MedizinTechnik

Installation instructions

English

ATMOS
Diagnostic Cube
512.0000.0 ATMOS Diagnostic Cube
512.1500.0 Netzwork installation
512.0500.0 Handle support with automatic control
512.1000.0 Module Rhino 31
512.1100.0 Module Tymp 31
512.1200.0 Module Sono 31

Installation of drivers and software

network integration

0124
ATMOS Diagnostic Cube
2012-07 Index: 04

ATMOS MedizinTechnik
GmbH & Co. KG

Ludwig-Kegel-Strae 16
79853 Lenzkirch/Germany

Tel. +49 (0) 7653 / 689-222

Fax +49 (0) 7653 / 689-292

service@atmosmed.de
www.atmosmed.de

1.0

Contents

1.0

Inhaltsverzeichnis

Contents

Installation instructions.......................................................................................................... 1
2.0
2.1
2.2
2.3
2.4

General information.................................................................................................. 4
Valid operating instructions................................................................................................................. 4
Product information............................................................................................................................. 4
Information on manufacturer............................................................................................................... 4
Exclusion of liability............................................................................................................................. 4

3.0

For your safety.......................................................................................................... 5

4.0

System requirements................................................................................................ 6

5.0

Windows settings...................................................................................................... 6

6.0

Installation of the software........................................................................................ 7

7.0

Connecting the device.............................................................................................. 9

8.0

Driver installation Windows 7.................................................................................. 11

9.0

Driver installation Win XP....................................................................................... 13

10.0

Configuration single workstation............................................................................. 13

10.1
10.2
10.3
10.4
10.5

11.0

iHandle.............................................................................................................................................. 13
Patient administration........................................................................................................................ 14
Sono 31............................................................................................................................................. 15
Rhino 31............................................................................................................................................ 17
Tymp 31............................................................................................................................................ 19

Network operation................................................................................................... 21

11.1 Adaption of the patient data base for the network operation............................................................. 21
11.2 Adaption of the respective module software Sono 31, Rhino 31, Tymp 31 for network operation.... 21
11.3 Backup file......................................................................................................................................... 22

12.0

Program start-up..................................................................................................... 23

12.1 Configuration for the installation without iHandle and without connection to a practice software..... 23
12.2 Configuration with iHandle without a connection to a practice software........................................... 24

13.0

Notes...................................................................................................................... 25

14.0

Questionnaire......................................................................................................... 26

15.0

Configuration.......................................................................................................... 29

16.0

Accessories and spare parts.................................................................................. 30

2.0

General information

2.1 Valid operating instructions

The valid operating instructions for the ATMOS Diagnostic Cube are
constituent part of these installation instructions. Precise observation of the instructions regarding first-time operation, handling and
maintenance is a precondition for carrying out service work.

2.2 Product information

yy The product ATMOS Diagnostic Cube bears CE marking CE
0124 according to the EC Directive of the council for medical
products 93/42/EEC and meets the essential requirements of
Appendix I of this Directive.
yy For the Declaration of Conformity as well as for information
on the electromagnetic compatibility please see the operating
instructions.
yy Application of the product, any measures for repair and maintenance as well as any further measures are subject to particular
requirements and regulations of the Medical Devices Act. Prior
to start up this product it must be ensured that all relevant laws
and requlations are observed.

2.3 Information on manufacturer

The Quality Management System applied at ATMOS MedizinTechnik
GmbH & Co. KG has been certified according to the international
standards EN ISO 9001 and EN ISO 13485.
Further information, accessories and spare parts
are available from:

MedizinTechnik

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

Phone:
+49 (0)7653 689-222
Fax:
+49 (0)7653 689-392 (Vertrieb Inland/Domestic Sales)
+49 (0)7653 689-391 (Vertrieb Ausland/Export Sales)
+49 (0)7653 689-292 (Kundendienst/Customers Service)
E-Mail:
atmos@atmosmed.com
Web: http://www.atmosmed.com

2.4 Exclusion of liability

No warranty rights shall exist in the event of damage or failure
caused by the use of non-ATMOS accessories or
non-ATMOS consumables.
ATMOS will only take over liability with regard to
safety, reliability and function, if:
yy the device was installed in line with the relevant operating and
installation instructions.
yy the devcie was operated in line with the relevant operating
instructions.
yy assembling, re-setting, technological alteration, extensions and
repairs have been carried out by ATMOS or staff authorized by
ATMOS.
yy consignments have been checked immediately after receipt and
if ATMOS has been informed immediately on any defects.

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.

Only ATMOS original spare parts ensure the users safety and a
failure-free operation. In case of using non-ATMOS accessories or
non-ATMOS consumables, ATMOS will not assume any guarantee
for a safe operation and a safe function of the ATMOS Diagnostic
Cube.
ATMOS will not be liable if the product has demonstrably been used
contrary to the instructions stated in the product documentation.
ATMOS will not be liable for any improper interventions which result
in damage or malfunction of the device or in a health risk or injury
even when original ATMOS spare parts are used.
The user is responsible for the backup of data. ATMOS assumes
no responsibility in case of any data loss, neither in case of any
malfunction.
Please consult an ATMOS specialist for the installation. ATMOS
will not be liable for any malfunction which is the result of incorrect
installation or configuration of the system.

))

Please always consult the responsible administrator

if the ATMOS Diagnostic Cube has to be installed in a
network.

))

If the ATMOS Diagnostic Cube has to be connected to

the practice software or the hospital information system
please always consult the responsible administrator.

These instructions correspond to the design of the device and the

situation of the safety standards on which they are based when they
were printed. We reserve the right for modifications on the product
and for amendments of future documents.

Reproduction and distribution of these instructions even in part only with the written
consent from ATMOS Medizintechnik GmbH & Co. KG.
4

3.0

For your safety

The mains voltage specified on the type plate must correspond
with the data of the power supply system.

For your safety

The ATMOS Diagnostic Cube is designed in accordance

with IEC 60601-1/EN 60601 and assigned to the following
classes:
VDE protection class II
Class IIa (Directive 93/42) ATMOS Tymp 31 and ATMOS
Sono 31
Class I (Directive 93/42) ATMOS Rhino 31.
Before commissioning the device, mains cables,
accessories, connecting leads and hoses should be checked for any damage. Damaged leads and hoses must be
replaced immediately. The function of the device should be
checked prior to use.

The ATMOS Diagnostic Cube may only be used by trained

professionals.

The ATMOS Diagnostic Cube is not designed for operation within areas where there is a risk of explosion
(M and G). Areas that are at risk from explosions can arise
due to the use of combustible anaesthetics, skin cleaning and
skin disinfecting materials.

No liquid may enter the device. If liquid has entered the

device it must be checked by the customer service before it
is used again.

The user has to check correct function of optical and acoustic

indicators prior to use.

Please switch off the device and disconnect it from the mains
prior to opening.
Please handle the swivel arm with great care. There is a
hazard of crushing.
Please do not lean on the swivel arm. It has only a limited
loading capacity and no locking device.
The Rhino twin tube contains phthalates which are categorised as toxic for reproduction in category 2. This applies
particularly to children, pregnant and
breastfeeding women. As a preventive measure we recommend avoiding direct contact with the skin. The residual
risk, which may arise through possible exposure and due
to the short term application, can be valued as insignificant
compared to the benefit of the product.

Before the device is connected a check must be made

The ATMOS Diagnostic Cube meets the resistance to jamming of the standard IEC 601-1-2/EN 60601-1-2 Electromagnetic compatibility - Medical electrical devices.
After each maintenance or repair a function check according to
testing instructions has to be performed together with a safety
check according to DIN EN 0751-1 resp. IEC 62353.
ATMOS cannot guarantee perfect functioning neither will it be
liable for damage to people or property if:

any non-original ATMOS parts are used,
the user instructions given in this manual are not followed
exactly or are disregarded,
Assembly, resetting, alterations,extensions and repairs
are not carried out by people authorised by ATMOS
the notes on connection and installation were not observed.

During function tests on the open device all measures must

be taken for:
protection against electric shock,
avoiding injuries caused by movable parts,
protection against contamination and infection
This product is not re-sterilisable. Repeated reuse of
components which are marked with a 2 is forbidden.
In case of repeated reuse these components lose their
function and there is a high infection risk.
The ATMOS Tymp 31 may only be operated with matching
earplugs. Please check the earplugs on any damage!

The notes on connection and installation must strictly be observed.

Every 2 years an inspection according to the testing instructions and a safety check are required.

The devie may only be connected to a socket outlet with

earthing contact installed according to the rules of the trade.
Correct configuration in assembly of country-specific connections:
green/yellow:
protective conductor (PE)
blue:
neutral conductor (N)
black resp. brown: phase (L)
The proctetive conductor of the ATMOS Diagnostic Cube
exclusively serves for electromagnetic compatibility.
Please always switch off the device after finishing work in
practice at the end of work.

to see that the mains voltage and mains frequency given on

the device agree with the values of the supply system.
Only regular and undamaged mains connection and
extension cables must be used.
To disconnect the device from the mains first pull out the plug
from the wall socket. Only then disconnect the connection
cable from the device. Never touch the plug or cable with wet
hands.
Please do not deposit any used, contaminated parts on the
device except for allowed placement areas.
The control panel should always be clearly in view for the
operators and be easy to reach.

These operating instructions correspond to the design of

the device and the situation of the safety standards on
which they are based when they were printed. The circuits,
processes, names, software programmes and devices are
all covered by patents.

During work at electronic circuits there is a risk of damage

due to electrostatic discharge. Please make sure to have
an efficient equipotential bonding when handling sensitive
electronic components.

4.0

PC Requirements

The ATMOS Diagnostic Cube must have the following computer requirements in order to guarantee the function of the software and
the device driver:
Operating system:

Processor speed:
Main memory (RAM):
Fixed disk storage:

USB Interface:

Screen resolution:

WinXP from SP2 or Win7

1 GHz (min.)
1 GB (min.)
10 MB for the software (min.)
80 GB for the data base (min.)
1 x USB 2.0 (ATMOS Diagnostic Cube)
1x USB 2.0 (iHandle)
800x600 (min.)

Network:
Printer:

optional
optional

If the ATMOS Diagnostic Cube is connected via USB 1.1 an entry appears in the Windows Device Manager, but there is no communication between the PC and the device!

))

If there are not sufficient free USB 2.0 Ports on the PC, an additional USB 2.0 HUB must be connected. In order to exclude
an overloading of the USB-power supply to the PC, an active USB 2.0 HUB with its own power supply must be used!

5.0
))
))

Windows settings

Only connect the ATMOS Diagnostic Cube and the IHandle to the PC when the software installation has been fully
completed!
For the installation a Windows registration with the full administrative rights is necessary
Switch off the power saving mode for USB-Ports under
Windows 7

))

No energy saving options should be active (above all

laptops!).

Special attention must be paid that the power saving mode

of the USB - Ports does not switch to the sleep mode.
Otherwise it could happen that the IHandle functions are
deactivated and no longer react.

6.0

Software installation
To operate the ATMOS Diagnostic Cube all the necessary drivers
and programs are available on the provided installation CD.
If the software for the ATMOS Diagnostic Cube should be installed
onto a computer which has no CD / DVD drive then the contents of
the installations-CD can also be copied onto a USB-Stick.

))

Care must be taken to ensure that the directory structure

of the installation files is the same as the installation
CD from the root directory of the medium.

yy I nsert the installation CD into the CD / DVD drive of the

computer.
yy If the installation does not start automatically then please start it
from the workstation of your computer. (Start.exe on the CD)

))

Please note you must have the full administrative rights

on your computer and the partition C:\ write and read
access.

Start Installation

Basic installation / driver

Software installation for the

built-in modules

Take the following steps:

yy Select the language in which the software is to be installed.
yy To begin the setup click the button Cube, to install the basic
software and driver. The following will be installed:
the patient database in the directory C:\AGHDiag\ Daten,
the program to control the iHandle in the directory
C:\AGHDiag\iHandle,
the USB driver for later installation of the hardware in the
directory C:\AGHDiag\USB.
configuration of the operating system.
Confirm all security questions with yes and questions regarding
the installation software with continue. No further settings are
required during the installation.

To complete the installation click finish.

The installation of the software for the respective modules is individually conducted depending on the configuration of the ATMOS
Diagnostic Cube.

yy For the installation of module-software click on the respective

button.
Sprachauswahl

yy Confirm each installation window resp. questions to the installation programs with continue.
yy Confirm all security questions on your operating system with
yes.
yy To complete the installation click finish.
yy If several modules are to be integrated into the ATMOS Diagnostic Cube it is now possible to install the next software.

))

Please note: never try to install more than one

installation routine at the same time. Wait until each
individual installation is completed before you begin
with the next one.

6.0

Software installation
When installing the software for each individual module, an independent program directory is created in the file C:\ AGHDiag\
In addition for each module, a corresponding measurement value
database is filed in C:\AGHDiag\Data.

User rights
If need be and especially for the installation under Windows 7, the
access rights for the installation file of the ATMOS Diagnostic Cube
must be adapted.
For the perfect functioning of the software, for the registered user
full access rights for the file C:\ATMOS\AGHDiag\ is necessary.
The access rights can be verified by a right click with the mouse
in Explorer on the file C:\AGHDiag. In the Pull-Down Men select
the entry Sharing and Security. In the following menu all the user
rights must be marked for the user.

If this menu does not appear , select Extras -> File options
under the view tab select, simple file sharing.

7.0

Connecting the device

1

After the installation the software for the local single workstation
is available. With the exception of the iHandle-control no further
confi guration is necessary.
Connections on the rear side:

1.

Connection for the mains adapter

2. USB-connection ATMOS Diagnostic Cube - PC

3. USB-connection iHandle - PC (option)
rear view / connections

4. Connection for the foot switch

5. Connection for the headphones for the contralateral refl ex
measurement (option)

USB connecting cable for connection of the ATMOS

Diagnostic Cube resp. the iHandle (option) to the PC

Positioning of the handle

The sequence for the allocation of the handle fi xture for the IHandle
complies to the sequence for the connection of the handle on the
front side.

Position of the handles in the support

ATMOS Sono 31
The connection between the ultrasound probe and the ATMOS
Diagnostic Cube is conducted via a BNC-coaxial cable.
Press the connector into the socket with the guide pin and then
turn to the right as far as it will go, then the connector clicks into
the socket. When the catch has clicked in the correct fi t can be
tested by gently pulling on the plug. In order to obtain a correct fi t
the connector must sit fi rmly in the socket.
In the same way press the ultrasound head to the ultrasound
cable.
Connection of the ultasonic probe to the module Sono 31

Attention! Die ultrasound probe is a very delicate

measuring instrument, concussion, shock, blows or
other similar mechanical impacts could damage the
ultrasound probe!

Ultrasonic probe module Sono 31

7.0

Connecting the device

ATMOS Rhino 31
Simply attach the hose of the rhinomanometer-probe to the front
side of the device. This is done by pressing down the metal lever
on the connection socket for the hose system of the Rhino 3, then
press the hose into this socket.
The probe hose can be easily detached by pressing down on the
metal lever. When the lever is released it clicks into place and
prevents the connector from slipping out.
Connection probe Rhino 31
The correct fit can be tested by gently pulling on the connector. The
connector should sit firmly and securely in the socket.

))
))

Always check the availability and condition of the

o-ring on the connector.
A leaky plug connection always results in incorrect
measurements!

Probe Rhino 31 with breathing mask

Probe Rhino 31 with nose olive

ATMOS Tymp 31
Place the flat plug into the corresponding socket of the Tymp 31
module and press it gently. Pay attention that the plug is in the
right position.
Secure the connection by fastening the screws.
Check the correct fit of the connection.

Connection Probe Tymp 31

Probe Tymp 31

10

8.0

Driver installation Windows 7

Windows device manager:

Start system control system and safety
System device manager

After completion of the software installation you can connect both

the ATMOS Diagnostic Cube and the iHandle respectively with a
free USB2.0 port to the PC.
For the connection of the ATMOS Diagnostic Cube and the iHandle
to a Windows PC if necessary the operating system will automatically install its own drivers.

))

The ATMOS Diagnostic Cube does not function with the

automatically installed drivers of Windows 7!

For this reason the Windows own driver must be exchanged for
the ATMOS Diagnostic Cube driver.
If, when connecting the ATMOS Diagnostic Cube to the USB ports
of a Windows 7 PC the hardware installation assistant starts, then
the procedure is similar to that of Windows XP.
Possible depending the Hardware
In Abhngikeit der Hardwarekennung
AGH 2.0
AGH 2.0

))

If the ATMOS Diagnostic Cube resp. iHandle were already connected to the PC before the software installation
was conducted two unknown USB-devices appear. The
adaption of the drivers is described as follows.

Revision of the USB-driver after the automatic driver

installation.
The exchange of the USB-driver is done by the Windows device
manager. It is started with

Installed USB drivers for the ATMOS Diagnostic Cube and the
iHandle.

Start control panel system and safety system device

manager
yy The drivers must be updated for both entries.
yy With the right mouse button click on an entry.
yy In the pull down menu select driver update.
yy The hardware installations assistant starts:

Select browse my computer for driver software.

11

8.0

Driver installation Windows 7

In the following menu select browse.. the folder

C:\AGHDiag\USB.

Press continue to start the driver installation. Confirm safety

questions with yes resp. continue.
An icon will appear in the task bar to confirm the successful completion of the driver installation.

For the driver update of the second entry it is possible that you are
asked explicitly for the driver file ezusb.sys.
When searching for the driver via the browse function the following
entry must be choosen:
C:\AGHDiag\USB\ezusb.sys

12

9.0

Driver installation Windows XP

When connecting the ATMOS Diagnostic Cube and the iHandle with a free USB 2.0 port of a Windows XP PC an icon new hardware
found appears, then the hardware installations assistant starts.
The procedure for the driver installation is adequate for the installation onto a Windows 7 system.
For the installation of the second driver you could be asked for ezusb.sys. In this case you must also proceed as for
Windows 7.

))

If the ATMOS Diagnostic Cube resp. iHandle were already connected to the PC before the software installation was
conducted two unknown USB-devices appear.

In this case click with the right mouse button on unknown entry and select driver update. Proceed as described above.

10.0 Configuration single workstation

10.1 iHandle
The configuration to control the iHandle is activated via the
following button.

Tab Modul
iHandle module
Here the paths to start the module programs Sono 31, Rhino 31
resp. Tymp 31 are listed.
Modules which are not available should be deactivated by deleting
the program entry. If the corresponding hardware is not installed
this prevents the start of the module program. In the iHandle
menu the deactivated functions are no longer available and are
not depicted.

iHandle menu

Images
Select the image representation of the program module in the
iHandle menu.
Generally no modifications must be conducted here.
[v] olive / [ ] mask
Presetting of the measurement procedure for the Rhino 31 (measurement with the nasal olive / measurement with the breathing
mask) when the respective handle is removed, the program Rhino
31 is started. If the field is checked then the measurement with
nasal olives is preset.

Tab System
Language
Enter the path for the file to set the menu language. By reference
to another language file in the directory C:\AGHDiag\iHandle\Language the language can be changed. By pasting other language
folders in this directory and their selection, later the menu can be
adapted to other languages.
Select iHandle ID
So that the program can recognize which switching signal is triggered by the iHandle, the Port-ID of the iHandle must be detected
and entered in the field iHandle ID.
2

iHandle configuration tab system

))

For the configuration of the iHandle port-ID the driver

must be installed and the iHandle connected to the
PC.

Remove a handle from the fixture and observe the changes in

the field state while
you are removing and putting back the
1
handle.
On the right on the line height of the status change the corresponding port-ID 2 can be found. Enter this ID in the field iHandle
ID 3 .

13

10.0 Configuration single workstation

GDT/BDT requirements patient management
yy Remains empty for a single user installation and for a network
installation without integration into a practice software.
yy Also remains empty when the function of the iHandle is not
used.
yy Must be adapted when the iHandle function is used and the
ATMOS Diagnostic Cube in the network is integrated into the
practice software
Further information for the connection can be found in the respective chapter.

10.2 Patient management

The patient management opens automatically when a module
program is started.
In the module program the patient management is opened via
the button

))
))

As long as the patient management is open, the module

program does not react.
The module program seems to hang if the patient managemement slips accidentally into the background.

The button
management.

opens the configurations menu of the patient

Tab System
Database - file:
File name for the patient database
Directory:
Local or network path to the location of the patient database.
For the single user installation you will find the path to a local
directory here. Standard: C:\AGHDiag\Data.
Further information for the installation in a network can be found
in the respective chapter.
Button
Creates a new empty patient database.
Can be used to create a database in the network directly after the
first installation.
Language - File
Select the respective language file to adapt the menu language . By
copying individual language files in the directory C:\AGHDiag\Patient\Language also later, a new menu language can be added.

14

10.0 Configuration single workstation

))

The configuration for each of the module programs

(Sono 31, Rhino 31 and Tymp 31) must be conducted
separately. The same setup menus only work for
each individual module program!

This gives you the possibility to customize each individual module

with the diverse needs.

10.3 Sono 31
Start the module program Sono 31 for the ultrasound examination.
Start the configuration with the button
bar in the lower program area.
Module program Sono 31

in the button

Tab User
Office
The name of the practice/clinic can be entered here. This name
will then appear in the respective documentation.
Examiner
Here the examiners initials can be stored. This means each examination can be assigned to the respective responsible person.
This sentinel specifies which user is listed in the default position
when the Sono 31 module program starts.

Tab User

Tab Output
Printer
Select the standard or the marked printer.
Mark the field preview if you want to check the layout before
printing.
PDF catalogue
Path to the place where the PDF is saved. Choose the name
under which the PDF has to be saved: PatID, Date or
PatID+Date.

Tab Output

PDF Reader
Programme to open PDFs.

Tab Measurement
In the register card Measurements the standard adjustments of
the gain can be adjusted.

Tab Measurement

15

10.0 Configuration single workstation

Tab ID

Tab ID

Here the configuration of the iHandle can be performed for use

with the Sono 31 module software.
iHandle On [v] / Off [ ]
Mark this field if you want to use the iHandle function in the Sono
31 program.
Closing by iHandle
If the iHandle function is activated, the module program Sono
31 is closed when the probe is put back into the fixture. The examination is automatically saved under the invoked patient.
Footswitch On [v] / Off [ ]
Mark this field when a suitable footswitch is connected to the
ATMOS Diagnostic Cube and when you want to use its function
in the module program Sono 31.
Configuration of the port IDs
Remove a handle from the fixture and observe the changes in
the field Status 1 while you are removing and putting back
a handle.
On the left on the line height of the status change you will find the
corresponding Port-ID 2 . Enter this ID in the field ID 3 .
Continue in the same way with the connected footswitch. Now
enter this ID in the field ID under Footswitch.

Tab System
Language-File
Enter the path to the file for the choice of language of the Sono
31 module program. By reference to another language file in the
directory C:\AGHDiag\Sono31\Language the menu language can
be changed. By copying individual language files into this directory
at a later date the menu can be adapted to further languages.
Database - Directory / Database - File:
Local or network path to the location for the measuring database
Sono 31 module program. For a single user installation here you will
find the path to a local directory. Standard: C:\ AGHDiag\Data.
Information for the installation in a network can be found in the
respective chapter. The file name of the measuring database for
the Sono 31 module program. Standard: Sono31.DB
Button
Creates a new empty measuring database for the Sono 31 module program. The button can be used to create a database in the
network immediately after the first installation.
Export / Import
For a single workstation installation both fields must remain empty.
You will find further information for the application of these fields
in the chapter installation to the network with a connection to the
practice software.

16

10.0 Configuration single workstation

10.4 Rhino 31
Start the module program Rhino 31 for the
rhinomanometry.
Start the configuration with the Button
the lower program area.

in the button bar in

Tab User

Module programme Rhino 31

Office
The name of the practice/clinic can be entered here. This name
will then appear in the respective documentation.
Examiner
Here the examiners initials can be stored. This means each examination can be assigned to the respective responsible person.
This sentinel specifies which user is listed in the default position
when the Rhino 31 starts.

Tab Output

Tab User

Printer
Select the standard or the marked printer.
Mark the field preview if you want to check the layout before
printing.
PDF catalogue
Path to the place where the PDF is saved. Choose the name
under which the PDF has to be saved: PatID, Date or
PatID+Date.
PDF Reader
Programme to open PDFs.

Tab Output

Tab Measurement
Measuring method
Select the default depending on which method of measurement will
be conducted. With this adjustment the program will then start.
yy Measurement with breathing mask and nasal olive
yy Measurement with nasal olive

))

Please note, in the iHandle options a preadjustment can

be selected (see configuration iHandle)

Analysis values
Enter the pressure values, by which the evaluation of the
analysis should be conducted. Standard:
p1 = 75 pa
p2 = 150 pa
p3 = 300 pa

Tab Measurement

17

10.0 Configuration single workstation

Tab ID
For the use of the iHandle the software is configurated from the
Rhino 31 module software.
iHandle On [v] / Off [ ]
Mark this field if you want to use the iHandle function in the
Rhino 31 Program.

1
2

Tab ID

Close by iHandle
If the iHandle function is activated, the module program Rhino
31 is closed when the probe is put back into the fixture. The examination is automatically saved under the invoked patient.
Footswitch On [v] / Off [ ]
Mark this field when a suitable footswitch is connected to the
ATMOS Diagnostic Cube and when you want to use its function
in the module program Rhino 31.
Configuration of the port IDs
Remove a handle from the fixture and observe the changes in
the field Status 1 while you are removing and putting back
a handle.
On the left on the line height of the status change you will find the
corresponding Port-ID 2 . Enter this ID in the field ID 3 .
Continue in the same way with the connected footswitch. Now
enter this ID in the field ID under Footswitch.

Tab System
Language-File
Enter the path to the file for the choice of language of the Rhino
31 module program. By reference to another language file in the
directory C:\AGHDiag\Rhino31\Language the menu language can
be changed. By copying individual language files into this directory
at a later date the menu can be adapted to further languages.
Database - Directory / Database - File:
Local or network path to the location for the measuring database
Rhino 31 module program. For a single user installation here
you will find the path to a local directory. Standard: C:\ AGHDiag\
Data.
Information for the installation in a network can be found in the
respective chapter. The file name of the measuring database for
the Rhino 31 module program. Standard: Rhino31.DB

Tab System

18

Button
Creates a new empty measuring database for the Rhino 31 module program. The button can be used to create a database to the
network immediately after the first installation.
Export / Import
For a single user installation both fields must remain empty. You
will find further information for the application of these fields in
the chapter installation to the network with a connection to the
practice software.

10.0 Configuration single workstation

10.5 Tymp 31
Start the module program Tymp 31 for the tympanometry.
Start the configuration with the Button
bar in the lower program area.

in the button

Tab User
Office
The name of thepraczive/clinic can be entered here. This name
will then appear in the respective documentation.
Examiner
Here the examiners initials can be stored. This means each examination can be assigned to the respective responsible person.
This sentinel specifies which user is listed in the default position
when the Tymp 31 starts.
Modulprogramm Tymp 31

Tab Output
Printer
Select the standard or the marked printer.
Mark the field preview if you want to check the layout before
printing.
PDF catalogue
Path to the place where the PDF is saved. Choose the name
under which the PDF has to be saved: PatID, Date or
PatID+Date.
PDF Reader
Program to open PDFs.

Reiter User

Tab Measurement
Method of measurement - age control [v]on / [ ] off
Due to the anatomical differences between babies/small children, children and adults it is an advantage to consider these
differences by the typmanometry in order to achieve comparable
results.
Here you must select whether during the measurement the
patients age should be automatically adapted by the parameters. By setting the mark consideration of the patients age is
automatically activated.
In the areas thereunder you can adjust the individual parameters
for the different age groups.

Tab Output

5
2

))

The standard values correspond to the respective averages and as a rule do not need to be changed.

1. Definition of the age groups

1. Upper age group older than 12 years (standard 12 years)
2. The middle age group results from both of the upper limit
values.
3. Lower age group younger than 2-24 months (standard 24
months)
2. Negative pressure value from the compliance-measurement for
the individual age groups.
3. Positive pressure value for the compliance-measurement for
the individual age groups.
4. Frequency of the probe sound of the compliance-measurement
for the individual age groups.

Tab Measurement

5. Select the volume range for the stapedius reflex measurement

for the individual age groups.
marked: 85 dB - 105 dB
unmarked: 75 dB - 95 dB

19

10.0 Configuration single workstation

Tab ID
1
2

For the use of the iHandle the software is configurated from the
Tymp 31 module software.
iHandle On [v] / Off [ ]
Mark this field if you want to use the iHandle function in the Tymp
31 program.
Close by iHandle
If the iHandle function is activated, the modul program Rhino31 is
closed when the probe is put back into the fixture. The examination
is automatically saved under the invoked patient.

))

Due to the automatic measurement sequence a

footswitch function for the tympanometry is not
provided.

Tab ID

Configuration of the port IDs

Remove a handle from the fixture and observe the changes in
the field Status 1 while you are removing and putting back
a handle.
On the left on the line height of the status change you will find the
corresponding port ID 2 . Enter this ID in the field ID 3 .

Tab System
Language-File
Enter the path to the file for the choice of language of the Tymp
31 module program. By reference to another language file in the
directory C:\AGHDiag\Tymp31\Language the menu language can
be changed. By copying individual language files into this directory
at a later date the menu can be adapted to further languages
Database - Directory/ Database - File:
Local or network path to the location for the measuring database
Tymp 31 module program. For a single user installation here you will
find the path to a local directory. Standard: C:\ AGHDiag\Data.
Information for the installation to a network can be found in the
respective chapter. The file name of the measuring database for
the Tymp 31 module program. Standard: Tymp31.DB

Tab System

20

Button
Creates a new empty measuring database for the Tymp 31 module program. The button can be used to create a database to the
network immediately after the first installation.
Export / Import
For a single user installation both fields must remain empty. You
will find further information for the application of these fields in
the chapter installation to the network with a connection to the
practice software.

11.0 Network operation

It is imperative to consult the responsible system
administrator for all work in a network!
The user is responsible for the data backup. ATMOS
is not liable for any data loss!
It is described how the installation and settings (not
the data!) is protected in a network.
Besides the single workstation the ATMOS Diagnostic
Cube can also be configurated for use in a network.
By installing the diagnostic software on various
workstations it is possible to retrieve the examinations
on different PCs.

))

Naturally the control of the ATMOS Diagnostic Cube

is only possible from the PC when it is connected via
a USB 2.0.

Configuration menu System of the module program Sono 31

The following steps are necessary in order to access the

diagnostic data via a network.

))

The listed network paths to the file server of the ATMOS

Diagnostic Cube in the network ...\AGHData\ are only
examples and could depending on the local situation
be named differently.

))

For an easy communication in a support case it would

be an advantage if the here mentioned structures and
names for the folders and files of the ATMOS Diagnostic Cube Installation are adopted. \AGHData\ and
the following.

yy Create a partition / a directory with the file ...\AGHData\ in the

network with full access rights for all users / workstation, also
those which are only used for the visualization of the examinations results (e.g. \\Server\AGHData).
yy Adjustment of the new path for the measurement database and
the patient database of the module programs in the respective
configuration menus.
yy How to obtain the respective configuration menu is described
in the single user installation.

))

The following adaptions must be performed on each

workstation.

Configuration menu System of the module program Rhino 31

11.1 Adaption of the patient database for

the network operation
yy Copy the contents of the folder C:\AGHData\Data in the partition
just created / of the network directory just created (in example
\\Server\AGHData\Data).
yy In the configuration menu of the patient management under
System enter this path, under which the database can be
found in the network server. (e.g.: \\Server\AGHData\ Data)

11.2 Adaption of the respective module

software Sono 31, Rhino 31, Tymp 31
for the network operation
Besides the patient database in each case the path to the location
for the measuring values database in the network must be entered
into the configuration menu of the respective module software.

21

11.0 Network operation

The measuring values database should also be copied into the
directory in the network when the directory C:\AGHDiag\Data is
copied.

))

For each module software the database path must be

adapted separately

yy For each module software open the tab System in the respective configurations menu.
yy Enter in the field database - directory the new path to the databases location in the network (e.g.\\Server\AGHData\Data)
yy Pay attention to correct spelling and capital and lower-case
letters.

))

The fields Export and Import must remain empty

during a network installation. These are exclusively
used for communication with a connection to a practice software.

11.3 Backup file

Configuration menu System of the module program Tymp 31

yy Create a folder for the ATMOS Diagnostic Cube in the network

folder with the name Mirror (e.g.:\\Server\ AGHData\Mirror\) as
a backup directory for the complete installation of the ATMOS
Diagnostic Cube.
yy Copy the complete local installation files C:\ AGHDiag into
the newly created backup file in the network (e.g.: \\Server\
AGHData\Mirror\).

Path on the server

(Example: \\Server\D:\WS1\

In doing so all the adjustments and installation data can be saved.

In the case of a new installation it can eventually be copied back
into the respective directory. This way the original configuration
can be re-established.

\AGHData\

))

There is no permanent backup of the patient and examination values. The user is responsible for organizing
this by himself!

\Data\
Transfer directory for integration
into practice software (optional)

\PAT\

\Mirror\

\AGHDiag\
\Data\

\iHandle\
\Sono31\
\Rhino31\
\Tymp31\
\Usb\

22

After a complete installation (including a connection to a practice

software, see following chapter) the directory structure (see fig,
left) should be installed in the network:

12.0 Program start-up

Depending on the configuration and type of the installation
yy local without an iHandle,
yy local with an iHandle,
yy without an iHandle with a connection to a practice software
yy with an iHandle and connection to a practice software the start
of the module program is configurated differently.

12.1 Configuration for the installation

without an iHandle and without a
connection to a practice software

\\Server\AGHData\Data

Storing a link on the desktop with a

right mouse button click (Win 7)

For a quick start of the module program it is recommended in each

case to store a link in the start menu on the desktop.
yy Open the program directory of the module program for the
installed hardware.
Sonography:
C:\AGHDiag\Sono31\
Rhinomanometry: C\AGHDiag\Rhino31\
Tympanometry:
C:\AGHDiag\Tymp31\
yy With the right mouse button click on the module program.
Sono31.exe
Rhino31.exe
Tymp31.exe
and keep the mouse button pressed.
yy Drag the pressed mouse button on the desktop and then
release it.
yy Select in the menu create link
yy With a double click on the symbol the module program can now
be started from the desktop.

Also under Windows 7

yy A link on the desktop can also be created via the context menu
with a right mouse click on the program send desktop
(create link) (see fig.).
yy Via the same context menu links can also be created to the
Windows start menu (see fig.).

Storing a link in the start menu with

a right mouse button click (Win 7).

Such links should be created for each installed module.

To start a module program double click on the respective link on
the desktop.
In addition with the start the patient management opens automatically, with the option / set up a new patient.

))

The patient management must be closed once more

before work is possible in the module program.

23

12.0 Program start-up

12.2 Configuration with an iHandle without
a connection to the practice software
yy Conduct all steps of point 12.1.
yy In the same way create the entries for the programme of the
iHandle.
yy Create the links from the directory C:\ AGHDiag\iHandle\
iHandle.exe.
Prior to use of the ATMOS Diagnostic Cube the iHandle programme
must be started via the handle control.

1. Remove a handle in order to start an examination.

2. In order to call up an examination which was already conducted start the respective module program via the patient
management.
By every PC start if you do not wish to start the iHandle software
manually, set a link C:\AGHDiag\iHandle\ iHandle.exe in the
autostart-file (startup):
yy Drag and Drop
With the right mouse button click on the program C:\AGHDiag\iHandle\iHandle.exe and keep it pressed.
Move the mouse with the pressed mouse button on the
START - symbol in the task bar and remain there until the
start menu opens.
Hold the right mouse button pressed and drag the mouse
over the menu item All programmes and remain there until
the menu All programmes opens.
Move the cursor with the pressed mouse button to the menu
item Autostart and wait until the menu opens.
Move the curser in the file bar Autostart and release the
right mouse button.
Confirm with create link.
yy In the explorer
Open the directory C:\AGHDiag\iHandle\ in the explorer.
Via the Windows search select the file Autostart
(startup).

))

Please note there are two Autostart files, one global for
all users and one user-orientated file.

Open the user-orientated file for which the software was

installed.
Keep the right mouse button pressed and drag the programme C:\AGHDiag\iHandle\iHandle.exe in the userorientated Autostart file.
Each time Windows is started the iHandle programme also starts
simultaneously. As soon as the PC starts the iHandle function is
available immediately.
Autostart of the iHandle program (Win 7)

))

For the connection of the ATMOS Diagnostic Cube to the practice software the module program starts from the practice
software or when installed via the function of the iHandle (see the appropriate chapter).

24

13.0 Notes

14.0 Questionnaire
Question form regarding the technical data of the available computer system
This question form is to organize a smooth procedure during delivery and to support any defects which could arise regarding the technical requirements.

General information:
Company name:
Street:
Zip code / City
Contact person at the company:
Name network administrator:
Telephone:
Fax:
E-Mail:

Diagnostic - Module (New acquisition):

Sono 31 (Sonography)

Tymp 31 (Tympanometry)

Rhino 31(Rhinomanometry)

iHandle (handle control)

Administration of the practice software / Hospital information system (HIS):

Responsible person for the integration:
Responsible company:
Contact person:
Telephone:
E-Mail:
Type of software
Type of integration (Server-Client / virtual
terminal, etc.)
Appointment for a joint integration:
Information to the server:
Operating system (network)
Partition for the data storage of the diagnostic software: (e.g. \\server\HNO\Daten\...)
Writing and reading access permitted?

Further details:

14.0 Questionnaire
Stock check of the available computers
If necessary copy the lists and fill in several forms

Computer number / location

Workplace as user /
Investigator(U) only display (A)
Operating system (e.g. WinXP,
Win7, 32bit)
Admin-rights for the installation
set up?

Large main memory in MB

Free PCI ports

USB 2.0 available?

Free PCI slots

Screen resolution

Rights in the network

If necessary:
Path for GDT patient import
If necessary:
Path for GDT diagnostic data

Integration with iHandle

function
GDT 6300
Patient attributes
Path for transfer

27

14.0 Questionnaire
Situation at the installation location
A room sketch showing the installation location of the ATMOS Diagnostic Cube, positioning of the PC and the monitor (the monitors)
and any other installations which have to be taken into consideration. Specifications of the cable run and the estimated cable length,
free mains socket and where they are positioned. Installation of the iHandle on the right or left side.
If necessary copy, and fill in several forms.

Date:

28

Signature:

Company stamp:

15.0 Configuration
Documentation of the configuration

16.0 Accessories and spare parts

yy USB 2.0 HUB (active with its own power supply)
yy USB 2.0 cable
yy Footswitch (replacement)
yy Mains adapter (replacement)
yy USB-Keyboard
yy USB-Mouse
yy Galvanic network isolation
yy Network cable 10 m
yy Network adapter
yy Network cable