HAMILTON-T1. Operator's Manual (2022)

13 Configuration

13.4.1 Setting breath timing options

13.4.4 Enabling TI max for invasive

modes

The ventilator controls mandatory breath

timing using a combination of inspiratory

In Configuration, you can enable or disable

time (TI) and Rate.

the TI max control setting, as desired, for

adult/pediatric patients in the following

For the modes PCV+ and APVcmv, you can

modes: APVsimv, PSIMV+, DuoPAP, and

set the ventilator to use either of the

SPONT

following to control breath timing: I:E or

TI.

To enable/disable TI max

To change the breath timing selection

1. Open the Modes > General > Philoso-

phy window.

4 In the Modes > General > Philosophy

2. Touch the Available in invasive modes

window, touch the desired breath tim-

ing option.

checkbox to enable/disable the

setting.

A checkmark indicates TI max is

13.4.2 Choosing the mode naming

enabled.

convention

You can select the naming convention

13.5 Configuring MMPs

used for adaptive modes: APVcmv /

APVsimv or (S)CMV+ / SIMV+.

You can specify which MMPs are display-

ed on the ventilator.

By default, (S)CMV+ / SIMV+ are used.

The list of entries in the Configuration

To select the mode naming convention

window is shown in the same order as the

4 In the Modes > General > Philosophy

MMPs appear on the main display.

window, select the desired option.

To select the MMPs to display

1. In Configuration, touch Graphics, then

13.4.3 Choosing the ASV version

the MMP tab.

By default, the device uses ASV version

2. In each dropdown list, select the

1.1. For details about the different ASV

desired parameter to show in that

versions, see Section 7.4.1.1.

position in the MMP list on the main

display.

To select the ASV version

4 In the Modes > General > Philosophy

window, select the desired version.

260

English | 10103179/02 USA

Defining Quick setups

13.6 Defining Quick setups

The General setup configuration

window is displayed. Note that the

A Quick setup refers to a group of settings

buttons in the left panel now change

you define, including patient characteris-

to provide access to the setup options.

tics, mode selection and control settings,

Touch Rename setup to give the setup

alarm limit settings, and weaning zone

a meaningful name.

limits.

You must define a name as it is used

The settings saved with a Quick setup are

as the Quick setup button label in

automatically applied when the setup is

Standby, as well as in this Configura-

selected in the Standby window.

tion window.

For each patient group, you can configure

Select the configuration settings to

apply to this setup by touching the

up to three Quick setups, and can specify a

appropriate button:

setup to be selected by default when the

ventilator is turned on.

- To apply the ventilator settings you

selected in step 1, touch Use current

settings.

13.6.1 Configuring individual setup

- To apply factory settings, touch Use

settings

factory settings.

To configure a Quick setup

Touch Mode Ctrls > Controls to review

In Standby mode, configure the venti-

patient parameter settings.

lator with the parameters you will save

Some parameters are not displayed, as

as a Quick setup.

they are based on weight:

Select:

- The following parameters are set

- Patient group and sex/height (Adult/

based on ideal body weight (IBW)

Ped) or weight (Neonatal)

(Adult/Ped): Vt, Rate, T low, T high, and

TI.

- Ventilation mode

- The following parameters are set

- Mode control settings

based on body weight (Neonatal): Vt,

- Alarm limits

Rate, T low, T high, TI, and TI max.

- Humidifier settings

Touch Vt/IBW (Adult/Ped) or Vt/

- CPR ventilation settings

Weight (Neonatal) to set the tidal

Touch Start ventilation and select the

volume per IBW or weight, respec-

desired graphic layout and graphics to

tively.

display. See Section 8.3.

The ventilator uses the Vt/IBW or Vt/

Return to Standby.

Weight setting in calculations for the

following:

Access Configuration mode.

- To set the initial delivered Vt in

In the Configuration window, touch

volume-controlled modes

Setups, and then touch the button (1,

- To set the initial high and low alarm

2, or 3, or your custom-defined labels)

limits for Vt and ExpMinVol

for the setup to configure.

Hamilton Medical | HAMILTON-T1 Operator's Manual

261

13 Configuration

10. Review the alarm settings in the

13.8 Configuring CPR ventila-

Alarms window.

tion

11. In Vent Status, set patient parameters

manually.

You can specify the default ventilation

mode and control settings to be used

The Vent Status window allows you to

during CPR ventilation.

configure the weaning zone ranges

shown in the Vent Status panel

To change the default mode and control

according to your institution’s proto-

settings for CPR ventilation

col.

1. In Configuration, touch Setups, then

12. Touch the Back button to return to

CPR.

the Default setup window.

2. Select the desired mode and adjust

Configuration of the Quick setup is

the control settings, as appropriate.

complete.

Not all control settings are available

when configuring the default mode

13.6.2 Selecting a default Quick setup

for CPR ventilation. See Table 15-15.

Note that changes apply only to the

A Default setup comprises a group of

selected patient group.

settings that are automatically loaded

when turning on the ventilator.

13.9 Configuring connectivity

After you have configured one or more

Quick setups, select the default to use.

settings

To set a Quick setup as the default

When the Hamilton Connect Module is

enabled, your ventilator supports both

4 In Configuration, touch Setups and

wired and wireless communication meth-

select the setup to use as the default.

ods. These connection types allow you to

add the ventilator to a hospital network,

13.7 Activating SpO2 and CO2

connect to a patient monitor or computer,

or when used with the Hamilton Connect

measurement

App, view ventilation-related information

To enable SpO2 and/or CO2 measurement

from a connected ventilator on a smart-

on the ventilator, you must activate the

phone.

associated hardware option in Configura-

For details about connecting to the venti-

tion. See Section 13.11.3.

lator using the Hamilton Connect App, see

You must also enable each sensor in the

Section 11.2.

System window. See Section 4.5.

On the ventilator, you can update the

Hamilton Connect Module firmware,

import and export configuration settings,

as well as delete data and settings that are

saved to the module.

262

English | 10103179/02 USA

Updating Hamilton Connect Module firmware

The Hamilton Connect Configuration Tool

5. When the new firmware is installed,

is a separate application that allows IT per-

Update successfully completed is

sonnel to define the Connectivity configu-

displayed. Ensure that the new

ration settings for the ventilator. For

firmware version is displayed. The

details, see the Hamilton Connect Com-

ventilator is ready to use. You do not

munication and Configuration Guide.

need to restart the ventilator.

13.9.1 Updating Hamilton Connect

13.9.2 Copying Connectivity configu-

Module firmware

ration settings

To enable communication using the

NOTICE

Hamilton Connect Module, you must first

Turning off the device while the

import the Connectivity configuration file

firmware is being installed may corrupt

created for your ventilator.

the Hamilton Connect Module.

This file defines the connection types to

enable on your ventilator, as well as the

Module firmware updates are provided to

ventilator name and various settings asso-

you by your Hamilton Medical technical

ciated with your institution's network.

representative.

Connectivity configuration settings are

An update can take up to 10 minutes to

created using the Hamilton Connect Con-

complete. Note that you cannot install a

figuration Tool.

firmware version that is older than the

version currently installed on the Hamilton

If changes need to be made to the con-

Connect Module.

tents of this configuration file, you can

export the file (Section 13.9.2.2) and mod-

To update the Hamilton Connect Module

ify it in the Configuration Tool.

firmware

1. Insert the provided USB drive contain-

For details on the Configuration Tool and

ing the update into the USB port on

the Hamilton Connect Module, see the

the ventilator (Figure 2-5).

Hamilton Connect Communication and

Configuration Guide.

2. In Configuration, touch Connectivity >

Firmware.

13.9.2.1 Importing Connectivity configu-

Information about the currently

ration settings

installed version is displayed, as well as

important safety information.

Once the Connectivity configuration file

3. Select the desired version to install

has been created (using the Hamilton

from the New version dropdown list.

Connect Configuration Tool), you can

import the file to the ventilator using a

4. Touch Start.

USB drive.

Do not turn off the device during the

For details about creating the configura-

update.

tion file for your ventilator, see the Hamil-

ton Connect Communication and Configu-

ration Guide.

Hamilton Medical | HAMILTON-T1 Operator's Manual

263

13 Configuration

To import the Connectivity configuration

13.9.3 Setting the Hamilton Connect

file

Module to the factory default settings

1. Insert the USB drive into the USB port

on the ventilator (Figure 2-5).

NOTICE

2. In Configuration, touch Connectivity >

When ventilator connectivity is reset to

Configuration.

the factory defaults, all connection types

3. Select the desired Connectivity confi-

are disabled.

guration from the Import configuration

dropdown list.

You can reset the Hamilton Connect

Module to the factory default settings,

4. Touch Import.

which removes the Connectivity configu-

The features defined in the file are now

ration file and deletes all saved data.

enabled in the System > Settings > Connec-

To delete only the saved data while retain-

tivity window.

ing the Connectivity configuration, see

Section 13.9.5.

13.9.2.2 Exporting Connectivity configura-

tion settings

Note that the currently installed Hamilton

Connect Module firmware version remains

You can export the Connectivity configu-

unchanged.

ration file from the ventilator to a USB

drive.

To reset the Hamilton Connect Module to

the factory default settings

To export the configuration file from the

1. In Configuration, touch Connectivity >

ventilator

Configuration.

1. Insert a USB drive into the USB port on

2. Touch Use factory settings.

the ventilator (Figure 2-5).

A confirmation window is displayed.

2. In Configuration, touch Connectivity >

Touch Yes to continue or No to can-

Configuration.

cel.

3. Touch Export.

3. When complete, Reset successful is

The configuration file is saved onto the

displayed.

USB drive.

The Hamilton Connect Module factory

defaults are restored.

13.9.4 Removing device pairings

Information for smartphones that have

been paired with the ventilator is saved to

the Hamilton Connect Module. If desired,

you can remove all of the saved pairing

information.

264

English | 10103179/02 USA

Deleting data from the Hamilton Connect Module

To remove all paired device information

13.10 Copying configuration

1. In Configuration, touch Connectivity >

settings

More.

Before proceeding, review the safety

2. Touch Reset pairings.

information in Chapter 1.

A confirmation window is displayed.

Touch Yes to continue or No to can-

You can copy and transfer configuration

cel.

settings to other HAMILTON-T1 devices.

For details about configuration settings,

3. When complete, Reset successful is

ranges, and defaults, see Table 15.9.

displayed.

You can copy configuration settings to/

All previously paired device information is

from the ventilator using a USB drive or

deleted from the Hamilton Connect

with your smartphone using the Hamilton

Module.

Connect App⁸⁵.

13.9.5 Deleting data from the Hamil-

You must be in Standby to copy configura-

ton Connect Module

tion settings.

You can delete data (such as screenshots

To copy configuration settings using a USB

drive

or ventilation-related data) that has been

saved to the Hamilton Connect Module.

1. Insert a USB drive into the ventilator

USB port. See Figure 2-5.

To remove saved data

2. In Configuration, touch Transfer.

1. In Configuration, touch Connectivity >

More.

3. In the Transfer window, touch Import

or Export.

2. Touch Delete recorded data.

- The device begins transferring the

A confirmation window is displayed.

files. A message is displayed after the

Touch Yes to continue or No to can-

files are successfully transferred.

cel.

- Exported files are stored in the

3. When complete, Recorded data

import-export config folder on the USB

deleted successfully is displayed.

drive.

All recorded data is deleted from the

- Imported configuration files are

Hamilton Connect Module. This does not

immediately applied to the ventilator.

remove information about paired devices

If you remove the USB drive before the

or have any effect on the connectivity con-

files are successfully transferred, you must

figuration.

start over and repeat the process.

⁸⁵ For details, see the Hamilton Connect App Instructions for use.

Hamilton Medical | HAMILTON-T1 Operator's Manual

265

13 Configuration

13.11 Configuring device

5. Repeat until all desired software

options are added.

options

6. Touch the X to close the window.

Before use, you must enable any installed

7. Restart the ventilator to enable the

hardware options (for example, CO2 and

options.

SpO2), and add and enable software

options.

Upon turning on the ventilator, the added

options are available for use.

13.11.1 Reviewing installed options

13.11.3 Activating hardware options

To view installed options

Communication board-related functions

1. In Configuration, touch Options.

(CO2, SpO2) are activated at two levels:

2. Touch SW options for software or HW

• The hardware itself must be activated

options for hardware.

in configuration to make the function-

3. Scroll through the options to review,

ality available to the user, described in

as needed.

this section.

• Sensors that plug into the hardware are

13.11.2 Adding software options

individually enabled by the user, as

needed, in the System window. See

Software options are added using license

Chapter 4.

keys.

To activate hardware options in Configura-

Trial versions of software options may be

tion

available. Trial options expire and are

automatically deactivated after 30 days.

1. Touch Options.

2. In the Options window, touch the HW

Have all required keys available before

options tab.

proceeding.

The window lists hardware that

To add a software option

requires activation.

1. In Configuration, touch Options.

3. Select the checkbox for options to

2. In the Options window, touch SW

activate.

options.

A checkmark indicates the option is

activated.

3. Touch Add options.

4. Type the activation code exactly as

Upon exiting Configuration, the activated

provided into the field and touch

hardware is available for use.

Enter.

SpO2 and CO2 sensors require an addi-

If the message Option code invalid!

tional step, and must also be enabled in

appears, re-enter the code.

the System > Sensors window.

The message Option valid indicates

the code is correct and the option has

been added.

266

English | 10103179/02 USA

Removing options

13.11.4 Removing options

13.11.4.1 Deactivating hardware options

Note the following:

To deactivate hardware options

• Trial options are automatically removed

In the HW options window, clear the

at the end of the trial period.

checkboxes to deactivate the hard-

ware.

• Selecting Clear options removes all non-

trial options.

• The patient groups on the ventilator,

Adult/Ped and Neonatal, are also

treated as options. Clearing options

removes them and the associated venti-

lation modes. You must re-add them

before using the ventilator on a patient.

To remove software options

You can remove all non-trial software

options from the ventilator.

1. In the SW options window, touch Clear

options.

You are prompted to confirm deletion

of all non-trial options. See the previ-

ous notes.

2. Touch Clear options to remove the

options.

Touch Cancel to leave the options

installed.

3. Restart the ventilator.

Once you restart the ventilator, all

options (including patient groups)

listed in the window are cleared.

4. To re-add the patient groups and any

other desired options, re-enter Confi-

guration mode.

5. Add software options (including the

patient groups), as appropriate.

Hamilton Medical | HAMILTON-T1 Operator's Manual

267

Overview

Table 14-1. Ventilator parts and accessories

Item no. (ref

Description

to Fig 14-1)

HAMILTON-H900 breathing circuit set, adult/pediatric

Breathing circuit set BC8022, dual limb, single use, preassembled,

260161

box of 15

Breathing circuit set BC8022-A, dual limb, autoclavable, pre-

260188

assembled, box of 1

Breathing circuit set BC4022, single limb, single use, preassem-

260186

bled, box of 15

HAMILTON-H900 breathing circuit set, neonatal

Breathing circuit set BC8010, dual limb, single use, preassembled,

260185

box of 15

Breathing circuit set BC8010-A, dual limb, autoclavable, pre-

260189

assembled, box of 1

Breathing circuit set BC4010, single limb, single use, preassem-

260187

bled, box of 15

Breathing circuit set, coaxial, single use, adult/pediatric

Length 1.80 m, box of 20

260206

Preassembled with flow sensor, length 1.80 m, box of 20

260207

Length 2.40 m, box of 10

260239

Preassembled, with flow sensor, length 2.40 m, box of 10

260240

Preassembled, with expiratory valve set, flow sensor, and elbow

260127

adapter, length 2.40 m, box of 10

Preassembled, with expiratory valve set, flow sensor, and elbow

260128

adapter, length 1.80 m, box of 20

Preassembled, with expiratory valve set, flow sensor, and elbow

260167

adapter, length 3.0 m, box of 10

Preassembled, with expiratory valve set, flow sensor, and elbow

260168

adapter, length 4.80 m, box of 8

Preassembled, with flow sensor and elbow adapter, length

260087

1.80 m, box of 20

Preassembled, with flow sensor and elbow adapter, length

260094

2.40 m, box of 10

Hamilton Medical | HAMILTON-T1 Operator's Manual

271

14 Parts and accessories

Item no. (ref

Description

to Fig 14-1)

Preassembled, with flow sensor and elbow adapter, length 3.0 m,

260145

box of 10

Preassembled, with flow sensor and elbow adapter, length

260144

4.80 m, box of 8

Breathing circuit sets, dual limb, single use, neonatal

With Y-piece, flow sensor, flow sensor calibration adapter, and

260180

pressure line with T-piece connectors, length 1.50 m, box of 20

With Y-piece, flow sensor, flow sensor calibration adapter, and

260182

pressure line with T-piece connectors, length 3.0 m, box of 10

With expiratory valve set, Y-piece, flow sensor, flow sensor calib-

260170

ration adapter, and pressure line with T-piece connectors, length

1.50 m, box of 20

With expiratory valve set, Y-piece, flow sensor, flow sensor calib-

260169

ration adapter, and pressure line with T-piece connectors, length

3.0 m, box of 10

Breathing circuit sets, dual limb, single use, pediatric/neonatal

With Y-piece, length 1.50 m, box of 20

260241

With Y-piece, length 3.0 m, box of 20

260244

Breathing circuit sets, autoclavable

See the Hamilton Medical e-catalog.

Flow sensors, adult/pediatric

Flow sensor, single use, adult/pediatric, 1.88 m, box of 10

281637

Flow sensor, single use, adult/pediatric, 2.60 m, box of 10

282049

Flow sensor, autoclavable, adult/pediatric, 1.88 m, box of 1

950185

Flow sensor calibration adapter, single use, adult/pediatric,

279937

box of 10

Flow sensor calibration adapter, autoclavable, adult/pediatric,

282323

box of 10

272

English | 10103179/02 USA

Overview

Item no. (ref

Description

to Fig 14-1)

Flow sensors, neonatal

Flow sensor, single use, neonatal, 1.60 m, box of 10

260177

Flow sensor, single use, neonatal, 1.88 m, box of 10

155500

Flow sensor, single use, neonatal, 3.10 m, box of 10

260179

Flow sensor calibration adapter, single use, neonatal, box of 10

279964

Expiratory valve

Expiratory valve set, autoclavable, adult/pediatric, box of 1

161175

Membrane, expiratory valve, autoclavable, adult/pediatric/neona-

161390

tal, box of 5

Expiratory valve set, single use, adult/pediatric, box of 10

161186

Expiratory valve set, autoclavable, neonatal (incl. membrane,

161188

expiratory valve)

Expiratory valve set, single use, neonatal, box of 10

161189

not shown

Pressure-monitoring line (for nCPAP, nCPAP-PC modes)

Pressure line, single use, neonatal/pediatric, 1.60 m, box of 10

260174

Pressure line, single use, neonatal/pediatric, 3.10 m, box of 10

260176

Luerlock adapter kit for nCPAP/nCPAP-PC with breathing set,

279971

single use, neonatal, box of 50

not shown

Nasal cannulas (adult/pediatric/neonatal)

See the Hamilton Medical e-catalog.

not shown

Masks and accessories, adult/pediatric

See the Hamilton Medical e-catalog.

not shown

Masks and accessories, neonatal

nCPAP Starter kit, large (10 sets, incl. mask, prongs, and bonnets)

281975

nCPAP Starter kit, small (1 set, incl. mask, prongs, and bonnets)

282330

not shown

Ventilation hose protective sleeve

Protective sleeve, 1.70 m

161435

Protective sleeve, 2.30 m

161436

Hamilton Medical | HAMILTON-T1 Operator's Manual

273

14 Parts and accessories

Item no. (ref

Description

to Fig 14-1)

not shown

CO2 mainstream measurement

HAMILTON CAPNOSTAT-5 CO2 sensor (90° angled)

282157

CO2 mainstream airway adapter, single use, adult/pediatric,

281719

box of 10

CO2 mainstream airway adapter, single use, neonatal, box of 10

281720

CO2 mainstream airway adapter, reusable, adult/pediatric,

281721

box of 1

CO2 mainstream airway adapter, reusable, neonatal, box of 1

281722

OD15/ID15 adapter, single use, neonatal, box of 25

281803

not shown

CO2 sidestream measurement

HAMILTON LoFlo sidestream CO2 sensor

281928

CO2 sidestream adapter, single use, adult/pediatric, box of 10

281929

CO2 sidestream adapter, single use, adult/pediatric, box of 10

281931

CO2 sidestream adapter, single use, neonatal/pediatric, box of 10

281930

CO2 sidestream adapter, single use, neonatal, box of 10

281932

Humidifier

HAMILTON-H900 humidifier

See the Hamilton Medical e-catalog.

Trolley

Trolley (incl. humidifier support)

161150

Support arm, quick positioning, basic

281671

not shown

Tubing holder, dual

282722

Water bottle holder with quick lock (max. 1 kg per side)

160162

Cylinder holder

161152

not shown

Small basket (max. 3 kg capacity)

10101016

not shown

Large basket (max. 5 kg capacity)

10101017

Demonstration lung

IntelliLung, maximum 1 liter

281869

Demonstration lung assembly with endotracheal tube, adult,

151815

2 liter, with OD15 connector

274

English | 10103179/02 USA

Overview

Item no. (ref

Description

to Fig 14-1)

Demonstration lung assembly with endotracheal tube, 0.5 liter,

151816

with OD15/OD22 connector (pediatric)

Demonstration lung, neonatal, OD15

R53353

A passive lung simulator with two independent compartments for

simulating neonatal patients.

Filter

Filter set

161275

Air intake dust filter and fan filter, set of 5

Filter, air intake (HEPA)

161236

not shown

Patient filter

HME filter (HMEF), single use, adult/pediatric

279963

HME filter (HMEF), single use, adult/pediatric

279974

Expiratory bacteria filter

279204

Inspiratory bacteria filter

279211

not shown

Power cord

Power cord with US plug, 2-pin, 3.0 m

355198

Power cord with British angled plug, 3.0 m

355199

Power cord with continental European plug, 2-pin, 3.0 m

355200

Power cord with Chinese plug, 3.0 m

355308

not shown

DC input cables

DC cable, metal (with MIL standard connector)

161624

DC cable open, metal (for individual assembly)

161622

Car cable, metal (for cigarette lighter)

161623

not shown

Cover

Cover, potential equalization conductor, gray

10112494

Oxygen sensor

Galvanic O2 sensor

396200

Galvanic O2 sensor, lead free

10110473

Hamilton Medical | HAMILTON-T1 Operator's Manual

275

14 Parts and accessories

Item no. (ref

Description

to Fig 14-1)

not shown

Communication, HAMILTON-T1 and HAMILTON-T1 Military

Cable to COM1, 26 cm

161545

Cable to COM1, 50 cm

161650

Potential equalization USB cable

10102483

Cable, Nurse Call

160166

Communication, HAMILTON-T1

Extended communication board CO2

161537

Extended communication board CO2, Nurse call, COM1

161535

Extended communication board CO2, SpO2, COM1

161635

10076965

Extended communication board CO2, SpO2,

/COM1 (for

communication with the HAMILTON-H900 humidifier)

Communication Y-cable to HAMILTON-H900 and RS-232

10077038

Cable to HAMILTON-H900

950473

Communication, HAMILTON-T1 Military

Extended communication board CO2, SpO2, COM1

161990

not shown

Battery

Li-Ion battery

369108

not shown

Battery charger/calibrator

369104

not shown

High-pressure oxygen connector

DISS - diameter index safety standard

160470

NIST - no interchangeable screw thread

160471

not shown

Gas supply hoses and parts

Coupling insert for low pressure O2 inlet, 4.8 mm ID

279913

not shown

SpO2 sensors and accessories (Masimo)

See the Hamilton Medical e-catalog.

SpO2 sensors and accessories (Nihon Kohden)

See the Hamilton Medical e-catalog.

not shown

Nebulizer and accessories

See the Hamilton Medical e-catalog.

276

English | 10103179/02 USA

Overview

Item no. (ref

Description

to Fig 14-1)

not shown

Tools and test equipment

See the Hamilton Medical e-catalog.

not shown

Ventilator hardware and mounting options

See the Hamilton Medical e-catalog.

not shown

NBC filter adapter and accessories for HAMILTON-T1 Military

See the Hamilton Medical e-catalog.

Language kit

English

10102152

English-US

10102336

German

10102154

Spanish

10102155

French

10102156

Italian

10102161

Russian

10102157

Chinese

10102159

Portuguese

10102160

Extended warranty

Extended warranty of 1 year

700403

Extended warranty of 2 years

700404

Extended warranty of 3 years

700405

Hamilton Medical | HAMILTON-T1 Operator's Manual

277

Specifications

15.1

Physical characteristics

280

15.2

Environmental requirements

281

15.3

Pneumatic specifications

283

15.4

Electrical specifications

284

15.5

Ventilation-related terminology

286

15.6

Control settings

289

15.7

Monitored parameters

294

15.8

Alarms

300

15.9

Configuration

303

15.10

ASV technical data

306

15.11

Ventilator breathing system specifications

308

15.12

Technical performance data

309

15.13

Functional description of ventilator system

317

15.14

Symbols used on device labels and packaging

320

15.15

Standards and approvals

322

15.16

Disposal and year of manufacture

324

15.17

Warranty

325

279

15 Specifications

15.1 Physical characteristics

Table 15-1. Physical characteristics⁸⁶

Dimension

Specifications

Weight

6.5 kg (14.3 lb)

18.5 kg (40.8 lb) with trolley

The trolley can accommodate a maximum

22.4 cm (8.8 in)

safe working load of 44 kg (97 lb).⁸⁷

27 cm (10.6 in)

Gas cylinder dimensions

Diameter: 100 to 140 mm (3.9 to 5.5 in)

Height: max. 820 mm (32 in)

Weight: max. 8 kg (17.6 lb)

Dimensions

138 cm

See the following figures.

(54.3 in)

143.3 cm

Figure 15-1. HAMILTON-T1 dimensions

(56.4 in)

24.5 cm

29.8 cm

(9.6 in)

(11.7 in)

31 cm (12.2 in)

63 cm

(24.8 in)

22 cm (8.7 in)

27 cm (10.6 in)

⁸⁶ For accessories, see Section 14.

⁸⁷ The maximum safe working load applies to a stationary, properly load-balanced trolley.

280

English | 10103179/02 USA

Environmental requirements

15.2 Environmental require-

ments

Table 15-2. Environmental requirements

Environment

Specifications

Temperature

Operation:⁸⁸

Adult/Ped: -15°C to 50°C (5°F to 122°F)⁸⁹

Neonatal: -15°C to 40°C (5°F to 104°F)

Shipment/

-20°C to 60°C (-4°F to 140°F), in original packaging^90, ⁹¹

storage:

Altitude

Adult/Ped: -650 to 7620 m (-2,132 to 25,000 ft)⁸⁹

Neonatal: -650 to 4000 m (-2,132 to 13,123 ft)

Note that at higher altitudes the ventilator performance

may be limited. See Figure 15-2. The Performance lim-

ited by high altitude alarm is generated and a message is

shown on the display. See Table 9-2.

Above 4000 m, supported only with DC power or bat-

tery operation.

Atmospheric

Operation⁸⁸,

Adult/Ped: 376 to 1100 hPa⁸⁹

pressure

shipment, and

Neonatal: 620 to 1100 hPa

storage:

Relative humidity

Operation:⁸⁸

5% to 95%, noncondensing

Shipment/

10% to 95%, noncondensing

storage:

Ingress protection⁹²

HAMILTON-T1 PN 161006, 161009: IP24

HAMILTON-T1 PN 1610060, 1610090: IP54

For specifications related to any external devices and sensors, refer to the manufacturer's Instruc-

tions for use.

For specifications related to the mainstream and sidestream CO2 sensor, see Section 15.12.

⁸⁸ The stated operating conditions apply to both continuous and transient operation of the ventilator within the limitations specified in

the Intended use.

⁸⁹ Only valid for devices with serial number > 3000. For devices with a lower serial number, the maximum operating temperature for

Adult/Ped use is 40°C (104°F) up to an altitude of 4600 m (15,091 ft) and a minimum atmospheric pressure of 570 hPa.

⁹⁰ If the storage temperature is outside of the operational temperature range, the device must cool down or warm up for 10 minutes

at a temperature of 20°C.

⁹¹ When the device is not stored in its original packaging, the permitted storage temperature range is -15°C to 60°C.

⁹² Software version 3.0.x can be installed on the ventilator regardless of the IP rating indicated on the device

Hamilton Medical | HAMILTON-T1 Operator's Manual

281

Pneumatic specifications

15.3 Pneumatic specifications

Table 15-4. Pneumatic specifications

Component

Specifications

High-pressure

Pressure:

2.8 to 6 bar / 41 to 87 psi

oxygen inlet⁹³

Flow:

Maximum of 200 l/min

Connector:

DISS (CGA 1240) or NIST

Low-pressure

Peak pressure:

Maximum 6 bar / 87 psi

oxygen inlet⁹³

Flow:

≤ 15 l/min

Connector:

Quick-coupling system, compatible with Colder Prod-

ucts Company (CPC) PMC series

Air supply

Integrated blower

Gas mixing system

Delivered flow:

• > 260 l/min ±10% against ambient pressure (at sea

level)

• > 200 l/min with 100% oxygen

Delivered pressure:

Adult/Ped: 0 to 60 cmH2O

Neonatal: 0 to 45 cmH2O

Flow accuracy:

±10% or ±300 ml/min (whichever is greater)

Inspiratory outlet

Connector:

ISO ID15/OD22 conical

(To patient port)

Expiratory outlet

Connector (on

ISO ID15/OD22 conical

(From patient port)

expiratory valve):

⁹³ Measurement expressed in STPD (standard temperature and pressure, dry).

Hamilton Medical | HAMILTON-T1 Operator's Manual

283

15 Specifications

15.4 Electrical specifications

Table 15-5. Electrical specifications

Element

Specifications

Input power

100 to 240 VAC, 50/60 Hz

12 to 28 VDC (total range 10.2 to 30.3 VDC)⁹⁴

Power

50 VA typical, 150 VA maximum

consumption

Battery

Hamilton Medical provides a high-capacity⁹⁵ battery. An optional second

battery is available.

Electrical specifi-

10.8 V DC, 6.7 Ah, 72 Wh

cations:

Type:

Lithium-ion, supplied by Hamilton Medical only

Recharge time:

While ventilator is connected to primary power,

approximately 3.25 h to fully recharge one battery,

approximately 6.25 h to fully recharge two batteries.

Storage:

-20°C to 60°C, ≤ 85% relative humidity. The storage

location should be free from vibration, dust, direct sun-

light, moisture, and corrosive gases, and with a recom-

mended temperature range < 21°C.

Extended exposure to temperatures above 45°C can

degrade battery performance and life.

⁹⁴ When the voltage exceeds 34 VDC, the device automatically switches to battery power, and continues ventilation as set.

⁹⁵ PN 369108, revision 4 and later.

284

English | 10103179/02 USA

Electrical specifications

Element

Specifications

Battery

Normal operating

Typically 4 hours with one battery, 8 hours with two bat-

time:

teries.

Operating times are measured with one or two fully

charged batteries, the blower in use, without communi-

cation board, and with the following settings:

Mode = PCV+, Rate = 10 b/min, ΔPcontrol = 10 cmH2O,

I:E = 1:4, PEEP = 5 cmH2O, Flow trigger = 5 l/min,

FiO2 = 40%.

Approximate operating times under these conditions are

as follows:

• One battery, display brightness = 80%: 4 h

• One battery, display brightness = 20%: 4.5 h

• Two batteries, display brightness = 80%: 8 h

• Two batteries, display brightness = 20%: 9.25 h

This operating time applies to new, fully charged Li-ion

batteries not exposed to extreme temperatures. The

actual operating time depends on battery age and on

how the battery is used and recharged.

Hamilton Medical | HAMILTON-T1 Operator's Manual

285

15 Specifications

15.5 Ventilation-related

terminology

The following sections describe ventila-

tion-related terminology displayed on

Hamilton Medical ventilators in compari-

son with the conventions defined in

EN ISO 19223:2019.

Table 15-6. Comparison of ventilation mode terminology, Hamilton Medical ventilators and EN ISO

19223:2019

Hamilton Medical

EN ISO 19223 mode

Description

mode name

terminology

(S)CMV+/APVcmv

A/C-vtPC

Synchronized controlled mandatory ventilation

with volume-targeted pressure control

SIMV+/APVsimv

SIMV-vtPC\PS

Synchronized intermittent mandatory ventilation

with volume-targeted pressure control and pres-

sure support

CSV-vtPS

Continuous spontaneous ventilation with volume-

targeted pressure support

PCV+

A/C-PC

Synchronized pressure-controlled ventilation

PSIMV+

SIMV-PC\PS

Synchronized intermittent mandatory pressure

controlled ventilation with pressure support

DuoPAP

SIMV-PC\PS

Synchronized intermittent mandatory ventilation

with synchronized termination pressure control,

pressure support and ACAP⁹⁶

APRV

IMV-PC\PS

Intermittent mandatory pressure controlled ventila-

tion with pressure support

SPONT

CSV-PS

Continuous spontaneous ventilation with pressure

support

ASV

ASV⁹⁷

Synchronized intermittent mandatory ventilation

with volume-targeted pressure control and pres-

sure support

⁹⁶ ACAP is defined as assured constant airway pressure.

⁹⁷ EN ISO 19223 is not applicable because rate and tidal volume are variable in this mode.

286

English | 10103179/02 USA

Ventilation-related terminology

Hamilton Medical

EN ISO 19223 mode Description

mode name

terminology

INTELLiVENT-ASV

INTELLiVENT-ASV⁹⁷

Ventilator management of CO2 elimination and

oxygenation based on clinician defined target

ranges and parameter limits, and physiological

input from the patient. The underlying mode is

ASV.

NIV

CSV-PS

Continuous spontaneous ventilation with pressure

support

NIV-ST

SIMV-PC

Synchronized intermittent mandatory ventilation

with pressure control

nCPAP

CPAP

Continuous positive airway pressure with ACAP⁹⁶

nCPAP-PC

CSV-PC

Continuous spontaneous ventilation with pressure

control

Hamilton Medical | HAMILTON-T1 Operator's Manual

287

15 Specifications

Control parameter terminology

Monitoring parameter terminology

Table 15-7. Comparison of control-related ter-

Table 15-8. Comparison of monitoring-related

minology, Hamilton Medical ventilators and EN

terminology, Hamilton Medical ventilators and

ISO 19223:2019

EN ISO 19223:2019

Hamilton Medical

EN ISO 19223

Hamilton Medical

EN ISO 19223 terminol-

terminology

ogy

∆Psupport

∆p (support pressure)

PEEP

∆Pcontrol

∆p (delta inspiratory

Paw

paw

pressure)

Ppeak

Peak inspiratory pres-

∆Pinsp

∆p

sure or peak pressure

P high

BAP_H (baseline pressure

Pplateau

Plateau inspiratory pres-

high)

sure or plateau pressure

P low

BAP (baseline pressure)

AutoPEEP

AP (auto-PEEP)

PEEP/CPAP

BAP (baseline pressure)

Insp Flow

Peak inspiratory flow

P-ramp

Rise time

Exp Flow

expiratory flow

Plimit

APL (adjustable pres-

ExpMinVol

V_M (minute volume)

sure limit)

MinVol NIV

V_T (tidal volume)

MVSpont

V_MAddn (additional

MVSpont NIV

minute volume)

%MinVol

%V_M (minute volume in

relation to ideal body

VTI

V_I

weight)

VTE

Flow (in high flow

Continuous flow

VLeak

V_TLeak (airway leak)

oxygen therapy)

MV Leak

V_MLeak (leakage minute

Rate

volume)

ti (inspiratory time)

fTotal

RRtot (total rate)

I:E

I:E ratio

fSpont

RRspont (spontaneous

T high

t_H

rate)

T low

t_L, BAP phase

fControl

Rate

Flow trigger

I:E

ETS

Term'n Flow % (inspira-

ti or t_H (inspiratory time)

tory termination flow or

t_BAP or t_L (expiratory

termination flow)

time)

Base flow

Bias flow

Cstat⁹⁸

Cdyn

⁹⁸ Calculated using the least squares fitting method.

288

English | 10103179/02 USA

Control settings

15.6 Control settings

Table 15-9. Control settings, ranges, and accuracy

Parameter

Range:

Default

Accuracy⁹⁹

or setting

settings:

(unit)

Adult/Ped

Neonatal

Adult/Ped

Neonatal

%MinVol¹⁰⁰

25-350

100

(%)

Apnea back-

On, Off

ETS^101, ¹⁰²

5-80

(%)

Flow¹⁰³

2-60

2-15

±10% or

(l/min)

±1 l/min,

whichever is

greater

I:E¹⁰⁴

1:9-4:1

1:4

1:3

IBW¹⁰⁵

3-139

(kg)

Oxygen

21-100

± (volume

(%)

fraction of

2.5% +

2.5% gas

level)

P high (in

0-60

0-45

±5% or

APRV)

startup

±1 cmH2O,

(cmH2O)

setting =

whichever is

PEEP + 15

greater

⁹⁹ The stated accuracy includes the tolerance interval for each measurement.

¹⁰⁰ Only in ASV mode.

¹⁰¹ Expiratory trigger sensitivity, in % of inspiratory peak flow.

¹⁰² When selecting a noninvasive mode, the device uses the ETS value used in the previous mode, if available. If the previous mode did

not use ETS, the device sets ETS to default values.

¹⁰³ Only when using HiFlowO2.

¹⁰⁴ In PCV+, (S)CMV, and APVcmv modes, mandatory breath timing can be controlled by using a combination of inspiratory time (TI)

and Rate, or by the I:E ratio; set the method in Configuration. All other modes are controlled by using a combination of inspiratory

time (TI) and Rate.

¹⁰⁵ IBW is calculated using height and sex, and is used for adult and pediatric patients. Actual body weight is used for neonates.

Hamilton Medical | HAMILTON-T1 Operator's Manual

289

15 Specifications

Parameter

Range:

Default

Accuracy⁹⁹

or setting

settings:

(unit)

Adult/Ped

Neonatal

Adult/Ped

Neonatal

P high (in

0-60

3-45

±5% or

DuoPAP)

±1 cmH2O,

(cmH2O)

whichever is

greater

P low (in

0-35

0-25

±5% or

APRV)

±1 cmH2O,

(cmH2O)

whichever is

greater

Pat. height

(cm)

30-250

174

(in)

12-98

PEEP/CPAP

0-35

3-25

±5% or

(cmH2O)

±1 cmH2O,

whichever is

greater

Plimit

5-60

5-45

±5% or

(cmH2O)

±1 cmH2O,

whichever is

greater

P-ramp¹⁰⁶

0-2000

0-600

±10

(ms)

ASV, NIV,

NIV, NIV-ST,

NIV-ST, SPONT:

SPONT,

max = 200

nCPAP-PC:

max = 200

¹⁰⁶ P-ramp is limited to one-third (1/3) of TI time. Adjustment of TI time can override the P-ramp setting. Limitation in ASV, SPONT, NIV,

NIV-ST, nCPAP-PC: max 200 ms.

290

English | 10103179/02 USA

Control settings

Parameter

Range:

Default

Accuracy⁹⁹

or setting

settings:

(unit)

Adult/Ped

Neonatal

Adult/Ped

Neonatal

Rate¹⁰⁷

1-80

35 (3.0-5.9

60 (0.2-1.25

±1

(b/min)

APVcmv,

PSIMV+: 5-80

IBW)

kg)

PCV+: 4-80

nCPAP-PC,

30 (6.0-8.9

45 (1.26-

PSIMV+,

APVcmv,

IBW)

2.99 kg)

NIV-ST: 5-80

PCV+,

25 (9.0-19.9

35 (3.0-5.9

PSIMV+PSync,

IBW)

kg)

NIV-ST,

20 (20-29.9

30 (6.0-8.9

APVsimv +

IBW)

kg)

Apnea Backup:

17 (30-39

25 (9.0-19.9

10-80

IBW)

kg)

15 (40-59

20 (20-30

IBW)

kg)

12 (60-139

IBW)

Set temp¹⁰⁸

INV: 35-41

INV: 37

INV: 0.5

(°C)

NIV: 30-35

NIV: 31

NIV: 0.5

HiFlowO2: 33-

HiFlowO2:

HiFlowO2: 2

Sex

Male, Female

Male

Sigh¹⁰⁹

On, Off

Off

SpeakValve

On, Off

Off

compatibility

T gradient¹¹⁰

-2-3

0.5

(°C)

T high (in

0.1-40

Based on

±0.01

APRV)¹⁰⁷

rate (IBW)

rate (Weight)

(s)

T high (in

0.1-40

Based on

±0.01

DuoPAP)¹⁰⁷

rate (IBW)

rate (Weight)

(s)

¹⁰⁷ Startup setting derived from IBW (adult/pediatric), body Weight setting (neonatal). Does not apply in ASV mode.

¹⁰⁸ When the humidifier is operating in HiFlow, the Set temp control cannot be set to a value higher than 39°C. If the control on the

ventilator is set above 39°C, the setting is automatically rounded down to 39°C.

¹⁰⁹ Sigh is disabled in DuoPAP and APRV modes, when using HiFlowO2, when using CPR ventilation, and for neonates.

¹¹⁰ T gradient is always set to 2°C when the humidifier is set to HiFlow.

Hamilton Medical | HAMILTON-T1 Operator's Manual

291

15 Specifications

Parameter

Range:

Default

Accuracy⁹⁹

or setting

settings:

(unit)

Adult/Ped

Neonatal

Adult/Ped

Neonatal

T low (in

0.2-40

Based on

±0.01

APRV)

rate (IBW)

rate (Weight)

(s)

TI max

0.5-3

0.25-3

1.5

1.0 (≤ 10 kg)

±0.1

(s)

1.5 (> 10 kg)

TI^107, ^104, ¹¹¹

0.1-12

Based on

±0.01

(s)

rate (IBW)

rate (Weight)

Trigger,

0.5-20

0.1-5

0.5

±10%

flow¹¹²

APVcmv,

(l/min)

PCV+: 0.5-20 /

PCV+:

Off

0.1-5.0 / Off

Vt/IBW¹¹³

5-12

Vt/Weight¹¹³

(ml/kg)

Vt¹⁰⁷

20-2000

2-300

Based on

Adult/Ped:

(ml)

IBW

Weight

±10% or

±10 ml,

whichever is

greater

Neo: ±10%

or ±2 ml,

whichever is

greater

Weight

0.2-30

2.0

(kg)

ΔPcontrol¹¹⁴

5-60

3-45

±5% or

(cmH2O)

nCPAP-PC:

±1 cmH2O,

0-45

whichever is

greater

ΔPinsp¹¹⁵

3-60

3-45

±5% or

(cmH2O)

±1 cmH2O,

whichever is

greater

¹¹¹ Inspiratory time; used with Rate to set the breath cycle time.

¹¹² Flow trigger is leak compensated.

¹¹³ Set in Configuration. IBW is calculated using height and sex, and is used for adult and pediatric patients. Actual body weight is used

for neonates.

¹¹⁴ Control pressure, added to PEEP/CPAP.

¹¹⁵ Inspiratory pressure, added to PEEP/CPAP.

292

English | 10103179/02 USA

15 Specifications

15.7 Monitored parameters

The monitored parameters displayed on

the ventilator are rounded to the nearest

Table 15-10 provides monitored para-

whole number, when required.

meter details.

Waveforms displayed on the ventilator are

Tables 15-11 and 15-12 list the ranges of

not filtered and represent the actual moni-

the real-time curves and loops.

tored values.

Pressure, flow, and volume measurements

are based on readings from the flow

sensor, and are expressed in BTPS (body

temperature and pressure saturated).

Table 15-10. Monitored parameters, ranges, and accuracy

Parameter (units)

Range:

Accuracy¹¹⁷

Adult/Ped

Neonatal

Pressure

AutoPEEP¹¹⁸

0-80

±2 cmH2O + 4% of the

(cmH2O)

actual reading

Driving pressure, ∆P

0-100

±2 cmH2O + 4% of the

(cmH2O)

actual reading

PEEP/CPAP

0-80

±2 cmH2O + 4% of the

(cmH2O)

actual reading

ΔPinsp¹¹⁹

0-50

±2 cmH2O + 4% of the

(cmH2O)

actual reading

Pmean

0-80

±2 cmH2O + 4% of the

(cmH2O)

actual reading

Ppeak

0-80

±2 cmH2O + 4% of the

(cmH2O)

actual reading

Pplateau

0-80

±2 cmH2O + 4% of the

(cmH2O)

actual reading

Pprox¹²⁰

0-80

±2 cmH2O + 4% of the

(cmH2O)

actual reading

¹¹⁷ The stated accuracy includes the tolerance interval for each measurement, except for measurements displayed from external

sensors (CO2). See Section 15.12.1 for details.

¹¹⁸ Not available in nCPAP, nCPAP-PC modes.

¹¹⁹ Inspiratory pressure displayed in the Vent Status panel.

¹²⁰ Only in HiFlowO2.

294

English | 10103179/02 USA

Monitored parameters

Parameter (units)

Range:

Accuracy¹¹⁷

Adult/Ped

Neonatal

Flow

Insp Flow (peak)

0-260

Adult/Ped:

(l/min)

±10% or ±20 ml/s, which-

ever is greater

Neo:

±10% or ±2 ml/s, which-

ever is greater

Exp Flow (peak)¹²¹

0-260

Adult/Ped:

(l/min)

±10% or ±20 ml/s, which-

ever is greater

Neo:

±10% or ±2 ml/s, which-

ever is greater

Flow (in HiFlowO2)

2-60

2-15

(l/min)

Flow (in nCPAP/nCPAP-

0-30

±10% or ±20 ml/s which-

PC)

ever is greater

(l/min)

Volume

ExpMinVol^122, ¹¹⁸

0-99.9

±10% or ±0.3 l/min,

whichever is greater

MinVol NIV^123, ¹¹⁸

(l/min)

MVSpont^122, ¹¹⁸

0-99.9

±10% or ±0.3 l/min,

whichever is greater

MVSpont NIV^123, ¹¹⁸

(l/min)

VTE^122, ¹¹⁸

0-9000

Adult/Ped:

±10% or ±10 ml, which-

VTE NIV^123, ¹¹⁸

ever is greater

(ml)

Neo:

±10% or ±2 ml, which-

ever is greater

VTESpont¹¹⁸

0-9000

±10% or ±10 ml, which-

(ml)

ever is greater

¹²¹ Not available in HiFlowO2 or if SpeakValve is active.

¹²² Only for invasive modes.

¹²³ NIV is used with noninvasive modes.

Hamilton Medical | HAMILTON-T1 Operator's Manual

295

15 Specifications

Parameter (units)

Range:

Accuracy¹¹⁷

Adult/Ped

Neonatal

VTI¹¹⁸

0-9000

Adult/Ped:

(ml)

±10% or ±10 ml, which-

ever is greater

Neo:

±10% or ±2 ml, which-

ever is greater

Vt/IBW

2-20

(ml/kg)

Vt/Weight

2-20

(ml/kg)

VLeak¹¹⁸

0-100

±10% (100 ml < VLeak <

(%)

2000 ml)

MVLeak¹¹⁸

0-99.9

±10% or ±0.3 l/min

whichever is greater

(l/min)

Time

I:E

9.9:1-1:99

fControl

0-999

±1 b/min

(b/min)

fSpont¹¹⁸

0-999

±1 b/min

(b/min)

fTotal

0-999

±1 b/min

(b/min)

0-60

±100 ms

(s)

0-60

±100 ms

(s)

Other calculated and displayed parameters

CPR timer

00:00-99:59

(mm:ss)

Cstat¹¹⁸

0-300

(ml/cmH2O)

Oxygen

18-105

± (volume fraction of

(%)

2.5% + 2.5% gas level)

296

English | 10103179/02 USA

Monitored parameters

Parameter (units)

Range:

Accuracy¹¹⁷

Adult/Ped

Neonatal

O2 consumption¹²⁴

0-300

±10% or ±0.3 l/min,

(l/min)

whichever is greater

P0.1¹¹⁸

-99-0

(cmH2O)

PTP¹¹⁸

0-99

(cmH2O*s)

RCexp^125, ¹¹⁸

0-99.9

(s)

Rinsp¹¹⁸

0-999

(cmH2O / (l/s))

RSB

0-400

(1 / (l*min))

Ventilation counter

0-999

(days/hours/minutes)

CO2 related¹²⁶

FetCO2

0-20

CO2 (BTPS):

(%)

0-40 mmHg: ±2 mmHg

PetCO2

0-150

41-70 mmHg: ±5% of

(mmHg)

reading

71-100 mmHg: ±8% of

reading

101-150 mmHg: ±10%

of reading

For sidestream CO2

sensor above 80 b/min:

±12% of reading

slopeCO2¹²⁷

0-99.9

(%CO2/l)

Vtalv¹²⁷

0-9999

(ml)

V’alv¹²⁷

0-20

(l/min)

¹²⁴ If option is installed.

¹²⁵ Least square fit method.

¹²⁶ Only available if the CO2 communication board is installed and the CO2 sensor is enabled.

¹²⁷ Only for mainstream CO2.

Hamilton Medical | HAMILTON-T1 Operator's Manual

297

15 Specifications

Parameter (units)

Range:

Accuracy¹¹⁷

Adult/Ped

Neonatal

V’CO2¹²⁷

50-9999

(ml/min)

VDaw¹²⁷

0-999

(ml)

VDaw/VTE¹²⁷

0-100

(%)

VeCO2¹²⁷

0-999

(ml)

ViCO2¹²⁷

0-999

(ml)

Humidifier related

T humidifier

0-99.9

(°C)

T Y-piece

0-99.9

(°C)

Table 15-11. Real-time waveforms

Parameter

Range

Y-axis scale

All waveforms show time, in seconds, on the x-axis.

Adult/Ped waveforms: 6, 12, 18, 24, 30; Neonatal waveforms: 3, 6, 12, 18, 24

Volume^128, ¹²⁹ (V)

0-3200

0-5, 0-10, 0-25, 0-50 (Neonatal default),

(ml) / time (s)

0-100, 0-200, 0-400, 0-800 (Adult/Ped

default), 0-1600, 0-3200

Flow^128, ¹²⁹

-300-300

±2.5, ±5, ±10 (Neonatal default), ±15,

(l/min) / time (s)

±25, ±45, ±75 (Adult/Ped default), ±150,

±300

Airway pressure (Paw)

-10-80

-5-20, -5-40 (default), -5-80, -5-120

(cmH2O) / time (s)

FCO2¹³⁰

0-10

0-6 (default), 0-10

(%) / time (s)

PCO2¹³⁰

0-100

0-60 (default), 0-100

(mmHg) / time (s)

¹²⁸ Scaled automatically. Not leak compensated.

¹²⁹ Not applicable in nCPAP and nCPAP-PC modes.

¹³⁰ Available with CO2 option.

298

English | 10103179/02 USA

Monitored parameters

Table 15-12. Real-time graphics and loops

Parameter

X-axis scale

Y-axis scale

ASV graphs

ASV target graphics:

0-60

0-5, 0-10, 0-25, 0-50, 0-100, 0-200, 0-

400, 0-800 (default), 0-1600, 0-3200

Vt/Rate

x-axis: b/min

y-axis: ml

Loops

Pressure/Volume

-10-80

0-3200

x-axis: cmH2O

y-axis: ml

Volume/Flow

0-3200

-300-300

x-axis: ml

y-axis: l/min

Pressure/Flow

-10-80

-300-300

x-axis: cmH2O

y-axis: l/min

Volume/PCO2¹³¹

0-3200

0-100

x-axis: ml

y-axis: mmHg

Volume/FCO2¹³¹

0-3200

0-10

x-axis: ml

y-axis: %

¹³¹ Available with CO2 option.

Hamilton Medical | HAMILTON-T1 Operator's Manual

299

15 Specifications

15.8 Alarms

Table 15-13. Adjustable alarm priority, range, defaults, and resolution

Alarm

Priority

Range:

Default:

Resolution

(units)

Adult/Ped

Neo

Adult/

Neo

Ped

Apnea

High

15-60

5-60

Adult/Ped:

time^,132

(s)

Neonatal:

1 (< 15)

5 (≥ 15)

ExpMinVol

High

0.1-50

0.03-10 /

Based on

Adult/Ped:

(high)^133,132

NIV, NIV-ST:

Off

Rate and

0.1 (< 1)

(l/min)

0.5 (≥ 1)

0.1-50 / Off

1 (≥ 10)

1.5 * Rate

* Vt

Neonatal:

0.01 (< 1)

0.1 (≥ 1)

ExpMinVol

High

0.1-50

Off /

Based on

Adult/Ped:

(low)^133,132

0.01-10

Rate and

0.1 (< 1)

NIV, NIV-ST:

(l/min)

0.5 (≥ 1)

Off / 0.1-50

1 (≥ 10)

0.6 * Rate

* Vt

Neonatal:

0.01 (< 1)

0.1 (≥ 1)

Flow

Medium

8-30

(high)¹³⁴

(l/min)

fTotal (high)

Medium

0-99

2-210

(b/min)

fTotal (low)

Medium

0-99

0-200

(b/min)

¹³² Not applicable in nCPAP and nCPAP-PC modes.

¹³³ Startup setting derived from IBW (adult/pediatric), body Weight setting (neonatal). Does not apply in ASV mode.

¹³⁴ Only active in nCPAP and nCPAP-PC modes.

300

English | 10103179/02 USA

Alarms

Alarm

Priority

Range:

Default:

Resolution

(units)

Adult/Ped

Neo

Adult/

Neo

Ped

Oxygen

High

18-105

55 or

(high)^135,136

+5 % of

(%)

the

current

setting

Oxygen

High

18-97

45 or

(low)^135,136

-5% of

(%)

the

current

setting

PetCO2

Medium

1-100/Off

(high)¹³⁷

(mmHg)

PetCO2

Medium

Off / 0-99

(low)¹³⁷

(mmHg)

Pressure

High

15-70

18-55

(high)

nCPAP,

(cmH2O)

nCPAP-

PC:

PC: 15

10-55

APRV:

15-55

Pressure

High

4-60

4-55

PEEP

(low)

nCPAP,

nCPAP: 3,

(cmH2O)

nCPAP-

PC: 2-55

PC: 5

Pressure lim-

Medium,

5-60

8-45

itation¹³⁸

Low after

(cmH2O)

silence

¹³⁵ Active only when O2 monitoring is enabled.

¹³⁶ The high and low Oxygen alarm limits are automatically set in relation to the current Oxygen setting: Oxygen setting + 5 (high

Oxygen limit) and Oxygen setting - 5 (low Oxygen limit). For example, if the Oxygen setting is 70%, the high Oxygen limit is set to 75

and the low limit is set to 65.

¹³⁷ CO2 option required.

¹³⁸ Can also be adjusted using Plimit. Pressure limitation is always 10 cmH2O below the pressure high limit.

Hamilton Medical | HAMILTON-T1 Operator's Manual

301

15 Specifications

Alarm

Priority

Range:

Default:

Resolution

(units)

Adult/Ped

Neo

Adult/

Neo

Ped

Vt (high)¹³⁹

Medium

10-3000 /

0.1-300 /

Vt is

Adult/Ped:

(ml)

Off

based on

5 (< 100)

IBW

Weight

10 (< 500)

50 (≥ 500)

1.5 * Vt

Neonatal:

0.1 (< 10)

1 (≥ 10)

5 (≥ 100)

Vt (low)¹³⁹

Medium

Off / 10-

Off / 0.1-

Vt is

Adult/Ped:

(ml)

3000

300

based on

5 (< 100)

IBW

Weight

10 (< 500)

50 (≥ 500)

0.5 * Vt

Neonatal:

0.1 (< 10)

2 (≥ 10)

6 (≥ 100)

¹³⁹ In ASV mode, this alarm only applies for spontaneous breaths.

302

English | 10103179/02 USA

Configuration

15.9 Configuration

Table 15-14. Configuration specifications

Parameter

Configuration range

Default setting

General

Language

English, US English, Chinese, Croatian, Czech,

English

Danish, Dutch, Finnish, French, German, Greek,

Hungarian, Indonesian, Italian, Japanese, Korean,

Norwegian, Polish, Portuguese, Romanian, Rus-

sian, Serbian, Slovak, Spanish, Swedish, Turkish,

Ukrainian

Units

Pressure: hPa, mbar, cmH2O

cmH2O

CO2: mmHg, Torr, kPa

mmHg

Length: cm, in

Min. loudness

FS alarm sensitivity: 5 to 15%, Off

12%

HiFlowO2 limitation¹⁴⁰: 2 to 15 l/min

15 l/min

Modes

Philosophy

Inspiratory time philosophy: I:E, TI

I:E

Mode label: (S)CMV+/SIMV+ or APVcmv/APVsimv

(S)CMV+/SIMV+

ASV: ASV, ASV 1.1

ASV 1.1

Ti max available in invasive modes

Disabled

Graphics

Main monitoring

MMP 1 to 4:

Ppeak¹⁴², ExpMinVol,

parameters

Pmean, PEEP/CPAP, Ppeak, ΔP (Driving pressure),

VTE, fTotal

(MMP)¹⁴¹

ExpMinVol, VTI, VTE, VLeak, fTotal, fSpont,

Oxygen, Cstat, Rinsp, I:E, TI, TE, MVSpont,

AutoPEEP, P0.1, PTP, RCexp, Pplateau, VTESpont,

MVLeak, Insp Flow, Exp Flow, Vt/IBW, Vt/Weight,

T humidifier and T Y-piece (HAMILTON-H900)

Settings

For all mode, control, and alarm settings, see the appropriate tables in this

chapter.

¹⁴⁰ Only applies to the Neonatal patient group.

¹⁴¹ Additional parameters available when the CO2 or SpO2 options are installed.

¹⁴² The default setting is configurable.

Hamilton Medical | HAMILTON-T1 Operator's Manual

303

HAMILTON-T1. Operator's Manual (2022) - page 7