HAMILTON-T1. Operator's Manual (2022)

2 System overview

2.2.2 About the main display

Figure 2-6. Main display

Patient group symbol and active mode

Power source and battery status

Message bar (color coded)

Audio pause indicator and countdown

timer^**

Configurable graphic display (full-length

Humidifier quick access icon

waveforms shown)

Modes button

Measured SpO2 value^*

Main controls for the active mode

Main monitoring parameters (MMP)

Window buttons: Alarms, Controls,

Date and time

Monitoring, Tools, Events, System

* When SpO2 monitoring is enabled.

** When Audio pause is active, the connectivity icons are not displayed. See Table 2-3.

English | 10103179/02 USA

About the patient breathing circuits

2.2.3 About the patient breathing

circuits

Figure 2-7. Adult/pediatric breathing circuits

Adult/Ped: Dual limb with humidifier

Adult/Ped: Coaxial with HMEF

To patient inspiratory port

Y-piece

From patient expiratory port

CO2 sensor/adapter

Expiratory valve set

Flow sensor

Flow sensor connection ports

Humidifier

Bacteria filter

Coaxial inspiratory/expiratory limb

Inspiratory limb to humidifier

HMEF

Heated inspiratory limb with tempera-

Adapters

ture sensor, to patient

Heated expiratory limb

Some connection adapters may be required, but are not shown. Refer to the breathing circuit

Instructions for use.

Hamilton Medical | HAMILTON-T1 Operator's Manual

2 System overview

Figure 2-8. Adult/pediatric breathing circuits: high flow oxygen therapy

Adult/Ped: Dual limb, high flow oxygen

Adult/Ped: Single limb, high flow

therapy

oxygen therapy

To patient inspiratory port

Heated expiratory limb

From patient expiratory port

Y-piece

Expiratory valve set

Adapters (various)

Bacteria filter

Nasal cannula

Inspiratory limb to humidifier

Attachment strap

Heated inspiratory limb with tempera-

Humidifier

ture sensor, to patient

English | 10103179/02 USA

About the patient breathing circuits

Figure 2-9. Neonatal breathing circuits

Neonatal/pediatric: Dual limb with

Neonatal/pediatric: Dual limb with HMEF

humidifier

To patient inspiratory port

Y-piece

From patient expiratory port

CO2 sensor/adapter

Expiratory valve set

Flow sensor

Flow sensor connection ports

Humidifier

Bacteria filter

Inspiratory limb

Inspiratory limb to humidifier

Expiratory limb

Heated inspiratory limb with temperature sensor,

HMEF

to patient

Unheated inspiratory limb extension, for use in

Adapters (various)

incubator

Heated expiratory limb

Hamilton Medical | HAMILTON-T1 Operator's Manual

2 System overview

Figure 2-10. Neonatal breathing circuits: high flow oxygen therapy

Neonatal/pediatric: Dual limb, high flow

Neonatal/pediatric: Single limb, high flow

oxygen therapy

To patient inspiratory port

Unheated inspiratory limb extension,

for use in incubator

From patient expiratory port

Heated expiratory limb

Expiratory valve set

Y-piece

Bacteria filter

Connection to patient interface (options

not shown)

Inspiratory limb to humidifier

Humidifier

Heated inspiratory limb with tempera-

Adapters (various)

ture sensor, to patient

English | 10103179/02 USA

About the patient breathing circuits

Figure 2-11. Neonatal breathing circuit: nCPAP, nCPAP-PC

Neonatal: nCPAP, nCPAP-PC

To patient inspiratory port

Unheated inspiratory limb extension,

for use in incubator

From patient expiratory port

Heated expiratory limb

Expiratory valve set

Y-piece, T-piece

Pressure line connection port (blue)

Pressure line

Bacteria filter

Humidifier

Inspiratory limb to humidifier

Adapters (various)

Heated inspiratory limb with temperature sensor, to patient

Hamilton Medical | HAMILTON-T1 Operator's Manual

2 System overview

2.2.4 About the trolley and mounting

- CO2 sensor (mainstream or side-

variations

stream)

- O2 cylinder

The HAMILTON-T1 can optionally be

- SpO2 sensor, including Masimo

ordered with a standard trolley, carrying

adapter

case, or a variety of wall, bed, ceiling, and

shelf mount solutions. The trolley has

- Humidifier

space for one oxygen cylinder.

2.3 Turning the ventilator on

2.2.4.1 Preparing the trolley for intra-

and off

hospital transport

To ensure the Event log records all events

Before proceeding, review the safety

properly, do the following:

information in Chapter 1.

• When entering Standby, wait at least

30 seconds before turning off the

WARNING

ventilator.

• Only the components listed in this

• After turning off the ventilator, wait at

section are approved for intrahospital

least 3 seconds before turning the

transport.

ventilator back on.

• Use of additional items, such as a tub-

ing support arm, can result in the

To turn on the ventilator

trolley tipping over.

4 Press

(Power/Standby).

• The ventilator must be attached to

the trolley using the locking bolt.

The ventilator runs a self-test. After a

Ensure the device is securely attached

short time, the Standby window is display-

to the trolley before use.

ed.¹³

If using a HAMILTON-T1 trolley, the venti-

Proceed with setting up the ventilator and

lator and its components, as well as the

patient, as appropriate.

trolley, must be configured and positioned

as follows during transport within the hos-

If the startup process does not complete

pital:

successfully when turning on the ventila-

tor, proceed as follows.

• The ventilator and oxygen cylinders

must be securely attached to the

To turn on the ventilator if startup is not

trolley.

successful

1. Turn off the ventilator by pressing and

• Only the following components are

allowed to be connected during trans-

holding

for about 10 seconds.

port:

2. Turn the ventilator on again by press-

- Breathing circuit

ing

- Tubing support arm

– Flow sensor (or pressure line)

¹³ For devices with serial number > 3000, startup time is ≤ 30 seconds. For devices with a lower serial number, startup time is ≤ 50

seconds.

English | 10103179/02 USA

Navigating the windows and controls

Figure 2-12. Power/Standby key (1)

2.4.1 Accessing windows

To open a window

4 Do any of the following to open a

window:

- Touch the button and any needed

tabs.

To turn off the ventilator

- Turn the P&T knob to move the

1. Press

(Power/Standby) to open the

cursor to the button or tab, then press

Activate Standby window during active

the P&T knob.

ventilation.

To close a window

2. Touch Activate standby to confirm.

4 Do any of the following to close a

The ventilator enters Standby.

window:

3. Press and hold

for about

- Touch the window button again.

3 seconds to turn off the ventilator.

- Touch the X button.

- Turn the P&T knob to move the

The ventilator turns off.

cursor to the X button, then press the

In the event of a technical fault or the

P&T knob.

device will not turn off

2.4.2 Adjusting controls

4 Press and hold for about

10 seconds to turn off the ventilator.

Specifying settings involves activating a

control, adjusting a value, and confirming

the setting.

2.4 Navigating the windows

and controls

To adjust a control setting

1. Activate the control by doing any of

Use the touch screen and the Press-and-

the following:

turn knob (referred to as the P&T knob) to

access data and specify settings.

- Touch the control to select and acti-

vate it; the selected control has a yel-

You interact with the HAMILTON-T1 user

low outline.

interface as follows:

- Turn the P&T knob to move the

• Touch elements on the display to open

cursor to the control; the selected

windows and make and confirm selec-

control has a yellow outline. Press the

tions.

P&T knob to activate it.

• Use the P&T knob to select, specify,

The activated control is orange (Figure

and confirm selections. A selected item

2-13).

is highlighted in yellow.

2. Adjust the value by turning the P&T

knob to increase or decrease the

This section describes how to navigate the

value. The orange dot indicates the

interface.

dynamic limit.

Hamilton Medical | HAMILTON-T1 Operator's Manual

2 System overview

3. Confirm the setting by doing any of

2.4.3 Selecting list items

the following:

Some selections are presented in a scrol-

- Touch the control again.

lable list.

- Press the P&T knob.

To select a list item

The new setting is immediately applied.

1. In a list, touch the scroll bar to select

Figure 2-13. Control status: activated

and activate it.

2. Turn the P&T knob to scroll through

the list, and when the desired selec-

tion is highlighted, press the knob to

select it.

2.4.4 Using shortcuts

The ventilator provides shortcuts for some

key functions.

Table 2-3. Shortcuts

Touch Quick

To display the ...

access icon/

shortcut on

main display ...

Controls > Patient window

, or

Active mode

Modes window

(top left of

display)

Any MMP

Alarms > Limits 1 window

SpO2 value

Alarms > Limits 2 window

(under MMPs)

Any graphic

Graphics selection

(waveform,

window

loop, trend,

Intelligent panel)

English | 10103179/02 USA

Using shortcuts

Touch Quick

To display the ...

access icon/

shortcut on

main display ...

System > Info 1 window

(any displayed

battery icon)

System > Settings > Date

& Time window

Alarms > Buffer window

Alarm message

On-screen alarm trouble-

in the Alarms >

shooting help

Buffer window

System > Settings >

Humidifier window¹⁴

System > Settings >

Connectivity window

(any connectivity

When an Audio pause is

icon¹⁵)

active, the connectivity

icons are not displayed.

¹⁴ If connected to the

/COM1 port on the ventilator.

¹⁵ If the option is installed. Not available in all markets.

Hamilton Medical | HAMILTON-T1 Operator's Manual

3 Preparing the ventilator

To connect the ventilator to a primary

3.1 Overview

power supply

Preparing the ventilator for use comprises

4 Connect the ventilator to an outlet

the following steps:

that supplies AC or DC power.

To ...

See ...

Make sure the power cord is well

seated into the ventilator socket and

Connect to a power

Section 3.2

secured with the power cord retaining

source.

clip to prevent unintentional discon-

Connect the oxygen

Section 3.3

nection.

supply.

Set up the patient breath-

Section 3.5

3.2.1 Connecting to DC power

ing circuit, including per-

Before proceeding, review the safety

forming the preopera-

information in Chapter 1.

tional check.

The DC cable can be used during trans-

Connect external devices

Chapter 4

port in ambulances, fixed-wing aircraft,

and sensors.

helicopters, and ships that provide an

Turn on the ventilator.

Section 2.3

appropriate electrical power supply.

Select the patient group,

Chapter 5

A DC cable kit (referred to as the assem-

mode, and alarm limits,

bled DC cable) includes a stripped end

and enter patient data.

with two strands. This cable must only be

assembled by authorized personnel using

a UL-listed plug.

3.2 Connecting to a power

The DC car cable is intended for use

during transport in ambulances and other

source

rescue vehicles that are provided with

Before proceeding, review the safety

appropriate plug connectors.

information in Chapter 1.

For available cables, see Chapter 14.

Always check the reliability of the primary

power outlet before plugging in the venti-

lator. The charge icon above the battery

shows that the ventilator is plugged in and

the batteries are charging.

English | 10103179/02 USA

Working with the potential equalization conductor

3.2.2 Working with the potential

3.2.3 Using battery power

equalization conductor

A mandatory backup battery protects the

The potential equalization conductor¹⁶ is

ventilator from low power or failure of the

located on the back of the ventilator. See

primary power source.

Figure 3-1.

When the primary power source fails, the

Consider using the potential equalization

ventilator automatically switches to opera-

conductor when working with a CO2

tion on backup battery with no interrup-

sensor, SpO2 sensor, or similar medical

tion in ventilation. An alarm sounds to sig-

devices.

nal the switch-over. Silence the alarm to

confirm notification of the power system

The potential equalization conductor must

change and reset the alarm.

not be used as a protective earth connec-

tion.

If battery power is completely lost, a

buzzer sounds continuously for at least

To connect the potential equalization con-

two minutes.

ductor

Batteries are charged whenever the venti-

1. Connect one end of a grounding

lator is connected to primary power,

cable to the potential equalization

whether or not it is turned on. The battery

conductor.

indicator on the device (Figure 2-2) shows

2. Connect the other end to a properly

the charge status of the batteries.

grounded outlet.

The battery and power source symbols in

When not in use, a cover can be placed

the bottom right corner of the display

over the conductor.

show the power source in use. See Table

3-1.

Figure 3-1. Potential equalization conductor

with cover (1)

An optional second battery is available. It

is shown on the display when installed.

¹⁶ The potential equalization conductor is designed for the connection of a potential equalization conductor according to DIN 42801

and IEC 60601-1. The function of the potential equalization conductor is to equalize potentials between the ventilator system and

other medical devices that can be touched simultaneously.

Hamilton Medical | HAMILTON-T1 Operator's Manual

3 Preparing the ventilator

Figure 3-2. Power source indicators on display

Table 3-2. Battery charge indicator on ventila-

tor, overview

Indicator

Battery status

on ventila-

tor

Solid green: The indicated bat-

tery (1 shown) is fully charged

and the device is connected to

primary power, even when the

ventilator is turned off.

Flashing green: Flashes to

show that the device is con-

nected to a primary power

source and the indicated bat-

tery is charging, even when

the ventilator is turned off.

Not lit: Dark to show the indi-

Table 3-1. Battery/power state

cated battery is not charging

Power icon Battery status

(the device is running on bat-

on display

tery power and is not con-

nected to a primary power

Device is plugged into primary

source or the battery is over-

power and the battery is

heated).

charging.

Device is running on battery

If a battery is not fully charged, recharge it

power.

by connecting the ventilator to AC or DC

power. For details, see Section 15.4.

Battery is fully charged.

Chapter 12 describes how to replace the

battery.

Battery is partially charged.

Battery has less than 10%

charge left.

Battery is either defective or

not installed.

English | 10103179/02 USA

Connecting the oxygen supply

3.3 Connecting the oxygen

See Section 3.3.3 for details on selecting

the oxygen source on the device.

supply

Before proceeding, review the safety

3.3.3 Selecting the oxygen source

information in Chapter 1.

type

Oxygen for the HAMILTON-T1 can be pro-

Before starting ventilation, be sure to

vided by a high- or low-pressure source.

select the appropriate oxygen source. By

default, the ventilator is set to high-pres-

High-pressure oxygen, provided by a cen-

sure oxygen (HPO).

tral gas supply or a gas cylinder, is sup-

plied through DISS or NIST male gas fit-

You set the source in Standby.

tings. With the optional cylinder holder,

you can mount an oxygen cylinder to the

To select the oxygen source

trolley. If you use gases from the cylinder,

1. In Standby mode, touch Tools > Utili-

secure the cylinder to the trolley with the

ties.

accompanying straps.

2. Touch the appropriate button for the

Low-pressure oxygen is provided by a con-

desired oxygen source.

centrator or liquid cylinder.

- Select HPO mode for high-pressure

oxygen (default).

The selected setting is active until manu-

ally changed or the ventilator is restarted.

- Select LPO mode for low-pressure

oxygen (see Section 3.3.1).

3.3.1 Using a low-pressure oxygen

3. Close the window.

supply

Figure 3-3. Selecting the oxygen source

Using the low-pressure oxygen supply¹⁷

involves two steps:

• Connecting the supply to the ventilator

(Section 3.3.2)

• Selecting the source type on the venti-

lator (Section 3.3.3)

3.3.2 Connecting the oxygen supply

to the ventilator

To connect the oxygen supply to the venti-

lator

4 Connect the oxygen hose to the

Tools

HPO mode,

HAMILTON-T1's high-pressure or low-

LPO mode

pressure oxygen inlet fitting (Figure

Utilities

2-5).

¹⁷ Not available in all markets.

Hamilton Medical | HAMILTON-T1 Operator's Manual

3 Preparing the ventilator

3.4 Ensuring an adequate

3.4.1 Reviewing current oxygen

consumption

oxygen supply for patient trans-

port

NOTICE

• O2 consumption data is not available

WARNING

with low-pressure oxygen (LPO).

Before transporting the patient, ensure

• When initially starting ventilation, the

an adequate oxygen supply by checking

O2 consumption parameter is calcu-

the O2 consumption parameter (in the

lated and displayed after 2.5 minutes.

System > Info window) and ensuring it is

adequate for your estimated travel time

The current oxygen consumption rate is

and current oxygen capacity.

displayed in the O2 consumption para-

meter in the System > Info window (Figure

Use the appropriate calculation method

3-4).

(see Table 3-3) to estimate total oxygen

requirements for the patient.

The O2 consumption rate is updated every

breath and shows the average rate over

Before transporting the patient you must

the last five minutes, after the initial 2.5

ensure that you have enough oxygen for

minutes of ventilation.

the journey.

Figure 3-4. System > Info window, O2

Be sure to:

consumption

• Review current oxygen consumption

(Section 3.4.1)

• Calculate the patient's estimated

oxygen requirement (Section 3.4.2)

For neonatal patients, use Method III

(Section 3.4.2.3).

For information about estimated oxygen

consumption relative to minute volume,

see Section 15.12.3.

System

O2 consumption

Info

English | 10103179/02 USA

Calculating estimated oxygen consumption

3.4.2 Calculating estimated oxygen

Table 3-3. Overview of O2 consumption calcu-

lation methods

consumption

For ...

Applicable for ...

See ...

WARNING

Method I

Smaller patients:

Section

The oxygen consumption of a nebulizer

≤ 70 cm,

3.4.2.1

attached to the device is not included in

IBW ≤ 8 kg

the O2 consumption parameter value. To

Method II

Larger patients:

Section

calculate it, use Method IV (Section

> 70 cm,

3.4.2.2

3.4.2.4).

IBW > 8 kg

Method III

Neonates:

Section

NOTICE

3.4.2.3

Patient group on

• The oxygen consumption calculation

the ventilator is set

is not intended to affect therapy

to Neonatal.

decisions and should be used solely

to estimate the amount of oxygen

Method IV

Additional amount

Section

required for the duration of transport,

(nebulizer

to add to the

3.4.2.4

before connecting the ventilator to

in use)

result of Method I

the patient.

or II to account for

the nebulizer

• The calculations provided here are

oxygen use.

valid only for systems without leaks

at the patient end.

For systems with leaks (for example,

All of the methods require the following

ventilating with a mask), oxygen

information for the calculation:

consumption will be higher.

• ExpMinVol setting (l/min)

• The calculations show the result in

liters per minute (l/min). You must

• Oxygen setting (%)

multiply the result by the planned

• I:E setting, if using a nebulizer

duration of transport for the final

estimate.

• Planned duration of transport

The calculation method for estimating

The patient height and IBW (or Weight for

oxygen consumption depends on the

neonatal patients) determine which of the

patient height and weight, and nebulizer

calculation methods to use (Table 3-3).

use, as listed in the following table.

Hamilton Medical | HAMILTON-T1 Operator's Manual

3 Preparing the ventilator

3.4.2.1 Method I. Overall oxygen

consumption for smaller patients

Method I is for smaller patients with

height ≤ 70 cm, IBW ≤ 8 kg, in liters per

minute (l/min).

For neonatal patients, use Method III¹⁸

(Section 3.4.2.3).

Table 3-4. Calculating O2 consumption using Method I for smaller patients

Calculation

Result and example

To calculate estimated oxygen consumption using Method I:

O2 cons. = [(ExpMinVol * 2) + 3 l/min] * [(FiO2 - 20.9) / 79.1]

Replace ExpMinVol

Example uses:

and FiO2 in the equa-

ExpMinVol = 2 l/min

tion with the current

Oxygen (FiO2) = 60%

patient values.

Solve the equation.¹⁹

The result is the estimated oxygen consumption in liters per minute

(l/min).

Example.

O2 consumption = ((2 * 2) + 3) * (60 - 20.9) / 79.1

O2 consumption = 7 * 0.494

O2 consumption = 3.5 l/min

Multiply the result by

The final result is the estimated oxygen requirement, in liters, for

the planned duration

the specified length of time.

of transport, in

Example.

minutes.

Transport duration = ~60 minutes

Example result.

Required O2 for transport = ~3.5 * 60 = 210 liters

¹⁸ If the patient group on the ventilator is set to Neonatal, be sure to use Method III for the calculation. This is important because the

base flow is fixed at 4 l/min for neonatal patients and at 3 l/min for adult/pediatric patients.

¹⁹ The * 2 is to account for compressible volume in the breathing circuit. See Section 15.12.3.

English | 10103179/02 USA

Method II. Overall oxygen consumption for larger patients

3.4.2.2 Method II. Overall oxygen

consumption for larger patients

Method II is for larger patients, with

height > 70 cm, IBW > 8 kg in liters per

minute (l/min).

For neonatal patients, use Method III¹⁸

(Section 3.4.2.3).

Table 3-5. Calculating O2 consumption using Method II for larger patients

Calculation

Result and example

To calculate estimated oxygen consumption using Method II:

O2 cons. = [(ExpMinVol + 3 l/min)] * [(FiO2 - 20.9) / 79.1]

Replace ExpMinVol

Example uses:

and FiO2 in the equa-

ExpMinVol = 2 l/min

tion with the current

Oxygen (FiO2) = 60%

patient values.

Solve the equation.

The result is the estimated oxygen consumption in liters per minute

(l/min).

Example.

O2 consumption = (2 + 3) * (60 - 20.9) / 79.1

O2 consumption = 5 * 0.494

O2 consumption = 2.5 l/min

Multiply the result by

The final result is the estimated oxygen requirement, in liters, for

the planned duration

the specified length of time.

of transport, in

Example.

minutes.

Transport duration = ~60 minutes

Example result.

Required O2 for transport = ~2.5 * 60 = 150 liters

Hamilton Medical | HAMILTON-T1 Operator's Manual

3 Preparing the ventilator

3.4.2.3 Method III. Overall oxygen

consumption for neonatal patients

Method III is for neonatal patients. Use

this method when the Neonatal patient

group is selected on the ventilator.

This method is required because the base

flow is fixed at 4 liters per minute (l/min)

for neonatal patients, and at 3 liters per

minute (l/min) for adult and pediatric

patients.

Table 3-6. Calculating O2 consumption using Method III for neonatal patients

Calculation

Result and example

To calculate estimated oxygen consumption using Method III:

O2 cons. = [(VolMinExp * 2) + 4 l/min] * [(FiO2 - 20.9) / 79.1]

Replace ExpMinVol

Example uses:

and FiO2 in the equa-

ExpMinVol = 0.5 l/min

tion with the current

Oxygen (FiO2) = 60%

patient values.

Solve the equation²⁰.

The result is the estimated oxygen consumption in liters per minute

(l/min).

Example.

O2 consumption = ((0.5*2) + 4) * (60 - 20.9) / 79.1

O2 consumption = 5 * 0.494

O2 consumption = 2.5 l/min

Multiply the result by

The final result is the estimated oxygen requirement, in liters, for

the planned duration

the specified length of time.

of transport, in

Example.

minutes.

Transport duration = ~60 minutes

Example result.

Required O2 for transport = ~2.5 * 60 = 150 liters

²⁰ The * 2 is to account for compressible volume in the breathing circuit. See Section 15.12.3.

English | 10103179/02 USA

Method IV. Nebulizer oxygen consumption

3.4.2.4 Method IV. Nebulizer oxygen

consumption

Method IV calculates nebulizer oxygen

consumption. The result of this calculation

is added to the result of Method I or II.

Table 3-7. Calculating O2 consumption with a nebulizer

Calculation

Result and example

To calculate estimated oxygen consumption using Method IV:

Neb. O2 cons. = 8 l/min * (Insp time / total breath time)

Calculate the ventila-

Example uses:

tion oxygen require-

Method I

ment using Method I

ExpMinVol = 2 l/min

or II.

Oxygen (FiO2) = 60%

Transport duration = 30 minutes

See Sections 3.4.2.1

and 3.4.2.2.

Example result.

O2 consumption = 3.5 l/min

Required O2 for transport = ~3.5 * 30 = 105 liters

Calculate the nebuli-

Replace Insp Time / total breath time with the current patient I:E

zer oxygen require-

value.

ment.

Example.

I:E = 1:3 The inspiration time is one-quarter (0.25) of the total

breath time.

Neb. O2 cons. = 8 * 0.25 = 2 l/min.

Multiply the result of

The result is the oxygen requirement for the nebulizer only.

step 2 by the planned

Example.

nebulization duration.

Neb. O2 cons. = 2 l/min

Transport duration = ~30 minutes

Example result.

Required O2 for nebulizer during transport = ~2 * 30 = 60 liters

Add the results from

This gives you the total estimated oxygen requirement for the dura-

steps 1 and 3.

tion of transport and the specified nebulization time.

Example.

Required O2 for nebulizer during transport = 60 liters

Required O2 for transport = 105 liters

Example result.

Total required O2 for transport = 105 + 60 = 165 liters

Hamilton Medical | HAMILTON-T1 Operator's Manual

3 Preparing the ventilator

3.5 Setting up the patient

3.5.1 Breathing circuit connections on

the ventilator

breathing circuit

Figure 3-5 illustrates the key ports on the

Before proceeding, review the safety

ventilator for connecting the breathing cir-

information in Chapter 1.

cuit set.

Connecting the breathing circuit

For breathing circuit diagrams, see Section

comprises the following steps.

2.2.3.

For neonatal ventilation, see Chapter 6.

Figure 3-5. Key connection ports

To ...

See ...

Install the expiratory

Section 3.5.2

valve.

Select the appropriate

Section 3.5.3

breathing circuit and

components.

Assemble the breathing

Section 3.5.4

circuit.

Adjust the position of the

Section 3.5.5

breathing circuit.

Change breathing circuit

Section 3.5.6

components during venti-

lation

Connect external devices

Chapter 4

and sensors.

Perform any required

Chapter 5

tests, calibrations, and the

To patient inspira-

Flow sensor

preoperational check.

tory port

connection ports

Communication

From patient

board (optional)

expiratory port

Nebulizer port

Expiratory valve

set

English | 10103179/02 USA

Working with the expiratory valve set

3.5.2 Working with the expiratory

Figure 3-7. Installing the expiratory valve set

valve set

Adult/Ped

Neonatal

This section describes how to assemble/

install, and remove/disassemble the expira-

tory valve set.

Be sure to install the correct expiratory

valve for the selected patient group.

Figure 3-6. Comparison between the Adult/Ped

and Neonatal expiratory valves (differences

highlighted in blue)

Adult/Ped

Neonatal

To remove and disassemble the expiratory

valve set

1. Remove the expiratory valve set from

the expiratory port on the ventilator.

2. Holding the expiratory valve housing,

remove the silicone membrane (A in

Figure 3-7) by lifting it up.

To assemble/install the expiratory valve set

Refer to Figure 3-7.

1. Remove the safety cover.

2. Ensure the membrane is properly

aligned with the expiratory valve

housing and the metal plate faces up

(A).

3. Position the expiratory valve set in the

expiratory port (B) and twist the lock-

ing ring clockwise until it locks into

place (C).

Hamilton Medical | HAMILTON-T1 Operator's Manual

3 Preparing the ventilator

3.5.3 Selecting the breathing circuit

Inspiratory bacteria filter

components

To prevent patient or ventilator contamina-

tion, be sure to connect a bacteria (inspira-

Select the correct breathing circuit parts

tory) filter or HMEF between the patient

for your patient.

and the inspiratory port.

For neonatal ventilation, see Chapter 6.

For neonatal patients, use a neonatal-

Table 3-8. Breathing circuit component specifi-

pediatric HMEF.

cations

If no inspiratory filter is used, the exhaled

Patient data/

Adult

Pediatric

gas can contaminate the ventilator. If you

Component

are not using an inspiratory filter, and an

Patient height

> 130

30 to 150

exhalation obstructed alarm is generated,

(cm)

the ventilator may be contaminated. Have

the ventilator serviced.

IBW (kg)

> 30

3 to 48

Expiratory bacteria filter

Breathing circuit

15 to 22

10 to 22

limb ID (mm)²¹

Before using an expiratory filter with

nebulization, review the safety informa-

Flow sensor

Adult/Ped

tion in Section 1.6.5.

CO2 airway

Adult/Ped²²

An expiratory filter is not technically

adapter

required on the HAMILTON-T1. The

expiratory valve design prevents internal

ventilator components from coming into

3.5.3.1 Using a filter in the breathing cir-

contact with the patient’s exhaled gas,

cuit

preventing any cross-contamination. How-

ever, your institution’s protocol for certain

circumstances may require the use of an

NOTICE

expiratory filter (COVID-19 or other illness/

When connecting a filter to the inspira-

disease, no room contamination, and so

tory or expiratory port, pay special atten-

on).

tion to the fit and seal of the filter to the

port, in particular with filters that offer

If you use an expiratory filter, place it on

the patient side of the expiratory valve set.

additional connectors (such as a luer

connector).

Monitor closely for increased expiratory

circuit resistance.

For proper function, it is important that

all components in the breathing circuit

An Exhalation obstructed alarm may also

set are properly positioned and securely

indicate excessive expiratory circuit resis-

connected.

tance. If the Exhalation obstructed alarm

occurs repeatedly, remove the expiratory

Before proceeding, review the safety

filter immediately. If you otherwise suspect

information in Chapter 1.

²¹ When using coaxial breathing sets, follow the manufacturer’s recommendations for each patient group.

²² When tracheal tube ID > 4 mm.

English | 10103179/02 USA

Using a speaking valve in the breathing circuit

increased expiratory circuit resistance,

3.5.4.1 Connecting the flow sensor

remove the expiratory filter or replace the

filter to eliminate it as a potential cause.

NOTICE

Heat and moisture exchanging filter

To prevent inaccurate flow sensor read-

(HMEF)

ings, make sure the flow sensor is

correctly connected.

The HMEF is a passive humidification com-

ponent used together with a bacteria

Before proceeding, review the safety

filter. Use an HMEF when ventilating with

information in Chapter 1.

a coaxial breathing system.

To connect a flow sensor to the breathing

3.5.3.2 Using a speaking valve in the

circuit

breathing circuit

1. Insert a flow sensor into the breathing

circuit in front of the patient connec-

A speaking valve allows certain trache-

tion (Figure 3-8).

ostomized adult and pediatric patients to

communicate verbally, in addition to

See also the breathing circuit diagrams

numerous other clinical benefits.

in Section 2.2.3.

2. Attach the blue and clear tubes to the

Speaking valve compatibility is an option

flow sensor connection ports on the

available for Adult/Ped invasive ventilation

ventilator (Figure 3-5).

when using any of the following modes:

PCV+, PSIMV+, and SPONT.

The blue tube attaches to the blue

connection port. The clear tube

For setup details, see Section 4.7. For

attaches to the white connection port.

details about working with the speaking

3. Calibrate the flow sensor and perform

valve, see Section 10.8.

the Leak test. See Section 5.4.

3.5.4 Assembling the patient breath-

Figure 3-8. Connecting the flow sensor to the

Y-piece or circuit

ing circuit

Adult/Ped, flow sensor connection -

Assemble the appropriate breathing circuit

dual limb circuit, Y-piece

for your patient. Commonly used standard

breathing circuit configurations are illus-

trated in Section 2.2.3.

For neonatal ventilation, see Chapter 6.

Adult/Ped, flow sensor connection -

coaxial circuit

Neonatal, flow sensor connection -

dual limb circuit, Y-piece

Hamilton Medical | HAMILTON-T1 Operator's Manual

3 Preparing the ventilator

3.5.4.2 Use of adult/pediatric flow sensor

3.5.5 Positioning the breathing circuit

with neonatal/pediatric breathing circuits

NOTICE

With small pediatric patients whose IBW is

below 20 kg, using an adult/pediatric

• To prevent water accumulation in the

breathing circuit can generate too much

flow sensor and tubing, position the

dead space, resulting in ineffective ventila-

flow sensor tubing on top of the flow

tion.

sensor.

• Ensure there is no undue stress placed

For these patients, consider using a

on any tubing or cables.

neonatal/pediatric breathing circuit with

an adult/pediatric flow sensor instead.

After assembly, position the breathing cir-

To use an adult/pediatric flow sensor with

cuit so that the hoses will not be pushed,

a neonatal/pediatric breathing circuit

pulled, or kinked as a result of a patient's

movement, transport, or other activities,

Verify that the Adult/Ped patient

including scanner bed operation and

group is selected.

nebulization.

Verify that the patient IBW is below

20 kg.

The next step is to perform all required

tests, calibrations, and the preoperational

Set up the ventilator for adult/pedi-

check. See Chapter 5.

atric ventilation with the adult/pedi-

atric flow sensor, but connect a

neonatal/pediatric breathing circuit.

3.5.6 Changing breathing circuit com-

ponents during ventilation

Perform the Leak test, calibrate the

flow sensor, and perform other preop-

During ventilation, it may be necessary to

erational checks. See Section 5.4.

add components to the breathing circuit,

or to change existing components. To do

Connect the patient.

so in the safest manner for the patient

Start ventilation.

and personnel, we recommend following

this general process:

1. Enter Standby.

2. Provide alternative ventilation for the

patient.

3. Change or add components, in accor-

dance with your institution's standards

and protocols. See Section 1.5.1 for

important safety information.

4. Perform the preoperational check

(Section 5.4).

5. Re-connect the patient.

6. Verify settings, and resume ventila-

tion.

English | 10103179/02 USA

4 Setting up external devices and sensors

4.1 Overview

3. Plug the humidifier into primary

power.

The HAMILTON-T1 supports a variety of

4. Connect the communication cable:

external devices and sensors for ventila-

tion, including:

- Connect one end of the cable to the

humidifier (Figure 4-1).

• Humidifier

- Connect the other end of the cable

• CO2 monitoring sensors

to the

/COM1 port on the com-

• Pulse oximetry (SpO2 monitoring)

munication board (Figure 4-2).

sensors

Figure 4-1. Connect communication cable to

• Nebulizers

the humidifier

• Speaking valves

This chapter describes how to set them up

for ventilation.

4.2 Setting up a humidifier

Before proceeding, review the safety

information in Chapter 1.

When used with the optional HAMILTON-

Figure 4-2. Connect HAMILTON-H900 to the

H900 humidifier, the ventilator supports

ventilator

remote access to the humidifier controls

and status.^23,24

Other humidifiers are supported, without

the integration. To connect a non-Hamil-

ton Medical humidifier, refer to the manu-

facturer's Instructions for use.

To connect the HAMILTON-H900 humidifier

to the ventilator

1. Attach the humidifier to the trolley, if

appropriate. See the Installation Guide

for HAMILTON-H900 Humidifier on

HAMILTON-C1/T1 Trolley (PN

10099119).

2. Connect a potential equalization cable

to the humidifier and to a grounding

socket at your facility.

²³ Not available in all markets.

²⁴ Supported for HAMILTON-H900 software version 1.05b and later.

English | 10103179/02 USA

Setting up CO2 monitoring

For additional details about:

4.3.1 Mainstream CO2 measurement

• Connecting the humidifier to the

The CO2 monitoring option comprises the

breathing circuit, see Section 2.2.3.

following components (shown in Figure

4-3): communication board, airway

• Working with the humidifier, see the

adapter, and CO2 sensor.

HAMILTON-H900 Instructions for use.

• Controlling the humidifier from the

The sensor generates infrared light and

ventilator, see Chapter 11.

beams it through the airway adapter to a

detector on the opposite side. CO2 from

the patient, flowing through the main-

4.3 Setting up CO2 monitoring

stream airway adapter, absorbs some of

this infrared energy.

Before proceeding, review the safety

information in Chapter 1.

The system determines the CO2 concentra-

tion in the breathing gases by measuring

CO2 monitoring data is helpful for the

the amount of light absorbed.

assessment of the patient’s airway

integrity or ensuring proper endotracheal

The ventilator displays CO2 measurements

tube placement, among other applica-

as numeric values, waveforms, trends, and

tions.

loops.

Two CO2 measurement options are avail-

Figure 4-3. Mainstream CO2 monitoring com-

able: mainstream and sidestream. Which

ponents and assembly

option you use depends on the clinical

setting.²⁵

Enabling CO2 measurement on the ventila-

tor requires enabling the CO2 hardware

(in Configuration) and enabling the sensor.

Table 4-1. CO2 measurement overview

For details about ...

See ...

Mainstream CO2 mea-

Section 4.3.1

surement, connection,

and use

Sidestream CO2 measure-

Section 4.3.2

ment, connection, and

use

Enabling the CO2 hard-

Section 13.11.3

Communication

CO2 sensor

ware

board with CO2

connection port

Enabling the CO2 sensor

Section 4.5

Airway adapter

(Adult/Ped.)

(Neonatal)

²⁵ The volumetric capnogram is only available when using a mainstream CO2 sensor.

Hamilton Medical | HAMILTON-T1 Operator's Manual

4 Setting up external devices and sensors

4.3.1.1 Connecting the mainstream CO2

4. When connecting a CO2 sensor for

sensor

the first time, perform the zero calib-

ration of the sensor/adapter, if

Before proceeding, review the safety

needed, as described in Section 5.4.5.

information in Chapter 1.

5. Connect the sensor/adapter to the

breathing circuit proximal to the

CAUTION

patient, in a vertical position. See

Figure 4-4.

When using active humidification, pre-

vent water accumulation in the CO2

Do not place the airway adapter

adapter by ensuring that it is positioned

between the ET tube and any con-

at a ≥ 45° angle relative to the floor.

nected adapter, as this may allow

Excess water can affect the sensor mea-

patient secretions to accumulate in

surements.

the adapter.²⁷

The sensor cable should face away

from the patient.

NOTICE

6. Secure the cable safely out of the way.

You must use an appropriate adapter to

connect the mainstream CO2 sensor to a

Figure 4-4. Connecting CO2 sensor/adapter (1)

neonatal flow sensor.

to breathing circuit

Adult/Ped

Ensure the CO2 sensor and adapter are

clean and dry before connection.

To set up mainstream CO2 monitoring

Refer to Figure 4-3.

1. Connect the sensor cable to the CO2

Neonatal

connection port (1) on the ventilator.

2. Attach the CO2 sensor (3) to the air-

way adapter (2), aligning the arrows

on both components.

Press the components together until

they click.

3. If needed, connect the potential

equalization USB cable to the USB

port and a grounding socket at your

facility.²⁶

²⁶ Recommended in all cases. Not required when the device is running on DC or battery power, or when the communication Y-cable

to HAMILTON-H900 and RS-232 is in use.

²⁷ You can connect the CO2 sensor in front of or behind the flow sensor according to your institution’s protocol.

English | 10103179/02 USA

Sidestream CO2 measurement

To verify the quality of the connection

Figure 4-5. Sidestream CO2 monitoring compo-

nents and assembly

4 Check the capnogram (CO2 wave-

form) on the ventilator display.

If CO2 levels are higher than

expected, check the patient condition.

If you determine that the patient’s

condition is not contributing, calibrate

the sensor (Section 5.4.5).

To disconnect the sensor cable from the

ventilator

4 Pull back on the connector sheath and

disengage from the connection port

on the ventilator.

Communication

Sampling cell

board with CO2

4.3.2 Sidestream CO2 measurement

connection port

The LoFlo CO2 module is a sidestream

CO2 module

Connecting

CO2 monitoring system comprising the

sampling cell

following components (shown in Figure

to module

4-5): communication board, airway

Airway adapter

sampling adapter, and CO2 module.

(Neonatal)

(Adult/Ped.)

The module generates infrared light and

beams it through the sample cell to a

detector on the opposite side. CO2 from

the patient that is aspirated into the sam-

ple cell absorbs some of this energy. The

system uses a sampling rate of 50 ml/min.

The system determines CO2 concentration

in the breathing gases by measuring the

amount of light absorbed.

The ventilator displays CO2 measurements

as numeric values, waveforms, trends, and

loops.

Hamilton Medical | HAMILTON-T1 Operator's Manual

4 Setting up external devices and sensors

4.3.2.1 Connecting the sidestream CO2

5. Connect the adapter between the

sensor

inspiratory limb and the flow sensor

(or between the inspiratory limb and

HMEF, if used). See Figure 4-6.

WARNING

The sampling line should face away

Connect the CO2 airway adapter accord-

from the patient.

ing to your institution’s policy and proce-

6. Secure the sampling line safely out of

dures. Connecting the airway adapter

the way.

between the flow sensor and the endo-

tracheal tube increases dead space and

Figure 4-6. Connecting CO2 adapter (1) to the

may contribute to incorrect volume mea-

breathing circuit

surements.

Adult/Ped

Before proceeding, review the safety

information in Chapter 1.

To set up CO2 sidestream monitoring

Refer to Figure 4-5.

Neonatal

1. Connect the CO2 module cable to the

CO2 connection port (1) on the ventila-

tor.

2. Insert the sample cell (4) into the CO2

module (2). The sample cell clicks into

place.

To remove the sample cell

Inserting the sample cell into the

1. Remove the airway adapter from the

module automatically starts the

breathing circuit.

sampling pump. Removing the cell

turns the pump off.

2. Press down on the locking tab and

remove the sample cell from the CO2

3. If needed, connect the potential

module.

equalization USB cable to the USB

port and a grounding socket at your

facility.²⁸

4. Perform the zero calibration of the

adapter, if necessary, as described in

Section 5.4.5 before connecting it to

the breathing circuit.

²⁸ Recommended in all cases. Not required when the device is running on DC or battery power, or when the communication Y-cable

to HAMILTON-H900 and RS-232 is in use.

English | 10103179/02 USA

Setting up SpO2 monitoring

To enable sensor monitoring

4.4 Setting up SpO2 monitoring

1. Touch System > Sensors > On/Off.

The HAMILTON-T1 supports input of SpO2

2. Select the appropriate checkboxes

and related pulse oximetry data, and pro-

(O2 sensor, CO2 sensor, SpO2 sensor)

vides integrated monitoring and data

to enable/disable the monitoring func-

display.

tions, as desired.

Enabling SpO2 measurement on the venti-

The ventilator always enables O2 monitor-

lator requires enabling the SpO2 hardware

ing upon restart.

(in Configuration) and enabling the SpO2

sensor.

Figure 4-7. System > Sensors > On/Off window

Table 4-2. SpO2 measurement overview

For details about ...

See ...

Activating the SpO2

Section 13.11.3

hardware

Enabling the SpO2

Section 4.5

sensor

Working with SpO2

Pulse Oximetry

data

Instructions for

Use

4.5 Enabling sensors

System

On/Off

Before proceeding, review the safety

Sensors

O2 sensor,

information in Chapter 1.

CO2 sensor²⁹,

In addition to hardware activation for CO2

SpO2 sensor²⁹

and SpO2 measurement (Section 13.11.3),

the O2, CO2, and/or SpO2 sensors must

be individually enabled for monitoring

data to be available.

²⁹ If the option is installed and activated.

Hamilton Medical | HAMILTON-T1 Operator's Manual

4 Setting up external devices and sensors

To connect an Aerogen nebulizer to the

4.6 Setting up nebulization

breathing circuit set

The HAMILTON-T1 supports the use of

1. Connect the nebulizer to the breath-

Aerogen and pneumatic nebulizers for

ing circuit as appropriate. See Figure

adult and pediatric patients.³⁰

4-9.

For neonatal patients, use an Aerogen

2. Connect the nebulizer USB cable to

nebulizer system³¹; the use of pneumatic

the ventilator USB port.

nebulizers is not supported. For Aerogen

For nebulizer details and operation, see

connection and device details, refer to the

Section 10.7.

manufacturer's Instructions for use.

The following figure presents a nebulizer

To connect a pneumatic nebulizer to the

placement example. For other placement

breathing circuit set

options, see the Nebulizer positioning

1. Connect the nebulizer to the breath-

guidelines (ELO2020-124-TW), available

ing circuit as shown in Figure 4-8.

online on MyHamilton, and the manufac-

2. Connect the nebulizer tubing to the

turer's Instructions for use.

Nebulizer port on the ventilator (Figure

Figure 4-9. Connecting an Aerogen nebulizer

2-4).

Figure 4-8. Connecting a pneumatic nebulizer

Inspiratory limb

CO2 adapter/

sensor (optional)

Aerogen nebuli-

Flow sensor

zer

Y-piece

Breathing circuit

Nebulizer tubing

(coaxial shown)

to ventilator

Nebulizer

Flow sensor

For additional details, refer to the manufac-

turer's Instructions for use.

³⁰ See the Hamilton Medical e-catalog for compatible devices.

³¹ Aerogen nebulization is not supported for patients younger than 28 days old in the USA.

English | 10103179/02 USA

Setting up a speaking valve

4.7 Setting up a speaking valve

4.7.1 Activating speaking valve

compatibility

A speaking valve allows certain trache-

ostomized adult and pediatric patients to

NOTICE

communicate verbally, in addition to

numerous other clinical benefits.

If PEEP > 0, auto-triggering can occur

while using a speaking valve.

Table 4-3 describes the steps required to

set up the patient for ventilation with a

By default, speaking valve compatibility is

speaking valve.

deactivated (OFF).

Table 4-3. Speaking valve patient setup

Figure 4-10. Controls > SpeakValve window

To ...

See ...

Connect the speaking valve

Select a compatible

Section 10.8

mode.

Activate speaking valve

Section 4.7.1

compatibility.

Deflate the tracheostomy cuff.

Connect the speaking

Section 4.7.2

valve to the breathing cir-

cuit set and patient.

Review control settings

Section 10.8.4

and alarm limits.

and Chapter 5

Controls

Important safety

Start ventilation.

information

SpeakValve

Apply

Remove the speaking valve

SpeakValve ON, SpeakValve OFF

Remove speaking valve from the breathing

circuit.

Deactivate speaking valve Section 4.7.3

compatibility.

Inflate the tracheostomy cuff.

Review control settings

Section 10.8.4

and alarm limits.

and Chapter 5

Hamilton Medical | HAMILTON-T1 Operator's Manual

4 Setting up external devices and sensors

To activate the use of a speaking valve

4.7.3 Deactivating speaking valve

with the ventilator

compatibility

1. Touch Controls > SpeakValve.

In some cases, compatibility is automati-

Be sure to carefully read the safety

cally deactivated. See Section 10.8.1.

information displayed in the window.

2. Be sure to do the following:

To deactivate speaking valve compatibility

- Deflate the cuff.

1. Touch Controls > SpeakValve.

- Connect a speaking valve.

2. Touch SpeakValve OFF, then touch

Apply.

3. To activate compatibility, touch Speak-

Valve ON, then touch Apply.

3. Be sure to do the following:

Consider setting PEEP to 0 while

- Remove the speaking valve from the

compatibility is activated.

breathing circuit.

As long as compatibility is activated, the

- Inflate the cuff.

message SpeakValve ON is active and the

When compatibility is deactivated (OFF),

following safety messages are shown in

the following safety messages are shown

the SpeakValve window:

in the SpeakValve window:

Messages in SpeakValve window

The tracheostomy cuff must be com-

Remove the speaking valve, deactivate

pletely deflated prior to connecting a

speaking valve compatibility, and

speaking valve.

inflate the tracheostomy cuff.

Disconnection alarms and the Inspira-

All alarms are enabled. The Vt alarms

tory limitation alarm are disabled. The

are based on VTE.

Vt alarms are based on VTI. The

Apnea backup ventilation is enabled.

ExpMinVol alarm limits are set to OFF.

Apnea backup ventilation is disabled.

Upon deactivation, alarms and monitoring

parameters return to their previous opera-

4.7.2 Connecting a speaking valve to

tion, and the ExpMinVol alarm limits are

the breathing circuit set

reset based on the patient's IBW.

Connect the speaking valve between the

For details, see Sections 10.8.3 and

flow sensor and the patient interface.

10.8.4.

Pay careful attention to any safety

information and requirements for cuff

deflation.

For connection details, refer to the speak-

ing valve manufacturer's Instructions for

use.

English | 10103179/02 USA

Connecting to external devices

4.8 Connecting to external

devices

You can connect the ventilator to a

patient monitor, a Patient Data Manage-

ment System (PDMS), or computer using

the communication port on the communi-

cation board, if installed. For details, see

the Communication Interface User Guide,

available on MyHamilton.

When used with the Hamilton Connect

App, medical caregivers can view ventila-

tion-related information directly on a

smartphone.³²

For additional information see:

• For a list of supported smartphones,

see MyHamilton.

• For details about selecting a communi-

cation protocol for use with the com-

munication board, see Section 13.3.3.

• For details about enabling a supported

connection type, such as Bluetooth

wireless technology or Wireless LAN

(Wi-Fi) on the ventilator, see Section

11.2.

• For details about configuring connectiv-

ity settings, including Connectivity con-

figuration file import/export and Hamil-

ton Connect Module firmware update,

see Section 13.9.

• For details about the Hamilton Connect

App, see the Hamilton Connect App

Instructions for use.

³² Not available in all markets.

Hamilton Medical | HAMILTON-T1 Operator's Manual

5 Specifying ventilation settings

5.1 Process overview

5.2 Selecting the patient group

This section explains how to set up the

Before proceeding, review the safety

HAMILTON-T1 for ventilation on an indi-

information in Chapter 1.

vidual patient.

The HAMILTON-T1 supports the following

Setting up ventilation generally comprises

patient groups: Adult/Ped (adult and pedi-

the following steps, each of which is

atric patients) and Neonatal.

described in this chapter:

Table 5-1. Patient groups

•

Selecting the patient group

•

Selecting the desired preconfigured

Adult/Ped

Neonatal

settings (Quick setup)

Sex: Male, Female

Weight: 0.2 to 30 kg

•

Specifying patient data

Height: 30 to 250 cm

Minimum delivered

tidal volume:

2 ml

•

Performing the preoperational check,

IBW: 3 to 139 kg

including:

Minimum delivered

- Performing a breathing circuit Leak

tidal volume:

20 ml

test

- Calibrating the flow sensor, O2

To select the patient group and initial

sensor, and zero calibration of the

settings

CO2 sensor

1. In the Standby window (Figure 5-1),

- Calibrating the breathing circuit

touch the desired patient group tab:

(nCPAP and nCPAP-PC modes)

- Adult/Ped

•

Testing alarms

- Neonatal

•

Selecting the ventilation mode

- Last patient. Reuse the last active

ventilator parameters.

•

Reviewing and adjusting control

The icon for the selected patient

settings

group appears to the left of the mode

•

Reviewing and adjusting alarm limits

name at the top left of the display

(Figure 2-6).

2. For a new patient, touch the desired

Quick setup button (Section 5.2.1).

The settings saved with the selected Quick

setup are loaded and displayed, in addi-

tion to the default patient sex/height/IBW

(Adult/Ped) or weight (Neonatal).

English | 10103179/02 USA

About Quick setups: preconfigured settings

Figure 5-1. Patient group options in Standby

5.2.1 About Quick setups: preconfi-

window

gured settings

For each of the patient groups, you can

define up to three different default config-

urations, referred to as Quick setups.

During patient setup, you can then quickly

preconfigure the ventilator per your stan-

dard protocols, and modify settings as

needed.

Each Quick setup defines:

• A ventilation mode

• Mode control settings

• Graphic display selections

• Alarm limit settings

• Vent Status panel settings

• Vt/IBW (Adult/Ped) or Vt/kg (Neonatal)

Patient group

Sex/height/IBW

tabs

(or Weight for

• Specified humidifier settings (if con-

Neonatal) for

nected)

selected Quick

• Default CPR ventilation settings

setup

Quick setups

Preop check

The Quick setups are defined in Configura-

tion (Chapter 13).

Selected mode

Start ventilation

and patient group

³³ When HiFlowO2 is selected: Start therapy; when CPR ventilation is on: Start CPR.

Hamilton Medical | HAMILTON-T1 Operator's Manual

HAMILTON-T1. Operator's Manual (2022) - page 2