The HAMILTON-G5 is Hamilton Medical's most modular high-end mechanical ventilator. A large set of standard features and options allow you to tailor the HAMILTON-G5 to your needs. The integrated cuff pressure controller IntelliCuff® continuously monitors and automatically adjusts cuffed tracheal and tracheostomy tubes, providing real-time optimization of cuff pressure. The Protective Ventilation (P/V) Tool provides a repeatable method to assess recruitability and find the best PEEP based on respiratory mechanics, as well as providing an easy and repeatable method for performing recruitment maneuvers.
The HAMILTON-G5 also supports transpulmonary pressure measurement.
In addition to many other features, the HAMILTON-G5 also includes Hamilton Medical's standardized Ventilation Cockpit user interface and the intelligent ventilation mode, Adaptive Support Ventilation (ASV®).
The HAMILTON-G5 mechanical ventilator provides effective, safe, and lung-protective ventilation for adult, pediatric, and neonatal patients. For neonatal patients, a specifically developed neonatal proximal flow sensor is used. The tidal volume range goes down to 2 ml.
All Hamilton Medical ventilators feature the intelligent ventilation mode, Adaptive Support Ventilation (ASV®). ASV continuously adjusts respiratory rate, tidal volume, and inspiratory time depending on the patient’s lung mechanics and effort. ASV adapts ventilation breath-by-breath, 24 hours a day, from intubation to extubation. A lung-protective strategy ensures ASV’s safety. ASV attempts to guide the patient using a favorable breathing pattern and avoids potentially detrimental patterns. ASV has been a well established mode in critical care since 1998 and has become a standard mode in many units around the world.
With INTELLiVENT®-ASV, the clinician sets targets for PetCO2 and SpO2 for the patient. INTELLiVENT-ASV then automatically controls the ventilation and oxygenation of the patient. INTELLiVENT-ASV sets the minute ventilation, PEEP, and FiO2 based on the targets set by the clinician and on physiologic input from the patient (PetCO2, SpO2, lung mechanics, activity). INTELLiVENT-ASV is based on the proven Adaptive Support Ventilation (ASV). INTELLiVENT-ASV continuously monitors patient conditions, and safely adjusts parameters to keep the patient within target ranges, with minimal clinician interaction, from intubation until extubation. INTELLiVENT-ASV also provides tools to promote early, automated weaning (Quick Wean).
IntelliCuff® is a new noninvasive automatic cuff pressure controller integrated with the ventilator. IntelliCuff continuously monitors and automatically adjusts cuffed tracheal and tracheostomy tubes, providing real-time optimization of cuff pressure.
The noninvasive ventilation modes deliver pressure-supported, flow-cycled spontaneous breaths (NIV and NIV-ST mode) and pressure-controlled, time-cycled mandatory breaths (NIV-ST mode). In NIV modes, the ventilator functions as a demand flow system. When pressure support in NIV mode is set to zero, the ventilator functions like a conventional CPAP system.
Compared to a compressed-air-based intensive care ventilator, this ventilator provides a higher peak flow rate of over 240 l/min due to an integrated high-performance turbine. This guarantees optimal performance even with large leaks. In addition, the IntelliTrig leak compensation function adapts to changing breath patterns and airway leaks to achieve optimum synchronization between patient and device. The P/V Tool provides a fully automatic maneuver that records the static pressure-volume curve quickly and easily at the bedside. You can use it to assess recruitability and to set PEEP based on respiratory mechanics. The P/V Tool Pro option even determines the upper and lower inflection points (UIP & LIP) automatically.
The P/V Tool also provides an easy and repeatable method for performing recruitment maneuvers.
Esophageal pressure is considered a substitute for pleural pressure. Partitioning of lung and chest wall compliance is then possible and is very useful to set PEEP and tidal volume, assess lung recruitability, and perform recruitment maneuvers. Transpulmonary pressure is airway pressure minus esophageal pressure measured during an end-inspiratory or end-expiratory occlusion, and represents the pressure to distend the lung parenchyma.
Transpulmonary pressure allows customization of ventilator settings to optimize lung recruitment and protective ventilation in mechanically ventilated patients.
The Dynamic Lung panel is part of the Ventilation Cockpit. It displays tidal volume, lung compliance, interaction with the heart, patient triggering, and resistance in real-time. The lungs expand and contract in synchrony with actual breaths. The shape of the lungs changes with compliance. Numeric values for resistance (Rinsp) and compliance (Cstat) are also displayed.
The Vent Status panel is part of the Ventilation Cockpit. It displays six parameters related to the patient’s ventilator dependence, including oxygenation, CO2 elimination, and patient activity. A floating indicator (floater) that moves up and down within the column shows the value for a given parameter. The panel is updated breath by breath. When all values are in the weaning zone, the Vent Status panel is framed in green, indicating that spontaneous breathing trials should be considered.