Precautions; Function - Atmos E 201 Thorax Operating Instructions Manual

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1.0 Introduction

1.4 Precautions

Federal (U.S.A.) law restricts this device to sale by or on
the order of a physician.
Canister and hose set are for single patient use and for
one time patient connection only.
Do not resterilize this device. Canister and hose are
single-use products, there is a high risk of infection in
case of re-use. The canister cannot be emptied
Air vent must remain closed at all times when not in use.
All hospital protocols for disposal handling and infection
controI should be carefully followed.
The function of the device must be checked prior to use
(see chapter 3.0 – Setting up and starting up; section 3.3
Functional test)
When a thoracic catheter is connected leaky connections
may result in an incorrect evaluation of air leaks from the
lung and delay treatment time. Therefore check that all
the connections are airtight to prevent air from entering
from the atmosphere.
During set up, an incorrectly positioned drainage system
and patient hose may impair fl uid and air evacuation.
Total obstruction of fl uid and air evacuation can cause
an increase in positive pressure and possible tension
pneumothorax. Therefore position the drainage system
below the level of the patient`s chest and check that the
patient hose does not form loops or kinks, impairing
drainage of fl uid and air.
Check that all the connections are airtight. If the thoracic
drainage unit tips over it is advisable to set it up right
again to guarantee operation and to be
able to re-determine the volume and appearance of the
drained fl uid. If there is the slightest uncertainty about
the operation of the drainage system after it has tipped
over, it is recommended that a new drainage system is
being installed to ensure the patient`s safety.
Keep the AC adapter connector away from moisture.
Keep the power cord away from hot surfaces.
Do not overfi ll water seal above the 2 cm fi ll line.
Water seal must be fi lled to prescribed level prior to use
and should be checked regularly to confi rm proper
operation.
Use only pre-packaged sterile fl uid for fi lling the water
seal.
When inspecting the collection chamber routinely
check the volume and appearance of the drained fl uid
and inform the responsible clinician of abnormalities.
Exceeding the recommended collection volume can
cause obstruction of fl uid and air evacuation and may
therefore result in an excess pressure pneumothorax.
Always replace the canister when the maximum volume
is reached to ensure the patient's safety. Replace chest
drain if damaged. Patient hose connections and water
seal, should be checked regularly to confi rm proper
operation.
Installation. The product must be used at room
temperature and should not be placed in direct sunlight
as this may result in measurement errors.
In case of noncompliance and misuse of the ATMOS
Thorax any guarantee claims shall expire and ATMOS Medizin-
2
.
Technik GmbH & Co. KG assume no liability.

1.5 Function

The ATMOS
®
tion unit. The device is operated by an electromotive, mainte-
nance-free piston pump. During operation the pump creates
a vacuum in the hose system and in the collection jar, with
the help of which secretions can be sucked through the set of
hoses.
The pump switches off after creation of the vacuum and then
switches on again when the vacuum lies below a certain fi gure.
The real-time measured fl ow is shown as numerical value.
The secretion is collected in the collection jar, the capacity of
which is 2l. The vacuum at the trocar is measured by means of
the measuring pipe in the set of hoses. The fi nal vacuum can
be adjusted with the buttons on the operating foil. If required,
the air-fl ow rate is automatically adjusted. The device adjusts
and keeps the pre-adjusted vacuum automatically in case
the negative pressure in the pleural cavity varies. In this case
the pump starts to balance the negative pressure until the
pre-adjusted vacuum is reached again and then switches off.
These compensation values, which may vary heavily, can
easily be read on the display. At regular intervals the device
rinses the suction hose with air so that deposits in the suction
hose are avoided and it prevents secretion from penetrating
the measuring channel.
The device is fi tted with a rechargeable battery. A micro-
processor controlled electronic charging unit in the suction
device guarantees the safe charging of the battery, and thus
overcharging of the battery is avoided. In addition a bacterial
fi lter located in the cover of the collection jar prevents the entry
of bacteria and secretion into the interior of the device.
There is a carrying strap available for mobile use. A practical
carrying bag and a bed mounting are accessories that can be
ordered.
E 201 Thorax is a particularly useful small suc-
E 201
®
5

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