Atmos C 051 Thorax User manual

0124
GA1GB.710101.0
2019-03 Index: 11
These operating instructions are valid from software version 1.3.21.
Operating Instructions
ATMOS® C 051 Thorax
English

2
Further information, accessories, consumables and
spare parts are available from:
ATMOS
MedizinTechnik GmbH & Co. KG
Ludwig-Kegel-Straße 16
79853 Lenzkirch
Germany
Phone+ 49 7653 689-0
Fax: + 49 7653 689-190
+ 49 7653 689-292 (Service Center)
[email protected]
www.atmosmed.com
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 ATMOS® C 051 Thorax
secretion canister...................................... 5
1.2.3 Intended use ATMOS® C 051 Thorax
hose system ............................................... 6
1.3 Function...................................................... 7
1.4 Transport and storage .............................. 7
1.5 Explanation of pictures and symbols...... 7
2.0 For your safety ...................................... 9
2.1 Notices........................................................ 9
2.2 Caution ..................................................... 10
2.3 Warning .................................................... 11
3.0 Setting up and starting up................. 13
3.1 Scope of delivery ..................................... 13
3.2 Device overview....................................... 13
3.3 Start up ..................................................... 14
3.3.1 Battery charging ...................................... 14
3.3.2 Secretion canister.................................... 15
3.3.3 Connecting the hose system.................. 18
4.0 Operation............................................. 20
4.1 Explanation of the display...................... 20
4.2 Buttons and display symbols................. 21
4.2.1 Buttons ..................................................... 21
4.2.2 Display symbols....................................... 22
4.3 Switching on............................................. 22
4.4 Leakage test ............................................. 22
4.5 Function.................................................... 24
4.5.1 Target vacuum ......................................... 24
4.5.2 Suction...................................................... 24
4.6 Key lock..................................................... 25
4.7 Therapy progress..................................... 26
4.7.1 Short time................................................. 26
4.7.2 Long time.................................................. 26
4.7.3 Transfer of therapy data......................... 27
4.7.4 Reading out the therapy data ................ 28
4.8 Switchothedevice ............................... 29
4.9 User settings ............................................ 29
5.0 Warning messages .............................. 32
6.0 Function ............................................... 34
6.1 Hose rinsing ............................................. 34
6.2 Gravity drainage mode while using
the drainage system ............................... 34

7.0 Accessories, consumables and
spare parts........................................... 35
7.1 Attaching the universal bracket
(Accessories) ............................................ 35
7.2 Attaching/removing the device to/
from the universal bracket..................... 36
7.3 Attaching the support to a standard
rail.............................................................. 37
7.3.1 Attaching the support directly to a
standard rail............................................. 37
7.3.2 Attaching the support with rail clamp
to a standard rail ..................................... 37
7.3.3 Attaching / removing the support to /
from the universal bracket..................... 38
7.4 Placing / removing the device on /
from support (accessory) ....................... 38
7.5 Attaching and removing the power
supply unit (accessory) ........................... 39
7.5.1 Attaching and removing the power
supply unit to the support ..................... 39
7.5.2 Attaching and removing the power
supply unit with support to the
universal bracket ..................................... 39
7.6 Inserting and removing the power
supply unit and cable.............................. 40
7.7 Charging the device with power
supply unit support (accessory) ............ 40
7.8 Attaching and removing the carrying
handle, disposable strap and carrying
strap.......................................................... 40
7.8.1 Strap holder ............................................. 40
7.8.2 Attaching the carrying handle................ 41
7.8.3 Removing the carrying handle............... 41
7.8.4 Attaching the disposable strap.............. 41
7.8.5 Attaching the carrying strap................... 42
8.0 Cleaning and care ............................... 43
8.1 General information on cleaning and
disinfection............................................... 43
8.2 Cleaning the device surface ................... 44
8.3 Recommended disinfectants ................. 44
8.4 Hygiene plan ............................................ 45
9.0 Maintenance and Service................... 46
9.1 Basic instructions .................................... 46
9.2 Repairs...................................................... 46
9.3 Sending in the device.............................. 46
9.4 Handling of batteries .............................. 47
10.0 Troubleshooting .................................. 48
11.0 Technical data ..................................... 49
12.0 Disposal................................................ 51
13.0 Notes on EMC (Electromagnetic
compatibility) ...................................... 52
13.1 Guidelines and Manufacturer's
Declaration - Emissions .......................... 52
13.2 Guidance and manufacturer's
declaration - electromagnetic
immunity .................................................. 53
13.3 Guidelines and Manufacturer´s
Declaration - Immunity........................... 54
13.4 Recommended safety distance
between portable and mobile RF
Communications equipment and the
ATMOS® C 051 Thorax............................. 55

4
1.0 Introduction
1.1 Notes on operating instructions
These operating instructions are valid from software version
1.3.21.
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, 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. Reproduction, even partial, is only
permitted with written permission from ATMOS.
These operating instructions must always be kept
available near the device.
Care and period tests in conjunction with professional
execution provide for operational safety and readiness for
use of your ATMOS® 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
operational safety, readiness for work and the value of your
ATMOS® C 051 Thorax will be preserved.
§
• The product ATMOS® C 051 Thorax bears CE marking
CE 0124 according to the EC Directive of the council
for medical products 93/42/EEC and meets the basic
requirements of Appendix I of the directive.
• 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 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 9, 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: Digital device for mobile thoracic drainage.
Medical indications / application: Creating the (natural) vacuum in the pleural cavity after a
pneumothoraxorapleuraleusionbydrainingoairandsecretion.Drainageofsecretionand
air after a surgical opening of the thorax.
Specication of the main function: The ATMOS® C 051 Thorax drainage system is a device for
mobile, digital thoracic drainage. The device is meant for the short-term (< 30 days) application
on humans. It is portable, mains independent and has an electronic monitoring system with
optical and acoustic status display. The device is applied unsterile. However, the hose system and
the secretion canister 1, which have to be applied with the device, are sterile single use products.
All thoracic catheter / drains can be applied, which are intended for thoracic drainage in the
intended use of the manufacturer.
User prole:Doctor,medicalsta
Patient groups: Patients of all ages with and without restrictions
Application organ: Thorax
Application time: Short-term use on the patient (< 30 days)
Application site: The application site is the clinical area. The application of the device may only
be applied by healthcare professionals. The secretion canister and the drainage hose are sterile
and disposable, and can be applied in the sterile OT area.
Contraindications: No separate application of the secretion canister and the hose system (this
means without basic device) as gravity drainage. No application under emergency conditions
andinthehomecareeldwhichisnotsupervisedbyhealthcareprofessionals.Nosuctionof
ammable,corrosiveorexplosiveuids/gases.Notsuitableforuseonpatientswithlarge
stulasandcoagula.
The product is: active
Sterility: Not in case of the basic device. Secretion canister and hose system are sterile.
Single-use product / reprocessing: Reprocessing for the basic device see notes in the operating
instructions. Secretion canister and hose system are disposables.
1For detailed information about the secretion canister and hose system please refer to the
separate intended uses.
1.2.2 Intended use ATMOS® C 051 Thorax secretion canister
Name: Secretion canister for ATMOS® C 051 Thorax
Main function: Transport of generated vacuum from basic device to patient-sided tube end.
Collection of secretion and air through the secretion hose into the secretion canister.
Medical indications / application: Creating the (natural) vacuum in the pleural cavity after a
pneumothoraxorapleuraleusionbydrainingoairandsecretion.Drainageofsecretionand
air after a surgical opening of the thorax.
Specication of the main function: Generation of a vacuum from the thoracic drainage
system through the secretion canister and hose system to the patient-sided tube end. In this
way secretion and air can be sucked through the hose system or transported into the secretion
canister.Abacteriallterinthesecretioncanisterprotectsthebasicdevicefrompossible
contamination with bacteria and the suction of secretion. The vacuum which is at the patient-
sideismeasuredwiththemeasuring-andrinsinghose.Furthermoreafteradenedperioda
valveopensandushessecretion,coagulumandotherblockagesfromthehosetothesecretion
canister.
User prole:Doctor,medicalsta

6
Patient groups: Patients of all ages with and without restrictions
Application organ: Thorax
Application time: Short-term use on the patient (< 30 days)
Application site: The application site is the clinical area. The application of the device may only
be applied by healthcare professionals. The secretion canister and the drainage hose are sterile
and disposable, and can be applied in the sterile OT area.
Contraindications: No application with other thoracic drainage systems as ATMOS® C 051
Thorax. No separate application of the secretion canister and the hose system (this means
without basic device) as gravity drainage. No application under emergency conditions and in the
homecareeldwhichisnotsupervisedbyhealthcareprofessionals.Nosuctionofammable,
corrosiveorexplosiveuids/gases.
The product is: not active
Sterility: Secretion canister is sterile.
Single-use product / reprocessing: Secretion canister is disposable.
1.2.3 Intended use ATMOS® C 051 Thorax hose system
Name: Hose system for the ATMOS® S / E 201 Thorax and ATMOS® C 051 Thorax
Main function: Transport of generated vacuum from basic device to patient-sided tube end.
Suction of secretion and air through the secretion hose into the secretion canister. Transport of
the patient-sided vacuum to the vacuum sensor for detecting the current vacuum, which is at the
patient side.
Medical indications / application: Creating the (natural) vacuum in the pleural cavity after a
pneumothoraxorapleuraleusionbydrainingoairandsecretion.Drainageofsecretionand
air after a surgical opening of the thorax.
Specication of the main function: Generation of a vacuum from the thoracic drainage
system through the secretion canister and hose system to the patient-sided tube end. In this
way secretion and air can be sucked through the hose system or transported into the secretion
canister. The vacuum which is at the patient-side is measured with the measuring- and rinsing
hose.Furthermoreafteradenedperiodavalveopensandushessecretion,coagulumand
other blockages from the hose to the secretion canister.
User prole:Doctor,medicalsta
Patient groups: Patients of all ages with and without restrictions
Application organ: Thorax
Application time: Short-term use on the patient (< 30 days)
Application site: The application site is the clinical area. The application of the device may only
be applied by healthcare professionals. The secretion canister and the drainage hose are sterile
and disposable, and can be applied in the sterile OT area.
Contraindications: No application with other thoracic drainage systems as the ATMOS® E / S 201
Thorax and ATMOS® C 051 Thorax and corresponding secretion canister. No separate application
of the secretion canister and the hose system (this means without basic device) as gravity
drainage.Noapplicationunderemergencyconditionsandinthehomecareeldwhichisnot
supervisedbyhealthcareprofessionals.Nosuctionofammable,corrosiveorexplosiveuids/
gases.
The product is: not active
Sterility: Hose system is sterile.
Single-use product / reprocessing: Hose system is disposable.

7
1.3 Function
The ATMOS® C 051 Thorax is an exceptionally handy, mobile, 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 required vacuum can be
set manually. The suction power is regulated automatically.
The hose system is rinsed with air at regular intervals to prevent the collection of debris in the
secretion channel. 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.
Bacterialtersinthesecretioncanisterandinthemeasuringchannelpreventtheingressof
contaminated secretion into the device. The device is equipped with a carrying strap. The strap
allows for mobility and the fastening of the device e.g. to the patient’s beds. As an accessory a
universal connection can be ordered separately.
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 when
complaining or sending back. 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 damages to the electronic components 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
1.5 Explanation of pictures and symbols
Short cuts / symbols contained in these operating instructions
Follow the arrows • General information Move, plug... in this
direction
Please press where dot
indicates
• Numeration Turn, shift ... in this
direction
Activate the optional
foot switch
-Subnumeration Replace
Please read, important
information
Check Engage, check
correctt

8
Graphic symbols contained in these operating instructions
Warning, special
diligent notice Important information
Symbols of ATMOS® C 051 Thorax and accessories
Application parts
type BF
0124
The CE sign shows
that this product
meets the appropriate
requirements of the EC
Directives.
2Repeated reuse of
components which are
marked with a 2is
forbidden. This product
is not re-sterilizable.
In case of repeated
reuse these
components lose their
function and there is a
high infection risk.
SN Serial number Protection class II
REF Order number Fuse
Manufacturing date Observe operating
instructions!
Sterile unless
package is damaged
or opened.
Follow operating
instructions (blue) IP 33 Degree of protection
Manufacturer Eurasian conformity Professional disposal
GOSTCerticate(Russia)

9
2.0 For your safety
2.1 Notices
Note
Damage to the device due to improperly installed protective contact socket!
• The ATMOS® C 051 Thorax was produced in accordance with IEC 60601-1/EN 60601-1 and with
VDE safety class ll.
• The device may only be connected to a properly installed protective contact socket.
• Priortorststartingup,checkwhetherthemainsvoltagespeciedonthetypeplatematches
the local mains voltage.
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
personnel not authorised by ATMOS.
Electromagnetic compliance, damage to the device!
• The ATMOS® C 051 Thorax meets the immunity to interference requirements of IEC 60601-1-2
/ EN 60601-1-2 „Electromagnetic Compatibility – Medical Electrical Devices“.
Damage to the device due to low temperatures
• 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.
Damage to the device due to tilting
• The device and the canister must be used upright at all times. If the device should tilt it must
be placed upright again in order to guarantee faultless operation. If you are unsure whether
the canister works properly we advise you to replace the canister so as to ensure the patients’
safety.
• The warning message "Device in critical tilt" serves as preventive information to avoid
functionalimpairmentcausedbytiltingover(forexampleablockedbacteriallterinthe
secretion canister).
Damage to the device due to heat
• The device and the 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.
Legal advice
• US law restricts sale of the device to physicians or ordering through them.
Appropriate operation
• Compliance with proper surgical procedures and techniques is the responsibility of the
treating physician. Observe the instructions from 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 canister may not be used without the device (gravity drainage).
• Thedevicemayonlybeoperatedbyqualiedpersonnel.
• The removal of the canister from the device during the therapy may only be performed by
trained professionals who act in conformity with guidelines.

10
• 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.
• A second functioning device (consumables included) must be available for every patient whose
condition could become critical if the device in use should get damaged.
• The device may not be operated in MRI scanners (magnetic resonance imaging).
• The device cannot be carried at the hose system.
• 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.
• Priortotheremovalofthehoseconnectorthepatienthosemustbepinchedo.
• 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).
Advice on disposal
• Dispose of wrappings accordingly.
• Attention must be paid to all hospital protocols regarding disposal and infection control.
Wrong evaluation
• Prior to using the device it is recommended to check the leak tightness at the start of therapy
(see chapter „4.4 Leakage test“ on page 22).
• 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.
Leakage in the system
• 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.
Optional functions
• The function of the leakage test, and the warning message "Device in critical tilt" are active at
factory settings. If these functions are not desired, they can be deactivated in the user settings
(Chapter „4.9 User settings“ on page 29).
• 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
functionalimpairmentcausedbytiltingover(forexampleablockedbacteriallterinthe
secretion canister).
2.2 Caution
CAUTION
Risk of injury!
• 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.
• 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.
• Immediate reaction is required in case of the "vacuum too low" alarm. Prior to exchanging
the secretion canister the thoracic catheter must be clamped so that a continuous vacuum is
always available at the patient.

11
• Iftheuidlevelinthecanisteristoohighitcouldcauseablockageandthusatension
pneumothorax.
• Check the secretion canister at regular intervals and exchange the canister when the
maximumllinglevelisreachedtosecurethepatientssafety.
• Faulty respectively damaged components must be replaced immediately.
• Check the hose system at regular intervals. Observe the instructions from 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 thoracic catheter when changing the
secretion canister.
• A vacuum over -50 mbar could cause pain and injury to the patient.
• A vacuum over -50 mbar may only be adjusted under medical indication.
2.3 Warning
WARNING
Electric shock due to damaged connecting cables
• Check the device and connection lines for defects prior to the use of the device.
• Damaged cables must be replaced!
Electric shock due to voltage!
• Todisconnectthedevicefromthemainssupply,rstremovetheplugfromthewalloutlet.
Disconnect the connection line on the device afterwards only.
• Do not modify the device.
• Please pay attention to the period tests in chapter „9.0 Maintenance and Service“ on page
46.
• Assembly,repairs,modicationsandperiodtestsmayonlybecarriedoutbyauthorized
persons.
• Do not allow liquids (such as disinfectants or secretions) to enter the device or recharging unit.
• If disinfectant has penetrated the device, then it must be dried thoroughly and subsequently
aneciencycontrolmustbeconducted.Itshouldbetestedifthetargetvacuumcanbe
reachedinaclosedsystem,aswellasifthereisaow>4l/minafterashortwhile,whenthe
system is open. If not it may not be operated again until it has been checked by the customer
service centre.
• If secretion has entered or is sucked into the device then it must be sent to the manufacturer
or an authorized service partner.
• The power supply may not become damp.
• Don´t take a shower / bath with the device.
Danger of explosion due to unobserved ambient conditions!
• The ATMOS® C 051 Thorax is not designed for the use in medical areas with an explosion
hazard or which 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„10.0Troubleshooting“onpage48)must
be strictly observed.
Risk of infection
• 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 components which are marked with a 2is forbidden. This product is not
re-sterilizable. In case of repeated reuse these components lose their function and there is a
high infection risk.
• Repeated reuse of canister and hose systems can lead to infections.

12
• Canister and hose system should only be used once on every patient.
• For hygienic reasons we recommend an exchange of both canister and hose system at the
same time.
Risk of injury by damaged device
• If the device was dropped: 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. Send in the device for repair. Treatment with defective equipment can
cause fatal injuries to the patient.

13
3.0 Setting up and starting up
3.1 Scope of delivery
Prior to dispatch, the ATMOS® C 051 Thorax was subjected to an extensive functional test and
was carefully packed.
On receipt of the goods please check the package for any possible damage and compare the
contents for completeness. (see bill of delivery)
Description Description
Basic device Disposable strap
Battery recharging unit Carrying handle
Mains cable
Kurz-Gebrauchsanweisung ATMOS®C 051 Thorax
Die Kurz-Gebrauchsanweisung ersetzt nicht die Gebrauchsanweisung. Bildzeichen
Schritte1 - 4 immer unter sterilen Bedingungen durchführen. Information Warnung!
Aufbauund Einschalten
click
1. Sekretbehälteran das
Systemanschließen
2. Schlauchsysteman den
Sekretbehälteranschließen
Luer-Lock Anschlüsse nicht
zufest andrehen!
3. Konnektordes
Schlauchsystemsan
patientenseitiges
Schlauchendeanschließen
Überprüfung der Luer-Lock
Kappedes Konnektors auf
Dichtigkeit!
4. Konnektorverschließen

5. Geräteinschalten Dichtigkeitstestwird
automatischdurchgeführt!
6. Nurbei bestandenem
Dichtigkeitstestfortfahren!
Erst fortfahren kurz bevor
Patientangeschlossen
wird!
7. NeueTherapie starten
oderbestehende Therapie
fortsetzen

1
2
5
3
41Ist-Vakuum
2Soll-Vakuum
3AktuellerFlowwert
4Therapieverlauf
5Benutzereinstellungen
8. Soll-Vakuummit + / -
einstellen
9. Patientenkatheteran
Konnektoranschließen
10.Therapie starten
Sekretbehälterwechsel
1. NeuenSekretbehälter
vorbereiten
2. Patientenkatheter
abklemmen
Schlauchsystem nicht
abklemmen!
3. Tastensperredeaktivieren
4. Therapiestoppen
5. Schlauchsystemvom
Sekretbehälterentfernen
1
32

Quick - Start Guide
GA1DE.710101.0
2018-01 Index: 11
DieseGebrauchsanweisung ist gültig ab Software-Version 1.3.15.
Gebrauchsanweisung
ATMOS®C 051 Thorax
Deutsch
Operating Instructions
3.2 Device overview
Front side






Touchscreen (touch-
sensitive display)
 On/Osensor
Charging socket
Release button of
secretion canister
Light sensor
Clips for carrying strap

14
Rear side
317.0000.0
ATMOS C 051 Thorax
11
12
317.0000.0
ATMOS C 051 Thorax
13





Connection for secretion
canister
Connection for clips
Type plate
Secretion canister guide
11 Measuring and rinsing
hose connection
12 Cover sticker (no function
for user)
13 Connection for USB
ashdrive(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 recharging unit corresponds to the mains power supply.
• Peruse safety information in chapter „2.0 For your safety“ on page 9 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 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 recharging 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 47.
Correct handling of the rechargeable batteries prolongs their 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: If the battery temperature is higher than 35°C it can no longer be charged.

15
1. Insert the charging plug of the charger into the
charging socket on the device.
2. Connect the battery recharging unit with the supplied
countryspecicpowercable.
3. Plug the power plug into the power socket.
ªThe ATMOS® C 051 Thorax now displays the icon
onthescreen.Thebarattherightashes.As
long as the power plug is plugged in, the icon
is green.
When the battery is fully charged the icon stops
ashing.
4. Disconnect the power plug from the socket.
5. Remove the charging plug from the charging socket.
As soon as the battery charge level is less than 20%, the
drainage unit displays a warning window and triggers an
audible warning message (chapter „5.0 Warning messages“
on page 32) Charge the battery in order to continue the
therapy without interruption. If the battery is too low for
furtheroperationtheATMOS®C051Thoraxswitcheso
automatically.
The battery of the ATMOS® C 051 Thorax can also be
chargedwhenthedeviceisswitchedo.Thestateof
charge can be seen on the display.
3.3.2 Secretion canister
!
Important safety information on
the secretion canister system
• Always use the original ATMOS disposable secretion canister.
• Vacuum connection system: The vacuum connection between
device and secretion canister is set up immediately after
connection!
• For hygienic reasons we recommend an exchange of both
secretion canister and hose system at the same time.

16
3.3.2.1 Secretion canister overview
3
9
5
4
6
1
2
8
7
3
Pop-ovalve(10mbarhighpressure) Cover lid of the secretion channel 
Connection to the drainage unit (protected
byahydrophobicbacteriallter)
Cover lid for the connection to the
suction unit 
Scales (in ml) Coverlidforthepop-ovalve
Connection towards patient (secretion
channel)
Secretion canister guide
Connection to patient (measuring and
rinsing system)
3.3.2.2 Pop-o valve
Thepop-ovalveis a protection against the occurrence of high pressure which could lead to a
tensionpneumothorax.Thevalveopensatahighpressureof≥10mbarwithinthecanister.

17
3.3.2.3 Insert secretion canister
1.
2.
click
Attention! 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 .
1. Wear disposable gloves and observe the regulations when
handling sterile products.
2. Carefully remove the secretion canister from the packaging.
3. Place the secretion canister securely on a horizontal
surface.
4. Connect the hose system (Chapter „3.3.3 Connecting the
hose system“ on page 18).
5. Insert the canister guides of the secretion canister into
the canister guides on the rear side of the device (see
Device overview). Hold the secretion canister slightly angled
to the device.
6. Press the secretion canister against the device until it
audibly engages. The release button returns to its initial
position.
7. Slightly pull on the secretion canister to ensure that it is
tightlyttedtothedevice.
8. Switch on the device. A leakage test is recommended.
9. Start the therapy.
3.3.2.4 Exchanging the secretion canister
1.
2.
Prior to exchanging the secretion canister the thoracic catheter
must be clamped so that a continuous vacuum is always
available at the patient.
Removing the secretion canister
1. Always wear disposable gloves, pay attention to the
regulations for the handling of sterile products.
2. Provide a sterile secretion canister.
3. Check whether the target vacuum is reached.
4. Clamp the suction hose near the step connector close to the
patient in order to prevent loss of vacuum.
5. Stopthetherapyandswitchothedevice.
6. Remove the blue secretion canister by pressing the blue
release button (see Device overview), angle the secretion
canister slightly to the rear and remove it upwards from the
guides.
7. Place the secretion canister on a horizontal surface.

18
Flow
412
8
76
8. Release the 2 Luer-Lock connections by a counter-clockwise
rotation to separate the secretion canister from the hose
system. Pay attention as secretion could be found in the
connection space.
9. Remove the blue cover cap and cover the upper Luer-Lock
connection with it (secretion channel ).
10. Remove the black cover lid andcoverthepop-ovalve
with it .
11. Remove the yellow cover cap and cover the connection to
thedrainageunitwithit(bacteriallter).
12. Correctly dispose of the secretion canister.
Reinserting the secretion canister
13. Insert the new secretion canister (see chapter „3.3.2.3 Insert
secretion canister“ on page 17).
14. Open the clamp at the thoracic catheter.
3.3.3 Connecting the hose system





Measuring and rinsing channel
 Hydrophobicbacteriallter
Luer-Lock 4 mm
Secretion channel
Luer-Lock 6 mm

19
Attention! 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 .
1. Carefully remove the sterile hose system
from the sterile packaging.
2. Connect the Luer-Lock with the bacterial
lterto the lower canister connection (
on the secretion canister) by a clockwise
rotation.
3. Connect the Luer-Lock with the larger
diameter to the upper connection of the
canister (on the secretion canister) by a
clockwise rotation.
4. It is recommended to carry out a leakage
test (see chapter „4.4 Leakage test“ on page
22).
5. Use the sterile hose connector, supplied with
the hose system, to connect the hose system
to any drainage catheter of your choice.
Alternatively you can also use conventional
sterile y-connectors or hose connectors.

20
4.0 Operation
4.1 Explanation of the display
Therapy progress
Setting button
Start / Stop
therapy Key lock manual
Setting button
System information
Target vacuum
Actual vacuum
Display of the
actualstula
ATTENTION: This is
the current value. In the
case of a discontinuous
stula,thevaluecan
decline temporarily to zero
althoughthestulastill
exists.
Display of the
preadjusted target
vacuum to which the
pump adjusts.
Changeover to the
graphic diagram
Increases the
target vacuum
Decreases the
target vacuum
Each additional coloured
bubble represents an
additionalow.
None: 0 - < 50 ml/min
Green: 50 - < 100 ml/min
Yellow:100-<630ml/min
Orange: 630 ml - < 2,01 l/min
Red:>2,01l/mintomaximum
Upto1,00l/mintheowis
displayed in ml/min.
Key lock activated
Flow displayed as bubbles
User settings
Display of
the actual
vacuum
value.
Day/Night Mode
The ATMOS® C 051 Thorax has a
day/night mode, the device adjusts
automatically to the environmental
lighting.
Under low ambient light conditions display
has dark background illumination.