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Hamilton G5 User Manual

Hamilton G5
594 pages
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Operator‘s manual
624074/07
Software version 2.2X

Table of Contents

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Hamilton G5 Specifications

General IconGeneral
ModelG5
Pressure Range0 to 100 cmH2O
PEEP/CPAP0 to 50 cmH2O
Power Supply100-240 V AC, 50/60 Hz
TypeVentilator
Modes of VentilationSIMV
Patient RangeAdult, Pediatric, Neonatal
Battery BackupYes, internal battery
Integrated MonitoringYes, includes SpO2
ConnectivityEthernet, USB
Tidal Volume Range2 mL to 2000 mL
FiO221% to 100%

Summary

General information

Introduction

Provides an overview of the HAMILTON-G5 ventilator and its intended use for intensive care.

Functional description

Details the operation of the device hardware and its principle functions.

Gas supply and delivery

Explains how the ventilator uses and delivers gases from various sources.

Gas monitoring with the flow sensor

Describes how the device measures flow, volume, and pressure in the patient's airway.

Physical description

Details the physical components and layout of the ventilator unit and cockpit.

Symbols

Explains the meaning of various symbols used on the ventilator's back panel.

Preparing for ventilation

Introduction

Provides warnings and notes regarding additional equipment and proper setup.

Installing and positioning the Ventilation Cockpit

Guides on mounting and adjusting the Ventilation Cockpit.

Installing the patient tubing support arm

Instructions for installing the patient tubing support arm.

Installing the humidifier

Provides instructions and cautions for installing the humidifier.

Installing the modules (CO2, SpO2, Aeroneb, HAMILTON-H900 humidifier)

Describes how to install optional modules into the ventilator.

Verifying the oxygen cell installation

Ensures the oxygen cell is present and properly connected before operation.

Installing the patient breathing circuit

Provides warnings and notes for correctly installing the patient breathing circuit.

Using the auxiliary pressure (Paux) measurement

Explains how to use auxiliary pressure as a pressure input for monitored data.

Using an expiratory filter

Discusses the use of expiratory filters and potential risks.

Connecting to AC power

Details the procedure and safety precautions for connecting to AC power.

Using the optional power strip

Explains the use of the optional power strip for connected devices.

Using the backup batteries

Provides information on backup battery operation and charging.

Connecting gas supplies

Details the procedure for connecting gas supplies, including warnings.

Connecting to an external patient monitor or other device

Explains how to connect the ventilator to external monitoring devices.

Starting up the ventilator

Provides step-by-step instructions for starting the ventilator.

Shutting down the ventilator

Explains the correct procedure for shutting down the ventilator.

Ventilation cockpit navigation guidelines

Describes how to navigate and use the Ventilation Cockpit interface.

Hardware options

Set up CO2 sensor monitoring

Provides warnings and instructions for setting up CO2 sensor monitoring.

SpO2 monitoring options

Details the available SpO2 monitoring options and their configurations.

Installing the pneumatic nebulizer

Provides warnings and notes for installing the pneumatic nebulizer.

Integrated Aeroneb® system

Describes the Aeroneb system, its indications for use, and system description.

IntelliCuff®

Details the IntelliCuff system, its indications for use, and operating modes.

Tests, calibrations and utilities

Introduction

Explains the purpose of tests and calibrations for device safety and reliability.

Pre-operational checks

Outlines the pre-operational checks and required materials.

System functions

Describes system functions like viewing information and running tests.

Alarm tests

Details how to run alarm tests to confirm their operation.

Ventilator settings

Introduction

Introduces how to set up the device for ventilation and operator responsibilities.

Setting up the patient

Guides on selecting the correct patient profile and initial setup.

Patient window

Provides information on the basic patient profile, including gender and height.

Modes window: Setting the ventilation mode

Explains how to select and confirm the active ventilation mode.

Controls window: Settings including apnea backup ventilation

Details how to set controls and apnea backup ventilation parameters.

Additions window

Describes options like sigh function, TRC, and cuff pressure controller.

Alarms window

Covers setting alarm limits, adjusting loudness, and viewing active alarms.

Neonatal ventilation

Introduction

Provides important differences and considerations for ventilating neonatal patients.

Breathing circuit

Discusses considerations for neonatal breathing circuits and dead space.

Flow sensor

Explains the use and calibration of the infant flow sensor.

Test and calibration

Details the pre-operational checks required for neonatal patients.

Ventilation modes and mode additions

Discusses ventilation modes and potential issues like auto-triggering.

Controls

Highlights controls requiring special consideration for infant/neonatal patients.

Others

Includes warnings about prolonged oxygen exposure and high rate settings.

Monitoring

Introduction

Emphasizes the importance of oxygen monitoring and using independent devices.

Monitoring window

Discusses viewing numeric patient data and assigning auxiliary pressure input.

Graphics window

Explains how to configure panel layouts and set trend timing.

Tools window

Describes performing respiratory maneuvers using the Tools window.

Monitored parameters

Provides an alphabetical list of monitored parameters and their display.

Intelligent panels

Introduction

Explains the purpose of Intelligent Panels and how to configure them.

Dynamic lung panel

Visualizes tidal volume, lung compliance, and hemodynamic status.

Heart-Lung Interaction

Describes the graphical display of Heart-Lung Interaction (HLI).

Vent status

Depicts parameters related to patient dependency, oxygenation, and activity.

ASV monitored data window

Provides numeric target and actual parameters for ASV.

ASV target graphics window

Shows how the adaptive lung controller moves towards targets.

INTELLiVENT®-specific intelligent panels

Details on INTELLiVENT®-specific intelligent panels.

Quick Wean-specific intelligent panels

Details on Quick Wean-specific intelligent panels.

P/V tool maneuver option

Introduction

Provides information on the P/V Tool maneuver for optimizing settings.

Procedure

Details the steps for performing the P/V Tool maneuver.

References

Lists references related to pressure-volume curves and ventilation.

Responding to alarms

Introduction

Explains alarm prioritization and visual/audible indications.

How to respond to an alarm

Guides on responding to alarms, identifying causes, and adjusting limits.

Active alarm buffer

Describes how to view active alarms in the buffer and message bar.

Event logs: Reviewing events

Explains how to view event logs including alarms and setting changes.

Alarm troubleshooting table

Provides a table of alarms with definitions and corrective actions.

Maintenance

Introduction

Emphasizes compliance with maintenance procedures for safety and reliability.

Cleaning, disinfection, and sterilization

Provides general guidelines for cleaning, disinfecting, and sterilizing parts.

Preventive maintenance

Recommends performing preventive maintenance according to the schedule.

Calibration of the extended battery

Guides on calibrating extended battery packs for accurate charging indication.

Storage

Provides recommendations for maintaining battery charge during storage.

Repacking and shipping

Instructions for repacking and shipping the ventilator.

Special functions

Standby

Describes the standby mode and safety precautions.

O2 enrichment

Explains the O2 enrichment function and notes related to its use.

Suctioning tool

Details the suctioning tool's function, availability, and operation.

Manual breath

Explains how to deliver a manually triggered breath using the Manual breath key.

Pneumatic and Aeroneb® nebulizer

Provides warnings and notes regarding nebulization functions.

Print screen

Describes how to save the current ventilator screen as a JPG file.

Screen Lock/Unlock

Explains the function to prevent inadvertent touch screen entries.

Specifications

Physical characteristics

Lists physical characteristics including weight and dimensions.

Environmental requirements

Specifies operating and storage environmental conditions.

Pneumatic specifications

Details pressure and flow specifications for gas inlets.

Electrical specifications

Provides input power and battery specifications.

Control settings

Lists control settings, their ranges, standard settings, and resolutions.

Monitored parameters

Lists monitored parameter ranges and resolutions.

Alarms

Lists alarm settings, ranges, automatic and standard settings.

Configuration specifications

Details configurable parameters, ranges, and default settings.

Breathing circuit specifications

Lists specifications for HAMILTON MEDICAL breathing circuits.

Other technical data

Provides additional technical data for the ventilator.

Standards and approvals

Lists international standards and FDA guidelines met by the device.

EMC declarations (IEC 60601-1-2)

Provides guidance on electromagnetic compatibility and emissions.

Warranty

Details the limited warranty terms and conditions.

Miscellaneous

Covers general terms, conditions, and governing laws.

Modes of ventilation

Introduction

Summarizes ventilation modes and active controls.

Mandatory modes

Describes time-cycled mandatory breaths in (S)CMV and P-CMV modes.

SIMV (synchronized intermittent mandatory ventilation) modes

Explains SIMV modes with mandatory and spontaneous breaths.

Pressure support mode (SPONT)

Details spontaneous and operator-initiated breaths with pressure support.

Advanced ventilation modes

Covers APV, ASV, DuoPAP/APRV, NIV, and nCPAP-PS modes.

Leak compensation

Discusses the importance of minimizing and compensating for leaks.

ASV® (Adaptive Support Ventilation)

Introduction

Describes ASV as implemented in the HAMILTON-G5 device.

ASV use in clinical practice

Explains how to use ASV and its control settings.

Detailed functional description of ASV

Provides detailed explanation of ASV functions and principles.

Minimum work of breathing (Otis’ equation)

Explains Otis' equation for calculating optimal breath patterns.

ASV technical data

Lists technical data related to ASV operation.

ASV Start up

Guides on starting ASV with initial breath patterns.

References

Lists references for ASV and related ventilation studies.

NIV (Noninvasive ventilation)

Introduction

Discusses NIV, its implementations, and benefits.

Benefits of noninvasive ventilation,

Lists short-term and long-term benefits of noninvasive ventilation.

Required conditions for use

Outlines essential requirements for using noninvasive ventilation.

Contraindications

Lists conditions where noninvasive ventilation is contraindicated.

Potential adverse reactions

Describes potential adverse reactions associated with NIV.

Selecting a patient interface

Discusses factors for selecting the appropriate patient interface for NIV.

Control settings

Details control settings requiring special attention for NIV.

Alarms

Discusses the meaningfulness of volume alarms in NIV.

Monitored parameters

Explains monitored parameters and their use in NIV.

Additional notes about using noninvasive ventilation

Provides tips on mask fit, IntelliTrig, and leak compensation.

References

Lists references for noninvasive ventilation studies.

CO2 sensor option: Volumetric Capnography

Introduction

Explains the importance of capnography for evaluating ventilation adequacy.

CO2 elimination (V’CO2)

Describes how to measure CO2 elimination and its assessment of metabolic rate.

End-tidal CO2 (PetCO2 and FetCO2)

Discusses end-tidal CO2 measurements for assessing arterial CO2.

Airway dead space (VDaw)

Explains airway dead space measurement and its relation to anatomical dead space.

Alveolar minute ventilation (V’alv)

Defines alveolar ventilation and its calculation.

Capnogram shape (slope of the alveolar plateau, slopeCO2)

Describes capnogram shape measurement for assessing lung conditions.

Formulas

Lists formulas for calculating various capnography parameters.

References

Lists references for volumetric capnography and related studies.

Pulse oximetry

Introduction

Discusses pulse oximetry as an early warning device and SpO2 calibration.

SpO2 monitoring options

Details available SpO2 oximeter options from Masimo and Nihon-Kohden.

Monitored parameters and settings

Lists pulse oximeter-related parameters and their settings.

SpO2 pulse oximeter data display

Explains how pulse oximeter data is displayed and supported.

Working in SpHb Spot Check mode

Guides on using SpHb Spot Check mode for measurements.

Alarms

Covers SpO2 pulse oximeter related alarms and their settings.

Masimo information codes and troubleshooting

Provides information codes and troubleshooting for Masimo oximeter.

Configuring the oximeters

Details how to configure Masimo and Nihon-Kohden oximeter options.

Connecting the equipment

Explains the process of connecting the oximeter to the ventilator.

Pneumatic diagram

Parts and accessories

Ventilator parts and accessories

Shows user-orderable parts and accessories for the HAMILTON-G5.

Communication interface

Introduction

Discusses risks of leakage current and EMI prevention.

RS-232 interface

Explains how the RS-232 interface sends data and protocols used.

Patient monitor

Guides on connecting to patient monitors and observing alarms.

PDMS or other computer system

Details connecting to PDMS or computers for data management.

Inspiratory:Expiratory (I:E) timing outlet

Explains how the I:E timing outlet sends signals for special applications.

Remote alarm outlet

Describes activating alarm conditions at remote locations.

Connector pin assignments

Lists pin assignments for the interface connectors.

Configuration

Introduction

Describes ventilator setup including language, philosophy, and parameters.

Begin configuration

Provides steps to start and navigate the configuration process.

Language: Choosing the default language

Guides on selecting the desired language for the screen display.

Customize: Choosing the ventilation philosophy and alarms

Allows choosing breath timing philosophy, units, and alarm settings.

Quick Wean: Choosing the default weaning activity criteria

Sets conditions for starting, maintaining, and aborting weaning activities.

MMP selection: Choosing the default main monitoring parameter display

Selects the five main monitoring parameters for screen display.

Vent Status: Configuring the Vent Status intelligent panel

Configures parameters for the Vent Status intelligent panel.

Options: Activating software and hardware options

Guides on activating software and hardware options using codes.

Interface: Configuring the I:E timing outlet

Explains how to configure the I:E timing outlet relay positions.

Nebulizer: Configuring the nebulizer type

Guides on selecting and configuring the nebulizer type (Internal/External).

SpO2: Configuring pulse oximeter settings

Provides steps for configuring SpO2 settings for Masimo oximeters.

Defaults: configuring default settings

Allows configuring default settings for modes, controls, and graphics.

Glossary

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