Atmos S 201 Thorax Скачать руководство пользователя страница 8

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Main function:

The double lumen hose system transfers the controlled

vacuum generated by the device. The secretion hose

drains fluids and air into the secretion canister. The

measuring and rinsing hose measures and regulates the

vacuum applied on the patient's side. A bacterial and viral

filter on the measuring and rinsing hose protects against

contamination with bacteria and viruses. At defined time

intervals, a valve opens in order to direct air through the

measuring and rinsing hose into the secretion hose and

to rinse liquids, coagulum and other blockages into the

secretion canister.

Chest tubes on the patient's side are connected to the

hose system via the port.

Intended use / intended

purpose:

Transport of fluids and air from the thorax.
Measurement and regulation of the vacuum on the

patient's side.

Intended users / user profile:

• Trained doctors
•

Trained healthcare professionals

Users must not be hard of hearing or deaf and must have

adequate vision.

Intended patient population:

Patients of all ages with and without restrictions.

Medical condition to be

diagnosed, treated or

monitored:

Accumulated air and fluids in the thorax (pleural cavity,

mediastinum, pericardium) that require controlled

drainage, monitoring, and balancing.

Application organ:

Thorax (pleural cavity, mediastinum, pericardium)

Application time:

Short-term use on the patient (< 30 days).

Application site:

The application site is the clinical environment. The

cardiothoracic drainage system may only be applied by

healthcare professionals. The device is applied unsterile.

The secretion canister and the hose system are sterile and

disposable; they can be used in the sterile OT area.

Patient selection criteria:

Patients who require a cardiothoracic drainage (pleura,

mediastinal or pericardial drainage).

Indications:

•

After surgical openings of the thorax

• Pneumothorax
•

Pleural effusion

• Hemothorax
•

Pleural empyema

•

Chylothorax

•

Other similar clinical pictures

Medical contraindications:

•

Not suitable for cardiothoracic drainage therapy in

which no vacuum should be applied to the patient.

Содержание S 201 Thorax

Страница 1: ...E349855 0124 GA1GB 710201 0 2021 10 Index 42 Operating Instructions ATMOS S 201 Thorax English These operating instructions are valid from software version 3 0 53 ...

Страница 2: ...f the display 27 4 2 Buttons and display symbols 28 4 2 1 Buttons 28 4 2 2 Display symbols 29 4 3 Explanation of the display in key lock modes 29 4 3 1 Key lock mode with bubbles 29 4 3 2 Key lock mode with bar chart 29 4 4 Switching on 30 4 5 Leakage test 30 4 6 Function 32 4 6 1 Target vacuum 32 4 6 2 Gravity drainage mode 32 4 6 3 Suction 33 4 7 Key lock 34 4 8 Therapy process 35 4 8 1 Short ti...

Страница 3: ...2 Repairs 53 9 3 Sending in the device 53 9 4 Handling of batteries 53 9 5 Changing the fuse 54 10 0 Troubleshooting 55 11 0 Technical data 57 11 1 Bacterial and viral filter 58 12 0 Disposal 59 13 0 Notes on EMC Electromagnetic compatibility 60 13 1 Guidance and manufacturer s declaration ambient conditions 60 13 2 Guidance and manufacturer s declaration key features 60 13 3 Guidance and manufact...

Страница 4: ... use of your ATMOS S 201 Thorax and are therefore a must besides regular cleaning Maintenance repairs and periodic tests may only be carried out by persons who have the appropriate technical knowledge and who are familiar with the product The person in question must possess the necessary test devices and original spare parts required to carry out these measures This device bears the CE marking CE ...

Страница 5: ... monitoring and balancing Application organ Thorax pleural cavity mediastinum pericardium Application time Short term use on the patient 30 days Application site The application site is the clinical environment The cardiothoracic drainage system may only be applied by healthcare professionals The device is applied unsterile The secretion canister and the hose system are sterile and disposable they...

Страница 6: ...d and documented on the balancing scales An integrated bacterial and viral filter protects the device from possible contamination and from oversuction In the event of excess pressure the pop off valve opens immediately An optional water lock is used to visualize the air leak on the patient s side by the appearance of air bubbles Cover caps are used for proper sealing and disposal Intended use inte...

Страница 7: ... therapy in which no vacuum should be applied to the patient Other contraindications Do not use with cardiothoracic drainage systems other than the ATMOS S 201 Thorax No separate use of the secretion canister and the hose system i e without the device for short or long term gravity drainage more than 60 minutes No application under emergency conditions Should not be used in the homecare sector whi...

Страница 8: ...g or deaf and must have adequate vision Intended patient population Patients of all ages with and without restrictions Medical condition to be diagnosed treated or monitored Accumulated air and fluids in the thorax pleural cavity mediastinum pericardium that require controlled drainage monitoring and balancing Application organ Thorax pleural cavity mediastinum pericardium Application time Short t...

Страница 9: ... can be sucked off by the hose system The pump is controlled digitally and therefore ensures that the chosen required vacuum value is stable The air flow which is measured in real time is displayed in numbers At one key press flow 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 the v...

Страница 10: ...10 50 C 30 95 air humidity without condensation at air pressure 700 1060 hPa Operation and battery charging 10 35 C 30 95 air humidity without condensation at air pressure 700 1060 hPa Operation altitude max 3000 m 1 5 Explanation of pictures and symbols In the operating instructions DANGER Warning of a danger that will result in immediate fatal or serious injury Observe the necessary measures WAR...

Страница 11: ... complies with the relevant requirements of EU regulations 0124 This device complies with the relevant requirements of EU regulations E349855 UL Mark MEDICAL EQUIPMENT with respect to electrical shock fire and mechanical hazards only in accordance with UL60601 1 ANSI AAMI ES60601 1 2005 CAN CSA C22 2 No 60601 1 2008 This device complies with the relevant requirements of the Eurasian Economic Union...

Страница 12: ...ng instructions Follow operating instructions blue Do not reuse STERILE Sterile device STERILE EO Sterilized using ethylene oxide NON STERILE Non sterile Double sterile barrier system Single sterile barrier system Protection class II device Applied part type CF IP XO Specification of the degree of protection against the ingress of solids and moisture Fuse ...

Страница 13: ...ragile handle with care Keep dry Keep away from sunlight Temperature limit Atmospheric pressure limitation Humidity limitation UDI application identifier 01 UDI DI Identification of the manufacturer and the device 10 Batch code 11 Date of manufacture 17 Expiry date 21 Serial number ...

Страница 14: ... the power supply by pulling out the power plug Position the device so that it can always be disconnected from the power supply easily When disconnecting the device from the mains power supply pull the power plug first and then the device plug Disconnect the device from the mains power supply before cleaning or disinfecting it Never touch the plug or power cable with wet hands Never immerse the de...

Страница 15: ...sily accessible Perform a function check after each use ATMOS recommends always having another suction device ready at hand This allows you to treat the patient and perform suctioning even in the event of device failure Please observe the notes on the electromagnetic compatibility EMC of the device If the device has fallen Check the device for visible damage A leakage test is recommended If the le...

Страница 16: ...ation in accordance with the EMC regulations Portable and mobile RF communication devices mobile phones may affect the performance of the device WARNING Avoid improper use Your patient can be severely injured A misplaced drainage system and a misplaced chest tube 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...

Страница 17: ...t can be injured Operation of the secretion canister for temporary gravity drainage is only permitted with 312 1150 5 and 312 1120 0 For 312 1140 0 the use for temporary gravity drainage is prohibited see chapter 7 0 Accessories consumables and spare parts on page 48 Metal parts e g clamps must be removed before use in MRI Only remove the secretion canister when therapy is stopped It is mandatory ...

Страница 18: ... with guidelines A ready to use spare device incl consumables must always be available 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 i Electromagnetic compliance damage to the device The device may become damaged The ATMOS S 201 Thorax fully complies w...

Страница 19: ...nly 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 device Otherwise the device could overheat i Exclusion of liability and warranty If no original ATMOS parts are being used the advice for use in these operating instructions is not being observed improper use assembly new s...

Страница 20: ... Basic device 1x Power cable L 3 m 507 0859 1 1x Operating instructions 1x Quick reference guide 3 2 Device overview Front side 1 2 3 4 5 1 On Off sensor 2 Touchscreen touch sensitive display 3 Handle 4 Light sensor 5 Release button of secretion canister 6 Connection for secretion canister 7 Connection for USB flashdrive Only use the USB connection for the transfer of therapy data A software updat...

Страница 21: ...21 Rear side 10 9 11 9 Type plate 10 Charging socket 11 Fixture for device attachment ...

Страница 22: ...s prolongs the maximum service life 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 Attention If the battery temper...

Страница 23: ... spare parts on page 48 3 4 6 7 8 1 2 5 1 Pop off valve 10 mbar overpressure 2 Filler for water lock 3 Hydrophobic bacterial and viral filter 4 Filling level for water lock function 5 Scaling in ml 6 Protection cap for the pop off valve 7 Protection cap for the secretion hose 8 Patient connection secretion hose 9 Secretion canister guide 3 3 2 2 Secretion canister system overview Versions without ...

Страница 24: ...e canister may only be removed when the pump is switched off 3 3 2 4 Pop off valve The pop off valve 1 is a protective device against the occurrence of overpressure which could lead to a tension pneumothorax The valve opens at an overpressure of 10 mbar within the rinsing canister 3 3 2 5 Inserting the secretion canister 1 1 2 click Attention Prior to use check the packaging of the sterile product...

Страница 25: ...attention as secretion could be found in the connection space 9 Remove the cover cap 2 from the luer lock connection of the secretion hose 10 Separate the cover cap by rotating and pulling it simultaneously 11 Close the pop off valve 3 with the bigger cover cap 12 Close the luer lock connection 4 of the secretion hose with the smaller cover cap The connection on the rear of the secretion canister ...

Страница 26: ...ral filter 1 to the upper canister connection on the secretion canister by rotating it clockwise 3 Connect the luer lock connection with the larger diameter to the lower connection of the canister 3 by rotating it clockwise 4 A leakage test is recommended chapter A change of the bar chart with flow scaling from 450 ml min to 150 ml min takes place automatically as soon as the hourly average value ...

Страница 27: ...Actual vacuum Display of the current fistula Attention This is the current value In the case of a discontinuous fistula the value can decline temporarily to zero although the fistula still exists Display of the preadjusted target vacuum to which the pump adjusts Changeover to the graphic diagram Increase of the target vacuum Quick setting of the target vacuum to 5mbar User settings Display of the ...

Страница 28: ...he therapy Open the user settings Save entry Confirm information Back Exit menu Warning suppress the warning Changeover to vacuum scaling Changeover to time scaling Changeover to flow scaling Start the therapy Stop the therapy Hold restart graphic Increase maximum of axis Decrease maximum of axis Scroll up the list Scroll down the list Activate key lock ...

Страница 29: ... Yellow 100 630 ml min Orange 630 ml 5 51 l min Red 5 51 l min to maximum Up to 1 00 l min the flow is displayed in ml min Key lock activated Flow displayed as bubbles Day Night Mode The ATMOS S 201 Thorax has a day night mode i e the device adjusts automatically to the light conditions in a room Under low ambient light conditions the display has dark background illumination 4 3 2 Key lock mode wi...

Страница 30: ... 4 4 Switching on 1 To switch on the ATMOS S 201 Thorax touch the sensor above the symbol for 2 seconds 2 The ATMOS logo appears with the software version number in the bottom right corner 3 Depending on the user settings the leakage test starts automatically after a short time see next chapter 4 Subsequently Therapy progress will appear in the display By pressing the buttons you can start a new t...

Страница 31: ...akage test is faulty the message Leakage test failed appears Check the hose connections and whether the secretion canister is correctly clicked into place By touching the corresponding buttons you now have the option to a repeat the test b abort the test and continue by pressing the respective buttons on the screen ATTENTION If the leakage test is operated accordingly the leakage must not be ignor...

Страница 32: ... starting the device The 5 5 Vac button can be used to set the target vacuum directly to 5 mbar For more information see 4 6 2 Schwerkraftdrainagemodus on page 32 34 If target vacuum is adjusted over 50 mbar the notice appears High target vacuum is set 4 6 2 Gravity drainage mode On the main screen the target vacuum can be set directly to 5 mbar by pressing the 5 5 Vac button If the 5 5 Vac symbol...

Страница 33: ...rated by a symbol change from to in the lower left of the display By pressing the button the pump will be stopped The ATMOS S 201 Thorax has a vacuum regulator On the one hand this means that the integrated pump only starts if the actual vacuum does not correspond to the target vacuum On the other hand the pump performance depends on the difference between the actual vacuum and the target vacuum T...

Страница 34: ...ues are set and the therapy is started Press the symbol to activate the key lock The display symbol appears above the Flow readout and shows an activated key lock 3 Deactivate the key lock A quick touch to the display and then the first contact point appears By touching the contact point the second contact point appears By a repeated touching of this contact point the key lock symbol above is deac...

Страница 35: ...in menu Set the period duration of the hose rinsing to 5 minutes if you want to use the short time display for real time display of the flow such as for cough tests to detect blocked catheters etc 4 8 2 Long time display In the long time display the complete therapy process can be visualised The scaling can be switched between time flow and vacuum You can reach the different scalings by pressing t...

Страница 36: ...alues and go back to the long time display the previously set zoom values are saved even if the device has been switched off in the meantime If the recorded therapy data is greater than the set scaling for the long time display then this is not displayed in the usual lines The target vacuum is recorded in light blue The actual vacuum is recorded in dark blue The flow value is recorded in green ...

Страница 37: ...commends Use a USB flashdrive without content Other USB flash drives may not be recognized thus the therapy data read out does not start Start the therapy data transfer Press the release button The secretion canister swivels forward to the right Connect the USB flashdrive see Page 20 The device prepares for the therapy data transfer In order to start the transfer confirm the query on the device wi...

Страница 38: ...ribed Connect the secretion canister Continue the therapy Open the clamp at the chest tube 4 8 4 Reading out the therapy data Connect the USB flashdrive to the PC Open the folder on the USB flashdrive This folder contains a PDF file and an excel file Open the PDF file Enter the desired Information 1 Patient data 2 Diagnosis 3 Description of the secretion Following information can be seen in the re...

Страница 39: ...he buttons and for moving up and down in the menu selection To select a settings menu press the text box These buttons can be found in every settings menu By pressing the button you will return to the user menu The selected data are only saved if you press the memory key ...

Страница 40: ...the device is started the standard vacuum is automatically pre adjusted You can adjust the standard vacuum with and Cycle duration for hose rinsing You can change the cycle duration for hose rinsing with and Vacuum unit The vacuum unit can be adjusted with and ON Leakage Test Leakage test The leakage test can be activated or deactivated with and ...

Страница 41: ...k activation time can be adjusted with and Key tone The key tone can be activated or deactivated by pressing and Time By pressing one of the two buttons hour or minute you can access the individual settings Now you can change the time with and Date By pressing one of the three buttons Day Month Year you can access the individual settings Now you can change the date with and ...

Страница 42: ...required If the setting is activated the user settings can only be unlocked and operated using a corresponding key code 4 10 Switching off the device To switch off the ATMOS S 201 Thorax stop the therapy and touch the sensor for 2 seconds The ATMOS logo appears on the screen and the device shuts down ...

Страница 43: ...etion canister Hose Filter in the secretion canister Filter in the measuring hose Contact the ATMOS service The measurement of an excessively high vacuum results in the display of the warning message vacuum too high Possible reasons for this error message are Ventilation valve is defective There are further vacuum sources in the drainage area Remove vacuum sources Contact the ATMOS service If the ...

Страница 44: ...he therapy has already started and has been interrupted by the pause symbol the warning message Inactive therapy appears with tone Press the Play symbol to start the therapy If the warning message is suppressed it appears again with tone after one minute The device must no longer be operated Possible causes Battery or pump defective Contact the ATMOS service Provide sufficient ventilation Check fa...

Страница 45: ...the ATMOS service A dwindling battery capacity is indicated to you on the device Battery must be replaced by the service If the set target vacuum is over 50 mbar the notice High target vacuum is set appears When changing the flow scaling in the long time display to the smallest scaling the notice indicating that the scaling unit has changed from l min to ml min appears ...

Страница 46: ...itioned at the same height as the patient catheter 6 3 Operation of the secretion canister for temporary gravity drainage Operation of the secretion canister for temporary gravity drainage is only permitted with 312 1150 5 and 312 1120 0 For 312 1140 0 the use for temporary gravity drainage is prohibited see chapter 7 0 Accessories consumables and spare parts on page 48 It is mandatory to fill the...

Страница 47: ...uum applied at the patient s end corresponds to the water level in the riser of the water lock 8 The secretion hose and water lock must be inspected regularly by qualified medical staff to ensure correct operation ...

Страница 48: ...ster 2 l 10 pcs sterile Hose system 10 St sterile 312 1031 0 Hose system 10 pcs 312 1170 0 Secretion canister 2 l 5 pcs 312 1150 5 Secretion canister 2 l without water lock 5 pcs 312 1140 0 Secretion canister 2 l standard 10 pcs 312 1120 0 Y port 50 pcs 312 1101 0 Paediatrics port different sides 1 pcs 312 1102 0 Fir tree port without luer lock 1 pcs 312 1103 0 Connection set for thorax chest tube...

Страница 49: ...acket 4 Position the universal bracket to the required position 5 Turn the knob 2 until the universal bracket is fixated Attach the device to the universal bracket 6 Pull the locking system 4 and rotate it by 90 so that the stop bolt is drawn in 5 7 Place the device on the universal bracket 8 Pull the locking system and rotate it by 90 so that the bolt fixates the device 6 3 4 1 2 6 5 7 2 Attachin...

Страница 50: ...e of the device Please observe the operating instructions for use prescribed by the manufacturers of disinfectants Pay attention regarding their concentration suitability for use and the contact time Do not use Disinfectants which contain organic or inorganic acids or bases as they could cause corrosion damage Disinfectants containing chloramides or phenol derivatives since these may cause stress ...

Страница 51: ...hylbenzylammoniumchloride 1 g 1 g 1 g Metasys Rum Austria Dismozon pur granule End of product 12 2014 Magnesium peroxyphthalate Hexahydrate 80 g Bode Chemie Hamburg Dismozon plus granule Magnesium peroxyphthalate Hexahydrate 95 8 g Bode Chemie Hamburg Kohrsolin FF Application concentrate Glutaral Benzyl C12 18 alkyldimethyl ammonium chlorides Didecyldimethylammoniumchloride 5 g 3 g 3 g Bode Chemie...

Страница 52: ...ct not suitable for reprocessing change after use Hose system 2 X X Disposable product not suitable for reprocessing change after use Carrying strap X X A new carrying strap should be used for each patient Ports 2 X X Disposable product not suitable for reprocessing change after use Universal bracket X X X Manual wipe cleaning X X X Manual wipe disinfection R Removal C Cleaning D Disinfection S St...

Страница 53: ... abnormal displays on the screen Sudden occurrence of unusual noises Operational and functional errors that cannot be resolved by means of the measures described in the chapter 10 0 Troubleshooting on page 55 9 3 Sending in the device If the cardiothoracic drainage system has to be sent in for repair after consultation with the manufacturer or an authorised service partner we ask you to observe th...

Страница 54: ...e vicinity of heaters Always charge the batteries using the respective charging accessories Overcharging will destroy the batteries The lifetime of lithium ion batteries mainly depends on the ambient temperature On principle batteries are depleted after 2 5 years New batteries should be fully charged prior to first use ATMOS has no influence on the use of the device therefore batteries are exclude...

Страница 55: ...ster on page 25 Hose blocked or kinked Remove any blockages if necessary remove the measuring and rinsing hose from the connection to the secretion canister If the bacterial filter in the measuring and rinsing hose is blocked replace the hose system Check the hose system for kinks and remove kinks if necessary Bacterial and viral filter blocked on the measuring hose or secretion canister Check the...

Страница 56: ...heck the hose system and rinsing canister for correct fit See 3 3 2 6 Changing the secretion canister on page 25 Secretion canister is leaking Internal error Contact ATMOS Service or a certified service partner The device must be checked Flow readout is always in 0 l min Component error 1 Check whether the flow is also 0 l min when the system is open 2 Contact ATMOS Service or a certified service ...

Страница 57: ...ion hose ATMOS disposable suction hose for thorax double lumen with integrated bacterial and viral filter in the measuring channel 180 cm length Operating time Continuous operation in the specified temperature range Simultaneous battery recharging and operation possible Battery operation time at maximum continuous suction 1 h Battery operation time in normal operation without fistula 12 h Battery ...

Страница 58: ...ification in accordance with Annex IX of EC Directive 93 42 EEC Class IIa CE marking CE 0124 GMDN code 36787 UMDNS code 10 218 Suction device thoracic ID no REF 312 1000 0 ATMOS S 201 Thorax 11 1 Bacterial and viral filter Bacterial filtration efficiency BFE 99 999778 Viral filtration efficiency VFE 99 73 Overall filtration efficiency 99 95 Filter class H13 High Efficiency Particulate Air Arrestan...

Страница 59: ...ce may not be disposed of with domestic waste Please observe existing national laws and rules for disposal of old devices in the respective country Disposal within the Federal Republic of Germany In the Federal Republic of Germany the law for electrical devices ElektroG regulates the disposal of electrical devices It must be assumed that such suction devices can be contaminated Therefore according...

Страница 60: ... S 201 Thorax has the following electrical components Type REF Max cable length Power cable L 3 m 507 0859 1 3 m Power cable L 5 m 008 0629 0 5 m 13 3 Guidance and manufacturer s declaration warnings WARNING The use of accessories transducers and cables other than those specified or provided by the manufacturer may cause increased electromagnetic emissions or reduced immunity to electromagnetic in...

Страница 61: ...61 For your notes ...

Страница 62: ...62 ...

Страница 63: ...63 ...

Страница 64: ...www atmosmed com ATMOS MedizinTechnik GmbH Co KG Ludwig Kegel Str 16 79853 Lenzkirch Germany Phone 49 7653 689 0 info atmosmed de ...

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