harmful heat rays are eliminated by special built in filters but the intensity of the light is very high Do not look directly into the light outlets In case of possible light failure remove the endoscope from the wor king area The ATMOS C 31 may be used in supervised operation by qualified pe
11. cleaning and disinfection 45 11 0 Hygiene Plan 46 What How Reusable parts C Cleaning D Disinfection Recommendations S Sterilisation When Who Qualified and trained staff who are familiar with reprocessing Please fill in the responsable person gt use a water based overhead marker After each procedure Daily Weekly Monthly Plastic quiver X X245 Cleaning with a brush disinfect afterwards X Metal quiver x X20 Cleaning with a brush disinfect afterwards manual or x automatic omen A IRENE Mellon X X25 Manual or automatic cleaning and disinfection xX element for metal quiver Immerse instruments into solution immediately after use fully wetting is required air must be removed from any cavities after the contact time instruments must be cover i 2 4 5 Nan SEUmentS A A a rinsed with water has to be dried and sterilised after wards Please also observe the ATMOS operating instructions for ENT instruments Instrument bowl with x X205 Cleaning with a brush x disinfect afterwards manual or automatic Visualisation ATMOS Cam 21 31 xX xX Wipe cleaning and wipe disinfection Xx ATMOS Strobo 21 LED xX xX Wipe cleaning and wipe disinfection Xx Flexible scope x x x Immediate pre cle
12. cup 000 0583 0 to fill the storage container with water of drinking quality at least 2 max 4 5 and close the lid The water must not be contaminated and its tem perature must not exceed 37 C as it cannot be cooled down If there is no water of drinking quality available you may also fill in isotonic saline solution Alternatively you may achieve drinking water quality by filtering or boiling the water resp by adding disinfectants This system may not be used if the auditory canal is injured as there might be a risk of infection if the irrigation liquid is contaminated The temperature display indicates the water temperature It takes approx 15 min until 2 litres of 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 is lit the water has reached the desired temperature Take the water handle out of its holder and spray off water until all air bubbles are removed and the level of the pump noise gets lower repeat this procedure every time the pump noise gets loud e g after long periods during which it has not been used or after the water le vel has dropped below the suction limit Change the jet connection daily Only use disinfected jet connections to avoid a spreading of germs Use the hose tip to avoid damages to the tympanic membrane Cleaning Empty the storage container and the hose system every evening using
13. existing for all described circuits processes names software programs and units 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 connec ted over one common power supply The transformer must correspond to the power consumption of all the devices to be connected When connecting several devices on one grounding receptacle the allowed strain and leakage current have to be observed Never leave the patient unattended at the treatment unit 3 0 Fig 1 fN Installation and starting up Amos M ATMOS C 31 Front view aD Main switch Sprayer optional Laryngoscope holder Surface for medicament bottles etc Headlamp hook QO Cover for upper instrument deposit Instrument surface Free surface Drawer or deposit for used instruments optional 3 1 Front view Drawer resp waste pin optional 11 Connections for light guide cables Vacuum control 13 Door for service compartment D Compressed air control optional Suction Rinsing basin optional D Compressed air handle optional 18 Rinsing container for hose rinsing optional 3 0 Fig 2 Installation and starting up ATMOS C 31 Service compartment Connection nipple with hose to the vacuum pump green coding
14. ment Guidance U Mains power quality should be that of a typical commercial or hospital environment If the user of the ATMOS C 31 demands continued function even in case of interruptions of the energy supply it is recommended to supply the ATMOS C 31 from an uninterrup tible current supply or a battery gt 95 Einbruch der U_ f r 5 s NOTE U is the mains alternating current prior to application of the test levels 12 3 Guidelines and Manufacturer s Declaration Immunity The ATMOS C 31 is intended for use in the electromagnetic environment specified below The customer or user of the ATMOS C 31 should ensure that it is used in such an environment IEC 60601 Comolance Levai Electromagnetic Environment Test Level p Guidance 3 Var Immunity Test Conducted RF IEC 61000 4 6 Radiated RF IEC 61000 4 3 3 V m 80 MHz to 2 5 GHz Portable and mobile communications equipment should be separated from the ATMOS C 31 incl the cables by no less than the distances calculated listed below Recommended distances d 3 5 V1 V P d 3 5 E1 V P 80 800 MHz d 7 E1 P 0 8 2 5 GHz where P is the max power in watts W and D is the recommended separation distance in meters m Field strengths from fixed transmitters as determined by an electromagnetic site a survey should be less than the compli ance level b Interference may occur in the vicinity of equipment containing
15. the irrigation handle The remaining fluid can for example be removed with the suction sy stem To avoid a contamination of the storage container please use a disinfected suction attachment Disinfection The storage container has to be disinfec ted once a week with a surface disinfectant see list of recommended disinfectants in chapter 5 5 The hose system of the ear rinsing equipment has also to be effected disinfected once a week with a hose disinfec tant A measuring of the total number of germs is to be effected in regular intervals If there is a considerable increase in germs between storage container and irrigation handle a biofilm removing procedure and a special disinfection of the hose system have to be effected by an ATMOS service technician Before cleaning the storage container switch off the unit as otherwise the jar might get too hot when no liquid is filled in 17 40 Operation Fig 19 Service compartment Oo Connecting nipple Collection jar Hose rinsing container option Secretion hose Hose for automatic collection jar evacuation Connecting electrodes for automatic collection jar evacuation optional Connection for secretion hose Fig 20 Plastic quiver for cleaning and disinfecting solution 506 7015 0 18 4 3 2 Mirror preheater option The mirror preheater is switched on when the main switch Q fig 1 page 7 is activated The
16. voltage reaches the individual com ponents via the main switch Q fig 1 page 7 The power supply is secured by means of melting fuses on the rear of the unit fig 40 Fig 40 Fuse support Before contacting the ATMOS Service please check your unit acc to the following charts 7 2 Power supply Failure with the Unit Main switch is activated no voltage no voltage to power plug e check fuse connect other units lamp at the unit no function pilot lamps to the socket if necessary do not light up fuse is defective e replace 10A fuse on the rear of the unit power plug or cable is defective e check power plug or cable and replace if necessary 7 3 Mirror heating Failure with the Unit Mirror is not warmed up with the no voltage mirror quick heater check voltage by connecting other con suming devices heating coil is defective e replace heating coil section 6 3 e Call service to exchange the switch Switch or control unit defect or control unit have heating plate body replaced by a Mirror preheater remains cold heating plate body in the mirror la preheater plate is defective service technician no voltage check voltage by connecting other con suming devices 33 7 4 N Trouble shooting Amos M Suction system Failure with the Unit Weak suction or no suction at all No suction but vacuumgauge indica
17. 502 0170 0 Cauter burner for the larynx platin Dall SNADEC cccceccccssecccesececeneeeceeeeceeceeseueeeseeseeseaeessaaeesseaeeeseeeeees 502 0171 0 41 42 Consumables supplies Accessories and Spare Parts Options 8 3 6 Optional HF Electrosurgery Unit Portable Erbotom ICC 50 mono and bicoagulator aciscciicsececeiceinceitin sciniss ten cctinnecas dea aiedadceintvaceigvadccacecnsaddencescdieesdd Monopolar set comprising needle electrode ball electrode electrode handle with 2 keys silicone neutral electrode 17 x 11 cm incl rubber bandage cable for neutral ogee acces sce tet ewe AEAEE EEEE EE EEE ai Bipolar set comprising single pedal switch bipolar forceps bayonet connecting cable 0cceee Biplar coagulation electrode acc to BIMMEN srcsisreestecseenacancwsteasdacassnncicstbesecaudesdesanceseceaceoeeasVartvesebseastessewnedetese 8 3 7 Optional Diagnostic Otoscope ENT instrument set diagnostic otoscope with 1 set 6 pcs ear speculae for permanent service 10 disposable ear speculae diameter 4 mm straight bulb support with laryngeal mirror tongue depressor connector for fluorescent examinations and protective cap nose expander 1 of each spare bulb ccc cece ecceceeeeeeeeeeeeeeeeeeeneeceeecseceseeseeneeteneeteeeetenes Heine Loading unit NicaTron NT 200 desk top unit without handles ccc cceeccceecceeeeeaeeeeeeeeeaeeesaeeeeees Battery handle O V disierreynic
18. 506 7011 0 506 7010 0 950 0102 0 950 0171 0 Technical Specifications Voltage Current input Supply Power consumption Air flow rate of pump Cold light system Ear rinsing system Optional compressed air system Operating time Fuses Protective earth conductor resistance Earth leakage current Enclosure leakage current Patient leakage current Ambient conditions Transport storage Operation Dimensions HxWxD Weight basic unit Protection class EN 60601 1 Degree of protection Protection category Classification acc to Annex IX EEC directions 93 42 EEC CE marking Rules applies UMDNS Code GMDN Code Reference No Canadian Classification Device group PNC Risk Class Description 230 V 10 50 60 Hz Special voltage optional 110 V 10 127 V 10 50 60 Hz max 5A 230 V max 10 A 110 127 V Fixed connection power cable 5 m max 1150 W 40 I pump 40 I min 10 free flow vacuum 90 of ambient pressure 55 pump 55 l min 10 free flow vacuum 97 of ambient pressure collection jar 1 25 TPX 4 channels cold light processor controlled halogen pin socket lamp 24V 150 W durability 300 h Water temperature adjustment 37 C 2 C filling quantity 4 5 flow approx 450 ml min 21 I min 10 free flow pressure 2200 hPa Continuous operation T 6 3 A f 230 V 50 60 Hz T 12A f 110 V 127 V 50 60 Hz max 0 1 Q max 0
19. 59 0 2 mm optical system 0 L 145 mm Can be AUtOCIAVED ce ccccccccccceeceeceeeeceeeeeeeeeeeeaeeeesseseetseeeeesneeeees 950 0160 0 2 mm optical system 30 L 145 mm can be autoclaved ccccccccceecceceeeeceeececeeeeseeeeesseeesseseesseeeeees 950 0161 0 Naso pharyngoscope 3 4 mm L 300 MIM ccccccccccceeeccceeceececeeseceeceueeceeueeseeucesseaeessuseessueeessneeesaaeees 950 0169 0 with removable light guide cable Direction of view 0 Angle of field of view 95 Depth of focus 1 50 mm Angle 120 180 Light guide cable 4 8 mm 1800 mm Storz connection with leakage testing device and transport case Fibre optic cable length 1 8 m 90 Storz angular CONNECTION cccccseeceecceesececceeseeeceeseeeessauesesseeeeeeeeas 508 0664 0 Headlamp CLAR 73 fibre optic cable 2 3 m Storz with angular CONNECTION ccceeccccecceceeeeesaeeeeaeees 502 0515 0 Headlamp light model fibre optic cable straight CONNECTION ccccccecceecceceeceeceeceeeeeeessueceeseeeesseeetaneees 502 0515 5 Headlamp acc to Binner Wolf fibre optic cable 0 0 0 cece ceccccceececceeeeecee cesses ceseeecesseecessuseessueeessuecesaneeesanees 502 0516 0 Headlamp CLAR 55 warm WU Nase cs ee cress cteie resecechen cere ne decsciveab est vck eer bse dean wabaeteorsci deter aodsnebewveceatencisceazeaee 502 0161 0 Connecting cable for headlamp CLAR OO isis toe S ee iedeciestanei a
20. 8 0577 0 Further consumable supplies Tongue patches packet with 6 pCS rcs soles derwelhe dees sic etatscs one z hia caceetetendetinnsaclawseaoas nets dedestpeedestesestee 505 0525 0 UO OM eas gs las Ses ee Sse ac os Se ces ne see este on oa see en nce woe ee een es ne ose ee 505 0526 0 Waste Daga 30 CS terra aces ne acsese nh aos eer ne epg Dae echo pared che dca rua Eea E Ea 505 0515 0 Paper for instrument intermediate deposit 250 Sheets cccecccceecccceseecceeeeceeceeceuceeseceeseacessaeessaeessaaees 508 0538 0 8 2 8 2 1 8 2 2 8 2 3 Consumables supplies Accessories and Spare Parts Options Accessories and Spare Parts Suction Accessories Suction cannulae see list page 13 Spare parts C llecion jar 1 29 a eee eee ere ete tere eC e Ee Tee re eh er ae Se ear ere eee eee ener Bale Fe aN COWS aac tncsesaccete tines riasa Ea iadaa Roi enbia eTo te edearatnsdnatdeateysteeeeiecwelcesee Sealing ring for bacterial filter ccccssecccccesecceccesececsessceccesececseeaeeessauucecsseueeeesseueeeessasesessengeeessaesesssaaeeees COMCCUON JAR NG E EA EE E E ET ENEE EE E T E T Sealing ring for collection jar lid cece ceceeececcceeeeeccesececceusececseeueeccsauceeecsueeeesseaseeecsusceessuaesesssaueeeessnsenssaaess Sleeve or CV Cre OW Sale y erena E E EENE EE Ea E Mirror quick heater Spare part FS UI OO a S O Compressed air Accessories Holder for ear speculae Politzer olives 0 0
21. MOS C 31 as stated below according to the maximum output power of the communications equipment ns Separation distance depending on transmit frequency m Nominal output of the 150 kHz bis 80 MHz 80 MHz bis 800 MHz 800 MHz bis 2 5 GHz transmitter d 3 5 3 VP d 3 5 3 VP d 7 0 3 VP For transmitters for which the maximum nominal output isn t indicated in the above table the recommended sepa ration 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 With 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines are not applicable in any case The propagation of electromagnetic sizes is influenced by absorptions and reflections of buildings objects and people 49 f N OEE ae XY 50 fN a lt XJ OS 51 ATMOS General terms and conditions 1 General Our General Standard Terms and Conditions apply exclusively Client s terms and conditions which are contrary to or deviate from our General Standard Terms and Conditions are not recognised unless their validity is explicitly confirmed in writing Our General Standard Terms and Conditions also apply even if we deliver to clients without reservation in the knowledge of the client s contrary terms and conditions Our General Standard Terms and Conditions also apply to all f
22. agmus binoculars csi 2cccccsesccceccaccenes senda ceteesdaneccnscacedceueccestcuniedecseasedeenesteceesee 506 7012 0 Headlamp suspension with automatic switching function of the light SOULCE cc ceeecceesseeeeeeseeeeeeeeeeeeeeens 506 7013 0 Tongue patches and cotton swab dispenser combined to be integrated into Unit Cabinet or Instrument Cabinet with Single SUD CONSTIUCTION cccccccecceeeeeceeeeeeeceeeeeceeeceseeecesseeeesaueeesseeeesseeeeeaneeeeas 506 7034 0 Cotton swab dispenser in open storage space in case of 2 Base Cabinets cccccccccseceeeeeeeeseeeeeeeeeeens 506 7790 0 Mirror preheater Tor approx 70 Mirrors 220 s2cceceecdenda eceossacesestcteanelcexnincetaanceenehooseidewstandeivescvanestuenehtersetieladexceent 506 7025 0 Countermiror lampar E Ea E E EE eee ere enn 506 7026 0 Optional Suction System Suction system for higher air flow rate of 55 l min 98 KPa ccccccceccccceeceeceeceeceeceeseeeeeeeeeessaeeesseeeeseeeeees 506 7008 0 Collection jar evacuation fully AUtOMALIC ccccccsececcceeeceecceseeeeceuseeccausececseeueeecseeueeeeseuseeesseeeeessenseesssaaes 506 7004 0 Optional Compressed Air Compressed air system complete with 3 medicament sprayers 1 Politzer adaptor and sprayer NOICET ccccccccsecccececcececeuceceeeeceeeeseeessuseceueecsuessauecsueeseusessueeseaeeeueessaeessas 506 7007 0 Optional Water System Rinsing basin kidney shaped removable on s
23. aning after the procedure xX Rigid scope xX x x Immediate pre cleaning after the procedure xX Laryngoscope x x x Immediate pre cleaning after the procedure X Light conductor X X3 Wipe cleaning and wipe disinfection xX Light source X X Wipe cleaning and wipe disinfection xX Microscope X X Wipe cleaning and wipe disinfection xX Headlight X x Wipe cleaning and wipe disinfection xX Radio frequency surgery T eN AIOS ae X x Wipe cleaning and wipe disinfection X surface Ergonomic handles xX X125 x Wipe cleaning and wipe disinfection xX Bipolar tweezers x X11245 x Immediate pre cleaning after the procedure or dispose of x in wet disposal tray use of enzymatic detergents Bipolar electrode x as x cleaning and disinfection manual or automatic x Bipolar electrode cable x X11245 xX Immediate pre cleaning after the procedure or dispose of x in wet disposal tray use of enzymatic detergents Neutral electrode X XRP x cleaning and disinfection manual or automatic X Neutral electrode cable x X11245 xX Immediate pre cleaning after the procedure or dispose of x in wet disposal tray use of enzymatic detergents ENT electrodes X ee x cleaning and disinfection manual or automatic is Me OUrfaces _ Housing X xX Wipe cleaning and wipe disinfection xX Ro
24. at balls of the overflow safety must drop back in their resting position clean photoelectric barrier have photoelectric barrier checked by a service technician position handles corresponding to switching function 34 1 0 Trouble shooting AMOS 7 5 ATMOS cold light Failure with the Unit Lamps fail to light no voltage lamp drawer not arrested thermal cut out triggered No light at one light exit halogen bulb burnt out 7 6 Failure with the Unit Compressor does not start Compressed air system no voltage electrical defect i Compressor fails to start although suction motor starts compressed air handle and suction hose in handle support transposed Pressure of compressed air is too low lt 2 3 bar hose connections are leaking Compressed air does not switch off photoelectric barrier is contaminated or defective D Sprayer does not work sprayer is clogged twin tube nozzle wrongly added E check mains voltage and fuses arrest lamp drawer allow unit to cool down fuse resets automatically replace halogen bulb chapter 6 4 check voltage have the unit checked by a service technician position handles corresponding to switching function check hose connections have hose connections inside the unit checked by a service technician clean
25. cacasihcniiareseianetniais Rin e T EE aa a nR A iroi anaiaren SPE DAE y ree A seu taaeiotoaue te esas eancecsaadionebeste 8 3 8 Optional Microscopy Microscope OPMI pico installed objective f 250 mm widefield straight tube f 170 mm 0 2 spectacle wearer oculars with 10x magnification incl 5 steps magnification changer 0 4x 2 5x T handle dust cover cold light connection 8 3 9 Optional Camera System TFT Monitor with column carrier arm consisting of 15 1 TFT Monitor with MPG power pack 1 joint swivel arm for fixing to microscope column TFT Monitor with swivel arm super flat 15 TFT Monitor with medical attmittance ccccccceeeeeeeeeeeeeees 2 joint swivel carrier arm mounted to function column MPG power pack with video and computer connection CH01 D digital CCD Colour video camera with image memory optimum colour fidelity ceeeeeeeeeees very large depth of view without video adapter System consisting of Control unit with 1 chip camera PAL system Integrated image memory for 2 freeze frames Y C cable FBAS cable mains supply cable Dimensions WxHxD 90 x 160 x 350 mm Application class BF Add on set for camera to Unit Cabinet with single sub construction laterally mounted ccccseeeeeeeees 506 5740 0 508 0744 1 508 0745 0 508 0746 0 507 0403 0 507 0406 0 907 0405 0 507 0405 1 506 7022 0
26. cleaned The quivers are to be cleaned daily and subse quently disinfected For doing this the stopper at the lower end should be taken off Did Ear rinsing bowl The ear irrigation bowl is not autoclavable Cleaning and disinfection also machine cleaning up to 93 C N j Loa a A 5 4 Recommended instrument disinfectants Manual disinfection of instruments Disinfectant Ingredients Korsolex extra Application concentrate ethylene dioxy dimethanol Glutaral Benzyl C12 C18 alkyldimethyl ammonium chloride tensides didecylmethylammonium chloride corrosion inhibitors non ionic tensides NTA nitrilotriacetic acid enzymes preservative agent neodisher MediClean forte Application concentrate 5 5 Recommended surface disinfectants Disinfectant Ingredients Dismozon pur Application concentrate magnesium monoperoxyphthalate hexahydrate Green amp Clean SK Application concentrate Perform bis sulfate alkyl dimethyl benzyl ammonium chloride lt 1 g dialkyl dimethyl ammonium chloride Pentakalium bis peroxymonosulfate LT lt gt in 100 g Manufacturer 15 39 Bode Chemie Hamburg 7 59 1 0g lt 5 g Dr Weigert Hamburg 5 15 g in 100 g Manufacturer Bode Chemie Hamburg 80g Metasys Rum Austria Schulke amp Mayr Norderstedt If using aldehyde containing or amine containing disinfectants at the same object this may result in discolourations 27 6 0 Ma
27. client have payment arrears we are entitled to charge interest on arrears at a rate 5 above the relevant basic interest rate of the German Federal Bank Should we be able to prove higher damages due to arrears we are also entitled to claim these The client only has the right to balance invoices against its own claims should such claims be confirmed in a court of law or recognised by us The client does not have the right of retention due to disputed counterclaims 6 Delivery Periods Fulfilment of our delivery duties requires the punctual and proper fulfilment of the client s duties The right to defense on the grounds of an unfulfilled contract is reserved Should the client default in accepting the goods delivery or breach other cooperation duties we are entitled either to withdraw from the contract or claim compensation for any increased costs incurred up to that time without setting a further deadline The right to make further claims is reserved Furthermore in such cases the risk of coin cidental destruction or a coincidental deterioration in the quality of the delivered goods is transferred to the client in the case of default in accepting such goods or payment arrears Acts of God or stoppages due to insufficient supplies of material industrial disputes etc entitle us either to demand an appropriate extension of delivery periods or to partly or entirely dissolve the delivery contract This does not give the client the right to clai
28. cuments which are attached to our proposals The client must receive explicit written permission before passing these on to third parties Imitating our legally patented products is forbidden and will be prosecuted 12 Jurisdiction and Place of Performance Our central office is the place of performance for all disputes in connection with these General Standard Terms and Conditions and the contracts closed with clients under them This jurisdiction excludes other jurisdiction relating to persons or subject matter Furthermore our client is not entitled to bring charges against us in another court should he file counter charges carry out counterbalancing or declare retention We however are entitled to bring charges against our client at their general place of jurisdiction or at another relevant court recognised by German or foreign law Unless otherwise stated in the order confirmation our central office is the place of performance Lenzkirch September 2008 ATMOS MedizinTechnik GmbH amp Co KG 79853 Lenzkirch Germany incorrect operation of the product in contradiction to the operating instructions delivered with the product improper use or operating faults inappropriate or negligent handling and care especially with respect to dirt lime suction of fluids inappropriate cleaning and sterilisation using accessories and or replacement parts which are not explicitly approved incorrect assembly and or initial operation b
29. dded to the support 23 Fig 30 Fig 31 24 Operation TFT Display Tulip shaped ear rinsing bowl N sm 4 3 15 Video system option In order to make the endoscopic resp microscopic findings visible to the patient the ATMOS C 31 may optionally be supplemented with a video system consisting of a camera with endoscopic adaptor as well as a display on the carrying arm Freezing of the video image is possible with a foot switch Camera accessory IS When transferring the video signal to further devices video printer video recorder computer make sure that they are approved medical products 4 3 16 Tulip shaped ear rinsing bowl option Intended use To collect the water flowing off during ear rinsing The tulip shaped bowl is added to the suction attachment of the suction system As accessory we offer a special holder for this ear rinsing bowl 4 3 17 Holder for standard rail option Purpose For adding disposable collection jar systems The standard rail holder may be used for one 2 or 3 l jar Maximum load 5 kg ama O lt lt gt 5 1 General information on cleaning and disinfection IS Set main switch to OFF prior to cleaning and disinfection IS The described measures for cleaning do not re place the respective precautions for operating the unit For disinfection you may use all surface and instrument disinfectants listed o
30. deposit area At the top of the functional column there is an area designed to take medicine bottles fig 1 page 7 so that the in strument deposit area can be used to its best advantage for instruments There is also the facility for protective storage of less frequently used instruments and consumables in the drawers and O fig 1 IS Most of the unit s surfaces are coated with a special textured lacquer that fulfills the requirements for workplace hygiene However as the lacquer is not resistant to all medicines and disinfectants it is impe rative to wipe up splashes immediately 4 2 Basic functions 4 2 1 Main switch The ATMOS C 31 is switched ON and OFF by means of the main switch fig 1 page 7 4 2 2 Maximum loads Persons must not support on the ATMOS 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 7 5 kg 4 2 3 How to open the covering Open the unit covering up to the stop 13 Fig 11 Fig 12 14 66 O Suction system Suction attachment Vacuum control Vacuumgauge ON OFF switch Bacterial filter Secretion hose Green coding ring pump connection Black coding ring suction hose connection 4 0 Operation os lig rt NS 4 2 4 Suction system A The hose attachment must be
31. does not expire through our credit upon receiving the client s cheque In the case of a breach of contract by the client especially payment arrears we are entitled to repossess our goods Repossession of our goods repre sents a withdrawal from the contract unless explicitly declared in writing by us We have the right to utilise the product after its repossession whilst the income form such use is balanced against the client s arrears after deducting appropriate utilisation costs The client is responsible for handling the goods with care Should maintenance and inspection work be necessary the client must carry these out punctually at his own cost Our client is entitled to sell the goods he has bought from us in a proper sale transaction However he must immediately assign all outstanding claims to the value of the final invoice sum including value added tax of our claims to his customers or third parties The client is entitled to collect this claim even after such assignment Our right to collect the claim ourselves remains unaffected thereby We undertake to release the securities to which we are entitled if requested to do so by the client should the realisable value of the our securities be more than 10 percentage points higher than the outstanding claims We reserve the right to choose the securities to be released 11 Plans and Illustrations We retain ownership of and copyrights to all plans illustrations calculations and other do
32. e attached to the silicone attachment 4 2 4 1 Emptying the collection jar Detach all hose connections carefully on the lid system and take collection jar out carefully to prevent spills and conta mination of the area Dispose of secretions properly Grip lid system firmly open lid of filter housing by turning in anti clockwise direction and remove filter Rinse all parts thoroughly under running water A detergent or cleaning agent may also be used if required After cleaning a new filter must be inserted smooth side down See also suction accessories chapter 8 2 1 fN Fig 13 Cold light system Switch for selecting the light exit Intensity control Holder for cold light cable Endoscope holder 4 2 5 Halogen cold light system Attention with the cold light source Because of the high energy of the light there is a large amount of heat emission at the point of the optical system Avoid too small a distance between the tissue and the field of light emission of the light guide resp of the endoscope as this may cause coagulation of the patient s tissue When using the endoscope avoid the direct contact between area of light emission and the tissue Attention Fire Hazard Do never place the area of light emission from the light guide or from the endoscope onto heat absorbing surfaces dark pieces of cloth etc because this will cause unacceptable high heating or even ignition of the mate
33. eacce 13 Maximum loadS cetis on ceexctecsc cpa ciectcincetersiextceteets 13 How to open the COVEFING ccccsessesseeseseees 13 Suction system cohediceees sari cacsdnddchvenmeeedewiechec 14 Emptying the Collection jar ccccccceseeeeeeees 14 Halogen cold light system 0c 15 16 Mirror Quick heatel ccccccccseecseeceeeeeeeeenees 16 ODUONS sersant es 17 24 Ear rinsing system ssa csussvisasucsvais taeeansabiwerderaadiers 17 Mirror preheater cccccccseccsseeceseeseesessesesees 18 Collection jar evacuation fully automatic 18 Quiver for cleaning and disinfecting SOMO gs cease ates ceessne cntecenanceneseecccessdenecanaccosee 18 Hose rinsing system cccccseseessesseseeseeseees 19 Kidney shaped rinsing basin ccceeeeee ees 19 CompresSed air SYStOM scccceeeeseeeeeeeeeeeees 20 Connection for warm light headlamp Nystagmus binoculars gaciivscanieasantesnchesectawadansiues 21 Headlamp suspension ccccceeeeeeeeeeeeeeees 21 Counter mirror lamp cccceececeeeeeseeeeesaeeees 22 Endoscope heating ccscsccesssecessseeenseeeenees 22 Tongue patches and swab dispenser 23 Waste Diessen EEKE 23 WIKGFOS COD 6 MANN 23 Video system aiucvedrersucieeen Welds cteosencuiansrencdeactons 24 Tulip shaped ear rinsing DOWI ccceeeee 24 Holder for standard rail ccccccseeeceeeeeeeeees 24 Clean
34. ection jar with lid system and bacterial filter e Pull all hose connections from the lid system and carefully remove the jar from the jar holder in order to prevent a contamination of the area around the unit e g drops Properly dispose of the sucked material e Take the collection jar at the lid system open the bacterial filter cover by turning it anti clockwise and remove the filter plate Thoroughly rinse all parts under running water You may of course add a cleanser or detergent Afterwards disinfect all parts e After cleaning and disinfection a new filter must be inserted smooth side down e The bacterial filter is a disposable and must be disposed of The bacterial filter must be exchanged at least once a day Suction system and hose attachment e After every use rinse out the suction system by drawing in a small amount of irrigating fluid e g ATMOS Special Cleanser 080 0005 0 Keeps the hoses from becoming sticky or clogged I amp S Suction capacity is limited by the 1 25 collection jar Therefore do not use more than 1 rinsing liquid and subsequently evacuate the jar IS Replace The filter 5 1 4 Collection jar and electrodes auto matic evacuation of collection jar The collection jar should be removed and cleaned once every week e During the cleaning of the jar the cover has to be pulled off and rinsed thoroughly under running water Use the disinfectants mentioned in chapter 5 4 fo
35. emove grid O fig 36 Pull out the heating coil O fig 37 located under the grid along with its 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 G ON Fig 36 Mirror quick heater O Grid Fig 37 Removing the heat 30 6 0 Maintenance and servicing Fig 38 a Fig 38 c 6 4 Changing halogen cold light lamp IS Before opening the lamp slot switch of the unit The lamp and the housing of the cold light module are very hot after failure Allow them to cool down The lamps of the cold light system are integrated in the function column The light module can completely be extracted by opening the two locking screws Thus the lamps can easily be replaced The lamps are horizontally inserted in a socket from which they can be removed by pulling to the centre of the modu le IS The spare lamp must not be touched with bare fingers only cut off the top of the foil fig 38 b the rest of the foil remains on the lamp until it is inserted in the socket IS Prior to changing check on which light exit the lamp has to be replaced IS Do not look directly into the light exits Insert the spare lamp in the socket Then remove the foil on the lamp IS Make sure that the lamp is inserted in horizontal position If lamps are inserted in inclined position or
36. er source for warm light headlamp 2 4 6 V 1 A Nystagmus binoculars 1 9 3 5 V 1 A and hot cautery 0 6 V 15A cccccceceeeeeeesseeeeeseseeeeeesaeeeeeeeeeeeeeaas 506 5701 0 Cautery handle Model K Storz pistol shaped Connecting CAable cccccceeccccsecceceeeeeeeeeeeeeeeetsaeeeeseeeeees 502 0162 0 Cauter burner for the nose platin length 10 cm knife shaped flat cece ceecceceeeeceeeeeeeeeeeesaeeeeeeeeeees 502 0163 0 Cauter burner for the nose platin length 10 Cm one side glowing ccccceeeceeeeeeeeeeeeeeeeeeeeaeeeeeaeeeeeeeeaees 502 0164 0 Cauter burner for the nose platin length 10 cm POINTE cccceecccceececeeeeeceeeeeeseeeeseeeeeseeeeeseeeeeseeeeees 502 0165 0 Cauter burner for the nose platin length 10 cm ball Shaped cccccccccceeeceeeeeeeeeeeeeeeeeeeseeeeeseeeeeseeeeas 502 0166 0 Cauter burner for the larynx platin knife shaped flat ccccccccccceececeeeeeeeeeeeeaeeeeseeeeeeseeeeeseeeeeseeeeesneeeeas 502 0167 0 Cauter burner for the larynx platin right side glowing ccccccceseeeeeeeeeeeeeeeeeeeeeeseeeeeesaaaeeeeeseaeeeesseeseeesaaess 502 0168 0 Cauter burner for the larynx platin left side glowing ccccccccseeeecceeeeeccesececseeseeeceuscessuaaseeesseseensssaess 502 0169 0 Cauter burner for the larynx platin pointed cscs nesceetace sett cecnesecedraciesen nodcetcaweneneleansiaaretesdlacntecerneseesesesessonus
37. es Storage and heating of endoscopes Mirror quick heater Instrument deposit and heating Med indications application Standard ENT examination and or therapy Specification of the main function e suction at 40 l min 76 kPa alternatively suction at 55 l min 98 kPa compressed air for medication spraying max 2 bar compressed air for the Politzer manoeuvre regulated ear rinsing with 37 C 1 C max 500 ml min electric power supply for LED 700 mA Light source 15 V 150 W e Light source 24 V 150 W Application organ mouth to pharynx auditory canal to the ear drum and the nasal cavities Application time ENT unit Short term use on the patient up to 30 days Suction Compressed air ear rinsing light source Temporary application on the patient less than 60 minutes Application site Application sites are clinics and practices for ENT doctors and phoniatrists The examination and or therapy with the ENT unit may only be executed by medically trained persons Contraindications May not be used for irrigation of the paranasal sinuses The ear irrigation should not be applied to an infected auditory canal or a perforated eardrum The product is X active o not active Sterility The ENT unit is no sterile product Single use product reprocessing The device and part of the accessories are reusable for information on reprocessing and disinfection please see the operating instructions 1 3 Funct
38. exchanged after each patient IS Prior to each application proper function of the display instruments and control valves must be checked Purpose e Suction of fluids and secretions collecting the secre tion in the collection jar Automatic activation of the suction mode by taking out the suction attachment Control of suction rate by means of rotary knob for vacuum control fig 11 Indication of set vacuum at vacuumgauge 9 fig 11 keep suction attachment closed by hand Secretion is collected in 1 25 jar with mechanical overflow safety and water repellent bacterial filter Prevents ingress of secretion into the pump IS Collection jar to be emptied when half full at the latest see chapter 4 2 4 1 IS The suction system may be operated only with in serted bacterial filter In case the filter is blocked it has to be exchanged see chapter 6 1 For hygienic reasons the bacterial filter should be exchanged or cleaned daily IS The suction hose must never come into direct contact with the application site Do always use a suction catheter suction tip or medical suction set I amp S Change the suction catheter after every patient and clean the suction hose e g with the aid of the optional hose rinsing system aspirate rinsing fluid or disin fectant solution All commercially available models of suction cannulae Adson Walter Frazier Fergusson Plester Yankauer Torrington may b
39. fic appliance type The product ATMOS C 31 bears CE marking CE 0124 according to the EEC guideline of the council for medical products 93 42 EEC and meets the basic requirements of annex of this guideline The product ATMOS C 31 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 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 13485 ATMOS will supply a service manual containing detailed circuit descriptions and schematics as well as information on adjustment and servicing to service organizations au thorized by ATMOS Reprints also in extracts only with written permission by ATMOS Subject to alterations Errors excepted Abbreviations symbols in these operating instructions Indicating a list e Subdivision of a list activity The recommended sequence must be followed in each case i gt Indicating particularly important advice Describing the effect of an activity Introduction Amos M 1 2 Intended use Name ATMOS C 31 Main functions e Suction e Compressed air module for medication spraying and the Politzer manoeuvre Ear irrigation Electric power supply for LED light handles and LED head light e Light sourc
40. following symbol 48 LN Notes on EMC AM NOTE 1 With 80 MHz and 800 MHZ the higher frequency range applies NOTE 2 These guidelines might not be applicable in any case The propagation of electromagnetic sizes is influenced by absorptions and reflections of buildings objects and people The field strength of stationary transmitters such as base stations of cellular phones and mobile terrain radio equipment amateur radio transmitters com broadcast and TV stations cannot be predestined exactly To determine the electromagnetic environment in regard to stationary transmitters a study of the location is to be considered If the measured field strength at the location where the ATMOS C 31 is used exceeds the above compliance level the ATMOS C 31 is to be observed to verify the intended use If abnormal performance characteristics are noted additional measures might be necessary e g a changed arrangement or another location for the device Within the frequency range of 150 kHz to 80 MHz the field strength is to be below 3 V m 12 4 Recommended separations between portable and mobile RF Communications equipment and the ATMOS C 31 The ATMOS C 31 is intended for use in electromagnetic environment in which radiated disturbances are con trolled The customer or user of the ATMOS C 31 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF Communications equipment and the AT
41. forte Bode Chemie Perform Schilke amp Mayr Terralin Protect Schilke amp Mayr Surface disinfection FD 312 D rr Dental Quick disinfection B 30 Orochemie 5 Instruments automatic disinfection Dismoclean 21 clean Bode Chemie Dismoclean 24 Vario Bode Chemie Dismoclean 28 alka one Bode Chemie Dismoclean twin basic twin zyme Bode Chemie neodisher FA Dr Weigert neodisher FA forte Dr Weigert neodisher MediClean forte Dr Weigert Thermosept alka clean forte Sch lke amp Mayr Thermosept RKN zym Sch lke amp Mayr Please see the manufacturer s instructions for concentration contact time temperature and the compatibility of materials Important information Wipe cleaning and wipe disinfection All surfaces have to be wiped with a clean dispos able wipe which is damped with disinfectant solution the entire surface has to be wiped thoroughly and may not be dried afterwards 1 Please observe the manufacturer s operating instructions 2 Alternative to manual cleaning und disinfection Wash Disinfector 78 C 172 F 6 Material dimensionally stable at 134 C Wrong concentration of disinfectants may lead to damage The above stated hygiene requirements are based on the regulations according to the Medical Devices Act the Medical Devices Operator Ordinance 18 IfSG and the recommendations of the Robert Koch Institute Definition of the required reprocessi
42. he electromagnetic environment specified below The customer or user of the ATMOS C 31 should ensure that it is used in such an environment munity Tesi IEC 60601 Den a TA Electromagnetic y Test Level p Environment Guidance ESD 6 kV Contact 6 kV Contact Floors should be wood concrete IEC 61000 4 2 or ceramis tile If floors are synthe 8 kV Air 8 kV Air tic the relative humidity should be at least 30 EFT 2 kV Mains 2 kV Mains Mains power quality should be that IEC 61000 4 4 of a typical commercial or hospital 1 kV I Os Inapplicable environment Surges 1 kV Differential 2 kV Differential Mains power quality should be that IEC 61000 4 5 of a typical commercial or hospital 1 kV Common 1 kV Common environment Power Frequency Inapplicable Power frequency magnetic fields 50 60 Hz should be that of a typical com Magnetic field mercial or hospital environment IEC 61000 4 8 47 Notes on EMC ATMOS NS Immunity Test IEC 60601 Test Level U Voltage Dips Dropout lt 5 IEC 61000 4 11 gt 95 Dip of the U for 0 5 Cycle 40 U 60 Dip of the U_ for 5 Cycles 70 U 30 Dip of the U_ for 25 Cycles lt 5 U gt 95 Dip of the U_ for5s lt 5 z gt 95 Einbruch der U_ f r 0 5 Periode 40 U 60 Einbruch der U f r 5 Perioden 70 U 7 30 Einbruch der U_ fur 25 Perioden lt 5 U N Compliance Level Electromagnetic Environ
43. hen Who After each procedure Daily Weekly Monthly Qualified and trained staff who are familiar with reprocessing Please fill in the responsible person gt use a water based overhead marker Bacterial filter cover X X245 Manual or automatic cleaning and disinfection X Bacterial filter plate with blue marking disposable Exchange daily or when blockedl X e ring for bacterial xX X245 Manual or automatic cleaning and disinfection xX eh ercole on X X25 Manual or automatic cleaning and disinfection X Gasket xX X245 Manual or automatic cleaning and disinfection X Sleeve of overflow safety xX X245 Manual or automatic cleaning and disinfection X Float closed side must up X X Manual or automatic cleaning and disinfection X Secretion collection x X29 Empty when the jar is full at least daily x jar manual or automatic cleaning and disinfection Disposable jar Exchange and disposal of full jar xX system Suction nozzle ae X x Wipe cleaning and disinfection X for hose rinsing aji enia X X258 Manual or automatic cleaning and disinfection X ilicone attachment piece Exchange of Silicone attachment X a x Manual cleaning and disinfection after each patient x Suction nipple with rinse with hose disinfectant suction hose reusable x X259 Manual or automatic cleaning and disinfection x x Rinse the secretion hose with the h
44. ing to our address or any address notified by us c Our guarantee ceases to apply if changes of any kind have been made to our product unless such changes have been made by us or a company authorised by us or have been previously agreed upon in writing by us Our guarantee also ceases to apply if third parties have carried out repairs to our products or replaced parts thereof This applies regardless of the fact whether these measures individually or collectively led to a deficiency of the product d We accept no responsibility for damage defects caused by operational wear and tear incorrect installation or incorrect or insufficient maintenance N ATMOS XY MedizinTechnik is limited to damage which is regarded as typical for tthat case This also applies in the case of our culpable infringement of substantial contractual duties The indispensable conditions of German Liability Law remain unaffected thereby For second hand equipment the period of warranty shall be reduced to a period of twelve months 10 Reservation of Ownership We retain ownership of our goods until the receipt of all payments arising from the business relationship including all demands arising from installation orders subsequent orders repairs accessory deliveries and replacement orders Should we have agreed upon payment on the basis of cheque and bill transactions the ownership reservation applies until the cheque received by us has been paid in and
45. ing aissis aoaaa a 25 27 Maintenance and servicing Safety related Check cccscceceseeeeeees 28 32 Changing the bacterial filter cc ceceeeeeeeees 29 Changing the tube cassette of the tube pump 29 Changing the heating coil of the mirror quick heatel ccccceeccsseeceeeeseeeeseees 30 Changing halogen cold light lamp 0 31 Changing the halogen bulb of the counter mirror lamp wcceiccccececcsccecesecdectceetecveccasees 32 Changing the rinsing containe 000008 32 Trouble Shooting cccsscceeeeeeeeeseeeeenees 33 37 Consuming material accessories Spare parts options c cceseeeeeeeeeees 38 42 Technical Specifications ccsccceseeeeeees 43 DIS DO S Aierra e EEE EE 44 Hygiene Plan ccccccsseeeseseeeeeeeeeseeeeesees 45 46 Notes on EMC ssssitiiesis sisiiceniianieastvawinavuinideawns 47 49 General Standard Terms and Conditions Introduction Amos M 1 1 Notes on operating instructions These operating instructions contain important notes on ATMOS MedizinTechnik GmbH amp Co KG Kudwig Kegel Stra e 16 79853 Lenzkirch Deutschland Telefon 49 7653 689 0 Fax 49 7653 689 190 49 7653 689 493 Service Center e mail atmos atmosmed de Internet http www atmosmed de how to operate the ATMOS C 31 safely correctly and effectively Therefore they are intended not only for new operating perso
46. intenance and servicing The ATMOS C 31 is equipped with maintenance free pumps for suction and compressed air Nevertheless to ensure correct functioning of the unit over a long period of time simple maintenance work which can either be done by the user himself or if desired by service technicians is necessary from time to time e To guarantee correct function of the automatic rinsing and suction mechanism switch off the ENT unit prior to changing the collection jar e There is a service compartment lower part of the function column which contains the parts needed for the maintenance procedures The possible main tenance procedures are described in the following chapters A safety related check of the ATMOS C 31 is to be effected acc to the local rules in your country Neverthe less we recommend a yearly check acc to the annexed service booklet 28 Fig 34 DDS bacterial filter 008 8 98 Fig 35 Hose to the collection jar Release lever Tube cassette Drainage hose 5 Connecting nipple to the rear wall 6 1 Changing the bacterial filter 7 7 Set the vacuum regulator fig 1 page 7 to maximum right stop As soon as the vacuumgauge shows a vacuum value gt 0 3 bar while the suction hose is open the filter has to be replaced To open the bacterial filter cover please turn it Remove the filter plate and insert a fresh one Please do only use original ATMOS bac
47. ion The ATMOS C 31 is started by activating the main switch Q fig 1 page 7 The exact mode of function of the standard equipment and optional functions is described in detail in chapters 4 2 bis 4 3 17 1 0 Introduction Amos M pa Explanation of symbols On Off switch ON power as to IEC 417 5007 and DIN 30600 16 OFF power as to IEC 417 5007and DIN 30600 16 Pay attention to operating instructions as to ISO 7000 0434 DIN 30600 1008 IEC 348 Warm water system I gt Suction system lt lt Compressed air system Cleaning in flow procedure hose rinsing Cold light system Microscope connection cold light Headlamp Transfer of heat in general mirror heater Short time operation Footswitch b gt les BE EEESe Basin rinsing Water temperature for ear rinsing too high Correct water temperature for ear rinsing Water temperature for ear rinsing too low Button for increasing lamp intensity Button for decreasing lamp intensity 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 Type BF equipment only for cold light Alternating current For your saftey Amos M The ATMOS C 31 is produced according to IEC 601 EN 60601 and listed in the following classes e VDE Class of protection 1 e Class lla EEC 93 42
48. isposing the packaging at its own cost Our deliveries are insured by us at the client s expense unless explicitly otherwise agreed No insurance is arranged in the case of goods which are collected by our clients In the case of transport damage claims are only handled if the client receives confirmation of any damage reduced weight or loss by the shipping company before accepting the delivery 9 Warranty The client is responsible for examining the delivered goods immediately after receiving them to determine any eventual deficiencies or delivery errors and to report these immediately Should the client fulfil this examining and reporting responsibility and should payment conditions be fulfilled we shall be liable to the client within the scope of legal regulations Our period of warranty shall in all cases be two years Our client can make use of the warranty as follows so long as he can provide first buyer proof in the form of an invoice or delivery note and provided that the product still has the original unchanged serial number a We choose whether to fulfil our guarantee by providing repair services free of charge either on the client s premises or in our factory or replacing the product We can also provide these guarantee services through an authorised company b Should a product be returned to us the client agrees to send the product in its original or similar packaging offering the same protection as the original packag
49. lation opening is blocked or 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 g oo o Operating the release lever 4 The medicament sprayer is supplied with air and the medicament in the sprayer bottle is atomized The amount of compressed air is adjusted with regulator fig 23 in conjunction with the display fig 23 After use the medicament sprayer is again inserted in its holder the bar is pressed the handle is removed from the sprayer and again inserted in its support Compressed air system is again switched off e b Politzerisation with Politzer olives or Eustachian catheter can be carried out Pump switches on after the compressed air handle has been removed from its holder The adapter fig 24 supplied for this purpose is locked into the compressed air handle Politzer olive fig 24 is inserted in the adapter The pressure for the insufflation of the Eustachian tube can be controlled by means of the manometer and the compressed air regulator Select an insuf flation pressure adapted to the condition of the tym panic membrane If the tympanic membranes are al ready pre damaged even low pressure values might lead to inj
50. ller shutter X x Wipe cleaning and wipe disinfection xX Drawers X xX Wipe cleaning and wipe disinfection xX Writing leaf X x Wipe cleaning and wipe disinfection xX Instrument deposit X x Wipe cleaning and wipe disinfection xX Mirror pre heater X x Wipe cleaning and wipe disinfection X Tongue patches and Wipe cleaning and wipe disinfection X xX e X swab dispenser every day or when refilling _ Waste disposal x xe Wipe cleaning and wipe disinfection l x every day or when emptying the container Instrument tray x x Wipe cleaning and wipe disinfection daily or when x replacing with new instruments Recommended disinfectants 3 Surface disinfection for coated surfaces o o o o o o Other surfaces o o o o oO o o0 oO 4 Instruments manual disinfection Korsolex basic Bode Chemie Korsolex plus Bode Chemie Korsolex extra Bode Chemie neodisher Septo MED Dr Weigert neodisher Septo 3000 Dr Weigert Sekusept aktiv Ecolab Gigasept Instru AF Schilke amp Mayr Gigazyme Sch lke amp Mayr Gigasept FF neu Schilke amp Mayr oo o oO oO oO oO oo oo 8 8 f om om oo Green amp Clean SK ATMOS Cavi Wipes Kerr USA Dismozon pur Bode Chemie Kohrsolin FF Bode Chemie Perform Schiilke amp Mayr Terralin Protect Schillke amp Mayr Dismozon pur Bode Chemie Kohrsolin FF Bode Chemie Bacillocid rasant Bode Chemie Mikrobac
51. m damages We have fulfilled delivery periods if the delivery goods have left our factory or the client has been informed of the goods readiness for delivery within such delivery periods Delivery periods stipulated by the client are not recognised by us unless they form part of our order confirmation We adhere to legal terms and conditions in cases where as a result of an undue delay in the delivery for which we are liable the client is entitled to claim that his interests in a continued fulfilment of the contract have ceased We also adhere to legal terms and conditions should a delay in delivery be caused by deliberate or grossly negligent action by us or our representatives for which we are responsible We are also responsible for such actions by our representatives or agents Should the delivery delay not be caused by our deliberate infringement of contractual duties for which we are responsible our liability is limited to damage which is regarded as typical for that case We are liable according to the legal terms and conditions if and in so far as the delivery delay for which we are responsible is caused by an infringement of a substantial contractual duty In such cases our liability is also limited to damage which is regarded as typical for that case Should the delivery delay be caused by a culpable infringement of non substantial contractual duties our client is also entitled to claim a one off damage compen sation worth 3 percentage
52. n page 26 IS Always observe the concentration specifications and instructions by the respective manufacturer Do not use e Disinfectants containing concentrated organic or an organic acids or bases since these may cause corrosion damages e Disinfectants containing chloramides phenol deri vatives or anionic tensides since these may cause stress cracks in the material used for the housing of the unit 5 1 1 Cleaning the unit surface The surfaces of the ATMOS C 31 are resistent against all surface disinfectants listed on page 26 Wipe the unit surface with a cloth moistened with a cleaning or disinfecting solution Wipe dry the device surface the surface edges may not be wet for a longer period 5 1 2 Cleaning application parts Application parts comprise All single components or assemblies which come into contact with the patient and might get contaminated e collection jar e secretion hose e nozzles of medicament sprayers e Politzer olives and adapters All application parts may disinfected with instrument disinfectants see page 26 IS All application parts which are exposed to direct contact with the patient during treatment are to be exchanged or cleaned immediately for hygienic reasons 5 1 3 Collection jar without autom collec tion jar evacuation bacterial filter and suction hose Atthe end of every working day following parts must be cleaned and disinfected Coll
53. ng steps result from the recommendations of the Robert Koch Institute Requirements for the reprocessing of medical products The medical products were categorised in the risk groups uncritical semicritical and critical The reprocessing measures mentioned in this cleaning and disinfection plan are a recommendation of ATMOS MedizinTechnik Any additional reprocessing measures are at the operator s discretion All the recommended disinfectants which are stated herein are listed disinfec tants VAH RKI and have been tested on their suitability of use on the ATMOS C 21 C 31 ATMOS MedizinTechnik cannot be hold liable for any damage caused by wrong concentration of the disinfectants or by the application of any other disinfectants Patients with suspicion of a clinical disease or who developed a transmissible spongiform encephalopathy CJK vCJK etc have to be treated at facilities which are able to provide for the necessary preventive measures against infec tion The reprocessing of the reusable instruments and material may only be performed at facilities which have an externally certified QM Management acc to DIN EN ISO 13485 The Medical Devices Act IfSG the RKI directives BGR 250 and TRBA 250 always have to be considered ATMOS MedizinTechnik GmbH amp Co KG Ludwig Kegel Str 16 79853 Lenzkirch Germany Phone 49 7653 689 0 E Fax 49 7653 689 190 atmos atmosmed de www atmosmed de 2013 12 Index 04 N Notes on EMC
54. nnection of suction hose Thread the suction hose through the hole on the side into the service compartment and push it straight onto the connector for the secretion hose fig 6 The transport locking screws on the unit s baseplate must be removed by skilling staff prior to starting up To do this the rear panel must be opened and the two front screws must be unscrewed The pump unit is removed from the rear locking device by pulling it forwards Connection of fibre optic cable Plug the fibre optic cables into the variable con nections of the light source Storz connector If you require several adapter sleeves e g Olympus Pentax Wolf etc they may be interchanged as necessary see chapter 8 2 4 So that the fibre optic cables do not rest on the floor they may be threaded through behind the handle support 11 N Installation and starting up Amos M 3 6 Starting up the ATMOS C 31 contin Light package LED REF 506 7550 0 Fig 7a e Connecting for the ATMOS LS 21 LED light source and ATMOS HL 21 LED headligt Switch LED I and LED II Holder for ATMOS HL 21 LED headlight Holder for ATMOS LS 21 LED light source Connecting socket LED II Connecting socket LED Fig 7a Connecting LED Connection of the compressed air hose optional Connection of the function hose for compressed air at the side of the column e Compressed air hose is connected by means of plug connec
55. nnel to be instructed in its use but also for use as a reference manual They help to avoid risks and also to reduce repair costs and down time Further more reliability and service life of the equipment will be increased For these reasons these operating instruc tions must always be kept available near the appliance Prior to first use please peruse the chapter 2 0 For your safety in order to be prepared for any possible dangerous situations The basic principles are Judicious and careful work provides best protection against accidents Operational safety and readiness for use depend not only on your capabilities but also on care and maintenance given to the ATMOS C 31 For this reason regular cleaning and service work are a must Major maintenance and repair work may be carried out only by expert personnel authorised by ATMOS In case of repairs you should in sist that original spare parts only are used You will then have the warranty that operational safety readiness for work and the value of your appliance will be preserved These operation instructions apply for the following app liances ATMOS C 31 Set iiianoe Art Nr 506 7300 0 ATMOS C 31 Function Column Art Nr 506 7400 0 Please note that these operating instructions apply for all ATMOS C 31 models and subsequently feature all op tions and applications Therefore it is possible that this document may contain descriptions not relevant for your speci
56. not up to the stop the light performance is considerably dimi nished Slide the light module in up to its stop Fix the light module again with the two locking screws 31 6 0 Maintenance and servicing 6 5 Changing the halogen bulb of the counter mirror lamp IS Allow the lamp to cool down before changing it Pull out the plug of the halogen counter mirror lamp The halogen bulb is located under two glass disks which are held with a snap ring To release the snap ring insert a small screwdriver under the nose of the snap ring and lift it out Lift out the two glass disks Remove the reflector of the halogen lamp When you insert the new lamp make sure that you do not touch the reflector with your bare fingers but use a clean cloth 6 6 Changing the rinsing container IS Please switch off the unit before removing the rin sing container To replace the rinsing container push it all the way up and swing it out together with the level switch The container must be lifted over the edge of the holder The container can then be withdrawn obliquely down wards and outwards To insert the container swing the level switch upwards The container is pushed obliquely upwards to the stop swung over the edge of the holder and pushed down into the insert see fig 39 Fig 39 Changing the rinsing container 32 7 0 Trouble shooting Amos M 7 1 Electrical protection The supply line
57. oacectewessgieeteedtedeaeancieas 069 0126 0 Consumable supplies for optics light Halogen Bulb 15 V 150 W arene spate te mn eet Rene nr er Rane eee ae eno on near ee ee eee eee eee eee eee 507 2083 0 ae DUD TO acre ch A E E AEN 502 0161 1 Spare bulb for nystagmus DINO GU AN Sie cctsceecsat sees tetseeetntieneec san crcianeeai cetac acta reeseeswes cent aueesceetyeueue Gareteoiecet ace 502 0187 1 Spare bulb for counter mirror FeANIN Oe ceee tec ence secs cscdeanictenscesesesensceecs ance esucecesceccmiceauseecesdeescauieececstens eeetaesataeehece 505 0620 1 Consumable supplies for water system Hose tips 30 pcs minimum quantity 2 DACKS sieeve rene be ced pncneenc vende ccenevadeteacescede ecto detente sasereeivdevetoiedcdeecees 502 0844 0 Collector sieve for rinsing basin minimum quantity 10 PCS eee ccceseeeeeeeeeeeeeeeeeeeeeseeeeeeesaaeeeeseaeeeeeeeaees 508 0578 0 opare nter 100 9 eee ete ee ete a eee en ere eee eee ee ee eee eee 000 0655 1 Fiter SUDO OVE SS eS EE EEE ar E E E AE ENERE 000 0655 2 Jet connection short straight SOMIT nn ee ee EAE EAEE ee eee 505 0280 0 No 8 r 12 a1 8112 O a ee eee eee ee ee ee eee eee eee eee ee ere 501 0331 0 Consumable supplies for rinsing basin Collector sieve for rinsing basin Minimum quantity 10 PCS 2 0 cee cccceeceeceeeeeeeeeeeseeeeeeaeeeesaeeeeaeeeeesneeeees 508 0578 0 Seve Node geen mee ae ote ee noes ane eter ne eS ee CS Sie en Re ree ee ene aren eer or eee ee eee 50
58. on the ATMOS C 31 keep pressing the button fig 14 Highest priority is allocated to endoscope 1 and lowest priority to the headlamp Thus an instrument with high priority e g endoscope 2 is supplied with light even if another instrument with low priority e g headlamp is already used When the endoscope is put back the light supply changes automatically to the instrument with A lowest priority Without this priority circuit the light would expire and a manual switchover to headlamp would be cD necessary IS Due to their limited durability the halogen bulbs of the cold light system may fail at any time during use In s case of inadvertent switching over or switching off of Fig 14 Front foil the individual light exits they may at any time again be Button for activating the priority switching manually switched on with the buttons on the operating Button for deactivating the priority switching panel IS The cold light system is designed for continuous operation in stand alone application However it is possible that the thermal cut out will be triggered and the cold light will be switched off if it is operated contrary to defined use whilst the suction and compressed air systems are operated conisly at over voltage at the same time The cold light system will be operable again following a cooling period 4 2 6 Mirror quick heater Switch on the mirror quick heater with key switch O fig 15
59. ose irrigation system x Secretion suction hose after each procedure i disposable XH Exchange or disinfection monthly X Storage container for x X205 Cleaning with a brush automatic cleaning and disinfec x hose rinsing system tion Ear irrigation bowl X X245 Manual or automatic cleaning and disinfection X Handle X x Wipe cleaning and wipe disinfection X Jet connection X X25 8 Manual or automatic cleaning and disinfection X Splash protection X ll Manual or automatic cleaning and disinfection xX Hose tip disposable Exchange after each application X Hygiene filter See operating instructions for hygiene filter X X x3 Empty dry wipe disinfect X Ear irrigation system X Rinse weekly with Bilpron REF 510 2049 0 X oe air xX X Manual cleaning and disinfection xX xX Clean after every procedure X Sprayer jet X24 5 6 Manual or automatic cleaning and disinfection xX Sprayer head X XH Multiple rinsing of the sprayer head with water X Hose at enaverhend x x Weekly exchange of the hose or when changing the x pray medication Spraver boile x X205 Cleaning and disinfection manual or automatic x ase weekly or when changing the medication Politzer olive x X209 Exchange after each application x afterwards cleaning and disinfection Baier cometan x X20590 Exchange after each application x afterwards
60. ot place used contaminated instruments on the ENT unit The ambient conditions specified in section 9 0 Techni cal specifications must be strictly observed The suction system of the ATMOS C 31 is only to be used for the suction of fluids in medical ranges Never remove explosive inflammable or corrosive gases or fluids Switch off main switch after finishing work in practice and close water supply if present The ATMOS C 31 may be operated only in rooms used for medical purposes but not in areas subject to explosion hazards and in oxygen rich environments The ATMOS C 31 fully complies with the electromagnetic immunity requirements of standard IEC 601 1 2 EN 60601 1 2 Electromagnetic compatibility Medical Elec trical Equipment The ATMOS C 31 may not be operated with units not comp lying with the requirements of standard EN 60601 1 Medical Electrical Equipment and EN 60601 1 2 Electromagnetic compatibility Medical Electrical Equipment ATMOS is not liable for personal injury and damage to property if e no original ATMOS parts are being used e the advice for use in these operating instructions is not being observed e assembly new settings alterations extensions and repairs have been carried out by personnel not authorised by ATMOS This operation manual corresponds with the construction of the unit and with the current status of safety related standards at the time of printing Proprietary rights are
61. photoelectric barrier have photoelectric barrier replaced by a service technician clean sprayer section 5 1 5 see section 5 1 5 35 Trouble shooting Amos 7 7 Warm light source Failure with the Unit Bulb on headimp does not headlamp is defective e replace halogen bulb work cable or connection is defective 7 e check cable connections 7 8 Counter mirror lamp Failure with the Unit No light on counter mirror lamp no voltage halogen bulb is burnt out transformer on counter mirror check line voltage replace halogen bulb chapter 6 5 have transformer replaced by a ser vice technician e have switch replaced by a service technician lamp is defective switch defective 7 9 Automatic collection jar evacuation Failure with the Unit Secretion is no longer sucked off electrode is contaminated switch off unit and clean electrode tube pump defective a e replace tube cassette 7 10 Automatic hose rinsing Failure with the Unit Rinsing container is overflowing float type switch is blocked e clean float tube re establishment of float type switch is defective J free movement of float e inform service technician 36 E N 70 Trouble shooting Amos M 7 11 Kidney shaped rinsing basin Failure with the Unit Rinsing basin does not properly empty Basin rinsing does not function at all or only insufficientl
62. points of the delivery value of the goods for each week s delay up to a maximum which is no higher than 15 percentage points of the delivery value of the goods 7 Delivery Familiarisation In the case of the delivery of devices for the medico technical industry which require assembly and or familiarisation for the final customer using specialist trade personnel such as Ear Nose and Throat Apparatus and Suction Units we reserve the right to deliver the goods exclusively to the relevant specialist traders Should the trader not carry out assembly and or familiarisation for the final customer this is carried out by us In such cases we reserve the right to charge the client for the additionally created costs Our specialist traders operate a recording system so that if necessary our products can be traced to the final customer The specialist trader undertakes to immediately report to us all events and risks which must be reported in connection with our products 8 Passage of Risk Packaging Unless otherwise stated in our order confirmation delivery is agreed ex factory The risk of the goods damage or loss is therefore transferred to the client as soon as the goods leave the factory or the client is in default of acceptance of the goods This also applies to cases where we confirm prepaid carriage Transport packaging and all other packaging according to the packaging regulations is not returnable Our client is responsible for d
63. ption Endoscope heating is switched on when the main switch is activated Endoscopes are warmed to approx 40 C IS ENT unit should be switched on about 20 minutes before starting work to ensure preheating in good time IS The metal quivers of the endoscope holder are to be used solely for holding the endoscopes these first having been cleaned and disinfected IS The metal quivers must regularly be removed and cleaned Do not fill in any liquids Fig 28 Endoscope heating Main switch Sleeves of the endoscope heater 22 Fig 29 Tonue patches and swab dispenser 40 Operation Amos M p N S 4 3 12 Tongue patches and swab dispenser option The tongue patches and swab dispenser hygienically stores tongue patches and swabs The whole dispenser may be pulled out at the front for filling or refilling fig 29 4 3 13 Waste bin option The door of the waste bin fig 1 page 7 is fitted with a kick box locking device The waste bin automatically opens a little by lightly touching the door with the hand or foot The kick box locks automatically on closing 4 3 14 Microscope option Cold light microscope on a mount which is secured to the ATMOS C 31 Light is provided via a fibre optic light conductor which is connected to an exit of the ATMOS cold light system Refer to separate operating instructions IS Only microscopes and accessories approved may be a
64. r disinfection Before the jar is assembled again the electrodes in the cover should be cleaned using a wet cloth IS Mistake in polarity not possible 25 055 0029 0 i 000 0219 0 aD ae A Fig 32 506 5120 0 055 0028 0 505 0280 0 000 0577 0 906 5227 0 i 005 0026 0 055 0028 0 505 0280 0 505 0258 0 005 0026 0 000 0577 0 055 0021 0 a Fig 33 506 5225 0 26 N 000 0237 0 5 1 5 Medicament sprayers The sprayer tube must be exchanged after each patient Dismount the medicament sprayer fig 32 506 5120 0 fig 33 506 5225 0 and thoroughly rinse all parts under run ning water You may of course add a cleanser or detergent e Use water to thoroughly rinse all residues of these substances IS Make sure that the air opening is not closed IS When fixing the twin tube nozzle again make sure that the mark 0 X or milling area on the nozzle shows upwards IS Sprayer tubes are available as spare parts see fig 32 fig 33 5 1 6 Instrument trays Before disinfection thoroughly rinse the trays under running water You may of course add a cleanser deter gent or surface disinfectant e Thoroughly rinse the trays under running water Melamine and anodized aluminium trays cannot be steri lised 5 2 Endoscope quivers The metal quivers of the endoscope holder are to be used solely for holding the endoscopes these first having been
65. rack O fig 18 containing the mirrors is heated up to about 40 C IS ENT unit should be switched on about 20 minutes before starting work to ensure preheating in good time IS Attention high temperatures 7 Prior to use of the mirror always check its temperature with hand etc 4 3 3 Collection jar evacuation fully automatic option Purpose e Prevents interruption of work in practice e Secretion is not held in jar over a longer period of time e Prevents contact of staff with secretion Activated automatically when e Reaching the upper filling limit electrodes e Returning suction attachment to holder IS The tube cassette of the tube pump is a wear part and must be replaced at regular intervals see chapter 6 2 IS Pay attention to cleaning described in chapter 5 0 4 3 4 Quiver for cleaning and disinfecting solution option Cannulae and suction hose should be rinsed through each time after use to prevent sticking and clogging up We therefore offer an optional quiver that may be attached to the handle support see fig 20 IS After cleaning cannulae may no longer be used in pa tients exception if the cleaning solution is changed after every patient Particularly suitable ATMOS special cleanse 080 0005 0 4 0 Operation Amos M 4 3 5 Hose rinsing system option After use the suction system has to be rinsed by means O Float switch Hose rinsing container
66. rial Switch off the light when you do not require the light over a prolonged period of time The cold light source used in the ATMOS C 31 consists of four halogen low voltage lamps with a colour tem perature of 3300 K The halogen lamps are only switched on if the respective light exit is activated The brightness is individually adjustable for each of the four light exits a memory function realizes which optics are used and guarantees the availability of the previously set light performance with every use of the chosen instru ment The light guide connectors are installed on the right side of the function column The respective connections are marked with the cor res ponding symbols Headlamp Microscope Light guide 1 Light guide 2 Starting the cold light system After having operated the main switch of the ATMOS C 31 O fig 1 page 7 the cold light source changes over to standby mode i e none of the halogen lamps is switched on e When removing a light guide resp when swivelling down the microscope or removing the headlamp from its suspension the respective instrument is supplied with light Manual selection of a light exit on the foil keyboard is of course possible at any time 15 N lt gt o Priority circuit Activating the priority circuit When switching on the ATMOS C 31 keep pressing the button fig 14 ay i C31 Deactivating the priority circuit When switching
67. rsonnel only which has been authorised by ATMOS and which has been trained for operating the appliance IEC 601 1 EN 60601 1 The mains voltage specified on the type plate must correspond with the data of the power supply system Make sure prior to every application of the equipment that it is technically safe and in proper condition Damaged leads and hoses must be replaced immediately Display instruments and valves must be checked for correct function in regular intervals Inspection of compressed air and vacuum display by service technician every 2 years Correct configuration in assembly of country specific con nections green yellow protective conductor PE blue neutral conductor N black resp brown phase L This product is not re sterilisable Repeated reuse of components which are marked with a is forbidden In case of repeated reuse these components lose their function and there is a high infection risk It is not allowed to use flammable substances with the device Units with water consuming systems may only be switched on when the water supply is guaranteed The ENT unit requires clean water drinking water quality for the operation In case the clean water cannot be pro vided by the water supply a pre filter has to be installed The relevant country specific regulations for the instal lation have to be considered The control panel must be well visible to and in reach of the operator Do n
68. s Article No Instrument tray set melamine consisting of 2 large and 2 small trays ccceeccceeseeeeeeeeeeeeeeaeeeeeeeeaeeees 506 7031 0 Instrument tray set aluminium anodized consisting of 2 large and 2 small trays holder for ear speculae Politzer olives ccc cccccecccceeceeceeceeceeeeeeeeceseeeceseeeeeseeeeessuaeessuaeessaeeeeseeeesseeesseeeees 506 7032 0 Instrument tray set stainless steel consisting of 2 large and 2 small trays holder for ear speculae Politzer olives icc cass cic tosis Se reenact cate oe nase eealicn actee das ctasaeestsanieactuce ears 506 7033 0 Al MNISING DOW eare E E E E S 505 0353 0 Plastic quiver for disinfecting solution to be mounted to cable holder cece ceeeccceeeeeceeeeeteeceeseeeeeaaees 506 7015 0 Instrument intermediate deposit with paper in large aluminium resp stainless steel tray cccceeeeeeees 508 0533 0 Connecting cable for potential balance 5 M ccccccsssecececeeeececseseeeeceesseecceusececseeeeesseaseeesseeesessnseesseaees 008 0596 0 Instrument tray aluminium anodized 184 x 142 MM ccc ceecccecccceecceeeeceeeeceeeeseeeeaeeeeseeeeseeesseeseeeaeeeeseesaes 508 0058 0 Instrument tray aluminium anodized 284 x 184 MM cece cececceecceeeeceeeeeeeeeeeeeeaeeeeseeesseeeeaeesseeeaeeesseeeaes 505 0516 0 Instrument tray stainless steel 180 x 140 MIM ccccccccccsececeeeceeeeceeseceueecsuecaueeseueeseueessueesaeecaeessaees
69. s acectacneredessanantedienasducess sqecantantsoestantwteuneseenavads sees 502 0142 6 Nystagmus binoculars acc to Dr BICSSING iviniscssoustinoesattnseaensesacinna tienen adnon bai cedalnestoucsinweidenagleasanaadiGeateens 502 0189 0 Connecting Cable for headlamp CLAR D0 sccoecigece seca sdceescncecaetaceeidacesseceas tat ie deicesueaeacstecaseeeneticeadi eideatecoedsacneede 502 0141 6 Teflon element for endoscopes diameter 2 8 MM 4 MIM cccccccceeccceeeeeneeeeneetaeeecaeeceeeeceeeteneeteneeteeeeneeeeas 508 0777 5 Tank for flexible endoscopes ATMOS Olympus cccccssceeccessececceesececceeeeeeceuceesceseeessesseeesseseeessanaees 508 0790 0 Tank for flexible endoscopes StOMrZ cccccesececcensececceesecccscuececccseeeceseusececsecseeeseuaesesssaeeeesseaseeessuseeesssaseees 508 0792 0 Adaptor sleeve for Storz connection siesieiscet peters acis wa viesseecencereectuesaeeevev ice eeate ceactwcaienessticet ected satis aselscseereeeees 507 0940 5 Adaptor sleeve for Olympus CONNECTION cccccccceeccceeeeecceeeecceeeeeseseeeceeeeecseeeeseeeeseueeeseaeeeseeesseaeessaeesanaees 507 0940 6 Adaptor sleeve for Pentax CONNECTION cccccceeccceeececceeeeaeeeeeceeeeeseeseeceeeeeceuceeseseeseueeeseaeesseacessaaeessaeeesanaees 507 0940 7 Adaptor sleeve for Wolf connection ccccccccceeccceeececeeeeeeeeeeeceeeeeseeeeeseeeeeseuceeseeeeseueessaaeesseaeetseaeessuseessaees 507 0940 8 Further Accessories and Spare Part
70. sm will then start the rinsing procedure for abt 10 sec The rinsing basin is not suited to collect large water quantities e g when evacuating a pail as water might overrun the interior of the unit 19 a lt gt 0O 9 Fig 23 Compressed air system Oo Compressed air handle Holder for automatic photoelectric barrier control Sprayer suspension 4 Compressed air control Compressed air display Fig 24 Compressed air handle with Politzer adapter Compressed air handle Adaptor for Politzer olive Politzer olive 20 Is a amp 4 3 7 Compressed air system option Prior to each application proper function of the display instruments and control valves must be checked Purpose e a Medicaments can be applied to the nasopha rynx The pump for the compressed air system switches on after the compressed air handle has been removed from its holder Handle is mounted on a sprayer the top of the com pressed air handle locks in place in the ring of the sprayer bottle Available sprayers e with straight spraying tube for normal liquid medicaments e with twin tube and adjustable angular jet for oily medica ments If a sprayer is used with medication the instructions of the medication manufacturers have to be observed Do not use the sprayer for the storage of medication Caution to be paid to avoid injury when introducing sprayer jet Please note in case the venti
71. special calcification safety device integrated in the water system Such a system is to be connected when the respective drinking water is of hardness grade 3 14 21 d resp 2 5 3 8 mol m hard water but especially with hardness grade 4 from 21 d resp from 3 8 mol m very hard water You may receive information on the hardness grade of your water from the water supply office 3 0 Installation and starting up Amos M Fig 5 Connection for wase water hose Inlet connector for non heating apparatus Fig 6 Collection jar lid with hose coding green Filter Pump white transparent Collection jar lid Patient black Lid Hose pump eae Fig 7 Connection of the light guide cables 3 5 Waste water drain optional Requirements Permanently installed connection fitting with G3 4 external thread To adapt the draining hose to standard HT 40 a connection adapter 510 2130 0 can be ordered 510 2129 0 for HT 50 Connect waste water hose with unit O Fig 5 and the G3 4 connection fitting insert pertaining seals 3 6 Starting up the ATMOS C 31 Electrical connection Join the inlet connector for non heating apparatus fig 5 with the earth socket outlet using the mains cable supplied Waste water connection with optional automatic collec tion jar evacuation Connect the waste water connector QO fig 5 to the water drain Q fig 5 Co
72. sueesans 508 0058 2 Instrument tray stainless steel 280 x 180 MIM cccccccccccscceceeeceeeeceeseceuecseueccueeseaeessueeseaeesuaeesaeessueessaeenees 505 0516 2 Instrument tray melamine 190 x 150 WM sees cee ctds ocees teecetcn ven cacendeveen cn cansceuhecanseddadeceesesectectendcesdesseceseccucnel 000 0746 0 Instrument tray melamine 300 x 190 WW ino tescse te secet cence ndenpedecendre tenaeeboastededeenssictadecieveredundteentislootabsdeseiees 000 0747 0 Serrated instrument TN ap ase ach cece eae as eae en oe eae pees anne csmeneosoenateesoaacenieien ask cubase 508 0566 0 Serrated instrument holder small c cece eececcecceceeeeeeeceeaeeeeceeaeceeaeeaeceeceeaeseeaeseeseeaeseeaeeeseeaeseeseeaeaneaeeeenees 508 0567 0 Holder for ear speculae Politzer olives for aluminium resp stainless steel tray ccceccceeseseeeeeeeeeeeeeens 508 0545 0 8 3 8 3 1 8 3 2 8 3 3 8 3 4 8 3 5 Consumables supplies Accessories and Spare Parts Options Options Options general International power pack 100V 240V 10 50 60 HZ eee ccccceccceeeeceseeceeeeceeeeaeeetaneesaeetsneeneeeaes 506 7000 1 Instrument deposit on additional plane full pull out with ball QUIGINGS cc eeecceeceeeeeeeeeeeeeeeeaeeeeeteeeeeeeas 506 7030 0 3 fold endoscope holder heated incl Metal QUIVED cccceccceeccceeeeceeeeteeeeeeeetaseeeaeetaueeseneesaeeeneetaeeteeeess 506 7016 0 Connection for headlamp Nyst
73. terial filters The device may never be operated without DDS bacterial filter oversuction stop Make sure to clean the electrodes of the automatic collection jar evacuation Mistake in polarity not possible If no vacuum is achieved after switching on again the suction system check free movement of the float 6 2 Changing the tube cassette of the tube pump The tube cassette is located in the unit s pump com partment It may only be replaced by qualified staff The tube cassette fig 35 must regularly be changed approx once a year as it may otherwise get leaky Set main switch to OFF Clean and disinfect the hose system to avoid splashing of the secretions Loosen the two hose connections Remove the tube box from the drive axle by depressing the release lever Attach the new tube cassette to the drive axle and arrest it in the bayonet holder by lifting the release lever Pull the tube cassette slightly to check for secure locking Add the two connecting tubes again acc to fig 35 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 29 6 3 Changing the heating coil of the mirror quick heater IS Grid and sleeve might get very hot Allow them to cool down before changing the heating coil Set main switch of the ENT unit to OFF fig 1 page 7 R
74. tions make sure that the plug attachment is engaged The hose is disconnected by pressing the release slide O fig 8 at the plug connector and by pulling out the plug attachment IS Push the handles into the handle support as indicated by the symbols The photoelectric barriers will operate the wrong pump if the handles are transposed Fig 8 CPC Cuppling D Connecting the hose for ear rinsing optional The hose for the warm water system is screwed on the CPC coupling IS Different socket nipples misplacing of the hoses is thus impossible Connecting the hose for ear rinsing optional Connect the aqua stop valve with the water tap local con nection Open the water supply When the main switch is set to ON and a water consuming device basin rinsing or hose rinsing system is used the water supply is opened by automatic opening of the magnetic valve in the aqua stop system Thus there is no pressure inside the water supply hose if no water consuming device is activated Fig 9 Connecting the hose for ear rinsing Connection for compressed air hose Connection for ear rinsing hose 12 N 4 0 Operation Amos M Fig 10 Maximum load 4 1 ATMOS C 31 Basic unit The ENT unit ATMOS C 31 offers optimum instrument handling whilst at the same time providing an optimum arrangement of all functions that an ENT specialist requires for his daily work in the practice The instrument
75. to 5 A max For the connection of further electrical devices please allow for extra plugs Socket outlets with earthing contact Installation of an electrically operated patient chair Water drainage G3 4 external thread optional Water supply with water tap G 3 4 external thread optional 3 4 Connection to water supply optional Water supply Requirements G 3 4 tt Ma e in mm Dimensions in mm Water drainage G 3 4 external thread optional Water supply G 1 2 internal thread optional with water tap G 3 4 external thread e There must be existing water pipes with a G 1 2 internal thread For connecting a corresponding water or ball valve with a G 3 8 hose connection e This water tap ball valve must be installed in such a way that when leaving the device it can be turned off without any problerm e The water which is provided by the household connection must at least meet the WHO guidelines or the country specific guidelines for drinking water Rinse water supply line in order to remove any con tami nation from the system When clean water is available connect delivery hose to water tap mentioned above Required pressure in domestic water system gt 2 bar but lt 5 bar There are country specific regulations for the installation to be considered when the unit is connected to the public water supply A water connection with pipe ventilation is recommen ded There is no
76. uries Maximum pressure may no exceed 0 2 bar Activating adjusting and regulating the compressed air and switching off the compressed air system as described above Accessories see chapter 8 2 3 N 4 0 Operation Amos M 4 3 8 Connection for warm light headlamp Nystagmus binoculars option After the switch Fig 26 has been turned on the headlamp connection is ready for operation The connector of the headlamp e g CLAR 55 Art No 502 0161 0 is plugged into the jack Fig 25 con nec tion cable is included in standard delivery of this option When connecting nystagmus binoculars cable available as accessory Art No 502 0141 6 the voltage is reduced automatically 4V even if you work with low voltage IS Care must be taken to ensure that the connection jack and the patient are not touched at the same time Fig 25 Headlamp connection 1 when plugging and unplugging the warm light head O Jack lamp Fig 26 Switch for warm light Cold light connection 1 Cold light connection 2 4 3 9 Headlamp suspension option For storing the headlamp When the headlamp is suspended again the cold light exit is switched off automatically 21 Operation 4 3 10 Counter mirror lamp option The counter mirror lamp fig 27 can be mounted to the left side of the column See separate operating instructions Fig 27 Counter mirror lamp 4 3 11 Endoscope heating o
77. uture business with that client 2 Proposal Order Confirmation Our proposals are subject to change without notice unless otherwise stated in our order confirmation Each order is only accepted by us following our written order confirmation 3 Orders Every order requires an exact description of all of our product s details We assume no liability for errors and damage caused by inaccurate or incomplete ordering details 4 Prices Unless otherwise stated in the order confirmation our prices in the order confirmation are ex factory prices and exclude packaging and value added tax Packaging is charged separately at cost price in the invoice Value added tax is charged separately in the invoice according to the legal rate on the invoice date We reserve the right to change prices appropriately should price reductions or increases especially due to wage settlements changes in the price of materials or currency fluctuations be incurred Proof of such changes will be provided for the client on request 5 Payment Conditions Balancing Unless otherwise stated in the order confirmation our invoices are payable with a 3 discount within 10 days except for repair and assembly services or within 21 days from the invoice date net cash money receipts is decisive for complying with this term We are entitled to charge interest after the due date at a rate 2 above the relevant basic interest rate of the German Federal Bank Should the
78. wivel arm cccccceeeeeceeeeeceeeeceeeeeceeeeeseeeeeseeeeesaeeeesaeeeesaaees 506 7003 0 Automatic hose rinsing system consisting Of a cxscaccoteecdncnesseetancnceecedi acini Seseincseexach Sohnawslegaeteavsedseciedacseohedebactons 506 7005 0 Rinsing attachment for cleaning cannulae suction attachment and suction hose with automatic refilling of the supply container in the service compartment Rinsing attachment Teflon for quick change in case Of contamination cccccceecceceeeeceeeeeceeeeesaeeeesanees 506 2228 1 Water system necessary for options Rinsing basin and Automatic hose rinsing system 000 506 7006 0 consisting among others of supply hose with aquastop valve pressure reducer water filter waste water hose 3m Water prefilter for ENT Units can be flushed OUt 0 eccceeccceececececeeeeeeeetaseeeeeeesneeseeeeseeeesaeetseeteeeeneeeens 502 0990 0 SC NC CR cas EEI E E E OIE AAE AEE OIEA AAEE AEE TT 502 0995 0 Covering hose for supply and waste water hode and power line light grey in meters ccccceeeeeeeeee eens 005 0029 0 Hose end grommet for covering NOSC ccccccsssececeneseececeeececcceueeeecsusseeessusceesauuecesseeueeeesseseestanseeessesseeenes 005 0030 0 Measuring cup for filling the Storage container ccccccseeccecceeeeeeccesseeeceusscecceusecessceeecessauseessausesessenseseneas 000 0583 0 Optional Power Source LCS 100 LCS 100 adjustable pow
79. y 7 12 Endoscope support Malfunction at the unit Endoscope supports are no longer heated sieve in rinsing bowl is clogged e clean or replace the sieve waste water hoses are clogged e have waste water hoses checked by a service technician or plumber rinsing head is clogged calcified e decalcify rinsing head rinsing bowl is leaking E e replace rinsing bowl overtemperature protection switch e Have the switch control sensor was activated j exchanged by your service technician control is defective temperature sensor is defective IS If nevertheless the errors cannot be removed inform the ATMOS service staff Do not start any attempts to repair the unit yourself IS Pay also attention to corresponding chapters in separate operating instructions 37 38 Consumables supplies Accessories and Spare Parts Options Consumable supplies Consumable supplies for suction system DDS bacterial filter 10 pcs 50 pes 100 pCS aiicicteccictieacacccvandatanieataniushetasoncaiaatactavetessestessaweatiwatiawstseanskeneiaeticdeal 340 0054 0 ATMOS special cleanser for hose rinsing 500 Ml ccccccsececesececasececaeseecauceesouseesoueeescueeseeeaeseeuaeseseass 080 0005 0 Consumable supplies for automatic collection jar evacuation Tube cassette for tube pUmp ese esses scars ncsiensctescectsenens bodacearercsdclaeiequesavecceeuct Gosaie acendotad
80. y the client or third parties the client s negligence in handling the product unacceptable operating conditions such as humidity temperatures the power supply vibrations accidents acts of God especially lightening water fire public unrest and insufficient ventilation We are not liable for damage to other objects apart from our product itself except in the case of any deliberate or grossly negligent actions by us or our representatives or agents Should no deliberate breach of contract be claimed our liability This document is copyrighted Duplication translations microfilming and savings on electronic systems particularly for commercialpurposes are illegal without prior agreement of the manufacturer All compiled data are based on manufacturers instructions All logos product names and designations used in this document are property of the respective manufacturer We do not take over any warranty and liability in the case of missing inscriptions Subject to modifications and amendments

ATMOS C 31 (GA-en) - This is the ATMOS Content Delivery Network

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