Atmos C 051 Thorax User manual

E349855
GA1GB.710101.0
2022-05 Index: 17
These operating instructions are valid from software version 1.3.22.
Operating Instructions
ATMOS C 051 Thorax
English

2
Table of contents
1.0 Introduction...................................................................................................... 4
1.1 Notes on operating instructions .............................................................................4
1.2 Explanation of pictures and symbols .....................................................................5
1.3 Intended purpose .....................................................................................................8
1.3.1 Intended purpose ATMOS C 051 Thorax................................................................8
1.3.2 Intendedpurposesecretioncanister800ml.........................................................9
1.3.3 Intended purpose hose system.............................................................................10
1.4 Function....................................................................................................................12
1.5 Transport and storage............................................................................................13
2.0 For your safety ............................................................................................... 14
2.1 General safety instructions....................................................................................14
2.2 Danger for users, patients, and third parties ......................................................14
2.3 Avoiding damage to the device .............................................................................17
2.3.1 General information ...............................................................................................17
3.0 Setting up and starting up............................................................................ 19
3.1 Scope of delivery.....................................................................................................19
3.2 Device overview.......................................................................................................19
3.3 Start up.....................................................................................................................20
3.3.1 Battery charging ......................................................................................................20
3.3.2 Secretion canister....................................................................................................21
3.3.3 Connecting the hose system .................................................................................24
4.0 Operation........................................................................................................ 26
4.1 Explanation of the display......................................................................................26
4.2 Buttons and display symbols.................................................................................27
4.2.1 Buttons.....................................................................................................................27
4.2.2 Display symbols.......................................................................................................28
4.3 Explanation of the display in key lock modes......................................................28
4.3.1 Key lock mode with bubbles..................................................................................28
4.3.2 Key lock mode with bar chart................................................................................28
4.4 Switching on.............................................................................................................29
4.5 Leakage test.............................................................................................................29
4.6 Function....................................................................................................................31
4.6.1 Target vacuum .........................................................................................................31
4.6.2 Gravity drainage mode...........................................................................................31
4.6.3 Suction......................................................................................................................31
4.7 Key lock.....................................................................................................................33
4.8 Therapy progress ....................................................................................................34
4.8.1 Short time display ...................................................................................................34
4.8.2 Long time display ....................................................................................................35
4.8.3 Transfer of therapy data.........................................................................................36
4.8.4 Reading out the therapy data................................................................................37
4.9 User settings............................................................................................................38
4.10 Switchothedevice...............................................................................................40
5.0 Warning messages ......................................................................................... 41

6.0 Function .......................................................................................................... 44
6.1 Hose rinsing.............................................................................................................44
6.2 Gravity drainage mode while using the drainage system..................................44
7.0 Accessories, consumables and spare parts ................................................ 45
7.1 Attaching the universal bracket (Accessories) .....................................................46
7.2 Attaching/removing the device to/from the universal bracket..........................46
7.3 Attaching the support to a standard rail..............................................................47
7.3.1 Attaching the support directly to a standard rail ................................................47
7.3.2 Attaching/removing the support to/from the universal bracket.......................48
7.4 Placing / removing the device on/from support (accessory) .............................48
7.5 Attaching and removing the power supply unit (accessory)..............................49
7.5.1 Attaching and removing the power supply unit to the support........................49
7.5.2 Attaching and removing the power supply unit with support to the universal
bracket......................................................................................................................49
7.6 Inserting and removing the power supply unit and power cable .....................50
7.7 Charging the device with power supply unit support (accessory) ....................50
7.8 Attaching and removing the carrying handle, disposable strap and carrying
strap..........................................................................................................................50
7.8.1 Strap holders ...........................................................................................................50
7.8.2 Attaching the carrying handle ...............................................................................50
7.8.3 Removing the carrying handle...............................................................................51
7.8.4 Attaching the disposable strap..............................................................................51
7.8.5 Attaching the carrying strap ..................................................................................52
8.0 Cleaning and care .......................................................................................... 53
8.1 General information on cleaning and disinfection .............................................53
8.2 Cleaning the device surface...................................................................................54
8.3 Recommended disinfectants.................................................................................54
8.4 Hygiene plan............................................................................................................55
9.0 Maintenance and Service.............................................................................. 56
9.1 Basic instructions ....................................................................................................56
9.2 Repairs......................................................................................................................56
9.3 Sending in the device..............................................................................................56
9.4 Handling of batteries..............................................................................................57
10.0 Troubleshooting ............................................................................................. 58
11.0 Technical data ............................................................................................... 60
11.1 ATMOS C 051 Thorax ..............................................................................................60
11.2 Secretioncanister800ml.......................................................................................61
11.3 Hose system ............................................................................................................62
12.0 Disposal/recycling.......................................................................................... 64
12.1 Expected service life ...............................................................................................64
13.0 Notes on EMC (Electromagnetic compatibility).......................................... 65
13.1 Guidance and manufacturer’s declaration – ambient conditions.....................65
13.2 Guidance and manufacturer’s declaration – key features .................................65
13.3 Guidance and manufacturer’s declaration – warnings.......................................65

4
1.0 Introduction
1.1 Notes on operating instructions
These operating instructions are valid from software version
1.3.22.
These operating instructions contain important notes on
how to operate the ATMOS C 051 Thorax safely, correctly and
eectively.
These operating instructions serve not only for new operat-
ing personnel to be instructed in its use, but also for use as a
reference manual. Reproduction, even partial, is only permit-
ted with written permission from ATMOS.
These operating instructions must always be kept availa-
ble near the device.
Care and periodic tests in conjunction with professional exe-
cution provide for operational safety and readiness for use of
your ATMOS C 051 Thorax and are therefore a must besides
regular cleaning.
Repair work and 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 opera-
tional safety, readiness for work and the value of your ATMOS
C 051 Thorax will be preserved.
§
• The product ATMOS C 051 Thorax bears the CE marking CE
0124 according to the EC Directive of the council for medi-
cal products 93/42/EEC and meets the basic requirements
of Annex I of the Directive.
• The product ATMOS C 051 Thorax complies with all appli-
cable 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.com.
• The quality management system applied at ATMOS has
beencertiedaccordingtointernationalstandardsENISO
13485.
• Prior to starting up please peruse chapter „2.0 For your
safety“ on page 14, in order to be prepared for any pos-
sible dangerous situations.
These operating instructions are valid for the following devices:
ATMOS C 051 Thorax 317.0000. 0
ATMOS C 051 Thorax 317.0100. 0

5
1.2 Explanation of pictures and symbols
In the operating instructions
DANGER
Warning of a danger that will result in immediate fatal or serious injury. Observe the necessary
measures.
WARNING
Warning of a danger that can cause death or serious injury. Observe the necessary measures.
CAUTION
Warning of a danger that can cause minor injury. Observe the necessary measures.
NOTICE
Notice of a danger that can damage the product or other objects. Observe the necessary meas-
ures.
Warning of a danger that can cause injury or death.
i
Notice of potential material damage.
Useful information on the handling of the device.
1. Action. Proceed step by step.
»Result of an action.
·General information, numeration
-Subnumeration
click Engage,checkcorrectt.
Follow the arrows
Move, plug in this direction.
Please press where dot indicates
Activate the optional foot switch
Replace
Check

6
On device, type plate, and packaging
Follow operating instructions (blue)
Consult operating instructions
Warning; pay special attention
This device complies with the relevant requirements of EU regulations.
This device complies with the relevant requirements of EU regulations.
UL Mark
MEDICAL EQUIPMENT
withrespecttoelectricalshock,re,and
mechanical hazards only in accordance with
UL60601-1/ ANSI/AAMI ES60601-1 (2005)/
CAN / CSA – C22.2 No. 60601-1 (2008)
This device complies with the relevant requirements of the Eurasian
Economic Union.
Manufacturer
Date of manufacture
Country of manufacture
REF Reference number
UDI UniqueDeviceIdentierofamedicaldevice
MD Medical device
SN Serial number
LOT Batch code
IP 33 Specicationofthedegreeofprotectionagainsttheingressofsolidsand
moisture
Type BF applied part
Professional disposal
Use-by date
E349855

7
Do not reuse
STERILE EO Sterilized using ethylene oxide
Single sterile barrier system with protective packaging inside
Single sterile barrier system with protective packaging outside
Protection class II device
Do not use if the packaging is damaged and follow the operating instruc-
tions.
Fragile, handle with care
Keep dry
Keep away from sunlight
Temperature limit
Humidity limitation
700
1060
Atmospheric pressure limitation
UDI application identier
(01) UDI-DI:Identicationofthemanufacturerandthedevice
(10) Batch code
(11) Date of manufacture
(13) Packing date
(17) Expiry date
(21) Serial number

8
1.3 Intended purpose
1.3.1 Intended purpose ATMOS C 051 Thorax
Product name: ATMOS C 051 Thorax
Main functions: The ATMOS C 051 Thorax is a device for mobile, digital car-
diothoracic drainage. The system generates a controlled
vacuum close to the patient and has an electronic moni-
toring system which shows the actual vacuum measured
at the patient's side and the air leak. The objective therapy
data are shown in colour on the display in real time and in
a graph of therapy process. Error conditions are automati-
cally indicated by visual and acoustic warning messages.
Intended use: Restoration of the (natural) negative pressure in the pleu-
ralcavitybydrainageofairanduids
Intended users / user prole: • Trained physicians
• Trained healthcare professionals
Prerequisite: Users must not be hard of hearing or deaf and
must have adequate visual faculty.
Intended patient target groups: Patients of all age groups with and without restrictions
Medical conditions to be diag-
nosed, treated or monitored:
Accumulatedairanduidsinthethorax(pleuralcavity,
mediastinum, pericardium) that must be drained, moni-
tored and balanced in a controlled manner
Organ(s) applied to: Thorax (pleural cavity, mediastinum, pericardium)
Duration of application: For short-term application (< 30 days) on humans
Use environment: Hospital/clinic environments
Patient selection criteria: Patients who require a cardiothoracic drainage (pleural,
mediastinal, pericardial drainage)
Indications: • After surgical opening of the thorax
• Pneumothorax
• Pleuraleusion
• Haemothorax
• Pleural empyema
• Chylothorax
• Other similar conditions
Medical contra-indications: • Notsuitableforuseonpatientswithlargeairleaks(≥4.5
l/min) and coagula
• Not for cardiothoracic drainage therapy in which no neg-
ative pressure should be applied to the patient
Other contra-indications: • No separate use of the secretion canister and the hose
system (i.e. without device) as gravity drainage
• No application in emergency and rescue situations
• Not in homecare area that is not supervised by health-
care professionals
• Nodrainageofammable,corrosiveorexplosiveuids/
gases

9
Warnings: The following complications may occur during cardiotho-
racic drainage:
• Pain due to irritation of the intercostal nerves
• Injury of lung parenchyma / air leak
• Reexpansion pulmonary oedema
• Eusionretention
• Tension pneumothorax
• Cutaneous/subcutaneous emphysema
The product is: active
Sterility / specic microbial
state:
• The device is used in non-sterile condition.
• Secretion canister and hose system are sterile.
Single-use device / reprocessing: • The device is intended for multiple use. The device and
parts of the accessories are reusable. For information
on reprocessing, cleaning and disinfection, please see
the operating instructions
• Secretion canister and hose system are single-use devic-
es.
For detailed information on the secretion canister and hose system, please refer to the separate
intended purposes.
1.3.2 Intended purpose secretion canister 800ml
Product name: Secretioncanister800ml
Main functions: The secretion canister passes on the controlled vacuum
generated by the ATMOS C 051 Thorax. Fluids and air are
drained through the secretion hose and collected in the
secretioncanister.Viabalancingscales,theamountofu-
id in the secretion canister is readable and documentable.
Anintegratedbacterialandvirallterprotectsthedevice
against possible contamination and from oversuction. For
protectionpurposes,thepop-ovalveopensincaseof
overpressure in the secretion canister.
Cover caps ensure proper closure and disposal.
Intended use: Collectionofuidsandairfromthethorax.
Balancingoftheamountofuid.
Intended users / user prole: • Trained physicians
• Trained healthcare professionals
Prerequisite: Users must not be hard of hearing or deaf and
must have adequate visual faculty
Intended patient target groups: Patients of all age groups with and without restrictions
Medical conditions to be diag-
nosed, treated or monitored:
Accumulatedairanduidsinthethorax(pleuralcavity,
mediastinum, pericardium) that must be drained, moni-
tored, and balanced in a controlled manner
Organ(s) applied to: Thorax (pleural cavity, mediastinum, pericardium)
Duration of application: For short-term application (< 30 days) on humans
Use environment: Hospital/clinic environments
The secretion canister and the hose system are sterile
single-use devices that can be used in the sterile operating
theatre environment

10
Patient selection criteria: Patients who require a cardiothoracic drainage (pleura,
mediastinal or pericardial drainage)
Indications: • After surgical opening of the thorax
• Pneumothorax
• Pleuraleusion
• Haemothorax
• Pleural empyema
• Chylothorax
• Other similar conditions
Medical contra-indications: • Notsuitableforuseonpatientswithlargeairleaks(≥4.5
l/min) and coagula
• Not for cardiothoracic drainage therapy in which no neg-
ative pressure should be applied to the patient
Other contra-indications: • No application with cardiothoracic drainage systems
other than the ATMOS C 051Thorax
• No separate use of the secretion canister and the hose
system (i.e. without device) as gravity drainage
• No application in emergency and rescue situations
• Not in homecare area that is not supervised by health-
care professionals
• Nodrainageofammable,corrosiveorexplosiveuids/
gases
Warnings: The following complications may occur during cardiotho-
racic drainage:
• Pain due to irritation of the intercostal nerves
• Injury of lung parenchyma / air leak
• Reexpansion pulmonary oedema
• Eusionretention
• Tension pneumothorax
• Cutaneous/subcutaneous emphysema
The product is: not active
Sterility/specic microbial sta-
tus:
Secretion canister is sterile
Single-use device / reprocessing: Secretion canister is a single-use device
1.3.3 Intended purpose hose system
Product name: Hose system
Hose system with connector small
Hose system with connector medium
Hose system with connector large
Hose system with Y-connector medium
Hose system with Y-connector large

11
Main functions: The double-lumen hose system passes on the controlled
vacuum generated by the device. The secretion hose
drainsuidsandairintothesecretioncanister.Themeas-
uring and rinsing hose measures and regulates the vacu-
umappliedonthepatient'sside.Abacterialandvirallter
on the measuring and rinsing hose protects against con-
taminationwithbacteriaandviruses.Atdenedintervals,
a valve opens to conduct air through the measuring and
rinsinghoseintothesecretionhoseandtoushuids,
coagula and other blockages into the secretion canister.
Patient-related chest tubes are attached to the hose sys-
tem by a connector.
The sealing plug is used to ensure that the leakage test is
carried out safely.
The hose clamp is used for clamping the hose system, i.e.,
when changing canisters.
Intended use: • Transportofuidandairfromthethorax
• Measurement and regulation of negative pressure on
the patient's side
Intended users / user prole: • Trained physicians
• Trained healthcare professionals
Prerequisite: Users must not be hard of hearing or deaf and
must have adequate visual faculty
Intended patient target groups: Patients of all age groups with and without restrictions
Medical conditions to be diag-
nosed, treated or monitored:
Accumulatedairanduidsinthethorax(pleuralcavity,
mediastinum, pericardium) that must be drained, moni-
tored and balanced in a controlled manner
Organ(s) applied to: Thorax (pleural cavity, mediastinum, pericardium)
Duration of application: For short term us on the patient ( < 30 days)
Use environment: Hospital/clinic environments
The secretion canister and the hose system are sterile
single-use devices that can be used in the sterile operating
theatre environment
Patient selection criteria: Patients who require a cardiothoracic drainage (pleural,
mediastinal or pericardial drainage)
Indications: • After surgical opening of the thorax
• Pneumothorax
• Pleuraleusion
• Haemothorax
• Pleural empyema
• Chylothorax
• Other similar conditions
Medical contra-indications: • Not for cardiothoracic drainage therapy in which no neg-
ative pressure should be applied to the patient

12
Other contra-indications: • No application with cardiothoracic drainage systems
other than the ATMOS C 051 Thorax, ATMOS S 201 Tho-
rax and ATMOS E 201 Thorax
• No application in emergency and rescue situations
• Not in the homecare area that is not supervised by
healthcare professionals.
• Nodrainageofammable,corrosiveorexplosiveuids/
gases
Warnings: The following complications may occur during cardiotho-
racic drainage:
• Pain due to irritation of the intercostal nerves
• Injury of lung parenchyma / air leak
• Reexpansion pulmonary oedema
• Eusionretention
• Tension pneumothorax
• Cutaneous/subcutaneous emphysema
The product is: not active
Sterility/specic microbial sta-
tus:
Hose system is sterile.
Single use device / reprocessing: Hose system is a single-use device
1.4 Function
General description
This product is a device for mobile, digital cardiothoracic drainage. The device is meant for the
short-term (< 30 days) application on humans. It is portable, mains independent and has an elec-
tronic monitoring system with optical and acoustic status display.
Principles of operation and its mode of action
Thedeviceisanelectricaldrivendeviceandtakesmedicaleectasasystemincombinationwith
a secretion canister and a hose system.
The system creates the (natural) vacuum in the pleural cavity after a pneumothorax or a pleural
eusionbydrainingoairandsecretion.Thesystemisfordrainageofsecretionandairafter
surgical opening of the thorax.
The hose system is rinsed with air at regular intervals to prevent the collection of debris in the
secretion hose. This measure also prevents secretion from intruding into the measuring and
rinsinghoseorthatasyphoneectiscreated.
The device is equipped with a rechargeable battery. A charging unit which is located within the
suction device guarantees for the secure charging of the battery. Therefore it is impossible to
overcharge the battery.
Bacterialandviralltersinthesecretioncanisterandmeasuringhosepreventcontaminated
secretions from entering the device. The device is equipped with a disposable strap and a carry-
ing handle. These enable mobility and mounting of the device e.g. to the patient bed. A universal
bracket or the standard rail bracket can be ordered separately as accessories.
Key features:
• Generate and maintain a vacuum

13
1.5 Transport and storage
The device may only be transported in a upholstered and protective shipping box.
Afterthetransportoftheunitintemperaturesbelow0°Corpriortorststartupitshouldbe
kept at room temperature for at least six hours. If the device is not acclimatized it may not be
used as damage to the diaphragm of the pump could occur.
If damage occurs during transport:
1. Document and report damages in transit.
2. Fill in form QD 434 “Customer complaint/return shipment”.
3. Send the device to ATMOS (chapter „9.3 Sending in the device“ on page 56).
Ambient conditions for transport and storage
• Temperature: −10...+50°C
• Relative humidity: 30...95%
• Air pressure: 700...1060 hPa

14
2.0 For your safety
The safety of the ATMOS C 051 Thorax complies with all the recognized rules of technology and
the guidelines of the Medical Devices Act.
2.1 General safety instructions
Report all serious incidents that have occurred in connection with this device to the manufactur-
er and your national competent authority.
Familiarise yourself with the device in good time so that you are capable of operating it at any
time.
Never operate the device if it shows any obvious safety defects.
Only a fully functional product meets the safety requirements of users, patients and third par-
ties. Therefore, please observe the following instructions on your product:
2.2 Danger for users, patients, and third parties
WARNING
Electric shock due to unsuitable mains power connection, incorrect handling of the prod-
uct or damage to product components.
Burns, cardiac arrhythmias and even fatal injury are possible.
• Do not operate the device if it has been dropped. In this case, clean and disinfect the device
and send it to ATMOS for repair.
• If the device has fallen: Check the device for visible damage. A leakage test is recommended. If
the leakage test fails or the housing is damaged, the device is defective and must not be oper-
ated. In this case, clean and disinfect the device and send it to ATMOS for repair.
• Prior to each use, check for damage to the device and the power cable. Do not operate the de-
vice if you notice any damage. In this case, clean and disinfect the device and send it to ATMOS
for repair.
• Damaged cables must be replaced.
• You can only disconnect the device from the power supply by pulling out the power plug.
• Position the device in such a way that you can easily disconnect it from the mains power sup-
ply at any time.
• Whendisconnectingthedevicefromthemainspowersupply,pullthepowerplugrstand
then the device plug.
• Disconnect the device from the mains power supply before cleaning or disinfecting it.
• Never touch the power plug or power cable with wet hands.
• Never immerse the device in water or other liquids.
• Do not take a shower / bath with the device!
• The device is not sterilisable.
• Use the power cable only in dry surroundings. The surroundings must be non-conductive.
• Do not allow liquids (such as disinfectants or secretions) to enter the device or power supply
unit.
• Ensure that no liquid enters the device. If liquid gets into the device, operation of the device
must cease immediately. In this case, clean and disinfect the device and send it to ATMOS for
repair or an authorised service partner.
• If disinfectant has penetrated the device, then it must be dried thoroughly and subsequently
aneciencycontrolmustbeconducted.Acheckshouldbecarriedouttoseewhetherthetar-
getvacuumisreachedwhenthesystemisclosedandwhetheraow>4l/minisestablished
after a while when the system is open. If not, it must not be operated until it has been checked
by an authorised service partner or ATMOS Service centre.

15
• Use only original accessories and original spare parts from ATMOS. This applies to the power
cable in particular.
• Follow the instructions regarding periodic tests in chapter „9.0 Maintenance and Service“ on
page 56.
• Assembly, new settings, alterations, extensions, and repairs may only be carried out by author-
ized persons.
• Do not modify the device without the manufacturer’s permission.
WARNING
Risk of infection from non-sterile products!
Deadly diseases can be transmitted.
• Never use components marked with more than once. These components are intended for
single use only.
• Repeated reuse of components which are marked with a is forbidden. This product is not
re-sterilizable. In case of repeated reuse these components lose their function and there is a
high infection risk.
• Only use sterile packaged parts when the packaging is undamaged.
• Prior to use, check the packaging of the sterile products, the secretion canister system and the
hose system for intactness. Do not use defective secretion canisters or hose systems.
• Repeated reuse of secretion canisters and hose systems can lead to infections.
• Secretion canisters and hose system should only be used once on every patient.
• For hygienic reasons we recommend an exchange of both secretion canister and hose system
at the same time.
WARNING
Risk of infection due to patient secretion on the device!
Deadly diseases can be transmitted.
• Always wear disposable gloves if you could come into contact with secretion.
• Clean and disinfect the device after every use.
• Clean and disinfect the device according to the operating instructions.
• The device must not be used following oversuction.
WARNING
Ensure that the device is always functional and ready for use!
Your patient can be severely injured.
• Ensure that the device is always ready for use.
• Place the device where it is easily accessible.
• Perform a function check after each use.
• ATMOS recommends always having another suction device ready at hand. This allows you to
treat the patient and perform suctioning even in the event of device failure.
• Please observe the notes on the electromagnetic compatibility (EMC) of the device.
• If the device has fallen: Check the device for visible damage. A leakage test is recommended. If
the leakage test fails or the housing is damaged, the device is defective and must not be oper-
ated. In this case, clean and disinfect the device and send it to ATMOS for repair.
• The device and the secretion canister must always be used vertically. If the device should tilt
it must be placed upright again in order to guarantee faultless operation. If you are unsure
whether the secretion canister works properly we advise you to replace the secretion canister
to ensure the patients’ safety.
• The device cannot be carried at the hose system.
• Prior to every use, the device should be checked for leakages at the start of therapy (see chap-
ter „4.5 Leakage test“ on page 29). Leaking connections could lead to a wrong evaluation of
the patient’s status and could prolong the therapy. Thus do check all connections for leakages
to prevent the intrusion of additional air.

16
• The leakage test is recommended for checking the leak tightness prior to each application.
• The warning message ‘Device in critical tilt’ serves as preventive information to avoid malfunc-
tioncausedbythedevicetiltingover(forexample,ablockedbacterialandvirallterinthe
secretion canister).
• The leakage test function and the warning message ‘Device in critical tilt’ are activated in the
factory settings. If these functions are not desired, they can be deactivated in the user settings
(chapter „4.9 User settings“ on page 38).
• Minimal leakages can indicate small leaks in the system or to irregularities in the course of
therapy.Thiscanbeexcludedbyclampingthepatientcatheterandasaresulttheowvalueis
reduced to zero. If not, check all the connections on the device, the connectors as well as the
Luerlockcapforleakage.Ifthereisstillonlyaminimalowvalueillustratedthenthereisan
internalleakageinthesystemwhichcannotberectiedbytheuser.Thiswillbecompensated
bythesystembutillustratedasaminimalowvalue.
• The device may not be operated in MRI scanners (magnetic resonance imaging).
• The ATMOS C 051 Thorax is a medical device which is subject to special safety regulations. It
must to be set up and put into operation in accordance with the EMC regulations. Portable
andmobileRFcommunicationdevices(mobilephones)mayaecttheperformanceofthe
device.
WARNING
Avoid improper use.
Your patient can be severely injured.
• A misplaced drainage system and a misplaced thoracic catheter could hinder the drainage of
air and liquids. A complete blocking of the system during the drainage of liquids and air could
cause a rise in pressure and thus lead to a tension pneumothorax.
• Employ the device only according to its intended use.
• Notsuitableforuseonpatientswithlargestulasandcoagula.Forthesepatients,ATMOS
recommends the use of a device with greater suction capacity (e.g. ATMOS S 201 Thorax).
• The product may only be used by medically trained persons who have been instructed in the
handling of the medical suction system.
• Please select the vacuum according to the patient and the application.
• Observe the valid guidelines.
• Observe the notes on hygiene and cleaning.
• Always place the drainage system at the level of the patient catheter and check the patient
hose for any bends or clogging which could hinder the drainage of liquid and air. Never place
thedrainagesystemontheoor.
• Respond immediately to warning message "Secretion canister full or hose blocked" / "Vacuum
too low". Prior to exchanging the secretion canister the thoracic catheter must be clamped so
that a continuous vacuum is always available at the patient.
• Iftheuidlevelinthesecretioncanisteristoohighitcouldcauseablockageandthusaten-
sion pneumothorax.
• Check the secretion canister at regular intervals and always replace it when the maximum
llinglevelisreachedtoensurethepatientssafety.
• Check the hose system at regular intervals. Observe the instructions from the attending physi-
cian.
• The bending of the patient hose leads to an interruption of the therapy and incorrect meas-
urements.
• The hose system may not be clamped. Ideally clamp the chest tube when changing the secre-
tion canister.
• Prior to the removal of the hose connector the chest tube must be clamped.
• Faulty respectively damaged components must be replaced immediately.

17
• A set vacuum over -50 mbar may cause pain and injury to the patient. Set a vacuum of more
than -50 mbar only if clinically necessary.
WARNING
Explosion and re hazard.
Burns and injuries are possible.
• Use only original accessories and original spare parts from ATMOS. This applies to the power
cable in particular.
• Never operate the product in potentially explosive areas or in areas that are oxygenated.
• Explosion-hazardousareasmaybecausedbytheuseofammableanaesthetics,skincleans-
ingproductsandskindisinfectants.Theambientconditionsspeciedinthetechnicaldata
(chapter „11.0 Technical data“ on page 60) must be strictly observed.
CAUTION
Contact may cause allergic reactions!
Your patient can be injured.
• The materials used have been tested for their tolerability. In very rare cases, contact with ac-
cessible materials on the device and its accessories may cause allergic reactions. This applies
in particular to contact injuries in conjunction with prolonged contact. If this occurs, seek
medical attention immediately.
CAUTION
Tripping hazard due to cables.
Injuries and fractures are possible.
• Lay the power cable properly.
2.3 Avoiding damage to the device
NOTICE
Damage to the device due to improper use!
The device may become damaged.
• Ensure that no liquid enters the device. If liquid gets into the device, operation of the device
must cease immediately. In this case, clean and disinfect the device and send it to ATMOS for
repair or an authorised service partner.
• Alwaysplacethedeviceonarm,levelsurface.Thedevicemustalwaysbeinaverticalposi-
tion when you use it.
• Use only power cables which are fully functional.
2.3.1 General information
• Compliance with proper surgical procedures and techniques is the responsibility of the treat-
ing physician. Observe the instructions from the attending physician.
• The user is obliged to regularly check the functionality of the drainage system during opera-
tion.
• The control panel must be clearly visible and accessible for the operator.
• The secretion canister may not be used without the device (gravity drainage).
• Thedevicemayonlybeoperatedbyqualiedpersonnel.
• The removal of the secretion canister from the device during the therapy may only be per-
formed by trained professionals who act in conformity with guidelines.
• A ready to use spare device incl. consumables must always be available.
• The device supports the therapy of the patient it is not a substitute for the doctors‘ diagnosis.
• The patient should be supervised constantly in accordance with the internal rules of the hospi-
tal.

18
i
Electromagnetic compliance - damage to the device!
The device may become damaged.
• The ATMOS C 051 Thorax fully complies with the electromagnetic immunity requirements
of standard IEC 60601-1-2 / EN 60601-1-2 „Electromagnetic compatibility - Medical Electrical
Devices“.
i
Damage to the device due to improperly installed protective contact socket!
The device may become damaged.
• The ATMOS C 051 Thorax is designed in accordance with IEC 60601-1/EN 60601-1 and with
protection class ll.
• The device may only be connected to a properly installed protective contact socket.
• Priortorststartingup,comparethemainsvoltageofthedevice(seerearofthepowersup-
ply unit) with the local mains voltage.
i
Storage and operation in an unsuitable environment.
The electronics can become damaged.
• Please observe the ambient conditions regarding transport, storage, and operation.
• Alwaysplacethedeviceonrm,levelground.Thedevicemustalwaysbeinaverticalposition
when you use it. Otherwise, secretion may enter the device.
i
Damage to the device due to low temperatures!
The device may become damaged.
• Afterthetransportoftheunitintemperaturesbelow0°Corpriortorststartupitshouldbe
kept at room temperature for at least six hours. If the device is not acclimatized it may not be
used as damage to the diaphragms of the pump could occur.
i
Damage to device due to heat build-up!
The device may become damaged.
• Do not cover the device during suction.
• Keep the device and the power cable away from other heat sources.
• Do not place the device directly next to other devices as this may cause excessive heating of
the device.
• The device and the secretion canister should not be dried in a microwave oven.
• The mains cable and the device must be kept away from hot surfaces.
• The device may only be operated at room temperature and should not be subjected to direct
solar irradiation as this could lead to errors.
i
Exclusion of liability and warranty
If
• no original ATMOS parts are being used,
• the advice for use in these operating instructions is not being observed,
• improper use,
• assembly, new settings, alterations, extensions and repairs have been carried out by person-
nel not authorized by ATMOS.
i
Advice on disposal
• Dispose of wrappings accordingly.
• Attention must be paid to all hospital protocols regarding disposal and infection control.

19
3.0 Setting up and starting up
3.1 Scope of delivery
The ATMOS C 051 Thorax was subjected to an extensive functional test and was carefully packed
prior to dispatch.
On receipt of the goods please check the package for any possible damage and compare the
contents for completeness. (see bill of delivery)
317.0000.0 ATMOS C 051 Thorax
1x Basic device
1x Carrying handle 317.0090.0
5x Disposable strap 316.1200.0
1x Recharging unit 313.0089.0
1x Power cable, L = 4m 008.0941.0
1x Operating instructions
1x Quick reference guide
3.2 Device overview
Front side - without carrying handle






1Touchscreen (touch-sensi-
tive display)
2On-/Osensor
3Charging socket
4Release button of secre-
tion canister
5Light sensor
6Clips for the carrying strap
Front side - with carrying handle







1Touchscreen(touch-sensi-
tive display)
2On-/Osensor
3Charging socket
4Release button of secre-
tion canister
5Light sensor
6Attachment for carrying
handle

20
Rear side

11
12 13 


7Connection for secretion
canister
8Mount for strap holder
9Type plate
10 Secretion canister guide
11 Measuring and rinsing
hose connection
12 Cover sticker (no function
for user)
13 ConnectionforUSBash
drive (therapy data trans-
fer)
Only use the USB connection for the transfer of therapy data. A software update may only be
performed by ATMOS or an authorized service person.
3.3 Start up
• Remove the device from the packaging. Check whether the mains current on the type plate of
the power supply unit corresponds to the mains power supply.
• Peruse safety information in chapter „2.0 For your safety“ on page 14prior to starting up the
deviceforthersttime.
• Thebatterymustbefullychargedpriortotherstuse.Chargingtimeapprox.2.5hours.
• Place the device on a safe and even surface.
• Plug in the mains cable to recharge the battery.
• Following transportation at low temperatures the appliance must be held for up to six hours at
ambienttemperaturebeforerststart-up.Ifthedeviceisnotacclimatizeditmaynotbeused
as damages to the electronic components could occur.
• Always have at least one more secretion canister at hand as the device can only be operated
withthespecicATMOSsecretioncanister.
3.3.1 Battery charging
Each bar of the symbol represents20%batterycharge.
Attention!PriortorststartupoftheATMOSC051Thorax,thebatterymustbefullycharged.
Only the battery power supply unit supplied by ATMOS should be used. Please note the infor-
mation on how to handle rechargeable batteries in chapter „9.4 Handling of batteries“ on page
57. Correct handling of the rechargeable batteries prolongs their maximum service life. Bat-
teries are wearing parts and therefore excluded from the general warranty. The device should be
rechargedinacoolplacewithoutdirectsolarirradiation.Atambienttemperaturesabove25°C
the charging time could be prolonged drastically. Defects which occur due to improper handling
of the device are not covered by the guarantee.
Attention:Thebatterycannolongerbechargedifthebatterytemperatureisabove35°C.