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Hamilton G5 - A Specifications; Physical Characteristics; HAMILTON-G5 Dimensions; A.1 Physical Characteristics
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A-2
624074/07
A
Specifications
A.1
Physical characteristics
Figure A-1. HAMILTON-G5 dimensions
Table A-1. Physi
cal characteri
stics
Weight
With trolley: 57 kg (126 lb)
Shelf-mount version: 42 kg (93 lb)
Dimensions
See Figure A-1
343
345
Table of Contents
Main Page
Table of Contents
13
Safety Warnings, Cautions, Notes
5
General Warnings, Cautions, and Notes
7
Intended Use
7
Monitoring and Alarms
8
Fire and Other Hazards
9
Service and Testing
10
Electromagnetic Susceptibility
10
Electromagnetic Emissions
10
Units of Measure
11
Disposal
11
Year of Manufacture
11
Table of Contents
13
List of Figures
27
General Information
36
Introduction
36
Closed-Loop Ventilation
37
Controller Conceptual Design
38
Functional Description
43
System Overview
43
HAMILTON-G5 System Overview
43
Gas Supply and Delivery
44
Gas Delivery in the Device
45
Gas Monitoring with the Flow Sensor
46
Physical Description
47
Breathing Circuits and Accessories
47
Ventilator with Accessories
48
Compatible Parts and Accessories
49
Ventilation Cockpit
51
Ventilation Cockpit Front View
51
Ventilation Cockpit Rear View
53
Default Screen
55
Ventilation Unit
57
Symbols
60
2 Preparing for Ventilation
65
Preparing for Ventilation
66
Introduction
66
Installing and Positioning the Ventilation Cockpit
68
Mounting the Ventilation Cockpit
68
Ventilation Cockpit Mounting Positions
69
Disconnecting the Ventilation Cockpit
69
Adjusting the Ventilation Cockpit (Tilt and Swivel)
70
Mounting the Ventilation Cockpit
70
Tilting the Ventilation Cockpit
70
Installing the Patient Tubing Support Arm
71
Swiveling the Ventilation Cockpit
71
Installing the Humidifier
72
Installing the Patient Tubing Support Arm
72
Connecting and Attaching the Humidifier
73
Back of Humidifier
74
Power, Communication Connections (Bottom)
75
Installing the Modules (CO 2 , Spo 2 , Aeroneb, HAMILTON-H900 Humidifier)
76
HAMILTON-900 Communications Cable Connected to
76
Verifying the Oxygen Cell Installation
77
Installing the Patient Breathing Circuit
78
Circuit
80
Adapter
80
Breathing Circuit Parts and Patient Types
80
Patient Breathing Circuit for Use with Heater Wire
81
Patient Breathing Circuit for Use with Heater Wire (Neonatal)
82
Patient Breathing Circuit for Use with HME
83
Installing the Expiratory Valve Membrane
84
Installing the Expiratory Valve Cover
85
Using the Auxiliary Pressure (Paux) Measurement
86
Using an Expiratory Filter
87
Connecting to AC Power
88
Using the Optional Power Strip
89
Using the Backup Batteries
89
Introduction
90
Replacing the Optional Extended Battery Pack
92
To Open the
92
Connecting Gas Supplies
93
Connecting to an External Patient Monitor or Other Device
96
Starting up the Ventilator
97
Shutting down the Ventilator
98
Power Switch
98
Ventilation Cockpit Navigation Guidelines
99
3 Hardware Options
103
Set up CO 2 Sensor Monitoring
105
Enabling CO
107
CO 2 Mainstream Measurement
107
Introduction
107
Selecting CO
107
Connecting the CO
108
Mainstream Sensor
108
Connecting the CO 2 Sensor Cable
108
Attaching the CO
109
Connecting the CO Sensor/Airway Adapter to the Patient
110
CO 2 Sidestream Measurement
111
Using the Loflo™ CO Module
111
Module Mounting
111
Mounting Bracket
111
Module Exhaust
112
Connecting the CO 2 Sidestream Sensor
112
Connecting the CO
113
Inserting the Sample Cell into the Receptacle
113
Attaching the CO 2 Sensor to the Airway Adapter
114
Sidestream Sample Kit
115
Airway Adapter Kit
116
Installing the Pneumatic Nebulizer
117
Installing a Pneumatic Nebulizer
118
Integrated Aeroneb ® System
119
Introduction
119
Indications for Use
120
System Description
120
Enabling the Aeroneb Option
122
Connecting the Nebulizer
122
Continuous Nebulization
124
Nebulization
124
Installation in Breathing Circuit
126
Adding Medication
128
Configuring Nebulization
129
Configuring Nebulization for Intermittent Doses Less than or Equal to 6 Ml
129
Add Medication
129
Continuous Nebulization
130
Continuous Doses
130
Functional Test
131
Alarms
132
Intellicuff
132
Introduction
132
Indications for Use
132
System Description
132
Enabling the Integrated Cuff Pressure Controller Option
135
Operation of the Automatic Cuff Pressure Controller
136
Operating Modes
137
Cuff Pressure Control off
137
User Interface for Automatic Cuff Pressure Control (Manual or no Automatic Adjustment Activated)
137
Setting Constant Cuff Pressure
138
User Interface for Cuff Controller, Showing Cuff Pressure Kept Constant at Manually Set Level
138
Setting Cuff Pressure Relative to Airway Pressure (AUTO)
139
Full Deflation of the Cuff
140
Alarms
141
Working with the Integrated HAMILTON-H900
141
User Interface for Cuff Controller, Showing Full Deflation of
141
Humidifier
141
Introduction
142
Humidifier Overview
142
HAMILTON-900 Humidifier, Front View
143
Setting up the Humidifier
144
Humidifier Display on the Ventilator
144
Humidifier Window
145
Controlling Humidifier Options
146
Controlling Humidifier Options on the Ventilator
146
Alarms
147
Humidifier-Related Alarms
147
Tests, Calibrations and 4
149
Tests, Calibrations and Utilities
150
Introduction
150
When to Perform Tests and Calibrations
150
Pre-Operational Checks
151
Pre-Operational Check with Heliox
154
System Functions
156
Info: Viewing Ventilator Operating Hours, Options, and Versions
156
Tests & Calib: Running Sensor Calibrations and the Tightness Test
158
Flow Sensor Calibration
158
Tests & Calib Window
158
Tightness Test
161
Oxygen Cell Calibration
162
CO Sensor/Adapter Zero Calibration
163
Spo Sensor/Adapter Test
164
CO 2 Sensor/Adapter Calibration Setup
164
Sensors On/Off: Enabling/Disabling Spo 2 , O 2 , and CO 2 Monitoring
165
Gas Source: Assigning Air or Heliox
166
Sensors On/Off Window
166
Setting Day and Night
167
Gas Source Window
167
Setting Date and Time
168
Alarm Tests
168
Day/Night Window
168
High Pressure
169
Low Minute Volume
169
Oxygen Supply Failed and Low Oxygen Alarms
169
Disconnection
170
Loss of Mains Power
170
Exhalation Obstructed
170
Apnea
170
5 Ventilator Settings
171
Controls Window
171
Introduction
172
Setting up the Patient
173
Patient Setup Window
174
Patient Window
175
Patient Window: Changing Patient Gender and Height
175
Patient Window: Ventilation Timer
176
Modes Window: Setting the Ventilation Mode
177
Modes Window
178
Ventilation Modes and Patient Types
178
Controls Window: Settings Including Apnea Backup Ventilation
180
Adjusting and Confirming Control Settings Without Mode Change
180
Adjusting and Confirming Control Settings after Mode Change
182
Controls Window after Mode Change
183
About Apnea Backup Ventilation
184
Additions Window
185
Sigh: Enabling/Disabling the Sigh Function
186
Sigh Window
186
TRC: Setting Tube Resistance Compensation
187
TRC Window
188
Table of Control Settings, Additions, and Ranges
189
Control Settings, Mode Additions, and Ranges
189
Ptrach and Paw Waveforms (with TRC Active)
189
Alarms Window
197
Limits: Setting Alarm Limits
198
Loudness: Adjusting Alarm Loudness
200
Alarm Limits 2 Window
200
Buffer: Viewing Active Alarms
201
Table of Alarm Limit Settings and Ranges
201
Alarm Limit Settings and Ranges
202
6 Neonatal Ventilation
205
Introduction
206
Breathing Circuit
207
Flow Sensor
207
Test and Calibration
208
Ventilation Modes and Mode Additions
208
Controls
209
Ti Max
209
Flowtrigger
209
P-Ramp
210
Others
210
7 Monitoring
213
Introduction
214
Basic Display with Monitoring Windows
215
Monitoring Window
216
Monitored Parameter Windows and Sensor Data Window: Viewing Numeric Patient Data
216
Paw/Paux: Assigning Paw or Paux as Pressure Input for Numeric Patient Data
217
Monitored Window 2, with Sensor Data
217
Paw/Paux Window
218
Graphics Window
219
Graphics Window: Set up for the Ventilation Cockpit (Layout and Setting Trend Timing)
219
Setting up Individual Panels
220
About Graphic Types
221
Panel Setup Window (Waveform Window Shown)
221
Waveforms
222
Loops
222
Pressure Waveform Display
222
Dynamic Pressure/Volume Loop Display
223
Trends
224
Dynamic Lung
225
Vent Status
225
Intellivent ® -Specific Intelligent Panels
225
Trend Display
225
ASV Graphics Window
226
ASV Data Window
226
Freeze and Cursor Measurement
226
Freeze and Cursor Function
227
Tools Window
227
Hold: Performing Inspiratory/Expiratory Hold Maneuvers
227
Hold Window
228
Performing a Static P/V Maneuver
230
Monitored Parameters
230
8 Intelligent Panels
249
Intelligent Panels
250
Introduction
250
Dynamic Lung Panel
250
Dynamic Heart/Lung Panel
250
Tidal Volume (Vt)
251
Compliance (Cstat)
251
Compliance Shown by the Dynamic Lung
251
Patient Triggering: Muscle
252
Resistance: Bronchial Tree
252
Patient Triggering Shown by the Dynamic Lung Muscle
252
Rinsp Shown by the Bronchial Tree of the Dynamic Lung
252
Heart Circulation
253
Dynamic Lung Normal Values
253
Heart-Lung Interaction
254
Graphic Display
254
Dynamic Heart-Lung Interaction Panel
254
Vent Status
255
Vent Status Panel
256
Vent Status Parameter
256
ASV Monitored Data Window
257
ASV Target Graphics Window
258
Intellivent®-Specific Intelligent Panels
258
Quick Wean-Specific Intelligent Panels
258
9 P/V Tool Maneuver Option
259
P/V Tool against P/V Tool Pro
259
Introduction
260
Overview
260
Required Conditions for Use
261
Indication for Use
261
Contraindications for Use
262
How the P/V Tool Works
262
How the P/V Tool Works
263
Performing the Maneuver
264
Procedure
263
P/V Tool Information Window
265
P/V Tool Window
266
P/V Tool Pro Window
268
Using the Cursor Feature to Graphically Analyze the Plot
270
Using the Cursor Function in the P/V Tool Window: Creating
271
Analyzing the Curve
272
Using the Cursor Function in the P/V Tool Pro Window: Creating the Linear Compliance Curve
272
Interpreting the P/V Curve
273
Selecting Plot Type
275
P/V Tool Plot Window
275
Using the Reference Feature to Review Stored Curves
276
Paw/Flow Plot
276
Flow Sensor and Breathing Circuit Check
277
Demonstration Lung Assembly
277
Checking for a Gas Leak between the Flow Sensor and the Demonstration Lung
280
P/V Tool against P/V Tool Pro
281
References
281
10 Responding to Alarms
283
Introduction
284
How to Respond to an Alarm
287
Active Alarm Buffer
288
Event Logs: Reviewing Events
289
Alarm Troubleshooting Table
290
11 Maintenance
319
Cleaning, Disinfection, and Sterilization
320
General Guidelines for Cleaning
328
General Guidelines for Chemical Disinfection
328
General Guidelines for Autoclave Sterilization
329
Introduction
320
Preventive Maintenance
329
Cuff
331
Preventive Maintenance Schedule
331
Ventilator
331
Cleaning or Replacing the Fan Filter
332
Removing a Gas Supply Filter Housing
332
Replacing the Oxygen Cell
332
Calibration of the Extended Battery
333
Repacking and Shipping
333
Storage
333
12 Special Functions
335
Standby
336
Special Function Keys
337
O 2 Enrichment
338
Suctioning Tool
339
Manual Breath
340
Pneumatic and Aeroneb Nebulizer
340
Pneumatic and Aeroneb ® Nebulizer
340
Print Screen
341
Screen Lock/Unlock
342
Breathing Circuit Specifications
343
Configuration Specifications
343
Electrical Specifications
343
Environmental Requirements
343
Other Technical Data
343
Physical Characteristics
343
Pneumatic Specifications
343
A Specifications
344
Physical Characteristics
344
HAMILTON-G5 Dimensions
344
A.1 Physical Characteristics
344
Environmental Requirements
345
Pneumatic Specifications
345
A.2 Environmental Requirements
345
Electrical Specifications
346
A.4 Electrical Specifications
346
Control Settings
348
Control Setting Ranges and Resolutions
348
A.5 Control Settings
348
Monitored Parameters
362
A.6 Monitored Parameters
362
Monitored Parameter Ranges and Resolutions
364
Spo 2 Parameter Selection Window
366
Alarms
368
Real-Time Curves
368
A.7 Alarms
368
Configuration Specifications
375
A.8 Configuration Specifications
375
A.9 Breathing Circuit Specifications
379
Other Technical Data
380
Standards and Approvals
383
EMC Declarations (IEC 60601-1-2
384
Recommended Separation Distances between Portable and Mobile RF Communications Equipment and the HAMILTON-G5
388
Warranty
389
Miscellaneous
390
Modes of Ventilation
391
B.1 Introduction
392
Introduction
392
Mandatory Modes
395
Synchronised Controlled Mandatory Ventilation ((S)CMV) Mode
395
B.2 Mandatory Modes
395
Pressure-Controlled CMV (P-CMV) Mode
396
S)CMV Control Window
396
P-CMV Control Window
397
Simv
397
SIMV (Synchronized Intermittent Mandatory Ventilation) Modes
397
Ventilation) Modes
397
B.3.1 SIMV Mode
398
SIMV Mode
398
P-SIMV Mode
399
Breath Delivery in SIMV Modes
398
B.3.2 P-SIMV Mode
399
SIMV Control Window
399
Pressure Support Mode (SPONT
400
PSIMV+ Control Window
400
Adaptive Pressure Ventilation (APV)
401
Advanced Ventilation Modes
401
Adaptive Pressure Ventilation (APV
401
SPONT Control Window
401
Apvcmv Control Window
402
Advantages
403
Apvsimv Control Window
403
Principles of Operation
404
Adaptive Support Ventilation (ASV
405
Adaptive Support Ventilation (ASV)
405
Duopap (Duo Positive Airway Pressure) and APRV (Airway Pressure Release Ventilation
405
Introduction
405
Duopap Control Window
406
Differences between Duopap and APRV
408
The Many Faces of Duopap and APRV
408
Pressure Support in Duopap/Aprv
409
Synchronization
410
Pressure Support in Duopap/Aprv
410
References
411
Noninvasive Ventilation (NIV and NIV-ST
411
Noninvasive Ventilation (NIV and NIV-ST)
411
Ncpap-PS Mode
413
Introduction
413
B.5.5 Ncpap-PS Mode
413
Controls of Ncpap-PS
414
B.6 Leak Compensation
415
Leak Compensation
415
Asv (Adaptive Support C
417
ASV (Adaptive Support Ventilation
417
ASV Technical Data
417
Introduction
418
C.1 Introduction
418
ASV Use in Clinical Practice
419
Clinical Use of ASV
420
ASV Control Window
421
Blood Gas and Patient Conditions and Possible Adjustments
425
ASV Target Graphics Window
427
ASV Monitored Data Window
428
Interpretation of Breathing Pattern at 100% Minvol Setting
428
Interpretation of Breathing Pattern at Much Higher than 100% Minvol Setting
429
Interpretation of Breathing Pattern at Much Lower than 100% Minvol Setting
429
Detailed Functional Description of ASV
431
Normal Minute Ventilation
431
Targeted Minute Ventilation
431
Normal Minute Ventilation as a Function of Ideal Body
431
Minvol = 7 L/Min
432
Lung-Protective Rules Strategy
433
Optimal Breath Pattern
436
Initial Breaths: How ASV Starts
437
Anatomy of the ASV Target Graphics Window
437
Approaching the Target
438
Dynamic Adjustment of Lung Protection
440
Dynamic Adjustment of Optimal Breath Pattern
441
Minimum Work of Breathing (Otis' Equation
442
ASV Technical Data
444
ASV Start up
447
Initial Breath Pattern for Adult Settings
447
Initial Breath Pattern for Pediatric Settings
447
C.6 ASV Start up
447
References
448
C.7 References
448
Niv (Noninvasive Ventila- D
449
NIV (Noninvasive Ventilation
449
Introduction
449
D NIV (Noninvasive Ventilation)
450
Benefits of Noninvasive Ventilation
451
Patient Interfaces
451
D.2 Benefits of Noninvasive Ventilation
451
Required Conditions for Use
452
Contraindications
453
Potential Adverse Reactions
453
Selecting a Patient Interface
453
D.4 Contraindications
453
Control Settings
455
Airway Pressure
455
D.7 Control Settings
455
Alarms
456
Monitored Parameters
456
D.8 Alarms
456
Additional Notes about Using Noninvasive Ventilation
457
References
459
Co Sensor Option: E
461
CO Sensor Option: Volumetric Capnography
461
Slopeco
461
Introduction
462
Slopeco
462
CO Elimination (V'CO
463
Combination of Capnogram and Spirogram
464
End-Tidal CO (Petco and Fetco
465
Airway Dead Space (Vdaw
465
Alveolar Minute Ventilation (V'alv
466
Interpretation of Volumetric Capnogram
466
Capnogram Shape (Slope of the Alveolar Plateau, Slopeco 2
467
Capnogram Shape
467
Plateau, Slopeco 2
467
Examples of "Normal" or Expected Values in Mechanically
468
Ventilated Patients
468
Formulas
469
E.7 Formulas
469
References
470
E.8 References
470
Pulse Oximetry
471
Default Chapter
471
Spo2 Parameters in the Monitoring Window
471
Introduction
473
F.1 Introduction
473
Masimo Spo 2 Pulse Oximeter Components
482
Spo2 Monitoring Options
483
About Masimo SET and Masimo Rainbow SET
484
Masimo Sphb Sensor Modes of Operation
485
Masimo Sphb Sensor Modes
486
About Nihon-Kohden
487
Monitored Parameters and Settings
487
About the Masimo Spo Raw Parameter Measurements
489
Spo 2 Pulse Oximeter Data Display
489
Monitoring Window, Spo2Raw
489
About the Masimo Spo 2 Raw Parameter Measurements
489
Parameters in the Monitoring Window
490
Quality Index Indicators
491
Monitoring Window, Window 2 Tab
491
Working in Sphb Spot Check Mode
493
Tools -> Spot Check Window
494
Performing an Sphb Spot Check
495
Spot Check Window Status Area Options
495
Alarms
496
Masimo Spo 2 Alarm Delay
496
F.6 Alarms
496
Spo 2 Alarm Limits Window
497
Table of Pulse Oximeter-Related Alarm Settings
497
Adjustable Alarms with Automatic and Standard Settings
497
Masimo Information Codes and Troubleshooting
499
Adjustable Alarms with Automatic and Standard Settings
499
About the Pulse Oximeter Information Codes
500
System Info 2 Window, Pulse Oximeter Information
500
Masimo Sensor Information
501
Configuring the Oximeters
502
Configuring the Masimo Options
502
Options
502
Masimo Option Settings
502
Masimo Data Acquisition Parameters
503
Masimo Data Acquisition Settings
504
Selecting Sensor Options
505
Configuring Masimo Monitoring Settings
505
Settings
506
Table of Masimo Monitoring Options
506
Configuring the Nihon-Kohden Options
508
Connecting the Equipment
508
Configuration Spo Alarms, Using the Customize Window
508
F Pulse Oximetry
508
Connecting the Masimo Oximeter
509
Attaching the Adapter to a Rail
510
Attaching the Adapter Cable
512
Connecting the Ventilator Spo Cable to the Ventilator (Masimo
512
Attaching the Patient Cable to the Spo Adapter
513
Connecting the Patient Cable to the Spo
513
Cable
513
Connecting the Nihon-Kohden Oximeter
514
Connecting the Patient Cable to the Ventilator
514
Confirming Measurements
515
Disconnecting the Spo Sensor
515
F.9.3 Confirming Measurements
515
Troubleshooting Masimo Issues
515
Troubleshooting Masimo Issues
516
Masimo Pulse Oximeter Specifications
519
Masimo Specifications
519
Basics of Pulse Oximetry
524
Light Absorption Spectrum of Oxy- (Hbo ) and Deoxyhaemoglobin (Hb
525
Spo /Fio
526
Spo 2 /Fio 2
526
References
527
Pneumatic Diagram
529
G Pneumatic Diagram
530
Parts and Accessories
531
Ventilator Parts and Accessories
531
Ventilator Parts and Accessories
537
Communication Interface
539
Introduction
539
Interface
539
I.1 Introduction
540
Patient Monitor
541
I.2 RS-232 Interface
541
I.3 Patient Monitor
542
HAMILTON-G5 Connected to a Patient Monitor
543
Interfacing Hardware for Patient Monitors
544
PDMS or Other Computer System
545
HAMILTON-G5 Connected to a Computer System
545
Inspiratory:expiratory (I:E) Timing Outlet
546
HAMILTON-G5 Connected to an External Device through the Special Interface Connector
546
Requirements for Interfacing Pdms's
546
Remote Alarm Outlet
547
Connector Pin Assignments
548
Remote Alarm Relay Positions
548
Interface Connectors
549
Interface Connector Pin Assignments
549
Configuration
551
Default Chapter
552
Begin Configuration
552
Introduction
552
J.1 Introduction
552
Configuration Window
553
Language Window
553
Language: Choosing the Default Language
553
Customize: Choosing the Ventilation
554
Breath Timing Philosophies (Adult Patients
555
Customize: Choosing the Ventilation Philosophy and Alarms
554
Breath Timing Philosophies (Adult Patients)
555
Relationships between Breath Timing Settings
556
Quick Wean: Choosing the Default Weaning
557
Activity Criteria
557
Quick Wean: Choosing the Default Weaning Activity Criteria
557
Timing Controls Applicable to Breath Timing Control Philosophies
557
Quick Wean SBT Settings
558
Quick Wean to Start Settings
558
Quick Wean to Abort Settings
559
Main Monitoring Parameter Selection Drop-Down List
560
MMP Selection: Choosing the Default Main
560
Monitoring Parameter Display
560
MMP Selection: Choosing the Default Main Monitoring Parameter Display
560
Vent Status Window
561
Vent Status: Configuring the Vent Status
561
Intelligent Panel
561
Vent Status: Configuring the Vent Status Intelligent Panel
561
Options Window
563
Options: Activating Software and Hardware
563
Options
563
Options: Activating Software and Hardware Options
563
Interface: Configuring the I:E Timing Outlet
564
Nebulizer: Configuring the Nebulizer Type
565
Spo 2 : Configuring Pulse Oximeter Settings
566
Masimo Data Acquisition Settings
567
Defaults Window
568
Defaults: Configuring Default Settings
568
Glossary
571
Index
585
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