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    Operating instructions

    ATMOSoft ENT 31

    ATMOSoft ENT 41

    English

    REF 700.0030.AREF 700.0032.AREF 700.0035.A

    2013-11 Index: 09

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    Table of Contents

    1.0 Introduction 3

    1.1 Notes on operating instructions 3

    1.2 Function 4

    1.3 Explanation of pictures and symbols 5

    1.4 Scope of supply 5

    2.0 For your safety 6

    3.0 Setting up and starting up 7

    3.1 System requirements 7

    3.2 Installation 7

    3.3 Options 9

    3.4 user congurations 10

    3.5 System conguration 10

    3.6 Video Settings 123.7 Database Settings 12

    3.8 Licence Settings 12

    3.9 Licensing with ATMOSoft Dongle 13

    3.10 Basic functions 14

    3.11 Editing of images and videos 15

    3.11.1 Editing images 15

    3.11.2 Editing videos 16

    3.10 Patient management 17

    3.10.2 The patient management form 18

    3.10.3 Optional iHandle software 19

    3.11 Modules 20

    3.12 System 20

    3.13 Functions of the operator buttons on the ATMOS® Scope handle 21

    3.14 User interface 22

    3.15 Printout and documentation 22

    4.0 Troubleshooting 23

    4.1 Permanent power supply of the USB port 23

    4.1.1 Windows 7 (32 Bit/64 Bit) 23

    4.1.2 Windows XP 24

    5.0 Technical specications 25

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    1.0 Introduction

      DV D  

    These operating instructions contain important notes on how to operate

    the ATMOSoft ENT safely, correctly and eectively. Their reading helps to

    avoid risks, and also to reduce repair costs and down-times. That increa-

    ses, amongst other things, the reliabili ty and service-life of the software.

    These operating instructions serve not only for new operating personnel

    to be instructed in its use, but also for use as a reference manual. Repro-

    duction of these instructions – even in part – only with the written permis-

    sion of ATMOS.

    These operating instructions must always be kept available near the

    device.

      The quality management system applied at ATMOS has been certied

    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.

    ATMOSMedizinTechnik GmbH & Co. KGLudwig-Kegel-Straße 16

    79853 Lenzkirch

    Deutschland

    Tel. + 49 7653 689-0

    Fax: + 49 7653 689-190

      + 49 7653 689-292 (Service Center)

    [email protected]

    1.1 Notes on operating instructions

      These operating instructions are valid for the fol-

    lowing products

     - ATMOSoft ENT 31 REF 700.0034.0

     - ATMOSoft ENT 41 REF 700.0035.0

     - ATMOSoft ENT Remote REF 700.0032.0

     - ATMOS Software Disc REF 700.0031.0

    ATMOSoft ENT 31

    Visualisation and archiving software

      Performance features:

     - Software for the visualisation of video signals on

    personal computers. Up to 8 pictures can be

    taken at the same time and saved in either PDF

    or Word documents.

      Additional features

     - Saving of individual images (JPG le format)

     - ATMOS patient database for the management

    of diagnostic results (compatible with ATMOS® 

    Diagnostic Cube)

     - GDT-connection

     - Optimisation of the video signal (luminance,

    sharpness, contrast)

    ATMOSoft ENT 41

    Visualisation and archiving software

      Performance features:

     - Software for the visualisation of video signals on

    personal computers. Up to 8 pictures can be

    taken at the same time and saved in either PDF

    or Word documents.

      Additional features:

     - Saving of individual images (JPG le format)

     - ATMOS patient database for the management

    of diagnostic results (compatible with ATMOS® 

    Diagnostic Cube)

     - GDT-connection

     - Optimisation of the video signal (luminance,

    sharpness, contrast)

     - Saving videos3

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    1.2 Function

    Name: ATMOSoft ENT 31, ATMOSoft ENT 41

    Main function: Visualisation and documentation of diagnostic results

    Med. indication / application: Standard ENT examination

    Specication of the main functions:   Saving and editing of images (JPG le format)

     Saving and cutting of video sequences

      Saving and amplication of audio signals

      Selection camera via key combination is possible

    HD recording is possible

      ATMOS patient database for the administration

    of diagnostic results (compatible with ATMOS® 

    Diagnostic Cube)  GDT interface

      Optimisation of the video signal (brightness, sharp-

    ness, contrast)

    Application: Patients of all ages - no restrictions - who require a

    standard ENT examination

    Application organ: Throat, nose, ear

    Application time: Temporary application

    Application site: Application sites are hospitals, doctor's offi ces andphoniatricians

    Application restrictions: None

      With the ATMOSoft ENT you can easily and quickly safe and archive diagnostic results.

      Application of the ATMOSoft ENT:

      Saving, editing, archiving, printing and conversion into PDF les of diagnostic results.

    4

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    1.3 Explanation of pictures and symbols

    Short cuts / symbols contained in this manual

    Follow the arrows whilstproceeding, sequence

    � General information Move, plug ... in thisdirection

    Please press where the dot

    indicates

    � Numeration Turn, shift ... in this

    direction

    Use oprinal foot switch - Subnumeration Replace

    Please read,

    important information

    Check Engage, check correct t

    Pictures contained in this manual

    !Warning,

    especial diligent notice !

    Important information   Dispose of properly

    Symbold of the ATMOSoft ENT

    SN Serial number REF Order number Manufacturing date

    Please observe operating

    instructions

    1.4 Scope of supply

    Prior to dispatch, this ATMOSoft ENT software was subjected to an extensive functional test and has been care-

    fully packed. Nevertheless, please compare the contents of the shipment on completeness immediately upon

    receipt (see delivery note).

    Scope of supply:

      ATMOS Software Disc

      ATMOSoft Dongle

    Optional:

      ATMOSoft Remote

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    2.0 For your safety

      The ATMOSoft ENT may only be used by trained per-

    sonnel which has been authorised and trained by

    ATMOS. It is only to be used in a supervised working

    surrounding (IEC 601-1/EN 60601-1)

      Please take care that the pictures taken are assigned

    to the matching patients when manually saving the

    pictures. It lies within the duty of care of the opera-

    tor.

      It is the operator's responsibility to save the produ-

    ced data.

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    3.0 Setting up and starting up

    3.1 System requirementsSystem: WinXP, Win7 oder Win8 (not for Windows Vista)

    Processor : min. 2 GHz

    Board memory (RAM): 2 GB

    HDD: 15 MB Software only

      80 GB Data base storage

    USB Interface: 2 x USB 2.0

    Monitor resolution: 800 x 600 min.

    3.2 Installation

    When the Installation CD is placed in a CD or DVD drive, the software should start automatically. If not, open the

    contents of the CD and start the Install.exe manually.

    Please make sure that full administrative rights are granted for the user in order to be able to install the software

    and drivers. Read and write permission for the working partition C:\ and the data storage partition are essential

    for the function of the diagnostic software.

    Follow the steps as described below to perform the installation:

    1. Choose the desired language.

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    2. Click at the button "ATMOSoft ENT". The installation

    wizard should open automatically

    Click on the button

    "toolbox" to go to the

    adjustments menu.

    3. Accept the Licence Agreement

    4. Click "Next" to congure the software

    5. Open the software

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    3.3 Options

    Click "OK" to close the

    window and save the changes.

    !

    !

    The software recognises already installed cameras. Please choose the required camera.

    Window closes without

    saving the changes.

    Selecting thevideo signal

    (Composite or

    S-Video)

    Select your video input

    Select the

    resolution

    Click onto the register "camera" to do the necessary adjustments. To do this the camera needs to be installed

    and connected to the device.

    Adjustments to the camera settings should only be done by experts.

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    3.4 user congurations

    Up to 6 die-

    rent users can

    be dened

    using an upto 3 letter or

    number code

    for identica-

    tion.

    Path to

    language le.

    It will be set

    automatically

    if the lan-

    guage of the

    Windows-

    settings is

    implemented

    into the soft-

    ware.

    Path to

    folder where

    PDF les will

    be stored for

    documenta-

    tion.

    Complete

    le name for

    the import of

    patient les

    into the EDP.

    Complete

    le name for

    the export of

    examination

    les into the

    EDP.

    ! The user conguration will be visible only after a restart!

    ! These are only examplary paths. They need to be coordinated with the network administrator.

    Type the

    name of your

    facility into

    this space.

    Standard userneeds to be

    selected.

    Click on the register "Users"

    3.5 System conguration

    Click onto the register "System". The conguration of the system can be performed as follows:

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    In "Picturename" eight individual

    names can be given to dierent

    images.

    Example:

    Deniton of the text processing

    (e.g. WinWord) for further proces-

    sion of the documentation results.

    Example:

    Programme to display PDF-soft-

    ware.

    Choose the le name to be repre-

    sented on the PDF:

      Number of patient

      Date of examination

    Path to logo-le (jpg or bmp) and

    text to be added on instant prin-

    tout for print button.

    The template for the parameter eld can be a *.doc, *.docx, or *.dot le and should be stored inside the AGHDiag

    folder for free access to all users.

    !

    !

    Menu overview

    Click onto the register "Settings"

    These are examplary paths only and need to be coordinated with the network administrator.

    Please coordinate the storage space for the AGHDiag with your network administrator.

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    Camera settings should only be done by experts or

    technicians to optimise the camera performance.

    Complete le name of the database

    Path to the picture database

    Hardware specic serial number for the purchase of

    a licence (activation code). The activation code will be

    supplied by your ATMOS contact person.

    By clicking on "Formula" a window which has to be lled

    in completely opens up.

    By clicking on PDF you can generate a PDF le which

    you can send to your ATMOS contact person via e-mail

    or post.

    Please note that the individually generated ac-

    tivation code enables you for the use on this

    computer.

    !

    Path to the video database

    Path to the patient database

    3.6 Video Settings

    3.7 Database Settings

    3.8 Licence Settings

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    3.9 Licensing with ATMOSoft Dongle

    2. Connect the USB-Dongle with a free USB socket on

    your computer.

    3. Start the ATMOSoft

    Note:  The software cannot be licenced without a correctly connected dongle.

    Note:  Prior to every start of the ATMOSoft the Dongle has to be connected as otherwise the licensing cannot

    be performed.

    To perform the licencing via the ATMOSoft Dongle follow the steps below:

    1. Install the software according to the steps 1 to 4 of the guide on the pages 7 + 8.

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    Button for freeze

    frame or activating the

    camera

     Selection button will jump one frame each time the button is used.

     Open les→ Loading of archived measurements

     Close les→ Saving of measurements

     Open the patient management (only in connection with the "BDE"

    software)

     Open settings

     Cancel the programme

    3.10 Basic functions

     Creates a Word document according to the programme settings.

     Creates and stores a PDF document according to the programme set-

    tings

     Printout of the documentation

     Preview button for printout.

    Buttons for increasing or decrea-

    sing the picture scale or to return

    to the original scale of the camera

    settings.

    Scale

     

     

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    3.11 Editing of images and videos

     

    The editing menu for images and videos can be started either by pressing the F10 key on your keybord or by

    clicking on the right mouse key and by selecting the oder "editing".

    3.11.1 Editing images

     Place diagnosis marker

     Select colour

     Open text eld

     Adopt editing

     Close

      To perform editing work on your images click on the

    neccessary function.

      Click with pressed Shift-key to select the position for

    markers and texts.

      By turning the scroll-wheel on the mouse and with

    pressed Shift-key the size of text and objects can be

    scaled.

      To change the colour select the "select colour"

    button, choose the colour and click onto the theobject you want with pressed Shift-key to change the

    colour.

      To place text on the image select the "open text

    eld" button and type in the text. By clicking into the

    image with pressed Shift-key the text can be placed.

      By clicking on the button "adopt editing" the chan-

    ges on the image will be taken over. Any objects on

    the image that were placed until then cannot be

    changed anymore.

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    3.11.2 Editing videos

     

     Selcting the start point

     Selecting the end point

     Open text eld

     Select colour

     Adopt editing

     Close

    Note:  To edit videos it is neccessary to save them beforehand.

      By pressing the button "Selecting the start point" the beginning of the video can be chosen.

      By pressing the button "Selecting the end point" the ending of the video can be chosen.

      To place a comment click on the button "Open text eld" an type in your text. To place the text on the video

    click into the image with pressed Shift-key.

      To change the colour of a comment click on the button "Select colour". Choose the colour. By clicking on the

    comment with pressed Shift-key the colour of the comment is changed.

      By clicking on the button "Adopt editing" the changes on your video will be saved.

    Note:  The video is editable as long as it has not been clicked on the button "Adobt editing".

    Note:  The edited video is not nally saved until the button "save changes" which appears when closing the

    application is selected.

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    3.10 Patient management  By clicking on the "handshake" button the patient

    management can be opened out of the measurement

    screen.

    If the ATMOSoft is not integrated into a practice EDP the software can be managed in the database directly.

    If integration into the practice EDP is available (GDT interface) access to the patient management is blocked be-

    cause all patient-related data is automatically adopted.

    !

    All spaces need to be lled in completely; choose the desired version of the ATMOSoft under the menu "Version".

    If examination results shall be saved a reference to the patient needs to be included.

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    3.10.2 The patient management form

    In the register "Table" all currently saved patients are

    listed.

     Searching via patient number

     Searching via name

     Searching via rst name

     If you click on the button "without patient data" you

    will continue without a patient database.

     Window closes without selecting a patient.

     "Ok" opens the previously selected patient.

    Via the register "New" patients can be added.

     Enter patient number

     Enter name

     Enter rst name

    Via the register "change" you can alter previously ente-

    red patient data..

     Save changes

     Undo changes

     If you click on the button "without patient data" you

    will continue without a patient database.

     Window closes without selecting a patient.

     "Ok" opens the previously selected patient.

     

     Enter date of birth

     If you click on the button "without patient data" you will continue without a patient database.

     Window closes without selecting a patient.

     "Ok" opens the previously selected patient.

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    3.10.3 Optional iHandle software

    The control box needs to be con-

    nected in order to use the buttons

    of the ATMOS® Scope. (USB inter-

    face)

    By using one of the two control

    buttons on the ATMOS® Scope, the

    software will be started.

     Click on the "toolbox" button to

    do changes on the modules.

    Scope31

    The ATMOS Remote (REF 700.0032.0) is required when using the automatic start-up by pressing a pushbutton

    at the handle.

    To use the iHandle software you have to connect the controller of the ATMOS® Scope to the control box of the

    ATMOSoft ENT. The software of the ATMOS® Diagnostic Cube and the ATMOS® Scope needs to be installed.

    Scope31

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    Usually the rst installation of the iHandle is done by our service technicians or our competent partners.

    The technician will also install the required drivers for the USB ports. After manually starting the iHandle software

    the setup can be executed in the options menu. The iHandle software will afterwards be placed in the "autostart"-

    le of the Windows operating system. It is then automatically available.

     The selected ATMOSoft ENT le.

      By pressing one of the two

    operator buttons on the ATMOS®

     Scope the ID of the device will be

    displayed. This ID must be adjusted

    by the two arrow buttons.

    ! These are only examplary paths. They need to be coordinated with the network administrator.

    ! These are only examplary paths. They need to be coordinated with the network administrator.

    Scope 31

    3.11 Modules

    The ATMOS® Scope needs to be selected in the register "Module".

    3.12 System

    In the register "System the programme settings such as language and ID for the iHandle interface can be dened

    for the Windows operating system. This is only possible in connection with the ATMOS® Diagnostic Cube.

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    3.13 Functions of the operator buttons on the ATMOS® Scope handle

    The upper button is used to take / freeze the picture or

    to reactivate the camera to take a new picture. Press

    the button to freeze, press the button again to reacti-

    vate the camera.

    The lower button is used to skip frames. Each time the

    button is pressed, the software will move to the next

    frame.

     By clicking on the camera button the video function will be activated.

    Option video recording (ATMOSoft ENT 41)

    Via the two buttons on the ATMOS® Scope the recording can be started and stopped.

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    3.15 Printout and documentation

    Use “Ctrl + v” to

    paste the pictures

    of the ATMOS® 

    Scope 31 Software

    into the Word do-

    cument.

    Now the document can be handled like any other

    Word document.

     

    To create a Word document, click the

    “Word-Button” and an empty documentwill open.

    3.14 User interface

     The user interface of the ATMOSoft ENT is very sim-

    ply structured to enable easy documentation of diag-

    nostic results

    The major part of the screen is occupied by the life pic-

    ture taken by the camera and which can be saved by

    pressing the upper button.

    If the patient data is important it can be saved in the

    ATMOS diagnostic patient data le or it can be expor-

    ted into a practice EDP.

     The documentation can either be stored electroni-

    cally as data les in PDF or Word format or just as well

    be printed out immediately.

    Download images, respectively lms and press „F10“ or

    “right-click” and select “image processing”.

    Documentations can either be saved as electronic data les or as paper printouts. The data le can be saved as

    WinWord or PDF les.

    Mircosoft Windows and Adobe Reader are not included in the scope of supply.

    The PDF le will be created automatically when clicking onto the PDF-Button on the screen.

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    Description Cause MeasureNo picture Wrong device is selected in the

    options

    Choose the right device

    USB is not connected Connect USB

    USB port is switched-o because

    of the energy-saving option

    Permanent power supply of the

    USB port, make the relevant set-

    tings in the operating system (see

    page 20-21).

    Buttons on the ATMOS® Scope

    handle do not work

    Control box is connected impro-

    perly to the ATMOS® Scope (R1/

    R2)

    Connect the control box properly

    USB is not connected Connect USB

    PDF button does not work Acrobat Reader is not installed Install Acrobat Reader

    Options are not saved correctly Options are not saved correctly

    Word button does not work Word not installed Install Word

    Options are not saved correctly Options are not saved correctly

    Buttons on the ATMOS® Scope

    handle do not work

    Remote output is deactivated in

    ATMOS® Scope setup

    Activate remote output

    Path to the energy options

    All control panel Items  Power Options  Edit Plan

    Settings

    4.1 Permanent power supply of the USB port

    4.0 Troubleshooting

    4.1.1 Windows 7 (32 Bit/64 Bit)

    Over “Change advances power settings” you will getto the option “Power Options”, please select “USB set-

    tings” and switch it o.

    USB energy option settings

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    Please activate the system control of Windows XP and

    with a double click on “system” you will get to the sys-

    tem properties.

    4.1.2 Windows XP

    Activate under system properties “hardware” and click

    on “device manager”.

    Now, please select “USB Root Hub”.

    Remove the checkmark ”automatic switch-o in orderto save energy”.

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    5.0 Technical specications

    System: WinXP, Win7 oder Win8 (not for Windows Vista)

    Processor : min. 2 GHz

    Board memory (RAM): 2 GB

    HDD: 15 MB Software only

    USB Interface: 80 GB database storage

    Monitor resolution: 2 x USB 2.0

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    MedizinTechnik

    This document is copyrighted. Duplication, translations, microlming 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 modications and amendments.

    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 cl ients without reservation,

    in the knowledge of the client’s contrary terms and conditions. OurGeneral Standard Terms and Conditions also apply to all future business

    with that client. 

    2. Proposal - Order Confirmation

    Our proposals are subject to change without notice unless otherwise

    stated in our order confirmation. Each order is only accepted by us

    following our written order confirmation. 

    3. Orders

    Every order requires an exact description of all of our product’s details.

    We assume no liability for errors and damage caused by inaccurate or

    incomplete ordering details. 

    4. Prices

    Unless otherwise stated in the order confirmation, our prices in the

    order confirmation are ex factory prices and exclude packaging and

    value added tax. Packaging is charged separately at cost price in the

    invoice. Value added tax is charged separately in the invoice according

    to the legal rate on the invoice date. We reserve the right to change

    prices appropriately should price reductions or increases, especially

    due to wage settlements, changes in the price of materials or currency

    fluctuations, be incurred. Proof of such changes will be provided for the

    client on request. 

    5. Payment Conditions - Balancing

    Unless otherwise stated in the order confirmation, our invoices

    are payable with a 3% discount within 10 days (except for repair and

    assembly services) or within 21 days from the invoice date net cash;

    money receipts is decisive for complying with this term. We are entitled

    to charge interest after the due date at a rate 2% above the relevant

    basic interest rate of the German Federal Bank. Should the client have

    payment arrears, we are entitled to charge interest on arrears at a rate

    5% above the relevant basic interest rate of the German Federal Bank.

    Should we be able to prove higher damages due to arrears, we are also

    entitled to claim these. The client only has the right to balance invoicesagainst its own claims should such claims be confirmed in a court of

    law or recognised by us. The client does not have the ri ght of retention

    due to disputed counterclaims.

    6. Del ivery 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 i ncreased

    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 i nterests

    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, ourliability is also limited to damage which is regarded as typical for that

    case. Should the delivery delay be caused by a culpable infringement

    of non-substantial contractual duties, our client is also entitled to claim

    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 

    In the case of the delivery of devices for the medico-technical industry

    which require assembly and/or familiarisation for the final customer using

    specialist trade personnel (such as Ear, Nose and Throat Apparatus and

    Suction Units), we reserve the right to deliver the goods exclusively to

    the relevant specialist traders. Should the trader not carry out assembly

    and/or familiarisation for the final customer, this is carried out by us. In

    such cases, we reserve the right to charge the client for the additionally

    created costs. Our specialist traders operate a recording system so

    that, if necessary, our products can be traced to the final customer. The

    specialist trader undertakes to immediately report to us all events and

    risks which must be reported in connection with our products. 

    8. Passage of Risk - Packaging 

    Unless otherwise stated in our order confirmation, delivery is agreed

    ex factory. The risk of the goods’ damage or loss is therefore transferred

    to the client as soon as the goods leave the factory or the client is in

    default of acceptance of the goods. This also applies to cases where we

    confirm prepaid carriage. Transport packaging and all other packaging

    according to the packaging regulations is not returnable. Our client is

    responsible for disposing the packaging at its own cost. Our deliveries are

    insured by us at the client’s expense unless explicitly otherwise agreed.

    No insurance is arranged in the case of goods which are collected by

    our clients. In the case of transport damage, claims are only handled if

    the client receives confirmation of any damage, reduced weight or loss

    by the shipping company before accepting the delivery. 

    9. Warranty

    The client is responsible for examining the delivered goods

    immediately after receiving them to determine any eventual deficiencies

    or delivery errors, and to report these immediately. Should the client

    fulfil this examining and reporting responsibility, and should payment

    conditions be fulfilled, we shall be liable to the client within the scope

    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 ashe 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 responsibi lity 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 oragents. Should no deliberate breach of contract be claimed, our liability

    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.

    10. Reservation of Ownership

      We retain ownership of our goods until the receipt of all payments

    arising from the business relationship, including all demands arising 

    from installation orders, subsequent orders, repairs, accessory deliveries

    and replacement orders. Should we have agreed upon payment on the

    basis of cheque and bill transactions, the ownership reservation applies

    until the cheque received by us has been paid in, and does not expire

    through our credit upon receiving the client’s cheque. In the case of

    a breach of contract by the client, especially payment arrears, we are

    entitled to repossess our goods. Repossession of our goods repre-sents

    a withdrawal from the contract, unless explicitly declared in writing by

    us. We have the right to utilise the product after its repossession, whilst

    the income form such use is balanced against the client’s arrears, after

    deducting appropriate utilisation costs.The client is responsible for

    handling the goods with care. Should maintenance and inspection work

    be necessary, the client must carry these out punctually at his own cost.

    Our client is entitled to sell the goods he has bought from us in a proper

    sale transaction. However, he must immediately assign all outstanding

    claims to the value of the final invoice sum (including value added tax)

    of our claims to his customers or third parties. The client is entitled to

    collect this claim even after such assignment. Our right to collect the

    claim ourselves remains unaffected thereby.We undertake to release

    the securities to which we are entitled if requested to do so by the

    client should the realisable value of the our securities be more than 10

    percentage points higher than the outstanding claims. We reserve the

    right to choose the securities to be released.

    11. Plans and Illustrations 

    We retain ownership of and copyrights to all plans, illustrations,

    calculations and other documents which are attached to our proposals.

    The client must receive explicit written permission before passing these

    on to third parties. Imitating our legally patented products is forbidden

    and will be prosecuted. 

    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

    ATMOS General terms and conditions

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    ATMOS MedizinTechnik GmbH & Co. KG

    Ludwig-Kegel-Str. 16

    79853 Lenzkirch / Germany

    Tel: +49 7653 689-370

    [email protected]

    ATMOS-Slogan Open Sans Regular 8pt 17pt Durchschuß Laufweite 100

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