Atmos Chair 21 P User manual

ATMOS®
Chair 21 P
GA1GB.130201.0
2018-03 Index: 13
Operating Instructions
English
MedizinTechnik

2
ATMOS
MedizinTechnik GmbH & Co. KG
Ludwig-Kegel-Str.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: http://www.atmosmed.de
Content
1.0 Introduction.........................................................3
1.1 Notes on operating instructions ............................3
1.2 Function ................................................................4
1.3 Intended use .........................................................4
1.4 Scope of supply ................................................... 5
1.5 Transport and storage...........................................5
1.6 Explanation of symbols.........................................5
2.0 For your safety....................................................6
3.0 Setting up and starting up .................................7
3.1 Operating elements...............................................7
3.2 Fixing the patient chair..........................................7
3.3 Mounting the foot support .....................................7
3.4 Fixing the backrest................................................8
3.5 Adjusting the headrest ..........................................8
3.6 Removing the headrest.........................................8
4.0 Operation.............................................................9
4.1 Positioning the patient...........................................9
4.2 Adjusting the seat height.......................................9
4.3 Rotating the upper part of the chair ......................9
4.4 Adjusting the backrest...........................................9
5.0 Cleaning and care.............................................10
5.1 General information on cleaning
and disinfection...................................................10
5.2 Cleaning and disinfection of the device surface
and upholstery ....................................................10
5.3 Recommended surface disinfectants..................10
5.4 Recommended disinfectants for the upholstery..10
6.0 Maintenance and Service.................................11
6.1 Period tests.........................................................11
6.2 Sending in the device..........................................11
7.0 Troubleshooting................................................11
8.0 Options and spare parts...................................12
8.1 Options................................................................12
8.2 Spare parts .........................................................12
9.0 Technical data ...................................................13
10.0 Checking / Disposal..........................................14
10.1 Checking ATMOS devices ..................................14
10.2 Disposal ..............................................................14

3
1.0 Introduction
These operating instructions contain important notes on how to operate the ATMOS®Chair 21 P safely,
correctly and effectively. 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. Reprints (also in extracts) only with permission in written form by
ATMOS.
These operating instructions must always be kept available near the device.
Care and safety inspections in conjunction with professional execution provide for operational safety and
readiness for use of your ATMOS®Chair 21 P and are therefore a must besides regular cleaning.
Repair work and safety inspections may be carried out only by expert personnel authorised by ATMOS.
By applying only original spare parts you will have the guarantee that operational safety, readiness for
work and the value of your ATMOS®Chair 21 P will be preserved.
• The patient chair ATMOS®Chair 21 P bears CE marking CE according to the EC Directive of the
council for medical products 93/42/EEC Directive 2007/47/EC from 05.09.2007 and meets the basic
requirements of Appendix I of the directive.
• The product ATMOS®Chair 21 P 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.
Please keep this document for future consultation!
These operating instructions are valid for the following
devices:
ATMOS®Chair 21 P
Colour: white-dove blue
REF 503.0730.0
ATMOS®Chair 21 P
Colour: basic-dove blue
REF 503.0700.0
1.1 Notes on Operating Instructions

4
1.2 Function
• The patient chair ATMOS®Chair 21 P guarantees a comfortable posture for the patient (seating or half-lying position) at
optimum examination position.
• The ATMOS®Chair 21 P is equipped with a mechanical height adjustment. The seat height can be varied between 46 and
66 cm.
• The upper part of the chair can be rotated by 360° and can be locked at any height and rotary position by a xing brake.
• The shoulder-high, reclining backrest can be innitely adjusted from -5° forward tilt to 45° backward tilt.
1.3 Intended use
Name: ATMOS®Chair 21 P
Main function: The patient chair enables the optimum positioning of the patient with regard to height and access (sitting
or half-lying).
Medical
indications /
application:
Positioning of the patient during standard ENT examinations and / or therapy.
Specication of the
main function:
Seamless seat made of abrasion resistant and tear-proof leatherette, backrest is innitely variable with
gas compression from -5° up to + 45°, solid plastic arm rest, open in front for optimum legroom, safe
head positioning due to a pre-set and height adjustable headrest, innitely variable height adjustment
of the seat via an electric motor from approx. 46 cm up to 66 cm, easy patient positioning resulting from
the 360° rotation around its own axis. The seat can be easily locked in any height and rotating position
using the foot pedal, the positioning of the foldable foot support (optional) is done via synchronous cou-
pling with the backrest inclination, powder-coated base plate with rubber protection ring, disinfectant-re-
sistant leatherette colour combination.
Application organ: Positioning of the patient
Application time: Temporarily (up to 60 minutes)
Application site: In clinics and practices for ENT doctors and phoniatricians. The application of the patient chair must be
executed by medically trained persons only.
Contraindications: Not suitable as a swivel chair for testing the nystagmus stimulation, for patients weighing more than
150 kg, a backrest inclination is only possible when the chair is anchored to the oor, not suitable for
positioning the patient in the shock position (completely horizontal)
The product is: Not active
Sterility: Not sterile
Single-use product /
reprocessing:
No single use product
1.0 Introduction

5
1.4 Scope of supply
Prior to dispatch, this ATMOS patient chair was subjected to an extensive functional test and has been carefully packed.
Nevertheless, please compare the contents of the shipment on completeness immediately upon receipt (see delivery note).
1.6 Explanation of symbols
Caution, observe operating instructions!
Serial number
Order number
Manufacturing date
The CE sign shows that this product meets the
appropriate requirements of the EC Directives.
Important information!
Ambient conditions:
Transport / storage: -20...+50 °C
5...90 % air humidity without
condensation
at an air pressure of 700...1060
hPa
Operation: +5...+35 °C
20...80 % air humidity without
condensation
at an air pressure of 700...1060
hPa
REF
SN
1.5 Transport and storage
• After the 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.
• Only transport the device in a shipping carton, which is
padded and offers sufcient protection.
• If damage occurs during transport:
- Document and report the transport damage.
- Send the device to ATMOS (Chapter „6.2 Sending in
the device“ on page 11).
!
1.0 Introduction

6
2.0 For your safety
• To guarantee safe operation of the ATMOS®Chair 21 P, it
must be anchored to the oor.
• The swivel joint must be locked (multifunctional lever in
the uppermost position = swivel locking) before the patient
sits down / stands up and prior to starting the examination
(after positioning of the patient).
• Ensure that the patient sits in the middle of the seat. A
constant unilateral strain on the seat can damage the
surface.
• There are no warranty claims whatsoever on defects
which arise from the use of third party accessories or
consumables.
• ATMOS neither guarantees for fault-free operation nor for
personal injuries 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.
• Please observe the ambient conditions stated in the
technical data (chapter 9.0).
• Prior to use a visual inspection is required. If any parts are
defective the ATMOS®Chair 21 P may not be used. Please
contact your service partner.
• Please note the ATMOS®Chair 21 P may not be lifted or
transported by pulling on the operation lever.
For your safety
!

7
Fig. 1. ATMOS®Chair 21 P with selectable option rigid foot
support
3.1 Operating elements
1Headrest
2Lever for adjusting the backrest
3Lever for adjusting the seat height
4Rigid foot support (optional)
3.0 Setting up and starting up
3.2 Fixing the patient chair
To guarantee safe operation of the ATMOS®Chair 21 P, it
must be anchored tightly to the oor.
The patient chair is anchored by means of the enclosed xing
set. To do this the cover plugs must be removed from the
fastening drillings and the chair must be anchored to the oor
with the plugs and screws (Fig 2).
i
3.3 Mounting the foot support
Use the enclosed Allen wrench and the 2 socket screws to
attach the foot support to the bottom of the seat. Due to the
elongated holes in the mounting plate, the foot support can be
individually positioned.
Fig. 2. Drillings for anchoring the base plate




1
2
3
4
Fig. 3. Fixing the foot support



8
3.5 Adjusting the headrest
The height of the headrest can be adjusted by turning the
knob ( 1, Fig 5).
The headrest can be adjusted in two different positions.
The headrest can be completely folded backwards and then
removed from the support (Fig. 6).
Fig. 5.
Clamping screw
1
3.6 Removing the headrest
The headrest can be removed by pulling it upwards.
3.0 Setting up and starting up
Fig. 4. Fixing the backrest
Fig. 6. Turning the headrest
3.4 Fixing the backrest
Insert the backrest into the provided opening. The round bolts
are locked into place by slightly tilting the backrest forward
(1, Fig. 4), tighten the bolts with the cylinder head screw M
8x20 and the spring washer Ø 8,1 ( 2, Fig. 4).
1
1
2

9
4.4 Adjusting the backrest
• The backrest can be adjusted to the desired position by
pressing the lever ( 1, g. 8) backwards.
• When the lever is released it will return to its initial position.
The backrest remains in the locked position.
By pressing the lever backwards the installed gas pressure
damper will induce the backrest to return to the upright
position.
i
Fig. 8.
Lever for adjusting the backrest
1
4.3 Rotating the upper part of the chair
The upper part of the chair with the patient can be completely
rotated by moving the multifunction lever from its highest
position (swivel locking) to the rst catch position or if
necessary lower until the brake is completely released.
The upper part with the patient can then be rotated in the
desired direction. Now move the multifunction lever to the
highest position (swivel locking) when the desired position is
achieved.
Fig. 7.
Multifunctional lever
1
4.1 Positioning the patient
Ensure that the patient sits in the middle of the seat. A
constant unilateral strain on the seat can damage the surface.
4.2 Adjusting the seat height
The chair must always be in the lowermost position to
accommodate the patient when he / she sits down / stands
up. The swivel joint must be locked (multifunctional lever in
the uppermost position = swivel locking).
• Press the multifunctional lever ( 1, g. 7) to adjust the chair
height.
• Lock the chair in the desired position (multifunctional lever
in highest position = height locking).
• By pressing the multifunction lever completely, the chair
goes back to the lowest position.
i
4.0 Operation
1
1

10
5.0 Cleaning and care
Prior to cleaning
Medical chairs such as the ATMOS®Chair 21 P must be failsafe at all times.
5.2 Cleaning and disinfection of the device surface and upholstery
• The surfaces of the ATMOS®Chair 21 P are resistant against all the recommended surface disinfectants stated in chapter 5.3
and 5.4. Nevertheless after a longer period of use discolouration could occur.
• Substances such as blood must be removed immediately to prevent stains.
• The device itself can be wiped off with a moist (not wet) cloth.
Do not use aggressive or abrasive cleansing agents. For the upholstery standard dry foam may be used.
Treatment with a commonly used care product for articial leather is recommended once a week in order to keep the upholstery
soft and smooth.
5.3 Recommended surface disinfectants
• The surfaces of the ATMOS®Chair 21 P can be cleaned / wiped with disinfectants containing the following active ingredients:
QAV (quaternary ammonium compounds)
5.4 Recommended disinfectants for the upholstery
Disinfectant Ingredients (in 100 g) Manufacturer
ATMOS®Green & Clean SK
(Application solution)
Di alkyl dimethyl ammonium chloride < 1 g Metasys, Rum (Austria)
Alkyl dimethyl ethyl benzyl ammonium
chloride
< 1 g
Alkyl dimethyl benzyl ammonium chloride < 1 g
!
)The described measures relating to cleaning and
disinfection resp. sterilisation do not replace the relevant
instructions which must be adhered to prior to operation!
• For disinfection, you may use all surface and upholstery
disinfectants listed in chapter 5.3 and 5.4 “Recommended
disinfectants”.
)Always observe the concentration specications and
instructions by the respective manufacturer!
• Do not use
- Disinfectants which contain organic or inorganic acids
or bases as they could cause corrosion damage.
- Disinfectants containing chloramides, phenol
derivatives or anionic tensides, as these may cause
stress cracks in the plastic material used.
5.1 General information on cleaning and disinfection

11
Maintenance, repairs and period tests may only be carried out
by persons who have the appropriate technical knowledge
and are familiar with the product. To carry out these measures
the person must have the necessary test devices and original
spare parts.
ATMOS recommends: Work should be carried out by an
authorized ATMOS service partner. This ensures that repairs
and testing are carried out professionally, original spare parts
are used and warranty claims remain unaffected.
6.1 Period tests
• Please comply with the country-specic guidelines
regarding regular testing.
• ATMOS neither guarantees for fault-free operation nor for
personal injuries 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.
• There are no warranty claims whatsoever on defects
which arise from the use of third party accessories or
consumables.
6.2 Sending in the device
• Clean and disinfect the product and accessories according
to the operating instructions.
• Place used accessories with the product.
• Fill in the form QD 434 „Delivery complaint / return
shipment“ and the respective decontamination
certicate.
• This form is enclosed with each delivery and can be found
at www.atmosmed.com .
• The device must be well padded and packed in suitable
packaging.
• Place the form QD 434 „Delivery complaint / return
shipment“ and the respective decontamination certicate
in an envelope.
• Afx the envelope to the outside of the package.
• Send the product to ATMOS or to your dealer.
6.0 Maintenance and Service
7.0 Troubleshooting
The ATMOS®Chair 21 P was subjected to a thorough quality control in the factory. If, however, any problems should occur
please contact an ATMOS service technician.
Error indication Possible cause Remedy
Height adjustment of the chair is not
possible
Lifting column is defective Exchange lifting column - only by an
ATMOS service technician
Downward movement of the chair under
load
Lifting column is defective Exchange lifting column - only by an
ATMOS service technician
Backrest cannot be adjusted Gas spring is defective Exchange gas spring - only by an
ATMOS service technician

12
8.1 Options
Description .....................................................................................................................................................REF
Footrest, rigid, made of silver-coloured metal tube and hard rubber ...............................................................503.0731.0
8.2 Spare parts
Backrest complete, white/dove-blue ................................................................................................................503.0712.0
Backrest complete, basic/dove-blue ................................................................................................................503.0713.0
Cylinder head screw, inner edge 8 x 20 ...........................................................................................................051.0087.0
Washer 8.4 form B ...........................................................................................................................................053.0012.0
Seat cushion, white ..........................................................................................................................................503.0714.0
Seat cushion, basic ..........................................................................................................................................503.0715.0
Cylinder head screw, inner edge 6 x 45 ...........................................................................................................051.0131.0
Washer 6.4 form B ...........................................................................................................................................053.0006.0
Headrest complete ...........................................................................................................................................503.0723.0
Arm rest complete ............................................................................................................................................503.0720.0
Cylinder head screw, inner edge 6 x 30 ...........................................................................................................051.0083.0
Cylinder head screw, inner edge 6 x 20 ...........................................................................................................051.0082.0
Washer 6.4 form B ...........................................................................................................................................053.0006.0
Base plate ........................................................................................................................................................503.0726.0
Counter sunk screw m 8x25.............................................................................................................................051.0387.0
Lifting cylinder ..................................................................................................................................................503.0716.0
Cylinder head screw, inner edge 6 x 20 ...........................................................................................................051.0082.0
Slide bearing iglidur g.......................................................................................................................................503.0718.0
Slide bearing iglidur g.......................................................................................................................................503.0717.0
Axis for backrest...............................................................................................................................................503.0721.0
Axis for gas spring rear ....................................................................................................................................503.0724.0
Axis for gas spring front ...................................................................................................................................503.0725.0
Lock washer 8 ..................................................................................................................................................053.0110.0
Lock washer 6 ..................................................................................................................................................053.0109.0
Release lever for gas spring ............................................................................................................................503.0727.0
Gas spring........................................................................................................................................................503.0728.0
Fixation plate....................................................................................................................................................503.0722.0
Seat complete ..................................................................................................................................................503.0710.1
Bracket for backrest complete..........................................................................................................................503.0711.1
Adhesive pads..................................................................................................................................................000.0959.0
8.0 Options and spare parts

13
9.0 Technical data
Height adjustment Manual, pump hydraulics
Ambient conditions for transport/storage
• Temperature -20...+50 °C
• Humidity without condensation 5...95 %
• Pressure 700...1060 hPa
Ambient conditions operation
• Temperature +5...+35 °C
• Humidity without condensation 30...95 %
• Pressure 700...1060 hPa
Seat height 46 - 66 cm
Backrest adjustment 50° (-5° ... 45°)
Rotation of the upper part 360°
Dimensions (HxWxD) 155 x 58 x 64 cm
Seat (diameter) 48 cm
Backrest (HxW) 58 x 54 cm
Leg rest (HxW) 34 x 33 cm
Headrest (HxW) 19 x 28 cm
Base (diameter) 60 cm
Weight 28 kg
Max. patient weight 150 kg
Period tests Please comply with the country-specic guidelines regarding regular testing.
Classication according to Appendix IX EC
Directive 93/42/EEC
I
CE marking CE
GMDN code 10 - 794
UMDNS code 10794
ID No. (REF) 503.0730.0 white / dove blue
503.0730.0 basic / dove blue
Issue of the technical data: 01.03.2018

14
10.0 Checking / Disposal
10.2 Disposal
• The ATMOS®Chair 21 P does not contain any hazardous materials.
• The housing material is fully recyclable.
• Device and accessories must be decontaminated prior to disposal.
• Pay attention to a careful separation of the different materials.
• Please observe national disposal regulations (e.g. waste incineration).
Prior to disposal respectively before transport, all parts, which came into contact with the patient must be thoroughly
cleaned and disinfected. The device surface must be disinfected.
Disposal within the EC
The device described above is a high-quality medical product with a long service life. After its life cycle it must be disposed
of professionally. According to the EC directives (WEEE and RoHS) the device may not be disposed of with domestic waste.
Please observe existing national laws and rules for disposal of old devices in the respective country.
Disposal within the Federal Republic of Germany
In order to guarantee a proper disposal of your old device, either pass on your old device to your specialised dealer or send it to
ATMOS MedizinTechnik for disposal.
10.1 Checking ATMOS®devices
The ATMOS devices are maintenance-free when they are used according to the operating instructions.
Regular, thoroughly cleaning and disinfection of the chair and the application parts respectively the operation in line with the
operating instructions is assumed.

15
For your notes

ATMOS MedizinTechnik GmbH & Co. KG
Ludwig-Kegel-Straße 16
79853 Lenzkirch / Germany
Phone: [phone]
[email protected]
www.atmosmed.com
MedizinTechnik