Atmos C 051 Thorax User manual

E349855
0124
GA1GB.710101.0
2021-04 Index: 16
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 Intended use..............................................................................................................5
1.2.1 Intended use ATMOS C 051 Thorax ........................................................................5
1.2.2 Intendedusesecretioncanister800ml.................................................................6
1.2.3 Intendedusehosesystem.......................................................................................7
1.3 Function......................................................................................................................9
1.4 Transport and storage..............................................................................................9
1.5 Explanationofpicturesandsymbols ...................................................................10
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 Connect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 process ......................................................................................................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 Switching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) .....................................................45
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 Attach the support directly to a standard rail......................................................47
7.3.2 Attaching/removingthesupportto/fromtheuniversalbracket.......................47
7.4 Placing/removingthedeviceon/fromsupport(accessory) ............................48
7.5 Attachingandremovingthepowersupplyunit(accessory)..............................48
7.5.1 Attachingandremovingthepowersupplyunittothesupport........................48
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 .....................49
7.7 Chargingthedevicewithpowersupplyunitsupport(accessory) ....................49
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 ..................................................................................51
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 Bacterialandvirallter ..........................................................................................61
12.0 Disposal........................................................................................................... 62
13.0 Notes on EMC (Electromagnetic compatibility).......................................... 63
13.1 Guidanceandmanufacturer’sdeclaration–ambientconditions.....................63
13.2 Guidanceandmanufacturer’sdeclaration–keyfeatures .................................63
13.3 Guidanceandmanufacturer’sdeclaration–warnings.......................................63

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.
Their reading helps to avoid risks, and also to reduce repair
costsanddown-times.Thisincreases,among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.Thisdocumentmayonlybereprinted,
eitherinpartorinwhole,withwrittenpermissionfrom
ATMOS.
These operating instructions must always be kept
available near the device.
Care and periodic tests in conjunction with professional
execution provide for operational safety and readiness for
useofyourATMOSC051Thoraxandarethereforeamust
besidesregularcleaning.
Repairworkandperiodic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C051Thoraxwillbepreserved.
§
• ThisdevicebearstheCEmarkingCE0124inaccordance
withtheEuropeanMedicalDeviceRegulation(MDR)
2017/745.
• TheproductATMOSC051Thoraxcomplieswithall
applicablerequirementsofthedirective2011/65/EC
restrictingtheuseofcertainhazardoussubstancesin
electricalandelectronicequipment(“RoHS”).
• TheDeclarationsofConformityandourGeneralTerms
andConditionscanbeviewed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
possibledangeroussituations.

5
1.2 Intended use
1.2.1 Intended use ATMOS C 051 Thorax
Name: ATMOS C 051 Thorax
Main function: TheATMOSC051Thoraxisadeviceformobile,digital
cardiothoracicdrainage.Thesystemgeneratesa
controlledvacuumclosetothepatientandhasan
electronicmonitoringsystemwhichshowsthecurrent
vacuummeasuredatthepatient'ssideandtheairleak.
Theobjectivetherapydataaredisplayedinrealtimeand
illustratedincolourinagraph.Errorsareautomatically
indicatedbyvisualandacousticwarningmessages.
Intended use / intended
purpose:
Restoringthe(natural)vacuuminthepleuralcavityby
drainingoairandsecretion.
Intended users / user prole: • Trained doctors
• Trained healthcare professionals
Users must not be hard of hearing or deaf and must have
adequate vision.
Intended patient group: Patients of all ages with and without restrictions.
Medical condition to be
diagnosed, treated or
monitored:
Accumulatedairanduidsinthethorax(pleuralcavity,
mediastinum,pericardium),whichmustbedrained,
monitoredandbalancedinacontrolledmanner.
Application organ: Thorax(pleuralcavity.mediastinum,pericardium).
Application time: Short-termuseonthepatient(<30days)
Area of application: The application site is the clinical area. The cardiothoracic
drainagesystemmayonlybeappliedbyhealthcare
professionals. The device is applied unsterile. The
secretioncanisterandthehosesystemaresterileand
disposable;theycanbeusedinthesterileOTarea.
Criteria for patient selection: Patientswhorequireacardiothoracicdrainage(pleura,
mediastinalorpericardialdrainage).
Indications: • After surgical openings of the thorax
• Pneumothorax
• Pleuraleusion
• Hemothorax
• Pleuralempyema
• Chylothorax
• Othersimilarclinicalpictures
Medical contraindications: • Notsuitableforuseonpatientswithlargeairleaks(≥4,5
l/min)andcoagulum.
• Notsuitableforcardiothoracicdrainagetherapyin
whichnovacuumshouldbeappliedtothepatient.
Other contraindications: • No separate application of the secretion canister and
thehosesystem(i.e.withoutdevice)asgravitydrainage.
• Noapplicationunderemergencyconditions.
• Shouldnotbeusedinthehomecaresectorwhichisnot
supervisedbyhealthcareprofessionals.
• Nodrainageofammable,corrosiveorexplosiveuids/
gases.

6
Warning notes: Thefollowingcomplicationsmayoccurduringa
cardiothoracic drainage:
• Pain due to irritation of the intercostal nerves
• Injuriestothelungparenchyma/airleakage
• Re-expansionedema
• Eusionretention
• Tensionpneumothorax
• Skin/softtissueemphysema
The product is: xactive qnot active
Sterility / specic microbial
condition:
• Notrequiredforthedevice.
• Secretioncanisterandhosesystemaresterile.
Single-use product /
reprocessing:
• Options for reprocessing the device according to the
operating instructions.
• Secretioncanisterandhosesystemaredisposable.
Fordetailedinformationonthesecretioncanisterandhosesystem,pleaserefertotheseparate
intended uses.
1.2.2 Intended use secretion canister 800ml
Name: Secretioncanister800ml
Main function: Thesecretioncanistertransfers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.Theamountofuidinthesecretion
canistercanbereadanddocumentedonthebalancing
scales.Anintegratedbacterialandvirallterprotectsthe
devicefrompossiblecontaminationandfromoversuction.
Asaprotection,thepop-ovalveopenswhenthereis
excess pressure in the secretion canister.
Cover caps are used for proper sealing and disposal.
Intended use / intended
purpose:
Collectionofuidsandairfromthethorax.
Balancingtheamountofuid
Intended users / user prole: • Trained doctors
• Trained healthcare professionals
Users must not be hard of hearing or deaf and must have
adequate vision.
Intended patient group: Patients of all ages with and without restrictions.
Medical condition to be
diagnosed, treated or
monitored:
Accumulatedairanduidsinthethorax(pleuralcavity,
mediastinum,pericardium)thatrequirecontrolled
drainage,monitoring,andbalancing.
Application organ: Thorax(pleuralcavity.mediastinum,pericardium).
Application time: Short-termuseonthepatient(<30days)
Area of application: The application site is the clinical area. The cardiothoracic
drainagesystemmayonlybeappliedbyhealthcare
professionals.Thesecretioncanisterandthehosesystem
aresterileanddisposable;theycanbeusedinthesterile
OT area.
Criteria for patient selection: Patientswhorequireacardiothoracicdrainage(pleura,
mediastinalorpericardialdrainage).

7
Indications: • After surgical openings of the thorax
• Pneumothorax
• Pleuraleusion
• Hemothorax
• Pleuralempyema
• Chylothorax
• Othersimilarclinicalpictures
Medical contraindications: • Notsuitableforuseonpatientswithlargeairleaks(≥4,5
l/min)andcoagulum.
• Notsuitableforcardiothoracicdrainagetherapyin
whichnovacuumshouldbeappliedtothepatient.
Other contraindications: • Do not use with cardiothoracic drainage devices other
than the ATMOS C 051Thorax
• No separate application of the secretion canister and
thehosesystem(i.e.withoutbasicdevice)asgravity
drainage.
• Noapplicationunderemergencyconditions.
• Shouldnotbeusedinthehomecaresectorwhichisnot
supervisedbyhealthcareprofessionals.
• Nosuctionofammable,corrosiveorexplosiveuids/
gases
Warning notes: Thefollowingcomplicationsmayoccurduringa
cardiothoracic drainage:
• Pain due to irritation of the intercostal nerves
• Injuriestothelungparenchyma/airleakage
• Re-expansionedema
• Eusionretention
• Tensionpneumothorax
• Skin/softtissueemphysema.
The product is: qactive xnot active
Sterility / specic microbial
condition:
Secretion canister is sterile.
Single-use product /
reprocessing:
Secretioncanisterisdisposable.
1.2.3 Intended use hose system
Name: Hosesystem
Main function: Thedoublelumenhosesystemtransfersthecontrolled
vacuumgeneratedbytheATMOSC051Thorax.The
secretionhosedrainsuidsandairintothesecretion
canister.Themeasuringandrinsinghosemeasuresand
regulatesthevacuumappliedonthepatient’sside.A
bacterialandvirallteronthemeasuringandrinsing
hoseprotectsagainstcontaminationwithbacteriaand
viruses.Atdenedtimeintervals,avalveopensinorderto
directairthroughthemeasuringandrinsinghoseintothe
secretionhoseandtorinseliquids,coagulumandother
blockagesintothesecretioncanister.
Chesttubesonthepatient'ssideareconnectedtothe
hosesystemviatheport.

8
Intended use / intended
purpose:
Transportofuidsandairfromthethorax.Measurement
andregulationofthevacuumonthepatient'sside.
Intended users / user prole: • Trained doctors
• Trained healthcare professionals
Users must not be hard of hearing or deaf and must have
adequate vision.
Intended patient group: Patients of all ages with and without restrictions.
Medical condition to be
diagnosed, treated or
monitored:
Accumulatedairanduidsinthethorax(pleuralcavity,
mediastinum,pericardium),whichmustbedrained,
monitoredandbalancedinacontrolledmanner.
Application organ: Thorax(pleuralcavity.mediastinum,pericardium).
Application time: Short-termuseonthepatient(<30days)
Area of application: The application site is the clinical area. The cardiothoracic
drainagesystemmayonlybeappliedbyhealthcare
professionals. The device is applied unsterile. The
secretioncanisterandthehosesystemaresterileand
disposable;theycanbeusedinthesterileOTarea.
Criteria for patient selection: Patientswhorequireacardiothoracicdrainage(pleura,
mediastinalorpericardialdrainage).
Indications: • After surgical openings of the thorax
• Pneumothorax
• Pleuraleusion
• Hemothorax
• Pleuralempyema
• Chylothorax
• Othersimilarclinicalpictures
Medical contraindications: • Notsuitableforuseonpatientswithlargeairleaks(≥4.5
l/min)andcoagulum.
• Notsuitableforcardiothoracicdrainagetherapyin
whichnovacuumshouldbeappliedtothepatient.
Other contraindications: • No application with other cardiothoracic drainage
systemsotherthantheATMOSC051Thorax,ATMOSS
201 Thorax and ATMOS E 201 Thorax
• No separate application of the secretion canister and
thehosesystem(i.e.withoutdevice)asgravitydrainage.
• Noapplicationunderemergencyconditions.
• Shouldnotbeusedinthehomecaresectorwhichisnot
supervisedbyhealthcareprofessionals.
• Nosuctionofammable,corrosiveorexplosiveuids/
gases
Warning notes: Thefollowingcomplicationsmayoccurduringa
cardiothoracic drainage:
• Pain due to irritation of the intercostal nerves
• Injuriestothelungparenchyma/airleakage
• Re-expansionedema
• Eusionretention
• Tensionpneumothorax
• Skin/softtissueemphysema.

9
The product is: qactive xnot active
Sterility / specic microbial
condition:
Hosesystemissterile.
Single-use product /
reprocessing:
Hosesystemisadisposableproduct.
1.3 Function
TheATMOSC051Thoraxisanexceptionallyhandy,portable,digitalthoracicdrainagesuction
device.
Thedeviceisoperatedwithanelectrical,maintenance-freediaphragmpump.Duringoperation
thepumpcreatesavacuumwithinthesuctionhoseandthesecretioncanisterbymeansof
whichsecretionandaircanbesuckedobythehosesystem.Thepumpiscontrolleddigitally
andthereforeensuresthatthechosenrequiredvacuumvalueisstable.Theairow,which
ismeasuredinrealtime,isdisplayedinnumbers.Thesecretioniscollectedinthesecretion
canister.Itscapacityis800ml.Withtheaidofthemeasuringandrinsinghosethevacuumatthe
endofthehosesystemismeasured.Viathetouchscreendisplaythetargetvacuumcanbeset
manually.Thesuctioncapacityisregulatedautomatically.
Thehosesystemisrinsedwithairatregularintervalstopreventthecollectionofdebrisinthe
secretionhose.Thismeasurealsopreventssecretionfromintrudingintothemeasuringand
rinsinghoseorthatasyphon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
carrying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.
1.4 Transport and storage
• Thedevicemayonlybetransportedinaupholsteredandprotectiveshippingbox.
• Pleasenotedownandimmediatelyreportanydamageswhichoccurredduringshipping.
PleasemakeuseoftheattachedQD434Deliverycomplaint/Returnshipmentformifyou
haveacomplaintorsendbackthedevice.Thisformcanalsobedownloadedfromourwebsite
www.atmosmed.com.
• 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.
• Ambientconditions:
Transport / storage: −20...+50°C;
5...95%airhumiditywithoutcondensationatairpressure700...1060
hPa
Operation and
batterycharging:
+5...+35°C;
20...80%airhumiditywithoutcondensationatairpressure700...1060
hPa
Operating altitude: max.3000m

10
1.5 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fatal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
measures.
Warningofadangerthatcancausefatalorseriousinjury.
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
-Sub-numeration
click Engage,checkcorrectt.
Follow the arrows
Move in this direction, plug in.
Please press where dot indicates
Activate the optional foot switch
Replace
Check

11
Symbols used for the ATMOS C 051 Thorax and its accessories
Medical device
ThisdevicecomplieswiththerelevantrequirementsofEUregulations.
0124
ThisdevicecomplieswiththerelevantrequirementsofEUregulations.
E349855
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.
GOSTCerticate(Russia)
UniqueDeviceIdentierofamedicaldevice
REF
Articlenumber
SN
Serialnumber
LOT
Batch code
Use-bydate
Manufacturer
Dateofmanufacture
Countryofmanufacture:Germany
Warning,payspecialattention
Observetheoperatinginstructions!
Followoperatinginstructions(blue)

12
Do not reuse
STERILE
Sterile device
STERILE EO Sterilized using ethylene oxide
NON
STERILE Non-sterile
Doublesterilebarriersystem
Singlesterilebarriersystem
Protection class II device
Applied part type BF
IP 33 Specicationofthedegreeofprotectionagainsttheingressofsolidsand
moisture
Fuse
Donotuseifthepackagingisdamagedandfollowtheoperatinginstructions.
Fragile, handle with care
Keep dry
Keepawayfromsunlight
Temperaturelimit
Atmosphericpressurelimitation
Humiditylimitation

13
UDI application identier
(01) UDI-DI:Identicationofthemanufacturerandthedevice
(10) Batch code
(11) Dateofmanufacture
(17) Expiry date
(21) Serialnumber

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
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
parties.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
product 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
operated. 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
device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
supply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 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target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.
• UseonlyoriginalaccessoriesandoriginalsparepartsfromATMOS.Thisappliestothepower
cableinparticular.
• Follow the instructions on periodic tests in chapter “9.0Maintenanceandservice”onpage
56.

15
• Assembly,newsettings,modications,extensions,andrepairsmayonlybecarriedoutby
authorised 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-sterilisable.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
operated. 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shouldnotbecarriedbythehosesystem.
• Priortoeveryuse,thedeviceshouldbecheckedforleakagesatthestartoftherapy(see
chapter “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.
• Theleakagetestisrecommendedtocheckforleakagespriortoeachapplication.
• Thewarningmessage‘Deviceincriticaltilt’servesaspreventiveinformationtoavoid
malfunctioncausedbythedevicetiltingover(forexample,ablockedbacterialandvirallterin
thesecretioncanister).

16
• 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chesttube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.
• Thedeviceisnotsuitableforuseonpatientswithlargestulasandcoagulum.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sameheightasthepatients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chesttube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
tension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issuedbytheattending
physician.
• Thebendingofthepatienthoseleadstoaninterruptionofthetherapyandincorrect
measurements.
• Thehosesystemmaynotbeclamped.Ideallyclampthechesttubewhenchangingthe
secretion canister.
• Priortotheremovalofthehoseconnectorthechesttubemustbeclamped.
• Faultyrespectivelydamagedcomponentsmustbereplacedimmediately.
• 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.

17
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
cleansing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
accessible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rm,levelsurface.Thedevicemustalwaysbeinaverticalposition
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
treatingphysician.Observetheinstructionsissuedbytheattendingphysician.
• Theuserisobligedtoregularlycheckthefunctionalityofthedrainagesystemduring
operation.
• 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
performedbytrainedprofessionalswhoactinconformitywithguidelines.
• Areadytousesparedeviceincluding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
hospital.

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
supplyunit)withthelocalmainsvoltage.
i
Storage and operation in an unsuitable environment.
Theelectronicscanbecomedamaged.
• Pleaseobservetheambientconditionsfor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,secretionsmayenterthedevice.
i
Damage to the device due to low temperatures!
Thedevicemaybecomedamaged.
• Aftertransportofthedevice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power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
• original ATMOS parts are not 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
personnel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packaging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-sensitivedisplay)
2On-/Osensor
3Charging socket
4Releasebuttonof
secretion canister
5Light sensor
6Clips for the carrying strap
Front side - with carrying handle







1Touchscreen
(touch-sensitivedisplay)
2On-/Osensor
3Charging socket
4Releasebuttonof
secretion 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
ashdrive(therapydata
transfer)
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14 prior 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powercabletorechargethebattery.
• Aftertransportingthedeviceatlowtemperatures,keepthedeviceatroomtemperaturefor
atleastsixhoursbeforeinitialstart-up.Ifthedeviceisnotacclimatizeditmaynotbeusedas
damagetothediaphragmsofthepump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
informationonhowtohandlerechargeablebatteriesinchapter“9.4Handlingofbatteries”on
page 57.Correcthandlingoftherechargeablebatteriesprolongsthemaximumservicelife.
Batteriesarewearingpartsandthereforeexcludedfromthegeneralwarranty.Thedeviceshould
berechargedinacoolplacewithoutdirectsolarirradiation.Atambienttemperaturesabove
25°Cthechargingtimecouldbeprolonged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.