MedizinTechnik
octors d d n a ts MOS“ T „Patien A n o rely e d i w d l wor
2010 I 2011
Surgery
Surgery
Table of contents
OT-Suction systems
ATMOS Record 55 DDS The powerful allrounder!
ATMOS C 451 / ATMOS C 361 Top performance in the OT at a fair price. The new standard in OT suction!
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5 to 12
13 to 24
Thoracic drainage
ATMOS S 351 Top-class drainage/surgical suction devices. The „thinking“ suction system. ............................................................................................. page
ATMOS S 201 Thorax / ATMOS E 201 Thorax The new generation of mobile thoracic drainage systems including therapy success monitoring. ............................................................................................. page
25 to 30
Direct-Docking-System (DDS)
DDS-System Secretion management at the highest stage – Innovative container systems from ATMOS ..............................................................................................................page
Symbols
DVD Helpful information
DVD to this topic available
4
2 Disposable
31 to 37
Surgery
Table of contents
Radiofrequency surgery
MedizinTechnik
Smoke evacuation
ATMOS RS 221 Cutting and coagulation with maximum precision!
AtmoSafe The most powerful smoke evacuation suction system!
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38 to 46
47 to 55
Vacuum and Compressed air General Consumables
ATMOS ZV 60 / ATMOS ZD 60 Vacuum regulator and suction systems for central vacuum supply and central compressed air supply. ............................................................................................. page
56 to 63
General surgery Other Accessories and Consumables
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64 to 68
Service worldwide
We offer you complete support so you can care for your patients! ............................................................................................. page
69 to 86
ATMOS MedizinTechnik GmbH & Co. KG Ludwig-Kegel-Str. 12, 14-16, 18 79853 Lenzkirch/Germany Phone +49 7653 689-374 Fax +49 7653 68986-374 Surgery@atmosmed.com www.atmosmed.com 3
MedizinTechnik
Secretion management at the highest level – Innovative container systems from ATMOS DDS-jar handle, PSU DDS-bacterial filter / oversuction stop, hydrophobic, disposable part DDS-hose adaptor set, Ø 6 + 10 mm DDS-jar lid with gaskets DDS-splash protection DDS-collection jar, polysulphone, 3.0 l
The Direct Docking System for quick, hose-free connection of collection jar and pump
Again and again hose connections are mixed up between suction units and secretion containers; this results in damaged equipment, expensive repairs and a reduced service life for normal surface filters.
The system features area easy to handle during while in use in the OT. The simple DDS system avoids misuse of the equipment while in theatres. Innovations which facilitate your daily work!
In times of technical innovations this must no longer be accepted. ATMOS offers the perfect solution for these problems.
Secretion management with reprocessable containers: The ATMOS Direct-Docking-System (DDS)
The ATMOS DDS is compatible with the following products:
▪ The hose connections between the suction unit and the secretion container are omitted and with it easy handling is guaranteed.
▪ ATMOS Record 55 DDS
▪ The DDS filter is a high-performance filter with an internal filter surface (> 1m2 per filter) which is much larger than the surface of a usual surface filter.
▪ ATMOS C 361
▪ The DDS filter prevents the penetration of bacteria into the system and with it the contamination of device and environment. ▪ The hydrophobic attributes of the DDS filter prevent the penetration of foam, liquid and aerosol into the pump. ▪ Oversuction is almost impossible and expensive repairs are not required.
▪ Foam formation is reduced due to the new design of the inlet. In addition the filter service life is increased.
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▪ ATMOS C 451 ▪ ATMOS ZV 60 ▪ ATMOS ZD 60
MedizinTechnik
ATMOS Record 55 DDS Top-class, mobile surgical suction device. Strong, silent and powerful!
The silent top performer!
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Surgery 2010 | ATMOS Record 55 DDS
ATMOS Record 55 DDS The powerful allrounder!
The ATMOS Record 55 DDS is most suitable for the versatile use in OT due to the high suction performance and the high vacuum. The ATMOS Record 55 DDS is the first choice when a silent but powerful suction system is required. Improved technology makes the Record 55 a reliable system for many surgical applications: it is particularly effective for aesthetic plastic surgery and liposuction procedures: n Visceral surgery n Orthopaedic surgery n Thorax surgery n Vascular surgery, etc. Particularly with regard to aesthetic-plastic surgery especially the liposcution - the ATMOS Record 55 DDS is most suitable.
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The advantages of the ATMOS Record 55 DDS at a glance: n Powerful: The airflow rate of 55 litres per minute always provides a free vision in the operating field. n Almost noiseless: Low operation noise for concentrated work in the OT. n Easy handling n Hygienic: Modern container systems and filters protect staff and patients. n Reliable: Approved technology guarantees trouble-free operation. n No breakdown caused by blocked bacterial filter
MedizinTechnik
Hose connection with twisted inlet, reduces foam formation and thereforee, longer filter duration.
Quick exchange of bacterial filter which has an extended filter surface.
Changeover lever for comfortable selection of the collection jar during trolley operation.
Foot switch optional available, anaesthetic proof.
7
Surgery | OT suction systems | ATMOS Record 55 DDS - User packages
ATMOS Record 55 DDS
User packages Silent, powerful and user-friendly. The surgical suction device with maximum performance!
Top suction performance Almost noiseless Easy handling Short start-up time
ATMOS Record 55 DDS - User packages ATMOS Record 55 DDS (2 x 3 l canister) Mobile surgical suction unit for very high demands, Quiet running, infinitely variable vacuum control, damped vacuum display, change-over for canister selection, for direct docking system canisters, connection for foot controller Technical data: Air-flow rate of pump: 55 ± 3 l/min, vacuum -98 kPa/-735 mmHg at sea level, 230 V~, 50/60 Hz, dimensions (H x W x D): 940 x 500 x 390 mm
REF 444.0930.0
Included in delivery: basic unit, operating instructions, mains cable, 2 DDS canisters 3 l, 2 DDS canister lids, 2 DDS canister handles, 2 DDS splash protections, 10 DDS-bacterial filters with integrated oversuction stop, DDS hose adapter set Ø 6 mm / Ø 10 mm), suction hose Ø = 6 mm, L = 2.10 m
ATMOS Record 55 DDS (2 x 5 l canister) Included in delivery: basic unit, operating instructions, mains cable, 2 DDS canisters 5 l, 2 DDS canister lids, 2 DDS canister handle, 2 DDS splash protection, 10 DDS-bacterial filter with integrated oversuction stop, DDS hose adapter set (Ø 6 mm / Ø 10 mm), suction hose Ø = 6 mm, L = 2.10 m
444.0940.0
ATMOS Record 55 DDS with standard rail Included in delivery: basic unit, operating instructions, mains cable, standard rail (assembled)
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
8
443.0700.0
MedizinTechnik MedizinTechnik
➀
Accessories for all ATMOS Record 55 user packages ➀ Foot switch installation set For on and off switching of the device ➁ Foot regulator set For vacuum control Deposit tray, stainless steel with holder for rail system ➂ Hose support, stainless steel for attaching to standard rail DDS adapter for tissue collector connects the ATMOS DDS canisters with the tissue collector
REF 443.0755.0 443.0770.0 443.0790.0 320.0611.0 340.0062.0
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Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
9
Surgery | OT suction systems | Accessories for ATMOS Record 55 DDS
Accessories for ATMOS Record 55 DDS DDS-secretion canister, plastic, 1.5 l, autoclavable Height 146 mm, external Ø 166 mm DDS-secretion canister, plastic, 3 l,autoclavable Height 247 mm, external Ø 166 mm DDS-secretion canister, plastic, 5 l,autoclavable Height 396 mm, external Ø 166 mm DDS-canister lid, complete set consisting of: DDS canister lid, DDS canister handle, DDS splash protection, DDS hose adapter set (Ø 6 mm + Ø 10 mm), DDS bacterial filter oversuction stop, hose holder on DDS canister DDS-canister lid with gaskets DDS-canister handle, grey DDS-splash protection, silicone DDS-hose adapter set, Ø 6 mm + Ø 10 mm DDS-hose holder Consumables for ATMOS Record 55 DDS Bacterial filter for DDS secretion canister, 10 pcs., not autoclavable, change: 1 x per patient, with same patient: ca. every 14 days
2
2
340.0051.0 340.0052.0 340.0040.0
340.0053.0 340.0055.0 340.0056.0 340.0057.0 340.0066.0 340.0054.0 up to 4 pack from 5 pack from 10 pack
Suction hose, silicone, Ø 6 mm, L = 2 m, 1 pc Autoclavable at 134 °C, change: after 20 x autoclaving
000.0361.0
Suction hose, silicone, Ø 10 mm, L = 2 m, 1 pc Autoclavable at 134 °C, change: after 20 x autoclaving
000.0243.0
Suction hose, disposable, Ø 6 mm, L = 2.10 m, 50 pcs. Not autoclavable, change: 1 x per patient
006.0059.0 *
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
10
REF 340.0050.0
MedizinTechnik MedizinTechnik
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Accessories for ATMOS Record 55 standard rail ➀ Receptal® set 1 x 2 l consisting of: Receptal®-holder complete, canister for Receptal®-suction bags 2 l, 2 Receptal®-suction bag 2 l, one of them with integrated overflow valve filter, connection hose, L = 31 cm, DDS-standard rail adapter with vacuum connection. Receptal®-canister set 2 x 1.5 l consisting of: Receptal®-holder complete, 2 canisters for Receptal®-suction bags 1.5 l, 2 Receptal®-suction bag 1.5 l, one of them with integrated overflow valve filter, connection hose L = 12 cm Basic unit must be ordered separately! ➁ Receptal® canister, 1.5 l ➂ Receptal®-canister set 2 x 2 l consisting of: Receptal®-holder complete, 2 canisters for Receptal®-suction bags 2 l, 2 Receptal®-suction bag 2 l, one of them with integrated overflow valve filter, connection hose L = 12 cm Basic unit must be ordered separately! Receptal® canister 2 l ➃ Receptal®-canister set 2 x 3 l consisting of: Receptal®-holder complete, 2 canisters for Receptal®-suction bags 3 l, 2 Receptal®-suction bag 3 l, one of them with integrated overflow valve filter, connection hose L = 12 cm Basic unit must be ordered separately! Receptal® canister 3 l Single-Docking-Station (SDS) Single-docking-station enables the use of DDS-canisters in connection with ZV / ZD systems. Attention: please order canister with lid separately!
REF 444.0021.0
444.0022.0
310.0221.0 * 444.0023.0
443.0256.0 444.0024.0
444.0157.0 320.0640.0
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Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
11
Surgery | OT suction systems | Accessories for ATMOS Record 55 standard rail
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2
2
2
Accessories for ATMOS Record 55 standard rail ➀ Secretion canister lid incl. standard rail holder ➁ Socket nipple set consisting of: Double socket nipple, hose reducer, mechanical overflow safety Graduated secretion canister 1.5 l Height 192 mm, external Ø 115 mm Secretion canister 1.5 l PSU, sterilisable up to 136 °C ➂ Grad. secretion canister 3 l Height 247 mm, external Ø 145 mm Secretion canister 3 l PSU, sterilisable up to 136 °C Grad. secretion canister 5 l Height 302 mm, external Ø 169 mm Secretion canister 5 l PSU, sterilisable up to 136 °C Safety canister 250 ml with integrated DDS-bacterial filter / overflow stop, incl. adapter for arthroscopy (Shaver, Lavagen), oral and maxillofacial surgery, liposuction etc. Consumables for ATMOS Record 55 standard rail Suction hose, silicone, Ø 10 mm, L = 2 m, 1 pc Autoclavable at 134 °C, change: after 20 x autoclaving Suction hose, silicone, Ø 6 mm, L = 2 m, 1 pc Autoclavable at 134 °C, change: after 20 x autoclaving Suction hose, disposable, Ø 6 mm, L = 2.10 m, 50 pcs. Not autoclavable, change: 1 x per patient Receptal® suction bag 1.5 l, not autoclavable, 50 pcs. Receptal® disposable bag 2 l, without integrated overflow protection Not autoclavable, 50 pcs., change: 1 x per patient Receptal® suction bag 2 l, with integrated overflow protection Not autoclavable, 50 pcs., change: 1 x per patient Receptal® suction bag 3 l, without integrated overflow protection For tandem hose system, not autoclavable, 50 pcs., change: 1 x per patient. Receptal® suction bag 3 l, with integrated overflow protection Not autoclavable, 50 pcs., change: 1 x per patient.
Technical data
ATMOS Record 55
Noise level
46 dB (A) @ 1 m (acc. to ISO 7779)
Operation time
approx. 8h continuous operation (depending on ambient conditions)
Power consumption
approx. 100 W
Voltages
230 V~, 50-60 Hz; Special voltage: 100 - 127 V~, 50-60 Hz;
Dimensions (H x W x D)
940 x 500 x 390 mm, without canister
Weight
36 kg, without canister
Classifications
degree of protection:type BF; protection category: IPX1; protection class: I; class IIa (acc. to appendix IX, directive 93/42/EEC)
The stated technical data are valid at the moment of printing, and are subject to change!
12
REF 444.0650.0 444.0640.0
444.0032.0 444.0036.0 444.0033.0 444.0037.0 444.0034.0 444.0038.0 444.0646.1
000.0243.0 000.0361.0 006.0059.0 * 310.0222.2 * 443.0257.0 *
443.0257.2 * 444.0153.0 *
444.0154.0 *
MedizinTechnik
ATMOS C 451 / ATMOS C 361 Top performance in the OT at a fair price.
The new standard in OT suction! Elegant and powerful!
13
ATMOS C 451
ATMOS C 361
The standard in OT suction!
The cost-effective solution!
ATMOS C 451 with 2 x 3 l OT package
ATMOS C 361 with practice package 3 l and trolley
ATMOS C 451
ATMOS C 361
The innovation of the ATMOS C 451 is in the details: The innovative DDS makes it a snap to disconnect container, filter and suction hose from the suction unit and when using the DDS container system - sterilise and use them again. And all this within shortest time! In addition it 100% rules out errors in hose connection. At the same time it is possible to select the containers comfortably by means of a changeover lever.
For suction procedures with less power requirements the ATMOS C 361 is most suitable:
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▪ Suction pump with at least 36 l/min, max.-91 kPa ▪ Operation without foot switch ▪ No system trolley Apart from that you can benefit from the same advantage the ATMOS C 451 has. Choose for yourself!
MedizinTechnik
Characteristics ATMOS C 451 / ATMOS C 361 – at a glance
ATMOS C 451 with system trolley
Suction pump 45 l
•
Suction pump 36 l
○
Single-container system
■
Two-container system ATMOS DDS ( 1,5 l, 3 l) Foot controller / switch Antistatic castors Precision vacuum gauge Carrying handle and container lid Changeover lever Infinitely variable vacuum control
•
= Standard version
ATMOS C 451 table-top device
•
○
•
ATMOS C 361 with trolley
○
○
○
• •
• •
○
■
• • • • •
■
○
○
•
■
• •
○
•
○ = not available
ATMOS C 361 table-top device
•
• • •
○
•
• •
•
○ ○
• •
○
•
■ = optional available
15
Surgery | OT suction systems | ATMOS C 451 Systems with reusable container
ATMOS C 451 mobile
Mobile versions
The new benchmark in Design and operability Secretion management Filter technology
ATMOS C 451 Systems with reusable container
REF
ATMOS C 451 with 2 x 3 l canister Powerful surgical suction unit for high requirements. 340.0334.0 Designed for continuous operation, silent running, quick-mount mechanism for connection to system trolley without the use of tools, two vacuum attachments, easy to clean surfaces with additional protection against the penetration of liquids, integrated extra-large precision-vacuum indication, loss-free, infinitely variable ball-shaped vacuum regulator. DDS system for hose-free coupling of the pump to the DDS canister. Technical data: Vacuum 0 up to -91 kPa/-682 mmHg, pump performance: 45 l/min +3/-5 l/min, 230 V~, ± 10%, 50/60 Hz, dimensions: (H x W x D): 330 x 240 x 360 mm, with system trolley 1010 x 360 x 440 mm. Included in delivery: basic unit, mains cable, operating instructions, 2 DDS canisters 3 l, 2 DDS canister lids, 2 DDS canister handles, 2 DDS splash protections, 10 DDS-bacterial filters with integrated oversuction stop, DDS hose adapter set (Ø 6 mm / Ø 10 mm), DDS hose holder on canister, DDS change-over docking station, system trolley, suction hose Ø = 6 mm, L = 2.10 m, standard rail adapter
ATMOS C 451 with 2 x 5 l canister Included in delivery: basic unit, mains cable, operating instructions, 2 DDS canister 5 l, 2 DDS canister lids, 2 DDS canister handles, 2 DDS splash protections, 10 DDS-bacterial filter with integrated oversuction stop, DDS hose adapter set (Ø 6 mm / Ø 10 mm), DDS hose holder on canister, DDS change-over docking station, system trolley, suction hose Ø = 6 mm, L = 2.10 m, standard rail adapter
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
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340.0333.0
MedizinTechnik MedizinTechnik
Systems with reusable container DDS
REF
ATMOS C 451 with practice package 1.5 l Included in delivery: basic unit, mains cable, operating instructions, DDS canister 1.5 l, DDS canister lid, DDS canister handle, DDS splash protection, 10 DDS-bacterial filters with integrated oversuction stop, DDS hose adapter set (Ø 6 mm / Ø 10 mm), DDS hose holder on canister, suction hose Ø = 6 mm, L = 2.10 m
340.0339.0
ATMOS C 451 with practice package 3 l Included in delivery: basic unit, mains cable, operating instructions, DDS canister 3 l, DDS canister lid, DDS canister handle, DDS splash protection, 10 DDS-bacterial filter with integrated oversuction stop, DDS hose adapter set (Ø 6 mm / Ø 10 mm), DDS hose holder on canister, suction hose Ø = 6 mm, L = 2.10 m
340.0338.0
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
17
Surgery | OT suction systems | User packages for completing the ATMOS C 451
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User packages for completing the ATMOS C 451 ➀ Receptal® set, mobile, 2 x 2 l consisting of: system trolley, standard rail add-on set, holder for 2 disposable canisters, 2 Receptal® external canisters 2 l, 2 Receptal®-suction bages 2 l, one of them with integrated overflow valve filter, 2 connecting hoses, suction hose Ø = 6 mm, L = 2.10 m, hose holder for standard rail, adapter standard rail / cover, Basic unit must be ordered separately! Receptal® set, mobile, 2 x 3 l consisting of: system trolley, standard rail add-on set, holder for 2 disposable canisters, 2 Receptal® external canister 3 l, 1 Receptal®-suction bags 3 l, one of them with integrated overflow valve filter 2 connecting hoses, suction hose Ø = 6 mm, L = 2.10 m, hose holder for standard rail, adapter standard rail / cover. Basic unit must be ordered separately! ➁ Receptal® set 1 x 2 l consisting of: Receptal®-holder complete, canister for Receptal®-suction bags 2 l, 2 Receptal®-suction bag 2 l, one of them with integrated overflow valve filter, connection hose, L = 31 cm, DDS-standard rail adapter with vacuum connection. ➂ Practice package 1.5 l consisting of: DDS canister 1.5 l, 10 DDS-bacterial filter with integrated oversuction stop, DDS secretion canister lid, DDS canister handle, DDS splash protection (silicone), DDS hose adapter set (Ø 6 mm / Ø 10 mm), DDS hose holder on canister, suction hose Ø = 6 mm, L = 2.10 m. Basic unit must be ordered separately! ➃ Practice package 3 l consisting of: DDS canister 3 l, 10 DDS-bacterial filter with integrated oversuction stop, DDS secretion canister lid, DDS canister handle, DDS splash protection (silicone), DDS hose adapter set (Ø 6 mm / Ø 10 mm), DDS hose holder on canister, suction hose Ø = 6 mm, L = 2.10 m. Basic unit must be ordered separately!
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
18
REF 340.0008.0
340.0009.0
444.0021.0
340.0356.0
340.0343.0
MedizinTechnik MedizinTechnik
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Accessories for ATMOS C 451 ➀ DDS adapter for tissue collector connects the ATMOS DDS canisters with the tissue collector Standard rail set for system trolley (instead of DDS-docking station for 2 system canisters) Trolley ➁ Tray for system trolley Potential equalization for trolley ➂ Trolley with standard rail Standard rail adapter for basic unit ➃ DDS-standard rail adapter with vacuum connection for the use of disposable systems at the unit Quick connector Foot switch for tabletop device or with trolley (the device is factory-equipped) ➄ Pedal regulator (0...-91 kPa) for infinitely variable vacuum regulation, especially with vacuum extraction, liposuction etc. (can also be added supplementary) DDS-canister set 2 x 3 l consisting of: ▪ 2 DDS secretion canisters 3 l ▪ 2 DDS canister lid sets ▪ 10 DDS-bacterial filters with integrated oversuction stop ▪ 1 suction hose, L = 2 m, Ø 12 mm DDS-jar set 2 x 5 l, cfonsisting of: ▪ 2 DDS-collection jar 5 l, polysulphone ▪ 2 DDS-jar lid set ▪ 10 DDS-bacterial filter/oversuction stop ▪ 1 suction hose ➅ DDS-secretion canister, plastic, 1.5 l, autoclavable Height 146 mm, external Ø 166 mm DDS-secretion canister, plastic, 3 l,autoclavable Height 247 mm, external Ø 166 mm DDS-secretion canister, plastic, 5 l,autoclavable Height 396 mm, external Ø 166 mm DDS-canister lid, complete set consisting of: DDS canister lid, DDS canister handle, DDS splash protection, DDS hose adapter set (Ø 6 mm + Ø 10 mm), DDS bacterial filter oversuction stop, hose holder on DDS canister DDS-canister lid with gaskets DDS-canister handle, grey DDS-splash protection, silicone DDS-hose adapter set, Ø 6 mm + Ø 10 mm DDS-hose holder Receptal® canister 2 l Receptal® canister 3 l
REF 340.0062.0 340.0081.0 340.0070.0 340.0084.0 340.0082.0 320.0070.1 340.0058.0 340.0059.0 000.0769.0 340.0060.0 443.0310.1
444.0901.0
444.0902.0
340.0050.0 340.0051.0 340.0052.0 340.0045.0
340.0053.0 340.0055.0 340.0056.0 340.0057.0 340.0066.0 443.0256.0 444.0157.0
➅
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
19
Surgery | OT suction systems | Consumables for ATMOS C 451
2
Consumables for ATMOS C 451 ➀ Bacterial filter for DDS secretion canister, 10 pcs., not autoclavable, change: 1 x per patient, with same patient: ca. every 14 days
2
Suction hose, disposable, Ø 6 mm, L = 2.10 m, 50 pcs. Not autoclavable, change: 1 x per patient
006.0059.0 *
Suction hose, silicone, Ø 6 mm, L = 2 m, 1 pc Autoclavable at 134 °C, change: after 20 x autoclaving
000.0361.0
Suction hose, silicone, Ø 10 mm, L = 2 m, 1 pc Autoclavable at 134 °C, change: after 20 x autoclaving
000.0243.0
2
Receptal® disposable bag 2 l, without integrated overflow protection Not autoclavable, 50 pcs., change: 1 x per patient
443.0257.0 *
2
Receptal® suction bag 2 l, with integrated overflow protection Not autoclavable, 50 pcs., change: 1 x per patient
443.0257.2 *
Receptal® suction bag 3 l, without integrated overflow protection For tandem hose system, not autoclavable, 50 pcs., change: 1 x per patient.
444.0153.0 *
Receptal® suction bag 3 l, with integrated overflow protection Not autoclavable, 50 pcs., change: 1 x per patient.
444.0154.0 *
➀
2
2
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
20
REF 340.0054.0 up to 4 pack from 5 pack from 10 pack
Surgery | OT suction systems | ATMOS C 451 basic unit MedizinTechnik
ATMOS C 451 portable
Portable basic unit
The new benchmark in Design and operability Secretion management Filter technology
ATMOS C 451 basic unit
REF
ATMOS C 451 Powerful surgical suction unit for high requirements. 340.0300.0 Designed for continuous operation, silent running, quick-mount mechanism for connection to system trolley without the use of tools, two vacuum attachments, easy to clean surfaces with additional protection against the penetration of liquids, integrated extra-large precision-vacuum indication, loss-free, infinitelyvariable ball-shaped vacuum regulator. DDS system for hose-free coupling of the pump to the DDS canister. Technical data: Vacuum 0 up to -91 kPa/-682 mmHg, pump performance: 45 l/min +3/-5 l/min, 230 V~, ± 10%, 50/60 Hz, dimensions (H x W x D): 330 x 240 x 360 mm Included in delivery: basic unit, mains cable, operating instructions
ATMOS C 451 (100 V~) 340.0300.1
ATMOS C 451 (115 V~) 340.0300.2
ATMOS C 451 (127 V~) 340.0300.3
Technical data
ATMOS C 451 basic unit
Noise level
≤ 48 dB (A) @ 1 m (ISO 7779) at max vacuum
Operation time
> 12 h continuous operation without intermittence, within 24 h
Voltages
230 V~ ± 10%, 50/60 Hz; special voltage: 100 V~ ± 10%, 50/60 Hz; 115 V~ ± 10%, 50/60 Hz; 127 V~ ± 10%, 50/60 Hz
Weight
approx. 6.7 kg (with secretion container)
Vacuum readout
-1...0 bar ± 16 mbar (class 1.6) Ø 63 mm
Power consumption
max. 173 W
The stated technical data are valid at the moment of printing, and are subject to change!
21
Surgery | OT suction systems | ATMOS C 361 Systems with reusable container
ATMOS C 361
Basic equipment incl. practise package Secretion management - simple, safe and high efficient!
Suction system with at least 36 l /min, - 91 kPa Can be adapted to trolley with canisters on standard rail system without ATMOS DDS system Operation without foot switch
ATMOS C 361 Systems with reusable container
REF
ATMOS C 361 with practice package 1.5 l Powerful surgical suction unit for high requirements. 340.0351.0 Designed for continuous operation, silent running, quick-mount mechanism for connection to system trolley without the use of tools, two vacuum attachments, easy to clean surfaces with additional protection against the penetration of liquids, integrated extra-large precision-vacuum indication, loss-free, infinitelyvariable ballshaped vacuum regulator. DDS system for hose-free coupling of the pump to the DDS canister. Technical data: Vacuum 0 up to -91 kPa/-682 mmHg, pump performance: 36 l/min ± 4 l/min, 230 V~ ± 10%, 50/60 Hz, Dimensions (H x W x D): 330 x 240 x 360 mm Included in delivery: basic unit, mains cable, operating instructions, DDS canister 1.5 l, DDS canister lid, DDS canister handle, DDS splash protection, DDS bacterial filter with integrated oversuction stop, DDS hose adapter set (Ø 6 mm / Ø 10 mm), DDS hose holder on canister, suction hose Ø = 6 mm, L = 2.10 m
ATMOS C 361 with practice package 3 l Included in delivery: basic unit, mains cable, operating instructions, DDS canister 3 l, DDS canister lid, DDS canister handle, DDS splash protection, DDS bacterial filter with integrated oversuction stop, DDS hose adapter set (Ø 6 mm / Ø 10 mm), DDS hose holder on canister, suction hose Ø = 6 mm, L = 2.10 m
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
22
340.0350.0
MedizinTechnik MedizinTechnik
➀
➁
Accessories for ATMOS C 361 DDS-secretion canister, plastic, 1.5 l, autoclavable Height 146 mm, external Ø 166 mm DDS-secretion canister, plastic, 3 l,autoclavable Height 247 mm, external Ø 166 mm ➀ Trolley with standard rail DDS-canister lid, complete set consisting of: DDS canister lid, DDS canister handle, DDS splash protection, DDS hose adapter set (Ø 6 mm + Ø 10 mm), DDS bacterial filter oversuction stop, hose holder on DDS canister DDS-canister lid with gaskets DDS-canister handle, grey DDS-splash protection, silicone DDS-hose adapter set, Ø 6 mm + Ø 10 mm DDS-hose holder ➁ Receptal®-canister set 2 x 2 l consisting of: Receptal®-holder complete, 2 canisters for Receptal®-suction bags 2 l, 2 Receptal®-suction bag 2 l, one of them with integrated overflow valve filter, connection hose L = 12 cm Basic unit must be ordered separately! Receptal® canister 2 l DDS-standard rail adapter with vacuum connection for the use of disposable systems at the unit Receptal® set 1 x 2 l consisting of: Receptal®-holder complete, canister for Receptal®-suction bags 2 l, 2 Receptal®-suction bag 2 l, one of them with integrated overflow valve filter, connection hose, L = 31 cm, DDS-standard rail adapter with vacuum connection. Consumables for ATMOS C 361 Bacterial filter for DDS secretion canister, 10 pcs., not autoclavable, change: 1 x per patient, with same patient: ca. every 14 days
REF 340.0050.0 340.0051.0 320.0070.1 340.0040.0
340.0053.0 340.0055.0 340.0056.0 340.0057.0 340.0066.0 444.0023.0
443.0256.0 340.0059.0 444.0021.0
340.0054.0 up to 4 pack from 5 pack from 10 pack
Suction hose, disposable, Ø 6 mm, L = 2.10 m, 50 pcs. Not autoclavable, change: 1 x per patient
006.0059.0 *
Suction hose, silicone, Ø 6 mm, L = 2 m, 1 pc Autoclavable at 134 °C, change: after 20 x autoclaving
000.0361.0
Suction hose, silicone, Ø 10 mm, L = 2 m, 1 pc Autoclavable at 134 °C, change: after 20 x autoclaving
000.0243.0
Receptal® disposable bag 2 l, without integrated overflow protection Not autoclavable, 50 pcs., change: 1 x per patient
443.0257.0 *
Receptal® suction bag 2 l, with integrated overflow protection Not autoclavable, 50 pcs., change: 1 x per patient
443.0257.2 *
2
2
2
2
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
23
Surgery | OT suction systems | ATMOS C 361 basic unit
ATMOS C 361
Basic unit
Suction system with at least 36 l /min, - 91 kPa Can be adapted to trolley with canisters on standard rail system without ATMOS DDS system Operation without foot switch
ATMOS C 361 basic unit
REF
ATMOS C 361 (230 V~) Powerful surgical suction unit for high requirements. 340.0001.0 Designed for continuous operation, silent running, quick-mount mechanism for connection to system trolley without the use of tools, two vacuum attachments, easy to clean surfaces with additional protection against the penetration of liquids, integrated extra-large precision-vacuum indication, loss-free, infinitely variable ball-shaped vacuum regulator. DDS system for hose-free coupling of the pump to the DDS canister. Technical data: Vacuum 0 up to -91 kPa/-682 mmHg, pump performance: 36 l/min ± 4 l/min, 230 V~ ± 10%, 50/60 Hz, dimensions (H x W x D): 330 x 240 x 360 mm Included in delivery: basic unit, mains cable, operating instructions
ATMOS C 361 (100 V~) 340.0001.1
ATMOS C 361 (115 V~) 340.0001.2
ATMOS C 361 (127 V~) 340.0001.3
Technical data
ATMOS C 361 basic unit
Noise level
< 50 dB (A) @ 1 m (acc. to ISO 7779)
Operation time
approx. 12h continuous operation without interruption within 24 h
Power consumption
max. 173 W
Voltages
230 V~ 50-60 Hz; special voltage: 100 V~ ± 10%, 50-60 Hz; 115 V~ ± 10%, 50-60 Hz; 127 V~ ± 10%, 50-60 Hz
Weight
6,3 kg (with collection jar)
Vacuum readout
-1...0 bar ± 16 mbar(class 1.6) ø 63 mm
The stated technical data are valid at the moment of printing, and are subject to change!
24
MedizinTechnik
ATMOS S 351 Top-class drainage/surgical suction devices. The“thinking“ suction system!
The universal suction specialist for: Neurosurgery Cardiac Surgery Gastroenterology Urology General Surgery
25
Surgery 2010 | ATMOS S 351
ATMOS S 351
What are your basic requirements with regard to a suction system in the operating theatre? Considerable demands are made with regard to the reliability of medical technology especially in critical operating situations. During your daily work you are exposed to a noise level, which should not be underestimated – you do not need a rise in noise level due to the suction device employed in this connection! To provide support ATMOS has a suction unit in the range that meets the following requirements: - Absolutely stable vacuum due to processor controlled regulation automatism
26
100% precise vacuum setting due to sensor technology Tissue protection function: prevents damage to sensitive tissue caused by adherent cannulas. Whenever a pre-set maximum vacuum limit is reached, a valve opens and the suction system „lets go“. n Automatic Standby Function: The system starts up automatically when secretion has to be extracted and stops when the secretion has been completely removed. n In brief: small mobile, quiet, safe and secure! n n
MedizinTechnik
processor-controlled The automatic control system
Simple and rapid vacuum preselection at the touch of a button, no loss of air, unlike mechanical vacuum controllers
Intermittent suction for drainage applications
designed safety Specially jar ensures no damage is caused by oversucking Safety jar without filter REF 444.0646.0 Safety jar with filter REF 444.0646.1
Hydrophobic bacterial filter with filter replacement indicator REF 443.0738.0
display High-resolution showing desired/actual
vacuum choice of mbar, mmHg oder kpa
socket nipple for Double rapid jar replacement REF 444.0012.0
27
Surgery | OT suction systems | ATMOS S 351
ATMOS S 351 OT
Basic equipment The „thinking“ suction system for OT and ward!
Advantages in OT: Protects delicate tissue from suction adherence Vacuum preselection at the touch of a button Almost noiseless
ATMOS S 351 ATMOS S 351 OT basic unit 1.5 l canister (PSU) Microprocessor-controlled suction unit with graphic-LCD-display, automatic vacuum control, standby automatic, filling level control with automatic switching off, suction adherence detection and intermittence for protecting delicate tissue and for gastroscopic and wound drainage, safety canister 250 ml for condensed water, bacterial filter with hydrophobic attribute. Technical data: Vacuum 90 kPa/-675 mmHg, pump performance: 36 l/min ± 2 l/min, 230 V~ ± 10%, 50/60 Hz, Dimensions: (H x W x D): 300 x 330 x 200 mm
REF 444.0461.0
Included in delivery: basic unit, mains cable, operating instructions, Safety canister 250 ml, Set with 1.5 l canister (PSU) incl. lid and double socket nipple, hydrophobic bacterial filter, hose holder, hose Ø 10 mm, L = 2 m, hose Ø 6 mm, L = 1.3 m
ATMOS S 351 OT set with 2 x 3 l canister (PSU) Included in delivery: basic unit, mains cable, operating instructions, safety canister 250 ml, set with 2 x 3 l canister (PSU) incl. lid and double socket nipple, hydrophobic bacterial filter, hose holder, hose Ø 10 mm, L = 2 m, hose Ø 6 mm, L = 1.3 m
444.0471.0
ATMOS S 351 Natal with trolley Included in delivery: basic unit, mains cable, bacterial filter, 2 connection hoses, extraction hose, hose holder, collection canister 1.5 l including, lid, double hose connector, trolley, operating instructions
ATMOS S 351 - basic unit Microprocessor-controlled suction unit with graphic-LCD-display, automatic vacuum control, standby automatic, filling level control with automatic switching off, suction adherence detection and intermittence for protecting delicate tissue and for gastroscopic and wound drainage, safety canister 250 ml for condensed water, bacterial filter with hydrophobic attribute. Technical data: Vacuum 90 kPa/-675 mmHg, pump performance: 36 l/min ± 2 l/min, 230 V~ ± 10%, 50/60 Hz, dimensions (H x W x D): 300 x 330 x 200 mm Included in delivery: basic unit, mains cable, operating instructions, safety canister 250 ml, hydrophobical bacterial filter, hose holder hose Ø 10 mm, L = 2 m, hose Ø 6 mm, L = 1.30 m
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
28
444.0481.0
444.0460.0
MedizinTechnik MedizinTechnik
➀
➁
➂
➃
Accessories for completing the ATMOS S 351 ➀ Secretion canister lid incl. standard rail holder with overflow electrode and splash protection ➁ Double socket nipple consisting of double socket nipple and hose reduction Graduated secretion canister 1.5 l Height 192 mm, external Ø 115 mm Secretion canister 1.5 l PSU, sterilisable up to 136 °C Grad. secretion canister 3 l Height 247 mm, external Ø 145 mm Secretion canister 3 l PSU, sterilisable up to 136 °C Grad. secretion canister 5 l Height 302 mm, external Ø 169 mm Secretion canister 5 l PSU, sterilisable up to 136 °C Receptal®-canister set 2 x 1.5 l consisting of: Receptal®-holder complete, 2 canisters for Receptal®-suction bags 1.5 l, 2 Receptal®-suction bag 1.5 l, one of them with integrated overflow valve filter, connection hose L = 12 cm Basic unit must be ordered separately! Receptal® canister, 1.5 l ➂ Receptal®-canister set 2 x 2 l consisting of: Receptal®-holder complete, 2 canisters for Receptal®-suction bags 2 l, 2 Receptal®-suction bag 2 l, one of them with integrated overflow valve filter, connection hose L = 12 cm Basic unit must be ordered separately! Receptal® canister 2 l Receptal®-canister set 2 x 3 l consisting of: Receptal®-holder complete, 2 canisters for Receptal®-suction bags 3 l, 2 Receptal®-suction bag 3 l, one of them with integrated overflow valve filter, connection hose L = 12 cm Basic unit must be ordered separately! Receptal® canister 3 l ➃ Medi-Vac® external canister 1 l Standard rail support for disposable system Medi-Vac® 1 l, 1.5 l Safety canister 250 ml, for condensed water Safety canister 250 ml with integrated DDS-bacterial filter / overflow stop, incl. adapter for arthroscopy (Shaver, Lavagen), oral and maxillofacial surgery, liposuction etc.
REF 444.0015.0 444.0012.0 444.0032.0 444.0036.0 444.0033.0 444.0037.0 444.0034.0 444.0038.0 444.0022.0
310.0221.0 * 444.0023.0
443.0256.0 444.0024.0
444.0157.0 312.0473.0 * 444.0451.0 444.0646.0 444.0646.1
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
29
Surgery | OT suction systems | Accessories for completing ATMOS S 351
➀
Accessories for completing ATMOS S 351 ➀ Trolley on 4 castors, self-assemblage Attention: Trolley and small suction units cannot be screwed up in standard version! If required, we will deliver a special design of the suction unit. Trolley with antistatic castors ➁ Foot controller electrical, water-proof IPX 8, AP-protected
REF 320.0070.0
444.0020.0 444.0452.0
2
Consumables for ATMOS S 351 ➂ Bacterial filter for DDS secretion canister, 10 pcs., not autoclavable, change: 1 x per patient, with same patient: ca. every 14 days
2
Suction hose, disposable, Ø 6 mm, L = 2.10 m, 50 pcs. Not autoclavable, change: 1 x per patient
006.0059.0 *
Suction hose, silicone, Ø 10 mm, L = 2 m, 1 pc Autoclavable at 134 °C, change: after 20 x autoclaving
000.0243.0
Suction hose, silicone, Ø 6 mm, L = 1.30 m, 1 pc Single packed, autoclavable at 134 °C Change: after 20 x autoclaving
000.0013.0
Receptal® suction bag 1.5 l, not autoclavable, 50 pcs.
310.0222.2 *
Receptal® disposable bag 2 l, without integrated overflow protection Not autoclavable, 50 pcs., change: 1 x per patient
443.0257.0 *
Receptal® suction bag 2 l, with integrated overflow protection Not autoclavable, 50 pcs., change: 1 x per patient
443.0257.2 *
Receptal® suction bag 3 l, without integrated overflow protection For tandem hose system, not autoclavable, 50 pcs., change: 1 x per patient.
444.0153.0 *
Receptal® suction bag 3 l, with integrated overflow protection Not autoclavable, 50 pcs., change: 1 x per patient.
444.0154.0 *
Medi-Vac® suction bag 1 l, not autoclavable, 50 pcs.
312.0474.0 *
Bacterial filter disposable, not autoclavable, change: 1 x per patient
443.0738.0
Bacterial filter
444.0082.0
➁
2
➂
2
2
2
2
Technical data
ATMOS S 351 basic unit
Noise level
43.9 dB (A) @ 1m (acc. to ISO 7779)
Voltages
230 V~ 50/60 Hz; special voltage: 115 V~ 50/60 Hz
Dimensions (H x W x D)
300 x 330 x 200 mm, without trolley; 840 x 490 x 520 mm, with trolley
Weight
10.2 kg, without secretion jar, without trolley; / with trolley: 24.7 kg
Classifications
protection category: IPX0; protection class: I; degree of protection: type B, class: IIb (acc. to appendix IX dirctive 93/42 EEC)
The stated technical data are valid at the moment of printing, and are subject to change!
30
340.0054.0 up to 4 pack from 5 pack from 10 pack
MedizinTechnik
ATMOS S 201 Thorax / ATMOS E 201 Thorax
The Bülau-drainage with a „brain“
The new generation of mobile thoracic drainage systems including therapy success monitoring
31
The intelligent thoracic drainage system
ATMOS E 201 Thorax ATMOS S 201 Thorax
Whereas technical developments have progressed at breakneck speed in virtually all other areas of OPs or intensive care and critical care units, thorax drainage procedures are frequently the same as they were 100 years ago - with all the disadvantages that this entails from a modern perspective. Problems: ▪ patients experience unnecessarily long periods of immobilisation ▪ intensive nursing care ▪ risk during transportation within the clinic ▪ materials used incur high costs ▪ no alarm function in the event of an error etc. The solution: the 2nd ATMOS generation of mobile thorax drainage systems
32
MedizinTechnik
The compact light weight as a complete solution ▪ subsequent therapy success monitoring without unnecessary x-ray ▪ complete documentation of vacuum and flow from the OT up to and including the removal of the drain ▪ improved patient safety and therapy success ▪ reduced nursing care costs by the increased capacity of the secretion container. ▪ the risk of follow-up costs is minimised through rapid mobilisation of the patient ▪
improved safety due to easily detec table alarm signaling and connection to the nurse call system eases the burden on the nursing staff
The innovations: More powerful than ever Now with 20 l/min! The new ATMOS thoracic drainage systems ATMOS E 201 Thorax and ATMOS S 201 Thorax with 20 l/min, making them the most powerful electrical drainage systems in the world. Real-time flow measurement system The unique ATMOS flow measurement system enables (real-time) display of the actual flow count in l/min to the second. The nursing staff and doctors are consequently kept informed about the fistula status of the patient at all times. Digital therapy control ATMOS S 201 Thorax saves the real-time flow measurement data and shows a progress curve on the colour display. The entire recovery process is thus displayed.
Documentation of the course of treatment The saved data can be read in MS Excel format from an integrated micro SD card and allocated to the patient file. The course of treatment is thus accessible at all times. Direct vacuum measurement and patient monitoring By means of the ATMOS measuring hose system the set vacuum parameters are measured close to the patient. The „siphon effect“ is excluded because the set parameters are constantly monitored and changes in the status are automatically balanced.. Safe Alarm signalisation The alarm function is designed to make the alarm easily detectable or audible in a noisy environment. The ATMOS S 201 Thorax model may be connected to a nurse call system.
Thorax drainage system
Max. 20 l/min
ATMOS E 201 Thorax
ATMOS S 201 Thorax
ATMOS disposable container system
Battery operation
Real-time flow measurement
Flow history
Data export via SD card
Monitoring function
Connection to SRS
Graphic display
Colour display
available
|
not available
33
Mobility is the key
Easy and safe operation
Secretion container
Connection for secretion hose
Sealing caps for sealing the pop off valve and the secretion hose connection
2 litre secretion chamber with spill over function
Container system for ATMOS E 201 Thorax and ATMOS S 201 Thorax The secretion container different from others - offers maximum safety and mobility for the patient.
34
The very sturdy container has - apart from the spacious secretion chamber with a capacity of 2 litres - an integrated water lock.
The enclosed sealing caps enable safe and hygienic disposal.
MedizinTechnik
Display (graphic mode)
Pop off valve
SD card status
filler for water lock
Patient number Current measured vacuum parameter at the patient
Battery charging status
Hydrophobic bacterial filter with reliable overflflow protection
Water lock
Vacuum scale
Flow value scale (extent of fistula)
Time line (from the first minute up to 12 days)
Display ATMOS S 201 Thorax (Graphic mode) Real-time Flow Measuring System:
Digital therapy monitoring:
Documentation:
Direct vacuum measurement
Makes it possible to measure the current flow parameters in l/min with to-the-second precision (real-time). This means that care personnel and physicians are informed about the patient’s fistula status at all times.
Data storage from the realtime flow measurement, readout on the colour display as progression curve. Therefore the progression of healing can be shown without gaps for the first time.
Via an integrated SD card, the stored data can be output in Excel format and assigned to the patient file. This makes it possible to trace the progression of treatment at any later time as well.
Through the ATMOS measuring tube system, the vacuum parameter is measured directly at the patient. The risky siphon effect is excluded. Well-thought-out alarm functions and the connection to a nurse call system (ATMOS S 201 Thorax) facilitate daily work in clinic.
35
Surgery | Thorax drainage | ATMOS E 201 Thorax / ATMOS S 201 Thorax
ATMOS S 201 Thorax / ATMOS E 201 Thorax
Digital thoracic drainage
now with 20 l/min suction performance real-time flow measuring system digital control of the therapy monitoring direct vacuum measurement at the patient secure alarm signalling 2 l capacity Integrated water lock with bacterial filter and oversuction protection
ATMOS E 201 Thorax / ATMOS S 201 Thorax ATMOS E 201 Thorax Mobile thoracic drainage system of the ATMOS "E-class". Suitable for transport within the hospital and to accompany the patient from the operating room to the end of therapy, Fully electronic monitoring, real-time flow measurement, alarm function ergonomic monochrome display. Technical data: Pump performance: 20 l/min Âą 4 l/min, noise level: max 39 dB (A) 1m (acc. to ISO 7779) dimension (H x W x D): 366 x 250 x 168 mm
REF 312.1100.0
Included in delivery: basic unit, micro SD card, carrying strap, mains cable, operating instructions, hose clamp
ATMOS S 201 Thorax Mobile thoracic drainage system of the "S-class". Suitable for transport within the hospital, and to accompany the patient from the operating room to the end of therapy. Fully electronic monitoring, realtime flow measurement, flow history, data export via SD card, alarm function (can be connected to nurse call system), ergonomic colour display. Technical data: Pump performance: 20 l/min Âą 4 l/min, noise level: max 39 dB (A) 1m (acc. to ISO 7779) dimension (H x W x D): 366 x 250 x 168 mm Included in delivery: basic unit, micro SD card, carrying strap, mains cable, operating instructions, hose clamp
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
36
312.1000.0
MedizinTechnik MedizinTechnik
Accessories ➀ Universal bracket Bracket for fastening the ATMOS S 201 Thorax / ATMOS E 201 Thorax on the patient bed, standard rail, wheelchair, tripod, etc SD Card
➀
Consumables ➁ OT-Set for ATMOS E/S 201 Thorax consisting of: 10 canisters, 10 hoses (steril)
REF 312.1160.0
312.2021.0 * 312.1031.0
➁
Technical data Operation modes Noise level
ATMOS S 201 Thorax
ATMOS E 201 Thorax
Continuous operation with network supply, min. 60 min. at 15 l/min of continuous suction max. 39 dB (A) (acc. to ISO 7779)
Voltages
100 ... 240 V~ 50/60 Hz
Dimensions (H x W x D) Weight Classifications
366 x 250 x 168 mm 3.6 kg including empty container protection type: IPX0; protection class: II; Class: IIa (in accordance with Appendix IX of the Directive 93/42/EEC)
The stated technical data are valid at the moment of printing, and are subject to change!
37
Surgery | HF- and Radiosurgery
ATMOS RS 221 Suction and cutting with maximum precision for best cosmetic results!
38
Radiofrequency surgery | Application information
Radiofrequency surgery – The revolution is called “cold” incision
A new dimension of precision Thanks to an innovative technology the ATMOS RS 221 enables incisions without pressure and traction which result in smooth incisions which heal quickly and are considerably less painful. Minimized scarring is the result of less cell damage. Why radiofrequency surgery? There is no damage of the surrounding tissue due to less lateral heating during radiofrequency surgery. This is an essential advantage compared to kHz devices: less tissue necrosis and minimized scarring – thanks to the unexcelled precision even the first incision through the cuticle is now possible with a MHz device! With the new method the histological examination of excised tissue is now possible up to the tissue edge. The ATMOS RS 221 is operated with a frequency of 2.2 MHz because over 3 MHz there could be safety critical antenna effects, and still the medical result is not improved. Radiofrequency surgery versus laser Apart from the fact that the price for laser equipment is ten times more expensive than for the ATMOS RS 221 the applied laser beam develops tissue damaging heat which may cause damage to the surrounding tissue – burnt skin around the wound edges and increased scarring may be the result. Thanks to radiofrequency even skin burning in the case of wetness at the neutral electrode is no longer possible – an important advantage in pediatric surgery. Another important advantage for the OT staff is the reduced laser smoke and herewith the reduced infection risk!
In combination with the ATMOS smoke evacuation system AtmoSafe this adverse effect could be eliminated completely. The multifunctional device for many areas of application Thanks to its invaluable advantages the ATMOS RS 221 radiofrequency surgery device is used mostly for plastic surgery e.g. eyelid lift: with current surgical methods, using a scalpel, laser or electrosurgery, the surgical result in the case of fine skin is insufficient. But even other interventions like rhinophyma or the endoscopic eyebrows lift, hair transplantation, removal of tumours etc. benefit from the use of the ATMOS RS 221. Extensive surgical interventions e.g. mammaplasty, dermatoplasty and abdominal plasty can also be easily performed. 3 operation modes, 3 outlets With the ATMOS RS 221 the surgeon has three different operation modes at his disposal: Cutting (Mono Cut) Cutting and monopolar coagulation (Mono Coag) Coagulation and bipolar coagulation (Bipol Coag) Thanks to the comprehensible symbols the operation of the device is easy – the colour-coded electrodes enable an easy selection of the respective outlet. Without any changeover the surgeon may decide to operate with either tool holder or foot switch Please request therefore alsoour information-DVD: Phone: +49 7653 689-374 Surgery@atmosmed.com
39
Surgery 2010 | ATMOS RS 221
ATMOS RS 221
Cutting and coagulation with maximum precision! With the radiofrequency surgical device ATMOS RS 221 ATMOS has added a top-class electrosurgical device to the product portfolio in the business range surgery. During an incision with a scalpel the skin is tightened, the incision itself requires pressure. The result: Imprecise transections, especially in the case of skin unevenness. In case incisions are carried out with conventional HF surgical devices or with laser instead of a scalpel the result often are carbonized wound edges with a delayed wound healing and increased scarring. With the ATMOS RS 221 these disadvantages are eliminated. The incision â&#x20AC;&#x201C; even the first incision through the cuticle â&#x20AC;&#x201C; is now possible with an extremely high precision without traction and pressure.
40
There is no thermal damage of the surrounding tissue and therefore, the wound healing and the scarring are minimized. The consequence is a perfect aesthetic result. With the use of the frequency range of 2.2 MHz tissue is vaporised only where the cutting electrode is in contact with the tissue. The resistance of the tissue prevents the propagation of radiowaves and therefore a carbonised lateral tissue. ATMOS offers a wide range of accessories for the ATMOS RS 221 e.g., electrodes for the incision, coagulation and ablation. For your particular safety in the OT the combination of ATMOS RS 221 and the smoke evacuation system AtmoSafe is perfect.
MedizinTechnik
MONO CUT Always the perfect incision performance for every type of tissue
Symbol buttons Left: Symbol for operation mode Right: Symbol for device type acc. to EN 60 601-1 Below: Symbol for neutral electrode (illuminates in case of malfuction)
MONO COAG For the smooth coagulation with definable depth effect
Set of electrodes
BIPOL COAG Safe bipolar coagulation
D
DV
41
Radiofrequency surgery | Application information MedizinTechnik
The innovation! The problem of previous surgical methods
Radiosurgical interventions with the ATMOS RS 221
Aesthetic and plastic surgeons wish – with regard to the patient – to operate with the best methods. Incisions with a scalpel are usually performed with traction and pressure, in doing so the tissue can slip especially in the case of soft or thin skin areas – a perfect aesthetic result is almost impossible. Incisions with laser may damage the surrounding tissue due to the extreme impact of heat – a longer and painful wound healing may be the result.
Lid plasty Rhinoplasty Epilation Facelift Otoplasty
Excision, Superficial ablation Mammaplasty
Dermatoplasty
Abdominal plasty
42
Is there a better method which is even more favourably-priced? The radiofrequency surgery offers new possibilities and has not any of the aforesaid weaknesses. The advantages are the perfect results and the simplicity of the method. More and more plastic surgeons can no longer imagine a surgical intervention without radiowaves – for experienced doctors with radiosurgical systems the advantages compared to the other methods like scalpel, laser or HF surgery are indisputable. Less impact of heat on the tissue speeds up the healing process and has a positive influence on the post-operative well-being. The incisions are smooth without the tissue being squeezed. The incision with the self-sterilizing radiofrequency electrode improves the haemostasis and results in an almost scarless wound healing.
Surgery | HF- and Radiosurgery | ATMOS RS 221 MedizinTechnik
ATMOS RS 221
Basic equipment
Disciplines: Aesthetic plastic surgery General and reconstructive surgery Dermatology OMS ENT Gynaecology
Precision Aesthetic result ATMOS quality and service Price-performance
ATMOS RS 221
REF
ATMOS RS 221 radiosurgery system 2.2 MHz 4 operating modes: cutting, coagulation-cutting, monopolar-coagulation, bipolar-coagulation, automatic switch of outputs: cutting/coagulation alternatively via handpieces or foot switch. Memory function for storing the last used values. Technical data: Cutting performance max. 100 W, coagulation performance max. 90 W, Standard ATMOS-, Martin-, Berchtold-connections
506.5800.0
Included in delivery: basic unit, mains cable, maintenance book, operating instructions
Technical data
ATMOS RS 221
Voltages
230 V~
Dimensions (H x W x D)
138 mm x 285 mm x 230 mm
Weight
4 kg, accessories plus 1.8 kg
Classifications
protection class: I; degree of protection: type BF; defibrillationproof; class IIb (acc. to appendix IX, directive 93/42/EEC)
Rated frequency
50 / 60 Hz
Fuses
2 x T 1,6 A / H at 230 V~, 2 x T 3,15 A / H at 115 V
Output voltage
500 V max. top level output voltage
Working frequency
2.2 MHz
Max. coagulation performance:
max. 90 Watt at 1 kOhm
Cutting performance
max. 100 W at 1 kOhm
Colour
grey-white (RAL 9002) / dove-blue (RAL 5014)
The stated technical data are valid at the moment of printing, and are subject to change!
43
Surgery | HF- and Radiosurgery | Accessories for ATMOS RS 221
Accessories for ATMOS RS 221
➀
➁
➂
ATMOS RS 221 monopolar accessories set autoclavable at 134 °C consisting of: tool holder, yellow, cutting (for 1.6 mm electrodes), tool holder, blue, coagulating (for 1.6 mm electrodes), standard set of electrodes (41, 43, 44, 45, 46, 47, 48), neutral electrode with rubber fixation, connection cable for neutral electrode. ATMOS RS 221 bipolar accessories set ➀ autoclavable at 134 °C consisting of: bipolar tweezers, short, straight, L = 110 mm, tip 0.5 mm foot switch with 2.5 m cable, bipolar cable, L = 2.5 m. ➁ Tool holder for cutting, yellow for 1.6 mm electrodes, cable length 2.5 m, autoclavable ➂ Tool holder for coagulation, blue for 1.6 mm electrodes, cable length 2.5 m, autoclavable Neutral electrode , 168 x 112 mm (185 cm²) cable length 0.5 m, autoclavable up to 134 °C (at least 75 x) Connecting cable for neutral electrode Rubber bandage for neutral electrode, L = 0.5 m Foot switch for grip without a release button, cable L = 2.5 m Bipolar cable, L = 2.5 m, autoclavable (at least 300 x) ➃ Bipolar tweezers, short, straight, L = 110 mm tip 0.5 mm
➃
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
44
REF 506.5850.0
506.5860.0
506.5851.0 506.5852.0 506.5853.0 506.5854.0 506.5855.0 506.5861.0 506.5862.0 506.5863.0
MedizinTechnik MedizinTechnik
Consumables for ATMOS RS 221 ➀ Self-adhesive disposable electrodes (50 pcs.) size 104 x 215 mm (for adults) ➁ Cable for self-adhesive disposable electrod length 3 m, with plug for the ATMOS RS 221 and clamp connection with twin bolt to the singleuse neutral electrode, autoclavable ➂ Special electrode for Uvulopalatoplastic Teflon coated, for safe and gentle removal of the uvula and the soft palate, to be used for chronic snorers Overall length: 100 mm
REF 506.5878.0
2
506.5877.0
506.5886.0
Included in delivery: 1 pc
➃ Cutting ENT needle electrode (extra long), #32 flexible shaft, L = 100 mm, fine wire
506.5881.0
Included in delivery: 2 pcs.
➄ Coagulation ball-shaped electrode (extra long), #34 flexible shaft, L = 100 mm, Ø ball 2,3 mm
506.5883.0
Included in delivery: 2 pcs.
➅ Cutting ENT loop electrode (extra long), #35 flexible shaft L = 128 mm, Ø loop 9 mm, super-fine wire
506.5882.0
Included in delivery: 2 pcs.
➆ Coagulation-electrodes, pointed needle electrode, #36 Coated and bent electrode for coagulation of the lingual tonsils and the submucous UPP; also very suitable for the preparation of fat tissue. L = 105 mm, length of needle = 18 mm (12 mm isolated)
506.5884.0
Included in delivery: 1 pc
➇ Multi-tip electrode, with spare wire, #41 with adjustable wire, for depth control (2 pcs.), wire 0.2 mm
506.5870.0
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
45
Surgery | HF- and Radiosurgery | Consumables for ATMOS RS 221
➀ Cutting-electrode, round loop, Ø 13 mm, #43
506.5871.0
Included in delivery: 2 pcs.
➁ Cutting-electrode, round loop, Ø 7 mm, #44
506.5872.0
Included in delivery: 2 pcs.
➂ Cutting-electrode, rhombical, #45 leg length 7 mm
506.5873.0
Included in delivery: 2 pcs.
➃ Cutting-electrode, triangle electrode, # 46 leg length 7 mm
506.5874.0
Included in delivery: 2 pcs.
➄ Coagulation-electrode, thick needle-electrode, #47 needle Ø = 1.5 mm, needle length 1.5 mm
506.5875.0
Included in delivery: 2 pcs.
➅ Coagulation-electrode, ball-shaped-electrode, Ø ball 2 mm, # 48
506.5876.0
Included in delivery: 2 pcs.
➆ Electrode for the nasal radioconchotherapy, #52 bayonet-shaped, total length = 155 mm, length of needle = 26 mm (10 mm isolated), blue shaft
506.5885.0
Included in delivery: 1 pc
➇ Bipolar needle electrode (puncture electrode), #03 for volume reduction of the nasal concha. Bent on the rear, isolated needles, ergonomic plastic handle, Total length: 188 mm, needles: 16 mm, isolation: 6.5 mm angled after 97 mm, angle: 20 degree, autoclavable up to 134 °C
506.5888.0
Included in delivery: 1 pc
➈ Bipolar needle electrode (puncture electrode, bent at the top), #04 for volume reduction of the soft palate and the lingual tonsils. Bent in front, isolated needles, ergonomic plastic handle, total length: 193 mm, needles: 19.5 mm, isolation: 9.5 mm bent after 169 mm, angle: 55 degree, autoclavable up to 134 °C
506.5887.0
Included in delivery: 1 pc Unless otherwise specified all electrodes are autoclavable and therefore reusable. For detailed information please see the operating instructions!
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
46
MedizinTechnik
AtmoSafe The most powerful smoke evacuation suction system!
No laser or HF surgery without smoke evacuation.
47
Surgery 2010 | Smoke evacuation | AtmoSafe
AtmoSafe
For the safe HF- and Laser surgery! ATMOS has introduced a smoke evacuation system for the OT â&#x20AC;&#x201C; the AtmoSafe â&#x20AC;&#x201C; a device which is used mainly in the laser and aesthetic surgery. Electrosurgical cutting and coagulation develop toxic fumes and build up unpleasant smells in the operating field - an obscured view and health risks are the result. The smoke evacuation system AtmoSafe protects both staff and patients from these toxic fumes, to the extent that doctors have a clear view in the OT, it prevents unpleasant smells, eliminates airborne viruses and carcinogenic substances. This cannot be done by a usual surgical suction device. The advantage of the AtmoSafe is, that it is almost noiseless and very economical to run due to the special ULPA filters.
48
Suction can be made available as and when required with the automatic activation of the device. ATMOS grants 6 years guarantee on the brush-free blower. Thanks to the unique combination of the special gas filter with the ULPA filter, staff and patients are also protected from papilloma viruses, ammoniac emissions and hydrogene cyanide vapours. ATMOS also offers a wide range of consumables for the AtmoSafe e.g. suction funnel, suction cannulae, prefilter and a standard rail with the relevant pivot mounted arm.
Surgery 2010 | AtmoSafe MedizinTechnik
Main filter unit
Funnel
measures the airflow of the filter and defines the filter life, which is normally more than 35 hours. It consists of ULPA filter, three activated carbon filter layers and a gas filter.
for sucking off smoke gas.
Pre-adjustments
Trolley
The value for operation suction, basic suction and the follow-up time are individually adjustable. By pressing the scroll button the requested parameter to be adjusted, is selected.
for the mobile use.
Handling
Clip-on handle
Start button, manual Stop button, manual
for slim-line handpieces
Suction performance
Pre-filter (HEPA)
With 650 l/min noxious smoke gas is sucked off.
for a longer service life of the main filter
REF 000.0687.0
REF 950.0200.0
REF 445.0063.0
REF 445.0044.0
Filter life indication The indication of the filter life gives an overview on the actual filter status.
49
Surgery | Smoke evacuation | AtmoSafe
AtmoSafe
User package and accessories The smoke evacuation system for electroand laser surgery!
Creates a clear view in the operating field Prevents unpleasant smells Removes airborne particles, viruses, gases, and carcinogenic substances Directly from the manufacturer!
AtmoSafe AtmoSafe OT set Microprocessor-controlled suction unit for removing and filtering surgical smoke, including internal synchronous activation (ISA), automatic shut-down, filter control, and electronically controlled, brushless blower. Technical data: Pump performance: up to 650 l/min, Dimensions: (H x W x D): 210 x 410 x 370 mm Included in delivery: basic unit, operating instructions, mains cable, Main filter device (ULPA), Prefilter set (HEPA), Hose Ø 22 mm, L = 2.10 m (not autoclavable), Hose Ø 22 mm, L = 2.10 m (50 x autoclavable), extraction tube, suction funnel, hose connector Ø 22 mm to Ø 22 mm, hose connector Ø 22 mm (M) to Ø 10 mm (M), hose connector Ø 22 mm (F) to Ø 10 mm (M), Joint arm (with 3 joints, stretched length approx. 1.3 m), 5 hose holders (hose Ø 22 mm), standard rail set (25 x 10 mm / 315 mm for lateral fixation)
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
50
REF 445.0075.0
MedizinTechnik MedizinTechnik
➀
Accessories for AtmoSafe Hose support for air hose inserted in standard rail,(stainless steel), Ø 22 mm Foot switch Foot switch (explosion-proof for OT) IPX8, with holding plate Joint arm with 3 joints for fixation to standard rail autoclavable, stretched length approx. 1.3 m, with 5 hose supports for hose Ø 22 mm Standard rail set Dimensions: 25 x 10 mm / 315 mm for internal fixation to AtmoSafe Trolley with table top and electrically conductive castors, 1 drawer, Dimensions (H x W x D) 800 x 512 x 550mm colour: RAL 7035 (light grey), Handles in RAL 5003 (sapphire-blue) ISA-power cord 2 m with non-heating plug and non-heating socket ISA-power cord 40 cm with non-heating plug and non-heating socket Interlink cable interface to laser- or HF-surgery ➀ Trolley 850 consisting of: Base with ESD-castors (front castors lockable) deposit board with handles drawer (to be arranged in any position) Dimensions (H x W x D): 85 x 55 x 64 cm
REF 445.0066.0 445.0061.0 * 445.0068.0 445.0060.0
445.0064.0 445.0065.0 *
008.0800.0 008.0806.0 445.0073.0 950.0200.0 *
Information brochure: "Smoke by-products in laser and HF surgery"
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
51
Surgery | Smoke evacuation | Consumables for AtmoSafe
2
➀ 2
➁
2
➂
Consumables for AtmoSafe ➀ Main filter device (ULPA 99,9999% @ 0,01m / 3-steps gas filter) Change: after approx. 150 patients ➁ Pre-filter (HEPA) with connections Ø 22 mm (M/W), sterile, not autoclavable, 50 pcs., to be used for laser ablations Change: 1 x per patient Air suction handle for smoke-evacuation surgery handles, clip-on handle, air hose Ø 10 mm, L = 2,5 m, 25 pcs., Change: 1 x per patient ➂ Funnel partial flattened with connection for Ø 22 mm, autoclavable up to 134 °C, Change: after 50 x autoclaving Suction tube for suction hose Ø 22 mm, autoclavable up to 134 °C Change: after 50 x autoclaving Air hose Ø 22 mm, L = 2.1 m disposable, not autoclavable, made of E.V.A. Change: 1 x per patient Air hose Ø 22 mm, L = 2.1 m multiple applicable, autoclavable up to 132° C, out of Hytrel, Change: after 50 x autoclaving Air hose Ø 22 mm, L = 2.7 m multiple applicable, autoclavable up to 134° C, made of Hytrel, connecting sockets made of silicone Change: after 50 x autoclaving Air hose, internal Ø = 10 mm, L = 1.8 m 132 °C, made of hytrel, connecting sockets made of silicone, Change: after 50 x autoclaving ➃ Hose connector, straight, Ø 22 mm (m) to Ø 10 mm (m) ➄ Hose connector, straight, Ø 22 mm (m) to Ø 10 mm (m) ➅ Hose connector, straight from Ø 22 mm (f) to Ø 10 mm (m)
➃
➄
➅
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
52
REF 445.0040.0
445.0044.0
445.0063.0 *
000.0687.0
445.0055.0
005.0200.0 * 005.0203.0
005.0201.0
005.0204.0 *
000.0683.0 000.0689.0 000.0688.0
Surgery | Smoke evacuation | AtmoSafe MedizinTechnik
AtmoSafe
Basic unit
Creates a clear view in the operating field Prevents unpleasant smells Removes airborne particles, viruses, gases, and carcinogenic substances Directly from the manufacturer!
AtmoSafe
REF
AtmoSafe - Basic unit Microprocessor-controlled suction unit 230 V~ 445.0000.0 for removing and filtering surgical smoke, including internal synchronous activation (ISA), automatic shutdown, filter control, and electronically controlled, brushless blower Technical data: Pump performance: up to 650 l/min, Dimensions: (H x W x D): 210 x 410 x 370 mm Included in delivery: basic unit, operating instructions, mains cable, Main filter device (ULPA), Prefilter set (HEPA), Hose Ø 22 mm, L = 2.10 m (not autoclavable), Hose Ø 22 mm, L = 2.10 m (50 x autoclavable), extraction tube, suction funnel, hose connector Ø 22 mm to Ø 22 mm, hose connector Ø 22 mm (M) to Ø 10 mm (M), hose connector Ø 22 mm (F) to Ø 10 mm (M), Joint arm (with 3 joints, stretched length approx. 1.3 m), 5 hose holders (hose Ø 22 mm), standard rail set (25 x 10 mm / 315 mm for lateral fixation)
Technical data
AtmoSafe basic device
Noise level
52 dB (A) @ 1m (acc. to ISO 7779)
Operation time
Continuous operation
Power consumption
approx. 400 W
Voltages
AtmoSafe Europe: 230 V~ 50 Hz; AtmoSafe World switchable: 100 V~ 50-60 Hz or 120 V~ 50-60 Hz or 230 V~ 50-60 Hz
Dimensions (H x W x D)
210 x 410 x 370 mm (without filter); 420 mm (with filter)
Weight
14 kg
Classifications
protection class (EN 60601-1): I; degree of protection: type CF defibrillator protected; protection category: IPX 0; OT-Foot switch: IPX8; Office-Foot switch IPX1; class I; (acc. to appendix IX, directive 93/42/EEC)
Appliance air flow:
Controlled 650 l/min ±10%; Turbo up to 800 l/min free blower flow 1600 l/min
The stated technical data are valid at the moment of printing, and are subject to change!
53
MedizinTechnik
Surgical smoke evacuation for the electrical (HF-laser) incision
aerosols
gases
aggregates
H2O-steam
agglomerates
CO2 /CO
secondary particles
NH3 / HCN / H2S
primary particles vapours droplets tissue residues
volatile organic compounds
tissue
pyrolysis products with the medical use of laser
macrophotograph of the filter surface showing deposited contaminants
The situation: Electrosurgical devices and lasers for the coagulation of tissue are nowadays part of the standard procedure and perating processes can no longer be imagined without these instruments. Arising problems: Unfortunately these surgical inventions are often accompanied by considerable disadvantages. The application of electrosurgery leads to the formation of toxic gases, harmful aerosols and transmission of human viruses to the endangering of health of both patients and operating personnel. The formation of smoke also leads to sight obstruction in connection with unpleasant odours. The press even reported that, for the first time, laryngeal papillomatosis has been recognised as an occupational disease of nurses working in operating theatres. A high risk of disease transmission has been proven several times resulting in exposure during to the removal of papilloma and condyloma and the resulting infectiousness due to laser fumes. Hence laser fume extraction is indispensable for the protection of the operating personnel. (Source: Laryngo-Rhino-Otology 2003; 82: page 790-793 – Georg Thieme Verlag Stuttgart) To meet these requirements, the implementation of smoke suction extraction systems during treatment involving lasers or electrosurgical instruments is now prescribed in the USA and in many parts of Europe. This trend is proceeding around the world. ATMOS provides the solution: On application of the AtmoSafe the operating personnel are supplied and protected with an effective, economic and medically reliable smoke extraction unit. Unrestricted safety for patients and personnel in the operating theatre is now guaranteed! This is accomplished by means of the flow rate of 650 l/min – equivalent to 10 times the capacity of the most powerful surgical suction extraction.
The use of a smoke evacuation system to prevent damage to health is an international standard of the health and safety at work guidelines and is urgently recommended for your safety by: ▪ ▪ ▪ ▪
54
NBOSH National Board of Occupational Safety and Health, Schweden NIOSH National Institute for Occupational Safety and Health, USA OSHA Occupational Safety and Health Administration, USA ANSI American National Standard for the Safe Use of Lasers in Health Care facilities, USA
Extracted by: „Smoke-by products in the laser and HF surgery“ An information brochure for staff and patients.
Information brochure smoke by-products 1.
Is normal operating theatre ventilation adequate for evacuating smoke? No, the rate of air circulation in the room - up to 24 x volume/hour - is not sufficient to evacuate locally generated aerosols and gases; the user is still exposed to dangerous laser smoke.
2.
So a normal room suction system (a central vacuum) is not good enough? No, the rate of room suction in an operating theatre is too low, at 30-40 l/min. Research has shown that a minimum of 400-600 l/min. is required in the operating field.
3.
How great is the risk of becoming infected from biological substances during an operation? Research is currently being undertaken to ascertain the degree of danger that exists from using different lasers and electrosurgical instruments. It has been proven that infectious particles can reach theatre staff and thereby create an acute risk of infection via the mucous membranes and respiratory tracts.
4.
So are the particles generated during an operation really dangerous? Airborne viruses such as papilloma viruses, proteins such as prions (BSE pathogens) and other airborne bacteria and funghi are dangerous substances that can lead to direct infection.
5.
Do surgical face masks help protect the operating staff? No, surgical face masks offer theatre staff no protection against airborne particles. These masks were designed to protect patients from droplet infections emanating from the operating team. Up to 25 % of air breathed in gets past the mask.
6.
Are there other reasons for carrying out localised smoke evacuation, apart from the risk of infection? The use of local smoke evacuation, when carried out during endoscopies, minimally invasive surgery and partially open and closed body cavities, gives optimum visibility.
Please request therefore our information brochure: Phone: +49 7653 689-374 Surgery@atmosmed.com
7.
How do doctors react to smoke evacuation devices? Smoke evacuation enjoys a high level of acceptance among medics, as they no longer have to contend with an obscured view of the surgical site.
8.
What effects do particles and gases have on the patient? During laparoscopies in particular, toxic gases diffuse into the patient‘s bloodstream. Small airborne particles in this smoke (measuring from 0.1 to 0.5 μm) cause ocular and upper respiratory tract irritation.
9.
Is there a risk to the patient? Medical staff should be aware of the risks to the patient from laser use and diathermic smoke generation during an operation. Some of the smoke inside a closed abdominal cavity can lead to an increase in methaemoglobin content, which reduces the capacity of body tissue to absorb oxygen.
10. Does the suction device have to be operated separately? No, the suction device runs in the background; assistant theatre staff do not need to devote any resources to operating it. The smoke evacuation unit is activated automatically when needed. 11. How high are the running costs of local smoke evacuation? The operating costs of the filter system are less than 1 Euro per surgical procedure and the filter unit has a life of up to 52 hours, depending on flow. 12. Do lasers deactivate dangerous airborne viruses? No, research on retroviruses has shown that infectious viruses and constituents of virus DNA are carried in laser smoke. So it is possible to be infected, for example, by papilloma viruses in the laser smoke.
55
MedizinTechnik
ATMOS ZV 60 / ATMOS ZD 60 Vacuum regulator and suction systems for central vacuum supply and central compressed air supply
56
For anaesthesia and intensive care â&#x20AC;&#x201C; the perfect system solution for demanding users.
Surgery 2010 | ATMOS ZV / ZD 60
ATMOS ZV 60 / ATMOS ZD 60 You are familiar with the situation: You need a reliable and powerful suction system!
Bedridden patients are treated by the in-house vacuum system during everyday hospital life. The vacuum supply is adequate by these means but it must be reliably controlled. The solution: ATMOS, as one of the leading worldwide manufacturers of suction units, has been looking into this matter and can now present you with the ATMOS ZV 60 and ATMOS ZD 60. This system solution stands for safety due to - Perfect read out opportunities - A suction control at a glance - The cut-off valve for immediate interruption of vacuum supply
Furthermore, the single docking station for economically designed treatment processes. The secrete jars can firstly be used for the central vacuum system; secondly they can be employed in portable suction systems. You have the benefit that the nursing staff does not have to be instructed in the use of different jar systems and that the handling of this system is very simple and convenient.
57
MedizinTechnik
ATMOS ZV 60 / ATMOS ZD 60
Max. flow, 55 l/min (+/-5 l) For all applications in the OT and on the ward. The damped vacuum gauge is easy to read and suction is controlled at a glance.
Single Docking Station for connecting the ATMOS DDS containers. By now the approved Direct Docking Stations are also available for connection to the standard rail system (25x10 mm or 30x10 mm).
The multiple-use container system: The direct docking systems from ATMOS! No more cumbersome tube connections.
58
Surgery | Suction system for vacuum and compressed air | ATMOS ZV/ZD 60 MedizinTechnik
ATMOS ZV / ZD 60
Central vacuum and compressed air supply
maximum flow 55 l/min (±5 l) perfect meter-reading suction control at a glance cut-off valve for immediate vacuum interruption
ATMOS ZV/ZD 60 ATMOS ZD 60 Vacuum suction regulator for the central compressed air connection, with vacuum regulator, vacuum display and stop valve, CPC coupling for connecting hose, device connecting hose NIST EN 739, incl. standard rail support Technical data: Vacuum performance 0...-85 kPa, suction performance max. 55 l/min ± 5 l/min, depending on supply pressure
REF 320.0800.0
Included in delivery: basic unit, operating instructions
ZV 60 Vacuum suction regulator for the central vacuum connection, with vacuum regulator, vacuum display and stop valve, CPC coupling for connecting hose, device connecting hose NIST EN 739, incl. standard rail support. Technical data: Vacuum performance 0...-85 kPa, suction performance max. 55 l/min ± 5 l/min, depending on supply pressure
320.0750.0
Included in delivery: basic unit, operating instructions
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
59
Surgery | Suction system for vacuum and compressed air | ATMOS ZV/ZD 60
ATMOS ZD 60 SDS-1 set Mobile suction unit for connection to central compressed air with vacuum controller, vacuum display and stop valve, CPC coupling for connecting hose with NIST EN 739 connection, including standard rail support. Technical data: Vacuum performance 0...-85 kPa, suction performance max. 55 l/min Âą 5 l/min, depending on supply pressure
REF 320.0745.0
Included in delivery: basic unit, Single-Docking-Station (SDS), operating instructions
ATMOS ZV 60 SDS-1 set Mobile suction unit for connection to central vacuum system
320.0740.0
Included in delivery: basic unit, Single-Docking-Station (SDS), operating instructions
ATMOS ZD 60 SDS-2-Set Mobile suction unit for connection to central compressed air with vacuum controller, vacuum display and stop valve, CPC coupling for connecting hose with NIST EN 739 connection, including standard rail support. Technical data: Vacuum performance 0...-85 kPa, suction performance max. 55 l/min Âą 5 l/min, depending on supply pressure
320.0720.0
Included in delivery: basic unit, Single-Docking-Station (SDS), operating instructions, stainless steel trolley (with 2 standard rails)
ATTENTION: DDS canister with lid must be ordered separately!
ATMOS ZV 60 SDS-2-Set Mobile suction unit for connection to central vacuum system, with Included in delivery: basic unit, Single-Docking-Station (SDS), operating instructions, stainless steel trolley (with 2 standard rails)
Please order connecting hoses separately!
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
60
320.0730.0
MedizinTechnik MedizinTechnik
➀
➁
Accessories for completing the ZV / ZD versions ➀ Trolley Stainless steel frame with plastic castors, dimensions (with rollers) H x W x D: 844 x 450 x 435 mm, roller Ø 55 mm ➁ Single-Docking-Station (SDS) Single-docking-station enables the use of DDS-canisters in connection with ZV / ZD systems. Attention: please order canister with lid separately! ➂ DDS-secretion canister, plastic, 1.5 l, autoclavable Height 146 mm, external Ø 166 mm DDS-secretion canister, plastic, 3 l,autoclavable Height 247 mm, external Ø 166 mm DDS-canister lid, complete set consisting of: DDS canister lid, DDS canister handle, DDS splash protection, DDS hose adapter set (Ø 6 mm + Ø 10 mm), DDS bacterial filter oversuction stop, hose holder on DDS canister Consumables of the ZV / ZD versions Bacterial filter for DDS secretion canister, 10 pcs., not autoclavable, change: 1 x per patient, with same patient: ca. every 14 days
➂
Technical data
REF 320.0450.0
320.0640.0
340.0050.0 340.0051.0 340.0040.0
340.0054.0 up to 4 pack from 5 pack from 10 pack
Suction hose, silicone, Ø 6 mm, L = 2 m, 1 pc Autoclavable at 134 °C, change: after 20 x autoclaving
000.0361.0
Suction hose, disposable, Ø 6 mm, L = 2.10 m, 50 pcs. Not autoclavable, change: 1 x per patient
006.0059.0 *
ZD 60
2
2
ZV 60
Operation time
continuous operation
Classifications
class: II a (acc. to Directive 93/42/EEC, Appendix IX)
The stated technical data are valid at the moment of printing, and are subject to change!
61
Surgery | Suction system for vacuum and compressed air | Accessories for ATMOS ZD / ZV 60
Accessories for ATMOS ZD / ZV 60 Supply hoses for vacuum Connection hose 1.5 m for ZV 60 (DIN adapter) Connection hose 3 m for ZV 60 (DIN adapter) Connection hose 5 m for ZV 60 (DIN adapter)
320.0765.0 320.0832.0 320.0831.0
➀ Connection hose 1.5 m for ZV 60 (British standard)
320.0766.0
Connection hose 3 m for ZV 60 (British standard)
320.0834.0
Connection hose 5 m for ZV 60 (British standard)
320.0827.0
➁ Connection hose 1.5 m for ZV 60 (AFNOR)
320.0844.0
Connection hose 3 m for ZV 60 (AFNOR)
320.0839.0
Connection hose 5 m for ZV 60 (AFNOR)
320.0823.0
➂ Connection hose 1.5 m for ZV 60 (US OHMEDA)
320.0846.0
Connection hose 3 m for ZV 60 (US OHMEDA)
320.0836.0
Connection hose 5 m for ZV 60 (US OHMEDA)
320.0826.0
➃ Connection hose 1.5 m for ZV 60 (Scandinavian)
320.0843.0
Connection hose 3 m for ZV 60 (Scandinavian)
320.0840.0
Connection hose 5 m for ZV 60 (Scandinavian)
320.0822.0
➀
➁
➂
➃
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
62
MedizinTechnik MedizinTechnik
Supply hoses for compressed air ➀ Connection hose 1.5 m for ZD 60 (DIN adapter) Connection hose 3 m for ZD 60 (DIN adapter) Connection hose 5 m for ZD 60 (DIN adapter)
REF 320.0815.0 320.0833.0 320.0830.0
➀
➁ Connection hose 1.5 m for ZD 60 (British standard)
320.0816.0
Connection hose 3 m for ZD 60 (British standard)
320.0835.0
Connection hose 5 m for ZD 60 (British standard)
320.0829.0
➂ Connection hose 1.5 m for ZD 60 (AFNOR)
320.0845.0
Connection hose 3 m for ZD 60 (AFNOR)
320.0838.0
Connection hose 5 m for ZD 60 (AFNOR)
320.0824.0
➃ Connection hose 1.5 m for ZD 60 (US OHMEDA)
320.0847.0
Connection hose 3 m for ZD 60 (US OHMEDA)
320.0837.0
Connection hose 5 m for ZD 60 (US OHMEDA)
320.0825.0
➄ Connection hose 1.5 m for ZD 60 (Scandinavian)
320.0842.0
Connection hose 3 m for ZD 60 (Scandinavian)
320.0841.0
Connection hose 5 m for ZD 60 (Scandinavian)
320.0821.0
➁
➂
➃
➄
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
63
Surgery | Accessories and consumables for general surgery
General surgery Miscellaneous accessories and consumables
64
MedizinTechnik MedizinTechnik
➀
➁
Further accessories for surgical suction devices Hose holder, for attaching to standard rail, white plastic ➀ Hose support, stainless steel for attaching to standard rail Basket for catheters, L = 340 mm ➁ Instrument quiver for attachment to standard rail, Ø 60 mm, height 170 mm Catheter quiver for catheter storing, with support for rail system, height 410 mm, Ø 105 mm, for standard rail 10 x 30 mm. ➂ Quiver holder incl. standard rail support, height 190 mm, Ø 55 mm, for standard rail 10 x 30 mm. ➃ Medi-Vac® external canister 1 l Medi-Vac® suction bag 1 l, not autoclavable, 50 pcs. Standard rail support for disposable system Medi-Vac® 1 l, 1.5 l
REF 444.0450.0 320.0611.0 444.0140.0 340.0065.0 443.0780.0
444.0145.0
312.0473.0 * 312.0474.0 * 444.0451.0
2
➂
➃
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
65
Surgery | Accessories and consumables for general surgery | Further accessories for general surgery
➀
➁
➂
Further accessories for general surgery ➀ Receptal® set 1 x 2 l consisting of: Receptal®-holder complete, canister for Receptal®-suction bags 2 l, 2 Receptal®-suction bag 2 l, one of them with integrated overflow valve filter, connection hose, L = 31 cm, DDS-standard rail adapter with vacuum connection. Receptal®-canister set 2 x 1.5 l consisting of: Receptal®-holder complete, 2 canisters for Receptal®-suction bags 1.5 l, 2 Receptal®-suction bag 1.5 l, one of them with integrated overflow valve filter, connection hose L = 12 cm Basic unit must be ordered separately! Receptal® canister, 1.5 l ➁ Receptal®-canister set 2 x 2 l consisting of: Receptal®-holder complete, 2 canisters for Receptal®-suction bags 2 l, 2 Receptal®-suction bag 2 l, one of them with integrated overflow valve filter, connection hose L = 12 cm Basic unit must be ordered separately! Receptal® canister 2 l ➂ Receptal®-canister set 2 x 3 l consisting of: Receptal®-holder complete, 2 canisters for Receptal®-suction bags 3 l, 2 Receptal®-suction bag 3 l, one of them with integrated overflow valve filter, connection hose L = 12 cm Basic unit must be ordered separately! Receptal® canister 3 l Deposit tray, stainless steel with holder for rail system
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
66
REF 444.0021.0
444.0022.0
310.0221.0 * 444.0023.0
443.0256.0 444.0024.0
444.0157.0 443.0790.0
MedizinTechnik MedizinTechnik
➀
➀ Serres® external canister 1 l
312.0465.0
Serres® suction bag, 1 l, not autoclavable, 36 pcs. with angled connection
312.0466.0
Serres® canister 2 l
310.0402.0
Serres® suction bag 2 l with gellant not autoclavable, 22 pcs.
310.0400.0
Serres® canister 3 l
310.0403.0
Serres® suction bag 3 l with gellant not autoclavable, 20 pcs.
310.0401.0
Serres® standard rail mounting bracket
310.0404.0
Accessories for DDS DDS-secretion canister, plastic, 1.5 l, autoclavable Height 146 mm, external Ø 166 mm DDS-secretion canister, plastic, 3 l,autoclavable Height 247 mm, external Ø 166 mm DDS-secretion canister, plastic, 5 l,autoclavable Height 396 mm, external Ø 166 mm DDS-canister lid, complete set consisting of: DDS canister lid, DDS canister handle, DDS splash protection, DDS hose adapter set (Ø 6 mm + Ø 10 mm), DDS bacterial filter oversuction stop, hose holder on DDS canister DDS-canister lid with gaskets DDS-canister handle, grey Canister handle, blue DDS-splash protection, silicone DDS-hose adapter set, Ø 6 mm + Ø 10 mm DDS-hose holder
2
2
2 on request
340.0050.0 340.0051.0 340.0052.0 340.0040.0
340.0053.0 340.0055.0 340.0326.0 340.0056.0 340.0057.0 340.0066.0
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
67
Surgery | Accessories and consumables for general surgery | Consumables
Consumables ➀ Bacterial filter for DDS secretion canister, 10 pcs., not autoclavable, change: 1 x per patient, with same patient: ca. every 14 days
2
➀
2
2
2
➁
2
2
➂ 2
2
2
➃
2
up to 4 pack from 5 pack from 10 pack
Suction hose, silicone, Ø 6 mm, L = 2 m, 1 pc Autoclavable at 134 °C, change: after 20 x autoclaving
000.0361.0
➁ Tissue collector 300 ml, disposable Ø 6 mm, change: 1 x per patient
340.0061.0
➂ DDS adapter for tissue collector connects the ATMOS DDS canisters with the tissue collector
340.0062.0
➃ Collector sieve, consumable 50 ml, change: 1 x per patient
401.0555.0
Bacterial filter disposable, not autoclavable, Change: 1 x per patient
444.0628.0
Suction hose, silicone, Ø 10 mm, L = 2 m, 1 pc Autoclavable at 134 °C, change: after 20 x autoclaving
000.0243.0
Suction hose, silicone, Ø 6 mm, L = 1.30 m, 1 pc Single packed, autoclavable at 134 °C Change: after 20 x autoclaving
000.0013.0
Suction hose, disposable, Ø 6 mm, L = 2.10 m, 50 pcs. Not autoclavable, change: 1 x per patient
006.0059.0 *
Receptal® suction bag 1.5 l, not autoclavable, 50 pcs.
310.0222.2 *
Receptal® disposable bag 2 l, without integrated overflow protection Not autoclavable, 50 pcs., change: 1 x per patient
443.0257.0 *
Receptal® suction bag 2 l, with integrated overflow protection Not autoclavable, 50 pcs., change: 1 x per patient
443.0257.2 *
Receptal® suction bag 3 l, without integrated overflow protection For tandem hose system, not autoclavable, 50 pcs., change: 1 x per patient.
444.0153.0 *
Receptal® suction bag 3 l, with integrated overflow protection Not autoclavable, 50 pcs., change: 1 x per patient.
444.0154.0 *
➄ Medi-Vac® suction bag 1 l, not autoclavable, 50 pcs.
312.0474.0 *
Bacterial filter disposable, not autoclavable, change: 1 x per patient
443.0738.0
Bacterial filter
444.0082.0
➄
Please contact us via: Surgery@atmosmed.com | Phone: +49 7653 689-374 | Fax: +49 7653 68986-374
68
REF 340.0054.0
MedizinTechnik
ATMOS Service worldwide
▪ Technical training ▪ Maintenance and servicing ▪ Service and repair
We offer you complete support so you can care for your patients! 69
MedizinTechnik
Training and instructions ▪ Instructions for use
▪ Product training
The ATMOS product and introductory training courses will clearly and comprehensively prepare your staff for practical operation. We ensure that important knowledge and skills concerning maintenance and care are communicated and if required, this training can be carried out on customer premises.
Introductory training courses for ATMOS products Fundamental elements of ATMOS products and system applications. Application in compliance with user instructions, functioning mode, authorised, accessories, opportunities for combination with other products, safety functions, care, maintenance and hygiene measures, practical exercise. Confirmation of participation in a course by means of instruction certificate!
Location
Product
Price
On site
According to agreement
Suction products ENT table top units1) ENT units1)
Participants max. 6
1)
Target group: Users of ATMOS products. Prerequisites: Company participating is an ATMOS customer. (Appoints according to agreement).
Technical product training for ATMOS Products Initial training in unit application, basic technical knowledge on the unit, maintenance/ inspection and care, hygiene measures, tips for trouble-free operation, repair work, practical exercise. Confirmation of participation in the course by means of certificate!
Location
Duration
Price
Participants
Lenzkirch
1 day
1)
4–8
On site
1 day
1)
max. 8
Target group: Medical technicians working in hospitals and clinics. Prerequisites: Company participating is an ATMOS customer. Participant is a medical technician. (Appointment according to agreement).
1)
70
For prices and special offers, please contact your local dealer.
Reprocessing
Consulting
Our regular training courses dealing with the preparation of suction units provide our partners with the necessary know-how required to prepare ATMOS medical products both functionally and hygienically.
Reprocessing training courses for ATMOS small suction units Reprocessing in accordance with BVMed- und ATMOS guidelines, legal basis (MPG (Medical Product Law), RKI (Robert Koch Institute) technical principles, simple repair work as well as practical exercise. Confirmation of participation in the training course by means of certificate!
Location
Duration
Price
Participants
Lenzkirch
1 day
1)
4–8
On site
1 day
1)
max. 8
Target group: Service technicians with electro-technical training and medical technicians. Prerequisites: Company participating is an ATMOS customer. Participant can prove that he/ she possesses elector-technical skills. Certification in accordance with ISO 13485:2003.
The new conference room in the ATMOS Academy
Advice and services all around your ATMOS products ▪ ▪ ▪ ▪
1)
Certificate of valuation Value retention report Certificate in the scope of independent preservation of evidence Project accompanying and advisory activities Advice with regard to cleaning, care and water hygiene
For prices and special offers, please contact your local dealer.
71
MedizinTechnik
Maintenance and inspection We recommend preventive maintenance â&#x20AC;&#x201C; because malfunction means downtime! Our treatment units are designed for reliable and durable use in your everyday work. We demand high standards of hygiene and safety of our devices, combined with the compliance of statutory provisions. Therefore, thousands of doctors rely on the durability of our products every single day. We would also like to be available for you at any time after sales in order to secure the value of your investment. Inspection and maintenance are preventive measures (e.g. exchange of wear and tear parts in time) in order to avoid expensive downtimes. Inspection and maintenance provide the basis for electrical safety and for a hygienically perfect product. It is a matter of safety for your patients. Our maintenance contracts meet legal requirements with regard to safety-related inspections, ensure a perfect workflow and provide a high standard in hygiene and technical safety. With our premium contract we guarantee a maximum response time of 48 h! Legal requirements to be fulfilled by the treating doctor Safety-related inspections â&#x20AC;&#x17E;The operator of medical products has to abide by the safety related controls prescribed by the manufacturer and in accordance to their specifications and general regulations. These necessary maintenance measures have to be performed within the deadline stated and have them implemented.â&#x20AC;&#x153; (German regulation)
Maintenance contract for ATMOS S 61 Servant (SR83021)
REF
ATMOS Basic Service comprises one free of charge maintenance service per year, including safety-related inspection and electrical testing. For further details please see specification of services.
SR83021
ATMOS Premium Service comprises one free of charge maintenance service per year, including safety-related inspection and electrical testing, power measurement and the possibility to have installed further, bought options free of charge. Further services: Prolonged warranty period, 7.5 % discount for spare and wear parts, response time of 48 h. For further details please see specification of services.
SR83021
Your advantages: Perfect operation of your treatment unit: Expensive downtimes are avoided. Meeting legal requirements We take over the responsibility for these requirements and provide reliable execution in time. Safety for your patients Any potential danger with regard to technology or hygiene is eliminated.
72
Reprocessing of small ATMOS suction devices
The reprocessing of ATMOS suction devices is our speciality!
Scope: Development, manufacture, sales, and service of medical devices for treatment, diagnostics and therapy in clinic, practice and homecare as well as reprocessing of suction devices
We are certified for the reprocessing of suction devices according to EN ISO 9001 and EN ISO 13485. Send your ATMOS suction device to our service department with the remark “reprocessing”. Your device will be processed efficiently and competently with the appropriate hygiene procedure.
ATMOS MedizinTechnik GmbH & Co. KG Ludwig-Kegel-Str. 12, 14-16, 18 79853 Lenzkirch/Germany Phone: +49 7653 689-222 Fax: +49 7653 689-292 Service@atmosmed.de
Our team from the service administration:
Our team from the technical service:
Egon Blessing, Christine Horstmann, Michael Weis, Claudia Tritschler, Kerstin Wehrle, Olaf Marx (from left)
Eckhardt Stender, Klaus Bendkowski, Werner Haberstroh, Winfried Link, Christian König, Jean-Luc Imhoff, Kian Schwuchow (from left)
73
ATMOS Partners worldwide Around the globe. Around the clock. Anytime.
74
ATMOS Partners worldwide
MedizinTechnik
The ATMOS sales and service team in the 5 customer centres in Germany 1. Customer Centre North Germany SH, Hamburg, Bremen, Lower Saxony Rainer Holzem Sales Manager Hospital Grebenstraße 19 27283 Verden (Aller)
Ulrich Kraut Service Technician
Mobil + 49 171 764 0648 E-Mail RHolzem@atmosmed.de
Mobil +49 171 5569115 E-Mail UKraut@atmosmed.de
2. Customer Centre East Germany New federal states and Berlin
Matthias Wolf Service Technician
Phone +49 7653 689-310 E-Mail RVoestel@atmosmed.de
Mobil +49 171 2131078 E-Mail MWolf@atmosmed.de
Georg Grünefeld
Sales Manager Hospital West
Sven Schlimgen
Sales Manager Wound & Thorax Luisenstraße 21 53721 Siegburg Mobil + 49 171 3616181
Phone +49 3303 500772 Fax –773
Roland Vöstel Team Manager Sales ENT Germany
3. Customer Centre West Germany North Rhine-Westphalia
Phone +49 2241 1279146
Phone. +49 4231 936155 Fax –157
E-Mail GGruenefeld@atmosmed.de Phone +49 2241 1461253 SSchlimgen@atmosmed.de Mobil + 49 170 7632967
4. Customer Centre South West Germany BW, Hessen, Saarland, RP
Fax +49 2241 1279248 Robert Bach Service Technician
Mobil +49 175 1848940 E-Mail RBach@atmosmed.de
Phone +49 7267 914610 Fax –629
Peter Jakobi / Andreas Käfer Sales Manager Hospital SW Schwaigernerstr. 2 75050 Gemmingen
Michael Kuhn Service Technician
Mobil + 49 171 5569113 E-Mail PJakobi@atmosmed.de AKaefer@atmosmed.de
Mobil +49 160 90535794 E-Mail MKuhn@atmosmed.de
5. Customer Centre South East Germany Bavaria
Phone +49 8238 958342 Fax –624
Wolfgang Heiß Sales Manager Hospital Zeisigweg 13 86420 Diedorf-Anhausen
Horst Delling Service Technician
Mobil + 49 171 3049490 E-Mail WHeiss@atmosmed.de
Mobil +49 171 2711455 E-Mail HDelling@atmosmed.de
75
MedizinTechnik
Your contact partner at the parent company in Lenzkirch Sales Manager worldwide / Managing Director
Manager Sales Germany
Manager Product Management
Maik Greiser Phone +49 7653 689-215 MGreiser@atmosmed.de
Michael Schindler Phone + 49 7653 689- 350 MSchindler@atmosmed.de
Jörg Pahlke Phone + 49 7653 689- 642 JPahlke@atmosmed.de
Area Manager NorthEast Europe, Middle East Axel Kanefeyer Phone +49 7653 689-330 AKanefeyer@atmosmed.de
Team Manager Sales ENT Germany
Junior Product Manager ENT
Roland Vöstel Phone +49 7653 689-310 RVoestel@atmosmed.de
Jenny M. Doan Phone +49 7653 689-647 JDoan@atmosmed.de
Sales Manager Europe
Quality Manager
Product Managerr Care
Ralf Kühnemund Phone +49 7653 689-311 RKuehnemund@atmosmed.de
Steffi Focke Phone +49 7653 689-220 SFocke@atmosmed.de
Simon Wegner Phone + 49 7653 689- 644 SWegner@atmosmed.de
Area Manager America and Africa
Marketing Manager
Junior Product Manager Gynaecology
Philipp Rellermeier Phone +49 7653 689-325 PRellermeier@atmosmed.de
Ulrich Jehle Phone + 49 7653 689- 600 UJehle@atmosmed.de
Arzu Uyan Phone + 49 7653 689- 646 AUyan@atmosmed.de
Junior Area Manager Asia, Australia
Junior Product Manager Surgery
Daniel Gebele Phone +49 7653 689-340 DGebele@atmosmed.de
Kai Reuter Phone + 49 7653 689- 643 KReuter@atmosmed.de
The Managing Directors a strong family team From left to right:
Maik Greiser Peter Greiser Gerlinde Greiser Frank Greiser
76
Since January 1st 2010 the Executive Board is enhanced by the sons Maik and Frank Greiser.
MedizinT MedizinTechnik
Europe
Endovision B.V.B.A.
Dräger Medical Belgium N.V.
Michel Timmermans
Marc Notez
Arseus Health
Eric Salden
Belgium / Luxembourg
Phone +32 24626211 Fax +32 26095240 E-Mail Michel.timmermans@draeger.com www.draeger.com Belgium / Luxembourg
Tel. +32 475 510559 Fax +32 3 8252370 E-Mail Eric.salden@arseus-medical.be www.arseus-medical.be Belgium / Luxembourg
Medical Technic Eng. Ltd.
Simonsen + Weel‘s Eftf. A/S
Otoplug OY
Dimitar Konov
Claus Nellemose
Phone +32 1640 7010 Fax +32 1640 7066 E-Mail info@endovision.be
Kerkko Penttilä
Bulgaria
Phone +45 70 25 56 10 Fax +45 70 255620 E-Mail cne@sw.dk www.sw.dk Denmark
Phone +358 33 647215 Fax +358 33 647815 E-Mail kerkko.penttila@otoplug.fi www.otoplug.fi Finland
ATMOS MEDICAL FRANCE
Papapostolou Ltd.
ATMOS Medical Ltd.
Phone +31 359 2 9712845 Fax +31 359 2 8734943 E-Mail konov@mte-bg.com
Julie Siafarika
Nicolas Perusin Phone +33 491 443294 Fax +33 491 443968 E-Mail atmosfrance@atmosfrance.fr www.atmosmed.fr France
Phone +30 210 6790000 Fax +30 210 6790100 E-Mail jsiafarika@papapostolou.gr www.papapostolou.gr Greece
Paul Zajacka Phone +44 1329 220866 Fax +44 1329 220855 E-Mail paul.z@atmosmedical.com www.atmosmedical.com Great Britain
Our partners are active in the following business areas: ENT
Surgery
Care
Gynaecology
77
MedizinTechnik MedizinT
Europe
ATMOS Medical Ltd.
Paul Zajacka
Arnar Adalsteinsson
ATMOS ITALIA S.R.L
Matteo Bertoletti
Phone +44 1329 220866 Fax +44 1329 220855 E-Mail paul.z@atmosmedical.com www.atmosmedical.com Ireland
Phone +354 5 204310 Fax +354 5 408001 E-Mail arnar@icepharma.is www.icepharma.is Iceland
Phone +39 02 48402262 Fax +39 02 48402506 E-Mail m.bertoletti@atmosmed.it www.atmosmed.it Italy
INEL Medicinska Tehnika
Biomedikos Techninis Centras
Pharma-Cos. Limited
Vilko Klindic
Kestutis Liegus
Phone +385 165 20546 Fax +385 165 20966 E-Mail vilko.klindic@inel-mt.hr www.inel-mt.hr Croatia
Phone +370 8 5 2709055 Fax +370 8 5 2709056 E-Mail kestutis@biomedika.lt www.biomedika.lt Lithuania
Vinora d.o.o. Skopje
Entercare BV
Alexandar Nikolovski
Luc C. Hoogstraten
Phone +389 2 3177914 Fax +389 2 3177914 E-Mail vinoramk@unet.com.mk www.vinora.com.mk Macedonia
Phone +31 348 420142 Fax +31 348 420142 E-Mail lchoogstraten@entercare.nl www.entercare.nl Netherlands
OrtoMedic AS
Neuroth AG
Morten Hansen Phone +47 67 518600 Fax +47 67 518599 E-Mail mh@ortomedic.no www.ortomedic.no Norway
78
ICEPHARMA
Karl Osobsky Phone +43 1 5455 013100 Fax +43 1 5455 013500 E-Mail karl.osobsky@neuroth.at www.neuroth.at Austria
Marcel K. Mifsud Phone +356 21 441977 Fax +356 21 441388 E-Mail info@pharma-cos.com www.pharma-cos.com Malta
Tefa-Portanje B.V.
Mirjam Schouten Phone +31 348 495 882 Fax +31 348 495 799 E-Mail m.schouten@tefa-portanje.opg.nl http://www.tefa-portanje.nl Netherlands
Medicus App. i Instrumenty Medyczne
Tomasz Papierski Phone +48 71 3472100 Fax +48 71 3472111 E-Mail tpapierski@medicus.wroc.pl www.medicus.wroc.pl Poland
MedizinTechnik
Europe
Mundinter S.A.
Medist S.R.L.
Bogdan Niculescu
Ana Nunes
OOO ATMOS Medikal
Andrey Sorokin
Tel. +351 2138 19900 Fax +351 2138 73570 E-Mail ana.nunes@mundinter.pt www.mundinter.pt Portugal
Phone +40 21 4115003 Fax +40 21 4105446 E-Mail bogdan.niculescu@medist.ro www.medist.ro Romania
Phone +7 495 2580894 Fax +7 495 2580894 E-Mail atmosmed@telsycom.ru www.atmosmed.ru Russia
ATMOS Medical AG
ULTRAMED s.r.o.
Dräger Slovenija d.o.o.
Juraj Varga
Jacky Noll
Robert Pristavec
Phone +41 616914151 Fax +41 61 6910992 E-Mail info@atmosmed.ch www.atmosmed.ch Switzerland
Phone +421 456761318 Fax +421 456761317 E-Mail juraj.varga@ultramed.sk www.ultramed.sk Slovakia
Phone +386 4 561 2263 Fax +386 1 561 2264 E-Mail robert.pristavec@draeger.com www.draeger.com/slovenija Slovenia
ATMOS Medica S.L.
HIST Medical s.r.o.
ATMOS Medikal Ltd.
Jaromir Hink
Daniel Romo
Timur Arslan
Phone +34 902193580 Fax +34 937414672 E-Mail dromo@atmosmed.es www.atmosmed.es Spain
Phone +420 737329835
Czech Republic
Phone +90 2165756414 Fax +90 216575635 E-Mail TArslan@atmosmed.de www.atmosmed.de Turkey
ATMOS HÖR-KA KFT.
TAHAT
Costas Papaellinas Org.
E-Mail hist.medical@seznam.cz
Siarhei Shmyk
István Nyitó Phone +36 1 335 6028 Fax +36 1 335 6028 E-Mail inyito@atmosmed.hu www.atmosmed.hu Hungary
Phone +375 17 296 54 99 Fax +375 17 296 39 99 E-Mail tahat@mail.bn.by Belarus
Nicos Mylonas Phone +357 22 863100 Fax +357 22 675136 E-Mail nicos.mylonas@papaellinas.com www.papaellinas.com Cyprus
79
MedizinTechnik
North- / South America
ATMOS Inc.
DEWIMED S.A.
Panmédica
Gernd von Dewitz
Ingo Riedl
Pablo Guzovsky
Tel. +1 610 351-7221 Fax +1 610 351-6827 E-Mail IRiedl@atmosmed.com www.atmosmed.com USA / Canada
Phone +52 55 56060777 Fax +52 55 56060520 E-Mail gvdewitz@dewimed.com.mx www.dewimed.com.mx Mexico
Phone +55 11 32894600 Fax +55 11 32844484 E-Mail pablo@panmedica.com.br www.panmedica.com.br Brazil
Ferrari Medical Ltd.
Representaciones Médicas „Mary“ S.R.Ltda.
Auditron Argentina S.A.
Mary Tafur
Ronaldo Luiz Ferrari Phone +55 11 3205-6200 Fax +55 11 3205-6211 E-Mail ronaldo@ferrarimedical.com.br www.ferrarimedical.com.br Brazil
Phone +51 1 6140600 Fax +51 1 6140603 E-Mail int.supplier@medicasmary.com www.medicasmary.com Peru
Hugo Wainerman Phone +54 11 43739800 Fax +54 11 43736560 E-Mail info@auditron.com.ar www.auditron.com.ar Argentina
Our partners are active in the following business areas: ENT
80
Surgery
Care
Gynaecology
MedizinTechnik
Africa, Near- / Middle East
Egyptian Group Co. S.A.E.
MEDICALEX
S.E.H.L.
Mohammed Ben Sadik
Yazzine Azzouz
Ayman Younis Phone +002 0222687712-13 Fax +002 0222687714 E-Mail ayounis@eggroup-eg.com www.eggroup.com.eg Egypt
Phone +213 21690551 Fax +213 21690551 E-Mail azzouz_medicalex@yahoo.fr
Phone +212 522 200356 Fax +212 522 263988 E-Mail mbensadik@gmail.com
Algir
Morocco
TDW Medical (Pty.) Ltd.
Int.General Equipment S.A.
General Medicals W.L.L
K. Sridhar
Chedli Essassi
Terry Wiegand Phone +27 11 7643438 Fax +27 11 7643438 E-Mail terryw@tdwmed.co.za www.tdwmed.co.za South Africa
Phone +216 1 700111 Fax +216 1 700970 E-Mail direction@ige.com.tn www.ige.com.tn Tunisia
Phone +973 17 727600-213 Fax +973 17 728274 E-Mail sridhar.medics@intercol.com www.intercol.com Bahrain
X-Ray Iran Co. Ltd.
DANEL Medical Equipment
Hekmamed
Ori Danel
Mehdi Mohseni
Dr. Naser Tiari
Phone +98 21 66957185 Fax +98 21 66417190 E-Mail info@xrayiran.com
Phone +972 3 6326353 Fax +972 3 7600684 E-Mail ori@danelmedical.com
Phone +218 21 3608493 Fax +218 21 3611339 E-Mail hekmamed@hotmail.com
Iran
Israel
Libya
Our partners are active in the following business areas: ENT
Surgery
Care
Gynaecology
81
MedizinTechnik
Near- / Middle East
SAM MEDICAL CORPORATION.
Technomedics Co. LTD
Nizar S. Al-Kubati
Sami Aggad
Sherif Shehata
Phone +967 4 218111 Fax +967 4 218113 E-Mail info@sammedical-ye.com www.sammedical.com.ye Yemen
Phone +962 6 5532395 Fax +962 6 5533294 E-Mail techno@nets.com.jo Jordan
Phone +974 403 9550 Fax +974 403 9551 E-Mail sherif.shehata@aamalmed.com www.ebnsina.com.qa Qatar
Central Circle Co.
Ibn-Sina Pharmacy LLC
Intermed PAL.
Hani Hamad
Ramesh Prakash
Omer Fittiani Phone +965 2 411748 Fax +965 2 411758 E-Mail cencico@qualitynet.net
Phone +968 24822108 Fax +968 24813472 E-Mail ibnsina@omantel.net.om
Phone +972 2 2409616 Fax +972 2 2409790 E-Mail info@intermed-pal.com
Kuwait
Oman
Palestine
Wisam Medical Equipment
Alphamed Co.
Al-Jeel Medical & Trading Co. Ltd.
Abdul Kader Al-Kodsi
Alaa Hamdan Phone +966 1 2168222-236 Fax +966 1 2168566 E-Mail ayasin@aljeel.com www.aljeel.com.sa Saudi Arabia
82
AAMAL MEDICAL CO.
Phone +963 11 2311159 Fax +963 11 2311634 E-Mail wisam-me@scs-net.org Syria
Abas Faraj Phone +971 267 30114 Fax +971 267 31224 E-Mail Abas.f@alphamedgroup.com www.alphamedgroup.com UAE
MedizinTechnik
Asia
ATMOS Shanghai Representative Office
Medicorp. Sdn Bhd
Rohit Surgical PVT. LTD.
Rohit Grover
Lily Yan
Priscilla Hue
Phone +91 11 25753575 Fax +91 11 25754575 E-Mail rohitsur@ndf.vsnl.net.in
Brunei
Phone +86 21 64260679 Fax +86 21 64260679 E-Mail SYingYan@atmosmed.de www.atmosmed.com.cn China
MNE TECHNOLOGIES
PT. Surgika Alkesindo
Wako Shoji Co. Ltd.
Phone +673 265 2339 Fax +673 265 2329 E-Mail phue@medicorp.biz
Handy Gunawan
N. Chelvadorai Phone +91 80 40545050 Fax +91 80 25590943 E-Mail sales@mneindia.com www.mneindia.com India
Phone +62 21 4253634 Fax +62 21 4253635 E-Mail surgika@cbn.net.id www.surgika.com Indonesia
ATMOS Asia SDN BHD
Europ Continents My.
Fumio Osada Phone +81 466 842485 Fax +81 466 842484 E-Mail f.osada@wako-shoji.com www.wako-shoji.com Japan
Yin Yin
Matthias Straub Phone +006 03 20727107 Fax +006 03 20728109 E-Mail mstraub@atmosasia.com www.atmosmed.de Malaysia
India
Phone +95 15 243301 Fax +95 15 05209 E-Mail europcomya@mptmail.net.mm www.europcontinents.com Myanmar
Our partners are active in the following business areas: ENT
Surgery
Care
Gynaecology
83
MedizinTechnik
Asia
Total Technologies (Pvt) Ltd.
Value-Rx, Inc.
Shoukat Ali Tel. +92 42 757-7897 Fax +92 42 753-6586 E-Mail medl@wol.net.pk www.totalgroup.com.pk Pakistan
Endomed (1999) Co. Ltd.
Padon Thuvanalin Phone +66 2731 567-4 Fax +66 2376 0982 E-Mail padon@endomedgroup.com www.endomed.co.th Thailand
84
Mervynsons (PVT) LTD.
Ranil M. Weliwitigoda
Daniel Geiger Tel. +63 2 396-5220 Fax +63 2 634-2085 E-Mail danielgeiger@gmail.com
Tel. +94 11 2686789 Fax +94 11 2699618 E-Mail mervynsons@asianet.lk
Philippines
Sri Lanka
MedizinTechnik
Australia
Lateral Medical
David Fenech Tel. +61 7 31391207 Fax +61 7 30366187 E-Mail david@lateralmedical.com www.lateralmedical.com Australia
Our partners are active in the following business areas: ENT
Surgery
Care
Gynaecology
85
Our company targets 2015: Medical technology for a better life! ATMOS MedizinTechnik GmbH & Co. has evolved into an exemplary company in the medical technology sector and thus obtained great acceptance. At the company’s success I was and I am still significantly involved! And I am proud on it. My company has the following prominent features: 1. The growth of ATMOS is constant. We grow at a higher rate than the medical technology market. ATMOS has attained a significant market position in its 5 business segments and defined regional markets. We want to be one of the market leaders, i.e. the number 1, 2 or 3. 2. ATMOS offers innovations in service and product technology that exceed your expectations, we inspire our customers but are a ‘headache’ for our competitors. 3. The success of our company gives us flexibility and the freedom of decision. 4. We are resting solidly on at least 5 „main pillars“ (business seg ments). The service is an independent business segment with inno vative service products, which supersede those of our competitors. 5. ATMOS has modern, ideal “business processes”. We have a process oriented organisation and not a department oriented organisation. 6. ATMOS has an exemplary „company culture“, tThe employees enjoy working for ATMOS. Target orientation and transparency of the strategic alignment are important for us. The company and our emplo yees should benefit from our success, this has become reality. 7. The ATMOS trademark is and will remain a strong „brand“ in the field of medical technology, standing for quality and innovation. 8. Customers, business partners, opinion leaders, salesmen, subsidiari es and agencies enjoy the level of co-operation with ATMOS. This is as a result of the reliability, efficiency of deliveries, availability of information, innovative products alongside a first class service. 9. ATMOS employees are highly motivated, team-orientated, modern thinking and perfectly trained, they will go through ‘fire and water’ for their ATMOS. In our region we an esteemed company with good employee opportunities, this also applies to our subsidiaries 10. The conversion process from the exporter to the global player with international employees, from the handicraft enterprise to the indus trial enterprise (with a new optimised work flow) is in progress. The modification to the model assembly operation has taken place. We employ external suppliers.
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ATMOS General terms and conditions MedizinTechnik
1. General:
case. Should the delivery delay be caused by a culpable infringement
also applies in the case of our culpable infringement of substantial
Our General Standard Terms and Conditions apply exclusively. Client’s
of non-substantial contractual duties, our client is also entitled to claim a
contractual duties The indispensable conditions of German Liability
terms and conditions which are contrary to or deviate from our General
one-off damage compen-sation worth 3 percentage points of the delivery
Law remain unaffected thereby.
Standard Terms and Conditions are not recognised unless their validity
value of the goods for each week’s delay, up to a maximum which is no
is explicitly confirmed in writing. Our General Standard Terms and
higher than 15 percentage points of the delivery value of the goods
to a period of twelve months.
- For second-hand equipment, the period of warranty shall be reduced
Conditions also apply even if we deliver to clients without reservation, in the knowledge of the client’s contrary terms and conditions. Our
7. Delivery - Familiarisation
10. Reservation of Ownership
General Standard Terms and Conditions also apply to all future business
with that client.
which require assembly and/or familiarisation for the final customer using
2. Proposal - Order Confirmation
In the case of the delivery of devices for the medico-technical industry
We retain ownership of our goods until the receipt of all payments
arising from the business relationship, including all demands arising
specialist trade personnel (such as Ear, Nose and Throat Apparatus and
from installation orders, subsequent orders, repairs, accessory deliveries
Suction Units), we reserve the right to deliver the goods exclusively to
and replacement orders. Should we have agreed upon payment on the
Our proposals are subject to change without notice unless otherwise
the relevant specialist traders. Should the trader not carry out assembly
basis of cheque and bill transactions, the ownership reservation applies
stated in our order confirmation. Each order is only accepted by us
and/or familiarisation for the final customer, this is carried out by us. In
until the cheque received by us has been paid in, and does not expire
such cases, we reserve the right to charge the client for the additionally
through our credit upon receiving the client’s cheque. In the case of
created costs. Our specialist traders operate a recording system so
a breach of contract by the client, especially payment arrears, we are
3. Orders
that, if necessary, our products can be traced to the final customer. The
entitled to repossess our goods. Repossession of our goods repre-sents
specialist trader undertakes to immediately report to us all events and
a withdrawal from the contract, unless explicitly declared in writing by
risks which must be reported in connection with our products.
us. We have the right to utilise the product after its repossession, whilst
8. Passage of Risk - Packaging
deducting appropriate utilisation costs.The client is responsible for
4. Prices
handling the goods with care. Should maintenance and inspection work
Unless otherwise stated in the order confirmation, our prices in the
ex factory. The risk of the goods’ damage or loss is therefore transferred
be necessary, the client must carry these out punctually at his own cost.
order confirmation are ex factory prices and exclude packaging and
to the client as soon as the goods leave the factory or the client is in
Our client is entitled to sell the goods he has bought from us in a proper
following our written order confirmation.
Every order requires an exact description of all of our product’s details.
We assume no liability for errors and damage caused by inaccurate or incomplete ordering details.
the income form such use is balanced against the client’s arrears, after Unless otherwise stated in our order confirmation, delivery is agreed
value added tax. Packaging is charged separately at cost price in the
default of acceptance of the goods. This also applies to cases where we
sale transaction. However, he must immediately assign all outstanding
invoice. Value added tax is charged separately in the invoice according
confirm prepaid carriage. Transport packaging and all other packaging
claims to the value of the final invoice sum (including value added tax)
to the legal rate on the invoice date. We reserve the right to change
according to the packaging regulations is not returnable. Our client is
of our claims to his customers or third parties. The client is entitled to
prices appropriately should price reductions or increases, especially
responsible for disposing the packaging at its own cost. Our deliveries are
collect this claim even after such assignment. Our right to collect the
due to wage settlements, changes in the price of materials or currency
insured by us at the client’s expense unless explicitly otherwise agreed.
claim ourselves remains unaffected thereby.We undertake to release
fluctuations, be incurred. Proof of such changes will be provided for the
No insurance is arranged in the case of goods which are collected by
the securities to which we are entitled if requested to do so by the
client on request.
our clients. In the case of transport damage, claims are only handled if
client should the realisable value of the our securities be more than 10
the client receives confirmation of any damage, reduced weight or loss
percentage points higher than the outstanding claims. We reserve the
by the shipping company before accepting the delivery.
right to choose the securities to be released.
5. Payment Conditions - Balancing
Unless otherwise stated in the order confirmation, our invoices
are payable with a 3% discount within 10 days (except for repair and
9. Warranty
11. Plans and Illustrations
assembly services) or within 21 days from the invoice date net cash;
money receipts is decisive for complying with this term. We are entitled
immediately after receiving them to determine any eventual deficiencies
calculations and other documents which are attached to our proposals.
to charge interest after the due date at a rate 2% above the relevant
or delivery errors, and to report these immediately. Should the client
The client must receive explicit written permission before passing these
basic interest rate of the German Federal Bank. Should the client have
fulfil this examining and reporting responsibility, and should payment
on to third parties. Imitating our legally patented products is forbidden
payment arrears, we are entitled to charge interest on arrears at a rate
conditions be fulfilled, we shall be liable to the client within the scope
and will be prosecuted.
5% above the relevant basic interest rate of the German Federal Bank.
of legal regulations. Our period of warranty shall in all cases be two
The client is responsible for examining the delivered goods
We retain ownership of and copyrights to all plans, illustrations,
Should we be able to prove higher damages due to arrears, we are also
years. Our client can make use of the warranty as follows, so long as
12. Jurisdiction and Place of Performance
entitled to claim these. The client only has the right to balance invoices
he can provide first buyer proof (in the form of an invoice or delivery
against its own claims should such claims be confirmed in a court of
note) and provided that the product still has the original, unchanged
connection with these General Standard Terms and Conditions and
law or recognised by us. The client does not have the right of retention
serial number:
due to disputed counterclaims.
6. Delivery Periods
fulfilment of the client’s duties. The right to defense on the grounds of an
the contracts closed with clients under them. This jurisdiction excludes
a. We choose whether to fulfil our guarantee by providing repair
other jurisdiction relating to persons or subject-matter. Furthermore, our
services free of charge - either on the client’s premises or in our factory
client is not entitled to bring charges against us in another court should
- or replacing the product. We can also provide these guarantee
Fulfilment of our delivery duties requires the punctual and proper
Our central office is the place of performance for all disputes in
he file counter-charges, carry out counterbalancing or declare retention.
services through an authorised company;
We, however, are entitled to bring charges against our client at their
b. Should a product be returned to us, the client agrees to send
general place of jurisdiction or at another relevant court recognised by
unfulfilled contract is reserved.Should the client default in accepting the
the product in its original or similar packaging, offering the same
German or foreign law.Unless otherwise stated in the order confirmation,
goods delivery or breach other cooperation duties, we are entitled either
protection as the original packaging, to our address or any address
our central office is the place of performance.
notified by us.
to withdraw from the contract or claim compensation for any increased costs incurred up to that time without setting a further deadline. The
c. Our guarantee ceases to apply if changes of any kind have been
right to make further claims is reserved. Furthermore, in such cases,
made to our product, unless such changes have been made by us
Lenzkirch, September 2008
the risk of coin-cidental destruction or a coincidental deterioration in
or a company authorised by us, or have been previously agreed
ATMOS MedizinTechnik GmbH & Co. KG
the quality of the delivered goods is transferred to the client in the case
upon in writing by us. Our guarantee also ceases to apply if third
79853 Lenzkirch/Germany
of default in accepting such goods or payment arrears. Acts of God or
parties have carried out repairs to our products or replaced parts
stoppages (due to insufficient supplies of material, industrial disputes
thereof. This applies regardless of the fact whether these measures
etc.) entitle us either to demand an appropriate extension of delivery
individually or collectively led to a deficiency of the product;
periods or to partly or entirely dissolve the delivery contract. This does
d. We accept no responsibility for damage defects caused by
not give the client the right to claim damages. We have fulfilled delivery
- operational wear and tear;
periods if the delivery goods have left our factory or the client has been
- incorrect installation or incorrect or insufficient maintenance;
informed of the goods’ readiness for delivery within such delivery periods.
- incorrect operation of the product (in contradiction to the handbook
Delivery periods stipulated by the client are not recognised by us unless
delivered with the product); - improper use or operating faults; -
they form part of our order confirmation. We adhere to legal terms and
inappropriate or negligent handling and care, especially with respect
conditions in cases where, as a result of an undue delay in the delivery
to dirt, lime, suction of fluids, inappropriate cleaning and sterilisation;
for which we are liable, the client is entitled to claim that his interests
- using accessories and/or replacement parts which are not explicitly
in a continued fulfilment of the contract have ceased. We also adhere
approved;
to legal terms and conditions should a delay in delivery be caused by
deliberate or grossly negligent action by us or our representatives for
parties; - the client’s negligence in handling the product; - unacceptable
which we are responsible. We are also responsible for such actions by
operating conditions, such as humidity, temperatures, the power supply,
- incorrect assembly and/or initial operation by the client or third
our representatives or agents. Should the delivery delay not be caused
vibrations.
by our deliberate infringement of contractual duties for which we are
responsible, our liability is limited to damage which is regarded as typical
unrest and insufficient ventilation. We are not liable for damage to
for that case. We are liable according to the legal terms and conditions if
other objects apart from our product itself, except in the case of any
- accidents, acts of God, especially lightening, water, fire, public
and in so far as the delivery delay for which we are responsible is caused
deliberate or grossly negligent actions by us or our representatives or
by an infringement of a substantial contractual duty. In such cases, our
agents. Should no deliberate breach of contract be claimed, our liability
liability is also limited to damage which is regarded as typical for that
is limited to damage which is regarded as typical for tthat case. This
This catalogue is copyrighted. Duplication, translations, microfilming and savings on electronic systems, particularly for commercialpurposes are illegal without prior agreement of the manufacturer. All compiled data are based on manufacturers instructions. All logos, product names and designations used in this catalogue are property of the respective manufacturer. We do not take over any warranty and liability in the case of missing inscriptions. Subject to modifications and amendments.
MedizinTechnik
www.atmosmed.com Your ATMOS Partner
ATMOS MedizinTechnik GmbH & Co. KG Ludwig-Kegel-Str. 12, 14-16, 18 n 79853 Lenzkirch/Germany Phone +49 7653 689-374 n Fax +49 7653 68986-374 Surgery@atmosmed.com n www.atmosmed.com REF