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2.0 For your safety
2.1 Important instructions for the maintenance of the hygiene status of warm water irri-
gation units
For loosening cerumen in the auditory canal and stimulating the organ of equilibrium, ATMOS offers the warm water unit Hygro-
therm plus (37 °C).
These units heat the drinking water which comes from the household connection to the preselected temperature. The oper-
ating instructions must be followed, or the increased number of pathogens in the rinse water can affect the health of sensitive
patients.
Requirement for taking into use
ˆ The water which is provided by the household connection must at least meet the WHO guidelines or the country-specific
guidelines for drinking water.
Connection
ˆ Fresh water must flow through the wall connection for a period of approx. 1 minute prior to the unit being connected.*
ˆ Ensure that the installation is hygienically carried out! Disinfect the threaded connections with 70% alcohol before screwing
them into place.*
ˆ Wear disposable gloves when carrying out maintenance work on parts which come into contact with the water.*
ˆ Carry out thermal cleaning at least 3 times before patient use.*
* This work is carried out by the ATMOS service technician.
Running operation
ˆ Before beginning the surgical operation, switch on the unit and await the thermal cleaning process.
ˆ After the device had been idle for a long period of time, (weekend, during holidays, etc.) the thermal cleaning process must
be initiated and repeated.
ˆ We recommend that the device be switched off and on every 2 hours and not longer than 4 hours to start the thermal clean-
ing mode.
ˆ Contact parts, e.g., hose tips, must be replaced after every patient (prevention of retrograde contamination).
ˆ Before every use, spray water and check the temperature.
Service
ˆ Ensure that the suspended particle filter is hygienically changed (see commissioning) (dispose of filter and carefully clean the
filter glass). Ensure that no contact is made with the contaminated parts.
ˆ Carry out thermal cleaning after each service.
ˆ Depending on the quality of the drinking water available, a biofilm growth cannot be excluded (despite our patented thermal
process for reducing bacterial count). We therefore recommend testing the drinking water quality at regular intervals (acc.
to ISO 6222) at the drinking water connection on the unit and on the applied part. In case of a significant rise of germs, a
biofilm-removing process with following disinfection can be carried out.
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