Atmos C 31 Operating Instructions Manual Download Page 27

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5.4

Recommended instrument disinfectants

Manual disinfection of instruments

Disinfectant

Ingredients in 100 g Manufacturer

Korsolex

basic

(Application concentrate)

glutaral
(ethylendioxy) dimethanol
surfactants, salts, corrosion inhibitors

15,2 g
19,7 g

Bode Chemie,
Hamburg

Korsolex

plus

(Application concentrate)

N-(3-aminopropyl)-N-dodecylpropane-1,3-diamine
didecyldimethylammonium chloride
surfactants, corrosion inhibitors
complexing agents, ph-value regulators

9,2 g

13,0 g

Bode Chemie,
Hamburg

Korsolex

extra

(Application concentrate)

(ethylendioxy)dimethanol
glutaral
benzyl-C12-18-alkyldimethyl-ammonium chlorides
didecyldimethylammonium chloride
surfactants, foam inhibitors, corrosion inhibitors

15,3 g

7,5 g
1,0 g
1,0 g

Bode Chemie,
Hamburg

neodisher

Septo MED

(Application concentrate)

N-(3-aminopropyl)-N-dodecylpropane-1,3-diamine
didecyldimethylammonium chloride
non-ionic surfactants, perfumes

9,2 g

13,0 g

Dr. Weigert, Hamburg

neodisher

Septo 3000

(Application concentrate)

glutaral
(ethylendioxy) dimethanol

15,2 g
19,7 g

Dr. Weigert, Hamburg

Sekusept

aktiv

(Application concentrate)

Soduim percarbonate, non-ionic surfactants, phosphonate

Ecolab, Düsseldorf

Gigasept

Instru AF

(Application concentrate)

Cocospropylendiaminguanidindiacetate
Phenoxypropanols
Benzalkonium chloride
non-ionic surfactants, ph-value regulators, corrosion
inhibitors

14 g
35 g

2,5 g

Schülke & Mayr,
Norderstedt

Gigasept

FF (neu)

(Application concentrate)

succindialdehyde
dimethoxytetrahydrofuran
anionic and non-ionic surfactants, perfumes, methyliso-
thiazolinone

11,9 g

3,2 g

Schülke & Mayr,
Norderstedt

Gigazyme

(Application concentrate)

non-ionic surfactants
enzymes, corrosion inhibitors

5 - 15 g Schülke & Mayr,

Norderstedt

Automatic disinfection of instruments

Disinfectant

Ingredients in 100 g

Manufacturer

Dismoclean

24 Vario

(Application concentrate)

surfactants, micro-encapsulated enzymes, corrosion
inhibitors, complexing agents

Bode Chemie,
Hamburg

Dismoclean

28 alka med

(Application concentrate)

alkali dispenser, complexing agents, corrosion inhibitors,
surface active materials

Bode Chemie,
Hamburg

Dismoclean

twin basic / twin zyme

Bode Chemie,
Hamburg

Dismoclean

twin basic

alkali dispenser, complexing agents, corrosion inhibitors

Dismoclean

twin zyme

surface active materials, enzymes, stabilisers, corrosion
inhibitors

neodisher

phosphates

15 - 30

Dr. Weigert, Hamburg

neodisher

MediClean forte

(Application concentrate)

non-ionic and anionic surfactants
enzymes

< 5 g

Dr. Weigert, Hamburg

Thermosept

alka clean forte

(Application concentrate)

non-ionic surfactants
anionic surfactants
NTA (nitrilotriacetic acid) and its salts
enzymes, poly carboxylates
corrosion inhibitors

< 5 g
< 5 g
< 5 g
< 5 g

Schülke & Mayr,
Norderstedt

Thermosept

RKN-zym

non-ionic surfactants,
enzymes, corrosion inhibitors, glycols

5 -

15 g

Schülke & Mayr,
Norderstedt

5.0 Cleaning

Summary of Contents for C 31

Page 1: ...ATMOS C 31 ENT Unit 506 7350 B 506 7510 B 2015 08 Index 34 Operating Instructions English 0124 ...

Page 2: ...r supply 10 3 6 Water drain optional 11 3 7 Starting up the ATMOS C 31 11 4 0 Operation 4 1 ATMOS C 31 Basic unit 13 4 2 Basic functions 13 4 2 1 Main switch 13 4 2 2 Maximum loads 13 4 2 3 How to open the covering 13 4 2 4 Suction system 14 4 2 4 1 Emptying the secretion canister 15 4 2 4 2 Application with disposable secretion canister systems 15 4 2 5 Halogen cold light system 16 4 2 6 Mirror q...

Page 3: ...hese operating instructions apply for all ATMOS C 31 models and subsequently feature all op tions and applications Therefore it is possible that this document may contain descriptions not relevant for your specific appliance type The product ATMOS C 31 bears CE marking CE 0124 according to the EEC guideline of the council for medical products 93 42 EEC and meets the basic requirements of annex I o...

Page 4: ... 37 C 1 C max 500 ml min electric power supply for LED 700 mA Light source 15 V 150 W Light source 24 V 150 W Application organ mouth to pharynx auditory canal to the ear drum and the nasal cavities Application time ENT unit Short term use on the patient up to 30 days Suction Compressed air ear rinsing light source Temporary application on the patient less than 60 minutes Application site Applicat...

Page 5: ... operation Protective earth ground as to IEC 417 5019 DIN 30600 1545 Dangerous voltage as to IEC 417 5036 DIN 30600 131 Fuse as to IEC 417 5016 DIN 30600 0186 Type B equipment Type BF equipment only for cold light Alternating current On Off switch Basin rinsing Water temperature for ear rinsing too high Water temperature for ear rinsing too low Correct water temperature for ear rinsing Button for ...

Page 6: ...nly be switched on when the water supply is guaranteed This product is not re sterilisable Repeated reuse of components which are marked with a 2 is forbidden In case of repeated reuse these components lose their function and there is a high infection risk The ENT unit requires clean water drinking water quality for the operation In case the clean water cannot be pro vided by the water supply a pr...

Page 7: ...ptional Rinsing container for hose rinsing optional Fig 1 ATMOS C 31 Front view Main switch Sprayer optional Laryngoscope holder Surface for medicament bottles etc Headlamp hook Cover for upper instrument deposit Instrument surface Free surface Drawer or deposit for used instruments optional 12 13 14 15 11 10 16 17 1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 10 1 2 3 4 5 6 7 8 9 18 18 3 0 Installation ...

Page 8: ...retion canister Hose rinsing container optional Secretion hose black coding Hose for automatic secretion canister evacuation optional transparent coding Connecting electrodes for automatic secretion canister evacuation optional Attachment for secretion hose Lid version with bacterial filter plate 3 0 Installation and starting up ...

Page 9: ... Setting up proposal By the option 2 where the instrument deposit is slidable backwards an extra 250 mm distance to the wall is required 560 mm 250 mm 810 mm 22 5 9 84 31 84 3 0 Installation and starting up ...

Page 10: ... at least meet the WHO guidelines or the country specific guidelines for drinking water Rinse water supply line in order to remove any contamination from the system When clean water is available connect delivery hose to water tap mentioned above Required pressure in domestic water system 2 bar but 5 bar There are country specific regulations for the installation to be considered when the unit is c...

Page 11: ...ion of the light guide cables 3 7 Starting up the ATMOS C 31 Electrical connection Join the inlet connector for non heating apparatus fig 5 with the earth socket outlet using the mains cable supplied Waste water connection with optional automatic secretion canister evacuation Connect the waste water connector fig 5 to the water drain fig 5 3 6 Waste water drain optional Requirements Permanently in...

Page 12: ... misplacing of the hoses is thus impossible Connecting the hose for ear rinsing optional Connect the aqua stop valve with the water tap local connection Open the water supply When the main switch is set to ON and a water consuming device basin rinsing or hose rinsing system is used the water supply is opened by automatic opening of the magnetic valve in the aqua stop system Thus there is no pressu...

Page 13: ...es in the drawers and fig 1 Most of the unit s surfaces are coated with a special textured lacquer that fulfills the requirements for workplace hygiene However as the lacquer is not resistant to all medicines and disinfectants it is impe rative to wipe up splashes immediately 4 2 Basic functions 4 2 1 Main switch The ATMOS C 31 is switched ON and OFF by means of the main switch fig 1 page 7 4 2 2 ...

Page 14: ...ump Secretion canister to be emptied when half full at the latest see chapter 4 2 4 1 The suction system may be operated only with in serted bacterial filter In case the filter is blocked it has to be exchanged see chapter 6 1 For hygienic reasons the bacterial filter must be exchanged daily The suction hose must never come into direct contact with the application site Do always use a suction cath...

Page 15: ...r plate smooth side down See chapter 6 1 See also suction accessories chapter 8 2 1 Fig 12 Bacterial filter plate Secretion hose Green coding ring pump connection Black coding ring suction hose connection 4 0 Operation 4 2 4 2 Application with disposable secretion canister systems Fig 12b Assembly of the disposable canister system Insert the disposable bag into the canister Seal properly on all si...

Page 16: ...of time The cold light source used in theATMOS C 31 consists of four halogen low voltage lamps with a colour temperature of 3300 K The halogen lamps are only switched on if the respective light exit is activated The brightness is individually adjustable for each of the four light exits a memory function realizes which optics are used and guarantees the availability of the previously set light perf...

Page 17: ...e g endoscope 2 is supplied with light even if another instrument with low priority e g headlamp is already used When the endoscope is put back the light supply changes automatically to the instrument with lowest priority Without this priority circuit the light would expire and a manual switchover to headlamp would be necessary Fig 14 Front foil Button for activating the priority switching Button ...

Page 18: ...ke the water handle out of its holder and spray off water until all air bubbles are removed and the level of the pump noise gets lower repeat this procedure every time the pump noise gets loud e g after long periods during which it has not been used or after the water level has dropped below the suction limit Change the jet connection daily Only use disinfected jet connections to avoid a spreading...

Page 19: ...support see fig 20 After cleaning cannulae may no longer be used in patients exception if the cleaning solution is changed after every patient Particularly suitable ATMOS special cleanser 080 0005 0 Fig 19 Service compartment Connecting nipple Secretion canister Hose rinsing container option Secretion hose Hose for automatic secretion canister evacuation Connecting electrodes for automatic secreti...

Page 20: ... switch A safety switch in the tank holder next to the tank prevents the filling if the tank is missing The suction attachment of the hose rinsing system may be contaminated Therefore it must be cleaned and disinfected daily 4 3 6 Kidney shaped rinsing basin option Purpose The basin receives the water that returns from rinsing procedures of the ear and the maxillary sinus Remove the basin from its...

Page 21: ...e medicament in the sprayer bottle is atomized The amount of compressed air is adjusted with regulator fig 23 in conjunction with the display fig 23 After use the medicament sprayer is again inserted in its holder the bar is pressed the handle is removed from the sprayer and again inserted in its support Compressed air system is again switched off b Politzerisation with Politzer olives or Eustachi...

Page 22: ...rd delivery of this option When connecting nystagmus binoculars cable available as accessory Art No 502 0141 6 the voltage is reduced automatically 4V even if you work with low voltage Care must be taken to ensure that the connection jack and the patient are not touched at the same time when plugging and unplugging the warm light head lamp Fig 25 Headlamp connection Jack Fig 26 Switch for warm lig...

Page 23: ...he ATMOS C 31 Light is provided via a fibre optic light conductor which is connected to an exit of the ATMOS Cold light system Refer to separate operating instructions Only microscopes and accessories approved may be added to the support 4 0 Operation 4 3 11 Endoscope heating option Endoscope heating is switched on when the main switch is activated Endoscopes are warmed to approx 40 C ENT unit sho...

Page 24: ...n Intended use To collect the water flowing off during ear rinsing The tulip shaped bowl is added to the suction attachment of the suction system As accessory we offer a special holder for this ear rinsing bowl 4 3 17 Hygiene ﬁlter for the ear irrigation system option Connect the disposable hygiene filter to the irrigation handle Exchange it daily as specified in the hygiene plan Insert the filter...

Page 25: ...a disposable and must be disposed of The bacterial filter must be exchanged at least once a day Suction system and hose attachment After every use rinse out the suction system by drawing in a small amount of irrigating fluid e g ATMOS Special Cleanser 080 0005 0 Keeps the hoses from becoming sticky or clogged Suction capacity is limited by the 1 25 l secretion canister Therefore do not use more th...

Page 26: ...26 0 000 0577 0 506 5227 0 055 0028 0 505 0280 0 505 0258 0 005 0026 0 055 0021 0 Fig 33 506 5225 0 5 2 Endoscope quivers The metal quivers of the endoscope holder are to be used solely for holding the endoscopes these first having been cleaned The quivers are to be cleaned daily and subsequently disinfected For doing this the stopper at the lower end should be taken off 5 1 6 Instrument trays Bef...

Page 27: ...ph value regulators corrosion inhibitors 14 g 35 g 2 5 g Schülke Mayr Norderstedt Gigasept FF neu Application concentrate succindialdehyde dimethoxytetrahydrofuran anionic and non ionic surfactants perfumes methyliso thiazolinone 11 9 g 3 2 g Schülke Mayr Norderstedt Gigazyme Application concentrate non ionic surfactants enzymes corrosion inhibitors 5 15 g Schülke Mayr Norderstedt Automatic disinf...

Page 28: ...mburg Dismozon plus Granulate magnesium monoperoxyphthalate hexahydrate 95 8 g Bode Chemie Hamburg Kohrsolin FF Application concentrate glutaral benzyl C12 18 alkyldimethyl ammonium chlorides didecyldimethylammonium chloride 5 g 3 g 3 g Bode Chemie Hamburg Bacillocid rasant End of product 2014 glutaral benzyl C12 18 alkyldimethyl ammonium chlorides didecyldimethylammonium chloride 10 g 6 g 6 g Bod...

Page 29: ...ert Hamburg Sekusept aktiv Application concentrate sodiumpercarbonate non ionic surfactants phosphonates Ecolab Düsseldorf Automatic disinfection of endoscopes Disinfectant Ingredients in 100 g Manufacturer Korsolex basic glutaral ethylendioxy dimethanol surfactants salts corrosion inhibitors 15 2 g 19 7 g Bode Chemie Hamburg neodisher MediClean forte Application concentrate non ionic and anionic ...

Page 30: ...cedures The possible main tenance procedures are described in the following chapters 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 AT...

Page 31: ... the area Dispose of secretions properly Grip lid system firmly open lid of filter housing by turning in anti clockwise direction Remove filter and dispose of it Rinse all parts thoroughly under running water Adetergent or cleaning agent may also be used if required After cleaning a new filter must be inserted With bacterial filter plate smooth side down External bacterial filter To open the bacte...

Page 32: ...ose connections Remove the tube box from the drive axle by depressing the release lever Attach the new tube cassette to the drive axle and arrest it in the bayonet holder by lifting the release lever Pull the tube cassette slightly to check for secure locking Add the two connecting tubes again acc to fig 35 Pump head and cassette holder to be disinfected by means of spray disinfectant Take care to...

Page 33: ... before changing the heating coil Set main switch of the ENT unit to OFF fig 1 page 7 Remove grid fig 36 Pull out the heating coil fig 37 located under the grid along with its plug connections Insert a new heating coil and make sure that the three heating helices come into contact only with their ends Fix the grid again and set main switch to ON 6 0 Maintenance and servicing ...

Page 34: ...he module The spare lamp must not be touched with bare fingers only cut off the top of the foil fig 38 b the rest of the foil remains on the lamp until it is inserted in the socket Prior to changing check on which light exit the lamp has to be replaced Do not look directly into the light exits Insert the spare lamp in the socket Then remove the foil on the lamp Make sure that the lamp is inserted ...

Page 35: ...ely upwards to the stop swung over the edge of the holder and pushed down into the insert see fig 39 6 5 Changing the halogen bulb of the counter mirror lamp Allow the lamp to cool down before changing it Pull out the plug of the halogen counter mirror lamp The halogen bulb is located under two glass disks which are held with a snap ring To release the snap ring insert a small screwdriver under th...

Page 36: ...th the mirror quick heater check voltage by connecting other con suming devices replace heating coil section 6 3 7 3 Mirror heating have heating plate body replaced by a service technician check voltage by connecting other con suming devices no voltage heating coil is defective heating plate body in the mirror preheater plate is defective no voltage Mirror preheater remains cold Failure with the U...

Page 37: ...electronics defective or photoelectric barrier is contaminated No suction and suction motor does not start position handles corresponding to switching function compressed air handle and suction hose in handle support transposed No suction suction motor fails to start although compressed air pump starts rinse the suction hose with water to do so hose can also be removed check filling level in the s...

Page 38: ...the Unit check hose connections have hose connections inside the unit checked by a service technician hose connections are leaking Pressure of compressed air is too low 2 3 bar clean photoelectric barrier have photoelectric barrier replaced by a service technician photoelectric barrier is contaminated or defective Compressed air does not switch off clean sprayer section 5 1 5 see section 5 1 5 spr...

Page 39: ...tive Failure with the Unit replace halogen bulb check cable connections 7 8 Counter mirror lamp No light on counter mirror lamp check line voltage replace halogen bulb chapter 6 5 have transformer replaced by a ser vice technician have switch replaced by a service technician no voltage halogen bulb is burnt out transformer on counter mirror lamp is defective switch defective Failure with the Unit ...

Page 40: ...idney shaped rinsing basin sieve in rinsing bowl is clogged waste water hoses are clogged Failure with the Unit decalcify rinsing head replace rinsing bowl rinsing head is clogged calcified rinsing bowl is leaking Basin rinsing does not function at all or only insufficiently 7 0 Trouble shooting 7 12 Endoscope support Endoscope supports are no longer heated Have the switch control sensor exchanged...

Page 41: ...r CLAR 55 502 0161 1 Spare bulb for nystagmus binoculars 502 0187 1 Spare bulb for counter mirror lamp 505 0620 1 8 1 5 Consumable supplies for water system Hose tips 30 pcs minimum quantity 2 packs 502 0844 0 Collector sieve for rinsing basin minimum quantity 10 pcs 508 0578 0 Spare filter 100 µm 000 0655 1 Filter support spare 000 0655 2 Jet connection short straight 80mm 505 0280 0 Splash prote...

Page 42: ...lae Politzer olives 508 0545 0 Politzer olives Teflon universal size 000 0241 0 Politzer olives Teflon for children 000 0241 1 Sprayer attachment straight 505 0280 0 Twin tube with nozzle 000 0219 0 Sprayer complete for oily medicaments 506 5120 0 Sprayer complete straight 506 5225 0 Spare parts Article No Compressed air handle II 506 6202 0 Glass for sprayer 000 0577 0 Attachment for Politzer oli...

Page 43: ...elamine consisting of 2 large and 2 small trays 506 7031 0 Instrument tray set aluminium anodized consisting of 2 large and 2 small trays holder for ear speculae Politzer olives 506 7032 0 Instrument tray set stainless steel consisting of 2 large and 2 small trays holder for ear speculae Politzer olives 506 7033 0 Ear rinsing bowl 505 0353 0 Plastic quiver for disinfecting solution to be mounted t...

Page 44: ...3 Optional Compressed Air Compressed air system complete with 3 medicament sprayers 1 Politzer adaptor and sprayer holder 506 7007 0 8 3 4 Optional Water System Rinsing basin kidney shaped removable on swivel arm 506 7003 0 Automatic hose rinsing system consisting of 506 7005 0 Rinsing attachment for cleaning cannulae suction attachment and suction hose with automatic refilling of the supply conta...

Page 45: ...Enclosure leakage current Patient leakage current max 0 1 Ω max 0 5 mA max 0 1 mA max 0 1 mA Ambient conditions Transport storage Operation 10 50 C 30 95 humidity without condensing air pressure 500 1060 hPa 10 35 C 30 95 humidity without condensing air pressure 700 1060 hPa Dimensions HxWxD Column with 1 Base Cabinet 93 x 47 x 55 cm with 2 Base Cabinets 93 x 128 x 60 cm Weight basic unit Column m...

Page 46: ...can be recycled completely The component parts of the ATMOS C 31 must be disposed of correctly and the materials are to be separated carefully The electronics circuit boards must be fed into the appropriate recycling process This document is subject to change without notice 10 0 Disposal ...

Page 47: ... X2 4 5 6 Manual or automatic cleaning and disinfection X Secretion suction hose disposable X Rinse the secretion hose with the hose irrigation system after each procedure X X2 4 5 6 Exchange or disinfection monthly X Storage container for hose rinsing system X X2 4 5 6 Cleaning with a brush Manual or automatic cleaning and disinfection X Ear irrigation Thermal nystagmus stimulation Ear irrigation...

Page 48: ...e www atmosmed de 2015 08 Index 07 Recommended disinfectants 3 Surface disinfection for coated surfaces Green Clean SK ATMOS Dismozon plus Bode Chemie Kohrsolin FF Bode Chemie Perform Schülke Mayr Terralin Protect Schülke Mayr Other surfaces Dismozon plus Bode Chemie Kohrsolin FF Bode Chemie Mikrobac forte Bode Chemie Perform Schülke Mayr Terralin Protect Schülke Mayr Surface disinfection FD 312 D...

Page 49: ...el Electromagnetic Environment Guidance ESD IEC 61000 4 2 6 kV Contact 8 kV Air 6 kV Contact 8 kV Air Floors should be wood concrete or ceramis tile If floors are synthe tic the relative humidity should be at least 30 EFT IEC 61000 4 4 2 kV Mains 1 kV I Os 2 kV Mains Inapplicable Mains power quality should be that of a typical commercial or hospital environment Surges IEC 61000 4 5 1 kV Differenti...

Page 50: ...12 3 Guidelines and Manufacturer s Declaration Immunity The ATMOS C 31 is intended for use in the electromagnetic environment specified below The customer or user of the ATMOS C 31 should ensure that it is used in such an environment Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment Guidance Portable and mobile communications equipment should be separated from the ATM...

Page 51: ... strength is to be below 3 V m The ATMOS C 31 is intended for use in electromagnetic environment in which radiated disturbances are con trolled The customer or user of the ATMOS C 31 can help prevent electromagnetic interference by maintai ning a minimum distance between portable and mobile RF Communications equipment and the ATMOS C 31 as stated below according to the maximum output power of the ...

Page 52: ...ATMOS MedizinTechnik GmbH Co KG Ludwig Kegel Str 16 79853 Lenzkirch Germany Phone 49 7653 689 0 atmos atmosmed de www atmosmed com ...

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