Hamilton Medical AG HAMILTON-T1 User manual

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Hamilton Medical AG HAMILTON-T1 User manual

HAMILTON-T1 Quick Guide

This Quick Guide is intended as a useful reference for ventilation of adult and pediatric patients. It does not replace the clinical judgment of a physician or the content of the HAMILTON-T1 Operator’s Manual, which should always be available when using the HAMILTON-T1 ventilator. Some functions are optional and not available in all markets.

© 2015 Hamilton Medical AG. All rights reserved. Printed in Switzerland.

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Table of contents

 

 

 

1.

HAMILTON-T1 basics

 

4

2.

Setting up the ventilator

 

 

10

3.

Tests and calibrations

 

18

4.

Ventilating a patient

............. 22

5.

Monitoring patient data

 

 

28

6.

Ensuring an adequate oxygen supply for patient transport

30

7.

Glossary of control parameters

 

 

32

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1. HAMILTON-T1 basics

1.1 Ventilator front view

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1Alarm lamp. Red = high-priority alarm, yellow = mediumor low-priority alarm.

2Touch screen. Provides access to measurements and controls.

3Power/Standby key. Turns the ventilator on and off and accesses standby.

4Battery charge indicator. Lit = battery is fully charged. Flashing = battery is charging.

5

Day/Night key. Switches between the Day and Night display brightness setting.

5 Screen lock/unlock key. Prevents inadvertent change of settings.

6 Manual breath/inspiratory hold key. Triggers a mandatory breath when pressed and released during exhalation. Triggers an inspiratory hold when held down during any breath

 

phase. When active, the green indicator is lit.

6

O2 enrichment key. Delivers 100% oxygen for 2 min. Press the key a second time to

 

cancel. Press O2 key and disconnect patient to start a suctioning maneuver.

7

Print screen key. Save a JPG file of the current ventilator screen to a USB memory drive.

7 Nebulizer on/off key. Activates pneumatic nebulizer for 30 minutes or until pressed again during the inspiration phase if high-pressure oxygen (HPO) is connected.

8Alarm silence key. Silences the main ventilator audible alarm for 2 min. Press the key a second time to cancel the alarm silence.

9Press-and-turn (P&T) knob. Use to select and adjust ventilator settings.

10Front cover and battery. The backup batteries are located inside the front cover.

11Underside of ventilator. Expiratory valve bleed port. Do not obstruct.

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1.2 Ventilator side view, with gas connections

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1USB connector

2High-pressure oxygen DISS or NIST inlet fitting

3Low-pressure oxygen connector

4AC power receptacle

5Cooling air intake and dust filter. Do not obstruct.

6AC power cord with retaining clip

7Serial number label

8DC power receptacle

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1.3 Main display

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1Active mode & patient group.

2Main controls. Touch the Controls button (3) to display all controls for the selected mode.

3Window tabs. Open the associated windows.

4Input power. Shows available power sources.

5Alarm silence indicator and countdown. Shows whether alarm silence has been activated, and displays the remaining silence time.

6Graphic display. Shows a user-selectable waveform or an Intelligent Panel graphic (Dynamic Lung, ASV graph, Vent Status).

7Main monitoring parameters (MMP). View other numeric parameters from the monitored parameter windows.

8Message bar. Displays color-coded alarm messages. If an alarm is active, view the alarm buffer by touching the message bar.

9Pressure/time waveform. Always displayed.

The red line is the Pmax high pressure alarm setting.

The blue line is the pressure limit automatically 10 cmH2O below the Pmax alarm setting.

The pink triangles indicate the patient is triggering a breath.

The Freeze button freezes the graphic for up to 30 s.

10 Alarm indicator (i-icon). Touch the icon to view information about alarms.

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2. Setting up the ventilator

2.1 Installing the expiratory valve

1 Expiratory valve membrane

2 Expiratory valve housing

3 Metal plate facing the ventilator

Installing the expiratory valve

1Holding the expiratory valve housing, seat the silicone membrane onto the housing. The metal plate must face up and be visible.

2Position the housing and twist clockwise until it locks into place.

Single use and autoclavable expiratory valves are available.

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2.2 Connecting a coaxial breathing circuit

1 To patient (inspiratory port)

2 From patient (expiratory port)

3 Adult/pediatric expiratory valve set

4 Nebulizer outlet

5 Flow sensor connectors

6 Limb connector

7 Coaxial inspiratory/expiratory limb

8 Flow sensor

9 HMEF

Connect the breathing circuit to the inspiratory and expiratory ports (1, 2) and the flow sensor tubes to the flow sensor connectors (5).

Use either a bacteria filter or a combined heat-moisture exchanger and filter (HMEF).

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