Atmos S 61 User manual

0124
ATMOS®S 61
Servant ENT
workstation
ENT treatment unit
GA1GB.110101.0
2018-05 Index: 28
Operating Instructions
English

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Further information, accessories, consumables and spare
parts are available from:
ATMOS
MedizinTechnik GmbH & Co. KG
Ludwig-Kegel-Straße 16
79853 Lenzkirch
Germany
Phone [phone] / 689-0
Fax:
+49 7653 / 689-190
+49 7653 / 689-493 (Service Center)
[email protected]
www.atmosmed.de
Table of contents
4.4 Thermal nystagmus stimulation, Variotherm.......19
4.4.1 Overview.............................................................19
4.4.2 Switching on........................................................19
4.4.3 Activation of the Variotherm ................................20
4.4.4 Perform the thermal nystagmus stimulation........20
4.4.5 Time setting (1-99 sec.) ......................................20
4.4.6 Temperature setting ............................................20
4.4.7 Adjustingowquantity ........................................21
4.4.8 Information about the service display of the
ATMOS®S 61 Servant up from software
version V 1.2.......................................................21
4.5 Ear irrigation bowl with separate
suction channel (530.2070.0)..............................22
4.6 Compressed-air system......................................22
4.6.1 Activation ............................................................22
4.6.2 Adapt / deposit sprayer.......................................23
4.6.3 Ear irrigation module compressed air
(REF 530.2080.0) ...............................................23
4.7 LED-Light system................................................23
4.8 Instrument heating ..............................................24
4.8.1 Mirrorquick-heater..............................................24
4.8.2 Heating module for instrument tray.....................24
4.9 Clipboard endoscopy ..........................................25
4.9.1 Option LED Light Cube.......................................25
4.9.2 Option endoscope management (heated) ..........25
4.9.3 Hook for the headlight with automatic switching.25
5.0 Cleaning and care.............................................26
5.1 General information on cleaning and disinfection26
5.1.1 Cleaning the unit surface ....................................26
5.1.2 Secretion canister (without autom. secretion
 canisterevacuation),bacteriallterand
suction hose........................................................27
5.1.3 Medicament sprayers..........................................27
5.1.4 Instrument trays ..................................................27
5.1.5 Endoscopequivers .............................................27
5.1.6 Ear irrigation bowl ...............................................27
5.1.7 Hose tip and jet connection.................................27
5.2 Recommended instrument disinfectants.............28
5.3 Recommended surface disinfectants..................29
5.4 Recommended endoscope disinfectants............30
6.0 Hygiene plan......................................................31
7.0 Maintenance and Service.................................33
7.1 Replacing the fuse ..............................................33
7.2 Changingthebacteriallter ................................33
7.3 Changing the hose box of the hose pump ..........33
7.4 Hygrotherm/Variotherm:Decalcication............34
7.5 Hygrotherm / Variotherm: Filter replacement ......34
7.6 Sending in the device..........................................34
8.0 Troubleshooting................................................35
9.0 Consumables, Accessories, Spare Parts .......37
9.1 Consumables......................................................37
9.2 Accessories.........................................................37
9.3 Spare parts .........................................................38
10.0 Technical data at complete equipment ...........39
11.0 Disposal .............................................................40
12.0 Notes on EMC....................................................41
1.0 Introduction.........................................................3
1.1 Notes on operating instructions ............................3
1.2 Intended use .........................................................3
1.2.1 ATMOS®S 61 Servant ENT workstation...............3
1.2.2 Hygrotherm ...........................................................4
1.2.3 Variotherm.............................................................4
1.3 Function ................................................................4
1.4 Explanation of pictures and symbols ....................5
2.0 For your safety....................................................6
2.1 For your safety......................................................6
2.2 Hygrotherm / Variotherm: Important advice
for maintaining the hygienic status........................7
3.0 Setting up and starting up .................................8
3.1 Requiredconnectionsforallunitsof
ATMOS®S 61 Servant .........................................8
3.2 Electrical connection.............................................8
3.3 Water connection ..................................................9
3.4 Waste water drain ...............................................10
3.5 Setting up proposal.............................................10
3.6 Controlsandoptionswhenfullyequipped ..........11
3.7 Rear view............................................................12
3.8 Assembly of secretion canister ...........................12
3.8.1 Mount secretion canister.....................................12
3.9 Adjustment of front feet.......................................13
3.10 Connections in the service compartment............13
3.10.1 Hoses..................................................................13
4.0 Operation...........................................................14
4.1 On / off switch .....................................................14
4.2 Suction system....................................................14
4.2.1 Control and display of the suction performance..14
4.2.2 Hose rinsing system............................................14
4.2.3 Evacuation of the reusable canister system .......15
4.2.4 Disposable canister system ................................16
4.3 Ear irrigation module Hygrotherm.......................17
4.3.1 Overview.............................................................17
4.3.2 Switching on........................................................17
4.3.3 Activation of the Hygrotherm...............................18
4.3.4 Perform the ear irrigation ....................................18
4.3.5 Temperature setting ............................................18

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1.1 Notes on Operating Instructions
These operating instructions contain important notes on how to operate the ATMOS®S 61 Servant ENT
workstation 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 period tests in conjunction with professional execution provide for operational safety and readiness for
use of your ATMOS®S 61 Servant ENT workstation and are therefore a must besides regular cleaning.
Repair work and period tests may only be carried out 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®S 61 Servant ENT workstation will be preserved.
• The product ATMOS®S 61 Servant ENT workstation bears CE marking CE 0124 according to the EC
Directiveofthecouncilformedicalproducts93/42/EECandmeetsthebasicrequirementsofAppendixIof
the directive.
• The product ATMOS®S61ServantENTworkstation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.
1.2 Intended use
1.2.1 ATMOS®S 61 Servant ENT workstation
Name: ATMOS®S 61 Servant ENT workstation
Main function: ATMOS®S 61 Servant ENT workstation
• Suction
• Compressed air system for medication spraying and the
Politzer manoeuvre
• Ear irrigation
• Thermal nystagmus stimulation
• Electric power supply for LED light handles and LED
headlight
• Power supply for optional LED cold light source
• Mirrorquickheater
Medical indications / application: Standard ENT
examination and/or therapy
Specication of the main function: ATMOS®S 61
Servant ENT workstation
• Suction at 40 l/min / 760 hPa
• Alternatively suction at 55 l/min / 920 hPa
• Ear irrigation with 37 °C ± 1 °C, max. 500 ml/min
• Alternatively ear irrigation with 37 °C ± 2 °C with
compressed air system
• Compressed air for medication spraying, max. 2 bar
• Compressed air for the Politzer manoeuvre, regulated
• Electric power supply for LED, 700 mA
• LED cold light source 210 kLux ± 10 %, colour
temperature 5.600 K
User prole: Doctors and medical assistants
Patient groups: Patients of all ages with and without
restrictions
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 rinsing / light source:
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.
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.
1.0 Introduction

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1.0 Introduction
1.2.3 Variotherm
Name: ATMOS®Variotherm
Main function: Device for rinsing the auditory canal
and stimulation of the vestibular
organ
Medical
indications /
application:
Stimulation of the vestibular organ
Specication
of the main
functions:
Produces a jet of water for the
ear irrigation at body temperature
(37°C)withaowrateof400ml/
min for the removal of cerumen.
Stimulation of the vestibular organ
withadenedowandaxed
temperature for the functional
testing.
Application organ: Auditory canal to the drumhead
Application time: For the short-term application (max.
60 minutes) on patients.
Application site: In clinics and practices for ENT
doctors and phoniatricians. The
therapy with the ATMOS stimulation
and irrigation device may only be
performed by medical trained staff.
Contraindications: Do not apply to an infected resp.
contaminated auditory canal or to a
perforated eardrum.
The product is: active
Sterility: Not necessary
Single-use product
/ reprocessing:
No single use product
1.2.2 Hygrotherm
Name: ATMOS®Hygrotherm
Main function: Device for the irrigation of the
auditory canal
Medical
indications /
application:
Ear irrigation, cleaning of the ear
Specication
of the main
functions:
Produces a jet of water for the
ear irrigation at body temperature
(37°C)withaowrateof400ml/
min for the removal of cerumen.
Application organ: Auditory canal to the drumhead
Application time: For the short-term application on
patients (max. 60 minutes).
Application site: In clinics and practices for ENT
doctors and phoniatricians. The
therapy with the ATMOS stimulation
and irrigation device may only be
performed by medical trained staff.
Contraindications: Do not apply to an infected resp.
contaminated auditory canal or to a
perforated eardrum.
The product is: active
Sterility: Not necessary
Single-use product
/ reprocessing:
No single use product
1.3 Function
The treatment unit ATMOS®S 61 Servant ENT workstation makes modular assembly possible for the following functional
modules:
• Suction system
• Compressed-air system
• Ear irrigation module (Hygrotherm)
• System for thermal nystagmus stimulation
• LED light source LS 21 LED
• LED head light HL 21 LED

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1.0 Introduction
!
■
●
→
~
Icons for the ATMOS®S 61 Servant ENT workstation
Foot switch
Timer (ATMOS®
Variotherm)
Off (feed-in, power
connection)
On (feed-in, power
connection)
Alternating current
Ground wire connection
Warning, special diligent notice
Application part type B
Fuse according to IEC 417/5016,
DIN 30600/0186
Potentialequalisation
Short cuts / symbols contained in these operating instructions
Please press where
dot indicates
Subnumeration
Numeration
General information
Follow the arrows
Activate the optional foot
switch Replace
Check
Please read,
important information
Move, plug... in this
direction
Engage, check
correctt
Turn, shift ... in this
direction
Mirrorquickheater
Suction
Compressed air
Adjustment
WARNING: The ATMOS®S 61
Servant workstation may only be
removed from the system frame
when the microscope is in the park
position.
Do not lean against it!
Please observe operating
instructions!
1.4 Explanation of pictures and symbols
click