During configuration, you set up the ventilator with a default language, breath timing control philosophy, main monitoring parameter display, and nebulization parameters.

Operator configuration also lets you enable and disable alarms and set up the I:E timing outlet. You typically configure the ventilator when you first acquire it, before you put it in service on a patient.

NOTE:

For details on INTELLiVENT

-ASV and Quick Wean configuration, see the INTELLiVENT

-ASV manual.

For details on SpO

configuration, see Appendix F, Pulse oximetry.

J.2 Begin configuration

1. To begin the Configuration process, put the ventilator into

Standby.

2. Press the and buttons at the same time.

The Configuration button is then displayed.

3. Touch the Configuration button . The Configuration

window opens (Figure J-1 ).

4. Begin device configuration, identify your requirements, and then activate them.

For more detail on specific instructions, read the next subsections to configure your ventilator.

5. Touch Close when done with each panel.

6. When you are done configuring the ventilator, touch

Close/Save to save your selections.

7. Return to the Patient setup window.

J-2

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Figure J-1. Configuration window

J.3 Language: Choosing the default language

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Figure J-2. Language window

J-3

J Configuration

The Language window lets you choose the language for the screen display.

To set the language:

1. Select the Language -> English button. A drop-down list opens.

2. Use the scroll arrows to display the desired language (highlighted). Select the language

3. Touch Close .

4. If you are done configuring the ventilator, touch Close/

Save to save your selections.

You return to the Configuration window.

J.4 Customize: Choosing the ventilation philosophy and alarms

The Customize

window (Figure J-3

) lets you choose what breath timing philosophy to use and what units of measure to use, and whether to enable/disable your operator-set alarms.

J-4

Figure J-3. Customize window

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To enable alarms:

1. Click the alarm entries to enable.

2. Choose from the following parameters:

Parameter

Controls

(ventilation philosophies)

Alarms

Notes

Select a preferred way to define time profiles of breath cycles.

Length

Enable from 0 to 8 operator-set alarms. If an alarm is disabled, it will not be possible to set it from the Alarms window, and the device will not alarm for this condition. The high Pressure and low ExpMinVol alarms

cannot be disabled. See Appendix A

for details on the alarm settings.

Select the unit of measure for patient height.

Select the unit of measure for CO

pressure.

pressure

3. Touch Close .

4. If you are done configuring the ventilator, touch Close/

Save to save your selections.

J.4.1 Breath timing philosophies (adult patients)

The operator defines mandatory breath timing with settings that may include:

• Breath rate, in b/min (Rate)

• Inspiratory:expiratory ratio (I:E)

• Duration of inspiration phase not including pause, in seconds or % of total cycle time (TI or %TI)

• Duration of inspiratory pause/plateau, in seconds (Pause or Tip)

• Peak flow, in l/min (Peak Flow)

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J-5

J Configuration

The relationships between these breath timing parameters are shown in Figure

J-4

J-6

Figure J-4. Relationships between breath timing settings

Different hospitals are accustomed to specifying breath timing in different ways, however. The HAMILTON-G5 ventilator provides the flexibility to configure breath timing for adult patients in whichever way is most familiar and comfortable.

It offers four breath timing “philosophies” corresponding to four different ways of making these settings. You can choose from one of these four philosophies when you configure the device. Then, when you ventilate an adult patient on the device, your chosen philosophy is displayed.

The four philosophies are:

• I:E/Pause

• Peak Flow/Tip

• %TI/Pause

• TI/Pause

Table J-1 shows the active timing control settings correspond-

ing to each philosophy.

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Table J-1. Timing controls applicable to breath timing control philosophies

Philosophy

Adult

(S)CMV P-CMV

APV cmv

SIMV P-SIMV

APV simv

Pediatric

(S)CMV

SIMV

P-CMV

P-SIMV

APV cmv

APV simv

Infant/ neonatal

P-CMV

P-SIMV

APV cmv

APV simv

TI I:E/

Pause

Peak

Flow/

Tip

%TI/

Pause

I:E,

Pause

Peak

Flow,

Tip

%TI,

Pause

I:E

%TI

TI,

Pause

Peak

Flow,

Tip

%TI,

Pause

%TI

TI,

Pause

TI,

Pause

TI,

Pause

TI/

Pause

TI,

Pause

TI TI,

Pause

TI TI,

Pause

TI TI

1. SPONT, ASV, DuoPAP, NIV, DuoPAP, and APRV modes are not shown, because breath control timing philosophies do not apply to these modes.

J.5 Quick Wean: Choosing the default weaning activity criteria

Only available with the INTELLiVENT

-ASV option. The Quick

Wean configuration screen gives you access to the settings to specify conditions for starting weaning activities, settings to be maintained during an SBT, and conditions for aborting ongoing weaning activities.

The factory default settings are evidence based (see references in the INTELLiVENT

-ASV manual). However, you can change the settings if you use a different protocol.

For detailed information about setting the parameters, recommended settings, and using Quick Wean, see the INTEL-

LiVENT

-ASV manual.

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J-7

J Configuration

Figure J-5. Quick Wean To start settings

J-8

Figure J-6. Quick Wean SBT settings

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Figure J-7. Quick Wean To abort settings

To set the Quick Wean SBT settings:

1. In the To start window (Figure

J-5

), specify settings for the conditions to be met before weaning activity, including automated SBTs when enabled, is possible. Set the desired value for each parameter, for adult patients (top) and for pediatric patients (bottom).

2. Click the SBT settings tab (Figure

J-6

) and specify the desired settings for values to maintain during an SBT.

3. Click the To abort tab (Figure

J-7

) and specify the conditions that must be met for ongoing weaning activity, including an SBT, to be stopped.

4. Touch Close .

5. If you are done configuring the ventilator, touch Close/

Save to save your selections.

J-9

J Configuration

J.6 MMP selection: Choosing the default main monitoring parameter display

From the Main Monitoring Parameter selection win-

dow (Figure J-5 ) you select the five main monitoring parame-

ters to be displayed on the screen. These parameters will be displayed in the order selected.

J-10

Figure J-8. Main Monitoring Parameter selection drop-down list

To set the main monitoring parameters:

1. Select a parameter position (MMP1 is the top position;

MMP5 is the bottom position). A drop-down list opens.

2. Select the parameter for display.

3. Repeat step 1 and 2 for the other four parameter positions.

4. Touch Close .

5. If you are done configuring the ventilator, touch Close/

Save to save your selections.

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J.7 Vent Status: Configuring the Vent Status intelligent panel

When the Vent Status window is open, (Figure

J-9 ) you

can configure the Vent Status intelligent panel (Figure

J-10

) according to your institution’s protocol for weaning.

Oxygen, PEEP, MinVol, and Pinsp are always shown in the

Vent Status panel, but you can configure the remaining two parameters from these choices: RSB or P0.1, and VariIndex

%fSpont.

When Quick Wean is enabled, the Vent Status window monitors weaning settings. For details, see the Quick Wean chapter in the INTELLiVENT

-ASV manual.

Figure J-9. Vent status window

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1. The variability index (VariIndex) parameter is not available in all markets.

J-11

J Configuration

Figure J-10. Vent status intelligent panel

To select the Vent Status parameters:

1. Open the Vent Status window.

2. From the RSB, VariIndex

, P0.1, and %fSpont parameters, select 2 (two) for display.

3. Select a parameter and adjust the value. Repeat the steps to select other required parameters.

4. Select Set factory default and revert the device to

factory settings (see Section J.12

5. Touch Close .

6. If you are done configuring the ventilator, touch Close/

Save to save your selections.

J-12

1. The variability index (VariIndex) parameter is not available in all markets

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J.8 Options: Activating software and hardware options

NOTE:

In addition to activating CO

and/or SpO2, you must also enable the option(s) in the System window

(Section 4.3.3

To view the Options window (Figure

J-11

), touch the Options button. Select and activate software and hardware options.

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Figure J-11. Options window

To configure options:

1. Enter the software option activating code from the accompanying license. Select Enter .

2. Repeat step 1 until all options are entered.

3. Select the desired hardware option. Press Enter .

4. Touch Close .

5. If you are done configuring the ventilator, touch Close/

Save to save your selections.

J-13

J Configuration

J.9 Interface: Configuring the I:E timing outlet

The Interface window (Figure J-12 ) lets you configure the I:E

outlet.

J-14

Figure J-12. Interface window

To configure the interface:

1. Determine the desired relay positions ( Open or Closed ) for each of the three breath cycle phases ( Insufflation,

Pause, and Exhalation ).

2. Select a relay position.

3. Touch Close .

4. If you are done configuring the ventilator, touch Close/

Save to save your selections.

See Appendix I, Communication interface, for information on the communications interface option.

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Figure J-13. I:E outlet timing

J.10 Nebulizer: Configuring the nebulizer type

NOTE:

If you are using an external pneumatic nebulizer ensure to configure the nebulizer. This configuration helps prevent nuisance alarms due to inappropriate nebulizer volume compensation.

With the Nebulizer window opened you can select a nebulizer type, or if you use the device’s internal nebulizer select

Internal .

The internal nebulizer function adds volume to the gas delivered to the patient, but selecting Internal compensates the total volume so that the set tidal volume is delivered.

If an external nebulizer is being used, either a pneumatic

(small-volume) nebulizer powered by an external gas source or a standalone ultrasonic or electronic (piezo) micropump nebulizer, select External . This deactivates volume compensation.

Then configure the nebulizer:

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J-15

J Configuration

Figure J-14. Nebulizer window

To select the nebulizer type:

1. Select either the Internal or External button.

2. Touch Close .

3. If you are done configuring the ventilator, touch Close/

Save to save your selections.

J.11 SpO

: Configuring pulse oximeter settings

Setting up the pulse oximeter comprises the following steps.

For detailed information about setting the parameters for the

Masimo pulse oximeter, see Appendix F, Pulse oximeters.

J-16

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Figure J-15. SpO

Parameter selection window

To select the pulse oximeter type:

1. Select either the Nihon Kohden or Masimo button.

When you select Masimo , the Data Acquisition settings are displayed.

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Figure J-16. Masimo Data Acquisition settings

J-17

J Configuration

2. Select the appropriate options. For details, see Section

F.8.1.1

3. Confirm the selection and touch Close .

4. If you are done configuring the ventilator, touch Close/

Save to save your selections.

Configuring the Masimo pulse oximeter settings continues in the System -> Sensors On/Off window and in the

System -> SpO2 window. For details, see Section

F.8.1.3

J.12 Defaults: configuring default settings

The Defaults window open you can configure default settings for mode and controls. All operator set defaults can be configured individually for each patient group.

J-18

Figure J-17. Defaults window

To configure default settings:

1. Starting from the Standby screen, select the patient group for which you want to configure default settings.

2. Start normal ventilation using a lung model.

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3. Define your defaults for the selected patient group.

A.In the Modes window, select the mode you want to set as default for the active patient group.

B.Adjust all controls in the Controls window according to your institution’s standards as default controls.

C.In the Additions window, set TRC and Sigh according to your institution’s standards.

D.Use the graphics layout in the Graphics window to configure the graphics layout. Activate the secondary monitoring parameters ( SMP ) according to your institution’s standard for waveforms, loops, trends and the Intelligent Panels for the default graphics layout.

4. After setting mode, controls, addition and graphics return to the Standby window and activate the Configuration

> Defaults window.

For the last active patient group (where you set your defaults) the Set default button is available.

5. Save your default configuration for the active patient group. After pressing the Set default button a confirmation window opens.

6. Repeat these steps for the remaining patient groups.

The default patient group can also be selected in the

Defaults window. This patient group will be the default for New Patient .

7. Select the current patient group. A drop-down list opens.

8. Touch Close .

9. If you are done configuring the ventilator, touch Close/

Save to save your selections.

Note that selecting Set factory defaults deletes all userconfigured defaults (mode, controls and graphics).