Atmos c31

English
ATMOS® C 31
ENT Unit
Operating Instructions
506.7350.B
506.7510.B
2015-08 Index: 34
0124
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Contents
Page Page
1.0 Introduction
1.1 Notes on operating instructions ..........................3 5.0 Cleaning ..........................................................25
1.2 Intended use .......................................................4
1.3 Function ..............................................................4 6.0 Maintenance and servicing ............................30
1.4 Explanation of symbols .......................................5 6.1 Changing the bacterial filter ..............................31
6.2 Changing the tube cassette of the tube pump .....32
2.0 For your safety ..................................................6 6.3 Changing the heating coil of the
mirror quick heater ............................................33
3.0 Installation and starting-up 6.4 Changing halogen cold-light lamp ....................34
3.1 Front view ...........................................................7 6.5 Changing the halogen bulb of the
3.1.1 Service compartment ..........................................8 counter-mirror lamp ..........................................35
3.2 Setting up proposal .............................................9 6.6 Changing the rinsing container .........................35
3.3 Connection to electrical power line ...................10
3.4 Connection to water supply (optional) ..............10 7.0 Trouble-shooting ............................................36
3.5 Independent water supply ................................10
3.6 Water drain (optional) .......................................11 8.0 Consuming material, accessories,
3.7 Starting-up the ATMOS® C 31 ..........................11 spare parts, options .......................................41
4.0 Operation 9.0 Technical Specifications ................................45

4.1 ATMOS® C 31 - Basic unit ................................13
4.2 Basic functions .................................................13 10.0 Disposal ...........................................................46
4.2.1 Main switch .......................................................13
4.2.2 Maximum loads ................................................13 11.0 Hygiene Plan ...................................................47
4.2.3 How to open the covering .................................13
4.2.4 Suction system .................................................14 12.0 Notes on EMC .................................................49
4.2.4.1 Emptying the secretion canister .......................15
4.2.4.2 Application with disposable secretion
canister systems ...............................................15
4.2.5 Halogen cold-light system ................................16
4.2.6 Mirror quick heater ............................................17
4.3 Options .............................................................18
4.3.1 Ear rinsing system ............................................18
4.3.2 Mirror preheater ................................................19
4.3.3 Secretion canister evacuation, fully-automatic .19
4.3.4 Quiver for cleaning and disinfecting
solution .............................................................19
4.3.5 Hose rinsing system .........................................20
4.3.6 Kidney-shaped rinsing basin ............................20
4.3.7 Compressed-air system ....................................21
4.3.8 Connection for warm-light headlamp/
Nystagmus binoculars ......................................22
4.3.9 Headlamp suspension .....................................22
4.3.10 Counter-mirror lamp .........................................22
4.3.11 Endoscope heating ...........................................23
4.3.12 Tongue patches and swab dispenser ...............23
4.3.13 Waste bin ..........................................................23
4.3.14 Microscope .......................................................23
4.3.15 Video system ....................................................24
4.3.16 Tulip-shaped ear rinsing bowl ...........................24
4.3.17 Hygiene filter for the ear irrigation system ........24
4.3.18 Holder for standard rail .....................................24

1.0 Introduction
1.1 Notes on operating instructions

 These operating instructions contain important notes on
how to operate the ATMOS® C 31 safely, correctly and
effectively. Therefore, they are intended not only for new
operating personnel to be instructed in its use, but also
for use as a reference manual. They help to avoid risks,
and also to reduce repair costs and down-time. Further-
more, reliability and service-life of the equipment will be
increased. For these reasons these operating instruc-
tions must always be kept available near the appliance.
Prior to first use please peruse the chapter 2.0 “For your
safety”, in order to be prepared for any possible dangerous
situations.
The basic principles are:

Judicious and careful work provides best protection
against accidents!
Operational safety and readiness for use depend not only
on your capabilities, but also on care and maintenance
given to the ATMOS® 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
authorised by ATMOS. In case of repairs you should in-
sist that original spare parts only are used. You will then
have the warranty that operational safety, readiness for
work and the value of your appliance will be preserved.
 These operation instructions apply for the following app-
liances:
ATMOS® C 31 Set ..........................Art. Nr. 506.7350.0
ATMOS® C 31 Function Column ....Art. Nr. 506.7510.0
 Please note that these operating instructions apply for all
ATMOS® C 31 models and subsequently feature all op-
tions and applications. Therefore, it is possible that this
document may contain descriptions not relevant for your
specific appliance type.
 The product ATMOS® C 31 bears CE marking CE-0124
according to the EEC guideline of the council for medical
products 93/42/EEC and meets the basic requirements of
annex I of this guideline.
 The product ATMOS® C 31 complies with all applicable
requirements of the directive 2011/65/EC restricting the use
of certain hazardous substances in electrical and electronic
equipment (“RoHS”).
 The declaration of conformity and our general standard
terms and conditions can be obtained on our website at
www.atmosmed.com.
 The quality management system applied at ATMOS has
been certified according to international standards EN ISO
9001 and EN 13485.
ATMOS
MedizinTechnik GmbH & Co. KG
 ATMOS will supply a service manual containing detailed
circuit descriptions and schematics as well as information
on adjustment and servicing to service organizations au-
thorized by ATMOS.
Kudwig-Kegel-Straße 16  Reprints, also in extracts, only with written permission by
ATMOS.
79853 Lenzkirch
 Subject to alterations. Errors excepted.
Deutschland
Abbreviations / symbols in these operating instructions:
Telefon: + (49) 7653 689-0
 Indicating a list
• Subdivision of a list/activity.
Fax:
+ (49) 7653 689-190 The recommended sequence must be followed in each
case!
+ (49) 7653 689-493 (Service Center)
 Indicating particularly important advice!
e-mail: [email protected]  Describing the effect of an activity.
Internet: http://www.atmosmed.de

1.0 Introduction
1.2 Intended use 1.3 Function

Name: ATMOS® C 31  The ATMOS® C 31 is started by activating the main switch
(, fig. 1, page 7).
Main functions:
• Suction  The exact mode of function of the standard equipment
• Compressed air module for medication spraying and the and optional functions is described in detail in chapters
Politzer manoeuvre 4.2 to 4.3.17.
• Ear irrigation
• Electric power supply for LED light handles and LED head-
light
• Light sources
• Storage and heating of endoscopes
• Mirror quick heater
• Instrument deposit and heating
Med. indications/ application:

Standard ENT examination and/or therapy
Specification of the main function:

• suction at 40 l/min / -76 kPa
• alternatively suction at 55 l/min / -98 kPa
• compressed air for medication spraying, max. 2 bar
• compressed air for the Politzer manoeuvre, regulated
• ear rinsing with 37 °C ± 1 °C, max. 500 ml/min
• electric power supply for LED, 700 mA
• Light source 15 V, 150 W
• Light source 24 V, 150 W
Application organ:
mouth to pharynx, auditory canal to the ear drum and the
nasal cavities
Application time:
ENT unit: Short term use on the patient (up to 30 days)
Suction / Compressed air / ear rinsing / light source:
Temporary application on the patient (less than 60 minutes)
Application site:
Application sites are clinics and practices for ENT doctors and
phoniatrists. The examination and/or therapy with the ENT unit
may only be executed by medically trained persons.
Contraindications:
May not be used for irrigation of the paranasal sinuses.
The ear irrigation should not be applied to an infected auditory
canal or a perforated eardrum.
The product is: X active □ not active
Sterility: The ENT unit is no sterile product.
Single use product / reprocessing:

The device and part of the accessories are reusable, for
information on reprocessing and disinfection please see the
operating instructions.

1.0 Introduction
1.4 Explanation of symbols
On / Off switch Basin rinsing
I ON (power) as to
IEC 417/5007 and DIN 30600/16
Water temperature for ear rinsing
too high
O OFF (power) as to
IEC 417/5007and DIN 30600/16
Correct water temperature for ear rinsing
Pay attention to operating instructions ! Water temperature for ear rinsing

as to ISO /7000/0434 DIN 30600/1008 IEC 348 too low
Warm water system Button for increasing lamp intensity
Suction system
Button for decreasing lamp intensity
Compressed-air system
Dangerous voltage as to
IEC 417/5036, DIN 30600/131
Cleaning in flow procedure (hose rinsing)
Protective earth (ground) as to
IEC 417/5019, DIN 30600/1545
Cold-light system
Fuse as to
IEC 417/5016, DIN 30600/0186
Microscope connection (cold light)
Type B equipment
Headlamp Type BF equipment

(only for cold light)
Transfer of heat, in general;

mirror heater ~ Alternating current
Short-time operation
Do not lean against it!
Footswitch
Danger of tilting for units with a

microscope!
Screw the unit into the ground
or position it near a wall.
060.0628.0

2.0 For your saftey
 The ATMOS® C 31 is produced according to IEC 601 /  The ENT unit requires clean water (drinking-water quality)
EN 60601 and listed in the following classes: for the operation. In case the clean water cannot be pro-
• VDE Class of protection 1 vided by the water supply, a pre-filter has to be installed.
• Class IIa (EEC 93/42). The relevant country specific regulations for the installation
 The unit may be connected only to a socket outlet with have to be considered !
earthing contact installed according to the rules of the trade.  The control panel must be well visible to and in reach of
 The unit should not be positioned directly next to a wall, the operator.
because of the ventilation openings on the rear side!  Do not place used contaminated instruments on the ENT
 When a microscope is mounted: Screw the unit into the unit!
ground or position it near a wall. If the microscope is in an  The ambient conditions specified in section 9.0 "Technical
unfavourable position it could tilt the unit backwards. specifications" must be strictly observed!
 Attention! Mirror and endoscope heaters may generate  The suction system of the ATMOS® C 31 is only to be used
temperatures above 40°C! for the suction of fluids in medical ranges. Never remove
 Attention with the cold-light source! explosive, inflammable or corrosive gases or fluids.
Because of the high energy of the light there is a large  Switch off main switch after finishing work in practice and
amount of heat emission at the point of the optical system. close water supply, if present.
Avoid too small a distance between the tissue and the field
of light emission of the light guide resp. of the endoscope,  The ATMOS® C 31 may be operated only in rooms used
as this may cause coagulation of the patient's tissue. When for medical purposes, but not in areas subject to explosion
using the endoscope avoid the direct contact between area hazards and in oxygen rich environments.
of light emission and the tissue.
Attention, Fire Hazard!  The ATMOS® C 31 fully complies with the electromagnetic
Do never place the area of light emission from the light immunity requirements of standard IEC 601-1-2 / EN
guide or from the endoscope onto heat-absorbing surfaces 60601-1-2 "Electromagnetic compatibility - Medical
(dark pieces of cloth, etc.), because this will cause Electrical Equipment".
unacceptable high heating or even ignition of the material.
Switch the light off when you do not require the light over  The ATMOS ® C 31 may not be operated with units
a prolonged period of time. not complying with the requirements of standard EN
60601-1 "Medical Electrical Equipment" and EN 60601-
 Care is to be paid in respect to light sources when working 1-2 "Electromagnetic compatibility (Medical Electrical
with endoscopes. Harmful heat rays are eliminated by Equipment)".
special built-in filters: but the intensity of the light is very
high. Do not look directly into the light outlets! In case  ATMOS is not liable for personal injury and damage to
of possible light failure remove the endoscope from the property if
working area. • no original ATMOS parts are being used,
• the advice for use in these operating instructions is not
 The ATMOS® C 31 may be used in supervised operation
being observed,
by qualified personnel only which has been authorised
by ATMOS and which has been trained for operating the • assembly, new settings, alterations, extensions and
appliance (IEC 601-1/EN 60601-1). repairs have been carried out by personnel not authorised
by ATMOS.
 The mains voltage specified on the type plate must
correspond with the data of the power supply system.  This operation manual corresponds with the construction
of the unit and with the current status of safety-related
 Make sure prior to every application of the equipment that standards at the time of printing. Proprietary rights are
it is technically safe and in proper condition. Damaged existing for all described circuits, processes, names,
leads and hoses must be replaced immediately! software programs and units.
 Display instruments and valves must be checked for correct  Please pay also attention to the safety information in
function in regular intervals! following chapters.
 Inspection of compressed air and vacuum display by  Please note:
service technician every 2 years! A medical insulating transformer with earth leakage
 Correct configuration in assembly of country-specific monitor or any similar safety system acc. to EN 60601-1
connections: is required, if several devices are connected over one
green/yellow: protective conductor (PE) common power supply. The transformer must correspond to
blue: neutral conductor (N) the power consumption of all the devices to be connected.
black resp. brown: phase (L)
 When connecting several devices on one grounding
 Units with water consuming systems may only be switched receptacle, the allowed strain and leakage current have
on when the water supply is guaranteed! to be observed!
 This product is not re-sterilisable. Repeated reuse of  Never leave the patient unattended at the treatment unit.
components which are marked with a 2 is forbidden.
In case of repeated reuse these components lose their  It is not allowed to use flammable substances with the
function and there is a high infection risk. device.

3.0 Installation and starting-up
3.1 Front view
2 3 4 5 6
18
17
16 7
15
8
14 13 10
12 11
Fig. 1. ATMOS® C 31 Front view

1 Main switch 10 Drawer resp. waste pin (optional)
2 Sprayer (optional) 11 Connections for light guide cables
3 Laryngoscope holder 12 Vacuum control
4 Surface for medicament bottles etc. 13 Door for service compartment
5 Headlamp hook 14 Compressed-air control (optional)
6 Cover for upper instrument deposit 15 Suction
7 Instrument surface 16 Rinsing basin (optional)
8 Free surface 17 Compressed-air handle (optional)
9 Drawer or deposit for used instruments (optional) 18 Rinsing container for hose rinsing (optional)

3.1.1 Service compartment
    
 
®
Fig. 2. ATMOS C 31 Service compartment
 Connection nipple with hose to the vacuum pump (green coding)
 Secretion canister
 Hose rinsing container (optional)
 Secretion hose (black coding)
 Hose for automatic secretion canister
evacuation (optional) (transparent coding)
 Connecting electrodes for automatic
secretion canister evacuation (optional)
 Attachment for secretion hose
 Lid (version with bacterial filter plate)

3.2 Setting up proposal
By the 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"

3.3 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® C 31 is connected to an earthing contact
socket which is to be mounted near the unit (max. 3 m,
preferably on the left side, next to the function column (see
fig. 1).
 The power consumption of the ATMOS® C 31 comes to
5 A max.
 For the connection of further electrical devices, please
allow for extra plugs.
Fig. 3.  Socket outlets with earthing contact (Installation of an electrically operated patient chair).
 Water drainage G3/4" external thread
(optional)
 Water supply with water tap G 3/4"
external thread (optional)
3.4 Connection to water supply

(optional)
Water supply:
 Requirements:
• There must be existing water pipes with a G 1/2
(internal thread)
For connecting a corresponding water or ball
valve with a G 3/8 hose connection.
• This (water tap) ball valve must be installed in
such a way that when leaving the device it can be
turned off without any problem.
• 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
G 3/4" G 1/2" 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
≥ 350 <5 bar.
 There are country-specific regulations for the installation
to be considered when the unit is connected to the public
water supply .
 A water connection with pipe ventilation is
recommended!
 There is no special calcification safety device integrated in
the water system. Such a system is to be connected when
Dimensions in mm the respective drinking water is of hardness grade 3 (14
- 21°d resp. 2.5 - 3.8 mol/m³ = hard water) but especially
with hardness grade 4 (from 21°d resp. from 3.8 mol/m³
= very hard water). You may receive information on the
Fig. 4.  Water drainage G 3/4" external thread hardness grade of your water from the water supply office.
(optional)
 Water supply G 1/2" internal thread 3.5 Independent water supply
(optional) (with water tap G 3/4" external
thread) If the system is not connected to the water supply then we
recommend you to fill the storage tank of the ear irrigation
system with 2 litres of tap water or distilled water.
For information on the maintenance and cleaning of the
water supply, see chapter 5.2 in the operating instructions.
10

3.6 Waste water drain (optional)

 Requirements:
• Permanently installed connection fitting with G3/4"
external thread.
 To adapt the ¾ draining hose to standard HT 40

a connection adapter 510.2130.0 can be ordered
(510.2129.0 for HT 50)
 Connect waste water hose with unit (, Fig. 5) and the
G3/4" connection fitting (insert pertaining seals).
 
Fig. 5.  Connection for wase water hose
 Inlet connector for non-heating apparatus
3.7 Starting-up the ATMOS® C 31
  Electrical connection
• Join the inlet connector for non-heating apparatus(,
 fig.5) with the earth socket outlet using the mains
cable supplied.
 Waste water connection (with optional automatic

 secretion canister evacuation)
• Connect the waste water connector (, fig.5) to the
water drain (, fig. 5).
 Connection of suction hose

 • Thread the suction hose through the hole on the side
into the service compartment and push it straight onto
the connector for the secretion hose (, fig. 6).
 The transport locking screws on the unit's baseplate

Fig 6a. Fig 6b. must be removed by skilling staff prior to starting up!
Lid for bacterial filter plate Lid for integrated bacterial To do this, the rear panel must be opened and the two
filter front screws must be unscrewed. The pump unit is
Secretion canister lid with hose coding removed from the rear locking device by pulling it
forwards.
 green: Filter – Pump
 white: Lid– Hose pump  Connection of fibre-optic cable
(only with fully-automatic secretion canister evacuation)
• Plug the fibre-optic cables into the variable con-
 black: Secretion canister lid – Patient nections of the light source (Storz connector).
 If you require several adapter sleeves (e.g. Olympus,

Pentax, Wolf, etc.), they may be interchanged as
necessary (see chapter 8.2.4).
 So that the fibre-optic cables do not rest on the floor,

they may be threaded through behind the handle
support.
Fig. 7. Connection of the light guide cables
11

 3.6 Starting-up the ATMOS® C 31

 (contin.)
 Light package LED REF 506.7550.0 (Fig. 7a)
• Connecting for the ATMOS LS 21 LED light
source and ATMOS HL 21 LED headlight.
 Switch LED I and LED II

 Holder for ATMOS HL 21 LED headlight
  Holder for ATMOS LS 21 LED light source
 Connecting socket LED II
 Connecting socket LED I
Fig. 7a. Connecting LED


 Connection of the compressed-air hose (optional)
Connection of the function hose for compressed air at the
 side of the column.
• Compressed-air hose is connected by means of plug
connections; make sure that the plug attachment is
engaged. The hose is disconnected by pressing the
release slide (, fig. 8) at the plug connector and by
pulling out the plug attachment.
 Push the handles into the handle support as indicated

by the symbols.
The photoelectric barriers will operate the wrong
pump if the handles are transposed!
Fig. 8.  CPC-Coupling
   Connecting the hose for ear rinsing (optional)
The hose for the warm water system is screwed on the
CPC coupling.
 Different socket nipples; misplacing of the hoses is

thus impossible !
 Connecting the hose for ear rinsing (optional)

Connect the aqua stop valve with the water tap (local
connection). Open the water supply. When the main switch
is set to ON and a water consuming device (basin rinsing
or hose rinsing system) is used the water supply is opened
by automatic opening of the magnetic valve in the aqua
stop system.
 Thus, there is no pressure inside the water supply
hose if no water consuming device is activated.
Fig. 9. Connecting the hose for ear rinsing

 Connection for compressed-air hose
 Connection for ear rinsing hose
12

4.0 Operation
4.1 ATMOS® C 31 - Basic unit

The ENT unit ATMOS® C 31 offers optimum instrument handling
whilst at the same time providing an optimum arrangement of
all functions that an ENT specialist requires for his daily work
in the practice.
The instrument deposit area:

At the top of the functional column there is an area designed
to take medicine bottles (, fig. 1, page 7), so that the in-
strument deposit area can be used to its best advantage for
instruments.
There is also the facility for protective storage of less frequently
used instruments and consumables in the drawers ( and
, fig. 1).
 Most of the unit's surfaces are coated with a special
textured lacquer that fulfills the requirements for
workplace hygiene. However, as the lacquer is not
resistant to all medicines and disinfectants it is impe-
rative to wipe up splashes immediately.
4.2 Basic functions

4.2.1 Main switch
 The ATMOS® C 31 is switched ON and OFF by means of
the main switch (, fig. 1, page 7).
4.2.2 Maximum loads

 Persons must not support on the ATMOS® C 31 (danger
of tilting).
 Maximum load of the instrument surface: 15 kg.
 Maximum load of the writing and working surface: 10 kg.

  Maximum load of the second deposit surface (optional):
7.5 kg.
max.
15 kg
4.2.3 How to open the covering

 Open the unit covering up to the stop.
Fig. 10. Maximum load
13

4.0 Operation
4.2.4 Suction system
The hose attachment must be exchanged after
! each patient.
 Prior to each application, proper function of the display

instruments and control valves must be checked !
 Purpose:
• Suction of fluids and secretions; collecting the secre-
tion in the secretion canister.
 Automatic activation of the suction mode by taking out the
suction attachment.
 Control of suction rate by means of rotary knob for vacuum
control ( , fig. 11).
 Indication of set vacuum at vacuumgauge (, fig. 11) (keep
suction attachment closed by hand).
 Secretion is collected in 1.25 l canister with mechanical
overflow safety and water-repellent bacterial filter.
     Prevents ingress of secretion into the pump.
 Secretion canister to be emptied when half full at the

Fig. 11. Suction system latest, see chapter 4.2.4.1!
 Suction attachment  The suction system may be operated only with in-
 Vacuum control serted bacterial filter. In case the filter is blocked it
 Vacuumgauge has to be exchanged. (see chapter 6.1) !
 ON/OFF switch For hygienic reasons, the bacterial filter must be
exchanged daily.
 The suction hose must never come into direct contact
with the application site. Do always use a suction
catheter, suction tip, or medical suction set!
 Change the suction catheter after every patient and
clean the suction hose, e.g. with the aid of the optional
hose rinsing system (aspirate rinsing fluid or disin-
fectant solution)!
 All commercially available models of suction cannulae

(Adson, Walter, Frazier, Fergusson, Plester, Yankauer,
Torrington) may be attached to the silicone attachment.
14

4.0 Operation
4.2.4.1 Emptying the secretion canister


 Detach all hose connections carefully on the lid system and
 take 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 anti-clockwise direction. For systems with bacterial
filter plates or integrated bacterial filter: Remove filter and
dispose of it.
 Rinse all parts thoroughly under running water. A detergent
or cleaning agent may also be used if required.
 After cleaning a new filter must be inserted (with bacterial
 filter plate: smooth side down). See chapter 6.1.
See also suction accessories (chapter 8.2.1).
Fig. 12.  Bacterial filter plate

 Secretion hose
 Green coding ring: pump connection
 Black coding ring: suction hose connection
4.2.4.2 Application with disposable

secretion canister systems (Fig 12b)
Assembly of the disposable canister system. Insert the
disposable bag into the canister. Seal properly on all sides.
Check again for tightness, otherwise there will be no build up
of vacuum. Connect the vacuum hose.
The bag is a disposable system. The canister can be
reprocessed, cleaned and disinfected.
Fig. 12b Disposable secretion canister systems Please observe the valid hygiene and waste
! disposal measures.
Only the recommended ATMOS disposable
secretion canister with integrated filter may
! be used!
15

4.0 Operation
  4.2.5 Halogen cold-light system
 Attention with the cold-light source!
Because of the high energy of the light there is a large
amount of heat emission at the point of the optical
system. Avoid too small a distance between the tissue
and the field of light emission of the light guide resp. of
the endoscope, as this may cause coagulation of the
patient's tissue. When using the endoscope avoid the
direct contact between area of light emission and the
tissue.
Attention, Fire Hazard!
Do never place the area of light emission from the light
guide or from the endoscope onto heat-absorbing
surfaces (dark pieces of cloth, etc.), because this will
cause unacceptable high heating or even ignition of
the material. Switch off the light when you do not require
the light over a prolonged period of time.
   The cold-light source used in the ATMOS® C 31 consists of
four halogen low-voltage lamps with a colour temperature
Fig. 13. Cold-light system of 3300 K. The halogen lamps are only switched on if the
 Switch for selecting the light exit respective light exit is activated.
 Intensity control
 Holder for cold-light cable  The brightness is individually adjustable for each of the
 Endoscope holder four light exits; a memory function realizes which optics are
used and guarantees the availability of the previously set
light performance with every use of the chosen instrument.
 The light guide connectors are installed on the right side

of the function column.
The respective connections are marked with the

corresponding symbols:
Headlamp
Microscope
Light guide 1
Light guide 2
Starting the cold-light system

 After having operated the main switch of the ATMOS® C 31
(, fig. 1, page 7) the cold-light source changes over to
standby mode, i.e. none of the halogen lamps is switched
on.
• When removing a light guide resp. when swivelling
down the microscope or removing the headlamp from
its suspension the respective instrument is supplied
with light. Manual selection of a light exit on the foil
keyboard is, of course, possible at any time.
16

4.0 Operation
Priority circuit:
 
 Activating the priority circuit:
When switching on the ATMOS® C 31, keep pressing the
+button ( , fig. 14).
Deactivating the priority circuit:
When switching on the ATMOS® C 31, keep pressing the
–button ( , fig. 14).
Highest priority is allocated to endoscope 1 and lowest
priority to the headlamp. Thus, an instrument with high
priority (e.g. endoscope 2) is supplied with light even if
another instrument with low priority (e.g. headlamp) is
already used. When the endoscope is put back the light
supply changes automatically to the instrument with
lowest priority. Without this priority circuit the light would
expire and a manual switchover to headlamp would be
necessary.
 Due to their limited durability, the halogen bulbs of the

cold-light system may fail at any time during use. In
case of inadvertent switching over or switching off of
Fig. 14. Front foil the individual light exits, they may at any time again be
 +Button for activating the priority switching manually switched on with the buttons on the operating
 –Button for deactivating the priority switching panel.
 The cold-light system is designed for continuous

operation in stand-alone application.
However, it is possible that the thermal cut-out will be
triggered and the cold light will be switched off if it is
operated contrary to defined use whilst the
suction and compressed-air systems are operated
conisly at over-voltage at the same time. The cold-
light system will be operable again following a
cooling period.
4.2.6 Mirror quick heater

 Switch on the mirror quick-heater with key switch (,
fig.15) The mirror quick heater heats up for 10 sec. and
switches off automatically afterwards.
 Supply voltage of the heating coils: 6 V/15 A.
 Hold the mirror to be heated over the burning heating coil
(, fig. 15) located beneath the round grid.
 Prior to use of the mirror, always check its

temperature (with hand etc.)!
 Automatic switching to avoid overheating!
 Safety cover, sleeve and heating element might be

very hot. Do not touch directly after heating-up !
 Changing the heating coil, see section 6.3.
 
Fig. 15. Mirorr quick heater
 Key
 Heating coil
17

4.0 Operation
4.3 Options
4.3.1 Ear rinsing system (option)
 The ear rinsing system is supplied with water by a heated
(37°C) 4.5 l storage container (, Fig. 17). This container
can easily be filled, cleaned or disinfected. The pump turns
on automatically only when pressure drops. Water pressure
and flow quantity may be regulated with the release lever
 on the irrigation handle. With the switch , Fig 17 a, the
ear irrigation system can be switched on and off.
 Switch on the ENT unit only after water has been

filled in the storage container of the ear rinsing sy
stem.
 Use e.g. the measuring cup (000.0583.0) to fill the storage
container with water of drinking quality (at least 2 l, max.
Fig. 16.  Water temperature display 4.5 l) and close the lid.
 The water must not be contaminated and its tem-
perature must not exceed 37°C as it cannot be cooled
down. If there is no water of drinking quality
available, you may also fill in isotonic saline
solution. Alternatively, you may achieve drinking
 water quality by filtering or boiling the water
resp.by adding disinfectants.
 This system may not be used if the auditory canal is
injured as there might be a risk of infection if the
 irrigation liquid is contaminated.
 The temperature display indicates the water temperature.
It takes approx. 15 min. until 2 litres of cold tap water are
 heated up to 37°C. Observe the temperature display and
check water temperature prior to every application. As
soon as the middle lamp is lit the water has reached the
desired temperature.
Fig. 17.  Storage container for ear rinsing 37°C
 Connection for irrigation handle  Take the water handle out of its holder and spray off water
 Irrigation handle until all air bubbles are removed and the level of the pump
noise gets lower (repeat this procedure every time the
pump noise gets loud, e.g. after long periods during which
it has not been used or after the water level has dropped
below the suction limit).
 Change the jet connection daily. Only use disinfected jet

connections to avoid a spreading of germs. Use the hose
 tip to avoid damages to the tympanic membrane.
 Cleaning: Empty the storage container and the hose system

every evening using the irrigation handle. The remaining
fluid can, for example, be removed with the suction sy-
stem.
Fig17a.  To avoid a contamination of the storage container

please use a disinfected suction attachment.
 Disinfection: The storage container has to be disinfected
once a week with a surface disinfectant (see list of recom-
mended disinfectants in chapter 5.5).
  The hose system of the ear rinsing equipment has also to
be effected disinfected once a week with a hose disinfec-
tant.
 A measuring of the total number of germs is to be effected
in regular intervals. If there is a considerable increase in
germs between storage container and irrigation handle a
biofilm removing procedure and a special disinfection of
the hose system have to be effected by an ATMOS service
technician.
 Before cleaning the storage container, switch off the
unit as, otherwise, the canister might get too hot when
Fig. 18. Mirror preheater no liquid is filled in.
 Mirror rack
18

4.0 Operation
    
4.3.2 Mirror preheater (option)
 The mirror preheater is switched on when the main switch
(, fig. 1, page 7) is activated.
 The rack (  , fig. 18) containing the mirrors is
heated up to about 40°C.
 ENT unit should be switched on about 20 minutes

before starting work, to ensure preheating in good
time!
 Attention, high temperatures !
 Prior to use of the mirror, always check its temperature

(with hand etc.) !
4.3.3 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 suction attachment to holder.
Fig. 19. Service compartment
 Connecting nipple  The tube cassette of the tube pump is a wear part and
 Secretion canister must be replaced at regular intervals (see chapter 6.2) !
 Hose rinsing container (option)  Pay attention to cleaning described in chapter 5.0 !
 Secretion hose
 Hose for automatic secretion canister evacuation
 Connecting electrodes for automatic
secretion canister evacuation (optional)
 Connection for secretion hose 4.3.4 Quiver for cleaning and
disinfecting solution (option)
 Cannulae and suction hose should be rinsed through each
time after use to prevent sticking and clogging up. We
therefore offer an optional quiver that may be attached to
the handle support (see fig. 20).
 After cleaning, cannulae may no longer be used in patients

(exception: if the cleaning solution is changed after every
patient).
 Particularly suitable: ATMOS special cleanser (080.0005.0).
Fig. 20. Plastic quiver for cleaning and

disinfecting solution (506.7015.0)
19

4.0 Operation
4.3.5 Hose rinsing system (option)

 After use, the suction system has to be rinsed by means
of the hose rinsing system.
• Insert the suction attachment into the white rinsing
attachment of the hose rinsing system. Press the
rinsing insert in and rinse the hose for a few seconds.
 This procedure will prevent the hoses and suction
cannulae from clogging up.
  The tank for the rinsing fluid of the hose rinsing is located
in the service compartment at the front of the unit. For
optimum cleaning, add the ATMOS special cleanser
(Art.No. 080.0005.0) to the rinsing liquid. The tank may,
optionally, be automatically filled up with fresh water. Water
 supply is then controlled by a level switch. A safety switch
in the tank holder next to the tank prevents the filling if the
tank is missing.
 The suction attachment of the hose rinsing system

may be contaminated. Therefore, it must be cleaned
 and disinfected daily !
Fig. 21.  Float switch

 Hose rinsing container
 Line to hose rinsing system
4.3.6 Kidney-shaped rinsing basin

(option)
 Purpose:
• The basin receives the water that returns from rinsing
procedures of the ear and the maxillary sinus.
 Remove the basin from its support and hold it under the
ear to be rinsed.
 After use, we recommend to activate the rinsing system.

To do so, press the key on the unit; a time mechanism will
then start the rinsing procedure (for abt. 10 sec.).
 The rinsing basin is not suited to collect large water

quantities, e. g. when evacuating a pail, as water might
overrun the interior of the unit!
Fig. 22. Kidney-shaped rinsing basin
20

4.0 Operation
4.3.7 Compressed-air system (option)

 Prior to each application, proper function of the display
instruments and control valves must be checked !
 Purpose:
• 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.
 Handle is mounted on a sprayer; the top of the com-pressed-
air handle locks in place in the ring of the sprayer bottle.
 Available sprayers:
• with straight spraying tube for normal liquid medicaments
• with twin tube and adjustable angular jet for oily
medicaments.
 If a sprayer is used with medication the instructions of

the medication manufacturers have to be observed.
 Do not use the sprayer for the storage of medication !
 Caution to be paid to avoid injury when introducing
sprayer jet!
Please note, in case the ventilation opening is blocked or the

sprayer head is immersed in fluids (e.g. blood, secretion, etc.)
a negative pressure could occur and the fluid could flow back
    into the bottle.
In this case the medicine sprayer, sprayer head, flexible nozzle
as well as the hose piece for the medicine sprayer must be
Fig. 23. Compressed-air system reprocessed as described in chapter 5.0 cleaning.
 Compressed-air handle
 Holder for automatic photoelectric barrier control  Operating the release lever.
 Sprayer suspension  The medicament sprayer is supplied with air and the
 Compressed-air control medicament in the sprayer bottle is atomized.
 Compressed-air display  The amount of compressed air is adjusted with regulator (
, fig. 23) in conjunction with the display ( , fig. 23).
 After use, the medicament sprayer is again inserted in its
holder, the bar is pressed, the handle is removed from the
sprayer and again inserted in its support.
 Compressed-air system is again switched off.
• b) Politzerisation with Politzer olives or Eustachian
catheter can be carried out.
 Pump switches on after the compressed-air handle has been

removed from its holder.
 The adapter (, fig. 24) supplied for this purpose is locked
into the compressed-air handle.
 Politzer olive (, fig. 24) is inserted in the adapter.
 The pressure for the insufflation of the Eustachian

tube can be controlled by means of the manometer
and the compressed-air regulator. Select an
insufflation pressure adapted to the condition of
the tympanic membrane. If the tympanic membranes
are al-ready pre-damaged even low pressure values
mightlead to injuries! Maximum pressure may no
exceed 0.2 bar!
 Activating, adjusting and regulating the compressed air and

Fig. 24. Compressed-air handle with Politzer adapter switching off the compressed-air system as described
 Compressed-air handle above.
 Adaptor for Politzer olive
 Politzer olive  Accessories, see chapter 8.2.3.
21

4.0 Operation
4.3.8 Connection for warm-light

headlamp/
Nystagmus binoculars (option)
 After the switch ( , Fig. 26) has been turned on, the
headlamp connection is ready for operation.
 The connector of the headlamp, e.g. CLAR 55 Art.
No. 502.0161.0, is plugged into the jack ( , Fig. 25)
(connection cable is included in standard delivery of this
option).
 When connecting nystagmus binoculars (cable available
as accessory, Art.No. 502.0141.6), the voltage is reduced
automatically (4V) even if you work with low voltage.
 Care must be taken to ensure that the connection

Fig. 25. Headlamp connection
 Jack
 jack and the patient are not touched at the same time
when plugging and unplugging the warm-light head-
lamp!
   4.3.9 Headlamp suspension (option)

Fig. 26.  Switch for warm light
 Cold-light-connection 1  For storing the headlamp.
 Cold-light-connection 2  When the headlamp is suspended again, the cold-light
exit is switched off automatically.
4.3.10 Counter-mirror lamp (option)

 The counter-mirror lamp (fig. 27) can be mounted to the
left side of the column.
 See separate operating instructions.
Fig. 27. Counter-mirror lamp
22

4.0 Operation
 
4.3.11 Endoscope heating (option)
 Endoscope heating is switched on when the main switch
is activated.
 Endoscopes are warmed to approx. 40°C.
 ENT unit should be switched on about 20 minutes before

starting work, to ensure preheating in good time!
 The metal quivers of the endoscope holder are to be used

solely for holding the endoscopes, these first having been
cleaned and disinfected.
 The metal quivers must regularly be removed and cleaned.

Do not fill in any liquids.
Fig.28. Endoscope heating

 Main switch
 Sleeves of the endoscope heater
4.3.12 Tongue patches and

swab dispenser (option)
 The tongue patches and swab dispenser hygienically

stores tongue patches and swabs.
 The whole dispenser may be pulled out at the front for
filling or refilling (fig. 29).
4.3.13 Waste bin (option)
 The door of the waste bin (, fig. 1, page 7) is fitted with
a "kick box" locking device. The waste bin automatically
opens a little by lightly touching the door with the hand
Fig. 29. Tonue patches and swab dispenser or foot.
 The kick box locks automatically on closing.
4.3.14 Microscope (option)

 Cold-light microscope on a mount which is secured to
the ATMOS® C 31. Light is provided via a fibre optic light
conductor which is connected to an exit of the ATMOS®
Cold-light system.
 Refer to separate operating instructions!
 Only microscopes and accessories approved may be

added to the support !
23

4.0 Operation
4.3.15 Video system (option)

 In order to make the endoscopic resp. microscopic findings
visible to the patient, the ATMOS® C 31 may, optionally, be
supplemented with a video system, consisting of a camera
with endoscopic adaptor as well as a display on the carrying
arm.
 Freezing of the video image is possible with a foot switch

(camera accessory).
 When transferring the video signal to further devices (video

printer, video recorder, computer,...), make sure that they
are approved medical products.
Fig. 30. TFT Display
4.3.16 Tulip-shaped ear rinsing bowl

(option)
 Intended use: To collect the water flowing off during ear
rinsing.
 The tulip-shaped bowl is added to the suction attachment

of the suction system.
 As accessory, we offer a special holder for this ear rinsing

bowl.
Fig. 31. Tulip-shaped ear rinsing bowl 4.3.17 Hygiene filter for the ear irrigation
system (option)
 Connect the disposable hygiene filter to the irrigation
handle. Exchange it daily, as specified in the hygiene plan.
Insert the filter in the direction of the water flow between
the handle and the nozzle.
4.3.18 Holder for standard rail

(option)
Fig. 32 Hygiene Filter for ear
 Purpose: For adding disposable secretion canister
irrigation system systems.
 The standard rail holder may be used for one 2 or 3 l-

canister.
 ! Maximum load: 5 kg !
24

5.0 Cleaning
5.1 General information on cleaning and 5.1.3 Secretion canister (without autom.
disinfection secretion canister evacuation),
bacterial filter and suction hose
 Set main switch to OFF prior to cleaning and
disinfection!  At the end of every working-day, following parts must be
cleaned and disinfected:
 The described measures for cleaning do not re
place the respective precautions for operating the  Secretion canister with lid system and bacterial filter:
unit ! • Detach all hose connections carefully on the lid system
and take secretion canister out carefully to prevent spills and
 For disinfection, you may use all surface and instrument contamination of the area. Dispose of secretions
disinfectants listed on page 26. properly.
• Grip lid system firmly, open lid of filter housing by turning
 Always observe the concentration specifications and in anti-clockwise direction.
instructions by the respective manufacturer ! • For systems with bacterial filter plates or integrated
bacterial filter:
 Do not use Remove filter and dispose of it.
• Disinfectants containing concentrated organic or an- • With external bacterial filter:
organic acids or bases, since these may cause To open the bacterial filter cover please turn it. Remove
corrosion damages; filter and dispose of it.
• Disinfectants containing chloramides, phenol deri- • After cleaning a new filter must be inserted (with
vatives or anionic tensides, since these may cause bacterial filter plate: smooth side down).
stress cracks in the material used for the housing of See chapter 6.1.
the unit. • The bacterial filter is a disposable and must be disposed
of. The bacterial filter must be exchanged at least once
a day.
 Suction system and hose attachment:

5.1.1 Cleaning the unit surface • After every use, rinse out the suction system by
drawing in a small amount of irrigating fluid (e.g.
 The surfaces of the ATMOS® C 31 are resistant against all ATMOS Special Cleanser 080.0005.0).
listed surface disinfectants.  Keeps the hoses from becoming sticky or
clogged.
 Wipe the unit surface with a cloth moistened with a cleaning
or disinfecting solution.  Suction capacity is limited by the 1.25 l secretion
canister. Therefore, do not use more than 1 l rinsing
 Wipe dry the device surface, the surface edges may not liquid and subsequently evacuate the canister.
be wet for a longer period.
 Replace The filter.
5.1.2 Cleaning "application parts" 5.1.4 Secretion canister and electrodes

(automatic evacuation of
 "Application parts" comprise:
All single components or assemblies which come into secretion canister)
contact with the patient and might get contaminated:
• secretion canister,  The secretion canister should be removed and cleaned once
• secretion hose, every week.
• nozzles of medicament sprayers, • During the cleaning of the canister the cover has to be
• Politzer olives and adapters. pulled off and rinsed thoroughly under running water.
Use the disinfectants mentioned in chapter 5.4 for
 All application parts may disinfected with instrument disinfection. Before the canister is assembled again, the
disinfectants (see page 26). electrodes in the cover should be cleaned using a wet
cloth.
 All application parts which are exposed to direct
contact with the patient during treatment are to be  Mistake in polarity not possible!
exchanged or cleaned immediately for hygienic
reasons.
25

5.0 Cleaning
000.0237.0
055.0029.0
5.1.5 Medicament sprayers
000.0219.0 506.5121.0
!  The sprayer tube must be exchanged after each patient.
 Dismount the medicament sprayer (fig. 32, 506.5120.0;

fig. 33, 506.5225.0) and thoroughly rinse all parts under run-
005.0026.0 ning 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!
000.0577.0
 When fixing the twin tube nozzle again, make sure
that the mark (0,X or milling area) on the nozzle shows
Fig. 32. upwards !
506.5120.0
055.0028.0
505.0280.0
005.0026.0
 Sprayer tubes are available as spare parts (see fig. 32 /
fig. 33).
506.5227.0
(055.0028.0)
(505.0280.0)
(505.0258.0)
(005.0026.0)
000.0577.0
(055.0021.0)
5.1.6 Instrument trays
Fig. 33.
506.5225.0  Before disinfection, thoroughly rinse the trays under running
water. You may, of course, add a cleanser (deter-gent) or
surface disinfectant.
• Thoroughly rinse the trays under running water.
Melamine and anodized aluminium trays cannot be

sterilised.
5.2 Endoscope quivers

 The metal quivers of the endoscope holder are to be
used solely for holding the endoscopes, these first having
been cleaned. The quivers are to be cleaned daily and
subsequently disinfected. For doing this, the stopper at
the lower end should be taken off.
5.3 Ear rinsing bowl

 The ear irrigation bowl is not autoclavable!
Cleaning and disinfection (also machine cleaning) up to
93°C.
26

5.0 Cleaning
5.4 Recommended instrument disinfectants

Manual disinfection of instruments
Disinfectant Ingredients in 100 g Manufacturer

Korsolex® basic glutaral 15,2 g Bode Chemie,
(Application concentrate) (ethylendioxy) dimethanol 19,7 g Hamburg
surfactants, salts, corrosion inhibitors
Korsolex® plus N-(3-aminopropyl)-N-dodecylpropane-1,3-diamine 9,2 g Bode Chemie,
(Application concentrate) didecyldimethylammonium chloride 13,0 g Hamburg
surfactants, corrosion inhibitors
complexing agents, ph-value regulators
Korsolex® extra (ethylendioxy)dimethanol 15,3 g Bode Chemie,
(Application concentrate) glutaral 7,5 g Hamburg
benzyl-C12-18-alkyldimethyl-ammonium chlorides 1,0 g
didecyldimethylammonium chloride 1,0 g
surfactants, foam inhibitors, corrosion inhibitors
neodisher® Septo MED N-(3-aminopropyl)-N-dodecylpropane-1,3-diamine 9,2 g Dr. Weigert, Hamburg
(Application concentrate) didecyldimethylammonium chloride 13,0 g
non-ionic surfactants, perfumes
neodisher® Septo 3000 glutaral 15,2 g Dr. Weigert, Hamburg
(Application concentrate) (ethylendioxy) dimethanol 19,7 g
Sekusept® aktiv Soduim percarbonate, non-ionic surfactants, phosphonate Ecolab, Düsseldorf
(Application concentrate)
Gigasept® Instru AF Cocospropylendiaminguanidindiacetate 14 g Schülke & Mayr,
(Application concentrate) Phenoxypropanols 35 g Norderstedt
Benzalkonium chloride 2,5 g
non-ionic surfactants, ph-value regulators, corrosion
inhibitors
Gigasept® FF (neu) succindialdehyde 11,9 g Schülke & Mayr,
(Application concentrate) dimethoxytetrahydrofuran 3,2 g Norderstedt
anionic and non-ionic surfactants, perfumes, methyliso-
thiazolinone
Gigazyme® non-ionic surfactants 5 - 15 g Schülke & Mayr,
(Application concentrate) enzymes, corrosion inhibitors Norderstedt
Automatic disinfection of instruments

Dismoclean® 24 Vario surfactants, micro-encapsulated enzymes, corrosion Bode Chemie,
(Application concentrate) inhibitors, complexing agents Hamburg
Dismoclean® 28 alka med alkali dispenser, complexing agents, corrosion inhibitors, Bode Chemie,
(Application concentrate) surface active materials Hamburg
Dismoclean® twin basic / twin zyme Bode Chemie,
Dismoclean® twin basic alkali dispenser, complexing agents, corrosion inhibitors Hamburg
Dismoclean® twin zyme surface active materials, enzymes, stabilisers, corrosion
inhibitors
neodisher® FA phosphates 15 - 30 Dr. Weigert, Hamburg
g
neodisher® MediClean forte non-ionic and anionic surfactants < 5 g Dr. Weigert, Hamburg
(Application concentrate) enzymes
Thermosept® alka clean forte non-ionic surfactants < 5 g Schülke & Mayr,
(Application concentrate) anionic surfactants < 5 g Norderstedt
NTA (nitrilotriacetic acid) and its salts <5g
enzymes, poly carboxylates <5g
corrosion inhibitors
Thermosept® RKN-zym non-ionic surfactants, 5 - Schülke & Mayr,
enzymes, corrosion inhibitors, glycols 15 g Norderstedt
27

5.0 Cleaning
5.5 Recommended surface disinfectants

Coated surfaces

Green & Clean SK Di alkyl dimethyl ammonium chloride <1g Metasys, Rum
Alkyl dimethyl ethyl benzyl ammonium chloride <1g (Austria)
Alkyl dimethyl benzyl ammonium chloride <1g
Dismozon® pur magnesium monoperoxyphthalate hexahydrate 80 g Bode Chemie,
(Granulate) Hamburg
End of product 12/2014
Dismozon® plus magnesium monoperoxyphthalate hexahydrate 95,8 g Bode Chemie,
(Granulate) Hamburg
Kohrsolin® FF glutaral 5 g Bode Chemie,
(Application concentrate) benzyl-C12-18-alkyldimethyl-ammonium chlorides 3 g Hamburg
didecyldimethylammonium chloride 3g
Perform® Potassium peroxymonosulfate 45 g Schülke & Mayr,
Norderstedt
Terralin® Protect benzalkonium chloride (benzyl-C12-18 alkyldimethylam- 22 g Schülke & Mayr,
(Application concentrate) monium, chloride) Norderstedt
2-phenoxyethanol 17 g
aminoalkylglycine 0,9 g
Other surfaces

Dismozon® pur magnesium monoperoxyphthalate hexahydrate 80 g Bode Chemie,
(Granulate) Hamburg
End of product 12/2014
Dismozon® plus magnesium monoperoxyphthalate hexahydrate 95,8 g Bode Chemie,
(Granulate) Hamburg
Kohrsolin® FF glutaral 5 g Bode Chemie,
(Application concentrate) benzyl-C12-18-alkyldimethyl-ammonium chlorides 3 g Hamburg
didecyldimethylammonium chloride
3g
Bacillocid® rasant glutaral 10 g Bode Chemie,
End of product 2014 benzyl-C12-18-alkyldimethyl-ammonium chlorides 6g Hamburg
didecyldimethylammonium chloride 6g
Mikrobac® forte benzyl-C12-18-alkyldimethyl-ammonium chlorides 19,9 g Bode Chemie,
(Application concentrate) N-(3-aminopropyl)-N-dodecylpropane-1,3-diamine 5g Hamburg
Perform® Potassium peroxymonosulfate 45 g Schülke & Mayr,

Norderstedt
Terralin® Protect benzalkonium chloride (benzyl-C12-18 alkyldimethylam- 22 g Schülke & Mayr,
(Application concentrate) monium, chloride) Norderstedt
2-phenoxyethanol 17 g
aminoalkylglycine 0,9 g
Surface disinfection F 312 alkyl-benzyl-dimethyl-ammonium chloride 13 g Dürr Dental,
non-ionic surfactants, complexing agents, hexyl cinnamal, Bietigheim- Bissingen
butyl phenyl methyl proionale, linalool
Quick disinfection B 30 ethanol 62 g Orochemie,
didecyldimethylammonium chloride 0,05 g Kornwestheim
If using aldehyde-containing or amine-containing disinfectants at the same object, this may result in discolourations.
28

5.0 Cleaning
5.6 Recommended endoscope disinfectants

Manual disinfection of endoscopes

Helipur® H plus N glutaral 12 g, BBraun,
2-propanol 7,5 g Melsungen
ethyl hexanol 0,5 g
surfactants, complexing agents, corrosion inhibitors,
colorants, perfumes
Helix® Ultra peracetic acid BBraun,
Melsungen
(ethylendioxy) dimethanol 19,7 g Hamburg
neodisher® MediClean forte non-ionic and anionic surfactants < 5 g Dr. Weigert,
(Application concentrate) enzymes Hamburg
Sekusept® aktiv sodiumpercarbonate, non-ionic surfactants, phosphonates Ecolab, Düsseldorf
(Application concentrate)
Automatic disinfection of endoscopes

(ethylendioxy) dimethanol 19,7 g Hamburg
neodisher® MediClean forte non-ionic and anionic surfactants <5g Dr. Weigert,
(Application concentrate) enzymes Hamburg
Gigasept® FF (neu) succindialdehyde 11,9 g Schülke & Mayr,
(Application concentrate) dimethoxytetrahydrofuran 3,2 g Norderstedt
anionic and non-ionic surfactants, perfumes, methylisothia-
zolinone
Endozime® AW Plus 2-propanol Ruhof, Mineola
(USA)
AdaptacleanTM Potassium hydroxide, surfactants ASP, Norderstedt
29

6.0 Maintenance and servicing
 The ATMOS® C 31 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 changing the secretion canister.
• There is a service compartment (lower part of the

function column) which contains the parts needed for
the maintenance procedures. The possible main-
tenance procedures are described in the following
chapters.
 Maintenance, repairs and period tests may only be

carried out by persons who have the appropriate
technical knowledge and are familiar with the product.
To carry out these measures the person must have the
necessary test devices and original spare parts.
ATMOS recommends: work should be carried out by
an authorized ATMOS service partner. This ensures
that repairs and testing are carried out professionally,
original spare parts are used and warranty claims remain
unaffected.
 At least every 24 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.
30

6.1 Changing the bacterial filter

Exchange daily or when blocked.
Check the bacterial filter

 Set the vacuum regulator (12 , Fig. 1, page. 7) to "maximum"
(right stop).
 As soon as the vacuumgauge shows a vacuum value
>-0.3 bar, while the suction hose is open, the filter has to
be replaced.
Changing the bacterial filter
 Please do only use original ATMOS bacterial filters. The

device may never be operated without DDS bacterial
filter / oversuction stop.
Fig 34a. Lid with bacterial filter plate
Bacterial filter plate / integrated bacterial filter:
 Detach all hose connections on the lid system and take
collection 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 anti-clockwise direction. Remove filter and dispose of it.
 Rinse all parts thoroughly under running water. A detergent
or cleaning agent may also be used if required.
 After cleaning a new filter must be inserted. With
bacterial filter plate: smooth side down.
External bacterial filter:

 To open the bacterial filter cover please turn it.
 Remove the bacterial filter.
 Insert a new bacterial filter and close cover.
 Make sure to clean the electrodes of the automatic

secretion canister evacuation!
Fig 34b. Lid with integrated bacterial filter
 Mistake in polarity not possible!
 If no vacuum is achieved after switching on again the

suction system, check free movement of the float!
open

Fig 34c. external bacterial filter
31

6.2 Changing the tube cassette of the

tube pump
 The tube cassette is located in the unit's pump

compartment.
It may only be replaced by qualified staff!
 The tube cassette (, fig. 35) must regularly be changed

(approx. once a year) as it may otherwise get leaky.
 Set main switch to OFF.
 Clean and disinfect the hose system to avoid splashing
of the secretions.
 Loosen the two hose connections.
 Remove the tube box from the drive axle by depressing
the release lever.
 Attach the new tube cassette to the drive axle and arrest
it in the bayonet holder by lifting the release lever. Pull the
tube cassette slightly to check for secure locking.
 Add the two connecting tubes again acc. to fig. 35.
 Pump head and cassette holder to be disinfected

by means of spray disinfectant!
 Take care to ensure that the hoses are not kinked

when installing it (shorten them, if necessary)!
    
Fig. 35.  Hose to the secretion canister
 Release lever
 Tube cassette
 Drainage hose
 Connecting nipple to the rear wall
32

6.3 Changing the heating coil of the
mirror quick-heater
 Grid and sleeve might get very hot. Allow them to cool
down before changing the heating coil !
 Set main switch of the ENT unit to OFF

(, fig. 1, page 7).
 Remove grid (, fig. 36).
 Pull out the heating coil (, fig. 37) located under the grid
along with its plug connections.
 Insert a new heating coil and make sure that the three
heating helices come into contact only with their ends.
 Fix the grid again and set main switch to ON.

Fig. 36. Mirror quick-heater
 Grid

Fig. 37. Removing the heat
33

6.4 Changing halogen cold-light lamp
 Before opening the lamp slot, switch of the unit !

The lamp and the housing of the cold-light module
are very hot after failure !
Allow them to cool down!
 The lamps of the cold light system are integrated in the

function column. The light module can completely be
extracted by opening the two locking screws. Thus, the
lamps can easily be replaced.
 The lamps are horizontally inserted in a socket from which

Fig.38/a. they can be removed by pulling to the centre of the module.
 The spare lamp must not be touched with bare fingers

(only cut off the top of the foil (fig. 38/b), the rest of the
foil remains on the lamp until it is inserted in the
socket)!
 Prior to changing, check on which light exit the lamp

has to be replaced !
 Do not look directly into the light exits !
 Insert the spare lamp in the socket.

Then remove the foil on the lamp.
Fig. 38b.  Make sure that the lamp is inserted in horizontal

position !
If lamps are inserted in inclined position or not up to
the stop, the light performance is considerably
diminished.
 Slide the light module in up to its stop.
 Fix the light module again with the two locking screws.
Fig.38/c.
34

6.5 Changing the halogen bulb of the
counter-mirror lamp
 Allow the lamp to cool down before changing it!

 Pull out the plug of the halogen counter-mirror lamp.
 The halogen bulb is located under two glass disks, which
are held with a snap ring.
 To release the snap ring insert a small screwdriver under
the nose of the snap ring and lift it out.
 Lift out the two glass disks.
 Remove the reflector of the halogen lamp.
 When you insert the new lamp make sure that you do not
touch the reflector with your bare fingers but use a clean
cloth.
6.6 Changing the rinsing container
 Please switch off the unit before removing the rinsing

container.
 To replace the rinsing container, push it all the way up and

swing it out together with the level switch. The container
must be lifted over the edge of the holder.
 The container can then be withdrawn obliquely down-wards

and outwards.
 To insert the container, swing the level switch upwards.

The container is pushed obliquely upwards to the stop,
swung over the edge of the holder and pushed down into
the insert (see fig. 39).
Fig. 39. Changing the rinsing container
35

7.0 Trouble-shooting
7.1 Electrical protection
 The supply line voltage reaches the individual components

via the main switch (, fig. 1, page 7). The power supply
is secured by means of melting fuses on the rear of the
unit (fig. 40).

Fig. 40.  Fuse support
Before contacting the ATMOS Service, please check your unit acc. to the following charts.
7.2 Power supply
Failure with
the Unit
Main switch is activated, no voltage – no voltage to power plug • check fuse, connect other units (lamp)
at the unit, no function, pilot lamps to the socket, if necessary
do not light up – fuse is defective • replace 10A fuse on the rear of the
unit
– power plug or cable is defective • check power plug or cable and
replace, if necessary
7.3 Mirror heating

Failure with
the Unit
Mirror is not warmed up with the – no voltage • check voltage by connecting other con-
mirror quick heater suming devices
– heating coil is defective • replace heating coil (section 6.3)
• Call service to exchange the switch

– Switch or control unit defect or control unit.
Mirror preheater remains cold – heating plate body in the mirror • have heating plate body replaced by a
preheater plate is defective service technician
– no voltage • check voltage by connecting other con-
suming devices
36

7.4 Suction system
Failure with
the Unit
Weak suction or no suction at all – suction hose is clogged • rinse the suction hose with water
(to do so hose can also be removed)
– float of overflow safety closes the • check filling level in the secretion
suction opening canister
– lid of secretion canister is not
closed tightly • check that lid of the secretion canister
– bacterial filter is clogged is closed properly
– hose connections are leaking • replace bacterial filter
– connecting hoses in the secretions • seal up or replace connections
canister compartment are broken • check hose connections, remove
– secretion penetrated the suction kinks
pump • have pump cleaned by service
technician
No suction, but vacuumgauge indica- – suction hose is clogged • rinse the suction hose with water
tes -0.7 bar (to do so hose can also be removed)
– float of overflow safety closes the • check filling level in the secretion
suction opening canister
– bacterial filter is clogged
– connecting hoses in the secretion • replace bacterial filter
canister compartment are broken • check hose connections, remove
– overflow safety is closed kinks
• hang up suction attachment, open
regulating valve and tap on the secretion
canister; the float balls of the overflow
safety must drop back into the resting
position
No suction and suction motor does – photoelectric barrier / electronics • clean photoelectric barrier
not start defective or photoelectric barrier • have photoelectric barrier checked by
is contaminated a service technician
No suction; suction motor fails to – compressed-air handle and • position handles corresponding to
start although compressed-air suction hose in handle support switching function
pump starts transposed
37

7.5 ATMOS® Cold light
Failure with
the Unit
Lamps fail to light – no voltage • check mains voltage and fuses

– lamp drawer not arrested • arrest lamp drawer
– thermal cut-out triggered • allow unit to cool down; fuse resets
automatically
No light at one light exit – halogen bulb burnt out • replace halogen bulb (chapter 6.4)
7.6 Compressed-air system
Failure with
the Unit
Compressor does not start – no voltage • check voltage

– electrical defect • have the unit checked by a service
technician
Compressor fails to start although – compressed-air handle and • position handles corresponding to
suction motor starts suction hose in handle support switching function
transposed
Pressure of compressed air is – hose connections are leaking • check hose connections
too low < 2.3 bar • have hose connections inside the unit
checked by a service technician
Compressed air does not switch off – photoelectric barrier is • clean photoelectric barrier
contaminated or defective • have photoelectric barrier replaced
by a service technician
Sprayer does not work – sprayer is clogged • clean sprayer (section 5.1.5)
– twin tube nozzle wrongly added • see section 5.1.5
38

7.7 Warm-light source
Failure with
the Unit
Bulb on headlamp does not – headlamp is defective • replace halogen bulb

work – cable or connection is defective • check cable connections
7.8 Counter-mirror lamp
Failure with
the Unit
No light on counter-mirror lamp – no voltage • check line voltage

– halogen bulb is burnt out • replace halogen bulb (chapter 6.5)
– transformer on counter-mirror • have transformer replaced by a ser-
lamp is defective vice technician
• have switch replaced by a service
– switch defective technician
7.9 Automatic secretion canister evacuation
Failure with
the Unit
Secretion is no longer sucked off – electrode is contaminated • switch off unit and clean electrode
– tube pump defective • replace tube cassette
7.10 Automatic hose rinsing
Failure with
the Unit
Rinsing container is overflowing – float-type switch is blocked • clean float tube (re-establishment of
– float-type switch is defective free movement of float)
• inform service technician
39

7.11 Kidney-shaped rinsing basin
Failure with
the Unit
Rinsing basin does not properly – sieve in rinsing bowl is clogged • clean or replace the sieve
empty – waste water hoses are clogged • have waste water hoses checked by
a service technician or plumber
Basin rinsing does not function at – rinsing head is clogged (calcified) • decalcify rinsing head
all or only insufficiently – rinsing bowl is leaking • replace rinsing bowl
7.12 Endoscope support

Malfunction at
the unit
Endoscope supports are no longer – overtemperature protection switch • Have the switch / control / sensor
heated was activated exchanged by your service technician.
– control is defective
– temperature sensor is defective
 If, nevertheless, the errors cannot be removed inform the ATMOS service staff. Do not start any attempts to repair the unit
yourself !
 Pay also attention to corresponding chapters in separate operating instructions !
40

8.0 Consumables supplies, Accessories and Spare Parts, Options
8.1 Consumable supplies
8.1.1 Consumable supplies for suction system
Bacterial filter plate, 25 pcs ............................................................................................................................320.0065.0

DDS bacterial filter, 10 pcs, 50 pcs, 100 pcs. ................................................................................................340.0054.0
ATMOS special cleanser for hose rinsing, 500 ml .........................................................................................080.0005.0
8.1.2 Consumable supplies for automatic secretion canister evacuation

Tube cassette for tube pump .........................................................................................................................069.0126.0
8.1.3 Consumable supplies for disposable secretion canister

Support for Receptal® suction bag, 1.5 l ........................................................................................................310.0221.0
Receptal® suction bag 1.5 l, 50 pcs ...............................................................................................................310.0222.2
Hose (green) ..................................................................................................................................................006.0010.0
8.1.4 Consumable supplies for optics / light

Halogen bulb, 15 V/150 W .............................................................................................................................507.2083.0
Spare bulb for CLAR 55 .................................................................................................................................502.0161.1
Spare bulb for nystagmus binoculars.............................................................................................................502.0187.1
Spare bulb for counter-mirror lamp ................................................................................................................505.0620.1
8.1.5 Consumable supplies for water system

Hose tips, 30 pcs., minimum quantity: 2 packs ..............................................................................................502.0844.0
Collector sieve for rinsing basin, minimum quantity: 10 pcs. .........................................................................508.0578.0
Spare filter 100 µm ........................................................................................................................................000.0655.1
Filter support (spare)......................................................................................................................................000.0655.2
Jet connection, short, straight (80mm)...........................................................................................................505.0280.0
Splash protection ...........................................................................................................................................501.0331.0
8.1.6 Consumable supplies for rinsing basin

Collector sieve for rinsing basin, minimum quantity: 10 pcs ..........................................................................508.0578.0
Sieve holder ...................................................................................................................................................508.0577.0
8.1.7 Further consumable supplies

Tongue patches, packet with 6 pcs. ...............................................................................................................505.0525.0
Cotton roll.......................................................................................................................................................505.0526.0
Waste bags, 50 pcs. ......................................................................................................................................505.0515.0
Paper for instrument intermediate-deposit, 250 sheets .................................................................................508.0538.0
41

8.2 Accessories and Spare Parts
8.2.1 Suction
Spare parts: Article-No.

Secretion canister 1.25 l ................................................................................................................................000.0544.0
Bacterial filter cover .......................................................................................................................................320.0012.0
Sealing ring for bacterial filter ........................................................................................................................320.0016.0
Secretion canister lid......................................................................................................................................320.0011.0
Sealing ring for secretion canister lid .............................................................................................................320.0013.0
Sleeve of overflow safety ...............................................................................................................................320.0010.0
Float ...............................................................................................................................................................320.0015.0
Suction hose, silicone, black, intern. diam. 8mm, extern. diam. 12mm, per meter ........................................006.0025.0
8.2.2 Mirror quick-heater
Spare part: Article-No.

Heating coil ....................................................................................................................................................508.0053.0
8.2.3 Compressed air
Accessories: Article-No.
Holder for ear speculae / Politzer olives ........................................................................................................508.0545.0
Politzer olives, Teflon, universal size .............................................................................................................000.0241.0
Politzer olives, Teflon, for children .................................................................................................................000.0241.1
Sprayer attachment, straight ..........................................................................................................................505.0280.0
Twin tube with nozzle .....................................................................................................................................000.0219.0
Sprayer complete, for oily medicaments ........................................................................................................506.5120.0
Sprayer complete, straight .............................................................................................................................506.5225.0
Spare parts: Article-No.

Compressed-air handle II...............................................................................................................................506.6202.0
Glass for sprayer............................................................................................................................................000.0577.0
Attachment for Politzer olives ........................................................................................................................505.0284.0
Twin tube nozzle ............................................................................................................................................000.0219.0
O-Ring............................................................................................................................................................055.0029.0
Spring clip with roll .........................................................................................................................................000.0237.0
Sprayer head .................................................................................................................................................506.5121.0
Hose, Rilsan...................................................................................................................................................005.0026.0
Medicament glass ..........................................................................................................................................000.0577.0
External tube, straight, complete ...................................................................................................................505.0280.0
O-Ring............................................................................................................................................................055.0028.0
Sprayer head II ..............................................................................................................................................506.5227.0
See also illustrations on page 26!
42

8.2.4 Optics / Light
Accessories: Article-No.
Fibre optic cable, length: 1.8 m, 90° Storz angular connection .....................................................................508.0664.0
Headlamp CLAR 73, fibre optic cable 2.3 m, Storz, with angular connection................................................502.0515.0
Headlamp, light model, fibre optic cable, straight connection ........................................................................502.0515.5
Headlamp acc. to Binner, Wolf, fibre optic cable ...........................................................................................502.0516.0
Headlamp CLAR 55, warm light.....................................................................................................................502.0161.0
Connecting cable for headlamp CLAR 55......................................................................................................502.0142.6
Nystagmus binoculars acc. to Dr. Blessing ....................................................................................................502.0189.0
Connecting cable for headlamp CLAR 55......................................................................................................502.0141.6
Teflon element for endoscopes, diameter 2.8 mm - 4 mm .............................................................................508.0777.5
Tank for flexible endoscopes (ATMOS, Olympus) .........................................................................................508.0790.0
Tank for flexible endoscopes (Storz) ..............................................................................................................508.0792.0
Adaptor sleeve for Storz connection ..............................................................................................................507.0940.5
Adaptor sleeve for Olympus connection ........................................................................................................507.0940.6
Adaptor sleeve for Pentax connection ...........................................................................................................507.0940.7
Adaptor sleeve for Wolf connection ...............................................................................................................507.0940.8
8.2.5 Further Accessories and Spare Parts

Article-No.
Instrument tray set, melamine, consisting of 2 large and 2 small trays .........................................................506.7031.0
Instrument tray set, aluminium-anodized, consisting of 2 large and 2 small trays,
holder for ear speculae / Politzer olives .........................................................................................................506.7032.0
Instrument tray set, stainless steel, consisting of 2 large and 2 small trays,
holder for ear speculae / Politzer olives .........................................................................................................506.7033.0
Ear rinsing bowl .............................................................................................................................................505.0353.0
Plastic quiver for disinfecting solution, to be mounted to cable holder ..........................................................506.7015.0
Instrument intermediate-deposit with paper in large aluminium resp. stainless steel tray ............................. 508.0533.0
Connecting cable for potential balance (5 m) ................................................................................................008.0596.0
Instrument tray, aluminium-anodized, 184 x 142 mm ....................................................................................508.0058.0
Instrument tray, aluminium-anodized, 284 x 184 mm ....................................................................................505.0516.0
Instrument tray, stainless steel, 180 x 140 mm ..............................................................................................508.0058.2
Instrument tray, stainless steel, 280 x 180 mm ..............................................................................................505.0516.2
Instrument tray, melamine, 190 x 150 mm .....................................................................................................000.0746.0
Instrument tray, melamine, 300 x 190 mm .....................................................................................................000.0747.0
Serrated instrument holder, big ......................................................................................................................508.0566.0
Serrated instrument holder, small ..................................................................................................................508.0567.0
Holder for ear speculae / Politzer olives, for aluminium resp. stainless steel tray .........................................508.0545.0
43

8.3 Options
8.3.1 Options, general
International power pack: 100V~ – 240V~ ± 10 %, 50/60 Hz ........................................................................506.7000.1

Instrument deposit on additional plane, full pull-out with ball guidings ..........................................................506.7030.0
3-fold endoscope holder, heated, incl. metal quiver.......................................................................................506.7016.0
Connection for headlamp / Nystagmus binoculars ........................................................................................506.7012.0
Headlamp suspension with automatic switching function of the light source.................................................506.7013.0
Tongue patches and cotton swab dispenser, combined, to be integrated into Unit Cabinet
or Instrument Cabinet with single sub-construction .......................................................................................506.7034.0
Cotton swab dispenser in open storage space, in case of 2 Base Cabinets .................................................506.7790.0
Mirror preheater, for approx. 70 mirrors .........................................................................................................506.7025.0
Counter-mirror lamp .......................................................................................................................................506.7026.0
8.3.2 Optional Suction System
Suction system for higher air-flow rate of 55 l/min, -98 kPa...........................................................................506.7008.0

Secretion canister evacuation, fully-automatic...............................................................................................506.7004.0
8.3.3 Optional Compressed Air
Compressed-air system complete with 3 medicament sprayers,

1 Politzer adaptor and sprayer holder ............................................................................................................506.7007.0
8.3.4 Optional Water System
Rinsing basin, kidney-shaped, removable, on swivel arm .............................................................................506.7003.0

Automatic hose rinsing system, consisting of: ...............................................................................................506.7005.0
Rinsing attachment for cleaning cannulae, suction attachment and suction hose with automatic
refilling of the supply container in the service compartment.
Rinsing attachment, Teflon, for quick change in case of contamination ........................................................506.2228.1
Water system, necessary for options "Rinsing basin" and "Automatic hose rinsing system", ...................... 506.7006.0
consisting among others of supply hose with aquastop valve, pressure reducer, water filter,
waste water hose (3m)
Water prefilter for ENT Units, can be flushed out...........................................................................................502.0990.0
Decalcifier ......................................................................................................................................................502.0995.0
Covering hose for supply and waste water hose and power line, light-grey, in meters ................................. 005.0029.0
Hose end grommet for covering hose ............................................................................................................005.0030.0
Measuring cup for filling the storage container ..............................................................................................000.0583.0
44

9.0 Technical Specifications
Voltage 230 V~ ± 10 %
50/60 Hz
Special voltage (optional): 110 V~ ± 10 % ; 127 V~ ± 10 %
50/60 Hz
Current input max. 5 A (230 V~)
max. 10 A (110 / 127 V~)
Supply Fixed connection, power cable: 5 m
Power consumption max. 1150 VA
Air flow rate of pump 40 l pump: 40 l/min ± 10 % (free flow), vacuum: 90 % of ambient pressure;
55 l pump: 55 l/min ± 10 % (free flow), vacuum: 97 % of ambient pressure;
secretion canister 1,25 l TPX
Cold-light system 4-channels-cold light; processor-controlled, halogen pin socket lamp 24V/150 W,
durability: 300 h
Ear rinsing system Water temperature adjustment, 37°C ± 2 ° C, filling quantity 4.5 l,
flow approx. 450 ml/min
Optional compressed-air system 21 l/min ± 10 % (free flow), pressure 2200 hPa
Operating time Continuous operation
Fuses T 6,3 A (f. 230 V~, 50/60 Hz), T 12 A (f. 110 V~, 127 V~, 50/60 Hz)
Protective earth conductor resistance max. 0,1 Ω
Earth leakage current max. 0,5 mA
Enclosure leakage current max. 0,1 mA
Patient leakage current max. 0,1 mA
Ambient conditions
Transport/storage -10...+50°C; 30...95 % humidity without condensing
air pressure 500...1060 hPa
Operation +10...+35°C; 30...95 % humidity without condensing
air pressure 700...1060 hPa
Dimensions HxWxD Column
with 1 Base Cabinet 93 x 47 x 55 cm
with 2 Base Cabinets 93 x 128 x 60 cm
Weight (basic unit) Column max. 60 kg (with all options)
with 1 Base Cabinet max. 70 kg
with 2 Base Cabinets max. 80 kg
Period tests Repeat test of the electrical safety every 24 months.
Recommended: inspection according to the manufacturers specifications.
Protection class (EN 60601-1) I
Degree of protection Type B equipment
Type BF equipment (only for cold light)

Protection category IPX0
Classification acc. to Annex IX IIa
EEC directions 93/42/EEC
CE marking CE 0124
Rules applies EN 60601-1: 1990 + A1:1993 + A2:1995; EN 60601-1-2: 1993 (EMV / EMC);
EN ISO 10079-1: 1996; EN 60601-2-18: 1996
UMDNS-Code 11-585
GMDN-Code 11585
Canadian Classification
Device group General & Plastic Surgery
PNC 79QBU
Risk Class 2
Description ASPIRATOR, SURGICAL
Date of Technical Specifications: 06.07.2011
45

10.0 Disposal
 The ATMOS® C 31 does not contain any hazardous

goods.
 The material PUR of the housing can be recycled

completely.
 The component parts of the ATMOS® C 31 must be

disposed of correctly and the materials are to be
separated carefully.
 The electronics circuit boards must be fed into the

appropriate recycling process.
This document is subject to change without notice.
46

11.0 Hygiene Plan
Cleaning and disinfection plan

ATMOS® C 21 / ATMOS® C 31
What How When Who

Qualified and trained
After each
procedure
staff who are familiar
Recommendations with reprocessing.
C D S
Monthly
Weekly
(Please fill in the
Reusable parts Cleaning Disinfection Sterilisation responsible person
Daily
-> use a water-based
overhead marker)
Secretion canister
Housing for external
X X2)4)5) Manual or automatic cleaning and disinfection X
bacterial filter
/ Bacterial filter cover X X 2)4)5)
Manual or automatic cleaning and disinfection X
Bacterial filter plate with
/ blue marking / Disposable. Exchange daily or when blocked X
bacterial filter
Lid / sealing rings X X2)4)5) Manual or automatic cleaning and disinfection X

/
2)4)5)
Gasket X X Manual or automatic cleaning and disinfection X
Sleeve of overflow safety X X2)4)5) Manual or automatic cleaning and disinfection X
Float, closed side must up X X Manual or automatic cleaning and disinfection X

Secretion collection Empty when the jar is full; at least daily;
X X2)4)5) X
jar manual or automatic cleaning and disinfection
Disposable jar
Exchange and disposal of full jar X
system
Hose rinsing system

Suction nozzle
X X3) Wipe cleaning and disinfection X
for hose rinsing
X X2)4)5)6) Manual or automatic cleaning and disinfection X
Silicone attachment piece
Exchange of Silicone attachment X
Manual cleaning and disinfection after each patient;
Suction nipple with X X
rinse with hose disinfectant
suction hose (reusable)
X X2)4)5)6) Manual or automatic cleaning and disinfection X
Rinse the secretion hose with the hose irrigation system
Secretion suction hose X X
after each procedure
(disposable)
X2)4)5)6) Exchange or disinfection monthly X
Storage container for hose Cleaning with a brush; Manual or automatic cleaning and
X X2)4)5)6) X
rinsing system disinfection
Ear irrigation / Thermal nystagmus stimulation

Ear irrigation bowl X X2)4)5) Manual or automatic cleaning and disinfection X
Handle X X3) Wipe cleaning and wipe disinfection X
Jet connection X X2)4)5)6) Manual or automatic cleaning and disinfection X

X2)4)5)
Splash protection X Manual or automatic cleaning and disinfection X
Hose tip (disposable) Exchange after each application X
Hygiene filter See operating instructions for hygiene filter X
X X3) Empty, dry, wipe, disinfect X

Ear irrigation system
X Rinse weekly with Bilpron (REF 510.2049.0) X
Medication nebulisation / Politzer

Handle for
X X3) Manual cleaning and disinfection X
compressed air
X Clean after every procedure X
Sprayer jet
X2)4)5)6) Manual or automatic cleaning and disinfection X
Sprayer head X X2)4)5) Multiple rinsing of the sprayer head with water X
Weekly exchange of the hose or when changing the
Hose at sprayer head X X X
medication
Cleaning and disinfection (manual or automatic)
Sprayer bottle X X 2)4)5)6)
X
weekly or when changing the medication
Exchange after each application;
Politzer olive X X2)4)5)6) X
afterwards cleaning and disinfection
Exchange after each application;
Politzer connection X X2)4)5)6) X
afterwards cleaning and disinfection
47

11.0 Hygiene Plan
What How When Who
Qualified and trained
After each
procedure
staff who are familiar
Recommendations with reprocessing.
C D S
Monthly
Weekly
(Please fill in the
Reusable parts Cleaning Disinfection Sterilisation responsable person
Daily
-> use a water-based
overhead marker)
Endoscope management
Plastic quiver X X2)4)5) Cleaning with a brush; disinfect afterwards X
Cleaning with a brush; disinfect afterwards (manual or

Metal quiver X X 2)4)5)6)
X
automatic)
Protective sleeve (teflon

X X2)4)5) Manual or automatic cleaning and disinfection X
element for metal quiver)
Instrument management
Immerse instruments into solution immediately after use,
fully wetting is required, air must be removed from any
cavities, after the contact time instruments must be rinsed
ENT instruments X X2)4)5) X X
with water, has to be dried and sterilised afterwards. Ple-
ase also observe the ATMOS operating
instructions for ENT instruments.
Instrument bowl with co- Cleaning with a brush;
X X2)4)5) X
ver disinfect afterwards (manual or automatic)
Visualisation
ATMOS® Cam 21 / 31 X X3) Wipe cleaning and wipe disinfection X
ATMOS® Strobo 21 LED X X3) Wipe cleaning and wipe disinfection X
Flexible scope X X1),7),8) X1) Immediate pre-cleaning after the procedure X
Rigid scope X X1),7),8) X1) Immediate pre-cleaning after the procedure X
Laryngoscope X X1),7),8) X1) Immediate pre-cleaning after the procedure X

Light conductor X X3) Wipe cleaning and wipe disinfection X
Light source X X3) Wipe cleaning and wipe disinfection X
Microscope X X3) Wipe cleaning and wipe disinfection X
Headlight X X3) Wipe cleaning and wipe disinfection X
Radio frequency surgery

ATMOS® RS 221
X X3) Wipe cleaning and wipe disinfection X
(surface)
Ergonomic handles X X1)2)4)5) X1) Wipe cleaning and wipe disinfection X
Bipolar tweezers X X1)2)4)5) X1) Immediate pre-cleaning after the procedure or dispose of X
in wet disposal tray; use of enzymatic detergents,
Bipolar electrode X X1)2)4)5) X1) cleaning and disinfection (manual or automatic) X
Bipolar electrode cable X X1)2)4)5) X1) Immediate pre-cleaning after the procedure or dispose of X
Neutral electrode X X1)2)4)5) X1) cleaning and disinfection (manual or automatic) X
Neutral electrode cable X X1)2)4)5) X1) Immediate pre-cleaning after the procedure or dispose of X
ENT electrodes X X1)2)4)5) X1) cleaning and disinfection (manual or automatic) X
Surfaces
Housing X X3) Wipe cleaning and wipe disinfection X
Roller shutter X X3) Wipe cleaning and wipe disinfection X
Drawers X X3) Wipe cleaning and wipe disinfection X
Writing leaf X X3) Wipe cleaning and wipe disinfection X
Instrument deposit X X3) Wipe cleaning and wipe disinfection X
Mirror pre-heater X X3) Wipe cleaning and wipe disinfection X

Tongue patches and Wipe cleaning and wipe disinfection,
X X3) X
swab dispenser every day or when refilling
Wipe cleaning and wipe disinfection,
Waste disposal X X3) X
every day or when emptying the container
Wipe cleaning and wipe disinfection, daily or when
Instrument tray X X 3)
X
replacing with new instruments
Recommended disinfectants 4)
Instruments - manual disinfection: 7)
Endoscopes - manual disinfection: The above stated hygiene requirements are based on the regulations
according to the Medical Devices Act, the Medical Devices Operator
• Korsolex® basic (Bode Chemie) • Helipur® H plus N (BBraun) Ordinance, §18 IfSG and the recommendations of the Robert Koch
3)
Surface disinfection for coated surfaces: • Korsolex® plus (Bode Chemie) • Helix® Ultra (BBraun) Institute.
• Green & Clean SK (ATMOS) • Korsolex® extra (Bode Chemie) • Korsolex® Basic (Bode Chemie) Definition of the required reprocessing steps result from the recom-
• Dismozon® plus (Bode Chemie) neodisher® Septo MED (Dr. Weigert) • neodisher® MediClean forte (Dr. Weigert) mendations of the Robert Koch Institute: „Requirements for the repro-
cessing of medical products“. The medical products were categorised
• Kohrsolin® FF (Bode Chemie) • neodisher® Septo 3000 (Dr. Weigert) • Sekusept® aktiv (Ecolab) in the risk groups uncritical, semicritical and critical. The reprocessing
• Perform® (Schülke & Mayr) • Sekusept® aktiv (Ecolab) measures mentioned in this cleaning
Endoscopes - automatic disinfection:
8)
• Terralin® Protect (Schülke & Mayr) Gigasept® Instru AF (Schülke & Mayr) and disinfection plan are a recommendation of ATMOS Medizin-
• Korsolex® Basic (Bode Chemie)
• Technik. Any additional reprocessing measures are at the operator‘s
• Gigazyme® (Schülke & Mayr) •neodisher® MediClean forte (Dr. Weigert) discretion.
Other surfaces: • Gigasept FF neu (Schülke & Mayr) • Gigasept® FF neu (Schülke & Mayr) All the recommended disinfectants which are stated herein are listed
• Dismozon® plus (Bode Chemie) • Endozime® AW Plus (Ruhof)
disinfectants (VAH/RKI) and have been tested on their suitability of
use on the ATMOS® C 21 / C 31. ATMOS MedizinTechnik cannot be
• Kohrsolin® FF (Bode Chemie) 5)
Instruments - automatic disinfection: • ADAPTACLEAN™ (ASP) hold liable for any damage caused by wrong concentration of the dis-
• Mikrobac® forte (Bode Chemie) • Dismoclean® 24 Vario (Bode Chemie) infectants or by the application of any other disinfectants.
• Perform® (Schülke & Mayr) • Dismoclean® 28 alka med (Bode Chemie) Important information Patients with suspicion of a clinical disease or who developed a
transmissible spongiform encephalopathy (CJK, vCJK, etc.) have to
Terralin® Protect (Schülke & Mayr) • Dismoclean® twin basic/twin zyme (Bode Chemie) be treated at facilities which are able to provide for the necessary
• Surface disinfection FD 312 (Dürr Dental) Wipe cleaning and wipe disinfection: All surfaces
• neodisher® FA (Dr. Weigert) preventive measures against infection. The reprocessing of the reu-
• Quick disinfection B 30 (Orochemie) have to be wiped with a clean (disposable) wipe sable instruments and material may only be performed at facilities
• neodisher® MediClean forte (Dr. Weigert) which have an externally certified QM Management acc. to DIN EN
which is damped with disinfectant solution; the
• Thermosept® alka clean forte (Schülke & Mayr) ISO 13485.
entire surface has to be wiped thoroughly and may
• Thermosept® RKN-zym (Schülke & Mayr) The Medical Devices Act, IfSG, the RKI directives, BGR 250 and
not be dried afterwards. TRBA 250 always have to be considered.
1)
Please observe the manufacturer‘s operating
Please see the manufacturer‘s instructions for con- Wrong concentration of disinfectants instructions. ATMOS MedizinTechnik GmbH & Co. KG
2)
Alternative to manual cleaning und disinfection: Ludwig-Kegel-Str. 16  79853 Lenzkirch/Germany
centration, contact time, temperature and the com- may lead to damage!
Wash-Disinfector 78°C / 172°F Phone +49 7653 689-0  Fax +49 7653 689-190
patibility of materials.
[email protected]  www.atmosmed.de
48 6)
Material dimensionally stable at 134°C
2015-08 Index: 07

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® C 31 is intended for use in the electromagnetic environment specified below. The customer or user of
the ATMOS® C 31 should ensure that it is used in such an environment.
Emissions Test Compliance Electromagnetic Environment - Guidance

RF Emissions Group 1 The ATMOS® C 31 uses RF energy only for its
CISPR 11 internal function. Therefore, its RF emissions are
very low and are not likely to cause any interference
in nearby electronic equipment.
RF Emissions Class B The ATMOS® C 31 is suitable for use in all esta-
CISPR 11 blishments, including domestic, and those directly
Harmonics IEC 61000-3-2 Class B connected to the public low-voltage power supply
Flicker is conform network that supplies buildings used for domestic
IEC 61000-3-3 purposes.
The device may not be used directly next to other devices or piled up with other devices.
If operation next to or piled with other devices is necessary, please watch the device to check its intended
operation in this arrangement.
12.2 Guidelines and Manufacturer´s Declaration - Immunity
IEC 60601- Electromagnetic

Immunity Test Compliance Level
Test Level Environment - Guidance
ESD ± 6 kV Contact ± 6 kV Contact Floors should be wood, concrete,
IEC 61000-4-2 or ceramis tile. If floors are synthe-
± 8 kV Air ± 8 kV Air tic, the relative humidity should be
at least 30%.
EFT ± 2 kV Mains ± 2 kV Mains Mains power quality should be that
IEC 61000-4-4 of a typical commercial or hospital
± 1 kV I/Os Inapplicable environment.
Surges ± 1 kV Differential ± 2 kV Differential Mains power quality should be that
IEC 61000-4-5 of a typical commercial or hospital
± 1 kV Common ± 1 kV Common environment.
Power Frequency 3 A/m Inapplicable Power frequency magnetic fields
50/60 Hz should be that of a typical com-
Magnetic field mercial or hospital environment.
IEC 61000-4-8
49

12.0 Notes on EMC
Immunity Test IEC 60601- Compliance Level Electromagnetic Environ-

Test Level ment - Guidance
Voltage Dips / Dropout < 5 % UT < 5 % UT Mains power quality should be
IEC 61000-4-11 (> 95 % Dip of the UT) (> 95 % Einbruch der UT) that of a typical commercial or
for 0.5 Cycle für 0,5 Periode hospital environment. If the user
of the ATMOS® C 31 demands
40 % UT 40 % UT continued function even in case of
(60% Dip of the UT) (60% Einbruch der UT) interruptions of the energy supply,
for 5 Cycles für 5 Perioden it is recommended to supply the
ATMOS® C 31 from an uninterrup-
70% UT 70% UT tible current supply or a battery.
(30 % Dip of the UT) (30 % Einbruch der UT)
for 25 Cycles für 25 Perioden
< 5 % UT < 5 % UT
(>95 % Dip of the UT) (>95 % Einbruch der UT)
for 5 s für 5 s
NOTE UT is the mains alternating current prior to application of the test levels.
12.3 Guidelines and Manufacturer´s Declaration - Immunity

IEC 60601- Electromagnetic Environment -

Immunity Test Compliance Level
Test Level Guidance
Portable and mobile communications
equipment should be separated from the
Conducted RF 3 Veff
3V ATMOS® C 31 incl. the cables by no less
IEC 61000-4-6 150 kHz to 80 MHz
than the distances calculated/listed below.
Radiated RF 3 V/m 3 V/m
IEC 61000-4-3 80 MHz to 2.5 GHz Recommended distances:
d = (3,5 / V1) * √(P)

d = (3,5 / E1) * √(P) 80-800 MHz
d = (7 / E1) * √(P) 0,8-2,5 GHz
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 compli-
ance level (b).
Interference may occur in the vicinity of
equipment containing following symbol.
50

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® C 31
is used exceeds the above compliance level, the ATMOS® C 31 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® C 31
The ATMOS® C 31 is intended for use in electromagnetic environment in which radiated disturbances are con-
trolled. The customer or user of the ATMOS® C 31 can help prevent electromagnetic interference by maintai-
ning a minimum distance between portable and mobile RF Communications equipment and the ATMOS® C 31
as stated below, according to the maximum output power of the communications equipment.
Separation distance, depending on transmit-frequency m

Nominal output of the 150 kHz bis 80 MHz 80 MHz bis 800 MHz 800 MHz bis 2,5 GHz
transmitter
d = [ 3,5 / 3] √P d = [ 3,5 / 3] √P d = [ 7,0 / 3] √P
W
0.01 0.12 0.12 0.24
0.1 0.37 0.37 0.74
1 1.2 1.2 2.4
10 3.69 3.69 7.38
100 11.66 11.66 23.32
For transmitters for which the maximum nominal output isn´t indicated in the above table, the recommended sepa-
ration 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 are not applicable in any case. The propagation of electromagnetic sizes is
influenced by absorptions and reflections of buildings, objects and people.
51

ATMOS MedizinTechnik GmbH & Co. KG
Ludwig-Kegel-Str. 16
79853 Lenzkirch / Germany
Phone: +49 7653 689-0
[email protected]
www.atmosmed.com

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4.0 Operation 9.0 Technical Speciﬁcations ................................45

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1.1 Notes on operating instructions

The basic principles are:

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1.2 Intended use 1.3 Function

Med. indications/ application:

Speciﬁcation of the main function:

The product is: X active □ not active

Sterility: The ENT unit is no sterile product.

Single use product / reprocessing:

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On / Off switch Basin rinsing

Pay attention to operating instructions ! Water temperature for ear rinsing

Warm water system Button for increasing lamp intensity

Headlamp Type BF equipment

Transfer of heat, in general;

Danger of tilting for units with a

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3.1 Front view

Fig. 1. ATMOS® C 31 Front view

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3.1.1 Service compartment

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3.2 Setting up proposal

By the option 2 where the

560 mm + 250 mm = 810 mm

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3.4 Connection to water supply

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3.6 Waste water drain (optional)

 To adapt the ¾ draining hose to standard HT 40

 Waste water connection (with optional automatic

 Connection of suction hose

 The transport locking screws on the unit's baseplate

 If you require several adapter sleeves (e.g. Olympus,

 So that the fibre-optic cables do not rest on the floor,

Fig. 7. Connection of the light guide cables

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 3.6 Starting-up the ATMOS® C 31

 Switch LED I and LED II

Fig. 7a. Connecting LED

 Push the handles into the handle support as indicated

 Different socket nipples; misplacing of the hoses is

 Connecting the hose for ear rinsing (optional)

Fig. 9. Connecting the hose for ear rinsing

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4.1 ATMOS® C 31 - Basic unit

The instrument deposit area:

4.2 Basic functions

4.2.2 Maximum loads

 Maximum load of the instrument surface: 15 kg.

 Maximum load of the writing and working surface: 10 kg.

4.2.3 How to open the covering

Fig. 10. Maximum load

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