Atmos A 161 User manual

2020-07 Index: 38
GA1GB.310110.0 0124
ATMOS A 161 /
A 261 / C 161 /
C 261 Aspirator
English
Operating instructions

2
ATMOS
Telefon: + 49 7653 689-0
Fax:
+ 49 7653 689-392 (Vertrieb Inland)
+ 49 7653 689-391 (Export)
e-mail: [email protected]
Internet: http://www.atmosmed.de
MedizinTechnik GmbH & Co. KG
Ludwig-Kegel-Str. 16
79853 Lenzkirch
Deutschland / Germany
Further information, accessories, consumables and
spare parts are available from:
Table of contents
8.0 Cleaning/Disinfection .......................................... 12-16
8.1 Basic information.......................................................... 12
8.1.1 Bacteriallter .............................................................. 12
8.1.2 Suction hose, hose connector and vacuum hose ....... 12
8.1.3 Fingertip ....................................................................... 12
8.1.4 Secretion canister ........................................................ 12
8.1.5 Canister lid .............................................................. 12-13
8.1.6 Device surface ............................................................ 13
8.1.7 Rinsing Canister........................................................... 13
8.1.8 Accessories.................................................................. 13
8.2 Oversuction ................................................................. 13
8.3 Cleaning instructions.................................................... 13
8.4 Recommended instrument disinfections .................... 14
8.5 Recommended surface disinfections .......................... 14
8.6 Cleaning and servicing plan ................................... 15-16
9.0 Maintenance and servicing ....................................... 17
9.1 Maintenance and servicing .......................................... 17
9.2 Reprocessing ............................................................... 17
9.3 Sending in the device................................................... 17
10.0 Trouble-shooting........................................................ 18
11.0 Accessories, consumables, ...................................... 19
spare parts
11.1 Accessories.................................................................. 19
11.2 Consumables ............................................................... 19
11.3 Spare parts................................................................... 20
12.0 Technicalspecications............................................ 21
13.0 Checking / Reprocessing / Disposal ........................ 22
13.1 Checking ATMOS suction devices ............................... 22
13.2 Reprocessing ............................................................... 22
13.3 Disposal ....................................................................... 22
14.0 Notes on EMC............................................................. 23
7.0 Operation Medi-Vac® / Serres®....................................11
7.1 Holder for Medi-Vac®secretion canister........................11
7.2 Assembling the Medi-Vac®secretion canister set ........ 11
7.3 Connect hose ............................................................... 11
7.4 Holder for Serres®secretion canister ............................11
7.5 Assembling the Serres®secretion canister set ............ 11
7.6 Connect hose ............................................................... 11
6.0 Operation Receptal®................................................... 10
6.1 Holder for Receptal®secretion canister ....................... 10
6.2 Assembling the Receptal®secretion canister set........ 10
6.3 Connect hose ............................................................... 10
4.0 General operation ATMOS A / C 161 / 261 Aspirator . 8
4.1 Suction hose .................................................................. 8
4.2 Adjust vacuum................................................................ 8
4.3 Suction procedure ......................................................... 8
4.4 Hose rinsing .................................................................. 8
5.0 Operation ATMOS A / C 161 / 261 Aspirator / DDS .... 9
5.1 DDScanisterandbacteriallter.................................... 9
5.2 Insertion of the DDS canister ......................................... 9
5.3 Connect hose ................................................................. 9
1.0 Introduction .................................................................. 3
1.1 Note of the operating instructions .................................. 3
1.2 Function ......................................................................... 4
1.3 Intended use .................................................................. 4
1.4 Extents of supply............................................................ 5
1.5 Transport and storage ................................................... 5
1.6 Explanation of symbols ................................................. 5
2.0 Safety advice ................................................................ 6
3.0 Setting up and starting up........................................... 7
3.1 Operating elements....................................................... 7
3.2 Connection ..................................................................... 7
3.3 Starting up...................................................................... 7

3
1.0 Introduction
1.1 Notes on operating instructions
These operating instructions contain important notes on how to operate the ATMOS A / C 161 /
261Aspiratorsafely,correctlyande󰀨ectively.Theirreadinghelpstoavoidrisks,andalsotoreduce
repair costs and down-time. That increases, amongst other things, the reliability and service-life of
the device.
These operating instructions serve not only for new operating personnel to be instructed in its use,
but also for use as a reference manual.
These operating instructions must always be kept available near the device.
Care and period tests in conjunction with professional execution provide for operational safety
and readiness for use of your ATMOS A / C 161 / 261 Aspirator and are therefore a must besides
regular cleaning.
Repair work and period tests may be carried out only by expert personnel authorised by
ATMOS. By applying only original spare parts you will have the guarantee that operational safety,
readiness for work and the value of your ATMOS A / C 161 / 261 Aspirator will be preserved..
●The product ATMOS A / C 161 / 261 Aspirator bears CE marking CE according to the EC
guideline of the council for medical products 93/42/EEC and meets the basic requirements
of annex I of this guideline.
●The product ATMOS A / C 161 / 261 Aspirator complies with all applicable requirements of the
directive 2011/65/EC restricting the use of certain hazardous substances in electrical and
electronic equipment (“RoHS”).
●The declaration of conformity and our general standard terms and conditions can be obtained on
our website at www.atmosmed.de.
●ThequalitymanagementsystemappliedatATMOShasbeencertiedaccordingtointernational
standards EN ISO 13485.
●Prior to start-up please peruse chapter 2.0 „For your safety“, in order to be prepared for any
possible dangerous situations.
●These operating instructions correspond to the design of the ATMOS A / C 161 / 261 Aspirator and
the status of basic safety engineering standards on going to press.
●Reproduction of these instructions – even in part – only with the written permission of ATMOS.
●Subject to alterations and changes.
Please store this document near the device for later use!
• ATMOS C 261 Aspirator / DDS REF 313.0100.0
with 1 l DDS secretion canister
• ATMOS C 261 Aspirator / Receptal®REF 313.0165.0
with 1.5 l Receptal® canister
• ATMOS C 261 Aspirator / Medi-Vac®REF 313.0102.0
with 1 l Medi-Vac®canister
• ATMOS C 261 Aspirator / Serres®REF 313.0103.0
with 1 l Serres®canister
These operating instructions are valid for the following devices:
• ATMOS A 161 Aspirator / DDSREF 313.0200.0 with
1 l DDS secretion canister
• ATMOS A 261 Aspirator / DDSREF 313.0300.0 with
1 l DDS secretion canister
• ATMOS C 161 Aspirator / DDS REF 313.0000.0
with 1 l DDS secretion canister
• ATMOS C 161 Aspirator / Receptal®REF 313.0065.0
with 1.5 l Receptal® canister
• ATMOS C 161 Aspirator / Medi-Vac®REF 313.0002.0
with 1 l Medi-Vac®canister
• ATMOS C 161 Aspirator / Serres®REF 313.0004.0
with 1 l Serres®canister
§

4
1.2 Function
The ATMOS A / C 161 / 261 Aspirator is a very handy small suction unit.
It is driven by an electromotive, maintenance-free swing piston pump.
During operation, the pump generates a vacuum within the hose system
andthecollectioncanister,thussuckingo󰀨secretionsoruids(e.g.by
means of a suction catheter).
Theuidisgatheredinthecollectioncanister.
Valid for ATMOS C 161/ 261 Aspirator
Thenalvacuumand,following,theair-owratecanbeadjustedbyme-
ansofthenecontrolandthevacuumgauge.Anovertemperaturestop
controlled by electronics avoids overheating of the unit.
Valid for ATMOS A 161/ 261 Aspirator
Thenalvacuumand,following,theair-owratecanbeadjustedby
means of 3 step vacuum regulation. An overtemperature stop controlled
by electronics avoids overheating of the unit.
Valid for ATMOS A / C 161 / 261 Aspirator / DDS:
The reusable secretion canister is connected to the pump housing via
direct-docking, without any pedestrian hose system. Only the suction
hose has to be plugged in by the user.
Abacteriallter,locatedinthelidofthesecretioncanister,avoidsente-
ring of bacterias and liquids into the pump interior. A mechanical over-
suction stop integrated in the canister lid additionally avoids accidentally
absorption of secretion into the pump head.
1.3 Intended use
Name: ATMOS A 161 Aspirator / ATMOS A 261 Aspirator
ATMOS C 161 Aspirator / ATMOS C 261 Aspirator
Main functions: Temporarily and spontaneously suction of secretions,
blood and body fluids which typically accumulate during respiratory tract
suction and ENT treatment.
Med. indications/ application: Suction of the upper respiratory tract and
throat, nose, ear
Specification of the main function: Drainage and temporarily collection
of body fluids. By means of an electrical suction pump, a negative pressure
will be created. The integrated secretion canister allows a temporarily col-
lection of the derived body fluids.
Application organ: Upper respiratory tract (oral cavity, nasopharyngeal
cavity and bronchial system) and throat, nose, ear
Application time: Temporary use on the patient during respiratory tract
suction (< 60 min.) or short-term use at ENT treatment (up to 30 days).
Application site: The application site of respiratory tract suction is the
clinical, practices, nursing and home care sector. In ENT medicine the
devices are used in clinic and practice. The application of the device may
only be performed by medical trained and introduced staff.
Contraindications: Not adapted for:
• the continuous operation in case of drainages in the low vacuum range
(e.g. thoracic drainage or wound drainage).
• permanently endoscopic use.
• the use outside of the medical sector.
• the suction of flammable, corrosive and explosive substances.
• the suction in explosion-risk areas.
The product is: x active □not active
Sterility: The device is not sterile.
Single use product / reprocessing: The device and parts of the acces-
sories are reusable, for information on reprocessing and disinfection please
see the operating instructions.
ATMOS C 161 / 261 Aspirator / DDS
Sliding cover
Vacuum adjustment (individually adjustable)
Vacuum gauge
Hose storage
1.0 Introduction
Fig 1a.
ATMOS A 161 / 261 Aspirator / DDS
 Vacuum adjustment (3-step adjustment)
 Hose storage
Fig 1b.
!






5
1.4 Scope of supply
●Prior to dispatch, this ATMOS device was subjected to an extensive functional test and has been carefully packed.
Nevertheless, please compare the contents of the shipment on completeness immediately upon receipt (see delivery note).
In addition to the basic device, the scope of delivery comprises the following parts:
1.6 Explanation of symbols
1.5 Transport and storage
● Thetransportofthedevicemaybee󰀨ectedonlyinadispatch
cartonupholsteredando󰀨eringsu󰀩cientprotection.
● Pleasedocumentandreportdamagesintransitimmediately.
For complaints or return deliveries, please use the enclosed
form QD 434.
●The unit must be allowed to stand for up to six hours at room
temperaturepriortostartingupforthersttimefollowing
transport at temperatures below freezing. The unit may not
be operated if it has not acclimatised as this might damage its
diaphragms.
●Ambient conditions:
Transport/Storage: -30...+50°C;
5...90 % humidity
non-condensing
at air pressure 700...1060 hPa
Operation: +10...+35°C;
20...80 % humidity
non-condensing
at air pressure 700...1060 hPa
ATMOS A / C 161 / 261 Aspirator, scope of supply of all versions:
Grad. secretion
canister (1 l)
Lid for secretion
canister with
triple oversuction
safety
mains cable for
230 V~/50-60 Hz
silicone
suction hose
Ø 6 mm, L = 1.30 m
Medi-Vac®
canister (1 l)
Support
Receptal®
canister (1.5 l)
Support
1.0 Introduction
C 161 Battery
2 DDS
bacteriallter
C 161 Battery
1 DDS bacterial
lter
Medi-Vac®
suction bag (1 l)
with integrated
bacteriallter
Receptal®
suction bag (1.5 l)
with integrated
bacteriallter
Serres®
canister (1 l)
Support
Serres®
suction bag (1 l)
!
Warning, special diligent
notice!. Creation date
0124
The CE sign shows that this product meets
the appropriate requirements of the EC
guidelines.
Fuse Refer to operating inst-
ructions. Application part type BF
i
Important Information! REF Order number ON (feed in, power connection)
Protection class II SN Serial number OFF (feed-in, power connection)
Follow operating instruc-
tions! (blue) No household waste IP 21
Protection against the ingress of
- solidforeignobjectsØ≥12,5mm
- senkrechtem Tropfwasser
Manufacturer GOSTCerticate
(Russia) Eurasian conformity
Short-term operation
DDS Receptal® Medi-Vac®Serres®

6
2.0 For your Safety
Danger to the
device
● Donotallowanyliquidtogetintotheunit.If
liquid has penetrated the unit, it may not be
operated again until it has been checked by
the customer service centre.
● Theunitmustbesetuponarm,levelsur-
face. The switched-on unit might get overheat-
ed if it is placed on an uneven surface (e.g.
mattress, cushion, padded seat etc.).
● Themainvoltagespeciedonthetypeplate
must match the power supply system.
● The unit may not be started:
•If cables or plugs are defective,
•if it has been dropped down before,
•if obvious defects might restrict safe
operation.
Prior to returning the device for repair, clean it.
● Pay attention to the ambient conditions de-
scribed in chapter 1.5 Transport and storage.
● The unit must be checked periodically on its
functionandsafetydeciencies,e.g.pins,
secretion canister, housing, etc. ● Never connect the unit to defective power
sockets or extension cables.
Avoid moisture on plug and switches.
●
The unit, collection canister, mains cable, acces-
sories, connection cables and hoses must be
checked for damage prior to starting up. Dam-
aged cables and hoses must be replaced imme-
diately. Prior to use, check the unit functions.
General safety
information
● ATMOScannotguaranteeperfect
functioning neither will it be liable for
damage to people or property if:
• Any non-original ATMOS parts are
used,
• the user instructions given in this
manual are not followed exactly or
are disregarded,
• Assembly, resetting, alterations,
extensions and repairs are not carried
out by people authorised by ATMOS.
● Prior to starting up the ATMOS A / C 161 / 261
Aspirator, read these operating instructions
carefully.
● Nowarrantyrightsshallexistintheeventof
damage or failure caused by the use of non-
ATMOS accessories or non-ATMOS consuma-
bles
● ThesafetystandardoftheATMOSA/C161
/ 261 Aspirator corresponds with recognized
medical technical regulations and the direc-
tions of the law relating to medical products.
● Theelectricaloutletisinfactcarriedoutthree-
pole, but the middle contact pin (normally ground
wire connection) in the interior of the unit is not
connected.
Danger of injury!
● The ATMOS A / C 161 / 261 Aspirator has been
designedforaspiratingbodyuidsinmedical
ranges. Never remove explosive gases and
inammableorcorrosiveuids.
● Only persons instructed in medical use may
apply the ATMOS A / C 161 / 261 Aspirator to
patients.
●Sterile packed parts may no longer be used if
their packing was damaged during transport or
storage.
Danger of infection for the patient.
● Alwaysremovetheplugfromthewallsocket
rstinordertodisconnecttheunitfromthe
mains. Only then may the connecting cable be
disconnected from the unit:
• Before cleaning the unit,
• before the collection canister is evacuated,
• before leaving the room.
Never pull at the cable!
Never touch the plug or cable with wet hands.
●
This suction unit may not be applied without
disposablebacteriallterplate.
● The suction hose must never come into direct
contact with the application site.
Always use a sterile suction catheter resp. a
medical accredited aspiration set.
● The unit may not be operated in splash water
range.

● Usetransparenthosesexclusively.
● TheATMOSA/C161/261Aspiratormaybeop-
erated only in rooms used for medical purposes,
but not in areas subject to explosion hazards and
in oxygen rich environments.
● Thisproductisnotre-sterilisable.Repeated
reuse of components which are marked with
a 2is forbidden. In case of repeated reuse
these components lose their function and there
is a high infection risk.
● In the case the pump is switched on, while a
high vacuum (> 40 %) is applied, the device
switcheso󰀨automatically(safecondition).
Switch on is only possible after ventilation of
the vacuum.
!

7
3.0 Setting up
 Setupthedeviceonalevel,rmsurface.
3.1 Operating elements
1Shove blind for covering the operating elements
(ATMOS C 161 / 261 Aspirator)
2Vacuum adjustment
3Vacuum gauge (ATMOS C 161 / 261 Aspirator)
4Hosestorage(g.1,page4)
5Suction hose storage (accessory)
6Switch On I/O󰀨O
3.2 Connection
Themainvoltagespeciedonthetypeplatemustmatch
the power supply system.
Check mains cable for damages. Damaged cables must be
replaced immediately!
3.0 Setting up and starting
3.3 Starting up
● The ATMOS A / C 161 / 261 Aspirator is delivered
ready for use.
●Lift the unit out of the cardboard. Check whether the
voltage values on the data plate correspond with the
inbuilding voltage.
●Setupthedeviceonalevel,rmsurface.
● Prior to rst operation, pay attention to the safety
information in chapter 2.0.
●The unit must be allowed to stand for up to six hours
atroomtemperaturepriortostartingupfortherst
time following transport at temperatures below
freezing. The unit may not be operated if it has not
acclimatised as this might damage its diaphragms.
● ATMOS A / C 161 / 261 Aspirator / DDS: Always hold
ready at least one ATMOS DDS bacterial filter, as
the device may not be operated without one!
Fig 3.
Fig 2a.
Fig 4.
Fig 5.
Fig 2b.
i







8
●Only for C 161 / 261 Aspirator
Adjustyourdesiredvacuumbyclosingngertip( 9) and
auxiliary air vent ( 8). The vacuum is then generated.
Open the regulating valve / vacuum adjustment (page 4,
) until the vacuumgauge shows the desired vacuum
value
●Only for A 161 / 261 Aspirator
Adjust your desired vacuum by turning the three-steps
adjustment (page 4, ) to the suitable position.
-25 kPa* low, -55 kPa*medium, -75 kPa* high
* depends on daily atmospheric pressure and ambient condi-
tions
●Choose a suction catheter of the right size (10, which are
available fromATMOS in 3 di󰀨erent sizes) or a suction
instrument which is only available from specialized dealers.
4.0 General operation
4.2 Adjust vacuum
4.1 Suction hose
●Join the suction hose ( 7) and the suction catheter (10)bymeansofthengertip(notincludedindelivery)(9).
4.4 Hose rinsing
●Dispose the suction catheter and rinse the
suction tube with clean water or disinfec-
tion liquid after every suction procedure. We
recommend to use the rinsing bottle in which
you can carry clean water along with you.
8
Important
notes on safety
● Makesurethatthecollectioncanister
is evacuated in time. As soon as the
canisterishalf-lled,itmustbeemptied
(this principle proves right in all application
ranges).
● Attention: Suction procedures in the
respiratory tract may only be
implemented after appropriate instruction
byhospitalorspecialsta󰀨.
● When the maximum level is exceeded,
the overow safety reacts and suction is
stopped. Empty the canister.
● Checkthevacuumreadoutregularly!
● If secretion has been soaked up into the
pump due to improper use or manipulation,
the device must be repaired from ATMOS
or a service authorised by ATMOS.
● Foraspirationuseonlyapplicablesuction
catheters, attachments or a medical aspira-
tion sets.
● Whilstaspiratingpleasepayattentiontothe
llinglevelofthesecretioncanister.
AUXILIARY AIR VENT OPEN =
suction procedure is interrupted (e.g. when leading in the catheter)
AUXILIARY AIR VENT CLOSED WITH THE FINGER = suction
Fig 6.
7Suction hose
8 Auxiliary air vent
9Finger tip
10 Suction catheter
Prior to these notes please read the foregoing chapter of your respective version of the ATMOS A / C 161 / 261 Aspirator!
4.3 Suction procedure
●Then, lead in the catheter in the same way as shown by
yourhospitalsta󰀨andstartthesuctionprocedure.
●Control the suction procedure with the auxiliary air vent
(8)onthengertip.
 ThehydrophobicDDSbacteriallter/oversuctionstop
avoids ingress of moisture. Nevertheless you should empty
thecanisteratalllevelof1/2.
●The secretion canister system is designed the way that
secretionsowslaterallytothewall.Thereforethefoam
formation in the canister is reduced.
!
!
7 8
9 10

9
5.0 Operation DDS
Important
notes on safety for the
DDS canister system
● Do not operate the device without a
bacteriallter.Werecommendyou
always to store at least one spare
bacteriallter.
● Alwaysweardisposablegloveswhen
changingthebacteriallter!
● Exchangethebacteriallterwhenchang-
ing the patient. ATMOS recommends:
Replacethebacteriallterafter14days,
even if there is no patient change.
● Priortoeachusepleasecheckwheth-
erthebacteriallterisdryandclean.
Replacethebacteriallterwithanew
lterifitisdiscoloured,contaminated
oroversucked.Abacterialltermay
never be reused
● Vacuum connection
Direct-Docking-System
The vacuum connection between the pump
and the collection canister is created au-
tomatically as soon as the DDS canister is
positioned correctly.
5.1 DDS canister and
 DDSbacteriallter
 WiththeDDScollectioncanisteronarmsurface,position
the lid horizontally on top (the lid may not be twisted!)
Press down lightly onto the collection canister using both
hands until limit is reached (Fig 7).
5.2 Insertion/Removal of the
DDS canister
The lter must be xed to the housing.Afterwards the
secretion canister is inserted. For insert the DDS collec-
tioncanister,shiftithorizontallyontothebacteriallter;for
removal, pull it horizontally outside (Fig 8).
Please note that this order is strictly observed otherwise
power loss of the device could be the consequence!
5.3 Connect hose
Press the required DDS hose adapter with 6 or 10 mm
diameter into the hole of the DDS collection canister lid
twistingslightlytoensureatightt (Fig 10).
Twist slightly in the same manner when removing.
Fig 9.
Fig 8.
Fig 7.
Fig 10.
i
Tip
If required the canister can be ejected even easier from
the device by means of a lever instrument (e.g. plain
spattle); see Fig. 9.
!
!





10
6.0 Operation Receptal®
6.2 Assembling the Receptal®
secretion canister system
Insert the Receptal®bag into the Receptal® canister.
Close the canister tightly at all sides.
Check again for density, otherwise no vacuum can
be built up.
Insert the vacuum hose.
Onlybagswithintegratedbacterialltermaybeused!
Fig 12.
Fig. 13.
● Onlyusesecretionbagswithintegrated
bacteriallter!
 Abacteriallteravoidsdivulgementof
bacterias.
● Sterilepackedpartsmaynolongerbe
used if their packing was damaged during
transport or storage
Danger of infection for the patient.
6.1 Holder for Receptal® secretion
canister
Plug the screw thread of the holder from the top into the
borehole at the bottom side of the device.
Screw it together with the provided screw nut.
Fig. 11.
Receptal® bag
Receptal®canister
11 Vacuum channel
12 Vacuum hose
13 Connection for vacuum hose
Thesecretionissuckedo󰀨throughthevacuum
channel.
6.3 Connect hose
!

!
i
11 12 13

11
7.0 Operation Medi-Vac®and Serres®
7.1 Holder for Medi-Vac®secretion
canister
Plug the screw thread of the holder from the top into the
borehole at the bottom side of the device.
Screw it together with the provided screw nut.
Fig. 14.
7.2 Assembling the Medi-Vac®
secretion canister system
Fig.15.
Medi-Vac®bag
Medi-Vac®canister
11 Vacuum channel
12 Vacuum hose
13 Connection for vacuum hose
7.3 Connect hose
Fig. 16.
Fig. 16a. Fig. 16b.
Fig. 16c.
Insert the Medi-Vac®bag into the Medi-Vac® canister.
Close the canister tightly at all sides.
Check again for density, otherwise no vacuum
can be built up.
Insert the vacuum hose.
Onlybagswithintegratedbacterialltermaybeused!
!
7.4 Holder for Serres®secretion
canister
Plug the screw thread of the holder from the top into the
borehole at the bottom side of the device.
Screw it together with the provided screw nut.
7.5 Assembling the Serres®secretion
canister system
7.6 Connect hose
Insert the Serres®bag into the Serres® canister.
Close the canister tightly at all sides.
Check again for density, otherwise no vacuum
can be built up.
Insert the vacuum hose.
Onlybagswithintegratedbacterialltermaybeused!
!
11 Vacuum channel
12 Vacuum hose
13 Connection for vacuum hose
i
11 12 13
11 12 13
i

12
8.0 Cleaning / Disinfection
The way the suction device is used determines its reliability and
safety. These hygiene measures are indispensable for protecting
the patient and the user and for maintaining a safe and reliable
suction device.
When the suction device is used on another patient or in case
the device has been oversucked a professional reprocessing
bythemanufacturer,byacertiedATMOSpartnerorbya
specialist, who is authorised by ATMOS, in compliance with
Medical Devices Operator Ordinance, Medical Devices Act and
BV-Med rules is required (please see chapter 9.2 reprocessing).
8.1 Basic information
●The following cleaning measures must only be performed if the
device was used. When the device is only rarely used then a
function check must be conducted at least every three months.
Only when you adhere to these points the function of the device
can be guaranteed.
●We recommend you to document any maintenance work and
also any exchange of parts.
●Please always wear disposable gloves for any work you
perform.
●Prior to cleaning the device please remove and dispose all
disposable parts like filter, fingertip and catheter.
●Prior to cleaning please remove the mains cable from the
device.
●The described measures for cleaning and disinfection
do not replace valid rules for operating the device!
●Please observe the instructions for use prescribed by the
manufacturers of disinfectants. Especially regarding
concentration and regarding their suitability for use.
●Attention: The lid parts and silicone hoses might get dyed by
some disinfectants; a fact which does not take effect on the
attributes of the materials.
●Basically all parts (canister, cover, overflow safety and
hose) which come into contact with suction material must be
cleaned and disinfected. Single-use parts like, for example,
filters, catheter, fingertip... must be exchanged as soon as
the device is used in another patient. Please see the different
instructions for cleaning (chapter 8.3).
●In case the suction device is used in one patient only device
and accessories should, for hygienic reasons, be cleaned
and disinfected. Please see the different instructions for
cleaning (chapter 8.3).
●Cleaning in an automatic cleaner and disinfector is also possible
(hose connector, secretion canister and canister lid).
Thermal disinfection is carried out at 93° C.
8.1.1 Bacteriallter
● Exchangethebacteriallterwhenchangingthepatient.ATMOS
recommends:Replacethebacteriallterafter14days,evenif
there is no patient change.
● Replacethebacteriallterwithanewlterifitisdiscoloured,
contaminated or oversucked.
● Payattentiontostoringasu󰀩cientnumberofreplacement
 bacteriallters.
8.1.2 Suction hose, hose connector and
vacuum hose
● Suctionhoseandhoseconnectormustalwaysbedisinfected
with an instrument disinfectant recommended on page 14 in
case the device is used in another patient. Prior to disinfection
or autoclaving the parts must be rinsed with clear water for at
least10secondsinordertoincreasecleaninge󰀩ciency.
Please observe the instructions for use of the relevant
disinfectant solution!
8.1.3 Fingertip
●Fingertip is not included in delivery, please order
separately.
●Prior to using the device in another patient the
 ngertipmustbeexchanged.
●In case the device is used in one patient only we
recommend for hygienic reasons the exchange of
 thengertipeveryday.
8.1.4 Secretion canister
● Thesecretioncanistermustalwaysbe
disinfected with an instrument disinfectant
recommended on page 14 in case the device is
used in another patient. Prior to disinfection resp.
autoclaving please take care to empty the canister
and to rinse it with clear water in order to increase
cleaninge󰀩ciency.
Please observe the instructions for use of the
relevant disinfectant solution!
● Incasethedeviceisusedinonepatientonlywe
recommend disinfection of the canister every day
as described above.
● Forhygienicreasonswerecommendtoemptythe
secretion canister after every suction procedure
and to rinse it with clear water.
Information on how to remove the canister you
 willndinchapter5.2onpage9.
● Incasethepartsareusedinonepatientonly
we recommend an exchange every 4 weeks.
● Inadditionwerecommendtothoroughlyrinse
hose, hose connector and vacuum hose with clear
water and to disinfect them at least once a day as
described above.
!
!
!
8.1.5 Canister lid
●The canister lid must always be disinfected with an
instrument disinfectant recommended on page 14 in
case the device is used in another patient. Prior to
disinfection please take care to remove the bacterial
 lterfromthelidandtodisassemblethelidintoits
 singlecomponents(lid,oatballandhose
connector). Prior to disinfection or autoclaving the parts
must be rinsed with clear water for at least 10 seconds
inordertoincreasecleaninge󰀩ciency.Afterwardsthe
parts have to be disinfected.
Fig 17.

13
8.0 Cleaning / Disinfection
● The complete surface of the hose rewind, the trolley and the
device support must always be cleaned with a damp (not wet)
cloth and disinfected with a surface disinfectant stated
on page 14 prior to use the device in another patient.
● In case the device is used in one patient only the device sur-
face should be cleaned if it is contaminated however at least
once every week with a damp (not wet) cloth and afterwards be
disinfected with a surface disinfectant stated on page 14.
8.2 Oversuction
When is a suction unit oversucked?
A suction device is oversucked if suction material penetrated into
the interior of the device.
How can one realise that the suction device is contaminated?
Generally a reduced suction capacity is a sign of possible oversuction.
The ATMOS C 161 / C 261 Aspirator have a condensate collector at
the bottom of the device. For visual inspection please remove the
cap. The device is oversucked if humidity or contamination is visible
in the condensate collector.
Measures
Thedevicemustbereprocessedbythemanufactureroracertied
ATMOS partner if the device is oversucked or if any reservations exist
regarding the hygiene condition.
A contaminated suction device bears a risk for the patient as well as
for the caregiver. Therefore, we recommend regular checking of the
condensate collector.
8.3 Cleaning instructions
for use in another patient
For use in one
patient
contamination after suction procedure 1x per day 1x per week every 2 weeks every 4 weeks
Exchangebacteriallter X X X
Rinsing the suction hose X X
Disinfecting/autoclaving
the suction hose X X
Exchanging the suction hose X
Exchangingthengertip X X
Emptying the secretion canister X X
Rinsing the secretion canister X X
Disinfecting the secretion canister X X
Rinsing the lid components X X
Disinfecting the lid components X X
Cleaning of the device surface X X X
Wipe disinfection of the
device surface X X X
Rinsing the vacuum hose X X
Disinfection of the vacuum hose X X
Disinfection of the hose connector X X
Please observe the instructions for use of the
relevant disinfectant.
Information on how to remove the secretion
canisterlidyouwillndinchapter5.2on
page 9.
● Werecommendtothoroughlyrinsethelidandits
components with clear water after each suction
procedure in case the device is used in one patient
only.
 Attention!Pleaseremovebacteriallterpriorto
this!
8.1.6 Device surface
● Priortousethedeviceinanotherpatientthe
complete device surface must always be cleaned
with a damp (not wet) cloth and disinfected with a
surface disinfection solution stated on page 14.
● Incasethedeviceisusedinonepatientonlythe
device surface should be cleaned if it is
contaminated however at least once every week with
a damp (not wet) cloth and afterwards be disinfected
with a surface disinfectant stated on page 14.
Discolouration of the surface could occur by some
disinfectants;afactwhichdoesnottakee󰀨ecton
the attributes of the material.
Prior to cleaning please make sure to disconnect the
device from the mains!
The device may never be autoclaved, rinsed under
running water or immersed into any liquids!
8.1.7 Rinsing Canister
● Therinsingcanistermustalwaysbedisinfected
in case the device is used in another patient.
Prior to disinfection please take care to empty
the canister and to rinse it with clear water in
ordertoincreasecleaninge󰀩ciency.
● Incasethedeviceisusedinonepatientonly
we recommend disinfection of the canister
every week.
● Therinsingcanistermayonlybecleanedwithaph
neutral cleaning liquid which does not contain the
following ingredients:
ammoniac, amines, amides, phenol derivates, ani-
onic tensides.
● Thedisinfectionisexclusivelyallowedwithdisinfect-
ant which does not contain the following ingredients:
alcohol, aromatic hydrocarbons, ammonia, amine.
● Cleaninginadishwasherispossiblewhenusingph
neutral cleaning liquids (5 cycles).
8.1.8 Accessories
● Hoserewind(313.0007.0)/
Trolley (320. 0070.0) /
Device support (313.0012.0)
!
!
!
!
!

14
8.0 Cleaning
8.4 Recommended disinfectants for instruments
Disinfectant Contents (in 100 g) Manufacturer
GIGASEPT FF Succindialdehyde 11.0 g Schülke & Mayr, Norderstedt
(Application concentrate) Dimethoxytetrahydrofurane 3.0 g not for rinsing canister
Corrosion inhibitors
Non-ionic tensides and fragrances
Sekusept PLUS1Glucoprotamine 25.0 g Ecolab, Düsseldorf /
not for rinsing canister
(Application concentrate) Non-ionic tensides
Solvents, complexing agents
8.5 Recommended disinfectants for surfaces
Disinfectant Contents (in 100 g) Manufacturer
ATMOS Green & Clean SK Alkyldimethylbenzylammoniumchloride <1 g Metasys, Rum (Austria)
(application solution) Dialkyldimehtylammoniumchloride <1 g
Alkyldimethylethylbenzylammoniumchloride <1 g
Dismozon pur Magnesium peroxyphthalate Bode Chemie, Hamburg
(granulate) Hexahydrate 80 g
End of product 12/2014
Dismozon plus Magnesium peroxyphthalate Bode Chemie, Hamburg
(granulate) Hexahydrate 95.8 g
Kohrsolin FF Glutaral 5 g Bode Chemie, Hamburg
(application solution) Benzyl-C12-C18-alkyldimethyl- 3 g not for rinsing canister
ammoniumchloride
Didecyldimethylammoniumchloride 3 g
Mikrozid sensitive wipes Quaternary Ammonium compounds 0.26 g Schülke & Mayr, Norderstedt
Perform Pentakalium bis(peroxymonosulphate)- Schülke & Mayr, Norderstedt
(application solution) bis(sulphate) 45.0 g
Bacillol 30 Foam Ethanol 14.0 g Bode Chemie, Hamburg
Propan-2-ol 10.0 g not for rinsing canister
Propan-1-ol 6.0 g
Alkylamino-
propylglycine < 1 g
Mikrobac forte Benzyl-C12-C18-alkyldimethyl- 19.9 g Bode Chemie, Hamburg
ammoniumchloride
N-(3-Aminopropyl)-N-dodecylpropan
1.3-diamin
Discolouration may result if disinfectants containing aldehydes and amines are used on the same object.

Cleaning and servicing plan for ATMOS A 161 / A 261 / C 161 / C 261 Aspirator
start date: name of the item: serial number:
*Beforersttimeoperationofabrandnewdevice,respectivelyatechnicallyaswellashygienicallyproperdevice.
day
cleaning
secretion
canister
cleaning
canister
lid
cleaning
of the
housing
exchange of
bacteriallter
exchange
ofngertip
exchange of
suction hose,
1.3 m
cleaning/exchange performed
name signature
exchange* exchange* exchange*
exchange
exchange
exchange
exchange
exchange
exchange
exchange
exchange
exchange
exchange
exchange
exchange
exchange
exchange
exchange exchange
exchange
exchange
exchange
exchange
exchange
exchange
exchange
exchange
exchange
exchange
exchange
exchange
exchange
exchange
daily, respectively after each use
daily, respectively after each use
daily, respectively after each use
ATMOS MedizinTechnik GmbH & Co. KG
Ludwig-Kegel-Straße 16 / D-79853 Lenzkirch
Phone: [phone] / Fax: [phone]
www.atmosmed.de / e-mail: [email protected]
other products must be avoided. The intervals stated in the list are non-bin-
ding guide values. Depending on the use shorter intervals may be necessary.
For each patient a new or technically as well as hygienically proper suc-
tion device must be used. Otherwise there is high and acute danger of
infection for the patient, the user and any third person!
Special notes:
Before operating the suction device, the user has to make sure that the device
functions and is in good order and condition. The user has to observe the
instructions in the operating manual as well as all other safety-related and
maintenance information enclosed.
For cleaning and disinfection only agents which are recommended by the ma-
nufacturer, may be used.
Only sterile, single-use suction catheters may be used for suctioning. They
have to be exchanged before each suction process. During use utmost atten-
tion to hygiene (e.g. disinfection of hands, wearing single-use gloves) is indis-
pensable. After each use the secretion canister and the hose must be rinsed
thoroughly with water. During storage the contamination of the device and

Important notes
General information
The way the suction device is used determines its reliability and safety.
These hygiene measures are indispensable for protecting the patient
and the user and for maintaining a safe and reliable suction device.
If there is a change of patient or ownership then the device must
be reprocessed acc. to Medical Devices Operator Ordinance, Me-
dical Devices Act and BVMed guidelines. An oversucked (conta-
minated) device must be repaired by the manufacturer, by a certi-
ed ATMOS partner or an ATMOS authorized, specialized dealer.
This cleaning and servicing plan as well as the relevant notes result
from many years of experience. Depending on the use and the user’s
experience shorter intervals may be necessary.
ATMOS recommends the following sets of consumables:
According to this cleaning and servicing plan the following consumab-
les have to be changed:
suction catheter, length: 50 cm
Disconnect the mains plug from the socket before commencing
with cleaning and disinfection!
Please observe the notes in the operating instructions, especially
regarding the recommended agents.
Cleaning of the secretion canister
Please empty the secretion canister after each use, rinse it thorough-
ly with clear water and clean it with washing-up liquid. Tenacious
contaminations can be removed with a standard bottle brush.
Cleaning of the canister lid
The bacterial lter must be removed before cleaning, please use
single-use gloves. Please demount the canister lid after each use and
rinse it thoroughly. The lid must be absolutely dry before reuse. Please
payattentiontoacorrectfunctionoftheoverowsafetywhenmoun-
ting the lid.
Bacteriallter
Thebacteriallterpreventspenetrationofmicroorganismsandsecre-
tion into the device, respectively blowing out from it and is therefore a
protectionfortheuserandthedevice.Replacethebacteriallterwith
anewlterifitisdiscoloured,contaminatedoroversucked.Exchange
thebacteriallterwhenchangingthepatient.ATMOSrecommends:
Replacethebacterial lter after14days,even ifthereisno patient
change.Inordertoincreasetheservicelifeofbacteriallters,itisre-
commended to empty the secretion canister when it is half-full. Always
usetheoriginalATMOSbacteriallter
 Thesuctiondevicemaynotbeoperatedwithoutbacteriallter!
Hoseconnection/ngertip
Thengertipconnectsthesuctionhosetothesuctioncatheter.Asthe
ngertipisindirectcontactwithsecretionanditisdi󰀩culttoclean,we
recommend a daily exchange. When the device is used for another
patientthengertipmustbeexchangedimmediately.
Suction Hose
The suction hose conducts the secretion from the suction catheter to
the canister. In order to prevent secretion from drying, the hose must
be thoroughly rinsed with clear water after each use. The water can
besuckedinto the secretion canister. Please ll the secretion cani-
ster only half. Frequent cleaning and disinfection may discolour and
embrittle the hose. Therefore, a monthly exchange of the suction hose
is recommended.
Cleaning of the device (housing)
When the device is contaminated but at least once per week the hou-
singmustbewipedo󰀨withamoist(butnotwet)cloth.Aweeklydis-
infection is recommended.
 Never irrigate the device with water and never emerge it into any
liquid.
Cleaning/disinfection
Toimprovethecleaninge󰀨ect,standardwashing-upliquidcanbead-
ded to the warm water. In the case of tenacious contamination the
parts should be steeped in water for a length of time or they may be
removed with a soft brush or cloth. After thorough cleaning, canister,
ngertipandhosescanbedisinfectedwithadisinfectionagent(see
operating instructions).
Cleaning in an automatic cleaner and disinfecter is also possible
(hose connector, secretion canister and canister lid).
Thermal disinfection is carried out at 93° C.
white Ø 4 mm
green Ø 4.7 mm
orange Ø 5.3
bacteriallter
ngertip
Suction hose
1.3 m
ATMOS MedizinTechnik GmbH & Co. KG
Ludwig-Kegel-Straße 16 / D-79853 Lenzkirch
Telefon: [phone] / Fax: [phone]
www.atmosmed.de / e-mail: [email protected]

17
9.1 Basic information
● Carryoutavisualinspectionoftheunitpriortoeach
use including hoses, collection canister and connec-
tion cable. Damaged cables and hoses must be
replaced immediately.
● Maintenance,repairsandperiodtestsmayonlybe
carried out by persons who have the appropriate
technical knowledge and are familiar with the product.
To carry out these measures the person must have the
necessary test devices and original spare parts.
ATMOS recommends: work should be carried out by
an authorized ATMOS-service partner. This ensures
that repairs and testing are carried out professionally,
original spare parts are used and warranty claims
remain unaffected.
● Pleasecomplywiththecountry-specificguidelines
regarding regular testing especially for the electrical
safety. ATMOS recommends a test every 24 months.
● Forrepair,thisdevicecanbereturnedtoATMOS.
● Beforereturningthedeviceforrepair,cleanandafter-
wards disinfect all secretion canister parts and hose
parts. The device´s surface also has to be disinfected.
● ATMOScannotguaranteeperfectfunctioningneither
will it be liable for damage to people or property if:
• Any non-original ATMOS parts are used,
• the user instructions given in this manual are not
followed exactly or are disregarded,
• assembly, resetting, alterations, extensions and
repairs are not carried out by people authorised by
ATMOS.
● Nowarrantyrightsshallexistintheeventofdamage
or failure caused by the use of non-ATMOS accessori-
es or non-ATMOS consumables.
● Inordertoprotecttheuser,theATMOSA/C161Bat-
tery must be in good condition with regard to technics
and hygiene prior to passing on. If there is a change of
patient or ownership then the device must be repro-
cessed acc. to Medical Devices Operator Ordinance,
Medical Devices Act and BVMed guidelines. An over-
sucked (contaminated) device must be repaired by
themanufacturer,byacertiedATMOSpartneroran
ATMOS authorized, specialized dealer.
● Payattentiontoregulationsandinstructionsvalidfor
the respective application range.
9.0 Maintenance
condensate
collector for a
quick view control
of a possible
contamination
9.2 Reprocessing
The way the suction device is used determines its
reliability and safety. These hygiene measures descri-
bed in the last chapter are indispensable for protecting
the patient and the user and for maintaining a safe and
reliable suction device.
When you can ensure the device was not
oversucked then perform a reprocessing
acc. to Medical Devices Operator Ordinance,
Medical Devices Act and BVMed guidelines.
The reprocessing consists of cleaning,
surface disinfection as well as the exchange of
consumables. An ATMOS set of consumables is
available for this purpose.
If you cannot exclude that the device was
oversucked then the device must be repaired by
themanufacturer,byacertiedATMOSpartner
or an ATMOS authorized, specialized dealer.
Subsequently the device may be operated again.
When is a suction unit oversucked?
A suction device is oversucked if suction material
penetrated into the interior of the device.
How can one realise that the suction device is
contaminated?
Generally a reduced suction capacity is a sign of possible
oversuction.
The ATMOS C 161 / C 261 Aspirator have a condensate
collectoratthebottomofthedevice(g14 ). For visual
inspection please remove the cap. The device is
oversucked if humidity or contamination is visible in the
condensate collector.
Measures
The device must be reprocessed by the manufacturer or
acertiedATMOSpartnerifthedeviceisoversuckedor
if any reservations exist regarding the hygiene condition.
A contaminated suction device bears a risk for the patient
as well as for the caregiver. Therefore, we recommend
regular checking of the condensate collector.
14
9.3 Sending in the device
1. Remove and properly dispose of consumables.
2. Clean and disinfect the products and accessories
according to the operating instructions.
3. Place used accessories with the device.
4. Fill in the form QD 434 „Delivery complaint / return
shipment“ and the respective Decontamination certi-
cate.
• This form is enclosed to each delivery and can be
found at www.atmosmed.com.
5. The device must be well padded and packed in suitable
packaging.
6. Place the form QD 434 „Delivery complaint / return
shipment“andtherespectivedecontaminationcerti-
cate in an envelope.
7. A󰀩xtheenvelopetotheoutsideofthepackage.
8. Send the product to ATMOS or to your dealer.

18
10.0 Trouble-shooting
Prior to dispatch, the ATMOS A / C 161 / 261 Aspirator was subjected to an extensive functional test. If, nevertheless, a failure
should appear, you may possibly clear it yourself if you follow these notes:
Problem Possible causes Remedy
●Unitdoesnotstart – Discharged battery – Connect the battery charging
power pack to the device. The
battery should be recharged for
1 – 2 hours prior to operation
with battery.
– Loose power plug of the charging device – Check all plug and socket
connections. Pay attention to the
control lamp, it must be
illuminated when all connections
are o.k.
● Insu󰀩cientperformance – Discharged battery – Recharge the battery.
– Filter is blocked – Exchangethelter.
● 1.Lowornovacuum
is indicated
–1.1DDSbacteriallterismissing –InsertDDSbacteriallter
– 1.2 Leakages within the hose system
or in collection canister lid
– Check collection canister lid and
hosesystemontighttting.
–Connectthelteronceagainto
the connection nozzle.
– Check the suction lid on tight
andcorrecttting.
● 2.Highvacuumis
indicated
– 1.3 Secretion or blood has been
sucked in and valve plates of
the pump are contaminated
–2.1DDSbacteriallterisblocked.
– Unit has to be returned for repair.
– ExchangeDDSbacteriallter
–2.2Floatofoverowsafetycloses
the collection canister inlet
– Check collection canister inlet; if
necessary empty secretion
canister, clean the oversuction
protectionandcheckoatball
forexibility.
• When switching on,
the unit automatically
switcheso󰀨
– Applied Vacuum (over 40%) – Vent the vacuum, then restart

19
11.0 Accessories, consumables and spare parts
DDS bacterial lter /
oversuction stop
Hose connection,
(ngertip)
Suction catheter
Plak-VacTM toothbrush
Trolley on
4 castors
Cover for
secretion canister
(incl. spare DDS lter)
Grad.
secretion canister 1 l
Rewind system
for suction hoses
Separate
rinsing canister set
Basket for catheters
Device support
REF
11.1 Accessories for A and C class
Grad. secretion canister, 1 l DDS, blue, PSU 313.0015.0
Grad. secretion canister, 1 l DDS, transparent, PSU 313.0017.0
Secretion canister lid, 1 l DDS, blue, with spare bacterial filter 313.0006.0
Separate rinsing canister set for ATMOS A- and C- class
incl. lid and support
313.0008.0
Hose connector for hoses Ø 6 mm 000.0836.0
Hose rewind for suction hoses for ATMOS A- and C- class 313.0007.0
Power cable, 3-wire Schuko connector, 2 m 008.0866.0
Carrying bag, black 313.0011.0
Device support for ATMOS A- and C- class 313.0012.0
Trolley on 4 castors, for A- and C- class 320.0070.2
Support for Receptal®external canister 1 l and 1.5 l 313.0009.0
Support for Medi-Vac®external canister 1 l 313.0010.0
Support for Serres®external canister 1 l 313.0413.0
11.2 Consumables
Bacterial filter for ATMOS DDS secretion canister, 10 pcs. 340.0054.0
Set of consumables for ATMOS A- and C-class DDS 313.0160.0
General accessories
Receptal®external canister 1.5 l 310.0221.0
Serres®external canister 1 l 312.0465.0
Medi-Vac®canister 1 l 312.0473.0
Basket for catheters, L = 340 mm 444.0140.0
Basket with standard rail holder 320.0075.0
Suction hoses / fingertip
Plak-VacTM tooth brush with suction mechanism 000.0821.0
Suction hose, silicone, Ø 6 mm, minimum purchase 5 m 006.0009.0
Suction hose, silicone, Ø 6 mm, L = 1.30 m, 1 pcs. 000.0013.0
Suction hose, PVC, disposable, Ø 6 mm, L = 1.30 m, 10 pcs. 006.0057.0
Suction hose, PVC, disposable, Ø 6 mm, L = 2.10 m, 50 pcs. 006.0059.0
Fingertip, sterile, not autoclavable,
minimum purchase 10 pcs.
000.0347.0
Suction bags
Receptal®suction bag 1.5 l, not autoclavable, 50 pcs. 310.0222.2
Medi-Vac®suction bag 1 l, not autoclavable, 50 pcs. 312.0474.0
Serres®suction bag, 1 l, not autoclavable, 36 pcs. 312.0466.0
Suction catheters
Suction catheter, size: CH 12, L = 50 cm, 100 pcs.
Ø 4 mm, white, straight, central opening, 2 small lateral openings, suction
connection Ø 6 mm, #e, not autoclavable
000.0294.0
Suction catheter, size: CH 14, L = 50 cm, 100 pcs.
Ø 4.7 mm, green, straight, central opening, 2 small lateral openings, suction
connection Ø 6 mm, sterile, not autoclavable
000.0295.0
Suction catheter, size: CH 16, L = 50 cm, 100 pcs.
Ø 5.3 mm, green, straight, central opening, 2 small lateral openings, suction
connection Ø 6 mm, sterile, not autoclavable
000.0296.0

20
11.0 Accessories, consumables and spare parts
REF
11.3 Spare parts
Hider (Valid for ATMOS C 161 / C 261 Aspirator) 999.1996.0
Self-adhesiveelasticbu󰀨er5J-5017 000.0018.0
Plug GPN 300 000.0824.0
Ballforoverowprotection 000.0839.0