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Atmos C 31 Operating Instructions Manual

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Operating Instructions
ATMOS C 21 /
ATMOS C 31
English
GA1GB.110200.0
2025-02 Index 04

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Summary of Contents for Atmos C 31

  • Page 1 Operating Instructions ATMOS C 21 / ATMOS C 31 English GA1GB.110200.0 2025-02 Index 04...

  • Page 2: Table Of Contents

    Water supply/drainage (option) ................16 3.5 Independent water supply (ATMOS C 31 only) ............ 17 Start-up ........................17 Operation ......................21 ATMOS C 21 / C 31 – basic device ................21 Basic functions ......................21 Options ........................26 Reprocessing ....................36 General information on cleaning and disinfection ..........36 Cleaning and care ...................40...
  • Page 3 Consumables, accessories, spare parts ............53 10.1 Consumables ......................53 10.2 Accessories and spare parts .................. 53 Technical data ....................56 Disposal ......................59 EMC ........................60...

  • Page 4: Introduction

    To carry out these measures, the person must have the necessary test devices and original spare parts. The unit ATMOS C 21 / C 31 bears the CE marking CE 0124 in accordance with the EU Council Directive 93/42/EEC concerning medical devices and meets the basic requirements of Annex I to this directive.

  • Page 5: Explanation Of Pictures And Symbols

    1.2 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. WARNING Warning of a danger that can cause fatal or serious injury. Observe the necessary measures.
  • Page 6 Date of manufacture Country of manufacture: Germany Reference number Unique Device Identifier of a medical device Medical device Serial number European Article Number Batch code Specification of the degree of protection against the ingress of solids and IPX0 moisture Type BF applied part Professional disposal Do not reuse Compressed-air system Suction system Warm water system On/off switch ON (power) as to IEC 417/5007 and DIN 30600/16 OFF (power) as to IEC 417/5007 and DIN 30600/16 Potential equalization Fuse as to IEC 417/5016, DIN 30600/0186...
  • Page 7 Temperature limit Humidity limitation 1060 Atmospheric pressure limitation Do not lean against it! ATMOS C 31 only Water temperature for ear irrigation is too high Correct water temperature for ear irrigation Water temperature for ear irrigation is too low Introduction...

  • Page 8: Intended Purpose

    (21) (21) 12345678 12345678 1.3 Intended purpose Product name: ATMOS C 21 Economy ATMOS C 31 Economy Main functions: • Medical suction • Ear irrigation • Medication spraying or spraying • Electric power supply for visualization, illumination and illumination accessories •...

  • Page 9: Function

    1.5 Scope of delivery The ATMOS C 21 / ATMOS C 31 was subjected to an extensive functional test and carefully packed prior to dispatch. Nevertheless, please compare the contents of the shipment on completeness immediately upon receipt (see delivery note).

  • Page 10: Notes For Your Safety

    The operational safety and readiness for use of the device depend not only on your capabilities, but also on the care and maintenance given to the ATMOS C 21 / C 31. For this reason, regular cleaning and service work are a must. Major maintenance and repair work may be carried out only by expert personnel authorized by ATMOS.
  • Page 11 Damage to the eyes due to strong glare! • Connect only the ATMOS HL 21 LED and ATMOS LS 21 LED to the connectors for ATMOS HL 21 LED and ATMOS LS 21 LED. Unsuitable applied parts may result in an electric shock or become damaged.
  • Page 12 • The suction system of the ATMOS C 21 / C 31 is intended only for the suction of fluids in the medical field. Never suction explosive, inflammable, or corrosive gases or fluids. • Switch off the main switch after finishing work in the practice and close the water supply, if present. • The ATMOS C 21 / C 31 may be operated only in rooms used for medical purposes, but not in areas subject to explosion hazards and in oxygen-rich environments.

  • Page 13: Setting Up And Starting Up

    Medication sprayer (option) Connections for fiber optic light cables Laryngoscope holder Vacuum control Surface for sprayer bottles, etc. Door for service compartment Ear irrigation (option: ATMOS C 21 only) Compressed-air control (option) Headlamp holder Suction Cover for upper instrument deposit Compressed-air handle (option) Instrument surface...
  • Page 14 (optional) Attachment for secretion hose Secretion canister Lid (variant with bacterial filter paper) 3.1.2 Pull-out desk and worktop • Do not lean on the ATMOS C 21 / C 31 (danger of tipping).  • Maximum load on the instrument max. surface: 15 kg.

  • Page 15: Installation Proposal

    3.2 Installation proposal For 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" Setting up and starting up...

  • Page 16: Connection To Electrical Power Line

    (FI protective circuit) with a nominal leakage current of < 0.03 A. Installation must correspond with VDE 0107. • The power cable of the ATMOS C 21 / C 31 is connected to an earthing contact socket near the device (max. 3 m, preferably to the left of the function column). • The current consumption of the ATMOS C 21 / C 31 is maximum 5 A.

  • Page 17: Independent Water Supply (Atmos C 31 Only)

    3.5 Independent water supply (ATMOS C 31 only) We recommend filling the rinsing canister for the ear irrigation system with at least 2.0 liters of water of drinking water quality or microbiologically safe water. For information on maintenance and cleaning of the water supply, see chapter “6 Cleaning and care” on page 40 of the operating instructions. Socket outlets with earthing contact Water drainage G 3/4" external thread (optional) Water supply with water tap with G 3/4" external...
  • Page 18 3.6.2 Waste water connection (with optional automatic secretion canister evacuation) Connect the waste water connector to the water drain. 3.6.3 Connection of the suction hose • Thread the suction hose through the hole in the side of the service compartment and plug it directly onto the secretion hose connector.
  • Page 19 • 2 or 4 connections for ATMOS HL 21 LED and ATMOS LS 21 LED Only connect ATMOS HL 21 LED and ATMOS LS 21 LED to the connections for ATMOS HL 21 LED and ATMOS LS 21 LED. Unsuitable applied parts may result in an electric shock or become damaged.
  • Page 20 Connection for the ear irrigation hose Connection for the compressed-air hose 3.6.7 Connection of the water system (option, ATMOS C 31 only) Connect the aquastop valve to the water tap (house connection). Open the water tap. If the main switch is activated and a water-consuming device (basin-rinsing or hose-rinsing system) is used, the water supply is opened by an automatic opening of the magnetic valve in the aquastop system.

  • Page 21: Operation

    4 Operation 4.1 ATMOS C 21 / C 31 – basic device The ENT unit ATMOS C 21 / C 31 offers optimum instrument handling while at the same time providing an optimum arrangement of all functions that ENT specialists require for their daily work in the practice. The instrument deposit area: At the top of the functional column is an area designed to accommodate sprayer bottles so that you can optimally use the instrument deposit area for instruments.
  • Page 22 Purpose of the suction system: • Suction of fluids and secretions; collection of suction material in the secretion canister. • Automatic activation of the suction mode by taking out the suction attachment. • Control of the suction capacity with the vacuum regulator. • Indication of the vacuum set on the vacuum display (keep the suction attachment closed by hand).
  • Page 23 Connect the vacuum hose.  Please observe the operating instructions of the disposable secretion canister system.  Please observe the valid hygiene and waste disposal measures.  Only the recommended ATMOS disposable secretion canisters with integrated filter may be used! Operation...
  • Page 24 4.2.6 Light sources CAUTION  Do not look directly into the light outlets.  Because of the high energy of the light, a large amount of heat is emitted at the tip of the optical system.  Switch off the light source whenever you do not require the light for a prolonged period of time.
  • Page 25 4.2.7 Quick mirror heater • Switch on the quick mirror heater with the button ( ). The quick mirror heater heats up for 10 seconds and then switches off automatically. • Supply voltage of the heating coils: 6 V / 15 A. • Hold the mirror to be heated over the glowing heating coil ( ) located beneath the safety cover.

  • Page 26: Options

    4.3 Options 4.3.1 Secretion canister evacuation, fully automatic (option) Purpose: • Prevents interruption of work in practice. • Secretion is not held in canister over a longer period of time. • Prevents contact of staff with secretion. Activated automatically when: • Reaching the upper filling limit (electrodes). • Returning the suction attachment to its holder.
  • Page 27 The canister for the rinsing fluid of the hose rinsing system is located in the service compartment at the front of the unit. For an optimum cleaning effect, we Float switch recommend adding the ATMOS special cleaner REF 080.0060.0. Observe the Pipe to the hose rinsing system instructions supplied. Optionally, the Rinsing canister canister can be automatically filled up with fresh water.
  • Page 28 4.3.3 Compressed-air system (option)  Prior to each application, proper function of the display instruments and control valves for the compressed-air system must be checked! Purpose of compressed-air system a) Medicaments can be applied to the nasopharynx: • The pump for the compressed- air system switches on after the compressed-air handle has been removed from its holder.
  • Page 29  If a sprayer bottle is used with medication, the instructions of the medication manufacturers have to be observed.  Do not use the sprayer bottle for the storage of medication! Please observe the date of expiry of the medication. Do not refill!  Caution is to be paid to avoid injury when introducing the sprayer nozzle! ...
  • Page 30 b) Politzer maneuvers with Politzer olives or Eustachian catheters • The pump for the compressed- air system switches on after the compressed-air handle has been removed from its holder. • The adapter ( ) supplied for this purpose is locked into the compressed-air handle.
  • Page 31 c) For ear irrigation Prior to each ear irrigation procedure, perform a visual check to see if the patient’s eardrum is perforated. Do not irrigate the ear if it is perforated or inflamed! Otherwise the inflammation can spread. Preparation: Fill both irrigation bottles with microbiologically safe drinking water.
  • Page 32 4.3.4 Ear irrigation system (option, ATMOS C 31 only) • The irrigation system is supplied with water from a heated rinsing canister (37 °C) with a capacity of 4.5 l ). This canister can easily be filled, cleaned, and disinfected. The pump only switches on automatically when required. Water pressure and flow quantity may be regulated with the release lever on the irrigation handle.
  • Page 33  This system may not be used if the auditory canal is injured as there could be a risk of infection if the irrigation liquid is contaminated. CAUTION The water temperature is shown on the temperature indicator. It takes approx. 15 min. until 2 liters of cold tap water are heated up to 37 °C. Observe the temperature indicator and check the water temperature prior to every...
  • Page 34 4.3.6 Mirror preheater (option) • The mirror preheater is switched on when the main switch ( ) is actuated. » The mirror rack ( ) with mirrors arranged according to size is heated up to about 45 °C.  Switch on the ENT unit about 20 minutes before starting work to Main switch ensure preheating is completed in...
  • Page 35 4.3.9 Swab dispenser (option) • The swab dispenser hygienically stores tongue patches and swabs. • The whole dispenser can be pulled out by the front for filling or refilling. 4.3.10 Holder for standard rail (option) • Purpose: To attach disposable secretion canister systems. • The standard rail holder ( ) can be used for a 2 or 3 l canister.

  • Page 36: Reprocessing

    5 Reprocessing 5.1 General information on cleaning and disinfection  Switch off the ATMOS C 21 / C 31 with the main switch prior to cleaning and disinfection!  The described actions relating to cleaning and disinfection or sterilization do not replace the relevant instructions, which must be adhered to prior to operation! ...
  • Page 37 After inserting the emptied secretion canister, the suction system must be checked for leaks. Proceed as described in chapter 4.2.3. 5.1.5 Rinsing canister for ear irrigation system (ATMOS C 31 only)  Before cleaning the rinsing canister, switch off the unit; otherwise, the canister could get too hot if there is no liquid inside.
  • Page 38 If there is a considerable increase in germs between the rinsing canister and the irrigation handle, a biofilm removing procedure and a special disinfection of the hose system must be carried out by an ATMOS service technician.  It is always recommended to clean or disinfect the ear irrigation system at regular intervals. Regular decalcification is usually sufficient when using calciferous tap...
  • Page 39 5.1.7 Instrument trays Before disinfection, thoroughly rinse the trays under running water. A detergent or cleaning agent (surface disinfectant) may also be used if required.  Remove any residual agent by rinsing thoroughly with water. Melamine and anodized aluminum trays CANNOT be sterilized. 5.1.8 Irrigation bottles and accessories •...

  • Page 40: Cleaning And Care

    6 Cleaning and care DANGER 6.1 Recommended instrument disinfectants Manual disinfection of instruments Disinfectant Ingredients (in 100 g) Manufacturer Korsolex® basic glutaral 15.2 g Bode Chemie, Hamburg (Application concentrate) (ethylenedioxy)dimethanol 19.7 g Korsolex® extra (ethylenedioxy)dimethanol 15.3 g Bode Chemie, Hamburg (Application concentrate) glutaral 7.5 g benzyl-C12-18-alkyldimethyl-ammonium...

  • Page 41: Recommended Surface Disinfectants

    6.2 Recommended surface disinfectants Coated surfaces Disinfectant Ingredients (in 100 g) Manufacturer Green & Clean SK di alkyl dimethyl ammonium chloride < 1 g Metasys, Rum (Austria) alkyl dimethyl ethyl benzyl ammonium chloride < 1 g alkyl dimethyl benzyl ammonium chloride <...

  • Page 42: Recommended Endoscope Disinfectants

    terralin® protect alkyl(C12-16)dimethylbenzylammonium chloride 22 g Schülke & Mayr, Norder- (ADBAC/BKC (C12-16)) 2-phenoxyethanol stedt (Application concentrate) amines, N-C12-14-(even-numbered)-alkyltri- 17 g methylenedi-, 0.9 g reaction products with chloroacetic acid non-ionic surfactants perfumes 5–15 g FD 312 Surface disinfection alkyl-benzyl-dimethyl-ammonium chloride 6.5 g Dürr Dental, Bi- etigheim-Bissingen non-ionic surfactants, complexing agents,...

  • Page 43: Hygiene Plan

    7 Hygiene plan Cleaning and disinfection plan ATMOS C 21 | ATMOS C 31 Pre-cleaning Automated cleaning and disinfection Sterilization: All articles with cavities should always be rinsed with water Automated cleaning and disinfection in the washer- Sterilize the accessories using a suitable procedure: for at least 10 seconds.
  • Page 44 ATMOS Scope (fl exible endoscope) soiling using a cleaning cloth. Rigid endoscope ditto Laryngoscope ditto Fiber optic light cable Light handle ATMOS i View 21/31 / ATMOS i View PRO Surfaces Housing Roller cover Drawers Pull-out desk Instrument deposit Mirror preheater Swab dispenser Daily or when refi lling.

  • Page 45: Maintenance And Service

     At least every 12 months, a repeat test of the electrical safety should be performed according to IEC 62353. ATMOS recommends an inspection according to the manufacturer‘s specifications.  Circuit and wiring diagrams, etc. can be requested from and provided by ATMOS. 8.2 Exchanging the bacterial filter Exchange daily or when blocked.
  • Page 46 Bacterial filter paper / integrated bacterial filter: • Carefully detach all hose connections on the lid system and take the secretion canister out carefully to prevent spills and contamination of the area. Dispose of secretions properly. • Grip lid system firmly, open lid of filter housing by turning in counterclockwise direction and remove filter. Dispose of filter and thoroughly rinse all parts under running water.

  • Page 47: Exchanging The Rinsing Canister

    8.3 Exchanging the rinsing canister  Prior to removing the rinsing canister, switch off the treatment unit by the main switch. • Slide the rinsing canister to the very top and pivot it outwards with the level switch. The canister must be pivoted over the edge of the canister support.

  • Page 48: Exchanging The Heating Coil Of The Quick Mirror Heater

    8.5 Exchanging the heating coil of the quick mirror heater  Grid and sleeve might get very hot. Allow them to cool down before changing the heating coil! • Switch off the main switch of the treatment unit. • Remove the grid. • Remove the heating coil below it from the plug connections.

  • Page 49: Troubleshooting

    9 Troubleshooting 9.1 Electrical protection The supply voltage reaches the individual assemblies by means of the main switch. The power supply is protected by means of fusible cutouts on the rear of the device. The following trouble-checks for any problems you may have with the unit are listed according to the respective functions.

  • Page 50: Suction System

    9.4 Suction system Error symptom Possible causes Remedy Weak suction or no suction • Suction hose is clogged • Rinse the suction hose at all with water (hose can also be removed) • Replace the suction hose • The float in overflow • Check the filling level in stop of the canister lid the secretion canister is blocking the suction...

  • Page 51: Light Sources

    No suction and suction • Photoelectric barrier / • Clean photoelectric motor does not start electronics defective or barrier photoelectric barrier is • Have the photoelectric dirty barrier checked by a service technician No suction; suction motor • Compressed-air handle •...

  • Page 52: Endoscope Holder

    9.8 Endoscope holder Error symptom Possible causes Remedy Endoscope quivers are no • Overtemperature • Have the switch/ longer heated protection switch was control/sensor replaced activated by a service technician • Control is defective • Temperature sensor is defective 9.9 Automatic hose rinsing Error symptom Possible causes Remedy...

  • Page 53: Consumables, Accessories, Spare Parts

    10 Consumables, accessories, spare parts 10.1 Consumables Consumables for suction system Bacterial filter paper (25 pcs.) 320.0065.0 Hydrophobic DDS bacterial and viral filter,10 pcs., 50 pcs., 100 pcs. 340.0054.0 080.0006.0 Special cleaner for suction system, 2 bottles of 500 ml Consumables for automatic secretion canister evacuation 069.0126.0 Hose box for hose pump Consumables for disposable secretion canister 443.0256.0 Receptal®-external canister 2 l Receptal®-suction bag 2 l, w/o filter,...
  • Page 54 Light guide cable, length: 1.8 m, 90° Storz angular connection 508.0664.0 502.0515.0 CLAR 73 headlamp, 2.3 m fiber optic light cable, Storz, with angular connection Headlight, lightweight model, light conducting cable, straight 502.0515.5 connection Headlight by Binner, Wolf model, light conducting cable 502.0516.0 508.0777.5 Protection sleeve Quiver for flexible endoscopes (ATMOS, Olympus) 508.0790.0 508.0792.0 Quiver for flexible endoscopes (Storz) Adapter for fiber optic light cable with ATMOS/Storz connection 530.6100.0 Adapter for fiber optic light cable with Olympus connection 530.6101.0 530.6102.0 Adapter for fiber optic light cable with Pentax connection Adapter for fiber optic light cable with Wolf connection 530.6103.0 Further accessories and spare parts Instrument tray set, melamine, consisting of 2 large and 2 small trays 506.7031.0...
  • Page 55 506.7015.0 Plastic quiver for disinfecting solution, to be mounted onto cable holder Intermediate instrument deposit with paper in large aluminium or 508.0533.0 stainless steel tray Cable for potential equalisation (5 m) 008.0596.0 508.0058.0 Instrument tray, anodized aluminium, 184 x 142 mm Instrument tray, anodized aluminium, 284 x 184 mm 505.0516.0 Instrument tray, stainless steel, 180 x 140 mm...

  • Page 56: Technical Data

    Input voltage 230 V~ ± 10 %; 50/60 Hz Others: 115 V~ ± 10 %; 50/60 Hz 127 V~ ± 10 %; 50/60 Hz ATMOS C 21 Current consumption max. 2.6 A (230 V~) max. 5.2 A (115/127 V~) ATMOS C 31 max. 5.0 A (230 V~) max. 10.0 A (115/127 V~) Power consumption ATMOS C 21 max. 600 VA ATMOS C 31 max. 1150 VA ATMOS C 21 Fuses T 3.15 A / 250 V (for 230 V~, 50/60 Hz)
  • Page 57 • min. 195 klx (in 5 cm distance of a 4.7 • Illuminance mm high-performance light guide) • Adjustable in 10 steps from 10–100 % • 5500 K ± 10 % • Colour temperature Power supply for ATMOS LS 21 LED and ATMOS HL 21 LED • Current • 700 mA ± 5 % • Adjustable in 10 steps from 10–100 % Compressed-air ear irrigation system • Temperature • Temperature: 37 °C ± 2 °C •...
  • Page 58 • 506.7500.2 ATMOS C 21 Economy – function column (115 V~) • 506.7500.3 ATMOS C 21 Economy – function column (127 V~) • 506.7510.0 ATMOS C 31 Economy – function column (230 V~) • 506.7510.2 ATMOS C 31 Economy – function column (115 V~) • 506.7510.3 ATMOS C 31 Economy –...

  • Page 59: Disposal

    • The ATMOS C 21 / C 31 does not contain any hazardous goods. • The material of the housing can be recycled completely. • The components of the ATMOS C 21 / C 31 must be disposed of correctly and the materials separated carefully.

  • Page 60: Emc

    • Vicinity of HF surgical devices and in settings outside of an HF-shielded room of a magnetic resonance imaging system. The customer or user of the ATMOS C 21 / C 31 must ensure that the device is used in a prescribed environment.
  • Page 61 Notes...
  • Page 62 62 EMC...
  • Page 64 ATMOS MedizinTechnik GmbH & Co. KG Ludwig-Kegel-Str. 16 79853 Lenzkirch / Germany Phone: +49 7653 689-0 info@atmosmed.com www.atmosmed.com...

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C 21

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