Atmos S61 Servant User manual

0124
ATMOS S 61
Servant ENT
workstation
ENT treatment unit
GA1GB.110101.0
2023-02 Index: 29
Operating Instructions
English

2
Table of contents
4.6 Compressed-air system......................................24
4.6.1 Activation ............................................................24
4.6.2 Adapting / depositing the sprayer .......................25
4.6.3 Ear irrigation module compressed air
(REF 530.2080.0) ...............................................25
4.7 LED light system.................................................25
4.8 Instrument heating ..............................................26
4.8.1 Mirror quick heater..............................................26
4.8.2 Heating module for instrument tray.....................26
4.9 Clipboard endoscopy ..........................................27
4.9.1 Option ATMOS LED Light Cube..........................27
4.9.2 Option endoscope management (heated) ..........27
4.9.3 Hook for the headlight with automatic
switching .............................................................27
5.0 Cleaning and care.............................................28
5.1 General information on cleaning and
disinfection..........................................................28
5.1.1 Cleaning the treatment unit surface....................28
5.1.2 Secretion canister (without autom. secretion
 canisterevacuation),bacteriallter
and suction hose.................................................29
5.1.3 Medication sprayers............................................29
5.1.4 Instrument trays ..................................................29
5.1.5 Endoscope quivers .............................................29
5.1.6 Ear irrigation bowl ...............................................29
5.1.7 Hose tip and jet connection.................................29
5.2 Recommended instrument disinfectants.............30
5.3 Recommended surface disinfectants..................31
5.4 Recommended endoscope disinfectants............32
6.0 Hygiene plan......................................................33
7.0 Maintenance and service .................................35
7.1 Replacing the fuse ..............................................35
7.2 Changingthebacteriallter ................................35
7.3 Changing the hose box of the hose pump ..........35
7.4 ATMOS Hygrotherm / ATMOS Variotherm:
 Decalcication.....................................................36
7.5 ATMOS Hygrotherm / ATMOS Variotherm:
Filter replacement ...............................................36
7.6 Sending in the device..........................................36
8.0 Troubleshooting................................................37
9.0 Consumables, accessories, spare parts ........39
9.1 Consumables......................................................39
9.2 Accessories.........................................................39
9.3 Spare parts .........................................................40
10.0 Technical data for complete equipment .........41
11.0 Disposal .............................................................43
12.0 Notes on EMC....................................................44
13.0 Notes..................................................................45
1.0 Introduction.........................................................3
1.1 Notes on operating instructions ............................3
1.2 Intended use .........................................................4
1.2.1 ATMOS S 61 Servant ENT workstation ................4
1.2.2 ATMOS Hygrotherm..............................................4
1.2.3 ATMOS Variotherm ...............................................5
1.3 Function ................................................................6
1.4 Explanation of pictures and symbols ....................6
2.0 For your safety....................................................8
2.1 For your safety......................................................8
2.2 ATMOS Hygrotherm / ATMOS Variotherm:
Important advice
for maintaining the hygienic status........................9
3.0 Setting up and starting up ...............................10
3.1 Required connections for all units of
ATMOS S 61 Servant..........................................10
3.2 Connection to electrical power line .....................10
3.3 Water connection ................................................11
3.4 Waste water drain ...............................................12
3.5 Layout proposal ..................................................12
3.6 Controls and options when fully equipped ..........13
3.7 Rear view............................................................14
3.8 Assembling the secretion canister ......................14
3.8.1 Assembly of secretion canister ...........................14
3.9 Adjustment of front feet.......................................15
3.10 Connections in the service compartment............15
3.10.1 Hoses..................................................................15
4.0 Operation...........................................................16
4.1 On/o󰀨switch .......................................................16
4.2 Suction system....................................................16
4.2.1 Control and display of the suction capacity.........16
4.2.2 Hose rinsing system............................................16
4.2.3 Evacuation of the reusable canister system .......17
4.2.4 Disposable canister system ................................18
4.3 Ear irrigation module ATMOS Hygrotherm..........19
4.3.1 Overview.............................................................19
4.3.2 Switching on........................................................19
4.3.3 Activating the ATMOS Hygrotherm .....................20
4.3.4 Performing ear irrigation .....................................20
4.3.5 Temperature setting ............................................20
4.4 Thermal nystagmus stimulation,
ATMOS Variotherm .............................................21
4.4.1 Overview.............................................................21
4.4.2 Switching on........................................................21
4.4.3 Activating the ATMOS Variotherm.......................22
4.4.4 Performing thermal nystagmus stimulation.........22
4.4.5 Setting the time (1–99 s).....................................22
4.4.6 Setting the temperature ......................................22
4.4.7 Adjustingowquantity ........................................23
4.4.8 Information about the service display of
ATMOS S 61 Servant from
software version V 1.2 ........................................23
4.5 Ear irrigation bowl with separate
suction channel (REF 530.2070.0) .....................24

3
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e󰀨ectively.Theirreadinghelpstoavoidrisksandalsotoreducerepaircosts
and downtimes. This increases, among 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 from ATMOS.
These operating instructions must always be kept available near the device.
Care and periodic 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 periodic tests may only be carried out by expert personnel authorized by ATMOS. By using only
original spare parts, you will have the guarantee that the 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 the CE marking CE 0124 in accordance with EU
Council Directive 93/42/EEC concerning medical devices and meets the basic requirements of Annex I to this
directive.
• The product ATMOS S 61 Servant ENT workstation complies with all applicable requirements of Directive
2011/65/EU restricting the use of certain hazardous substances in electrical and electronic equipment
(“RoHS”).
• The Declarations 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standard
EN ISO 13485.
• Prior to start-up, please peruse chapter 2.0 “For your safety” in order to be prepared for any possible
dangerous situations.
These operating instructions are valid for the following devices:
ATMOS S 61 Servant ENT workstation (230 V~) REF 530.0000.0
ATMOS S 61 Servant ENT workstation (100 V~) REF 530.0001.0
ATMOS S 61 Servant ENT workstation (115 V~) REF 530.0002.0
ATMOS S 61 Servant ENT workstation (127 V~) REF 530.0003.0
1.0 Introduction

4
1.0 Introduction
1.2 Intended use
1.2.1 ATMOS S 61 Servant ENT workstation
Product name: ATMOS S 61 Servant ENT workstation
Main functions: • Medical suction
• Ear irrigation
• Medication spraying or spraying
• Electric power supply for visualization, illumination and illumination acces-
sories
• Instrument storage and deposit
• Instrument heater
Intended purpose: Standard ENT examination and / or therapy
IntendedUsers/Userprole: Doctors and medical specialists
Intended Patient population: All patients without any restrictions
Medical conditions to be diagnosed, treated or
monitored:
Diagnostic examination of anatomy of all kinds
Application organ: Ear, Nose, Throat
Application time: < 60 min.
Application site: Outpatient medical facilities, e.g. ENT practices, hospital outpatient depart-
ments, medical care centers
Patient selection criteria: None
Indications: Standard ENT examination and / or therapy
Medical contra-indications: Ear irrigation:
Should not be applied to an infected auditory canal or a perforated eardrum
Other contra-indications: None
Warnings: None
The product is: active
Sterility/specicmicrobialstatus: Not sterile
Single use product / reprocessing: Not a single use product. Reprocessing according to instructions for use.
1.2.2 ATMOS Hygrotherm
Product name: Hygrotherm plus
Main functions: Irrigation of the external auditory canal
Intended purpose: Irrigation of the external auditory canal
Intendedusers/Userprole: Doctors and medical specialists
Intended patient target group: Patients of all age groups without restrictions
Medical conditions to be diagnosed, treated or
monitored:
Hearing loss due to cerumen in the ear canal
Application organ: External auditory canal to eardrum
Application period: Transient (< 60 min)
Application environment: Outpatient medical facilities, e.g., ENT practices, hospital outpatient depart-
ments, medical care centers
Patient selection criteria: Patients with intact, physiological eardrum and external auditory canal
Indications: Hearing loss through impacted cerumen
Medical contra-indications: Pathological eardrum
Medical contra-indications: Pathological eardrum
Other contra-indications: ePathological external auditory canal
Warnings: N/A

5
1.0 Introduction
The product is: active
Sterility/specicmicrobialstatus: Non-sterile
Single use product / reprocessing: Not a single-use product. Reprocessing according to instructions for use.
1.2.3 ATMOS Variotherm
Product name: Variotherm plus
Main functions: Stimulation of the vestibular organ
Irrigation of the external auditory canal
Intended purpose: Stimulation of the vestibular organ
Irrigation of the external auditory canal
Intendedusers/Userprole: Doctors and medical specialists
Intended patient target group: Patients of all age groups without restrictions
Medical conditions to be diagnosed, treated or
monitored:
Vertigo due to a disorder of the vestibular organ
Hearing loss due to cerumen in the ear canal
Application organ: External auditory canal to eardrum
Application period: Transient (< 60 min)
Application environment: Outpatient medical facilities, e.g., ENT practices, hospital outpatient de-
partments, medical care centers
Patient selection criteria: Patients with intact, physiological eardrum and external auditory canal
Indications: Di󰀨erentialdiagnosticsforvertigo
Hearing loss through impacted cerumen
Medical contra-indications: Pathological eardrum
Other contra-indications: Pathological external auditory canal
Warnings: N/A
The product is: active
Sterility/specicmicrobialstatus: Non-sterile
Single use product / reprocessing: Not a single-use product. Reprocessing according to instructions for use.

6
1.0 Introduction
1.3 Function
The device is a diagnostic and therapy workplace for ENT specialists. The user can assemble the workplace with options and
accessoriesaccordingtohispersonalrequirements.ThedeviceisusedinclinicsorENTo󰀩ces.
The treatment unit ATMOS S 61 Servant ENT workstation enables the modular installation of the following functional modules:
• Suction system module
• Compressed-air module
• Ear irrigation module (Hygrotherm)
• Module for thermal nystagmus stimulation
• LED light source ATMOS LS 21 LED
• LED headlight ATMOS HL 21 LED
1.4 Explanation of pictures and symbols
Short cuts / symbols contained in these operating instructions
Follow the arrows Check
Please press where dot indicates Please read, important information
Activate the optional foot switch Move, plug ... in this direction
Warning; pay special attention Turn, shift ... in this direction
■General information Replace
●Numeration click Engage,checkcorrectt
→ Subnumeration Important information
Symbols ATMOS S 61 Servant ENT workstation
SN Serial number REF Reference number
Date of manufacture Manufacturer
Consult operating instructions Follow operating instructions
Professional disposal This device complies with the relevant require-
ments of EU regulations.
Alternating current Fuse
Type B applied part Potential equalization
This device complies with the relevant require-
ments of the Eurasian Economic Union.
Country of manufacture
MD Medical device GOSTCerticate(Russia)

7
1.0 Introduction
IPX0 Specicationofthedegreeofprotectionagainst
the ingress of solids and moisture Mirror quick heater
Adjustment Ground wire connection
Compressed air Foot switch
Suction Timer (ATMOS Variotherm)
On (feed-in, power connection) O󰀨(feed-in,powerdisconnection)
WARNING: The ATMOS S 61
Servant ENT workstation may only
be removed from the system frame
when the microscope is in the park
position!
Do not lean against it!
Please follow operating
instructions!
UDI application identier
(01) 042503651164084
(11) 200630
(21) 1234567

8
2.0 For your safety
!
2.1 For your safety
• The ATMOS S 61 Servant ENT workstation is produced
according to IEC 601 / EN 60601 and listed in the
following classes:
- VDE Class of protection 1
- Class IIa (EEC 93/42).
• The device may only be connected to a properly installed
grounded electrical outlet.
• Correctcongurationinassemblyofcountry-specic
connections:
- green/yellow: protective conductor (PE)
- blue: neutral conductor (N)
- black or brown: phase (L)
• Caution! Mirror and endoscope heaters may generate
temperatures above 40 °C!
• The ATMOS S 61 Servant ENT workstation may only be
used under supervisionbyskilledsta󰀨whohavebeen
authorized by ATMOS and trained in its operation (IEC
601-1 / EN 60601-1).
• The mains voltage indicated on the type plate must
correspond to the values of the supply network.
• Make sure prior to every application of the equipment that
it is technically safe and in proper condition. Damaged
leads and hoses must be replaced immediately!
• Display instruments and valves must be checked for
correct function at regular intervals!
• Every morning, a visual inspection of the hoses, secretion
canisters, and cables must be performed. Exchange
damaged parts! Only proper and undamaged plugs and
extension cables may be used.
• Switcho󰀨theunitbeforeyouopenitanddisconnectit
from the line voltage.
• Maximum load for clipboard: 2 kg!
• Never leave the patient unattended at the treatment unit.
• The control panel must be clearly visible and accessible
for the user.
• This product is not re-sterilizable. Repeated reuse of
components that are marked with a 2is forbidden. In
case of repeated reuse, these components lose their
function and there is a high risk of infection.
• In case that there is no adapter attached to the light
conductor,touchingthelightsourcewitheitherthengers
or any tools should be avoided. On the one hand, this
may damage the lenses, and on the other hand, there is
a risk of injury.
• The user must check the instruments’ temperature, e.g.,
on the back of his/her hand.
• Clean heating modules regularly and disinfect if
necessary; only heat clean instruments.
• Existing water-consuming devices may only be switched
on when the water supply is guaranteed!
• The ENT unit requires clean water (drinking-water quality)
for operation. In case clean water cannot be provided
bythewatersupply,apre-ltermustbeinstalled.The
relevantcountry-specicregulationsforinstallationmust
be considered!
• Please note:
A medical isolation transformer with earth leakage
monitor or any similar safety system according to
EN 60601-1 is required if several devices are connected
over one common power supply. The transformer must
correspond to the power consumption of all the devices
to be connected.
• Do not place used or contaminated instruments on the
ENT unit except on specially designated areas!
• TheambientconditionsspeciedintheTechnicalData
must be strictly observed!
• Switcho󰀨themainswitchafternishingworkinthe
practice and close the water supply (if present).
• Care is to be paid in respect to light sources when
working with endoscopes. Do not look directly into the
light outlets! In case of possible light failure, carefully
remove the endoscope from the working area!
• The ATMOS S 61 Servant ENT workstation may be
operated only in rooms used for medical purposes, but
not in areas subject to explosion hazards and in oxygen-
rich environments.
• The ATMOS S 61 Servant ENT workstation meets the
immunity to interference requirements of IEC 601-1-2 /
EN 60601-1-2 “Electromagnetic Compatibility – Medical
Electrical Devices”.
• The ATMOS S 61 Servant ENT workstation may
not be operated with devices not complying with the
requirements of standard EN 60601-1 “Medical Electrical
Equipment” and EN 60601-1-2 “Electromagnetic
Compatibility (Medical Electrical Equipment)”.
• ATMOS is not liable for personal injury and damage to
property if
- no original ATMOS parts are being used,
- the advice for use in these operating instructions is
not being observed,
- assembly, new settings, alterations, extensions,
and repairs have been carried out by personnel not
authorized by ATMOS.
• Do not restrict the air supply at the rear of the unit!
• Prior to starting treatment, applied parts have to be
checked regarding their temperature.
• Itisnotallowedtouseammablesubstanceswiththe
device.
• The system frame for 2 modules incl. microscope must
bescrewedintotheoor.

9
2.0 For your safety
Specic safety information ATMOS Hygrotherm and
ATMOS Variotherm
• Metal parts could be hot!
• Prior to spraying, the water temperature must be checked
by the user (display)!
• The jet connection must not come into contact with
contaminated material.
• The jet connection may only be used when a hose tip is
installed!
• Be careful when inserting the hose tip as it could cause
damage to the eardrum.
• For hygienic reasons, jet connections must be changed
after each patient. This also prevents retrograde
contamination of the warm water system.
• ATMOS Variotherm: May only be used for ear irrigation or
vestibular stimulation!
• Afterthedeviceisswitchedon,theowratemustbe
checked at least once a day using a volume measuring
funnel. The water jet must not exceed 500 ml/min. The jet
stream must be straight.
• Prior to use, the user must check the outlet pressure; it
must not exceed 2.2 bar.
2.2 ATMOS Hygrotherm / ATMOS Variotherm: Important advice for maintaining the
hygienic status
Forlooseningcerumenintheauditorycanalandstimulatingthelabyrinthinesystem,ATMOSo󰀨ersthewarmwaterunits
ATMOS Hygrotherm plus (37 °C) and ATMOS Variotherm plus (20 °C – 47 °C).
These units heat the drinking water that comes from the household connection to the preselected temperature. The operating
instructionsmustbefollowed,orotherwisetheincreasednumberofpathogensintherinsewatercana󰀨ectthehealthof
sensitive patients.
Requirements for starting up
ThewaterthatisprovidedbythehouseholdconnectionmustatleastmeettheWHOguidelinesorthecountry-specic
guidelines for drinking water.
Connection
PriortoconnectingtheATMOSunit,freshwatermustowthroughthewallconnectionforaperiodofapprox.1minute.*
Ensure that the installation is hygienically carried out! Disinfect the threaded connections with 70% alcohol before screwing
themintoplace.*
Weardisposablegloveswhencarryingoutmaintenanceworkonpartsthatcomeintocontactwiththewater.*
*ThisworkiscarriedoutbyaservicetechnicianauthorizedbyATMOS.
Running operation
Prior to beginning practice operations for the day, switch on the device and remove the irrigation handle from the support for
10 min so that fresh water is pumped into the pipes (after long standing periods, e.g., weekend, holidays: 30 min). During this
period,theheatingcanbeswitchedo󰀨.
Contact parts, e.g., hose tips, must be replaced after every patient (prevention of retrograde contamination).
Prior to each use, spray water and check the temperature.
Service
Observehygienewhenchangingthesuspendedparticlelter(seesettingup)(disposeoflterandcarefullycleanthelter
glass). Ensure that no contact is made with contaminated parts.
Dependingonthequalityoftheavailabledrinkingwater,abiolmgrowthcannotbeexcluded.Wethereforerecommend
testing the drinking water quality at regular intervals (acc. to ISO 6222) at the drinking water connection on the devices and
ontheappliedpart.Incaseofasignicantincreaseincontaminationbetweenthedrinkingwaterconnectionandtheapplied
part,abiolmremovalprocesswithsubsequentdisinfectioncanbecarriedoutbyATMOSService.

10
ca. 250
<150
160
>350
Connection to central gas supply up to max. 8 bar.
The standard NIST connection for central vacuum and central compressed air on the rear side of the device is optional.
Connecting hoses are not included in delivery.
3.1 Required connections for all units of ATMOS S 61 Servant
Flexible multi-port distributors may not be used as a power supply for the ATMOS S 61 Servant ENT workstation, ATMOS S 61
Servant vision, or for an optional HF or radiofrequency surgical device.
Unit / Device Maximum required connections
ATMOS S 61 Servant ENT workstation 1 x earthing contact socket outlet
ATMOS S 61 Servant vision 1 x earthing contact socket outlet (basic version) or
1xxedconnectionfortheintegratedcameraorstroboscopeLED
ATMOS S 61 Servant instruments 3 x earthing contact socket outlet
Water separation system 1 x earthing contact socket outlet
Monitor 1 x earthing contact socket outlet
Patient chair 1 x earthing contact socket outlet
An adequate number of socket outlets with earthing contact should be mounted for possible connection of further electrically
operated units that may be installed (installation of an electrically operated ATMOS patient chair, water separation system,
camera, monitor, etc.).
3.2 Connection to electrical power line
Prerequisites:
• Installation acc. to IEC 60346-7-710: earth leakage circuit breaker (FI circuit breaker) with rated leakage current < 0.03 A
• Connection of the power cable of the ATMOS S 61 Servant ENT workstation to a safety socket outlet near the device, max.
3meters,preferablyleft(Fig.).Thismayonlybecarriedoutbyauthorizedqualiedpersonnel.
• The supply circuit must be separated from other devices, e.g., PCs, etc.
• If isolation transformers are used, then isolation monitoring must be integrated in the isolation transformer.
• Maximum power consumption:
- ATMOS S 61 Servant ENT workstation: 2,300 VA
- ATMOS S 61 Servant vision: 300 VA
- ATMOS S 61 Servant instruments: 250 VA
• Flexible multi-port distributors may not be used as a power supply.
3.0 Setting up and starting up

11
3.0 Setting up and starting up
3.3 Water connection
Requirements for water supply:
• Easily accessible water tap or ball valve with external thread G 3/4".
• Theconnectionmustbeabletobeclosedwithoutanyadditionale󰀨ort.
• Connection including pipe aeration is recommended.
• Minimumheightofthewatertapfromtheoor:35cm.
• Distance of the water tap to the ATMOS S 61 Servant ENT workstation: < 3 m.
• Required pressure in domestic water system: > 2 bar, but < 5 bar.
• ThewaterprovidedbythehouseholdconnectionmustatleastmeettheWHOguidelinesandthecountry-specicguidelines
for drinking water.
• Country-specicregulationsfortheinstallationmustbeconsideredwhentheunitisconnectedtothepublicwatersupply.
• Before connecting: Rinse water supply line in order to remove any contamination from the system.
• When clean water is available, connect supply hose to the water tap mentioned above.
• For compliance with the regulations of DIN EN 1717, we recommend adding a water separation system.
• Thereisnospecialcalcicationsafetydeviceintegratedinthewatersystem.Acalcicationsafetydevicemustbeconnected
when the respective drinking water is of hardness grade 3 (14–21 °dH or 2.5–3.8 mmol/l = hard water) and of hardness
grade 4 (from 21 °dH or from 3.8 mmol/l = very hard water).
Please contact your local water supplier and/or plumber.
The water tap must be closed at the end of operation!
Water hardness Millimole per liter °dH
1 (soft) ≤1.3 ≤7.3 Calcicationprotection
system is not required
2 (medium) 1.3 to 2.5 7.3 to 14
3 (hard) 2.5 to 3.8 14 to 21.3 Calcicationprotection
system is required
4 (very hard) > 3.8 > 21.3
• Theuseofdemineralizedwatermaya󰀨ectthefunctionofthewastewaterdisposal!
!
Water connection with ball valve Water connection with water
tap 3/4" external thread
Water connection with ball valve and
particlelter
Water connection with water
tap 3/4" external thread and
particlelter

12
250
640
979,51961
1550
740
1730
730
630
2940
445
3.0 Setting up and starting up
3.4 Waste water drain
Prerequisites:
• PermanentlyinstalledconnectionttingwithG3/4"externalthreador
• Drain outlet, standard HT 40 or HT 50 (connection adapters can be ordered for connecting the discharge hose:
REF 510.2130.0 for HT 40; REF 510.2129.0 for HT 50) or
• Conical connection for 1/2" hose inner diameter
• Connection height: approx. 15 cm
• Distance from the wall connection to the installation site: < 3 m
An anti-siphon trap is integrated in the unit!
• ConnectwastewaterhosewithunitandtheG3/4"connectiontting.Therebytenclosedgasketsintothescrewing.
3.5 Layout proposal
3/4" wall connection Conical hose connectionStandard HT

13
3.0 Setting up and starting up
3.6 Controls and options when fully equipped
On/o󰀨 switch
Display vacuum
1Hose rinsing
Adjustment vacuum
Display compressed air
Adjustment
compressed air
Automatic suction
equipment
Ear irrigation /
thermal nystagmus
stimulation
Mirror quick heater
Nebulization of medications
(compressed air)
Heating module for
instrument tray
Clipboard
Compressed air
max. 2 kg!
LED light source
LED headlight
The plastic adapter of the hose rinsing system ( 1) is a consumable (REF 506.2228.1); exchange weekly. Remove it by twisting
it out with a slight rotation and replace it.

14
3.0 Setting up and starting up
3.7 Rear view
Plug the power cable into the IEC power socket.
Please observe the safety instructions on page 8!
3.8 Assembling the secretion canister
Prior to use, check the system for leak tightness, otherwise it is possible that the vacuum cannot build up!
Insertbacteriallter( 4)
into splash guard ( 5)
Insert splash guard into
lid Insert suction hose ( 7) Insert the seal ( 3),
attach lid to canister
(6)
Connect hose to grommet
(1)
Insert grommet into lid Insert the canister
horizontally into both
connections
Fix hose to retainer clip
3.8.1 Assembly of secretion canister
Intake for foam prevention:
The hose connection with intake ensures a smoother
liquid surface.
Therebyalowerfoamformationandprolongedlter
durability are the result.
7Suction hose (only
for automatic)
REF 006.0008.0,
220 mm
Hose connection (grommet) 1
REF 340.0057.0
Secretion canister lid 2
REF 530.1108.0
Seal 3
REF 320.0013.0
Bacterial lter 4
REF 340.0054.0
Splash guard 5
REF 312.0827.0
Secretion canister 6

15
3.0 Setting up and starting up
First start-up
Prior to shipment, each ATMOS S 61 Servant is checked by the manufacturer for function and safety. In order to ensure the safe
functioning of the device after transport and installation, the following points should be observed:
The user should only operate the device when
1. a functional test has been carried out on the device at the place of operation.
2. the operating instructions have been read and acknowledged.
Aftertransportation/storageofthedeviceatlowtemperaturesandpriortorststart-up,itshouldbekeptatroomtemperature
for at least four hours. If the device is not acclimatized, the formation of condensation water is possible and a malfunction might
result.
3.9 Adjustment of front feet
3.10 Connections in the service compartment
3.10.1Hoses
Adjustthescrewsofthefeetthroughtheboreholeswithaat-bladedscrewdriverscaled
4–5.
Insert jack plug into marked jack.
Insert the three-hole gasket in the inlet
hose of the water connection for ear
irrigation.
)Use only three-hole gaskets or
otherwise the unit will not function
correctly!
Connect water hose in the service
compartment.
Open the tap on the treatment unit.
Check whether all connections are
leakproof.
Connect compressed-air hose
in the service compartment.
Insert applied parts into the hanging
strip.

16
4.0 Operation
4.2 Suction system
Donotoperatethesuctionsystemwithoutabacteriallter!Alwaysusethesplashguard;thiswillprolongtheservicelifeofthe
bacteriallter.Theguaranteewillexpireinthecaseofimproperuse!
Changethebacteriallterregularly.Seedetailsinchapter5.0.
The hose attachment must be exchanged after each patient.
!
Remove the handle from the support to activate the suction system. The suction system is automatically activated via the in-
stalled light barrier. Set the desired vacuum via the controller. The end of the suction hose must be closed. Only in this case can
vacuum be built up.
After each application, rinse the suction hose thoroughly. Attach the suction hose (without cannula) to the suction nipple of the
hose-rinsingapertureandsoakuptherinsinguidforatleast30sec.
Display vacuum
Adjustment vacuum
at least 30
sec.
4.1 On/o󰀨 switch
4.2.1 Control and display of the suction capacity
4.2.2 Hose rinsing system
After switching on the main switch, all integrated and
connected devices are ready for operation.

17
4.0 Operation
Relling storage canister for hose rinsing
Assembly of secretion canister
A) Fully automatic relling (REF 530.1060.0)
Ifrequired,thewaterstoragecanisterwillbeautomaticallyrelled.
Attention: Make sure that the water supply system is turned on and the water
supply is guaranteed! Do not use any foaming cleaning agents or disinfectants.
B) Manual relling (REF 530.1050.0)
Fill the canister with water and/or a non-foaming instrument disinfectant.
4.2.3 Evacuation of the reusable canister system
The canister system must be cleaned and disinfected at regular intervals. See details in chapter
6.0 “Hygiene plan”.
A) Manual
Empty the secretion canister when it is approximately half full.
Remove the secretion canister horizontally from the bracket in the service compartment and
remove the suction hose.
B) Automatic (REF 530.1070.0)
Thesecretioncanisterisemptiedautomaticallywhenthellinglevelisreached.
Suction hose (only for automatic)
REF 006.0008.0, 220 mm
Intake for foam
prevention
Hose connection (grommet)
REF 340.0057.0
Secretion canister lid
REF 530.1108.0
Seal
REF 320.0013.0
Bacterial lter
REF 340.0054.0
Splash guard
REF 312.0827.0
Secretion canister
The hose connection with intake ensures a smoother
liquid surface.
Therebyalowerfoamformationandprolongedlter
durability are the result.

18
4.0 Operation
4.2.4 Disposable canister system
A) Receptal®
B) Medi-Vac®

19
4.0 Operation
4.3 Ear irrigation module ATMOS Hygrotherm
4.3.1 Overview
Front view
1
2
3
3
1Temperature display (double-digit, increment of 1 °C),
actual value indication
2Setting mode for the temperature
3Adjustment button up or down
Irrigation handle
3
10
8
6
7
4
5
9
1
2
1Handle
2Connection for double-barreled hose
3Three-hole gasket
4Knurled screw
5Release lever
6Valve plunger
7Jet connection
8Splash guard
9Sealing cap
10 Double-barreled hose
4.3.2 Switching on
Attention: Make sure the water supply is guaranteed!
• When the device is switched on, a segment test is performed. For a short period of time, all LEDs will be activated. Visually
check the function of the LEDs during this time.
• Prior to making caloric measurements, check the water pressure on the manometer in the service compartment! A target
pressure of 2 bar to max. 2.2 bar must be available. Danger in case of overpressure!

20
4.0 Operation
4.3.3 Activating the ATMOS Hygrotherm
Remove the handle from the support. The ATMOS
Hygrotherm is automatically activated via the installed light
barrier. The adjustment control of the ATMOS Hygrotherm
requires approx. 20 sec. until the desired temperature is
reached. Check the temperature indication! As long as the
temperature of the actual value deviates from the target
value,theLEDbutton“set”ashes.Whenthetargetand
actual value correspond, the LED lights up permanently. Now
you may begin with the irrigation of the auditory canal.
The last active temperature level is selected.
Ear irrigation
bowl
Handle ear
irrigation module
4.3.4 Performing ear irrigation
Warning: May only be used with the ear irrigation bowl.
The hose attachment must be exchanged after each patient.
Remove the handle hold nozzle in working position and activate trigger perform ear irrigation
4.3.5 Temperature setting
You can apply the ATMOS Hygrotherm at temperatures from
36 °C to 38 °C.
In order to change the set temperature, the button “set” must
remain pressed. Now the set temperature is displayed on
the temperature indicator. Press the adjustment button 3
to change the set temperature (36–38 °C). By releasing the
“set” button, the new set temperature is adopted and the
actual temperature is displayed again on the temperature
indicator.
Heating o󰀨:
Pressthe“set”buttontoturntheheatingonando󰀨.
3
!