Atmos C 11 Systema User manual

0124
ATMOS®C 11
Systema
GA1GB.110300.0
2018-03 Index: 20
Operating Instructions
English

2
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 Centre)
E-mail: [email protected]
Internet: www.atmosmed.de
4.4 Compressed-air system......................................15
4.4.1 Activation ............................................................15
4.4.2 Adapt / deposit sprayer.......................................16
4.4.3 Ear irrigation module compressed air
(REF 541.1100.0)................................................16
4.4.4 Ear irrigation bowl ...............................................16
4.5 ATMOS®LS 21 LED - quickstart.........................17
4.5.1 Connection..........................................................17
4.5.2 Attaching the application part..............................17
4.5.3 Autostart function................................................17
4.5.4 Intensity control ..................................................17
4.6 ATMOS®HL 21 LED - quickstart.........................18
4.6.1 Switching on........................................................18
4.6.2 Focusing the headlight........................................18
4.6.3 Intensity control ..................................................18
4.7 LED cold light module.........................................18
4.8 Endoscope management....................................19
4.8.1 Overview.............................................................19
4.8.2 Mirror quick-heater..............................................19
4.9 Emptying the deposit for used instruments.........20
5.0 Cleaning and care.............................................21
5.1 General information on
cleaning and disinfection.....................................21
5.1.1 Cleaning the unit surface ....................................21
5.1.2 Secretioncanister,bacteriallterand
suction hose........................................................21
5.1.3 TestDDSbacteriallter/
oversuction stop..................................................21
5.1.4 Medicament sprayers..........................................22
5.1.5 Instrument trays ..................................................22
5.1.6 Endoscope quivers .............................................22
5.1.7 Ear irrigation bottle and ear rinsing bowl.............22
5.2 Recommended instrument disinfectants.............23
5.3 Recommended surface disinfectants..................24
5.4 Recommended endoscope disinfectants............25
5.5 Cleaning and disinfection plan............................26
6.0 Maintenance and Service.................................28
6.1 Sending in the device..........................................28
7.0 Troubleshooting................................................29
8.0 Options, accessories,
and consumables..............................................31
9.0 Technical data ...................................................33
10.0 Disposal.............................................................35
11.0 Notes on EMC....................................................36
Content
1.0 Introduction.........................................................3
1.1 Notes on operating instructions ............................3
1.2 Intended use .........................................................4
1.3 Function ................................................................4
1.4 Explanation of symbols.........................................5
1.5 Scope of delivery ................................................. 5
2.0 For your safety....................................................6
3.0 Setting up and starting up .................................7
3.1 Required connections ...........................................7
3.2 Connection to electrical power line .......................7
3.3 Overview of complete equipment......................... 8
3.4 Back view..............................................................8
4.0 Operation.............................................................9
4.1 Suction system......................................................9
4.1.1 Activation ..............................................................9
4.2 Canister systems ................................................10
4.2.1 Reusable canister systems.................................10
4.2.1.1 Bodywork secretion canister...............................10
4.2.2 Insert / Remove DDS bacterial
 lter/oversuctionstop........................................10
4.2.3 Using the DDS splash protector..........................10
4.2.4 Attach / remove DDS secretion canister lid ........11
4.2.5 Attach / remove DDS secretion canister handle .11
4.2.6 Close / open DDS secretion canister handle ......11
4.2.7 Removing / securing DDS secretion canister .....12
4.2.8 Insert DDS hose adapter ....................................12
4.2.9 Connecting the hose...........................................12
4.2.10 DDS changeover docking station........................12
4.2.11 Draining of reusable canister system..................12
4.3 Disposable canister system ................................13
4.3.1 Assembling the Receptal®secretion-
canister system...................................................13
4.3.2 Assembling the Medi-Vac®secretion-
canister system...................................................13
4.3.3 Assembling the Serres®secretion-
canister system...................................................13
4.3.4 Bemis®secretion canister system.......................14

3
1.0 Introduction
1.1 Notes on Operating Instructions
These operating instructions contain important notes on how to operate the ATMOS®C 11 Systema
safely, correctly and effectively. Their reading helps to avoid risks, and also to reduce repair costs
and down-times. This increases also the reliability and service-life of your 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 11 Systema 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 11 Systema will be preserved.
• The unit ATMOS®C 11 Systema 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 unit ATMOS®C 11 Systema 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 start-up please peruse chapter 2.0 „For your safety“, in order to be prepared for any
possible dangerous situations.
These operating instructions are valid for the following
devices:
ATMOS®C 11 Systema (sitting) REF 541.0000.0
ATMOS®C 11 Systema (standing) REF 542.0000.0

4
1.2 Intended use
Name: ATMOS®C 11 Systema
Main function: • Suction
• Ear irrigation
• Compressed air for medication spraying
• Electric power supply for LED light handles and LED headlight
• Power supply for optional LED cold light source
• Instrument deposit
• Mirror quick heater
Medical indications /
application:
Standard ENT examination and/or therapy
Specication of the
main function:
• Suction at 90 % vacuum / 100 mbar end pressure
• Ear irrigation with 37 °C ± 2 °C, max. 500 ml/min
• Compressed air for medication spraying, max. 2 bar
• Power supply for LED, 700 mA or 1.000 mA
• LED cold light source min. 80 kLux ± 10 %, colour temperature 5.600 K
Application organ: Mouth to pharynx, auditory canal to the ear drum and the nasal cavities
Application time: • ENT unit: Short term use (up to 30 days)
• Suction / Compressed air / ear irrigation: Temporary application on the patient (less than 60
minutes)
Application site: Application sites are clinics and practices for ENT doctors and phoniatrists. The examination and/or
therapy with the ENT unit may only be executed by medically trained persons.
Contraindications: • May not be used for irrigation of the paranasal sinuses.
• May not be used for the Politzer manoeuvre.
• The ear irrigation should not be applied to an infected auditory canal or a perforated eardrum.
The product is: active
Sterility: The ENT unit is no sterile product.
Single-use product /
reprocessing:
The ENT unit 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.
1.3 Function
• Suction system
• Compressed-air system
• Ear irrigation by means of compressed air
• LED light handle ATMOS®LS 21 LED
• LED headlight ATMOS®HL 21 LED
• LED cold light source
• Instrument deposit
• Endoscope management
• Mirror quick heater
1.0 Introduction

5
1.4 Explanation of symbols
!
■
●
→
Graphic symbols contained in these operating instructions
Warning, special diligent notice
Short cuts / symbols contained in these operating instructions
Please press where dot
indicates
Subnumeration
Numeration
General information
Follow the arrows
Replace
Check
Please read, important
information
Move, plug... in this
direction
Engage, check
correctt
Turn, shift... in this
direction
)Important information
Symbols of ATMOS®C 11 Systema
Serial number
Order number
Manufacturing date
This product complies with the relevant
requirements of EU Directive
REF
SN
Observe operating instructions!
Professional disposal
1.5 Scope of delivery
The ATMOS®C 11 Systema was subjected to an extensive functional test and was carefully packed prior to dispatch.
Nevertheless, please compare the contents of the shipment on completeness immediately upon receipt (see delivery note).
Scope of delivery ATMOS®C 11 Systema (sitting):
Basic module with two large drawers, one small drawer, service compartment for secretion canister, safe storage of three clean
and three used endoscopes at a time, two connections for LED light handle ATMOS®LS 21 LED and headlight ATMOS®HL 21
LED, support for LED light handle with automatic start-up function by means of light barriers, three supports for medicament
sprayers, two supports for rinsing bottles, suction module, suction hose, power cable, operating instructions
Scope of delivery ATMOS®C 11 Systema (standing):
Basic module with three large drawers, one small drawer, service compartment for secretion canister, safe storage of three
clean and three used endoscopes at a time, two connections for LED light handle ATMOS®LS 21 LED and headlight ATMOS®
HL 21 LED, support for LED light handle with automatic start-up function by means of light barriers, three supports for
medicament sprayers, two supports for rinsing bottles, suction module, suction hose, power cable, operating instructions
This product is not re-sterilizable. Repeated
reuse of components which are marked with a
2is forbidden. In case of repeated reuse these
components lose their function and there is a high
infection risk.
2
0124
Suction system
Compressed-air system Potential equalisation
1.0 Introduction
click

6
2.0 For your safety
!
For your safety
• The ATMOS®C 11 Systema is produced according to
IEC 601 / EN 60601 and listed in the following classes:
- VDE Class of protection 1
- Class IIa (93/42/EEC).
• The device may only be connected to a properly
installed safety socket.
Correctcongurationinassemblyofcountry-specic
connections:
- green/yellow: protective conductor (PE)
- blue: neutral conductor (N)
- black or brown: phase (L)
• The ATMOS®C 11 Systema may be used in
supervisedoperationbyqualiedpersonnelonlywhich
has been authorised by ATMOS and which has been
trained for operating the appliance (IEC 60601-1/EN
60601-1).
• The mains voltage indicated on the type plate must
correspond to the values of the supply network.
• Valves must be checked for correct function in regular
intervals!
• Arrange a sight check every morning for the hoses,
secretion canister and cables. Exchange damaged
parts immediately! Only proper and undamaged plugs
and extension cables may be used.
• Switch off the unit before you open it and separate it
from the line voltage.
• Never leave the patient unattended at the treatment
unit.
• This product is not re-sterilizable. Repeated reuse of
components which are marked with a 2is forbidden.
In case of repeated reuse these components lose their
function and there is a high infection risk.
• In case that there is no adapter attached to the light
conductor,touchingthelightsourcewitheitheranger
or any tool should be avoided. On the one hand this
may damage the lens and on the other hand there is a
risk of injury.
• Itisnotallowedtouseammablesubstanceswiththe
device.
• Switchoffthemainswitchafternishingworkin
practice.
• If the device is connected to the mains by means
of a mains distributor together with other electrical
devices the total leakage current of all connected
devices must not exceed 0.5 mA. In case of leakage
currents exceeding this value, the devices have to be
connected to the mains by means of wall mounted
connectors. Alternatively the devices can be operated
by using an isolating transformer according to IEC
60601-1 with insulation monitoring or any similar
safety device.
• Do not place used contaminated instruments on the
ENT unit except on destined places!
• Theambientconditionsspeciedinthe"Technicaldata"
must be strictly observed!
• Care is to be paid in respect to light sources when
working with endoscopes. Do not look directly into the
light outlets! In case of possible light failure remove the
endoscope from the working area.
• The ATMOS®C 11 Systema may be operated only
in rooms used for medical purposes, but not in areas
subject to explosion hazards and in oxygen rich
environments.
• The ATMOS®C 11 Systema meets the immunity to
interference requirements of IEC 60601-1-2 / EN 60601-
1-2 „Electromagnetic Compatibility – Medical Electrical
Devices“.
• The ATMOS®C 11 Systema may not be operated with
devices not complying with the requirements of standard
EN 60601-1 „Medical Electrical Equipment“ and EN
60601-1-2 „Electromagnetic Compatibility“ (Medical
Electrical Equipment).
• ATMOS is not liable for personal injury and damage to
property if
- no original ATMOS parts are being used.
- the advice for use in these operating instructions is
not being observed.
- assembly, new settings, alterations, extensions
and repairs have been carried out by personnel not
authorised by ATMOS.
• Do not restrict the air supply at the rear of the unit!
• Payattentiontothecorrecttofthelightsource
ATMOS®LS 21 LED in the holder.
• With every light source a warming of tissue due to
radiation and absorption could occur. This could result in
damage to the biological tissue.
• Please make sure to reduce duration of use to a
minimum, to switch off the light source when not in use
and to check heat development if necessary.
• Avoid looking directly into the light source.
• Never touch the connection of the LED light source or
the metal parts of the bottle warmer and the patient
simultaneously (700 mA & 1000 mA).
• In order to avoid the danger of an electric shock this
device should only be connected to an earthed power
connection.
• Warning: Do not modify the device without permission of
the manufacturer.
• Caution: The light handles become warm during use.
• The potential equalization module must be connected
according to EN 60601-1 3. edition chapter 8.6.7. This
is required in order to equalize all the wiring from the
various medical devices which are used together.

7
3.2 Connection to electrical power line
• According to the directions of VDE 0107 and VDE 0100, medically used rooms have to be equipped with a leakage current
protective circuit (FI protective circuit) with a nominal leakage current of < 0.03 A. The installation must correspond with VDE
0107.
• The power cable of the ATMOS®C 11 Systema is connected to an earthing contact socket which is to be mounted near the
unit(max.5m,seeg.).Thismayonlybecarriedoutbyauthorizedqualiedpersonnel.
• The power consumption comes to 270 W max.
• For the connection of further electrical devices, please allow for extra plugs (installation of an electrically operated patient
chair, etc.).
• Inordertoswitchontheunitbringtheon/offswitchinto"on"position.
• Inordertoswitchofftheunitbringtheon/offswitchinto"off"position.Inthispositiontheunitisdisconnectedfromthepower
supply.
Unit / Device Maximum required connections
ATMOS®C 11 Systema 1x earthing contact socket outlet
Optional:
Monitor 1x earthing contact socket outlet
Microscope ATMOS®i View 1x earthing contact socket outlet
Patient chair 1x earthing contact socket outlet
3.1 Required connections (power supply)
15002260
552
1100 960
1160
532
640
1600
8001519
3.0 Setting up and starting up

8
3.0 Setting up and starting up
3.3 Overview of complete equipment
3.4 Rear view
Microscope, monitor and table are not shown.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
19
18
1Hook for headlight with automatic switching (optional)
2Endoscopemanagementforrigidorexible,clean
optics (optional)
3Mirror quick heater (optional)
4Disinfectant quiver for used endoscopes (optional)
5LED light handle (optional)
6Brightness controller
7Connection for LED light source and LED headlight
(optional)
81-channel cold light source (optional)
9Deposit for used instruments (optional)
10 On / Off switch
11 Service compartment
12 Compartment for secretion canister
13 Drawers
14 Automatic suction equipment
15 Compressed air (optional)
16 Nebulization of medications (optional)
17 Ear irrigation module compressed air (optional)
18 Instrument deposit (optional)
19 Storage shelf (optional)
1Mains supply
1

9
4.1 Suction system
4.1.1 Activation
Take handle from holder. By the installed light barrier the suction system activates automatically.
Thebacteriallter/oversuctionstopoftheDDSreusablesystemandtheoverowprotectionsinthesingle-usesecretion
canisters safely prevent from oversuction.
Ifthecanistersarelled,theoverowprotectionsseparatethecanisterfromthevacuum.Thisisrecognizableduetothe
decreasing suction capacity at the handle. In this case please exchange the disposable bag in the single-use system
respectively remove, empty, clean and disinfect the reusable canister system as described in chapter 5 and insert a new
bacteriallter.
Donotoperatethesuctionsystemwithoutabacteriallter.Alwaysusethesplashguardforextensionoftheutilizationofthe
bacteriallter.ATMOSdoesnotassumeanyliabilityformalfunctionscausedbyoperatingthedevicewithoutbacteriallter.
Exchangethebacteriallterregularly.Advicesinchapter4.2.2.
The hose attachment must be exchanged after each patient.
Please note that the tube set can be cleaned and disinfected mechanically by 70°C.
!
!
4.0 Operation
Prior to application please check suction performance and leak tightness of the suction system.
Pleaseremovethehosefromthesupport,sealthehoseendwithyournger.Checkwhethervacuumisbuiltup.In case of any
leakage (no vacuum build up, hissing sound) please contact the service engineer (see chapter 4.2.10 DDS changeover docking
station and chapter 6.0 Maintenance and Service).
Please take care to insert the suction hose into the left support, mark with this symbol ,only(seegurebelow).

10
DDS canister handle
340.0055.0
DDS canister lid with gaskets
340.0053.0
DDSbacteriallter
340.0054.0
DDS splash protection
340.0056.0
DDS secretion collection canister
1,5 l 340.0050.0 resp. 3,0 l 340.0051.0
DDS hose adaptor set
340.0057.0
4.2 Canister systems
4.2.1 Reusable canister system
4.2.1.1 Bodywork secretion canister
4.2.2 Insert / Remove DDS bacterial lter /
oversuction stop
)Please wear gloves for inserting resp. removing the DDS
bacteriallter!
4.2.3 Using the DDS splash protector
4.0 Operation

11
4.2.4 Attach / remove DDS secretion canister lid
• PlacetheDDSsecretioncanisteronarmsurface,
position the lid horizontally on top (the lid may not be
twisted!).
• Press it tightly with both hands as far as it will go onto the
canister.
• With one hand on the canister handle lift the complete
canister upwards. With the other hand on the canister
base guide the canister in order to prevent it from tilting
when lifting it out.
• Unhinge the snap-in hook of the canister handle at the
canister. Pull out the snap-in hook with both hands and
remove the canister handle upwards. Remove bacterial
lter/oversuctionstopfromthecanisterhandle.
• Remove the canister lid from the canister with both
hands. Remove the splash protection.




4.2.5 Attach / remove DDS secretion canister
handle
• Fix the secretion canister handle into the guiding of the
lid with opened snap-in hook .
• Fix the snap-in hook below the canister edge and
press at the upper part towards the centre of the
canister until the handle snaps in.
4.2.6 Close / open DDS secretion canister handle
• To close, secure the snap-in hooks under the edge of the
secretion canister, and then press the clips downwards
until they lock into place.
• To open, pull the clips upwards to release the snap-in
hooks and remove from under the edge of the secretion
canister.
4.0 Operation

12
4.2.7 Removing / securing DDS secretion canister
• Open the storage compartment for the secretion canister
(see page 8), remove the canister in lifting it vertically
upwards; for reinserting it, allow it to slide vertically
downwards into the securing device.
4.2.8 Insert DDS hose adapter
• Press the required DDS hose adapter with 6 mm or
10 mm diameter into the opening “patient” on the DDS
secretioncanisterlidtwistingslightlytoensureatightt.
• Twist slightly in the same manner when removing.
4.2.9 Connecting the hose
Please put the hose on the hose adapter.
4.2.10DDS changeover docking station
Maximum load of the station: 15 kg!
• The DDS changeover docking station for 2 canisters with
changeover switch and direct docking may be used on
the ATMOS®C 11 Systema.
• The changeover lever serves to switch the vacuum to
the canister towards which the lever points.
• To remove or insert a canister, switch the changeover
lever towards the canister that is not being replaced.
4.2.11 Draining of reusable canister system
The canister system has to be cleansed and disinfected
regularly. Read more in chapter “5.0 Cleaning”.
Openthesidedrawerregularlytocheckthellinglevel.
Drain the secretion canister manually at approx. half level.
Pull the secretion canister horizontal out of the holder in the
service compartment and remove the suction hose.
1
4.0 Operation

13
4.3.2 Assembling the Medi-Vac®secretion
canister system
Insert the Medi-Vac®bag into the Medi-Vac®canister.
Close the canister tightly at all sides.
Check again for density, otherwise no vacuum can be built
up.
Plug in the vacuum hose of the pump and connect the
suction hose to the „patient“ connection.
Onlybagswithintegratedbacterialltermaybeused!
!
Receptal®bag
MediVac®bag
4.3 Disposable canister system
4.3.1 Assembling the Receptal®secretion canister
system
Insert the Receptal®bag into the Receptal®canister.
Close the canister tightly at all sides.
Check again for density, otherwise no vacuum can be built
up.
Plug in the vacuum hose of the pump and connect the
suction hose to the „patient“ connection.
Onlybagswithintegratedbacterialltermaybeused!
!
4.3.3 Assembling the Serres®secretion canister
system
Insert the Serres®bag into the Serres®canister.
Close the canister tightly at all sides.
Check again for density, otherwise no vacuum can be built
up.
Plug in the vacuum hose of the pump and connect the
suction hose to the „patient“ connection.
Onlybagswithintegratedbacterialltermaybeused!
!
-0,2
+0,2
MedizinTechnik
Tolerierungsgrundsatz ISO 8015
Schutzvermerk DIN ISO 16016
Ers.d.:
Zeichnungs/
Artikel-Nr.
(part no.)
Benennung (designation)
Werksto (material)
Konstr.-Nr.:
Bl.
Blatt
(sheet)
Zust.
(index)
Änderung
(revision)
Datum
(date)
Name
(name)
Gepr.
Bearb.
Name
Datum
Maßstab (scale)
Serres-Behälter 1 L
05.312.01.04
1:10
PC
1/1
1
02.08.2011
Ers.f.:
ATMOS MedizinTechnik GmbH & Co. KG
Ludwig-Kegel-Str. 12,14-16, 18
79853 Lenzkirch / Germany
Tel: [phone]
Fax: [phone]
[email protected]
www.atmosmed.de
Erstellt
Baer
Alle Maße in mm
all dimensions in mm
Allgemeintoleranzen/
General tolerances
ISO 2768-mK
Serres®bag
Patient
Pump
Patient
Pump
Patient
Pump
4.0 Operation

14
4.3.4 Bemis®secretion canister system
Insert the Bemis®bag into the Bemis®canister.
Close the canister tightly at all sides.
Check again for density, otherwise no vacuum can be built
up.
Plug in the vacuum hose of the pump and connect the
suction hose to the „patient“ connection.
Onlybagswithintegratedbacterialltermaybeused!
!
4.0 Operation

15
4.4 Compressed-air system
Prior to application check the leak tightness of the compressed air system.
Remove the handle and see if any air is escaping. If there is any leakage contact the service technician (see chapter 6.0
Maintenance and Service).
Nebulization of medications
(compressed air)
Handle for compressed
air (optional)
• For security reasons you should avoid repeated activation of the handle of compressed air in a rapid sequence.
• Makesureequipmentandhosesarermlyconnectedinordertobuildupasufcientpressure.
• Pay note, insert the compressed air handle into the right support, marked with this symbol .
• There should be no Politzer manoeuvre performed with the compressed-air system!
4.4.1 Activation
Take handle from holder. By the installed light barrier the compressed-air system activates automatically.
!
Bent sheet of metal with
integrated support for correct
sprayer-alignment
Ear irrigation module
compressed air (optional)
4.0 Operation

16
1
2Prior to application, please check water pressure and water
temperature on the back of the hand.
In order to start the ear irrigation, please close the vent
valve () and press the adjusting lever (). You stop ear
irrigation in releasing the adjusting lever () and the vent
valve (). Ear irrigation stops.
Change the jet connection after each patient. Only use
reprocessed jet connections, in order to prevent spreading
germs.
The glass vials have to be checked for intactness prior to
every use (cracks, chippings on the winding, etc.). Broken
glass vials may not be used for ear irrigation.
!
Adjusting lever
Vent valve
Adapt:
Stick () handle onto the
medication bottle.
Let snap, then lift
medication bottle
with handle out of the
attachment ().
By pulling the trigger,
compressed-air will be
applied into the sprayer
().
1
2
Deposit:
1
2
Adapt medication bottle top
down into in the attachment.
Press activator () and pull
handle () backwards.
• Handle carefully when using a sprayer to avoid injuries.
• Before using the sprayer bottle, check the defensibility of the included medications.
• Clean all parts of the sprayer regularly! Read more in chapter 5.0 “Cleaning”.
3
4.4.2 Adapt / deposit sprayer
4.4.3 Ear irrigation module compressed air (REF 541.1100.0)
4.4.4 Ear irrigation bowl
• Purpose: To collect the water during ear irrigation.
• The ear irrigation bowl is connected to the adapter of the
suction system and is then held under the patient`s ear.
4.0 Operation

17
4.5 ATMOS®LS 21 LED - quickstart
4.5.2 Attaching the application part
click
4.5.1 Connection
ATMOS®LS 21 LED for
ATMOS®C 11 Systema
REF 541.4300.0 white light
REF 541.4400.0 warm white
Endoscope adaptor Wolf
REF 507.4657.0
Endoscope* Endoscope with integrated light
conducting cable*
Light conducting adaptor Storz*
REF 507.4611.0 with detent
REF 507.4612.0 for screwing
!Danger to the device!
CAUTION!
• If the light source is used with unsuitable adaptors, the lens could be badly damaged!
• Use optics only with the supplied and/or optional adaptors!
• Make sure, the endoscopes with adaptor engage in the light source!
or
Light conducting adaptor Olympus*
REF 507.0949.0
The integrated ATMOS®LS 21 LED features separate operating instructions.
Please note:
Read these separate operating instructions attentively and follow the stated notes for your safety to guarantee ideal and safe
use of all functions!
Never look directly into the light source!
!
4.5.3 Autostart function
The light source is automatically activated when removing the light handle.
4.5.4 Intensity control
• Switch on the light source.
• Turn the brightness controller anti-clockwise to reduce the brightness or clockwise to increase it.
)When the device is switched off the last adjustment will be kept.
*Not contained in scope of delivery. Optionally available.
Connection
ATMOS®LS 21 LED
4.0 Operation

18
The ATMOS®HL 21 LED features separate operating
instructions.
Please note:
Read these separate operating instructions attentively and
follow the stated notes for your safety to guarantee ideal
and safe use of all functions!
Please note to use the right power connection, marked with
700 mA, for the headlight ATMOS®HL 21 LED.
4.6.1 Switching on
a)
When the headlight is connected to the power supply of the
ENT workstation, the headlight is automatically activated
when removed from the headlight hook.
b)
For the connection of the headlight to the battery
• Adjust the lateral switch on the LED battery to the desired
position:
- ECO mode: Operation for approx. 4 hours.
- POWER mode: Operation for approx. 2 hours.
4.6.2 Focusing the headlight
• The size of the light spot can be adjusted by turning the
focusing ring.
4.6.3 Intensity control
• Switch on the light source.
• Turn the brightness controller anti-
clockwise to reduce the brightness or
clockwise to increase it.
)When the device is switched off the last
adjustment will be kept.
!
!
4.6 ATMOS®HL 21 LED - quickstart 4.7 LED cold light module
Headlight rack
Focusing ring
The one-channel LED cold light module is delivered with an
ATMOS/Storz adapter.
The light conducting cable can be connected to the ATMOS/
Storz adapter.
When removing the light conductor the light source switches
on automatically due to the built in light barrier.
In case you use a light conducting cable from another
manufacturer you will then require a suitable adapter.
Adapter exchange
In order to release the adapter turn it to the left and then pull
it out.
Insertthenewadapterandturnittotherightuntilitisrmly
in place.
Care is to be paid in respect to light sources when working
with endoscopes. Do not look directly into the light outlets! In
case of possible light failure remove the endoscope from the
working area.
Intensity control
• Switch on the light source.
• Turn the brightness controller anti-
clockwise to reduce the brightness or
clockwise to increase it.
)When the device is switched off the last
adjustment will be kept.
!
4.0 Operation

19
Press the power-on button in order to activate the mirror quick heater. After 10 seconds it switches off automatically.
Fire hazard!
Prior to each use on your patient check your instruments´ temperature (on the back of your hand or similar).
Only store and heat clean instruments!
Assoonasthemirrorheaterisactivatedallotherelectricaldevicesareswitchedoffautomaticallyuntilmirrorheatingisnished.
In case that the suction system is required simultaneously, it is activated when the suction hose is removed from the support
and the mirror quick heater is switched off.
!
4.8 Endoscope management
4.8.1 Overview
Plastic quivers for storage of clean optics (removable)
Plasticsquiverforstorageofusedopticsandllingwithdisinfectantdilution
(removable)
4.8.2 Mirror quick-heater
• Please treat the instruments carefully, when inserting resp. removing.
• Please put used contaminated endoscopes only into the appropriate quivers.
• Please take care to strictly separate clean from contaminated instruments.
• Please observe the manufacturer's instructions when reprocessing endoscopes and in addition general rules and instructions
valid for reprocessing.
• Reprocessing of endoscopes for reuse may not be performed at the workstation! Furthermore please observe existing
directives and rules.
• Clean and disinfect the storage quivers regularly! Therefore please note the instructions in chapter “5.0 Cleaning”.
Power-on button
Danger of burning - Do never touch the cover of the mirror quick heater.
The cover is hot!
!
4.0 Operation

20
Deposit for used
instruments
Tobelled/emptied
4.9 Emptying the deposit for used instruments
Please put the used instruments into the deposit for used instruments.
To empty the deposit for used instruments open the drawer and remove the closed plastic container. The lid can be removed
and emptied.
Put a new or the reprocessed plastic container back into the drawer and close it.
4.0 Operation