Hamilotn ventilator

1. Hamilton Ventilators
G5
1

2. G5 ventilators
• Neonates – Adult ICU Ventilators
• Tidal Volume : 2 – 2000 ml
• Ventilation Modes :
– SCMV, SIMV, PCV, PSIMV, SPONT,
DUOPAP, APRV, APVcmv , APVsimv , NIV,
ASV
• 15” TFT Color LCD, Touch Screen
• DynamicLung
• Ventilation Status
• Nebulizer settings ( continuous , time )
• Intellitrig (intelligent trigger)
• TRC (Tube resistance compensation)
• PV Tool (lung recruitment maneuvers )
• Special functions:
screen lock, O2 enrichment, manual breath,
nebulizer, print screen, silent alarm
• Optional Etco2 & Heliox Application
• Optional SpO2 & nCPAP -PS

3. Intellitrig (intelligent trigger)
• This is ventilator features for
compensate exists leaks ( often
happen on face masks)
• Feature for prevent auto- trigger
/false trigger occurs

4. Optional nCPAP -PS

5. TRC (Tube Resistance Compensate)
• ETT installation on patient add resistance road breath , so patient if
breathe spontaneous more heavy
• TRC compensates resistance that is in result by ETT 's . With
increase airway pressure as reduced pressure compensation
because resistance additional ETT, by because that user enters data
size ETT and how many percent desired
• TRC doesn't compensate addition other resistance , such as
Sputum, biting ETT …

6. DynamicLung
Low compliance
Good resistance
Low compliance
High resistance
Very low compliance
Very high resistance

7. Ventilation Status
1. Oxygenation :
 FiO2
 PEEP
2. Ventilation / CO2 elimination :
 ExpMinVol
 pinsp
3. activity Spontaneous Patient :
 RSB
 % Spontaneous Rate
Describes how much the patient is dependent on ventilator assistance
Safe

8. Optional Heliox
(only in G5)
• Heliox is mixture of helium and oxygen , and
indicated for patient with obstruction track
breathing top . Use heliox for prevent disturbance
breath patient During obstruction track breath on
it resolved
• Heliox has low density , so _ no will causing high
turbulence _ moment pass track obstructed
• Mixture recommended heliox _ is 78% (He)/22%
(O2)

9. Pressure Auxiliary
• A pressure auxiliary is used for measure pressure
esophageal with a flow of 9 ml/min
• For this auxiliary measure use balloon esophageal
catheter for determine trans-pulmonary pressure
, determines the PEEP setting for oxygenation
and measurement this conducted for prevent
damage on lungs
• This auxiliary measurement usually used for
scientific studies/ experiments clinical , no
general used on intensive care unit/ICU

10. SpO2 Measurement (only in G5)
SpO2 Sensor Adapters SpO2 Finger Sensor - Reusable SpO2 Finger Tip Sensor - Reusable
SpO2 Sensor - Disposable SpO2 Multi-site Sensor, tape attachments

11. etCO2 Monitoring

12. Nurse calls
• Nurse call is an additional device that can in
install on ventilators and other tools are
placed at the nurse's station, so if there 's an
alarm going on on ventilators, apparatus on
the ventilator will send signal to existing tools
_ at the nurses station
• Nurse calls usually used on treated patients _
in room isolation

13. P/V Tool
• With very user measurement get value :
- Min pressure (LIP)
- Maximum pressure (UIP)
- Optimum PEEP
- Hysteresis value
V
P

14. P/V tools
• Patient breathe spontaneous
• Patient with cardiovascular no stable
• Patient with indication hypertension
intracranial
• Patients who don't could tolerate to high
• vulnerable patient _ baro – or volutrauma
• High leakage _ on system ( circuit , patient )

15. Conventional
ventilation mode
PCMV
PSIMV
spontaneous
Back-up mode
Tidal volume targets
Pressure control
Pressure support
Respiratory rate
I : E ratio
Inspirational
Time expiratory
apnea time
PEEP
FiO2
MANY MODE OPTIONS AND SETTING PARAMETERS
THAT ALWAYS MUST BE ADJUSTED

16. ASV
(all Hamilton Ventilators)
Initial settings / initial
settings

17. ASV vs Conventional
Ventilator modes:
PCMV, PSIMV, Spontaneous , CPAP, Back-
up mode
• Tidal volume targets
• Pressure control
• I:E ratio
• Respiratory rate
• Inspiratory
• T expiratory
• Pressure support
• apnea time
• PEEP
• FiO2
ASV mode
• Ideal Bodyweight
• % MinVol
• PEEP
• FiO2
What users have to set What users have to set
Conclusion
1. Users don't must using a variety of modes ,
enough one mode is ASV
2. Adjustment setting always conducted by the
ventilator, so make it easy user

18. ASV
0
200
400
600
800
1000
1200
5 10 15 20 25 30 35 40 45
Minute volume = IBW 50 kg x 100 ml
= 5 L = 5000 ml
Tidal
volume
RR
Targeted ventilators are appropriate with
MinVol
Reply breathing patient

19. ASV
Ideal for ASV
ventilation
D
C
B
A
LUNG PROTECTIVE STRATEGY
A. High volume and
pressure
B. High respiratory rate /
tightness
C. Low volume/ dead
space ventilation
D. Apnea/low respiratory
rate

20. Contraindications
• Neonatal patient
(immature lung and uncuffed ETT that causes value of leaks /
leaks changeable )
• Patient with injury on brain
( especially injury the brain that causes disturbance on breath
control )

23. THANK YOU
23

24. TROUBLESHOOT HAMILTON
VENTILATORS
G5

25. TOOL OF GUIDE TROUBLESHOOTING
• Alarm Light ( red = high priority, yellow = low priority), the alarm will be stored
in memory, accompanied by a speaker sound
• Technical Events (code TF 88 up to TF2999), usually problems related to
software.
• Technical fault (code TF 5500 up to TF 9999), usually indicating a Penumatic and
electronic problem Fatal error, alarm not silence

26. TECHNICAL EVENTS

27. TECHNICAL EVENTS

28. TECHNICAL FAULTS

29. TECHNICAL FAULTS

30. PROBLEM G5 CAN'T START ON
• Check Power Hospital and Check cable power connection to G5
• Check main Fuse, Replace if broken
• Check PSU, Replace if Broken
• Check Voltage pins on VU Motherboard

31. TEST SOFTWARE

32. G5 CONFIGURATION

36. PREVENTIVE MAINTENANCE