Atmos S 201 Thorax User manual

Operating instructions
ATMOS®S 201 Thorax
312.1000.B
2016-04 Index: 37
English
These operating instructions are valid from software-version 3.0.40.

2
Further information, accessories, consumables and
spare parts are available from:
ATMOS
MedizinTechnik GmbH & Co. KG
Ludwig-Kegel-Straße 16
79853 Lenzkirch
Deutschland
Phone: + 49 7653 689-0
Fax: + 49 7653 689-190
+ 49 7653 689-292 (Service Center)
[email protected]
www.atmosmed.de
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®S 201 Thorax ............................... 5
1.2.2 Intended use ATMOS®S 201 Thorax secretion canister ............... 5
1.2.3 Intended use ATMOS®S 201 Thorax hose system .................... 6
1.3 Function .......................................................... 7
1.4 Transport and storage .............................................. 7
1.5 Explanation of symbols ............................................. 8
2.0 Safety advice ....................................................9
2.1 Notice ............................................................ 9
2.2 Caution .......................................................... 11
2.3 Warning ......................................................... 12
3.0 Setting up and starting up .......................................13
3.1 Scope of delivery .................................................. 13
3.2 Device overview................................................... 14
3.3 Starting up ....................................................... 15
3.3.1 Charging the battery ............................................ 15
3.3.2 Secretion canister .............................................. 16

4.0 Operation......................................................19
4.1 Explanation of the display .......................................... 19
4.2 Buttons and display symbols ....................................... 20
4.2.1 Buttons ....................................................... 20
4.2.2 Display symbols................................................ 21
4.3 Switch on ........................................................ 21
4.4 Leakage test ...................................................... 22
4.5 Function ......................................................... 23
4.5.1 Target vacuum ................................................. 23
4.5.2 Suction ....................................................... 23
4.6 Keylock .......................................................... 24
4.7 Therapy progress ................................................. 25
4.7.1 Shorttime ..................................................... 25
4.7.2 Longtime...................................................... 25
4.7.3 Transfer of therapy data ........................................ 26
4.7.4 Reading out the therapy data .................................... 27
4.8 Switcho ........................................................ 28
4.9 User settings ..................................................... 28
5.0 Warning messages ..............................................30
6.0 Functions ......................................................32
6.1 Hose rinsing ...................................................... 32
7.0 Accessories, consumables and spare parts.........................33
7.1 Attachment of the universal bracket (Accessories) ..................... 33
7.2 Attaching the carrying strap ........................................ 34
8.0 Cleaning and care ...............................................35
8.1 General information on cleaning and disinfection...................... 35
8.2 Cleaning of the device surface ...................................... 36
8.3 Recommended disinfectants........................................ 36
8.4 Hygiene plan ..................................................... 37
9.0 Maintenance and service ........................................38
9.1 Basic information ................................................. 38
9.2 Repairs .......................................................... 38
9.3 Handling of rechargeable batteries .................................. 39
9.4 Exchange of fuses ................................................. 39
10.0 Troubleshooting ................................................40
11.0 Technical data ..................................................41
12.0 Disposal .......................................................43
13.0 Notes on EMC (Electromagnetic compatibility) .....................44

4
1.0 Introduction
1.1 Notes on operating instructions
These operating instructions are valid from software-version
3.0.40.
These operating instructions contain important notes on
how to operate the ATMOS®S 201 Thorax 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 the use of the device, 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 period tests in conjunction with professional
execution provide for operational safety and readiness for
use of your ATMOS®S 201 Thorax and are therefore a must
besides regular cleaning.
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.
• The product ATMOS®S 201 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
annex I of this Directive.
• The product ATMOS®S 201 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9001
and EN ISO 13485.
• Prior to start-up please peruse chapter „2.0 Safety advice“ on
page 9 in order to be prepared for any possible dangerous
situations.

5
1.2 Intended use
1.2.1 Intended use ATMOS®S 201 Thorax
Name: ATMOS®S 201 Thorax
Main functions: Device for mobile, active, digital thoracic drainage.
Med. indications/ application:
Recovery of the (natural) vacuum in the pleural cavity e.g. after the occurrence of a
pneumothoraxorapleuraleusionbydrainageofairandsecretion.
Drainage of secretion and air after a surgical opening of the thorax.
Specication of the main function: The ATMOS®S 201 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, grid independent and has an electronic monitoring system with optical
and acoustic status displays. The device is applied unsterile. However, the secretion canister and
hose system1, are sterile single use products. All thoracic catheters / drains can be applied, which
are intended for thoracic drainage in the intended use of the manufacturer.
User prole:Doctor,medicalsta
Patient population: Patients of all age groups with and without restriction of any kind
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 hose system are sterile single
use products, 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inambulances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: 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 user manual. Secretion canister and hose
system are single use products.
1For detailed information about the secretion canister and hose system please refer to the
separate intended uses.
1.2.2 Intended use ATMOS®S 201 Thorax secretion canister
Name: Secretion canister for the ATMOS®S / E 201 Thorax.
Main functions:
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.
Med. indications/ application:
Recovery of the (natural) vacuum in the pleural cavity e.g. after the occurrence of a
pneumothoraxorapleuraleusionbydrainageof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

6
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
Patient population: Patients of all age groups with and without restriction of any kind
Application organ: Thorax
Application time: Short-term use on the patient (< 30 days).
Application site: Application environment is a clinical area. The application of the device may
only be applied by healthcare professionals. The secretion canister and hose system are sterile
single use products, which can be applied in the sterile OT area.
Contraindications: No application with other thoracic drainage systems as the ATMOS®E / S
201 Thorax.
No separate application of secretion canister and the hose system (this means without basic
device) for gravity drainage.
Noapplicationinambulances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 a single use product.
1.2.3 Intended use ATMOS®S 201 Thorax hose system
Name: Hose system for the ATMOS®S / E 201 Thorax and ATMOS®C 051 Thorax
Main functions:
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.
Med. indications/ application:
Recovery of the (natural) vacuum in the pleural cavity e.g. after the occurrence of a
pneumothoraxorapleuraleusionbydrainageof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 population: Patients of all age groups with and without restriction of any kind
Application organ: Thorax
Application time: Short-term use on the patient (< 30 days).
Application site: Application environment is a clinical area. The application of the device may
only be applied by healthcare professionals. The secretion canister and hose system are sterile
single use products, which 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 secretion canister and the hose system (this means without basic

7
device) for gravity drainage.
Noapplicationinambulances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 a single use product.
1.3 Function
The ATMOS®S 201 Thorax is an exceptionally handy, mobile, digital thoracic drainage suction
device. The device is operated via an electrical, maintenance-free membrane 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.Atonekeypressowdatafromupto
12 days is shown in graphic.
The secretion is collected in the secretion canister. Its capacity is 2 l. With the aid of the
measuring and rinsing hose in the hose system 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.
Abacteriallterlocatedinthesecretioncanisterpreventstheintrusionofbacteriaandsecretion
into the aggregation space. As an accessory a universal connection can be ordered separately.
Essential requirements:
• Create and maintain a regulated vacuum between -5 and -100 mbar.
1.4 Transport and storage
• Thetransportofthedevicemaybeeectedonlyinadispatchcartonupholsteredandoering
sucientprotection.
• Please document and report damages in transit immediately. For complaints or return
deliveries, please use the enclosed form QD 434.
The form QD 434 can also be downloaded from: www.atmosmed.de
• The unit must be allowed to stand for up to six hours at room temperature prior to starting up
forthersttimefollowingtransportattemperaturesbelowfreezing.Theunitmaynotbe
operated if it has not acclimatised as this might damage its diaphragm.
• Ambient conditions:
- Transport / storage:
-10...+50 °C;
30...95 % humidity non-condensing at air pressure 700...1060 hPa
- Operation and battery charging:
+10...+35 °C;
30...95 % humidity non-condensing at air pressure 700...1060 hPa
- Operation altitude: max. 3000 m

8
1.5 Explanation of symbols
Short cuts / symbols contained in this manual
Follow the arrows
whilst proceeding,
sequence
●Numeration Move, plug ... in
this direction
Please press
where the dot
indicates
Check Turn, shift ... in
this direction
Please read,
important
information
Replace click
click
Engage,
checkcorrectt
Pictures contained in this manual
!Warning, special
diligent notice! Important information
Symbols of ATMOS®S 201 Thorax & Accessories
Application part
type CF,
debrillatorproof;
application part is
the hose system
0124
The CE sign
shows that this
product meets
the appropriate
requirements of the
EC Directives.
2
Multiple use of
components marked
with 2is not allowed.
This product is not
resterilisable. In case
of multiple use this
component looses its
characteristics and there
is a high risk of infection.
SN Serial number Protection class II
REF Order number Electricity fuse Sterile unless package is
damaged or opened.
Manufacturing
date
Please observe
operating
instructions!
Follow operating
instructions (blue)

9
2.0 Safety advice
2.1 Notice
Notice
Damage to the device due to improperly installed protective contact socket!
• The ATMOS®S 201 Thorax was produced in accordance with IEC 60601-1/EN 60601-1 – it is a
device of VDE-safety class ll.
• The device should only be connected to a properly installed protective contact socket.
• Priortorstusecomparethenormalvoltageofthedevice(seelabelplateonthebacksideof
the device) with the local mains voltage.
ATMOS cannot guarantee perfect functioning neither will it be liable for damage to people
or property
If:
• any non-original ATMOS parts are used,
• the user instructions given in this manual are not followed exactly or are disregarded,
• improper use,
• assembly, resetting, alterations, extensions and repairs are not carried out by people
authorised by ATMOS.
Electromagnetic compliance, damage to the device!
• The ATMOS®S 201 Thorax fully complies with the electromagnetic immunity requirements of
standard IEC 60601-1-2 / EN 60601-1-2 "Electromagnetic compatibility - Medical Electrical
Equipment".
Damage to the device due to low temperatures
• After transport in temperatures below freezing point the device must be acclimatised for up to
6 hours. If the device is not acclimatised it should not be operated as the membrane in the
aggregate could get damaged.
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.
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.
• Do not close the ventilation slots on the bottom of the unit. Otherwise the device could
overheat.
Legal advice
• US law restricts sale of the device to physicians or ordering through them.

10
Appropriate operation
• The user should be able to reach the operating panel comfortably and should have a good
view on it at all times.
• The canister may not be used without the device (gravity drainage).
• The device may only be used by trained professionals.
• The removal of the canister from the device during the therapy may only be performed by
trained professionals who act in conformity with guidelines.
• The ATMOS®S 201 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 included in
thismanual.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.
• Maximumowofthepump18l/min+/-2l/minpumpperformance.
• 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.
Advice on disposal
• Dispose of the packing material in a proper manner.
• Attention must be paid to all hospital protocols regarding disposal and infection control.
Wrong evaluation
• Prior to each application the device should be checked for leakages (peruse 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.

11
2.2 Caution
CAUTION
Danger of injury
• A misplaced drainage system and a misplaced patient hose 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.
• Place the drainage system below the thorax and check the patient hose for any bends or
cloggings which could hinder the drainage of liquid and air.
• Immediate reaction is required in case of the "vacuum too low" alarm.
• Prior to exchanging the secretion canister the drain at the patients side must be clamped so
that a continuous vacuum is always available at the patient.
Danger of injury
• 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.
• Beforetherststart-updevice,secretioncanister,mainscable,accessories,connectioncables
and hoses must be checked for damage. Faulty resp. damaged components must be replaced
immediately.
• The patient hose connection should be checked regularly for correct functioning.
Danger of injury
• The patient hose must not be clamped except when changing the canister. In the event of an
airleak, clamping the patient hose could lead to a tension pneumothorax.
• The bending of the patient hose leads to an interruption of the therapy and incorrect
measurements.
Danger of injury
• 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.

12
2.3 Warning
WARNING
Electric shock due to damaged connecting cables
• Prior to use check the device and connecting cables for damages.
• Damaged cables must be replaced!
Electric shock due to voltage!
• Prior to disconnecting the device from the mains pull the plug from the electrical socket, after
that you can disconnect the connecting cable from the device.
• You may only disconnect the device from the power supply via the mains cable. The device
does not have a mains switch. Ensure that the mains cable is easily accessible and can be
disconnected from the power supply at all times.
• Do not modify the device.
• Please pay attention to the period tests in chapter „9.0 Maintenance and service“ on page 38.
• Assembly, repairs and period tests may only be carried out by authorized persons.
Electric shock due to voltage!
• Disinfectant or secretion should not enter the device or mains cable.
• If secretion has entered or is sucked into the device then it must be sent to the manufacturer
or an authorized service partner.
• Don´t take a shower / bath with the device.
Danger of explosion due to unobserved ambient conditions!
• The ATMOS®S 201 Thorax may only be operated in rooms used for medical purposes, but not
in areas subject to explosion hazards or in oxygen rich environments. Explosion hazardous
areasmayresultfromtheuseofammableanaesthetics,skincleansingagentsandskin
disinfectants.
• Payattentiontotheambientconditionsspeciedinchapter„11.0Technicaldata“onpage41.
Risk of infection
• This product is not re-sterilisable. Repeated reuse of components which are marked with 2is
forbidden. In case of repeated reuse these components lose their function and there is a high
infection risk.
• The suction hose must never come into direct contact with the suction place but only through
a sterile drain.
• Repeated reuse of canister and hose systems can lead to infections.
• 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 unit for visible damage and perform a leakage test. 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
The ATMOS®S 201 Thorax was subjected to thorough testing prior to packaging and shipment.
On receipt of the goods please check the package for any possible damage and compare the
contents for completeness. (see bill of delivery)
Description
Basic device
Mains cable
Operating instructions
Quick guide

14
10
1
2
3
4
5
6
7
8
9
3.2 Device overview
Front side
1On/osensor
2Touchscreen
(touch-sensitive display)
3Handle
4Light sensor
5Secretion canister release
6ConnectionforUSBashdrives
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.
7Measuring and rinsing channel
8Secretion channel
Back side
9Label plate
10 Charging socket

15
3.3 Starting up
• Remove the device from the box.
• Priortotherststartupperusethesafetyinstructionsinchapter„2.0Safetyadvice“onpage9.
• Thebatterymustbefullychargedpriortotherstuse.Chargingtimeapprox.2.5hours.
• Alwaysplacethedeviceonaatlevelsurface.
• After transport in temperatures below the freezing point the device must be acclimatised for up to 6
hours. If the device is not acclimatised it may not be operated as the membrane in the aggregate could
get damaged.
• The device can only be operated with the ATMOS®secretion canister.
• Always have at least one more ATMOS®secretion canister at hand.
Mains voltage and fuse:
• Mains voltage: 100 – 240 V; 50/60 Hz
• Fuse: 1 x T 1,25 A / H, 250 V
3.3.1 Charging the battery
Each bar of the symbol represents 20% battery charge.
Attention!
PriortotherststartupoftheATMOS®S 201 Thorax the battery must be fully charged.
The battery is recharged by the integrated recharging electronics as soon as you connected the device to
the mains supply with the power cord.
Please note the information on how to handle rechargeable batteries in chapter „9.3 Handling of
rechargeable batteries“ on page 39.
Correct handling of the rechargeable batteries prolongs their maximum service life.
Rechargeable 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.
Caution: If the battery temperature is higher than 50° C it can no longer be charged.
• Plug the recharger into the charging socket of the ATMOS®S 201 Thorax.
• Plug the mains plug into the socket. The ATMOS®S 201 Thorax displays the symbol on the
display.Thebarontherightsideashes.
• As long as the mains plug is connected, the symbol is green.
• When the battery is fully charged (the symbol does not blink anymore) remove the plug from the
socket.
• After that remove the recharger plug from the charging socket of the ATMOS®S 201 Thorax.
As soon as the battery charge level is less than 20%, the drainage unit displays a warning window and
triggers an audible warning message (peruse chapter „5.0 Warning messages“ on page 30 for further
information). Charge the battery in order to continue the therapy without interruption. If the battery is too
low for further operation of the device the ATMOS®S201Thoraxswitchesoautomatically.
The battery of the ATMOS®S 201 Thorax can also be charged when the
deviceisswitchedo.Thestateofchargecanbeseenonthedisplay.
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16
!
3
4
6
7
8
1 2
5
3.3.2 Secretion canister
Important safety
instructions on the
secretion canister
• Always use the original ATMOS single use secretion canister.
• Vacuum connection system:
The vacuum connection between device and canister is set
up immediately after connection!
• For hygienic reasons we advise you to exchange hoses and
canister together..
Secretion canister overview
1Pop-ovalve
2Filler for water lock
3Hydrophobicbacteriallter
4Filling level for water lock function
5Indicator scale for balancing in ml
6Protective cap for sealing the
pop-ovalve
7Protective cap for sealing the
secretion channel
8Connection towards patient
(secretion channel)
Filling the water lock
Thewaterlockisontherightsideofthecontainer.Abacteriallterandariserareincluded.The
waterlockislledwithwaterthroughtheriser.Forllingthewaterlockasterilecannula20G,
a sterile syringe and 50 ml sterile water are required. With the cannula you may puncture the
siliconesealabovetheriserandthenllthewaterlock.
Priortousethewatersealmustbelledtoprescribedlevel(notabovethe2cmllline)andit
shouldbecheckedregularlytoconrmproperoperation.
Useonlypre-packagedsterileuidforllingthewaterseal.
Reconnectthelledcontainertothedevice.
Duringnormaloperationthellingofthewaterlockisoptional.
Thecanistermayonlyberemovedwhenthepumpisswitchedo.
Priortoinsertingthesecretioncanisterintothedevice,makesurethatthellerofthewaterlock
is sealed with the plug.
Pop-o valve
Thepop-ovalve 1is a protection against the occurrence of high pressure which could lead to
atensionpneumothorax(e.g.atofcoughing).Thevalveopensatahighpressureof≥10mbar
within the canister.
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17
1
Exchanging the secretion canister
Prior to exchanging the secretion canister the drain at the
patients side must be clamped so that a continuous vacuum is
always available at the patient.
Exchangethecanisteratthelatestwhenallinglevelof1900mlisreached.
Removing the secretion canister
• Always wear disposable gloves, pay attention to the regulations for the handling of sterile
products.
• Check whether the target vacuum is reached.
• Clamp the suction hose near the step connector close to the patient in order to prevent loss of
vacuum.
• Switchothepumpandstoptherapy.
• Press the release button 1.
• Remove the secretion canister from the guides on the left side.
• Disconnect the secretion channel from the secretion canister. (In the event of changing the
hose: remove the measuring & rinsing channel from the device.)
• Remove the cover cap from the patient connection (secretion channel).
• Separate the cap by rotating and pulling it simultaneously.
• Closethepopovalveandthepatientconnection(secretionchannel)withthecovercap.
The connection on the rear of the secretion canister must not be sealed.
• Correctly dispose of the secretion canister.
Insert secretion canister
• Remove the secretion canister from the packaging and place in the guides on the left side.
• Press in the secretion canister on the right side until it clicks into place in.
• Connect the secretion channel. (If you have changed the hose: connect the measuring &
rinsing channel.)
• Restart the pump, continue with the therapy.
• Reopen the clamp at the suction hose.
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18
1
2
3
4
5
Connecting the hose system
1Luer-Lock with integrated
hydrophobicbacteriallter
2Measuring and rinsing hose
3Luer-Lock
4Secretion channel
5Sealing cap for closing the secretion
channel
• Remove the sterile hose system from the sterile wrapping.
• ConnecttheLuer-Lockwiththebacteriallter 1to the upper canister connection on the
secretion canister) by a clockwise rotation.
• Connect the second Luer-Lock connection to the lower connection of the canister 3by a
clockwise rotation.
• Perform a leakage test (see chapter „4.4 Leakage test“ on page 22).
• 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.
The vacuum is measured directly at the drain with the measuring and rinsing channel. A
bacteriallteratthemeasuringandrinsingchannelpreventsthepenetrationofbacteriaintothe
device.
The double-lumen hose system must be connected to the device on both channels (measuring-
rinsing- and secretion channel). The hose set is a single-use product for use with one patient
only.
The use of other hose systems may lead to damage of the device.
!
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19
4.0 Operation
4.1 Explanation of the display
Therapy progress
Setting button
Start / Stop
therapy
Keylock manual
Setting button
System information
Target vacuum
Flow
Actual vacuum
Display of the actual fistula
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
User settings
Display of
the actual
vacuum value.
althoughthestulastillexists.
Each additional coloured bubble represents an
additionalow.
None: 0 - < 30 ml/min
Green: 30 - < 60 ml/min
Yellow: 60 - < 630 ml/min
Orange: 630 ml - 1,00 l/min
Red: > 1.00 l/min to maximum.
Upto1,00l/mintheowisdisplayedinml/min.
Keylock activated
Flow displayed as bubbles
Keylock activated
Day/Night Mode
The ATMOS®S 201 Thorax has a day/night
mode, the device adjusts automatically to the
environmental lighting.
Under low ambient light conditions display has
dark background illumination.

20
4.2 Buttons and display symbols
4.2.1 Buttons
Figure Function
Decrease target vacuum
in the menu: decrease selected value
Increase target vacuum
In the menu: increase selected value
Graphic diagram of the therapy
Open the user settings
Save entry
Conrminformation
Back / Exit menu
Warning / suppress the warning
Changeover to vacuum scaling
Changeover to time scaling
Changeovertoowscaling
Start therapy
Stop therapy
Hold / restart graphic
Increase maximum of axis
Decrease maximum of axis
Scroll up the list
Scroll down the list
Activate keylock