Atmos Chair 41 Gyne User manual

MedizinTechnik
ATMOS Chair 41 Gyne
503.0550.B 2019-07 Index: 20
Operating instructions
English

2
ATMOS
Phone: + 49 7653 689-0
Fax:
+ 49 7653 689-392 (Sales Germany)
+ 49 7653 689-391 (Export Sales)
e-mail: [email protected]
Internet: http://www.atmosmed.de
MedizinTechnik GmbH & Co. KG
Ludwig-Kegel-Str. 16
79853 Lenzkirch
Deutschland/Germany
Table of contents
1.0 Introduction ............................................................... 5-7
1.1 Intended use .................................................................. 5
1.2 For your safety ............................................................... 5
1.3 Main characteristics ....................................................... 6
1.4 Type label....................................................................... 7
1.5 Technical information ..................................................... 7
2.0 Scope of supply ........................................................... 8
3.0 Setting up and starting up...................................... 9-10
4.0 Operation ............................................................... 11-12
4.1 Controls.........................................................................11
4.2 Programming................................................................ 12
4.3 Leg rest adjustment..................................................... 12
4.3 Leg rest (REF 503.0552.0).......................................... 12
5.0 Cleaning and care ................................................. 13-14
5.1 Cleaning ....................................................................... 13
5.2 Paper roll replacement .......................................... 13 - 14
5.3 Recommended surface disinfectants........................... 14
5.3.1 Recommended disinfectant for cushion....................... 14
6.0 Maintenance and servicing ....................................... 15
6.1 Exchange of upholstery................................................ 15
7.0 Trouble shooting ........................................................ 16
8.0 Accessories, further options, consumables .... 17 - 18
8.1 Accessories............................................................. 17-18
8.2 Further options ........................................................ 17-18
8.3 Consumables ............................................................... 18
9.0 Technicalspecications............................................ 19
10.0 Disposal ...................................................................... 20
11.0 Notes on EMC........................................................ 21-23

3
MAGNETKISSEN
MAGNETIC PILLOW
COUSSIN MAGNÉTIQUE
* GRIFF
HANDLE
POIGNEÉ
SITZFLÄCHE
SEAT
SIÉGE
FUßSTÜTZE
FOOTREST
APPUI-PIED
FUßSTEUERUNG
FOOT CONTROL
PÉDALE
BODENPLATTE
BASE
BASE
RÜCKENLEHNE
BACKREST
DOSSIER
BEINHALTER
LEG SUPPORT
ECARTEUR
SEKRETSCHALE
BASIN
CUVETTE
KOLPOSKOPHALTER
COLPOSCOPE ARM
BRAS POUR
COLPOSCOPE
General survey
This survey also shows options*, which are not part of the basic equipment!
*
*
*
*
*

4
1.0 Introduction
Information provided in these operating instructions
These operating instructions describe the ATMOS Chair 41 Gyne purposes and provide information on how it works, its functions, maintenance,
trouble shooting and relative solutions.
Marks and symbols
The following marks and symbols are being used in this handbook:
Note: This points out, that the text contains some important information.
Attention: This message may appear before certain procedures. If it is ignored, the equipment could be damaged.
Warning: This message may appear before certain procedures. If it is ignored, the operator could be injured and
the equipment damaged.
General information
The ATMOS Chair 41 Gyne does not electromagnetically or otherwise a󰀨ect other equipment nor is the chair itself a󰀨ected by these phenomena,
caused by other equipment, as it is manufactured in compliance with the Directive, and meets the requirements of the harmonised standard
EN 60601-1:1996-03.

These operating instructions contain important notes on how to operate the ATMOS Chair 41 Gyne
safely, correctly and e󰀨ectively. Their reading helps to avoid risks, and also to reduce repair costs
and down-time. That 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. Full or partial reproduction is subject to prior written
approval from 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 41 Gyne 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 41 Gyne will be preserved.
●The product ATMOS Chair 41 Gyne bears CE marking CE according to the EC
Directive of the council for medical products 93/42/EEC and meets the basic requirements of
annex I of this directive.
●The product ATMOS Chair 41 Gyne 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 9001 and EN ISO 13485.
●Prior to start-up please peruse chapter 1.2 „For your safety“, in order to be prepared for any
possible dangerous situations.

5
1.0 Introduction
1.1 Intended use
Name: ATMOS Chair 41 Gyne
Main functions: Examinations and therapy in the gynaecological sector
Med. indications/ application: Direct contact with the skin exclusively with the prescribed / recommended paper
Specicationofthe  Positioning and bedding of the patient for gynaecological
main function: examination and treatment like pap smear test,
colposcopy, diagnostic hysteroscopy, conus biopsy, intravaginal and abdominal echography
Application organ: Female sexual / reproductive organs
Application time: Temporary
Application site: In gynaecologist clinics and practices
Contraindications: Not to be used outside medical areas: Device must not be
used in areas with a potential explosive hazard in
rooms specied for medical treatment.
The product is: active
Sterility: Not necessary
Single use product / No single use product
reprocessing:
1.2 For your safety
- Max. patient weight: 150 kg
- Max. lifting capacity: 200 kg
- Prior to cleaning, the mains switch must be switched o󰀨.
- The ATMOS Chair 41 Gyne may be operated only in rooms
used for medical purposes, but not in areas subject to
explosion hazards and in oxygen rich environments.

6
1.0 Introduction






This chapter describes the features of the gynaecological chair ATMOS Chair 41 Gyne. The main equipment components
and relative accessories are also illustrated.
Warning:
This equipment has been conceived for gynaecology purposes only. Neither the chair nor its components
mustbemodiedwithoutpriorwrittenauthorisation.
Warning:
It must not be used for purposes other than gynaecological ones (especially not in operating theatres).
Warning:
When moving the chair make sure that the patient has her hands at the chair and that third persons and things are
in adequate distance from the chair.
The ATMOS Chair 41 Gyne has the following features:
• The chair has a driven backrest adjustment for the Trendelenburg position and a lift mechanism.
1.3 MAIN CHARACTERISTICS
The ATMOS Chair 41 Gyne o󰀨ers the following features:
• perfectly symmetrical chair;
• 3 user speciable position memory systems;
• auto return system to “zero” position;
• control pedals reextractable from the base;
• Trendelenburg position;
• liquid collection basin, plastic or stainless steel (optional);
• leg section extension built in the chair (optional);
• leg rests, adjustable (optional);
• seamless chair upholstery;
• handles; (optional)
• magnetic head-rest cushion (optional);
• paper roll holder integrated in the chair back;
• removable foot rest for the doctor (optional);
• step for helping the patient get on the chair;
• double electrical socket in the base (230 V) Attention: max. load is 460 W! (optional)
• low voltage controls (5 V).
Warning:
During the Trendelenburg movement the patient must grasp the handles and have a support for the shoulders.
Warning:
During an anaesthesia, an assistant must attend for safety reasons.
Warning:
When several devices are connected to one socket, the allowed load and leakage currents must be observed.
Note:
In order to ensure the proper functioning of the position memory system, it is highly recommended to reset the chair
to “zero” position by pressing key “0”, after every medical visit.

7
The type label is situated on the rear part of the chair and indicates the model, the serial number, the REF and other
information (see Fig. 1.1).
1.5 Technical information
1.4 Type label
1.0 Introduction
Fig. 1.1
Fig. 1.2

8
For removing the packing, all screws must be loosened and the strap must be removed.
The following components must be supplied inside the packing of the bottom part:
• 1 bottom part of the ATMOS Chair 41 Gyne
• 1 operating instructions
• 1 bottle of detergent
• 1 power supply cable
• 1 guarantee certicate
The following must be supplied inside the packing of the upper part:
• 1 upper part of the ATMOS Chair 41 Gyne
2.0 Scope of supply


9
Loosen the two screws that secure the chair to the wooden pallet to free it. A second person is required to help to move the chair
from the pallet. Use the transport handles to move the chair. Use the lateral handles at the seat to position the upper part onto
the lower part.
1) Place the upper part of the chair on top of the lower part, matching the xing holes of the seat support with the xing holes
of the counter seat, as shown in the gure.
2) Fix the upper part and the lower part by means of the screws provided.
3) Connect the orange 4 poles crimping terminal of the seat support (Fig. 3.1 A) with that of the counter seat (Fig. 3.1 B) for
the mains power supply of the backrest and the respective micro switch.
Fig 3.1
3.0 Setting up and starting up

10
250
420
550
2 holes ø = 10 mm
640 105 240
300
980
A
Once the two parts of the chair have been assembled and placed in the desired position, securing it, if necessary to the
oor, exploiting the holes in the base (see Fig. 3.2), proceed as follows:
1. Remove the handles used to move the chair.
2. Make sure that the place in which the chair is installed is provided with a suitable earth system.
3. Make sure that the voltage of the electrical power supply system of the place in which the chair is installed corresponds
to that indicated on the type label.
4. Make sure that the fuses on the back of the chair are tted rmly as they could have loosened during transport.
5. Plug the power supply cable into the socket in the chair base and then into the mains socket.
6. Turn the chair on by pressing the main ON/OFF switch.
The chair is now ready to be used.
If it should fail to work, see chapter 7.0 Trouble shooting.
Warning:
Thetwosocketssituatedinthebasemayonlybeusedwhenthechairissecuredtotheoor.
Note:
If the mains power supply socket is situated at oor level, pit A (Fig. 3.2) in the chair base may be exploited, then feed the
power supply cable in, through the panels exploiting the appropriate groove.
Attention:
Inthiscasethechairmustbesecuredtotheoor.
3.0 Setting up and starting up
Fig. 3.2


11
Thanks to the integrated control electronics, the chair has many functions, which are easy to use. All the chair adjustments and
functions are co-ordinated, processed and stored by an integrated microprocessor. The ATMOS Chair 41 Gyne can easily be
controlled when using the foot pedal, with it the gynaecologist has his hands free for the patient.
Warning:
Make sure that the chair has been correctly installed before putting the information provided in this section of the
operating instructions into practice (see chapter 3).
4.1 Controls
The chair has the following control elements:
Left-hand foot pedal (Fig. 4.1):
• Up arrow “↑” - upward movement of chair
• Down arrow “↓” - downward movement of chair
• Right-hand arrow “→” - Trendelenburg position -10˚
• Left-hand arrow “←” - Trendelenburg position +25˚
RH FOOT PEDAL CONTROL (Fig. 4.1)
• Up arrow “↑” - upward movement of chair
• Down arrow “↓” - downward movement of chair
• Right-hand arrow “→” - downward tilt of chair back
• Left-hand arrow “←” - upward tilt of chair back
• “0” - Automatic return to “zero” position.
• “I” - Program 1 (position memory)
• “II” - Program 2 (position memory)
• “III” - Program 3 (position memory)
Keep pressed the key for activating the relevant movement. A short key press activates the position memory.
The electronics requires a short delay of approx. 0.5 sec to di󰀨erentiate between "short key press" and "keep depressed".
Therefore, not e󰀨ort but patience is required.
Left Right
4.0 Operation
Fig. 4.1



12
Warning:
When moving the chair make sure that the patient has her hands at the chair and that third persons and things are
in adequate distance from the chair.
4.2 Programming
Proceed as follows to program (keys “I”,”II” and “III” of the right-hand foot pedal):
1. Bring the chair into basic position by pressing the "0" key shortly.
2. Bring the chair into the requested position.
3. Keep depressed the programming switch M, which is on the “cover”, on the left of the lifting mechanism and lightly
press key “I”, “II” or ”III” depending on the requested storage place.
4. An acoustic signal (beep) conrms successful saving.
4.0 Operation
4.3 Leg rest adjustment
Proceed as follows to move the leg rest:
Hold the patient’s leg with one hand, loosen handle 1 and
adjust the height of the leg rest. When the required position is
reached, tighten handle 1 again.
To adjust the positionable leg rest 2, loosen handle 3, move the
leg rest to the required position and retighten handle 3.
4.4 Leg rest (REF 503.0552.0)
For extracting the leg rest:
Catch the leg rest in centre between seat and secretion bowl.
Now pull out the leg rest until it is on the same level like the
seat.
When pulling the leg rest in:
ATTENTION! Do not touch the guiding rail of the leg rest
(see Fig. 4.3). There is a risk of injury!
Grasp the centre of the leg support. With the other hand
grasp the metal bar under the leg support and hold it tight.
Now slide the support back until it declines. As soon as the
leg support declines, take your hand from the metal bar and
slide the support backwards until it snaps in.
1
2
3
Fig 4.2
Fig 4.3


13
5.0 Cleaning and care
In case the chair is left inoperative for a longer period, it is advisable to cover it with a sheet, to switch it o󰀨 and disconnect it
from the mains supply.
5.1 Cleaning
For a longer service life, cleaning with a wet cloth is recommended at regular intervals.
Upholstery
For removing stains on the upholstery, only the supplied detergent may be used. For cleaning a soft cloth must be used to
prevent supercial cracks and to ensure the exibility and softness of the material.
Substances such as blood need to be removed immediately to prevent stains on the cover material of the upholstery.
Note:
Please reorder the detergent once it is used up.
Parts made of polyurethane
The parts made of polyurethane must be cleaned using a cloth soaked in soapy water.
Painted parts
The painted parts must be cleaned using a cloth soaked in soapy water.
Attention:
Please do not use substances, detergents and strong abrasives for cleaning, and even not for removing tenacious
stains.
Furthermore please take care when using colour-intensive substances, like, for example, Betaisodona, as this may
lead to discolourations and unattractive stains.
5.2 Paper roll replacement
Proceed as follows to replace the paper roll (see Fig. 5.1):
1. Bring the chair back into horizontal position.
2. Remove the chair back upholstery from the chair back.
3. Block the upholstery using the appropriate locking device integrated in the chair back.
4. Extract the tube support from the chair back.
5. Insert the tube support in the new paper roll.
6. Position the roll in the chair back, running the end of paper upwards.
7. Close the upholstery, making sure that the paper is fed out from the chair back.
Warning:
The manufacturer cannot be hold liable for any damages that may occur from the non-observance of the regulations
stated in these operating instructions.
The function of the roll paper feed can be guaranteed only when using the original paper roll (REF 503.0557.0).



14
Fig 5.1
5.0 Cleaning and care
5.3 Recommended surface disinfectants
The surfaces of the Chair 41 Gyne can be cleaned with disinfectants with the following active ingredients:
• quaternary ammoniumchlorides
5.3.1 Recommended disinfectant for cushion
Disinfectant Contents (in 100 g) Manufacturer
Green & Clean SK Alkyldimethylbenzylammoniumchloride < 1 g Metasys, Rum (Ausrtia)
(Application concentrate) Dialkyldimethylammoniumchloride-
Ammoniumchloride

15
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 una󰀨ected.
At least every 24 months a repeat test of the electrical safety should be performed according to IEC 62353.
ATMOS recommends an inspection according to the manufacturer's specications.
6.1 Exchange of upholstery
Seat upholstery
This upholstery is xed with nylon snap fasteners and can therefore easily be removed in pulling it o󰀨. If required, adjust
the lower and the upper snap fastener for a perfect t of the upholstery.
Back upholstery
This upholstery is xed with magnets and nylon snap fasteners. For removing the upholstery, loosen the xation screws
of the upholstery support, which is xed at the hinges near the seat.
6.0 Maintenance and servicing

16
7.0 Trouble-shooting
Problem Check Trouble shooting
The chair
cannot be
moved
Mains cable is connected? Connect the mains cable to the mains supply.
Main switch is on? Switch on the mains switch.
Is the green control lamp illuminated? Check the fuses, 2 pieces 3,15 A,
at the power input.
Is the green LED on the board "PWR" Check the connector on the board. Fuse on the board
switched on and is a beep audible T 315 mA and T 12,5 A.
during switch on? Check the fuse F 12,5 A between transformer and board.
Voltage at the plug CN9 Fuse between transformer and board F 12,5 A or
(24–28 V AC on the board exchange transformer.
near the small transformer)
Problem Check Trouble shooting
Chair only
moves
upwards and
then it stops
Does the relay on the board work properly? If not, exchange the board.
Measure the voltage at the motor (24 – 28 V AC). If voltage is connected and the motor does not work,
exchange the motor.
Problem Check Trouble shooting
Trendelen-
burg motor
does not
work
Does the relay on the board work properly? If not, exchange the board.
Measure the voltage at the motor (24 – 28 V AC). If voltage is connected and the motor does not work,
exchange the motor.
Problem Check Trouble shooting
Motor
makes
noises
Loud cracking and sometimes the Probably the gear mechanism is defective, therefore
motor does not work. exchange the motor.
Problem Check Trouble shooting
Chair can
be moved
but position
storage is
not possible
Check the connector on the board. Rectify the fault (exchange the connector or the board).
Check the button for position memory. If required, exchange the switch.
Problem Check Trouble shooting
Deviation
from the
chair
position
stored
Correct adjustment of requested position? Bring the chair into "0" position, then adjust the requested
position and store it, as described in the operating
instructions.
Problem Check Trouble shooting
Foot control
pedal does
not work
properly
Observe operating instructions. Press the control pedal straight and not skewed.
In order not to twist the pedal, observe the delay regarding
the position memory.
Despite perfect operation, the foot control pedal Exchange the board in the foot pedal and check perfect pass
does not always work properly. of the cable, the way the cover ts perfectly.

17





8.0 Accessories, further options and consumables
REF
Accessories
Headrest magnetic pillow
Colour: Pastel blue 503.0556.0
Colour: Saffron yellow 503.0556.1
Colour: Salmon 503.0556.2
Colour: Leaf green 503.0556.3
Colour: Light grey 503.0556.4
Colour: Silk grey 503.0556.5
Colour: White 503.0556.6
Colour: Sapphire blue 503.0556.7
Leg support all-cushion 1 pairr
Colour: Pastel blue 503.0558.0
Colour: Saffron yellow 503.0558.1
Colour: Salmon 503.0558.2
Colour: Leaf green 503.0558.3
Colour: Light grey 503.0558.4
Colour: Silk grey 503.0558.5
Colour: White 503.0558.6
Colour: Sapphire blue 503.0558.7
Leg support stainless steel
1 pair, with cushion, foot support plate stainless steel
Colour: Pastel blue 503.0554.0
Colour: Saffron yellow 503.0554.1
Colour: Salmon 503.0554.2
Colour: Leaf green 503.0554.3
Colour: Light grey 503.0554.4
Colour: Silk grey 503.0554.5
Colour: White 503.0554.6
Colour: Sapphire blue 503.0554.7
Leg holders „Goepel“
1 pair, without cushion, simultaneous adjustment of
height, inclination and distance
503.0551.0
Cushion for leg holders „Goepel“
Colour: Pastel blue 503.0565.0
Colour: Saffron yellow 503.0565.1
Colour: Salmon 503.0565.2
Colour: Leaf green 503.0565.3
Colour: Light grey 503.0565.4
Colour: Silk grey 503.0565.5
Colour: White 503.0565.6
Colour: Sapphire blue 503.0565.7
Handles, 1 pair, high-grade steel 503.0573.0

18





REF
Accessories
Leg rest
extendable, width 440 mm (complete length 1970 mm)
503.0552.0
Secretion Basin, Plastic
To be pulled out, tiltable storage
Secretion basin stainless steel for the attachment
kit (REF 503.0571.0) 325 x 265 mm, height 65 mm,
additional price
503.0571.0
503.0555.0
Docotor´s foot support 503.0559.0
Examination stool
height adjustable, safety chassis on 5 double castors
Colour: Pastel blue 503.0570.0
Colour: Saffron yellow 503.0570.1
Colour: Salmon 503.0570.2
Colour: Leaf green 503.0570.3
Colour: Light grey 503.0570.4
Colour: Silk grey 503.0570.5
Colour: White 503.0570.6
Colour: Sapphire blue 503.0570.7
Colposcope holder
mountable left or right, for colposcope für ATMOS i View
Kaps support with tube diameter from 30 - 38 mm;
503.0553.0
Consumables for the ATMOS Chair 41 Gyne
Paper role 503.0557.0
8.0 Accessories, further options and consumables

19
9.0 Technicalspecications
max. seat height (mm) 900
min. seat height (mm) 570
Width (mm) 677
Length (mm) 1970
Trendelenburg (degree) -10 + 25
Tilt of back rest (degree) 0 ÷ 70
Net weight (kg) 200
Dimensions packing (mm) 800 x 1360 x 845
800 x 1360 x 365
max. lift (kg) 150
max. lifting weight 200 kg
Protection class (EN 60601-1) I
Degree of protection type B
Classication according to appendix IX
EC Directive 93/42/EEC
I
Applied standards EN 60601-1: 1996-03
Type of application discontinuous (18 sec ON - 340 sec OFF)
UMDNS-Code 10-960
GMDN-Code 38447
Conditions
Transport and Storage +10...+35°C
20...80 % atmospheric pressure from
500...1060 hPa
Nominal voltage 230 V ± 10%
Nominal frequency 50-60 Hz
Fuses 2 × T 3.15 A 250 V
Control voltage 5 V
Motor voltage 24 V

20
10.0 Disposal
Disposal of the packing
All the materials used to pack the chair respect the environment and are 100% recyclable:
- untreated wooden pallet,
- carton,
- polyethylene bag,
- bubble-pack polyethylene.
The recovery and recycling of the materials used to pack the chair help to save on raw materials and to reduce waste volumes.
Hand the packing over to a disposal company that is authorised to recover recyclable materials.
Disposal of the chair
Once the chair has reached its expected lifetime and before it is nally disposed of, it must be made unusable by unplugging it
from the mains socket and cutting the power supply cable.
The chair disposal does not involve any hazard whatsoever.
For the correct safeguard of the environment, hand the unserviceable chair over to a disposal company that is authorised to
recover recyclable and non-recyclable materials.
Themanufacturercanonlybeholdliableintermsofchairsafety,reliabilityande󰀩ciencyprovidedthat:
• the chair has been installed, adjusted and repaired by personnel authorised by the manufacturer;
• the electrical system of the place in which the chair is installed complies with current standards;
• the equipment is used in compliance with the operating instructions.
●The ATMOS Chair 41 Gyne is not comprised of any hazardous materials.
●The materials of the housing can be recycled completely.
●Prior to disposal, device and accessories must be decontaminated.
●The materials are to be separated carefully.
●Pay attention to country-specic regulations for disposal (e. g. waste incineration).
Disposal within the EC
The product described above is a high-quality medical product with a long service life. After its life cycle it must be disposed of
professional. According to the EC directives (WEEE and RoHS) the device may not be disposed of in domestic waste. Please
observe existing national laws and rules for disposal of old devices.
Disposal within the Federal Republic of Germany
In the Federal Republic of Germany the law for electrical devices (ElektroG) rules the disposal of electrical devices. In order
to guarantee a proper disposal of your old device, please either pass on your old device to your specialised dealer or send it
directly to ATMOS MedizinTechnik for a professional disposal.
