ATMOS S 61 Servant ENT workstation (GA-en) - This is the ATMOS ...

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ATMOS S 61 Servant
ENT workstation
ENT treatment unit
Operating instructions
ATMOS S 61 Servant
ENT workstation:
530.0000.B
2013-12 Index: 23
ATMOS MedizinTechnik
GmbH & Co. KG
Ludwig-Kegel-Straße 16
79853 Lenzkirch/Germany
Tel. +49 (0) 7653 / 689-0
Fax +49 (0) 7653 / 689-190
atmos@atmosmed.de
www.atmosmed.de

Further information, accessories, consumables and
spare parts are available from:
ATMOS
MedizinTechnik GmbH & Co. KG
Ludwig-Kegel-Straße 16
79853 Lenzkirch
Germany
Tel. +49 (0) 76 53 / 689-0
Fax: +49 (0) 76 53 / 689-190
+49 (0) 76 53 / 689-493 (Service Center)
atmos@atmosmed.de
www.atmosmed.de

Table of contents
1.0 Introduction............................................................................. 5
1.1 Notes on operating instructions 5
1.2 Intended use 5
1.3 Function 5
1.4 Explanation of symbols 6
2.0 For your safety........................................................................ 7
3.0 Assembly and Starting up...................................................... 8
3.1 Required connections 8
3.2 Connection to electrical power line 8
3.3 Water connection 9
3.4 Water drain 9
3.5 Controls and options at complete equipment 10
3.6 Back view 11
3.7 Assembly of secretion jar 11
3.8 Adjustment of front feet 12
3.9 Connections in service room 12
4.0 Operation............................................................................... 13
4.1 On- / Off- Switch 13
4.2 Suction system 13
4.3 Ear rinsing module Hygrotherm 16
4.4 Thermal nystagmus stimulation Variotherm 17-18
4.5 Ear rinsing module 37° C basic 19
4.6 Compressed air system 20
4.7 LED light module 21
4.8 Instrument heating 22
4.9 Clipboard endoskopy 23
5.0 Cleaning................................................................................. 24
5.1 General information on cleaning and disinfection 24
5.2 Recommended instrument disinfectants 25
5.3 Recommended surface disinfectants 25
6.0 Hygiene plan.....................................................................28-29
7.0 Maintenance and servicing.................................................. 30
7.1 Replacing the fuse 30
7.2 Replacing bacterial filter 30
7.3 Changing tube cassette of tube pump 30
8.0 Trouble shooting................................................................... 31
9.0 Accessories and consumables............................................ 33
9.1 Accessories 33
9.2 Consumables 33
10.0 Technical specifications....................................................... 34
11.0 Disposal................................................................................. 35
12.0 Notes on EMC...................................................................36-38
Declaration of conformity..................................................... 39
3

1.0 ... Introduction
1.1 Notes on operating instructions
These operating instructions contain important notes on how to operate the ATMOS S 61 Servant
ENT workstation safely, correctly and effectively. Their reading helps to avoid risks, and also to reduce
repair costs and down-time. That increases, amongst other things, the reliability and service-life
of the device.
These operating instructions serve not only for new operating personnel to be instructed in its use,
but also for use as a reference manual. Reprints (also in extracts) only with permission in written
form by ATMOS.
These operating instructions must always be kept available near the device.
Care and safety inspections in conjunction with professional execution provide for operational safety
and readiness for use of your ATMOS S 61 Servant ENT workstation and are therefore a must
besides regular cleaning.
Repair work and safety inspections may be carried out only by expert personnel authorised by
ATMOS. By applying only original spare parts you will have the guarantee that operational safety,
readiness for work and the value of your ATMOS S 61 Servant ENT workstation will be preserved.
● The product ATMOS S 61 Servant ENT workstation bears CE marking CE according to the EU
guideline of the council for medical products 93/42/EWG and meets the basic requirements of
annex I of this guideline.
● The quality management system applied at ATMOS has been certified according to international
standards EN ISO 9001 and EN ISO 13485.
● Prior to start-up please peruse chapter 2.0 „For your safety“, in order to be prepared for any
possible dangerous situations.
1.2 Earmarking
● Main functions:
→ suction
→ ear rinsing
→ compressed-air for medication spraying and
thermal nystagmus stimulation
→ electric power supply for LED-light source
→ medical electric power supply for external devices
● Specifications of the main functions:
→ suction at 40 l /min / 760 hPa, alternatively
→ suction at 55 l/min / 920 hPa
→ ear rinsing with 37° max 500 ml/min, alternatively
→ ear rinsing with 37° with vacuum burble system
→ compressed-air for medication spraying, max. 2 bar
→ electric power supply for LED, 700 mA regulated
● Application:
→ for application on human
1.3 Function
The treatment unit ATMOS S 61 Servant ENT
workstation makes modular assembly possible for the
following functional modules:
- suction system
- compressed-air system
- ear rinsing module 37°C basic
- ear rinsing system (Hygrotherm)
- system for thermal nystagmus stimulation
- LED light source ATMOS LS 21 LED
- LED head light ATMOS HL 21 LED
● Application organ:
→ throat, nose, ear
● Duration of application:
→ short-term
● Application area:
→ In clinics and practices of ENT doctors.
● Application restriction:
→ Must not be used for rinsing of paranasal sinuses.
● Application condition:
→ see technical specifi cations
5

...1.0 Introduction
1.4 Explanation of pictures and symbols
Short cuts / symbols contained in this manual
Follow the arrows
whilst proceeding,
sequence
■
General information
Move, plug ... in this
direction
Please press where
dot indicates
●
Numeration
Turn, shift ... in this
direction
Activate the optional
foot switch
→
Subnumeration
Replace
Please read,
important information
Check
click
Engage, check correct
fi t
Pictures contained in this manual
!
Warning, especial diligent
notice
Mirror quick heater
Ground wire connection
Fuse according to
IEC 47/5016, DIN 30600/0186
Application part type B
Adjustment
Compressed air
Suction
~
Alternating current
On (feed-in, power
connection)
Potential equalization
Foot switch
Off (feed-in, power
connection)
6

2.0 For your safety
• Only switch on unit at available water consumption, when
water supply is guaranteed!
!
For your safety
• The ATMOS S 61 Servant ENT workstation unit is
produced according to IEC 601/ EN 60601 and listed in
the following classes:
• VDE Class of protection 1
• Class IIa (EEC 93/42).
• Correct configuration in assembly of country-specific
connections:
green/yellow: protective conductor (PE)
blue:
neutral conductor (N)
black resp. brown: phase (L)
• Attention! Mirrorheaters may generate temperatures
above 40°C!
• The ATMOS S 61 Servant ENT workstation may be
used in supervised operation by qualified personnel
only which has been authorised by ATMOS and which
has been trained for operating the appliance (IEC 601-
1/EN 60601-1).
• The mains voltage specified on the type plate must
correspond with the data of the power supply system.
• Make sure prior to every application of the equipment that
it is technically safe and in proper condition. Damaged
leads and hoses must be replaced immediately!
• Display instruments and valves must be checked for
correct function in regular intervals !
• Inspection of compressed air and vacuum display by
service technician every 2 years !
• Arrange a sight check every morning for the hoses,
collection jars and cables.
Exchange damaged parts!
Only use correct and undamaged line voltages
and extension cables.
• Switch off the unit before open it and separate it
from the line voltage.
• Maximum load for clipboards: 2 kg
• Never leave the patient unattended at the treatment unit.
• This product is not re-sterilisable. Repeated reuse of
components which are marked with a 2 is forbidden.
In case of repeated reuse these components lose their
function and there is a high infection risk.
• In case that there is no adapter attached to the light
conductor, touching the light source with either the
fingers or any tools should be avoided. On the one hand
this may damage the lenses and on the other hand there
is a risk of injury.
• The ENT unit requires clean water (drinking-water quality)
for the operation. In case the clean water cannot be provided
by the water supply, a pre-filter has to be installed.
The relevant country specific regulations for the instal-lation
have to be considered !
• Please note:
A medical insulating transformer with earth leakage
monitor or any similar safety system acc. to EN 60 601-1
is required, if several devices are connected over one
common power supply. The transformer must
correspond to the power consumption of all the devices
to be connected.
• Do not place used contaminated instruments on the
ENT unit except on destined places!
• The ambient conditions specified in section "Technical
specifications" must be strictly observed!
• Switch off main switch after finishing work in practice and
close water supply, if present.
• Attention when working with endoscopes near the light
sources. Do not look directly into the cone of light!
At a contingent light blackout remove the endoscope out
of the area!
• The ATMOS S 61 Servant may be operated only in
rooms used for medical purposes, but not in areas
subject to explosion hazards and in oxygen rich
environments.
• The ATMOS S 61 Servant fully complies with the electromagnetic
immunity requirements of standard IEC 601-1-2
/ EN 60601-1-2 "Electromagnetic compatibility - Medical
Electrical Equipment".
• The ATMOS S 61 Servant may not be operated with
units not complying with the requirements of standard EN
60601-1 "Medical Electrical Equipment" and EN 60601-
1-2 "Electromagnetic compatibility (Medical Electrical
Equipment)".
• ATMOS is not liable for personal injury and damage to
property if
• no original ATMOS parts are being used,
• the advice for use in these operating instructions is not
being observed,
• assembly, new settings, alterations, extensions and
repairs have been carried out by personnel not authorised
by ATMOS.
• These operating instructions correspond with the construction
of the unit and with the current status of safetyrelated
standards at the time of printing. Proprietary rights
are existing for all described circuits, processes, names,
software programs and units..
• Do not constrict the air supply on the back of the unit!
• The ear rinsing modlue 37°C basic must not be actuated
with a 55l-aspiration system!
• Prior to starting the treatment application parts have to be
checked regarding their temperature.
• It is not allowed to use flammable substances with the
device.
7

3.0 Assembly: Connecting conditions
ca. 250
350
160
Connection to central gas supply up to max. 8 bar.
The standard NIST connection for central vacuum and central compressed air on the rear side of the
device is optional, connecting hoses are not included in delivery.
3.1 Required connections for all units of ATMOS S 61 Servant
Unit / Device
ATMOS S 61 Servant ENT workstation
ATMOS S 61 Servant vision
ATMOS S 61 Servant instruments
ATMOS S 61 Servant therapy
Water separating system (WTA)
Monitor
Patient chair
Maximum required connections
1x earthing contact socket outlet
1x fi xed connection
1x earthing contact socket outlet
2x earthing contact socket outlet
1x earthing contact socket outlet
1x earthing contact socket outlet
1x earthing contact socket outlet
3.2 Connection to electrical power line
• According to the directions of VDE 0107 and VDE 0100, medically used rooms have to be equipped with
a leakage current protective circuit (FI protective circuit) with a nominal leakage current of < 0.03 A.
Installation must correspond with VDE 0107.
• The ATMOS S 61 Servant ENT workstation is connected to a earthing contact socket outlet which is to be
mounted near the unit (max. 3 m, see fi g.). Only qualifi ed personnel authorised by ATMOS is allowed to
proceed this.
• The power consumption of the ATMOS S 61 Servant ENT workstation comes to 2.300 VA max.
• An adequate number of socket outlets with earthing contact should be mounted for possible connection of
further electrically operated units which may be installed at doctor‘s work station (e.g. installation of an
electrically operated patient chair, camera, monitor, etc.)
8

3.0 Assembly: Connecting conditions
3.3 Water connection
!
Requirements for water supply:
• Easily accessible water tap with hose connection G 3/4“.
• Connection including pipe aeration is recommended.
• The water which is provided by the household connection must at least meet the WHO guidelines or the
country-specific guidelines for drinking water.
• Rinse water supply line in order to remove any contamination from the system.
• When clean water is available, connect delivery hose to water tap mentioned above.
• Required pressure in domestic water system: >2 bar, but 3.8 >21.3
• The use of demineralised water may affect the function of the waste water disposal!
3.4 Water drain
Requirements:
• Permanently installed connection fitting with G3/4“ external thread.
An anti-syphon trap is integrated in the unit!
• Connect waste water hose with unit and the G3/4“ connection fitting. Thereby fit enclosed gaskets into the
screwing.
1730
740
250
445
640
1550
630
730
1961
2940
979,5
9

3.0 Assembly: Starting up
3.5 Controls and options at complete equipment
Heating module for
instrument tray
Nebulization of medications
(compressed air)
Clipboard
max. 2 kg!
mirror quick heater
LED light source
LED head light
Ear irrigation /
thermal nystagmus
stimulation
Compressed air
Automatic suction
equipment
On / off switch
Hose rinsing
Adjustment
vacuum
Adjustment
compressed air
Display
compressed air
Display
vacuum
The plastic adapter of the hose rinsing system () is a consumable (REF 506.2228.1), exchange weekly.
It is removed by twisting it out with a slight rotation.
10

3.0 Installation and starting up
3.6 Back view
Plug the power cable into the non-heating socket.
Please attend also the safety instructions for it on
page 7!
3.7 Assembly of secretion jar
Prior to use, check the system up on density, otherwise it is possible that vacuum can not be built up.
insert bacterial
fi lter () into splash
guard ()
insert fl oat () into
the splash guard
() protection (not
applicable for 55 l
pump)
put splash guard
into lid
insert suction hose()
impose seal () on,
put lid onto jar ()
connect hose on
grommet ()
3.7.1 Bodywork collection jar
insert grommet
into lid
put quiver horizontal
onto the both nipples
fi x hose into
cramp
hose connection (grommet)
340.0057.0
collection jar lid
530.1108.0
seal
320.0013.0
exhaust hose
(only at automatic)
006.0008.0, 220mm
bacterial filter
340.0054.0
splash guard
312.0827.0
float
000.0069.0
intake for foam prevention:
The hose attempt with intake cares for the liquid
surface to remain quiescent.
Thereby a lower foaming and a longer fi lter durability
is achieved.
secretion collecting container
11

3.0 Installation and starting-up
3.8 Adjustment of front feet
Adjust the screws of the feet through the boreholes with a fl at-bladed
screwdriver scaled 4-5.
3.9 Connectors in the service room
3.9.1 Hoses
insert phone jack into marked jack
insert application parts into the
border
3.9.2 Footswitch
insert three-hole seal near
the supply hose of the tap
for ear rinsing
connect water hose in
the service compartment
connect compressed-air hose in the
service compartment
First start-up
Prior to shipment each ATMOS S 61 Servant is being inspected by the manufacturer for function and safety.
In order to make sure that the appliance is working safely after transport and installation, the following points
should be observed: The user should put the appliance into operation only if
1. a functional test on the appliance at the place of operation has been carried out.
2. the operating instructions have been read and noticed.
Following transportation at low temperatures the appliance must be held for up to fours hours at ambient
temperature before fi rst start-up. When the appliance has not been acclimatised the formation of condensation
water is possible and a malfunction might be the result.
12

4.0 Operation
4.1 On / off switch
With engaging the main switch all integrated
and connected devices are ready.
4.2 Suction system
!
Never drive the suction system without bacterial fi lter! Always use the splash guard for extention of the utilization of the
bacterial fi lter. Incorrect using makes expire the guaranty!
Change the bacterial fi lter regularly. Advices in section 5.0!
The hose attachment must be exchanged after each patient.
4.2.1 Control and display of the suction rate
Adjustment
vacuum
Display
vacuum
For activation of the suction system you have following alternatives:
A)
If you do not have a foot switch connected:
Take handle from holder. By the installed light barrier the suction system activates automatically.
Set the desired vacuum via adjustment, therefor the end of the suction hose has to be closed. Only in this case a vacuum will
be built up.
4.2.2 Foot switch (530.1080.0)
B)
If you have a foot switch connected:
Take handle from holder. Afterwards push and hold the foot switch for activation. When releasing, the suction system
deactivates again.
Set the desired vacuum via adjustment. Therefor the end of the suction hose has to be closed. Only in this case a vacuum
will be built up.
4.2.3 Hose rinsing system
at least 30 sec.
After each application rinse the suction hose thoroughly. Add the suction hose (without canula) with the suction nipple to
the suction attachment for the hose rinsing and soak up the rinsing fl uid at least 30 sec.
13

4.0 Operation
Refilling / Storage container / Hose rinsing
A) Fully automated refilling (530.1060.0)
If required, the water storage container will be refi lled automatically.
ATTENTION:
Make sure that the water supply system is on and the water supply secured !
Do not use any foaming cleaning agents respectively disinfectants.
B) Manual refilling (530.1050.0)
Fill the container with water and/or a non-foaming instrument disinfectant.
4.2.4 Draining of reusable container system
The container system has to be cleansed and disinfected regularly.
Advices in section 5.0 ‘Cleaning‘.
A) Manual
Drain the collection jar at approx. half level.
Pull the collection jar horizontal out of the holder in the service compartment and remove the suction
hose.
B) Automatic (530.1070.0)
The automatic collection jar draining cares for a self-acting evacuation at an according level.
Bodywork collection jar
hose connection
340.0057.0
intake for foam
prevention
collection jar lid
530.1108.0
seal
320.0013.0
bacterial filter
340.0054.0
exhaust hose
(only at automatic)
006.0008.0, 220mm
splash guard
312.0827.0
float
000.0069.0
secretion collecting container
The hose attempt with the intake cares for the liquid
surface to remain quiescent.
Thereby a lower foaming and a longer fi lter durability
is achieved.
14

4.0 Operation
4.2.5 Disposable container system
A) Receptal
B) Medi-Vac
15

4.0 Operation
4.3 Ear irrigation module Hygrotherm
!
The integrated ear irrigation module Hygrotherm features separate operating instructions.
Please note:
Read these separate operating instructions attentively and follow the stated notes for your safety to guarantee ideal
and safe use of all functions!
■ If you switch on the appliance, a segment-test will be carried out. For a moment all LEDs will be activated.
In this time please check the function of the LEDs optically.
■ Before the caloric measurements you have to check the water pressure at the manometer in the service room.
It has to be a desired pressure of 2 bar. Beware of overpressure !
!
The ear irrigation hose may only be used with an ear irrigation bowl which has an integrated sieve! It is not
suitable for secretion suction.
tulip-shaped ear irrigation bowl
handle ear irrigation system
4.3.1 Ear irrigation module compressed air REF 530.2070.0
!
The ear irrigation bowl with optional, separate suction channel may only be used for suction during ear irrigation
or stimulation. Only the ear irrigation bowl with integrated sieve (hole diameter 1 mm at a maximum) may be
used. The suction channel is not suitable for any other suction procedure in the medical field! The liquid pump is
not suitable for sucking off bigger particles like, for example, cerumen, etc. Therefore, suction may only be performed
with bowl and sieve.
Greasy and pasty substances can be sucked off but only limited. It is recommended to clean the bowl after each
suction procedure and to rinse it with water (disinfectant) in order to prevent the pump valves from jamming.
Take out the suction nozzle with the ear irrigation bowl from the suspension, the suction system switches on automatically.
Then apply the bowl with the lateral cut-out below the ear which needs to be irrigated and start irrigation.
When the suction nozzle is put back to the suspension, the suction system stops automatically.
Attention: Please use the suction system with ear irrigation bowl only.
4.3.2 Activation of the Hygrotherm
Take handle from holder. By the installed light barrier the Hygrotherm activates automatically.
The last adjusted temperature level will be chosen.
4.3.3 Accomplishment of the ear rinsing
Take handle hold nozzle in work item and activate trigger accomplish ear rinsing
ATTENTION:
Make sure the water supply system is on and the water supply secured !
16

4.0 Operation
4.4 Thermal nystagmus stimulation, Variotherm
!
!
The integrated Variotherm features separate operating instructions.
Please note:
Read these separate operating instructions attentively and follow the stated notes for your safety to guarantee ideal
and safe use of all functions!
ATTENTION:
Make sure that the water supply system is on and the water supply secured!
■ If you switch on the appliance a segment-test will be carried out. For a moment all LEDs will be activated.
In this time please check the function of the LEDs optically.
■Before the caloric measurements you have to check the water pressure at the manometer in the service room.
It has to be a desired pressure of 2 bar. Beware of overpressure!
The ear irrigation hose may only be used with an ear irrigation bowl which has an integrated sieve! It is not
suitable for secretion suction.
adjustable
temperature and time
handle
thermal nystagmus
stimulation
on- / off switch
nystagmus glasses
connection
nystagmus glasses
4.3.1 Ear irrigation module compressed air REF 530.2070.0
!
The suction channel for the ATMOS ear irrigation bowl may only be used for suction during ear irrigation or stimulation.
Only the ear irrigation bowl with integrated sieve (hole diameter 1 mm at a maximum) may be used. The
suction channel is not suitable for any other suction procedure in the medical field! The liquid pump is not suitable
for sucking off bigger particles like, for example, cerumen, etc. Therefore, suction may only be performed with
bowl and sieve.
Greasy and pasty substances can be sucked off but only limited. It is recommended to clean the bowl after each
suction procedure and to rinse it with water (disinfectant) in order to prevent the pump valves from jamming.
Take out the suction nozzle with the ear irrigation bowl from the suspension, the suction system switches on automatically.
Then apply the bowl with the lateral cut-out below the ear which needs to be irrigated and start irrigation.
When the suction nozzle is put back to the suspension, the suction system stops automatically.
Attention: Please use the suction system with ear irrigation bowl only.
4.4.1 Activation of the Variotherm
Take handle from holder. By the installed light barrier the Variotherm activates automatically.
The last actived temperature level will be chosen.
4.4.2 Accomplishment of the thermal nystagmus stimulation
Take handle choose temperature and adjust if necessary (q.v. 4.4.4) if required set time
press (flashing approx. 10 sec.) if the Variotherm is ready for use you hear a beep hold nozzle in work item and
activate trigger accomplish nystagmus stimulation after the lapse of time you here a beep again
4.4.3 Time setting (1-99 sec.)
Take handle.
Press and hold . Set the desired stimulation time with .
At the next selection of the particular temperature, the time setting
from the previous time will automatically be assumed.
3
Casually check the time setting of the timer.
1 2
4 5 6
17

4.0 Operation
4.4.4 Temperature setting
You can apply the Variotherm at temperatures from 20°C to 47°C.
The minimum temperature is given from the temperature of the tap water.
3
setting at 37°C:
Press for the temperature.
warm stimulus (38 - 47°C):
Take handle.
Press and hold . Set the desired temperature with . Release .
At the next selection of the key the presetted temperature will be assumed.
cold stimulus (20 - 36°C):
Take handle.
Press and hold . Set the desired temperature with . Release .
At the next selection of the key the presetted temperature will be assumed.
1 2
4 5 6
4.4.5 Information about the service display of the ATMOS S 61 Servant up from software version V 1.2
The ATMOS S 61 Servant workstation has
a service display on the front panel.
The display consists of a red and a yellow LED.
red LED
yellow LED
18
After switch on of the module a test cycle starts to check the electronics. The following indications are possible:
Red LED Yellow LED Beep Remarks
Immediately after switch on the LED test starts.
Both LEDs fl ash up
Switch on fl ash up fl ash up yes simultaneously during switch
on (duration: 500 ms).
Afterwards a functional and aggregate test follows where 6 fl ashlight signals appear
(duration: fl ash up/stop: 500 ms/500 ms).
Operating time pressure pump fi rst flash up no o.k.
Operating time suction pump second fl ash up no o.k.
Operating time suction pump 2 third fl ash up no o.k.
Operating time hose pump fourth fl ash up no o.k.
Operating time drainage pump fi fth flash up no o.k.
Annual maintenance sixth fl ash up no o.k.
Battery voltage seventh fl ash up no o.k.
Maintenance is required:
Operating time pressure pump fi rst flash up yes critical operating time
Operating time suction pump second fl ash up yes critical operating time
Operating time suction pump 2 third fl ash up yes critical operating time
Operating time hose pump fourth fl ash up yes critical operating time
Operating time drainage pump fi fth flash up yes critical operating time
Annual maintenance sixth fl ash up yes annual maintenance is due
Battery voltage seventh fl ash up yes low battery voltage
In the case any maintenance is required, please contact your local ATMOS service partner.

4.0 Operation
4.5 Ear rinsing module 37 °C basic
When switching on the unit, the quivers for the ear rinsing system will be
activated and heated up to 37°C.
Only use antibacterial rinsing fluid for rinsing the auditory channel.
The temperature of the rinsing fl uid has to be checked with a thermometer before using.
It must be 37°C ± 2°C, otherwise the patient may feel dizzy or can collapse.
The vacuum gauge may indicate max. -0.4 bar at closed opening on . It has to be checked before each
application on the patient.
To avoid awkward and loud side-air-tones, the application part `rinsing peak` has to be held close to the
acoustic meatus.
Rinsing fl uid, which is no longer in use, has to be disposed at the end of the practice business.
• The rinsing bottle will be fi lled with warm rinsing fl uid
(37°C ± 2°C). The rinsing lid with the hose will be
screwed onto the bottle and slightly tightened.
• Via thermometer the temperature can be monitored.
• The tender peak will be attached onto the cylindric
attempt at the rinsing lid as far as it will go
• Connect the suction hose with the vacuum port of the
ear rinsing system. Set suction system on maximum
vacuum.
• Now the ear rinsing system with the tender peak is
putted into the acoustic meatus. Keep the side-air opening
closed with your fi nger. As long as the side-air opening
is open, it will be rinsed.
Ear rinsing system
tender peak for rinsing
side-air aperture
vacuum port on system
rinsing lid (complete)
rinsing bottle
safety aperture
19

4.0 Operation
4.6 Compressed-air system
medication sprayer
(compressed-air)
handle for compressed-air
■ Make sure equipment and hoses are connected tightly to build up a sufficient pressure.
■ If you use politzer olives, control pressure in acc. with the appliance.
4.6.1 Activation
For activation of the compressed-air system you have following alternatives:
A)
If you have a foot switch connected:
Take handle from holder. Afterwards push and hold the foot switch for activation.
When releasing, the compressed-air system deactivates again.
B)
If you do not have a foot switch connected:
Take handle from holder. By the installed light barrier the compressed-air system activates automatically.
4.6.2 Adapt / deposit sprayer
Adapt:
Deposit:
2
1
3
Stick () handle onto the
medication bottle.
Let snap, then lift medication
bottle with handle out
of the attachment ().
By pulling the trigger,
compressed-air will be
applied into the sprayer
().
1
2
Adapt medication bottle top
down into in the attachment.
Press activator () and pull
handle () backwards.
■ Handle carefully when using a sprayer to avoid injuries.
■ Before using the sprayer bottle, check the defensibility of the included medications.
■ Clean all parts of the sprayer regularly ! Therefore find advices in section 5.0 `Cleaning` !
20

4.0 Operation
4.6.3 Ear irrigation module compressed air system (REF 530.2080.0)
2 In order to start the ear irrigation, please close the vent valve () and
press the adjusting lever (). You stop ear irrigation in releasing the
adjusting lever () and the vent valve ().
Irrigation stops immediately!
1
!
The glass vials have to be checked for intactness prior to every
use (cracks, chippings on the winding, etc.). Broken glass vials
may not be used for ear irrigation.
adjusting lever
vent valve
4.7 LED-Light system
on/off LED
LED-port (for light source or head light)
LED-port (for light source or head light)
21

4.0 Operation
4.8 Instrument heating
4.8.1 Mirror quick heating
A
Press A.
The mirror quick heating is activated for 10 sec.
!
Fire hazard !
Before using the mirror on a patient, check its temperatur (on the back of your hand o.s.).
Only heat up disinfected instruments !
4.8.2 Heating module for instrument tray
When switching on the unit, the heating system for the instrument tray will be activated and heated up to 37°C.
Put the instruments you want to heat down on the metal tray.
Trays are meant for the use with unsterile instruments only.
4.8.3 Instrument heating with the ear rinsing system 37°C basic
When switching on the unit, the heating system for the instrument tray will also be activated and heated up to 37°C.
Clean and disinfect the quivers regularly! Advices in section 5.0 `Cleaning`.
22

4.0 Operation
4.9 Clipboard endoscopy
Integration of 3-channel endoscope management for rigid and
flexible endoscopes.
4.9.1 Option LED Light Cube
The LED Light Cube is automatically activated when switching
on the unit.
With a simple rotary motion the adapters are screwed in up to
the stop position and fixed in the Clipboard. The light conductors
can be plugged in the connection. The light channel is
automatically activated when the light conductor is removed
from the support. Manual on and off switching of the light
channels by means of the keypad is also possible.
Screwing in the adapter
4.9.2 Option endoscope management (heated)
Endoscope heating is activated automatically when the unit is
switched on. The quivers are heated to 41°C.
Clipboard with connected light
conductors
Operating the keypad
4.9.3 Hook for the headlamp with automatic
switching
Headlight can easily be removed and put back during the
examination. Connect the headlamp to the clipboard as
described in chapter 4.9.1. Hereto please use the right light
channel. This light channel is then automatically activated if
the headlight is removed from the hook.
In order to guarantee error-free operation, please seal the
light barrier of the right light channel with the provided blind
plug.
Clipboard with connected headlight
23

5.0 Cleaning
5.1 General information on cleaning and disinfection
Before cleaning
Medical devices must always offer a maximum in safety and function.
Therefore we recommend:
Prior to each application:
picture
back
if
necessary
The described measures to clean and to disinfect
don`t exchange the instructions given in the particular
company!
• In the following sub-chapter `recommended disinfectants` all
mentioned surface and instrument disintectants are qualifi ed
for disinfection.
• Please take care that all surfaces are dry wiped.
Use a single-use cloth to absorb any liquid.
• In case that any disinfectant is spilled, please take care to
dry wipe the surface immediately in order that no liquid may
penetrate gaps and edges.
5.1.1 Cleaning the unit surface
• The unit’s surfaces are coated with a special textured
lacquer that fulfi lls the requirements for workstation
hygiene.
• Wipe the unit surface with a cloth, moistened with a
cleaning or disinfecting solution.
• You may also use disinfectant sprays or disinfectant
tissues for cleaning and disinfection.
Long-term use of disinfectants with alcohol might
affect the flexibility and transparency of the
protective covers.
Always observe the concentration specifi cations
and instructions by the respective manufacturer
• Do not use
• Disinfectants containing concentrated organic
or anorganic acids or bases, since these may cause
corrosion damages.
• Disinfectants containing chloramides, phenol derivatives
or anionic tensides, since these may cause
stress cracks in the material used for the housing of
the unit.
■ All application parts, which are exposed to direct contact with the patient during the treatment, have to be exchanged,
cleaned or disinfected immediately for hygienic reasons.
■ Only put cleaned instruments on the deposits!
■ Clean and disinfect the instrument deposits regularly!
24

5.0 Cleaning
5.1.2 Collection jar (without autom.
collection jar draining),
bacterial filter
and suction hose
• At the end of every working-day, the following parts must be
cleaned and disinfected:
• Collection jar with lid system and bacterial filter:
• Pull all hose connections from the lid system and
carefully remove the jar from the jar holder
in order to prevent a contamination of the area
around the unit (e.g. drops).
Properly dispose the sucked material.
•Take the collection jar at the lid system, open
the bacterial filter cover by turning it anti-clockwise
and remove the filter plate. Thoroughly rinse all
parts under running water. You may, of course,
add a cleanser or detergent.
• Suction system and hose attachment:
• After every use, rinse out the suction system by
drawing in a small amount of irrigating fluid (e.g.
ATMOS Special Cleanser 080.0005.0).
Keeps the hoses from becoming sticky or clogged.
Suction capacity is limited by the 1.25 l collection jar.
Therefore, do not use more than 1 l rinsing liquid and
subsequently evacuate the jar.
Replace the filter.
25

5.0 Cleaning
5.1.3 Medication sprayers
!
• The sprayer tube must be exchanged after each patient.
• Dismount the medication sprayer and thoroughly rinse
all parts under running water. You may, of course, add a
cleanser or detergent.
• Use water to thoroughly rinse all residues of these
substances.
Make sure that the air opening is not closed!
• Disinfect all components with the disinfectants mentioned
in 5.2.
When fixing the twin tube nozzle again, make sure that
the mark (0,X or milling area) on the nozzle shows
upwards!
Sprayer tubes are available as spare parts
at ATMOS.
5.1.4 Instrument trays
• Before disinfection, thoroughly rinse the trays under running
water. You may, of course, add a cleanser (detergent) or
surface disinfectant.
• Use water to thoroughly rinse all residues of these
substances.
• Disinfect with one of the disinfectants mentioned in 5.3
afterwards.
Trays made of anodized aluminium and melamine cannot be
sterilized!
5.1.5 Endoscope quivers
• The metal quivers of the endoscope holder exclusively
serve for keeping the berore cleaned and disinfected endoscopes.
Clean quivers daily and disinfect. Thereto, the sealing
plug at the lower end should be taken off.
5.1.6 Ear rinsing bowl
• The ear irrigation bowl is not autoclavable!
Cleaning and disinfection (also machine cleaning) up to
93°C.
26

5.0 Cleaning
5.2 Recommended instrument disinfectants
Manual disinfection of instruments
Disinfectant Ingredients (in 100 g) Manufacturer
Korsolex basic Glutaral 15.2 g Bode Chemie, Hamburg
(Application concentrate) (ethylene-dioxy)dimethanol 19.7 g
tensides, salts, corrosion inhibitors
Korsolex extra (ethylene-dioxy)dimethanol 15.3 g Bode Chemie, Hamburg
(Application concentrate) Glutaral 7.5 g
Benzyl-C12-C18-alkyldimethyl-
1.0 g
ammonium chloride, tensides,
didecylmethylammonium chloride
corrosion inhibitors
neodisher Septo MED dodecylbispropylentriamine 9.2 g Dr. Weigert, Hamburg
(Application concentrate) didecyl dimethyl ammonium chloride 13.0 g
non-ionic tensides, fragrances
Sekusept aktiv sodiumpercarbonate, phosphonates Ecolab, Düsseldorf
(Application concentrate) non-ionic tensides
Gigasept FF new succinic acid dialdehyde 11.0 g Schülke & Mayr, Norderstedt
(Application concentrate) dimethoxy tetrahydrofurane 3.0 g
corrosion inhibitors
Machine disinfection of instruments
Dismoclean 24 Vario tensides, micro-encapsulated enzymes Bode Chemie, Hamburg
(Application concentrate) corrosion inhibitors
complexing agent
Dismoclean twin basic/twin zyme
Dismoclean twin basic
Dismoclean twin zyme
alkali dispenser, complexing agent
corrosion inhibitors
surface active materials, enzymes,
stabilisers, corrosion inhibitors
Bode Chemie, Hamburg
neodisher MediClean forte non-ionic tensides

Cleaning and disinfection plan
6.0 Hygiene plan
ATMOS S 61 Servant
What
How
When
Who
Reusable parts
C
Cleaning
D S
Disinfection Sterilisation
Recommendations
After each
procedure
Daily
Weekly
Monthly
Qualified and trained
staff who are familiar
with reprocessing.
(Please fill in the
responsible person
-> use a water-based
overhead marker)
Secretion canister
Hose connection (nozzle) X X 2,4,5 Cleaning and disinfection (automatic or manual) X
Suction lid X X 2,4,5 Cleaning and disinfection (automatic or manual) X
Gasket X X 2,4,5 Cleaning and disinfection (automatic or manual) X
Bacterial fi lter Daily exchange or when fi lter is blocked X
Splash protection X X 2,4,5 Cleaning and disinfection (automatic or manual) X
Float ball X X Cleaning and disinfection (automatic or manual) X
Suction hose in the
canister
X X 2,4,5 Cleaning and disinfection (automatic or manual) X
Secretion collection
Empty when the canister is full; at least daily
X X
canister
Cleaning and disinfection (automatic or manual)
X
Disposable canister
system
Exchange and disposal of full canister
X
Hose irrigation system
Suction nozzle
for hose irrigation
Silicone attachment piece
Suction nipple
Secretion suction hose
Storage container for
hose irrigation system
X X 3 Wipe cleaning and disinfection X
X X 2,4,5,6 Cleaning and disinfection (automatic or manual) X
Exchange of the Silicone attachment
X Manual cleaning after each patient X
X 2,4,5,6 Manual or automatic cleaning and disinfection X
Rinse the secretion hose with the hose irrigation
X
X
system after each procedure;
X 2,4,5,6 Exchange or disinfection of the hose X
Cleaning with a brush; Manual or automatic cleaning and
X X 2,4,5,6 X
disinfection
Ear irrigation / Thermal nystagmus stimulation
Ear irrigation bowl X X 2,4,5 Manual or automatic cleaning and disinfection X
Handle X X 3 Wipe cleaning and wipe disinfection X
Jet connection X X 2,4,5,6 Manual or automatic cleaning and disinfection X
Splash protection X X 2,4,5 Cleaning and disinfection (automatic or manual) X
Hose tip (disposable) Exchange after each application X
Rinsing attachment X X 2,4,5 Manual or automatic cleaning and disinfection X
Hygiene fi lter See operating instructions for hygiene fi lter X
Rinsing lid with rinsing
hose
X X 2,4,5 Manual or automatic cleaning and disinfection X
Rinsing bottle X X 2,4,5,6 Cleaning and disinfection; cleaning in the dishwasher
with the glass care programme
Medication nebulisation / Politzer
Handle for
X X Manual cleaning and disinfection X
compressed air
X Cleaning after each application X
Sprayer jet
X 2,4,5,6 Manual or automatic cleaning and disinfection X
Sprayer head X X 2,4,5 Multiple rinsing of the sprayer head with water X
Hose at sprayer head X X
Weekly exchange of the hose or when changing the
medication
Sprayer bottle X X 2,4,5,6 Cleaning in a cleaning and disinfection device; weekly or
when changing the medication
Politzer olive X X 2,4,5,6 Exchange after each application.
Cleaning and disinfection
Politzer connection X X 2,4,5,6 Exchange after each application.
Cleaning and disinfection
Endoscope management
X
X
X
X
X
X
Plastic quiver X X 2,4,5 Cleaning with a brush; disinfection X
Metal quiver X X 2,4,5,6 Cleaning with a brush; disinfection (automatic or manual) X
Fixation adapter for
plastic quiver
X X 2,4,5 Manual or automatic cleaning and disinfection X
Protective sleeve (tefl on
element for metal quiver)
X X 2,4,5 Manual or automatic cleaning and disinfection X

What
How
When
Who
6.0 Hygieneplan C
Reusable parts
Cleaning
D S
Disinfection Sterilisation
Recommendations
After each
procedure
Daily
Weekly
Monthly
Qualified and trained
staff who are familiar
with reprocessing.
(Please fill in the responsible
person ->
use a water-based
overhead marker)
Instrument management
ENT instruments X X 2,4,5 X
Immerse instruments into solution immediately after use,
complete wetting is required, air must be removed from
any cavities, after the contact time instruments must be
rinsed with water, have to be dried and sterilised afterwards.
X
Please also observe the ATMOS operating
instructions for ENT instruments.
Instrument bowl X X 2,4,5 Manual or automatic cleaning and disinfection X
Instrument bowl with
cover
Visualisation
X X 2,4,5 Cleaning with a brush; afterwards disinfection
Manual or automatic cleaning and disinfection
X
ATMOS Cam 21 / 31 X X 3 Wipe cleaning and wipe disinfection X
ATMOS Strobo 21 LED X X 3 Wipe cleaning and wipe disinfection X
Flexible scope X X 1) X 1) Immediate pre-cleaning after the procedure X
Rigid scope X X 1) X 1) Immediate pre-cleaning after the procedure X
Laryngoscope X X 1) X 1) Immediate pre-cleaning after the procedure X
Light conductor X X 3 Wipe cleaning and wipe disinfection X
Light source X X 3 Wipe cleaning and wipe disinfection X
Microscope X X 3 Wipe cleaning and wipe disinfection X
Headlight X X 3 Wipe cleaning and wipe disinfection X
Radiofrequency surgery
ATMOS RS 221
X X
(surface)
3 Wipe cleaning and wipe disinfection X
Ergonomic plastic handles X X 1,2,4,5 X 1) Wipe cleaning and wipe disinfection X
Bipolar tweezers X X 1,2,4,5 X 1) Immediate pre-cleaning after the procedure
X
cleaning and disinfection (automatic or manual);
Bipolar electrode X X 1,2,4,5 X 1) use of enzymatic detergents
X
Bipolar electrode cable X X 1,2,4,5 X 1) Immediate pre-cleaning after the procedure
X
cleaning and disinfection (automatic or manual);
Neutral electrode X X 1,2,4,5 X 1) use of enzymatic detergents
X
Neutral electrode cable X X 1,2,4,5 X 1) Immediate pre-cleaning after the procedure
X
cleaning and disinfection (automatic or manual);
ENT electrodes X X 1,2,4,5 X 1) use of enzymatic detergents
X
Surfaces
Housing X X 3 Wipe cleaning and wipe disinfection X
Roller shutter X X 3 Wipe cleaning and wipe disinfection X
System frame X X 3 Wipe cleaning and wipe disinfection X
Drawers X X 3 Wipe cleaning and wipe disinfection X
Writing surface X X 3 Wipe cleaning and wipe disinfection X
Instrument deposit X X 3 Wipe cleaning and wipe disinfection X
Mirror pre-heater X X 3 Wipe cleaning and wipe disinfection X
Tongue patches and
swab dispenser
X X 3 Wipe cleaning and wipe disinfection,
every day or when refi lling
Waste disposal X X 3 Wipe cleaning and wipe disinfection,
every day or when emptying the container
Instrument tray X X 3 Wipe cleaning and wipe disinfection, daily when replacing
with new instruments
X
X
X
Recommended disinfectants
3) Surface disinfection
for coated surfaces:
Other surfaces:
Green & Clean SK (ATMOS)
Dismozon ® pur (Bode Chemie)
Kohrsolin ® FF (Bode Chemie)
Perform ® (Schülke & Mayr)
Terralin ® Protect (Schülke & Mayr)
Dismozon ® pur (Bode Chemie)
Kohrsolin ® FF (Bode Chemie)
Bacillocid ® rasant (Bode Chemie)
Mikrobac ® forte (Bode Chemie)
Perform ® (Schülke & Mayr)
Terralin ® Protect (Schülke & Mayr)
Surface disinfection FD 312 (Dürr Dental)
Quick disinfection B 30 (Orochemie)
4) 5) Instruments - manual disinfection: Instruments - automatic disinfection:
Korsolex ® AF (Bode Chemie)
Dismoclean ® 21 clean (Bode Chemie)
Korsolex ® basic (Bode Chemie) Dismoclean ® 24 Vario (Bode Chemie)
Korsolex ® plus (Bode Chemie) Dismoclean ® 28 alka one (Bode Chemie)
Korsolex ® extra (Bode Chemie) Dismoclean ® twin basic/twin zyme (Bode Chemie)
neodisher ® Septo MED (Dr. Weigert) neodisher ® FA (Dr. Weigert)
neodisher ® Septo 3000 (Dr. Weigert) neodisher ® FA forte (Dr. Weigert)
Sekusept ® PLUS (Ecolab)
neodisher ® MediClean forte (Dr. Weigert)
Sekusept ® aktiv (Ecolab)
Thermosept ® alka clean forte (Schülke & Mayr)
Gigasept ® Instru AF (Schülke & Mayr) Thermosept ® RKN-zym (Schülke & Mayr)
Gigazyme ® (Schülke & Mayr)
Gigasept FF neu (Schülke & Mayr)
Please see the manufacturer‘s instructions for concentration, contact time, temperature
and the compatibility of materials.
Important information
Wipe cleaning and wipe disinfection: All surfaces have to be wiped with a clean (disposable)
wipe which is damped with disinfectant solution; the entire surface has to be wiped
thoroughly and may not be dried afterwards.
1) Please observe the manufacturer‘s operating instructions.
2) Alternative to manual cleaning und disinfection: Wash-Disinfector 78°C / 172°F
6) Material dimensionally stable at 134°C
Wrong concentration of disinfectants may lead to damage!
The above stated hygiene requirements are based on the regulations according
to the Medical Devices Act, the Medical Devices Operator Ordinance, §18 IfSG
and the recommendations of the Robert Koch Institute.
Defi nition of the required reprocessing steps result from the recommendations
of the Robert Koch Institute: „Requirements for the reprocessing of medical
products“. The medical products were categorised in the risk groups uncritical,
semicritical and critical. The reprocessing measures mentioned in this cleaning
and disinfection plan are a recommendation of ATMOS MedizinTechnik. Any
additional reprocessing measures are at the operator‘s discretion.
All the recommended disinfectants which are stated herein are listed disinfectants
(VAH/RKI) and have been tested on their suitability of use on the ATMOS
S 61 Servant. ATMOS MedizinTechnik cannot be hold liable for any damage
caused by wrong concentration of the disinfectants or by the application of any
other disinfectants.
Patients with suspicion of a clinical disease or who developed a transmissible
spongiform encephalopathy (CJK, vCJK, etc.) have to be treated at facilities
which are able to provide for the necessary preventive measures against infection.
The reprocessing of the reusable instruments and material may only be
performed at facilities which have an externally certifi ed QM Management acc.
to DIN EN ISO 13485.
The Medical Devices Act, IfSG, the RKI directives, BGR 250 and TRBA 250
always have to be considered.
ATMOS MedizinTechnik GmbH & Co. KG
Ludwig-Kegel-Str. 16 • 79853 Lenzkirch/Germany
Phone +49 7653 689-0 • Fax +49 7653 689-190
atmos@atmosmed.de • www.atmosmed.de
REF 534.2103.0 2013-12 Index: 07

7.0 Maintenance and servicing
• The ATMOS S 61 Servant ENT workstation is equipped with maintenance-free pumps for suction and compressed air.
Nevertheless, to ensure correct functioning of the unit over a long period of time simple maintenance work which can either
be done by the user himself, or, if desired, by service technicians, is necessary from time to time.
• To guarantee correct function of the automatic rinsing and suction mechanism, switch off the ENT unit prior
to change the collection jar.
• There is a service compartment (lower part of the function column) which contains the parts needed for
the maintenance procedures. The possible maintenance procedures are described in the following
sections.
• A safety-related check of the ATMOS S 61 Servant is to be effected acc. to the local rules in your country. Nevertheless, we
recommend a yearly check acc. to the annexed service booklet.
7.1 Replacing the fuse
The fuses are at the back of the unit.
7.2 Replacing the bacterial filter
• To this please attend the articles 4.7 and 5.2.4 in this operating instruction!
• Set vacuum regulator to `maximum´ (right stop).
• As soon as the vacuum gauge shows a vacuum value >-0.3 bar while the suction hose is open,
the filter has to be replaced.
To guarantee full function of the automatic collection jar draining system, fi ll level electrodes always have to be
clean and free from sediments!
If there is no drastic vacuum at the handle after assembly of the collection jar, check the float in the splash guard
for flexibility.
7.3 Changing tube cassette of tube pump
The tube cassette is in the unit`s pump room.
It may only be replaced by authorized personnel !
30

8.0 Trouble shooting
Description Possible cause Procedure
Electric power supply
no function,
main switch is active,
control light does not light up
Suction
low or no suction rate,
but vacuum gauge indicates vacuum
low or no suction rate,
vacuum gauge indicates few or
no vacuum
suction pump does not switch on
or off
no suction,
but force pump is operating
> no voltage on power plug check house fuse,
possibly it burnt through
> cable/plug defect exchange cable/plug
> suction hose clogged clean suction hose
> active over-suck protection check oversuction protection
> filter moistened/blocked replace filter
> system leaky check all joints,
new assembly of the system
> suction hose snapped off remove breaks, pass hose a different way
> vacuum adjustment is open set regulator to higher/maximum vacuum
> secretion in suction pump inform ATMOS costumer service
> draggled/defect light barrier
in suction hose holder
> positions of handles have been
mixed up
clean both light barriers openings in the
suction hose holder, if necessary inform
ATMOS service
insert handles in the right holder
Compressed air
compressed air pump does not
switch on or off
no compressed air,
but force pump is operating
> draggled/defect light barrier
in compressed air holder
> positions of handles have been
mixed up
clean both light barrier openings in the
suction hose holder,
if necessary inform ATMOS service
insert handles in the right holder
no adequate pressure build-up > joints leaky check joints,
if necessary inform ATMOS service
sprayer does not spray > sprayer blocked clean sprayer, clean ventilation borehole in
sprayer head
Mirror quick heating
heater does not switch on > switch/control defect exchange switch/control by ATMOS service
insufficient or no heater power
> single or all three heater
coils defect, no glow
change heater coil
Automatic collection jar draining
jar will not be drained when filled > sensor does not detect fill level spring-clean jar
above the sensor limit
pump does not activate when > pump defect inform ATMOS service
suction hose is returned
effluent pump does not activate after > pump defect inform ATMOS service
switching off the draining pump
effluent pump does not switch off > effluent pipe blocked remove blockage
Sewage pump does not start-up.
> electrodes in the effluent jar
are dragged and thereby hot-wired
Device is fed with demineralised
water via water connection
clean effluent jar or let electrodes be
cleaned
Please use drinking water
31

8.0 Trouble shooting
Description Possible cause Procedure
Automatic filling of the hose rinsing container
container overflows > charging valve does not close inform ATMOS service
> sensor doesn`t detect fill level sensor defect - inform service
container does not get filled > water supply broken assure water supply
> safety switch in the container
is not activated
place hose rinsing container correctly
in the holder
spring-clean container
LED-power supply
LED-light source does not light > switch to position 0 depending on used jack, set switch in
position I or II
> plug/cable/LED-light source
defect
replace defective part by ATMOS service
Nystagmus binoculars connection
nystagmus binoculars do not light > switch to position 0 set switch to position I
> plug/cable/bulb defect replace defective part by ATMOS service
Heating system
no heating
> temperature sensor, control
or heating element defective
inform ATMOS service
Variotherm/Hygrotherm
> please note advices in the separate operating instruction
32

9.0 Accessories and consumables
9.1 Accessories
Accessories for ear irrigation / Thermal nystagmus stimulation
Ear irrigation bowl
505.0353.0
Water collection bowl for connection to the suction system
Ear irrigation bowl with separate suction channel
530.2070.0
For the independent use of the ear irrigation bowl. Clipboard (REF 530.0010.0) is required.
Jet connection for water irrigation handle 80 mm 508.0427.0
Jet connection for water irrigation handle 110 mm 508.0429.0
Hose tips, 30 pieces
502.0844.0
flexible hose tips, to be slipped on jet connection for exact guiding of the water jet
Splash protection to be slipped on jet connection 501.0331.0
Accessories for nystagmus stimulation
Connection for nystagmus binoculars 530.4015.0
Nystagmus binoculars
(connection for nystagmus binoculars is required)
530.4016.0
Accessories for compressed air module
Sprayer bottle 000.0577.0
Sprayer, straight 506.5225.0
Sprayer with rotatable nozzle (360° rotation) 506.5120.0
Sprayer for powdery medications 505.0253.0
Spare nozzle for straight sprayer 505.0280.0
Spare nozzle for rotatable sprayer
000.0219.0
(360° rotation)
Spare hose for sprayer bottle, after change of medication
530.5229.0
(pack of 10)
Accessories for light module economy
Lithium-ionic rechargeable battery for the mobile use
For ATMOS LED light source respectively LED headlight with power and eco mode, charging indication and holding
clip.
Universal battery quick charging power pack (100-240 V)
including multinationaladapter
507.4510.0
011.1199.0
Instrument management
Instrument tray, melamine, 190 x 150 mm 000.0746.0
Instrument tray, anodised-aluminium, 184 x 142 mm 508.0058.0
Instrument tray, stainless steel, 180 x 140 mm 508.0058.2
9.2 Consumables
Consumables for disposable secretion container systems
Receptal ® 1,0 l bag, not autoclavable 312.0463.0
Receptal ® 1,0 l external container 312.0464.0
Disposable suction hose, not autoclavable (10 pcs.) 006.0058.0
Consumables for suction equipment
Bacterial filter for collection jar
Pack of 10, prevents bacterial contamination of the ambient air caused by bacteria in the collection jar respectively the
suction aggregate. (No bad odour and no bacterial contamination). Weekly exchange is required.
340.0054.0
ATMOS special cleanser for suction ways
100 ml concentrate to be added into the water storage container. For efficient hose cleaning, protects against residues
and bad odour.
008.0005.0
33

10.0 Technical specifications (full config.)
Please note the technical specifications of the single devices/modules in separate operating instructions!
voltages
current input (max.)
Input
fuses
other safety lugs
suction system
standard 40 l/min
Freeflow
suction system
professional 55 l/min
Freeflow
compressed-air system
ear rinsing
professional
thermal
nystagmus stimulation
instrument heating
light system Economy
nystagmus binoculars port
operating time
protective earth conductor resistance
earth leakage current
enclosure leakage current
230 V~ ± 10 %; 50/60 Hz
extra voltage:
100 V~ ± 10 %; 50/60 Hz
115 V~ ± 10 %; 60 Hz
127 V~ ± 10 %; 60 Hz
max. 8,5 A (230 V~)
max. 19 A (100 V~)
max. 16,5 A (115 V~)
max. 15 A (127 V~)
max. 2300VA
2 x T 10 A (f. 230 V~); 1 x T 20 A (f. 100 V~,-127 V~)
on the control board
-91 kPa (-910 mbar oder 682,5 mmHg) *@NN
optional infinitely variable
secretion collection jar DDS 1,0 l
-95 kPa (-950 mbar oder 712 mmHg) *@NN
optional infinitely variable
secretion collection jar DDS 1,0l
20 l / min freeflow
mind. 220 kPa, optional infinitely variable
sprayer for liquid, oily and powdery materials
37 ° C +/- 0,5 water temperature
flow max. 450 ml/min, variable
3 adjustable temperatures from 20 – 47 ° C at water intake temperature between 8
and 18 °C; timer 1 – 99 sec., nystagmograph-distriggering, flow max. 450 ml/min,
adjustable on handle
Temperature ca. 37 °C of Instruments approx.
LED-current supply 700 mA regulated
max. 4 V, 2 W
continous duty
max. 0,1 Ω
max. 0,5 mA
max. 0,1 mA (only option Mirror quick heater)
34
ambient conditionsTransport/storage
operation
dimensions HxWxD
weight (basic unit)
circular safety controls
protection class
(EN 60601-1)
degree of protection
protection category
classification acc. to Annex IX
EEC directions 93/42/EEC
-10...+50°C
30...95 % humidity without condensing, air pressure 500...1060 hPa
+10...+35°C
30...95 % humidity without condensing, air pressure 700...1060 hPa
88,5 x 41,2 x 54,0 cm
10 - 40 kg
A circular safety control has to be enforced yearly. ATMOS approves a yearly attendance
acc. to the service booklet.
I
application parts type B
IP X0
II a
CE marking CE 0124
rules applied EN 60 601-1; EN 60 601-1-2; EN ISO 10079-1
UMDNS-Code
GMDN-Code 11585
reference-no.
10-585 ENT-treatment unit
530.0000.0 (230 V~); 530.0001.0 (100 V~);
530.0002.0 (115 V~); 530.0003.0 (127 V~)

11.0 Disposal
■ The ATMOS S 61 Servant does not contain any hazardous goods.
■ The material PUR of the housing can be recycled completely.
■ The component parts of the ATMOS S 61 Servant ENT workstation must be disposed off correctly and the materials have
to be separated carefully.
35

12.0 Notes on EMC
■ Medical electrical equipment is subject to special precautions with regard to EMC and must be installed acc.
to following EMC notes.
■ Portable and mobile HF communication facilities can influence medical electrical equipment.
■ The use of other accessories, other converters and cables than stated may lead to an increased emission
or a reduced interference immunity of the equipment or system.
12.1 Guidelines and Manufacturer´s Declaration - Emissions
The ATMOS S 61 Servant workstation is intended for use in the electromagnetic environment specifi ed below. The
customer or user of the ATMOS S 61 Servant workstation should ensure that it is used in such an environment.
Emissions Test Compliance Electromagnetic Environment - Guidance
RF Emissions
CISPR 11
Group 1
The ATMOS S 61 Servant workstation uses RF energy
only for its internal function. Therefore, its RF
emissions are very low and are not likely to cause
any interference in nearby electronic equipment.
RF Emissions
CISPR 11
Harmonics IEC 61000-3-2
Flicker
IEC 61000-3-3
Class B
Class A
Inapplicable
The ATMOS S 61 Servant workstation is suitable for
use in all establishments, including domestic, and
those directly connected to the public low-voltage
power supply network that supplies buildings used
for domestic purposes.
12.2 Guidelines and Manufacturer´s Declaration - Immunity for
ATMOS S 61 Servant workstation
The ATMOS S 61 Servant workstation is intended for use in the electromagnetic environment specifi ed below. The
customer or user of the ATMOS S 61 Servant workstation should ensure that it is used in such an environment.
Immunity Test
ESD
IEC 61000-4-2
EFT
IEC 61000-4-4
Surges
IEC 61000-4-5
Power Frequency
50/60 Hz
Magnetic fi eld
IEC 61000-4-8
IEC 60601-
Test Level
± 6 kV Contact
± 8 kV Air
± 2 kV Mains
± 1 kV I/Os
± 1 kV
symmetric
± 2 kV
symmetric
Electromagnetic Environment
- Guidance
Compliance Level
± 6 kV Contact
Floors should be wood, concrete,
or ceramis tile. If floors are synthetic,
the relative humidity should be
± 8 kV Air
at least 30%.
± 2 kV Mains Mains power quality should be that
of a typical commercial or hospital
environment.
± 1 kV
symmetric
Mains power quality should be that
of a typical commercial or hospital
environment.
3 A/m nicht anwendbar Power frequency magnetic fi elds
should be that of a typical commercial
or hospital environment.
36

12.0 Notes on EMC
Immunity Test
Voltage Dips / Dropout
IEC 61000-4-11
IEC 60601-
Test Level
< 5 % U T
(> 95 % Dip of the U T
)
for 0.5 Cycle
40 % U T
(60% Dip of the U T
)
for 5 Cycles
70% U T
(30 % Dip of the U T
)
for 25 Cycles
Compliance Level
< 5 % U T
(> 95 % Dip of the U T
)
for 0.5 Cycle
40 % U T
(60% Dip of the U T
)
for 5 Cycles
70% U T
(30 % Dip of the U T
)
for 25 Cycles
Electromagnetic Environment
- Guidance
Mains power quality should be that
of a typical commercial or hospital
environment. If the user of the
ATMOS S 61 Servant workstation
demands continued function even
in case of interruptions of the
energy supply, it is recommended
to supply the ATMOS S 61 Servant
workstation from an uninterruptible
current supply or a battery.
< 5 % U T
(>95 % Dip of the U T
)
for 5 s
< 5 % U T
(>95 % Dip of the U T
)
for 5 s
NOTE
U T
is the mains alternating current prior to application of the test levels.
12.3 Guidelines and Manufacturer´s Declaration - Immunity
The ATMOS S 61 Servant workstation is intended for use in the electromagnetic environment specified below. The
customer or user of the ATMOS C161 should ensure that it is used in such an environment.
Immunity Test
Conducted RF
IEC 61000-4-6
Radiated RF
IEC 61000-4-3
IEC 60601-
Test Level
Compliance Level
Electromagnetic Environment
- Guidance
Portable and mobile communications
3 V eff
150 kHz bis 80 MHz 3 V equipment should be separated from the
RS 221 incl. the cables by no less than the
3 V/m
80 MHz bis 2,5 GHz 3 V/m
distances calculated/listed below.
Recommended distances:
d = 1,167 * √(P)
d = 1,167 * √(P)
d = 2,33 * √(P)
where „P“ is the max. power in watts (W)
and D is the recommended separation
distance in meters (m).
Field strengths from fixed transmitters, as
determined by an electromagnetic site (a)
survey, should be less than the compliance
level (b).
Interference may occur in the vicinity of
equipment containing following symbol
37

12.0 Notes on EMC
NOTE 1
With 80 MHz and 800 MHz the higher frequency range applies.
NOTE 2 These guidelines might not be applicable in any case. The propagation of electromagnetic sizes is
influenced by absorptions and reflections of buildings, objects and people.
a The field strength of stationary transmitters, such as base stations of cellular phones and mobile terrain radio
equipment, amateur radio transmitters, cbm broadcast and TV stations cannot be predestined exactly.
To determine the electromagnetic environment in regard to stationary transmitters, a study of the location is to
be considered. If the measured field strength at the location where the ATMOS S 61 Servant workstation is
used
exceeds the above compliance level, the ATMOS S 61 Servant workstation is to be observed to verify the
intended use.
If abnormal performance characteristics are noted, additional measures might be necessary, e. g. a changed
arrangement or another location for the device.
b
Within the frequency range of 150 kHz to 80 MHz the field strength is to be below 3 V/m.
12.4 Recommended separations between portable and mobile RF Communications
equipment and the ATMOS S 61 Servant workstation
Recommended separations between portable and mobile RF Communications
equipment and the ATMOS S 61 Servant workstation
The ATMOS S 61 Servant workstation is intended for use in electromagnetic environment in which radiated disturbances
are controlled. The customer or user of the ATMOS S 61 Servant workstation can help prevent electromagnetic
interference by maintaining a minimum distance between portable and mobile RF Communications equipment
and the
ATMOS S 61 Servant workstation as recommended below, according to the maximum output power of the communications
equipment.
Separation distance, depending on transmit-frequency m
Nominal output of the
transmitter
150 kHz bis 80 MHz
d = 1,167 * √(P)
80 MHz bis 800 MHz
d = 1,167 * √(P)
800 MHz bis 2,5 GHz
d = 2,33 * √(P)
W
0,01 0,1167 0,1167 0,233
0,1 0,37 0,37 0,74
1,0 1,167 1,167 2,33
10 3,7 3,7 7,37
100 11,67 11,67 23,3
For transmitters for which the maximum nominal output is not indicated in the above table, the recommended
separation distance d in meters (m) can be determined using the equation belonging to the respective column
whereas P is the maximum nominal output of the transmitter in watts (W) acc. to manufacturer´s specification.
NOTE 1 With 80 MHz and 800 MHz the higher frequency range applies.
NOTE 2 These guidelines might not be applicable in any case. The propagation of electromagnetic sizes is
influenced by absorptions and reflections of buildings, objects and people.
38

13.0 Declaration of conformity
39

ATMOS General terms and conditions
MedizinTechnik
1. General:
Our General Standard Terms and Conditions apply exclusively. Client’s
terms and conditions which are contrary to or deviate from our General
Standard Terms and Conditions are not recognised unless their validity
is explicitly confirmed in writing. Our General Standard Terms and
Conditions also apply even if we deliver to clients without reservation,
in the knowledge of the client’s contrary terms and conditions. Our
General Standard Terms and Conditions also apply to all future business
with that client.
2. Proposal - Order Confirmation
Our proposals are subject to change without notice unless otherwise
stated in our order confirmation. Each order is only accepted by us
following our written order confirmation.
3. Orders
Every order requires an exact description of all of our product’s details.
We assume no liability for errors and damage caused by inaccurate or
incomplete ordering details.
4. Prices
Unless otherwise stated in the order confirmation, our prices in the
order confirmation are ex factory prices and exclude packaging and
value added tax. Packaging is charged separately at cost price in the
invoice. Value added tax is charged separately in the invoice according
to the legal rate on the invoice date. We reserve the right to change
prices appropriately should price reductions or increases, especially
due to wage settlements, changes in the price of materials or currency
fluctuations, be incurred. Proof of such changes will be provided for the
client on request.
5. Payment Conditions - Balancing
Unless otherwise stated in the order confirmation, our invoices
are payable with a 3% discount within 10 days (except for repair and
assembly services) or within 21 days from the invoice date net cash;
money receipts is decisive for complying with this term. We are entitled
to charge interest after the due date at a rate 2% above the relevant
basic interest rate of the German Federal Bank. Should the client have
payment arrears, we are entitled to charge interest on arrears at a rate
5% above the relevant basic interest rate of the German Federal Bank.
Should we be able to prove higher damages due to arrears, we are also
entitled to claim these. The client only has the right to balance invoices
against its own claims should such claims be confirmed in a court of
law or recognised by us. The client does not have the right of retention
due to disputed counterclaims.
6. Delivery Periods
Fulfilment of our delivery duties requires the punctual and proper
fulfilment of the client’s duties. The right to defense on the grounds of an
unfulfilled contract is reserved.Should the client default in accepting the
goods delivery or breach other cooperation duties, we are entitled either
to withdraw from the contract or claim compensation for any increased
costs incurred up to that time without setting a further deadline. The right
to make further claims is reserved. Furthermore, in such cases, the risk
of coin-cidental destruction or a coincidental deterioration in the quality
of the delivered goods is transferred to the client in the case of default
in accepting such goods or payment arrears. Acts of God or stoppages
(due to insufficient supplies of material, industrial disputes etc.) entitle
us either to demand an appropriate extension of delivery periods or to
partly or entirely dissolve the delivery contract. This does not give the
client the right to claim damages. We have fulfilled delivery periods if the
delivery goods have left our factory or the client has been informed of
the goods’ readiness for delivery within such delivery periods. Delivery
periods stipulated by the client are not recognised by us unless they
form part of our order confirmation. We adhere to legal terms and
conditions in cases where, as a result of an undue delay in the delivery
for which we are liable, the client is entitled to claim that his interests
in a continued fulfilment of the contract have ceased. We also adhere
to legal terms and conditions should a delay in delivery be caused by
deliberate or grossly negligent action by us or our representatives for
which we are responsible. We are also responsible for such actions by
our representatives or agents. Should the delivery delay not be caused
by our deliberate infringement of contractual duties for which we are
responsible, our liability is limited to damage which is regarded as typical
for that case. We are liable according to the legal terms and conditions if
and in so far as the delivery delay for which we are responsible is caused
by an infringement of a substantial contractual duty. In such cases, our
liability is also limited to damage which is regarded as typical for that
case. Should the delivery delay be caused by a culpable infringement
of non-substantial contractual duties, our client is also entitled to claim
is limited to damage which is regarded as typical for tthat case. This
also applies in the case of our culpable infringement of substantial
a one-off damage compen-sation worth 3 percentage points of the contractual duties The indispensable conditions of German Liability
delivery value of the goods for each week’s delay, up to a maximum
which is no higher than 15 percentage points of the delivery value of
the goods
7. Delivery - Familiarisation
In the case of the delivery of devices for the medico-technical industry
which require assembly and/or familiarisation for the final customer using
specialist trade personnel (such as Ear, Nose and Throat Apparatus and
Suction Units), we reserve the right to deliver the goods exclusively to
the relevant specialist traders. Should the trader not carry out assembly
and/or familiarisation for the final customer, this is carried out by us. In
such cases, we reserve the right to charge the client for the additionally
created costs. Our specialist traders operate a recording system so
that, if necessary, our products can be traced to the final customer. The
specialist trader undertakes to immediately report to us all events and
risks which must be reported in connection with our products.
Law remain unaffected thereby.
- For second-hand equipment, the period of warranty shall be reduced
to a period of twelve months.
10. Reservation of Ownership
We retain ownership of our goods until the receipt of all payments
arising from the business relationship, including all demands arising
from installation orders, subsequent orders, repairs, accessory deliveries
and replacement orders. Should we have agreed upon payment on the
basis of cheque and bill transactions, the ownership reservation applies
until the cheque received by us has been paid in, and does not expire
through our credit upon receiving the client’s cheque. In the case of
a breach of contract by the client, especially payment arrears, we are
entitled to repossess our goods. Repossession of our goods repre-sents
a withdrawal from the contract, unless explicitly declared in writing by
us. We have the right to utilise the product after its repossession, whilst
the income form such use is balanced against the client’s arrears, after
8. Passage of Risk - Packaging
Unless otherwise stated in our order confirmation, delivery is agreed
ex factory. The risk of the goods’ 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 are
insured by us at the client’s expense unless explicitly otherwise agreed.
No insurance is arranged in the case of goods which are collected by
our clients. In the case of transport damage, claims are only handled if
the client receives confirmation of any damage, reduced weight or loss
by the shipping company before accepting the delivery.
9. Warranty
The client is responsible for examining the delivered goods
immediately after receiving them to determine any eventual deficiencies
or delivery errors, and to report these immediately. Should the client
fulfil this examining and reporting responsibility, and should payment
conditions be fulfilled, we shall be liable to the client within the scope
deducting appropriate utilisation costs.The client is responsible for
handling the goods with care. Should maintenance and inspection work
be necessary, the client must carry these out punctually at his own cost.
Our client is entitled to sell the goods he has bought from us in a proper
sale transaction. However, he must immediately assign all outstanding
claims to the value of the final invoice sum (including value added tax)
of our claims to his customers or third parties. The client is entitled to
collect this claim even after such assignment. Our right to collect the
claim ourselves remains unaffected thereby.We undertake to release
the securities to which we are entitled if requested to do so by the
client should the realisable value of the our securities be more than 10
percentage points higher than the outstanding claims. We reserve the
right to choose the securities to be released.
11. Plans and Illustrations
We retain ownership of and copyrights to all plans, illustrations,
calculations and other documents which are attached to our proposals.
The client must receive explicit written permission before passing these
on to third parties. Imitating our legally patented products is forbidden
and will be prosecuted.
of legal regulations. Our period of warranty shall in all cases be two
years. Our client can make use of the warranty as follows, so long as
he can provide first buyer proof (in the form of an invoice or delivery
note) and provided that the product still has the original, unchanged
serial number:
a. We choose whether to fulfil our guarantee by providing repair
services free of charge - either on the client’s premises or in our factory
- or replacing the product. We can also provide these guarantee
services through an authorised company;
b. Should a product be returned to us, the client agrees to send
the product in its original or similar packaging, offering the same
protection as the original packaging, to our address or any address
12. Jurisdiction and Place of Performance
Our central office is the place of performance for all disputes in
connection with these General Standard Terms and Conditions and
the contracts closed with clients under them. This jurisdiction excludes
other jurisdiction relating to persons or subject-matter. Furthermore, our
client is not entitled to bring charges against us in another court should
he file counter-charges, carry out counterbalancing or declare retention.
We, however, are entitled to bring charges against our client at their
general place of jurisdiction or at another relevant court recognised by
German or foreign law.Unless otherwise stated in the order confirmation,
our central office is the place of performance.
notified by us.
c. Our guarantee ceases to apply if changes of any kind have been
made to our product, unless such changes have been made by us
or a company authorised by us, or have been previously agreed
upon in writing by us. Our guarantee also ceases to apply if third
Lenzkirch, September 2008
ATMOS MedizinTechnik GmbH & Co. KG
79853 Lenzkirch/Germany
parties have carried out repairs to our products or replaced parts
thereof. This applies regardless of the fact whether these measures
individually or collectively led to a deficiency of the product;
d. We accept no responsibility for damage defects caused by
- operational wear and tear;
- incorrect installation or incorrect or insufficient maintenance;
- incorrect operation of the product (in contradiction to the operating instructions
delivered with the product); - improper use or operating faults; -
inappropriate or negligent handling and care, especially with respect
to dirt, lime, suction of fluids, inappropriate cleaning and sterilisation;
- using accessories and/or replacement parts which are not explicitly
approved;
- incorrect assembly and/or initial operation by the client or third
parties; - the client’s negligence in handling the product; - unacceptable
operating conditions, such as humidity, temperatures, the power supply,
vibrations.
- accidents, acts of God, especially lightening, water, fire, public
unrest and insufficient ventilation. We are not liable for damage to
other objects apart from our product itself, except in the case of any
deliberate or grossly negligent actions by us or our representatives or
agents. Should no deliberate breach of contract be claimed, our liability
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are illegal without prior agreement of the manufacturer. All compiled data are based on manufacturers instructions. All logos,
product names and designations used in this document are property of the respective manufacturer.
We do not take over any warranty and liability in the case of missing inscriptions. Subject to modifications and amendments.