MedizinTechnik

English

ATMOS
Cam 21 / 31
Cam 21 / 31 DV
ENT Camera
Operating instructions

REF 531.2010.B
REF 531.2120.B
REF 507.4100.B
REF 531.4120.B
REF 531.2080.B
REF 531.2070.B
REF 531.2090.B
REF 507.5100.B
REF 507.5130.B
REF 507.5140.B
REF 531.2065.B
REF 531.2055.B
REF 507.5110.B
REF 507.5120.B

ATMOS MedizinTechnik Ludwig-Kegel-Straße 12,14-16,18 Tel. +49 7653 / 689-0 atmos@atmosmed.de

GmbH & Co. KG 79853 Lenzkirch/Germany Fax +49 7653 / 689-190 www.atmosmed.de
2013-04 Index: 18
Further information, accessories, consumables and
spare parts are available from:

ATMOS
MedizinTechnik GmbH & Co. KG
Ludwig-Kegel-Straße 12-14-16,18
79853 Lenzkirch
Deutschland/ Germany

Tel. +49 7653 689-0

Fax: +49 7653 689-190
+49 7653 689-493 (Service Center)

atmos@atmosmed.de
www.atmosmed.de
Table of contents
1.0 Introduction ............................................................................ 5
1.1 Notes on operating instructions 5
1.2 Intended use 5
1.3 Function 5
1.4 Explanation of symbols 6
2.0 For your safety ....................................................................... 7
3.0 Setting up and starting .......................................................8-9
3.1 Scope of supply 8-9
3.2 Connections 8-9
3.3 Digital monitor outlet 9
3.4 Programming the external camera inlets 10
3.5 Fitting the holder for camera head 11
3.6 Installation 11
3.6.1 Connection diagram ATMOS Cam 21 / 31 DATA
and ATMOS Strobo 21 LED 13
4.0 Operation............................................................................... 13
4.1 Power on/off 13
4.2 Application parts and light sources 13
4.3 Camera head 14
4.3.1 Inserting / replacing the application parts 14
4.3.2 Focussing / image definition 14
4.3.3 Digital zoom 14
4.4 Memory mode (only with Cam 31) 15
4.4.1 Storage of examination image 15
4.4.2 Switching amongst the modi 15
4.5 LED light sources (optional) 16
4.6 Manual white balance 16
4.6.1 White balance 16
4.6.2 Erasure of white balance 16
5.0 Cleaning ................................................................................ 17
5.1 General information on cleaning and disinfection 17
5.2 Unit surface 17
5.3 Camera head with video adapter 17
5.4 Chemical disinfection 17
5.5 Surface disinfectants 18
6.0 Repairs and servicing .......................................................... 19
6.1 Replacing the fuse 19
6.2 Regular safety relevant inspections 19
7.0 Trouble-shooting .................................................................. 20
8.0 Accessories and spare parts list ...................................21-22
8.1 Accessories 21-22
8.2 Options 22
8.3 Spare parts 22
9.0 Technical specifications ...................................................... 23
10.0 Disposal ................................................................................ 24
11.0 Arrangement ......................................................................... 25
11.1 Connection possibilities 25
12.0 Notes on EMC ....................................................................26-29
Declaration of conformity 30
3
 Information on the device versions

Compared to the ATMOS Cam 21, the ATMOS Cam 31 has an additional image
memory and a different zoom factor (2.0 instead of 1.7).

The DV versions have an IEEE 1394 outpus (FireWire) and in addition DVI-I and
SXGA monitor outputs.
Cam 21
ATMOS

Cam 31
ATMOS

Data
Cam 31
ATMOS

Cam 21 DV

Cam 31 DV
ATMOS

Data
Cam 21 DV
ATMOS

Data
Cam 31 DV
ATMOS

ATMOS
Image Memory: -   -  - 
Digital Zoom: 1,7 2,0 2,0 1,7 2,0 1,7 2,0
Outputs:
FBAS       
SVHS       
DVI-I - - - -   
SXGA - - - -   
Digital DV: - - -    
Firewire
(IEEE 1394)
Display of - -  - -  
symbols

4
1.0 Introduction
1.1 Notes on operating instructions

In the following all device versions, as well as all modules and table-top devices are named ATMOS Cam 21 / 31!

These operating instructions contain important notes on how to operate the ATMOS Cam 21 / 31
safely, correctly and effectively. Their reading helps to avoid risks, and also to reduce repair costs
and down-time. That increases, amongst other things, the reliability and service-life of the device.
These operating instructions serve not only for new operating personnel to be instructed in its use,
but also for use as a reference manual. Reprints (also in extracts) only with permission in written
form by ATMOS.
These operating instructions must always be kept available near the device.

Care and safety inspections in conjunction with professional execution provide for operational safety
and readiness for use of your ATMOS Cam 21 / 31 and are therefore a must besides regular clea-
ning.
Repair work and safety inspections may be carried out only by expert personnel authorised by
ATMOS. By applying only original spare parts you will have the guarantee that operational safety,
readiness for work and the value of your ATMOS Cam 21 / 31 will be preserved.

● The product ATMOS Cam 21 / 31 bears CE marking CE according to the EU guideline of the
council for medical products 93/42/EWG and meets the basic requirements of annex I of this
guideline.
● The quality management system applied at ATMOS has been certified according to international
standards EN ISO 9001 and EN ISO 13485.
● Prior to start-up please peruse chapter 2.0 „For your safety“, in order to be prepared for any
possible dangerous situations.

1.2 Intended use 1.3 Function

● Application: The ATMOS Cam 21 / 31 consists of a camera head and

→ The ATMOS Cam 21 / 31 is an ENT camera for
displaying an examination image on a screen.
● Visualization:
→ The camera is destined for being attached on all
established ENT endoscopes as well as on a
microscope.
● Application area:
→ In clinics and in ENT practices.
● Explosion- hazardous areas:
→ Not provided for usage in explosion- hazardous
areas.
the unit itself. Both elements are connected detachably via
a cable of 3 m length.
The camera head contains a ⅓“ CCD colour image sensor
with micro lenses and the facility for connecting standard
endoscopes.
Only applicable for ATMOS Cam 21 / 31 DV
The camera can directly be connected to a computer due
to the IEEE 1394 interface and the audio-in and therefore
a transmission in digital format is possible. This means
that our system seems to act like a DV camcorder. For this
reason it can be connected to computers and MAC with
firewire interface without any additional hardware. There are
no ATMOS nor other drivers needed because the current
Windows operating systems as well as Linux and Apple
systems already have the necessary functionality.

● Operation:
→ Only trained personnel is meant for operation and
application of the camera.
● Duration of application:
→ The duration of application (application on patient) is
set as „temporary„ (up to 60 minutes).

5
 1.0 Introduction

1.4 Explanation of pictures and symbols

Short cuts / symbols contained in this manual

Follow the arrows Move, plug ... in this

whilst proceeding, ■ General information direction
sequence
Turn, shift ... in this
Please press where ● Numeration direction
the dot indicates
Activate the optional
foot switch → Subnumeration
Replace
Check
Please read, Engage, check correct
important information click fit

Pictures contained in this manual Valid for ATMOS Cam 21 / 31 DV

IEEE 1394 Digital Interface

Warning, especial diligent

notice Ground wire connection
! Audio

Fuse according to
IEC 417/5016, DIN 30600/0186 Y/C / FBAS ~ Alternating current

Application part type BF On (feed-in, power

Interlink / Data connection)

Potential equalization Foot switch Off (feed-in, power

connection)

Control panel buttons of ATMOS Cam 21 / 31

Endoscope Xenon light source

Usage: Examination of nose and ears Typical : 180W and 300W resp.
typ. ø : 2.7 and 4 mm respectively Colour temperature: 5600...5800K
typ. angles: 0°, 30°, 45°, 70°

Laryngoscope Halogen light source

Usage: Laryngeal examinations Typical: 150W and 250W resp.
typ. ø : 10 mm Colour temperature: 3200K
typ. angles: 70°/90°

Flexible endoscope Stroboscope flashlight source

Usage : Nose-, throat-, larynx examinations Usage : Laryngo-stroboscopy
Colour temperature: 5800K

LED light source

Microscope
Typical: 2W (e.g. ATMOS LED light
Usage: Examinatin of ears source and LED headlight )
→ q.v. Accessories chapter 8.0

6
2.0 For your safety
● The ATMOS Cam 21 / 31 is:
→ designed in line with IEC 601 / EN
60601.
→ assigned to VDE safety class I
→ assigned to class I of the German law
on medical products.
● The ATMOS Cam 21 / 31 meets the immu-
nity to interference requirements of IEC
601-1-2 / EN 60601-1-2 „Electromagnetic
!
Compatibility – Medical Electrical Devices“.
● Pay also attention to the safety informa-
tion of the attached devices / parts as well
as to the safety informations in the follo-
wing chapters
● Please note:
A medical insulating transformer with
General safety earth leakage monitor or any similar
information safety system acc. to EN 60 601-1 is
required, if several devices are connect-
ed over one common power supply.
The transformer must correspond to
the power consumption of all the devices
to be connected.
● ATMOS will not be liable for damage to people or property if:
→ Any non-original ATMOS parts are used.
→ The instructions for use contained in these operating instructions
have been disregarded.
→ Assembly, resetting, alterations, extensions and repairs have
not been carried out by people authorised by ATMOS.
Please not unconditionally!
To avoid injuries, please note the following
details:
● Never touch the device´s interfaces and the
patient at the same time.
● Prior to first starting up, all connecting
leads must be checked on damage. Dama-
ged cables must be replaced!
Danger of injury!
● The ATMOS Cam 21 / 31 may not be
operated with devices not complying with
the requirements of standard EN 60601-1
„Medical Electrical Equipment“ and
EN 60601-1-2 „Electromagnetic Compati-
bility“ (Medical Electrical Equipment).
● The device may only be connected to a
properly installed protective contact so-
cket.
● For mains supply, only use the power
cable supplied (or an equivalent one).
Danger to the
device! ● Pay attention to the ambient conditions
specified in chapter 9.0.
● The ATMOS Cam 21 / 31 may only be
used under the supervision of skilled
staff who have been authorised by ATMOS
and trained in its operation (IEC 601-1 /
EN 60601-1).
● The use of accessories not recommended
by ATMOS may lead to flickering or image
failures.
● These operating instructions correspond
to the design of the device and the status
of basic safety engineering standards on
going to print.
● Please check the delivery on complete-
ness and intactness.
● When connecting several devices on
one grounding receptacle, the
allowed strain and leakage current have
to be observed!
● No warranty rights shall exist in the event
of damage or failure caused by the use
of non-ATMOS accessories or non-
ATMOS consumables.
● Warning notice
The cameras ATMOS Cam 31 DV and
ATMOS Cam 21 DV have a digital
monitor outlet with SXGA signal.
The resolution is 1280 x 1024 pixels.
Please make sure that only monitors
are connected which support the
stated resolution. Otherwise the
camera and/or monitor could get
damaged.
● To disconnect the device from the mains
supply, first remove the plug from the wall
outlet. Then separate the connecting cable
from the device. Never touch plug or cable
with wet hands!
● Prior to cleaning, switch off the device and
separate it from the mains supply resp.
from other devices.
● Ambient conditions:
The ATMOS Cam 21 / 31 may be opera-
ted only in rooms used for medical pur-
poses, but not in areas subject to explo-
sion hazards and in oxygen rich
environments. Explosion hazards may
result from the use of combustible ana-
esthetic agents, skin cleansing agents or
disinfectants.
● Prior to first starting up, check whether the
mains voltage specified on the type plate
matches the local mains voltage.
● Check proper assignment when assemb-
ling country-specific connections:
green / yellow: non-fused earth conductor
blue: neutral conductor
black or brown: phase
● Protect the device against direct solar radi-
ation and keep it away from heaters.
● The lens of the focusing optic should be
protected against mechanical contact.
7
 3.0 Setting up and starting
Scope of supply

ATMOS Cam 21

ATMOS Cam 21 DV
ATMOS Cam 21 DV Data

ATMOS Cam 31 Data

ATMOS Cam 31 DV
ATMOS Cam 31 DV Data
ATMOS Cam 31
3.1 Scope of supply

Camera housing       
Holder fpr Camera head       
Camera head       
footswitch to image
   
memory
Data transfer cable
RS 422   

Audio for stroboscope

Audiochannel incl.   
adapter plug
S-VHA Videocable       
DV-Cable PC 6/6 pole
   
(Firewire)
DV-Cable Laptop 6/4 pole
   
(Firewire)

3.2 Connections

at least 1.5 m
Patient Non-medical products
distance from video components, which do
not correspond to EN 60601-1

● To guarantee preferably short facilities, place the video components (recorder, printer, monitor, etc.) at an immedate
area to the ATMOS Cam 21 / 31.
● Please pay attention to operate all video components from one mains voltage distributor.
● All additional equipment which is connected to the analog and digital interfaces of the device must meet the re
quirements of relevant EN specifications (for inst. EN 60950 for data processing equipment and EN 60601 for
electrical medical appliances). In addition, configurations must satisfy system specification EN 60601-1-1:2001.
When additional equipment is connected to the signal input or signal output section on the device, the person
carrying out the connection is deamed „a system configuration operator“ and as such is responsible for meeting the
requirements of system specification EN 60601-1-1:2001. For answers to additional questions, please contact your
local specialist supplier or the ATMOS Technical Service.

Valid for ATMOS Cam 21 / 31

■ Arrangement q.v. Chapter.11.0, p. 22
Control panel Forefront

Buttons for selecting

application part and Connection for Camera
A head
light source
B Connection for LED
Mains on/off switch light source

8
 3.0 Setting up and starting

Rear view C Connection for video output (Y/C)

D Connection for video output (FBAS)

E Interlink interface for ATMOS-Stroboscope

F Data interface

G Audio input

I Connection for potential equalization

H Mains jack J Connection for foot switch

Valid for ATMOS Cam 21 / 31 DV

■ Arrangement q.v. Chapter.11.0, p. 22

Control Panel Forefront

Buttons for selecting

application part and Connection for Camera
A head
light source
B Connection for LED
Mains on/off switch light source

Rear view Connection for video output (Y/C)

C
D Connection for video output (FBAS)
DVI-I-monitor
output
L E Interlink interface for ATMOS Strobo 21 LED

F Data interface
SXGA monitor M
output IEEE 1394 connection
K
G Audio input

Connection for potential equalization

I
Mains jack Connection for foot switch
H J

3.3 Digital monitor outlets

Warning notice / safety note

The cameras ATMOS Cam 31 DV and ATMOS Cam 21 DV have a digital monitor outlet with SXGA signal. The
resolution is 1280 x 1024 pixels.
!
Please make sure that only monitors are connected which support the stated resolution. Otherwise the camera
and/or monitor could get damaged.

9
 3.0 Setting up and starting

3.4 Programming the external camera inlets

Connect the external video cable (REF 507.5142.0) to the rear of the camera.
video inlet Y/C

video inlet FBAS

Switch on the camera. During initialisation (all LEDs are on) you can select the button of the requested scope. Wait until the LED of
the selected buttons lights up and until a picture is visible on the connected monitor. The internal camera inlet is then automatically
chosen.

initialization (all LEDs on);

you may now choose the
requested scope in pressing
the button

Further depressing of the button enables the change between the external video inlet Y/C, the external video inlet FBAS and the
internal video inlet.

As soon as you have chosen the requested inlet please press any application profile button for storing the settings.

In the case that you choose any further scope, the camera must be switched off and on again first and the same procedure must be
repeated.

10
 3.0 Setting up and starting
3.4 Fitting the holder for camera head (not applicable for ATMOS Roadster)

Insertion like application

part q.v. page 12,
chapter 4.3.2

3.5 Installation
Please pay attention, just to switch on the devices after they have been completely wired.
If required, analogue peripheral video equipment (monitor, video printer, etc) must be adjusted to NTSC video
norm. For further details please look at the corresponding operating instructions.

Valid for
1 A Optional: 2
B ATMOS Cam 21/31 DV
click G

Cable
IEEE 1394

3 DVI-I-monitor
output L C Connection for
video output (Y/C)
(S-VHS)
...or

SXGA monitor
output (VGA) M D Connection for
Y/C video output
(FBAS) (VHS)
...or

Valid for
ATMOS Cam 31 4
I
+
.....
....

11
 Foot Regulator

12
Analogue Video System
VHS / S-VHS, TV,
PC Grabber Card
  Handle Support
LED Lightsource

008.0635.0
Speaker ATMOS Strobo LED
008.0858.0 

1 1

008.0858.0
011.1293.0

008.0635.0
507.4750.0 1
507.5016.0 1
 507.4260.0 (6/4)
2
008.0858.0
3.0 Setting up and startup

507.4261.0 (6/6) 008.0859.0

Computer
MS-Windows XP SP3 or later
IEEE 1394 Fire Wire
ATMOS MedDoc
Medical Archiving
Software
ATMOS Strobo 21 LED
ATMOS Cam 21 / 31 DV DATA

Legend:

1 Only cameras „DATA“ 507.5100.0, 507.5130.0 und 507.5140.0

2 Only cameras „DV“ und „DV DATA“ 507.4200.0, 507.5100.0, 507.5130.0, 507.5140.0
3.5.1 Connection Diagram ATMOS Cam 21 / 31 Data and ATMOS Strobo 21 LED

3 All ATMOS cameras, except „DATA“ 507.5100.0, 507.5130.0 und 507.5140.0.

Interlink Dongle 507.4781.0
Accessory of ATMOS Strobo LED
If the ATMOS Strobe 21 LED is used in connection with a ATMOS Attention! All connections are different!
CAM 21 / 31 this dongle has to be plugged in in the „Interlink“
socket of the camera.In this case the camera settings are opti-
mized for the cameras stroboscopy mode especially for using the
Typical connections
ATMOS Strobo 21 LED 3 .
Optionally possible
4.0 Operation

4.1 Power on/off

at 1. start-up

wait at least
10 s
or

last
Initialisation bevel: selected
all lights are on mode

4.2 Application parts and light sources

Adjust Camera profile to the desired situation of implementation.

1 2

Automatic configuration of the

optimum camera parameter
select lockable select type of
application part light source

Endoscope Xenon light source

Laryngoscope Halogen light source

Flexible endoscope Stroboscope

flashlight source

Microscope LED light source

13
 4.0 Operation
4.3 Camera head

4.3.1 Inserting / replacing the application part

1 2
click

4.3.2 Focussing / image definition

Pre-adjustment During the examination

4.3.3 Digital zoom

Amplification and miniaturisation of examination image

● Cam 21 / 31:
max. miniaturisation 2.0x

14
4.0 Operation

4.4 Memory mode (only with Cam 31)

■ Live image mode: Shows the examination image live, white balance and zoom possible.

■ Memory mode: → 1-image memory-mode:

One examination image can be stored and is displayed as full screen picture.
If storing another image, the one stored beforehand will be erased.

→ 4-image memory-mode:
Four stored examination images can be displayed in the 4-image-mode on the screen at the
same time. When all memory modes are clogged and you are storing further images, the
„eldest“ one will be erased.
4.4.1 Storage of examination image

4.4.2 Switching amongst the modi

briefly
briefly

keep
pressing for 4-image memory-
1-image memory- 4secs
mode mode

15
 4.0 Operation

4.5 LED light source (optional)

1 B 2 click 3

4.6 Manual white balance

4.6.1 White balance considering as example halogen light source

The ATMOS Cam 21 / 31 contains an automatic white balance, which allows you an uncomplicated and time-saving ex-
amination with best possible light configuration. If, nevertheless, you want to effect a manual white balance, proceed like
illustrated below. This manual adjustment will be maintained with this light source for subsequent applications.
By erasing the manual white balance (q.v. 4.6.2) the automatic configurated white balance will be set again.

1 2

Initialisation bevel
(all lights on),
meanwhile press the light
source button briefly

(flashing)

● Execute the white balance on a white sheet but not under fluorescent light. That will affect the result.
● To cancel the manual white balance press any button.

4.6.2 Erasing manual white balance considering as example halogen light source

1 Meanwhile:
Hold on pressing until
the initialisation bevel is
completed (all lights are off)
and release the light source
Press and keep pressed button.

16
5.0 Cleaning

5.1 General information on cleaning and disinfection

Prior to cleaning

→ If required, wipe the camera with a cloth moistened with a cleaning

1 solution and disinfect the application parts which come into contact
with the patient.
Do not spray the liquid directly on the camera.

+ →

→
For cleaning / disinfecting the optics please pay attention to the
respective cleaning instructions.
For disinfection, you may use all surface disinfectants listed on page
...and all other 18.
connected devices → Always observe the concentration specifications and instructions by
the respective manufacturer.

Do not use:
■ Disinfectants containing concentrated organic or inorganic acids or bases, as these may cause corrosion
damages.
■ Disinfectants containing chloramides, phenol derivatives or anionic tensides, as these may cause stress
cracks in the material used for the housing of the unit.

5.2 Unit surface

+ cleaning supplies,
q.v. page 18

5.3 Camera head with video adapter

Prior to cleaning Basic cleaning

1 A 2

+ cleaning supplies,
q.v. page 18

■ Don´t clean the camera head in the ultrasonic cleaning or with sharp-egded objects.
■ Make sure that no liquid penetrates the plug of the camera cable.
■ The application instrument may only be added to a completely dry camera head.

5.4 Chemical disinfection

→ Avoid liquid residues in the snap-in connection of the video adapter.
→ Upon drying, avoid liquid residues and spots on the lense of the image sensor.
→ All surfaces may be cleaned with the disinfectants listed on page 18.

17
 5.0 Cleaning

5.5 Surface disinfectants

For disinfecting the surface the following disinfectants have been tested:

Disinfectant Ingredients (in 100g) Manufacturer

magnesium peroxyphthalate
Dismozon pur 80 g Bode Chemie, Hamburg
hexahydrate
alkyldimethylbenzylammonium-
Green & Clean SK chloride <1g Metasys, Rum (Österreich)
dialkyldimethylammoniumchloride

Sani-Cloth Active didecyldimethylammoniumchloride <1g Ecolab, Düsseldorf

■ If using aldehyde-containing or amine-containing disinfectants at the same object, this may result in discolourations.

18
6.0 Repairs and servicing

Medical devices must always offer a maximum in safety and function.

We therefore recommend:

Prior to each application:

if

necessary

■ Further regular maintenance work is not required.

6.1 Replacing the fuse

click
Always replace
both fuses!

+ +
6.2 Regular safety relevant inspections

The following inspections must be performed at least every 24 months from persons who are able to
execute these controls due to their training, their knowledge and due to their gained practical experience.
Persons who execute these inspections are not bound by instructions.

6.2.1 Visual inspection

All mechanical parts have to be visually inspected after mounting on a proper fastening, all movable parts
on free rotation and all load-bearing parts on any possible damage. In particular the following requirements
must be adhered to:

■ ATMOS Cam 21 / 31 must be visually checked on inner and outer defects or damages
(e.g. defective cables, connections, circuit boards, etc.)
■ Especially with devices which have protection class I the protective earthing and the relevant
connections have to be checked (see wiring diagram).
■ All marks (especially the safety relevant marks) must be complete and legible.
■ The fuse values must be checked whether they correspond to the values stated on the type plate.
■ The housing parts may not exhibit signs of corrosion and contamination.

6.2.2 Electric measurement

According to VDE 0751-1

■ protective earthing resistance max. 0,3Ω (with mains cable). Measuring points:
■ protective earthing resistance max. 0,1Ω (without mains cable). ■ potential balance
■ earth leakage current max. 0,5mA N.C.
■ fixation screw for the housing cover
■ earth leakage current max. 0,1mA S.F.C.
■ housing leakage current max. 0,1mA N.C. ■ clamping fixture for optic
■ housing leakage current max. 0,5mA S.F.C. ■ screws at the camera head

19
 7.0 Trouble shooting
Description
No image
Image dark or not in focus
Image shows unnatural colours
Image shows changed colours
from different angles
20
Possible causes and measures
- Are monitor and camera switched on?
- Check monitor adjustment
- Is the video cable correctly inserted?
- Check cable connection from camera head to control device
- Check fuses
- Optimize focusing and definition (see chapter 4.3.2, page 12)
- Are there any residues on the optical instrument, the TV-adapter or the camera
head?
- Check monitor adjustment
- Select brighter light source resp. usa a better application instrument
- Effect a white balance (see chapter 4.6.1 page 14)
- Readjust colour saturation regulator on the monitor
- Color effect with TFT monitors: misinterpretation by colour variations caused by
wrong vieweing angle. Your seating position must be frontal to the monitor.
8.0 Accessories and spare parts

8.1 Accessories
TFT monitor
17“ TFT monitor (medical power pack) with 534.3010.0
video input and PC-monitor input (XGA)
Extension cord for camera head (2.0 m)
Enables the use of the camera head in a greater distance from the control module. 008.0884.0
! Max. 1 extension cord may be usederlängerungskabel eingesetzt werden.
LED light source ATMOS LS 21 LED white light 507.4600.0
LED light source ATMOS LS 21 LED warm white 507.4602.0
ATMOS MedDoc set (German)
Laptop including video and image archiving software ATMOS MedDoc 507.3221.0
for archiving the diagnostic results in a patient data base
ATMOS MedDoc set (English) 507.3222.0
Connecting cable (0.5 m) data transfer Strobo 21 LED
507.5016.0
(included in scope of delivery Cam DATA)
Audio cable (1.2 m) for transmission of the audio signal for video archiving
008.0858.0
(included in scope of delivery Cam DATA)
Adapter plug for audio cable
008.0859.0
(included in scope of delivery Cam DATA)
DVI-I cable (2 m) for digital connection
507.5019.0
from PC-monitor over the DVI-I-interface
PC monitor cable (1.8 m) for analogous connection of PC-monitors (XGA) 507.5018.0
Video cable for connection
008.0635.0
of analogous videomonitors S-VHS-monitor cable (1.0 m)
Video cable for connection
008.0882.0
of analogous videomonitors S-VHS-monitor cable professional (5.0 m)
Video cable for connection
008.0844.0
of analogous videomonitors FBAS-monitor cable (1.0 m)
Connecting cable for digital video archiving over DV connection
FireWire cable, 1.0 m (6-4-poles) for connection to laptop 507.4260.0
(included in scope of delivery ATMOS Cam DV)
Connecting cable for digital video archiving over DV connection
FireWire cable, 1.0 m (6-6-poles) for connection to medical PC 507.4261.0
(included in scope of delivery ATMOS Cam DV)
Foot controller for integrated image memory in the camera
507.4034.0
(included in scope of delivery ATMOS Cam 31)

21
 8.0 Accessories and spare parts
Optical instruments Laryngoscopes
 Laryngoscope 70°, Ø 10 mm, working length: 176 mm, 950.0209.0
autoclavable, without light guide
Laryngoscope 90°, Ø 10 mm, working length: 174 mm,
950.0210.0
autoclavable, without light guide
 Laryngoscope 70°, Ø 8 mm, working length: 166 mm, 950.0246.0
autoclavable, without light guide

Tele-magnifying laryngoscope 70°, Ø 10 mm, working length: 147,5 mm, 950.0211.0

can be immersed, without light guide
Tele-magnifying laryngoscope 90° , Ø 10 mm, working length: 950.0212.0
145 mm, can be immersed, without light guide

Ear endoscopes
Wide-angle optic, 0°,working length: 50 mm, Ø 4 mm, autoclavable 950.0213.0
 Wide-angle optic, 30°,working length: 50 mm, Ø 4 mm, autoclavable 950.0214.0

 Wide-angle optic, 0°, working length: 34 mm, Ø 2,7 mm, can be 950.0215.0
immersed, incl. adapter for ear-speculum

Nose/Pharynx endoscopes Ø 4 mm
Wide-angle optic, 0°, working length: 180 mm, Ø 4 mm, autoclavable 950.0216.0

Wide-angle optic, 30°, working length: 180 mm, Ø 4 mm, autoclavable 950.0217.0
  Wide-angle optic, 45°, working length: 180 mm, Ø 4 mm, autoclavable 950.0218.0

Wide-angle optic, 70°, working length: 180 mm, Ø 4 mm, autoclavable 950.0219.0

Nose/Pharynx endoscopes wide angle Ø 2.7 mm


Wide-angle optic, 0°,working length: 110 mm, Ø 2.7 mm, autoclavable 950.0220.0

 Wide-angle optic, 30°, working length: 110 mm, Ø 2.7 mm, 950.0221.0
autoclavable

Flexible endoscopes
 High-resolution Naso-Pharyngoscope Ø 3.8 mm, 950.0222.0
 working length: 300 mm,
 0°, - angle of field of view: 80°
  depth of focus: 5 mm – infinite
 angle: 125° / 125°
Delivered including aluminium transport case and density verifying

45° 90°
0° 30° 70°

8.2 Options
Endoscopy Trolley
For integration of camera, stroboscope, endoscope management, monitor bracket, insulation transformer 950.0223.0
and foot control band.
Endoscopy Trolley for Medical PC
For integration of camera, stroboscope, endoscope management, monitor bracket, insulation transformer 950.0226.0
and foot control band.
Transformer 950.0225.0
Monitor bracket for Endoscopy trolley 950.0224.0

8.2 Spare parts

Camera head including connecting cable 507.5200.0
Power supply cable 507.0859.0
Video cable S-VHS (Y/C) 008.0671.0
Operating instructions 507.3006.B
22 Adapter 008.0859.0
9.0 Technical specifications
ATMOS Cam 21 ATMOS Cam 31

⅓“ CCD
Image sensor Resolution 752 (H) x 582 (V) Pixels
Dynamics 48dB

Image memory no 1-resp. 4-image-mode

Digital zoom up to factor 2.0

White balance automatic as well as manual (with storage)

Inlets
Outlets
Only applicable for
ATMOS Cam 21/31 DV
Audio in**
TV system
Mains supply
Power consumption
Fuses
Protective earth conductor
resistance
Earth leakage current
Enclosure leakage current
Patient leakage current
Regular safety-related
inspection
Protection class
Degree of protection of
application parts
Operation mode
Protection category
Ambient conditions
Connection for camera head Data, interface for data communication with LED Strobo
Audio-In: Line-In-inlet for audio signal from LED Strobo, inlet for foot switch for freezing
the examination images
Y/C (S-VHS), FBAS (video), trigger outlet (external image memory), SXGA
(analogue standard monitor inlet with a resolution of 1280 x 1024 Pixel and a
refresh rate of 60 Hz), current source for LED emitter
Only applicable for ATMOS Cam 21/31 DV:
ATMOS interlink, IEEE 1394 (DV)*, DVI-I (digital DVI interface with integrated
analogue video signal. The resolution is 1280 x 1024 pixel up to a refresh rate of 60 Hz
max. input level +6 dBu (~1.54 Vrms)
NTSC
100-240V AC, 50/60 HZ
max. 35 VA
2x T 2.5 A / H
max. 0.1 Ω
max. 0.5 mA
max. 0.1 mA
max. 0.1 mA
see 6.2, page 17
I
BF
Continuous operation
IP20
Temperature +10 ... +35°C
Air humidity
without condensation 30 ... 80% rel. humidity
Air pressure 700 ... 1060 hPa

Transport and Temperature -10 ...+50°C

storage conditions Air humidity
without condensation 30 ... 80% rel. humidity
Air pressure 500 ... 1060 hPa
Classification acc. to,
EEC Directive 93/42/EEC, I
Appendix IX
CE marking CE

GMDN-Code 10549

Canadian Classification:
Only applicable

Cam 21/31 DV

* Video formats: PAL − 720 x 576 @ 25fps

}
Device Group General & Plastic Surgery
for ATMOS

NTSC − 720 x 480 @ 29,97fps PNC 79FWL

Data rate: 100 Mbps Risk Class 1 23
** Audio format: 1 channel 48 kHz 16 Bit Description CAMERA, CINE, ENDOSCOPIC;
WITHOUT AUDIO
10.0 Disposal
10.1 Checking ATMOS devices
The ATMOS devices are maintenance-free in the case they are used according to the operating instructions. However, regular
safety-relevant checks have to be performed in line with the BGV A3/GUV 2.10 (MPBetreibV §2 Abs. (8)). “For mobile devices
the safety-relevant controls must be performed at least every 6 months.”

Regular, thoroughly cleaning and disinfection of the hoses and the application parts respectively the operation in line with the
operating instructions are assumed.

10.2 Disposal

● The ATMOS Cam 21/31 does not contain any hazardous materials.

● The housing is recyclable.

● Device and accessories must be decontaminated prior to disposal.

● Please take care on a careful separation of the different materials.

● Please observe national disposal regulations (e.g. waste incineration).

Disposal within the EC

The device described above is a high-quality medical product with a long service life. After its life cycle it must be disposed of
professional. According to the EC directives (WEEE and RoHS) the device may not be disposed of in domestic waste. Please
observe existing national laws and rules for disposal of old devices.

Disposal within the Federal Republic of Germany

In the Federal Republic of Germany the law for electrical devices (ElektroG) rules the disposal of electrical devices. In order to
guarantee a proper disposal of your old device, please either pass on your old device to your specialised dealer or send it direct-
ly to ATMOS MedizinTechnik for a professional disposal.

Before disposal respectively before transport all parts, which came into contact with the patient must be thoroughly cleaned,
disinfected. The device surface must be disinfected.

24
11.0 Arrangement

11.1 Connection posibilities of ATMOS Cam 21 / 31

Application parts Light sources

Camera head with

Endoscope endoscope adapter
LED light source1)

Laryngoscope

Endo Stroboscope L
light source

Naso-pharyngoscope
Halogen light source

Xenon light source

ATMOS-mikroscope
camera control
unit
IEEE 1394 Valid for ATMOS Cam 21/31 DV
Interlink

Data

Video-monitor Video processing and archiving

in standard video format (S-VHS,
FBAS) 2)


analog
digital

1) not applicable with microscope

2) solution in combination with your computer respectively network partner

25
 12.0 Notes on EMC

■ Medical electrical equipment is subject to special precautions with regard to EMC and must be installed acc.
to following EMC notes.

■ Portable and mobile HF communication facilities can influence medical electrical equipment.

■ The use of other accessories, other converters and cables than stated may lead to an increased emission
or a reduced interference immunity of the equipment or system.

12.1 Guidelines and Manufacturer´s Declaration - Emissions

The ENT-camera Cam 21 / 31 is intended for use in the electromagnetic environment specified below. The customer
or user of the Cam 21 / 31 should ensure that it is used in such an environment.

Emissions Test Compliance Electromagnetic Environment - Guidance

RF Emissions Group 1 The ENT-camera Cam 21 / 31 uses RF energy only
CISPR 11 for its internal function. Therefore, its RF emissions
are very low and are not likely to cause any inter-
ference in nearby electronic equipment.
RF Emissions Class B The Cam 21 / 31 is suitable for use in all esta-
CISPR 11 blishments, including domestic, and those directly
Harmonics IEC 61000-3-2 Inapplicable connected to the public low-voltage power supply
Flicker Inapplicable network that supplies buildings used for domestic
IEC 61000-3-3 purposes.

12.2 Guidelines and Manufaturer´s Declaration - Immunity

The ENT-camera Cam 21 / 31 is intended for use in the electromagnetic environment specified below. The customer
or user of the Cam 21 / 31 should ensure that it is used in such an environment.

IEC 60601- Electromagnetic Environ-

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

26
12.0 Notes on EMC

Immunity Test IEC 60601- Compliance Level Electromagnetic Environ-

Test Level ment - Guidance
Voltage Dips / Dropout < 5 % UT < 5 % UT Mains power quality should be that
IEC 61000-4-11 (> 95 % Dip of the UT) (> 95 % Dip of the UT) of a typical commercial or hospital
for 0.5 Cycle for 0.5 Cycle environment. If the user of the
Cam 21 / 31 demands continued
40 % UT 40 % UT function even in case of interrup-
(60% Dip of the UT) (60% Dip of the UT) tions of the energy supply, it is re-
for 5 Cycles for 5 Cycles commended to supply the Cam 21
/ 31 from an uninterruptible current
70% UT 70% UT supply or a battery.
(30 % Dip of the UT) (30 % Dip of the UT)
for 25 Cycles for 25 Cycles

< 5 % UT < 5 % UT
(>95 % Dip of the UT) (>95 % Dip of the UT)
for 5 s for 5 s
NOTE UT is the mains alternating current prior to application of the test levels.

12.3 Guidelines and Manufacturer´s Declaration - Immunity

The ENT-camera Cam 21 / 31 is intended for use in the electromagnetic environment specified below. The customer
or user of the Cam 21 / 31 should ensure that it is used in such an environment.

IEC 60601- Electromagnetic Environment

Immunity Test Compliance Level
Test Level - Guidance
Portable and mobile communications
equipment should be separated from the
Conducted RF 3 Veff 3 Veff
ATMOS Cam 21 / 31 incl. the cables by no
IEC 61000-4-6 150 kHz to 80 MHz 150 kHz to 80 MHz
less than the distances calculated/listed
80% AM 1kHz
below.
Radiated RF 3 V/m 3 V/m
IEC 61000-4-3 80 MHz to 2.5 GHz 80 MHz to 2.5 GHz Recommended distances:
d = 1.17 √P
d = 1.17 √P for 80 MHz to 800 MHz
d = 2.33 √P for 800 MHz to 2.5 GHz
where „P“ is the max. power in watts (W)
and D is the recommended separation
distance in meters (m).

Field strengths from fixed transmitters, as

determined by an electromagnetic site (a)
survey, should be less than the compli-
ance level (b).
Interference may occur in the vicinity of
equipment containing following symbol.

27
 12.0 Notes on EMC

NOTE 1 With 80 MHz and 800 MHz the higher frequency range applies.

NOTE 2 These guidelines don´t like to be applicable in any case. The propagation of electromangetic sizes is
influenced by absorptions and reflections of buildings, objects and people.
a The field strength of stationary transmitters, such as base stations of cellular phones and mobile terrain radio
equipment, amateur radio transmitters, cbm broadcast and TV stations cannot be predestined exactly.
To determine the electromagnetic environment in regard to stationary transmitters, a study of the location is to
be considered. If the measured field strength at the location where the ATMOS Cam 21 / 31 is used exceeds
the above compliance level, the ATMOS Cam 21 / 31 is to be observed to verify the intended use. If abnormal
performance characteristics are noted, additional measures might be necessary, e. g. a changed arrangement
or another location for the device.

b Within the frequency range of 150 kHz to 80 MHz the field strength is to be below 3 V/m.

12.4 Recommended separations between portable and mobile RF Communications

equipment and the ENT-camera ATMOS Cam 21 / 31
The ATMOS Cam 21/31 is intended for use in electromagnetic environment in which ratiated disturbances are
controlled. The customer or user of the ATMOS Cam 21 / 31 can help prevent electromagnetic interference by
maintaining a minimum distance between portable and mobile RF Communications equipment and the ATMOS
Cam 21 / 31 as recommended below, according to the maximum output power of the communications equip-
ment.

Separation distance, depending on transmit-frequency m

Nominal output of the 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
transmitter
d = (3.5/V1) √P d = (3.5/E1) √P d = (7/E1) √P
W
0.1 0.12 0.12 0.23
0.1 0.37 0.37 0.74
1 1.17 1.17 2.33
10 3.69 3.69 7.38
100 11.67 11.67 23.33
For transmitters for which the maximum nominal output isn´t indicated in the above table, the recommended sepa-
ration distance d in meters (m) can be determined using the equation belonging to the respective column whereas
P is the maximum nominal output of the transmitter in watts (W) acc. to manufacturer´s specification.

NOTE 1 With 80 MHz and 800 MHz the higher frequency range applies.

NOTE 2 These guidelines don´t like to be applicable in any case. The propagation of electromagnetic sizes is
influenced by absorptions and reflections of buildings, objects and people.

28
29
 ATMOS General terms and conditions
1. General:
Our General Standard Terms and Conditions apply exclusively. Client’s
terms and conditions which are contrary to or deviate from our General
Standard Terms and Conditions are not recognised unless their validity
is explicitly confirmed in writing. Our General Standard Terms and
Conditions also apply even if we deliver to clients without reservation,
in the knowledge of the client’s contrary terms and conditions. Our
General Standard Terms and Conditions also apply to all future business
with that client.
2. Proposal - Order Confirmation
Our proposals are subject to change without notice unless otherwise
stated in our order confirmation. Each order is only accepted by us
following our written order confirmation. and/or familiarisation for the final customer, this is carried out by us. In
3. Orders
Every order requires an exact description of all of our product’s details.
We assume no liability for errors and damage caused by inaccurate or
incomplete ordering details.
4. Prices
Unless otherwise stated in the order confirmation, our prices in the
order confirmation are ex factory prices and exclude packaging and
value added tax. Packaging is charged separately at cost price in the
invoice. Value added tax is charged separately in the invoice according
to the legal rate on the invoice date. We reserve the right to change
prices appropriately should price reductions or increases, especially
due to wage settlements, changes in the price of materials or currency
fluctuations, be incurred. Proof of such changes will be provided for the
client on request. No insurance is arranged in the case of goods which are collected by
5. Payment Conditions - Balancing
Unless otherwise stated in the order confirmation, our invoices
are payable with a 3% discount within 10 days (except for repair and
assembly services) or within 21 days from the invoice date net cash;
money receipts is decisive for complying with this term. We are entitled
to charge interest after the due date at a rate 2% above the relevant
basic interest rate of the German Federal Bank. Should the client have
payment arrears, we are entitled to charge interest on arrears at a rate
5% above the relevant basic interest rate of the German Federal Bank.
Should we be able to prove higher damages due to arrears, we are also
entitled to claim these. The client only has the right to balance invoices
against its own claims should such claims be confirmed in a court of
law or recognised by us. The client does not have the right of retention
due to disputed counterclaims.
6. Delivery Periods
Fulfilment of our delivery duties requires the punctual and proper
fulfilment of the client’s duties. The right to defense on the grounds of an
unfulfilled contract is reserved.Should the client default in accepting the
goods delivery or breach other cooperation duties, we are entitled either
to withdraw from the contract or claim compensation for any increased
costs incurred up to that time without setting a further deadline. The right
to make further claims is reserved. Furthermore, in such cases, the risk
of coin-cidental destruction or a coincidental deterioration in the quality
of the delivered goods is transferred to the client in the case of default
in accepting such goods or payment arrears. Acts of God or stoppages
(due to insufficient supplies of material, industrial disputes etc.) entitle
us either to demand an appropriate extension of delivery periods or to
partly or entirely dissolve the delivery contract. This does not give the
client the right to claim damages. We have fulfilled delivery periods if the
delivery goods have left our factory or the client has been informed of
the goods’ readiness for delivery within such delivery periods. Delivery
periods stipulated by the client are not recognised by us unless they
form part of our order confirmation. We adhere to legal terms and
conditions in cases where, as a result of an undue delay in the delivery
for which we are liable, the client is entitled to claim that his interests
in a continued fulfilment of the contract have ceased. We also adhere
to legal terms and conditions should a delay in delivery be caused by
deliberate or grossly negligent action by us or our representatives for
which we are responsible. We are also responsible for such actions by
our representatives or agents. Should the delivery delay not be caused
by our deliberate infringement of contractual duties for which we are
responsible, our liability is limited to damage which is regarded as typical
for that case. We are liable according to the legal terms and conditions if
and in so far as the delivery delay for which we are responsible is caused
by an infringement of a substantial contractual duty. In such cases, our
liability is also limited to damage which is regarded as typical for that
This document 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 document are property of the respective manufacturer.
We do not take over any warranty and liability in the case of missing inscriptions. Subject to modifications and amendments.
case. Should the delivery delay be caused by a culpable infringement
of non-substantial contractual duties, our client is also entitled to claim
a one-off damage compen-sation worth 3 percentage points of the
delivery value of the goods for each week’s delay, up to a maximum
which is no higher than 15 percentage points of the delivery value of
the goods
7. Delivery - Familiarisation 10. Reservation of Ownership
In the case of the delivery of devices for the medico-technical industry
which require assembly and/or familiarisation for the final customer using
specialist trade personnel (such as Ear, Nose and Throat Apparatus and
Suction Units), we reserve the right to deliver the goods exclusively to
the relevant specialist traders. Should the trader not carry out assembly
such cases, we reserve the right to charge the client for the additionally
created costs. Our specialist traders operate a recording system so
that, if necessary, our products can be traced to the final customer. The
specialist trader undertakes to immediately report to us all events and
risks which must be reported in connection with our products. 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
Unless otherwise stated in our order confirmation, delivery is agreed
ex factory. The risk of the goods’ damage or loss is therefore transferred
to the client as soon as the goods leave the factory or the client is in
default of acceptance of the goods. This also applies to cases where we
confirm prepaid carriage. Transport packaging and all other packaging
according to the packaging regulations is not returnable. Our client is
responsible for disposing the packaging at its own cost. Our deliveries are
insured by us at the client’s expense unless explicitly otherwise agreed.
our clients. In the case of transport damage, claims are only handled if
the client receives confirmation of any damage, reduced weight or loss
by the shipping company before accepting the delivery. right to choose the securities to be released.
9. Warranty
The client is responsible for examining the delivered goods
immediately after receiving them to determine any eventual deficiencies
or delivery errors, and to report these immediately. Should the client
fulfil this examining and reporting responsibility, and should payment
conditions be fulfilled, we shall be liable to the client within the scope
of legal regulations. Our period of warranty shall in all cases be two
years. Our client can make use of the warranty as follows, so long as
he can provide first buyer proof (in the form of an invoice or delivery
note) and provided that the product still has the original, unchanged
serial number:
a. We choose whether to fulfil our guarantee by providing repair
services free of charge - either on the client’s premises or in our factory
- or replacing the product. We can also provide these guarantee
services through an authorised company;
b. Should a product be returned to us, the client agrees to send
the product in its original or similar packaging, offering the same
protection as the original packaging, to our address or any address
notified by us.
c. Our guarantee ceases to apply if changes of any kind have been
made to our product, unless such changes have been made by us
or a company authorised by us, or have been previously agreed
upon in writing by us. Our guarantee also ceases to apply if third
parties have carried out repairs to our products or replaced parts
thereof. This applies regardless of the fact whether these measures
individually or collectively led to a deficiency of the product;
d. We accept no responsibility for damage defects caused by
- operational wear and tear;
- incorrect installation or incorrect or insufficient maintenance;
- incorrect operation of the product (in contradiction to the operating instructions
delivered with the product); - improper use or operating faults; -
inappropriate or negligent handling and care, especially with respect
to dirt, lime, suction of fluids, inappropriate cleaning and sterilisation;
- using accessories and/or replacement parts which are not explicitly
approved;
- incorrect assembly and/or initial operation by the client or third
parties; - the client’s negligence in handling the product; - unacceptable
operating conditions, such as humidity, temperatures, the power supply,
vibrations.
- accidents, acts of God, especially lightening, water, fire, public
unrest and insufficient ventilation. We are not liable for damage to
other objects apart from our product itself, except in the case of any
deliberate or grossly negligent actions by us or our representatives or
agents. Should no deliberate breach of contract be claimed, our liability
MedizinTechnik
is limited to damage which is regarded as typical for tthat case. This
also applies in the case of our culpable infringement of substantial
contractual duties The indispensable conditions of German Liability
Law remain unaffected thereby.
- For second-hand equipment, the period of warranty shall be reduced
to a period of twelve months.
We retain ownership of our goods until the receipt of all payments
arising from the business relationship, including all demands arising
from installation orders, subsequent orders, repairs, accessory deliveries
and replacement orders. Should we have agreed upon payment on the
basis of cheque and bill transactions, the ownership reservation applies
until the cheque received by us has been paid in, and does not expire
through our credit upon receiving the client’s cheque. In the case of
a breach of contract by the client, especially payment arrears, we are
entitled to repossess our goods. Repossession of our goods repre-sents
a withdrawal from the contract, unless explicitly declared in writing by
the income form such use is balanced against the client’s arrears, after
handling the goods with care. Should maintenance and inspection work
be necessary, the client must carry these out punctually at his own cost.
Our client is entitled to sell the goods he has bought from us in a proper
sale transaction. However, he must immediately assign all outstanding
claims to the value of the final invoice sum (including value added tax)
of our claims to his customers or third parties. The client is entitled to
collect this claim even after such assignment. Our right to collect the
claim ourselves remains unaffected thereby.We undertake to release
the securities to which we are entitled if requested to do so by the
client should the realisable value of the our securities be more than 10
percentage points higher than the outstanding claims. We reserve the
11. Plans and Illustrations
We retain ownership of and copyrights to all plans, illustrations,
calculations and other documents which are attached to our proposals.
The client must receive explicit written permission before passing these
on to third parties. Imitating our legally patented products is forbidden
and will be prosecuted.
12. Jurisdiction and Place of Performance
Our central office is the place of performance for all disputes in
connection with these General Standard Terms and Conditions and
the contracts closed with clients under them. This jurisdiction excludes
other jurisdiction relating to persons or subject-matter. Furthermore, our
client is not entitled to bring charges against us in another court should
he file counter-charges, carry out counterbalancing or declare retention.
We, however, are entitled to bring charges against our client at their
general place of jurisdiction or at another relevant court recognised by
German or foreign law.Unless otherwise stated in the order confirmation,
our central office is the place of performance.
Lenzkirch, September 2008
ATMOS MedizinTechnik GmbH & Co. KG
79853 Lenzkirch/Germany