Atmos A 161 User manual

English

ATMOS®

A 161 / A 261 /

C 161 / C 261 Aspirator

2014-08 Index: 32

Operating instructions

313.0200.B

313.0265.B

313.0202.B

313.0203.B

313.0300.B

313.0365.B

313.0302.B

313.0303.B

313.0100.B

313.0165.B

313.0102.B

313.0103.B

313.0000.B

313.0065.B

313.0002.B

313.0004.B

MedizinTechnik

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

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 speciﬁ 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

General Standard Terms and Conditions

7.0 Operation ATMOS A / C 161 / 261 Aspirator / M........11

7.1 Holder for MediVac secretion canister...........................11

7.2 Assembling the MediVac secretion canister set........... 11

7.3 Connect hose ............................................................... 11

6.0 Operation ATMOS A / C 161 / 261 Aspirator / R ....... 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

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 effectively. 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 safety inspections 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 safety inspections may be carried out only by expert personnel authorised by

ATMOS. By applying only original spare parts you will have the guarantee that operational safety,

readiness for work and the value of your ATMOS®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 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 9001 and EN ISO 13485.

● Prior to start-up please peruse chapter 2.0 „For your safety“, in order to be prepared for any

possible dangerous situations.

● 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 161 Aspirator / DDS REF 313.0000.0

with 1l DDS grad. secretion canister

• ATMOS®C 161 Aspirator / R REF 313.0065.0

with 1.5l Receptal® canister

• ATMOS®C 161 Aspirator / M REF 313.0002.0

with 1l Medi-Vac®canister

• ATMOS®C 161 Aspirator / S REF 313.0004.0

with 1l Serres®canister

• ATMOS®C 261 Aspirator / DDS REF 313.0100.0

with 1l DDS grad. secretion canister

• ATMOS®C 261 Aspirator / R REF 313.0165.0

with 1.5l Receptal® canister

• ATMOS®C 261 Aspirator / M REF 313.0102.0

with 1l Medi-Vac®canister

• ATMOS®C 261 Aspirator / S REF 313.0103.0

with 1l Serres®canister

These operating instructions are valid for the following devices:

• ATMOS®A 161 Aspirator / DDS REF 313.0200.0

with 1l DDS grad. secretion canister

• ATMOS®A 161 Aspirator / R REF 313.0265.0

with 1.5l Receptal® canister

• ATMOS®A 161 Aspirator / M REF 313.0202.0

with 1l Medi-Vac®canister

• ATMOS®A 161 Aspirator / S REF 313.0203.0

with 1l Serres®canister

• ATMOS®A 261 Aspirator / DDS REF 313.0300.0

with 1l DDS grad. secretion canister

• ATMOS®A 261 Aspirator / R REF 313.0365.0

with 1.5l Receptal® canister

• ATMOS®A 261 Aspirator / M REF 313.0302.0

with 1l Medi-Vac®canister

• ATMOS®A 261 Aspirator / S REF 313.0303.0

with 1l Serres®canister

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 diaphragm-type pump.

During operation, the pump generates a vacuum within the hose system

and the collection canister, thus sucking off secretions or  uids (e.g.

by means of a suction catheter). The  uid is gathered in the collection

canister. A mechanical over ow safety (on the inner part of the collection

canister lid) avoids penetration Valid for 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. The unit is equipped with

a rechargeable battery (accumulator). Integrated microprocessor-based

technology assures safe charging of the battery; overcharging is thus

impossible. An overtemperature stop controlled by electronics avoids

overheating of the unit. A disposable bacterial  lter plate integrated in the

lid of the collection canister prevents bacteria and liquid from penetrating

into the pump.

Valid for ATMOS® A 161/ 261 Aspirator

The  nal vacuum and, following, the air- ow rate can be adjusted by me-

ans of 3 step vacuum regulation.The unit is equipped with a rechargea-

ble battery (accumulator). Integrated microprocessor-based technology

assures safe charging of the battery; overcharging is thus impossible. An

overtemperature stop controlled by electronics avoids overheating of the

unit. A disposable bacterial  lter plate integrated in the lid of the collection

canister prevents bacteria and liquid from penetrating into the pump.

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

absorbtion 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.



 





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

The CE sign shows that this

product meets the appropriate

requirements of the EC

guidelines.

1.5 Transport and storage

● The transport of the device may be effected only in a dispatch

carton upholstered and offering suf cient protection.

● Please document and report damages in transit imme-diately.

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.

Warning,

especial diligent notice !

Serial number

Order number

Application part type B

Creation date

ON (feed-in,

power connection)

OFF (feed-in,

power connection)

Fuse

Protection class II

Important information!

●Ambient conditions:

Transport/Storage: -30...+50°C;

5...90 % humidiy

non-condensing

at air pressure 700...1060 hPa

Operation: +10...+35°C;

20...80 % humidiy

non-condensing

at air pressure 700...1060 hPa

ATMOS A / C 161 / 261 Aspirator, scope of supply of all versions:

Grad. secretion

canister (1l)

Lid for secretion

canister with

triple oversuction

safety

mains cable for

230 V~/50-60 Hz

silicone

suction hose

Ø 6mm, L= 1,30m

Medi-Vac®

canister (1l)

Support

Receptal®

containter (1.5l)

Support

1.0 Introduction

C 161 Battery

2 DDS

bacterial ﬁ lter

C 161 Battery

1 DDS bacterial

ﬁ lter

Medi-Vac®

suction bag (1l)

with integrated

bacterial ﬁ lter

Receptal®

suction bag (1.5l)

with integrated

bacterial ﬁ lter

Serres®

containter (1l)

Support

Serres®

suction bag (1l)

REF

DDS®Receptal®

Medi-Vac®Serres®

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 surfa-

ce. The switched-on unit might get overheated

if it is placed on an uneven surface (e.g. mat-

tress, 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 described

in chapter 1.5 Transport and storage.

● 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, con-nection cables and hoses must

be checked for damage prior to starting up.

Damaged cables and hoses must be replaced

immediately. Prior to use, check the unit func-

tions.

Danger of injury!

● The ATMOS®C 161 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®C 161 Aspirator to patients.

● The ATMOS®A / C 161 / 261 Aspirator may be

operated only in rooms used for medical purpo-

ses, but not in areas subject to explosion hazards

and in oxygen rich environments.

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 con-

sumables

● The safety standard of the ATMOS®A / C 161 /

261 Aspirator corresponds with recognized me-

dical technical regulations and the directions 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.

●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.



● Use transparent hoses exclusively.

● 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.

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/ Off 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 DDS bacterial filter, as the device

may not be operated without one!

Fig 3.

Fig 2a.

Fig 4.

Fig 5.

Fig 2b.

●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 different 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 disinfection

liquid after every suction procedure. We

recommend to use the rinsing bottle in which

you can carry clean water along with you.

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 applicaton

ranges).

● Attention: Suction procedures in the

respiratory tract may only be

implemented after appropriate instruction

by hospital or special staff.

●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 aspi-

ration 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 Aspira-

tor!

4.3 Suction procedure

●Then, lead in the catheter in the same way as shown by

your hospital staff 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

5.0 Operation DDS

Important

notes on safety for the

DDS canister system

● The device may not be operated

without DDS bacterial ﬁ lter / over-

suction stop!

Therefore always hold ready a

replacement DDS bacterial ﬁ lter!

●Please use gloves when changing the

bacterial  lter!

● The DDS bacterial  lter / oversuction stop

is disposable.

An exchange of the DDS bacterial  lter is

necessary before every change of patient.

In the case the device is exclusively used

in one patient, the  lter must be exchanged

at least every two weeks(depending on

frequency of use).

●Before each use, check that the DDS

bacterial filter / oversuction stop is

clean and dry. Wet or dirty  lters must

be replaced with new ones. ● Vacuum connection

Direct-Docking-System

The vacuum connection between the

pump and the collection canister is

created automatically as soon as the

DDS canister is positioned correctly.

5.1 DDS canister and

DDS bacterial ﬁ 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

For removal, pull the DDS collection canister horizontally

outside; for insert it again, shift it horizontally onto the bac-

terial  lter (Fig 8.).The  lter must be  xed to the housing

afterwards the secretion canister is inserted.

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.

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.



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 ﬁ lter!

A bacterial ﬁ 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 off through the vacuum

channel.

6.3 Connect hose



Close the canister tightly at all sides.

Check again for density, otherwise no vacuum can

be built up.

11 12 13

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!

Close the canister tightly at all sides.

Check again for density, otherwise no vacuum

can be built up.

11 Vacuum channel

12 Vacuum hose

13 Connection for vacuum hose

Close the canister tightly at all sides.

Check again for density, otherwise no vacuum

can be built up.

11 12 13

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, overfl ow 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 disinfecter is also possible

(hose connector, secretion canister and canister lid).

Thermal disinfection is carried out at 93° C.

8.1.1 Bacterial ﬁ lter

● For hygienic reasons the DDS bacterial  lter must always be

exchanged when the device is used in another patient.

●In case the device is used in one patient only, we

recommend an exchange of the  lter at least every two

weeks.

● Pay attention to storing a suf 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 ef 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 ef 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

thesecretion 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 ef ciency. Afterwards the

parts have to be disinfected.

Fig 17.

will  nd in chapter 5.2 on page 9.

8.0 Cleaning / Disinfection

o 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 disinfection solution stated

on page 14 prior to use the device in another patient.

o 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?

The new ATMOS®C 161, ATMOS®C 261 and ATMOS®C 161 Battery

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.

Generally a reduced suction capacity is a sign of possible

oversuction. The device must be reprocessed by the manufacturer

or a certi ed ATMOS partner if the device is oversucked. 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 disinfection solution.

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.

The surface might get dyed by some disinfectants;

a fact which does not take effect 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 ef 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, anio-

nic tenides.

●The disinfection is exclusively allowed with alcohol-

based disinfecting liquid. The may not contain the

following ingredients:

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)

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

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

(application solution) Hexahydrate 80 g

Kohrsolin FF Glutaral 5 g Bode Chemie, Hamburg

(application solution) Benzyl-C12-C18-alkyldimethyl- 3 g

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

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.

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

(application solution) Hexahydrate 80 g

Kohrsolin FF Glutaral 5 g Bode Chemie, Hamburg

(application solution) Benzyl-C12-C18-alkyldimethyl- 3 g

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

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

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

containe-

hälter

cleaning

canister

lid

cleaning

of the

housing

exchange of

bacterial ﬁ lter

exchange

of ﬁ ngertip

exchange of

suction hose,

1.3 m

cleaning/exchange performed

name signature

exchange* exchange* exchange*

exchange

exchange exchange

exchange

exchangeexchange

exchange

daily, respectively after each use

ATMOS MedizinTechnik GmbH & Co. KG

Ludwig-Kegel-Straße 16 / D-79853 Lenzkirch

Phone: +49 (0)7653-689-0 / Fax: +49(0)7653-689-292

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-

ﬁ 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 ﬁ 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. For hygienic reasons a weekly

exchange is recommended. An immediate exchange of the  lter is

necessary if it is contaminated or when the device is used for another

patient. 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/ﬁ ngertip

The  ngertip connects the suction hose to the suction catheter. As the

 ngertip is in direct contact with secretion and it is dif 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 off 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 effect, 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