Hamilton T1 Quick Manual

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HAMILTON-T1 Quick Guide
HAMILTON-T1 Quick Guide

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  Summary of Contents for Hamilton T1

  • Page 1 HAMILTON-T1 Quick Guide HAMILTON-T1 Quick Guide...
  • Page 2 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.
  • Page 3: Table Of Contents

    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.
  • Page 4: Hamilton-T1 Basics

    1. HAMILTON-T1 basics 1.1 Ventilator front view English | 624840/00...
  • Page 5 Use to select and adjust ventilator settings. Press-and-turn (P&T) knob. The backup batteries are located inside the front cover. Front cover and battery. Expiratory valve bleed port. Do not obstruct. Underside of ventilator. Hamilton Medical | HAMILTON-T1 Quick Guide...
  • Page 6 1.2 Ventilator side view, with gas connections English | 624840/00...
  • Page 7 High-pressure oxygen DISS or NIST inlet fitting Low-pressure oxygen connector AC power receptacle Cooling air intake and dust filter. Do not obstruct. AC power cord with retaining clip Serial number label DC power receptacle Hamilton Medical | HAMILTON-T1 Quick Guide...
  • Page 8 1.3 Main display English | 624840/00...
  • Page 9 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. button freezes the graphic for up to 30 s. Freeze Touch the icon to view information about alarms. Alarm indicator (i-icon). Hamilton Medical | HAMILTON-T1 Quick Guide...
  • Page 10: Setting Up The Ventilator

    2. Setting up the ventilator Expiratory valve membrane Expiratory valve housing Metal plate facing the ventilator Installing the expiratory valve Holding the expiratory valve housing, seat the silicone membrane onto the housing. The metal plate must face up and be visible. Position the housing and twist clockwise until it locks into place.
  • Page 11 Connect the breathing circuit to the inspiratory and expiratory ports (1, 2) the flow sensor tubes to the flow sensor connectors Use either a bacteria filter or a combined heat-moisture exchanger and filter (HMEF). Hamilton Medical | HAMILTON-T1 Quick Guide...
  • Page 12 2.3 Connecting a dual limb circuit To patient (inspiratory port) From patient (expiratory port) Adult/pediatric expiratory valve set Nebulizer outlet Flow sensor connectors Bacteria filter Inspiratory limb Expiratory limb Y-piece (integrated with breathing circuit) Flow sensor Use either a bacteria filter or a combined heat-moisture exchanger and filter (HMEF).
  • Page 13 2.4 Connecting an adult/pediatric flow sensor 2.5 Connecting the internal pneumatic nebulizer Expiratory limb Inspiratory limb Nebulizer Tube Flow sensor Coaxial breathing circuit Hamilton Medical | HAMILTON-T1 Quick Guide...
  • Page 14 2.6 Connecting a CO2 mainstream sensor Attaching the CO2 sensor to the airway adapter CO2 sensor Airway adapter Connect to CO2 port on ventilator Connecting the CO2 sensor/ adapter to the patient circuit You can connect the CO2 sensor before or after the flow sensor according to your institution’s protocol.
  • Page 15 2.7 Connecting a CO2 sidestream sensor Inserting the sample cell into the CO2 module Connect to CO2 port on ventilator Sample cell clicks into place LoFlow sidestream CO2 module Airway adapter Attaching the CO2 sensor to the airway Hamilton Medical | HAMILTON-T1 Quick Guide...
  • Page 16 2.8 Connecting an SpO2 monitor Masimo SET pulse oximeter components Adapter, which contains the oximeter hardware Cable connection ports Sensor and cable Patient cable (connects to adapter and sensor) Adapter cable (connects the adapter to SpO2 connector on ventilator) Connecting the cables Connect the ventilator, patient, and sensor cables as shown.
  • Page 17 Select the CO2 and/or SpO2 checkboxes, and close the window. The status text Active appears next to the checkbox as long as the adapter is connected to the ventilator. If the status area is empty, the adapter is not connected. Hamilton Medical | HAMILTON-T1 Quick Guide...
  • Page 18: Tests And Calibrations

    3. Tests and calibrations 3.1 Performing the preoperational checks Connect ventilator to AC or DC power and an oxygen supply. Assemble the patient breathing circuit. Turn on power. The ventilator runs a self-test and displays the Preop Standby window. Use only if ventilator passes all check tests.
  • Page 19 Y-piece using the calibration adapter. Calibration starts automatically. When prompted, turn the flow sensor again and remove the calibration adapter. Calibration starts automatically. Pass or fail and date/time of completed test are displayed. Hamilton Medical | HAMILTON-T1 Quick Guide...
  • Page 20 Verify that the Loss of external power alarm is generated and that the ventilator is powered by its backup battery. Reconnect the ventilator to AC power. Verify that the alarm resets and that the ventilator is again powered by AC. The HAMILTON-T1 is ready to ventilate English | 624840/00...
  • Page 21 3.2 If the preoperational check fails Hamilton Medical | HAMILTON-T1 Quick Guide...
  • Page 22: Ventilating A Patient

    4. Ventilating a patient 4.1 Using Quick Setup Patient group Quick Setup buttons Gender and patient height Start ventilation A Quick setup refers to a group of settings you define, including patient characteristics (group and weight), mode selection and some control settings, alarm limit settings, and weaning zone limits, that is automatically applied when the setup is selected in the Standby window.
  • Page 23 The HAMILTON-T1 has three configurable Quick Setup buttons. Settings can be configured in advance according to your institution’s standard protocols. Once configured, you can start ventilation in six easy steps. Touch one of the three Quick Setup buttons. Touch Male...
  • Page 24 4.2 Selecting modes Active mode Modes New mode to apply Confirm To change the mode Select the desired ventilation mode. Touch Confirm The Controls window opens. English | 624840/00...
  • Page 25 The following parameters are set based on ideal body weight (IBW): Vt, Rate, Thigh, Tlow, TI, ExpMinVol, and Vt alarm limits. The ventilator uses the Vt/IBW setting to set the initial delivered Vt in volume-controlled modes. See glossary of control parameters on page 32. Hamilton Medical | HAMILTON-T1 Quick Guide...
  • Page 26 4.4 Adjusting alarm limits Alarms Limits 1, 2, 3 Red or yellow bar (depending on alarm priority) indicates the moni- tored value is out of range Current monitored value button Auto Changing the High pressure and VT high alarm settings may affect ventilation. See next page.
  • Page 27 VT high alarm Inspiratory volume is limited to 1.5 times the set VT high alarm limit. Changing the VT high alarm may limit the inspiratory volume. Volume limitation is disabled in NIV modes. Hamilton Medical | HAMILTON-T1 Quick Guide...
  • Page 28: Monitoring Patient Data

    5. Monitoring patient data Touch the button to Monitoring access patient data. English | 624840/00...
  • Page 29 5.1 Monitoring patient data using the dynamic lung The dynamic lung shows compliance (Cstat) and resistance (Rinsp) breath-by-breath relative to “normal” values for the patient’s height. Low compliance Normal compliance High compliance Normal resistance Moderately high resistance High resistance Hamilton Medical | HAMILTON-T1 Quick Guide...
  • Page 30: Ensuring An Adequate Oxygen Supply For Patient Transport

    6. Ensuring an adequate oxygen supply for patient transport Before transporting a patient, ensure an adequate oxygen supply by checking the O2 consumption parameter. During ventilation the current oxygen consumption rate is displayed in the O2 con- sumption parameter (l/min) in the System > Info window. The oxygen consumption of a nebulizer attached to the device is not included in the O2 consump- tion parameter value.
  • Page 31 For larger patients, > 70 cm, IBW > 8 kg O2 consumption = (ExpMinVol + 3 l/min) * (FiO2 – 20.9) / 79.1 Additional amount for the nebulizer oxygen use Nebulizer O2 consumption = 8 l/min * Insp time/total breath time Hamilton Medical | HAMILTON-T1 Quick Guide...
  • Page 32: Glossary Of Control Parameters

    7. Glossary of control parameters Parameter Definition Apnea Backup A function that provides ventilation after the adjustable apnea time passes without breath attempts. If “Automatic” is enabled, control parameters are calculated based on the patient‘s IBW. Expiratory trigger sensitivity. The percentage of peak inspiratory flow at which the ventilator cycles from inspiration to exhalation.
  • Page 33 Respiratory frequency or number of breaths per minute. Sigh Breaths delivered at a regular interval (every 50 breaths) at a pressure up to 10 cmH2O higher than non-sigh breaths, as allowed by the Pressure alarm limit. Hamilton Medical | HAMILTON-T1 Quick Guide...
  • Page 34 Glossary of control parameters Parameter Definition Thigh Length of time at the higher pressure level, P high, in DuoPAP and APRV modes. Inspiratory time, the time to deliver the required gas (time to reach the operator-set Vt or Pcontrol value). Used with Rate to set the breath cycle time.
  • Page 36 PN 624840/00 Manufacturer: Hamilton Medical AG Via Crusch 8, 7402 Bonaduz, Switzerland  +41 58 610 10 20 info@hamilton-medical.com www.hamilton-medical.com...