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3.0    Installation and start-up

Fig.  2. Irrigation handle

 

Handle

   

 

Connection for double-barrelled hose

 

Three-holes gasket

 

Adjusting screw

 

 

Release lever

 Valve plunger

 Jet connection

 Splash protection

 Cap

 Double-barrelled hose

  Set screw

 

3.2 Illustrations



The sprayer tube must be exchanged after each patient. 

Adjusting flow quantity

 

Prior to stimulation turn the  set  screw (

 

, fig. 2) 

 

  upwards and arrest it.  

 

 

2 adjusting possibilities:

 

High:

 

Flow quantity for rinsing the 

   

 

auditory canal

 

Low:

  

Flow quantity for stimulating 

   

 

the vestibular organ

Prior to ear irrigation the set screw is turned downwards, inserted into the  

handle and then adjusted by turning it downwards again.

 

For fine adjustment of the flow the adjusting screw (

 

, fig. 2) is turned in  

  respectively out.

 

Periodically check the water flow for the stimulation

 

 

of the vestibular organ and readjust, if necessary.

 

11

4

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Summary of Contents for Variotherm

Page 1: ...s English ATMOS MedizinTechnik GmbH Co KG Ludwig Kegel Str 16 79853 Lenzkirch Germany Tel 49 0 7653 6 89 0 Fax 49 0 7653 6 89 190 atmos atmosmed de www atmosmed de MedizinTechnik 2013 08 Index 16 ATMOS Variotherm 530 2030 B ...

Page 2: ...f the Variotherm 12 4 2 Temperature adjustment 12 4 3 Time setting 12 4 4 Thermal nystagmus stimulation 12 5 0 Cleaning 5 1 General information on cleaning and disinfection 13 5 2 Recommended disinfectants 14 5 4 Cleaning method for handle with jet connection for water irrigation tip 14 6 0 Maintenance and service 6 1 Functional test 15 6 2 Visual inspection 16 6 3 Electrical test 16 6 4 Cleaning ...

Page 3: ...d careful work provides best protection against accidents Operational safety and readiness for use depend not only on your capabilities but also on care and maintenance given to the Variotherm plus For this reason regular cleaning and service work are a must Major maintenance and repair work may be carried out only by expert personnel authorised by ATMOS In case of repairs you should insist that o...

Page 4: ...ation of the vestibular organ Application For the application on humans Specifications of the main functions Produces a jet of water for the ear irrigation at body temperature 37 C with a flow rate of 400 ml min for the removal of cerumen Stimulation of the vestibular organ with a defined flow and a fixed temperature for the functional testing Application organ Auditory canal to the drumhead Durat...

Page 5: ... Timer adjustment in seconds Timer Cold stimulation 20 36 C Warm stimulation 38 47 C Rinsing mode water temperature 37 C C s Low High Reduced flow for stimulation of the vestibule High flow for rinsing the auditory canal Setpoint value adjustment possible Increase of setpoint value Decrease of setpoint value 1 0 Introduction Handle ...

Page 6: ...cessing equipment and EN 60601 for electrical medical appliances Furthermore all configurations must satisfy system specification EN 60601 1 1 Whoever connects additional equipment to the signal input or signal output section is a system configuration ope rator and as such responsible for meeting the requirements of system specification EN 60601 1 1 In case of further questions please contact your...

Page 7: ... is hygienically carried out Before screwing them into place disinfect threaded connections with 70 alcohol When carrying out maintenance work on parts which come into contact with the water wear disposable gloves Carry out thermal cleaning at least 3 times before commissioning This work is carried out by the ATMOS service technician Running operation Exchange and disinfection required for contact...

Page 8: ...uantity 1 Variotherm basic unit 1 Irrigation handle with Double barrelled hose 3 Jet connection short straight 80 mm 1 Splash protection 1 Rubber bush for splash protection 1 Three holes gasket 1 Hose tips for jet connection 30 pcs 1 Operating instructions ...

Page 9: ...tion time display double digits resolution 1s Temperature display double digits resolution 1 C shows actual value Start stop key for stimulation 150 ml min Adjusting key for stimulation time Key for irrigation mode 37 C Key for warm stimulation e g 44 C Key for cold stimulation e g 30 C 3 0 Installation and start up ...

Page 10: ...y Prior to stimulation turn the set screw fig 2 upwards and arrest it 2 adjusting possibilities High Flow quantity for rinsing the auditory canal Low Flow quantity for stimulating the vestibular organ Prior to ear irrigation the set screw is turned downwards inserted into the handle and then adjusted by turning it downwards again For fine adjustment of the flow the adjusting screw fig 2 is turned ...

Page 11: ...oles gaskets as otherwise correct function of the unit is not guaranteed Insert a three holes gasket in the irrigation handle and screw it on the free end of the double barrelled hose Open the water tap of the ENT examination unit Check whether all connections are tight 3 4 Start up Insert the handle in its holder the jet must point to reverse side of the unit Switch on the examination unit Automa...

Page 12: ... previous time setting is taken over automatically Please check the time setting of the timer once in a while 4 2 Temperature adjustment 4 4 Thermal nystagmus stimulation Fig 3 irrigation handle set screw adjusting screw Remove the handle select and if need be adjust the temperature s 4 3 if required adjust the time press is blinking approx 10 sec as soon as the Variotherm is ready a beep is audib...

Page 13: ...cause stress cracks in the plastic material used for the housing of the unit For cleaning and disinfection you may also use disinfectant sprays or disinfectant tissues Switch off the ENT unit by the main switch before starting cleaning and disinfection Wipe the unit surface with a cloth moistened with a cleaning or disinfecting solution Make sure that no liquid penetrates the unit You may use all ...

Page 14: ... Weigert Hamburg forte non ionic tensides 5g Application concentrate enzymes preserving agents Machine disinfection Ingredients in 100 g Manufacturer Dismozon pur magnesium monoperoxyphthalate Bode Chemie Hamburg Application concentrate hexahydrate 80 g Green Clean SK alkyl dimethyl benzyl ammonium chloride 1 g Metasys Rum Austria Application concentrate dialkyl dimethyl ammonium chloride Alkyldim...

Page 15: ...ignal during the first second after switching on in particular segmental test 8 8 Set all temperature setting switches on 40 C and test consecutively by touching the corresponding keys whether in all ranges 40 C is reached in ACTUAL temperature indication Spray off and check water temperature by hand Carry out the same test with temperatures 37 C and 28 C Measure temperature of water splashed off ...

Page 16: ...r inst Citrosteril by Fresenius Screw glass on again Open water tap again Switch on the unit Decalcification now takes place automatically in the thermal process for reducing bacterial count If after switching on the unit has been in the thermal process for reducing bacterial count for 5 minutes the water passages have been decalcified and cleaned and also sufficiently flushed The Variotherm plus ...

Page 17: ...k whether temperature setting is too high If necessary adjust desired temperature to a value of 48 C by means of the coding switches Inform service staff E7 temperature too high 48 C display only in the stimulation and irrigation mode but not in the thermal process for reducing bacterial count Error in temperature display Have temperature feeler of the regulating NTC checked by the service staff E...

Page 18: ...530 1190 0 Jet connection short straight 80 mm 508 0427 0 Splash protection 501 0331 0 Rubber bush for splash protection 501 0331 1 Three holes gasket device side 501 0320 0 Three holes gasket handle side 530 1186 0 Hose double barrel for irrigation handle 530 1181 0 Jet connection for water irrigation handle 40 mm 502 0984 0 Hygiene filter for water irrigation 000 0918 0 Hose tips for jet connect...

Page 19: ...or reducing bacterial count Irrigation mode water flow 0 450 ml min at 37 C Stimulation mode water flow 150 ml min at temperature preselected for the cold stimulation level resp warm stimulation level Heating off energy saving mode adjustable by timer from 1 up to 99 sec Accuracy 0 5 s digit 20 C 47 C Accuracy 0 8 C digit can only be guarantee with unchanged ambient conditions 7 19 5 C Drinking wa...

Page 20: ...cle it must be disposed of professional According to the EC directives WEEE and RoHS the device may not be disposed of in domestic waste Please observe existing national laws and rules for disposal of old devices Disposal within the Federal Republic of Germany In the Federal Republic of Germany the law for electrical devices ElektroG rules the disposal of electrical devices In order to guarantee a...

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Page 22: ...ds damage or loss is therefore transferred to the client as soon as the goods leave the factory or the client is in default of acceptance of the goods This also applies to cases where we confirm prepaid carriage Transport packaging and all other packaging according to the packaging regulations is not returnable Our client is responsible for disposing the packaging at its own cost Our deliveries ar...

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